1. Hyperbilirubinemia Web Conference November 16, 2016 Dial in: 1-866-906-9330, 6970483#

2. Model for Improvement

3. What are we trying to accomplish?
Prevent Kernicterus

4. How will we know that a change is an improvement?
Structure: all birthing hospitals have
policy, protocol or order-sets with key EBP
Process: 95% of newborns have…..
Outcome: 0 cases of kernicterus

5. Data Collection Monthly process monitor data
December structure monitor audit data

6. Audit Tool Was bili checked at 12 hours of age
Baby#: 1 2 3 4 5 6 7 8 9 10
Was bili checked at 12 hours of age
Yes No
Was bili checked at 24 hours of age
Was bili checked at 48 hours of age
DC before 48h
If baby was discharged prior to 48 hours of age, was the bili checked before discharge
Not app
Did mother receive instruction on jaundice before discharge?
Unknown
If discharged before 48 hours of age, was baby to be seen by a provider within 48 hours of discharge? (Count as yes if discharged on Friday and to be seen on Monday)

7. SHARING