1. ILPQC Golden Hour Teams Call
February 20, 2018
2:00 – 3:00 pm

2. Introductions Please enter into the chat box your Name Role
Institution
If you are only on the phone line, please be sure to let us know so we can note your attendance

3. Welcome to Our New ILPQC Project Coordinator!
Welcome Danielle Young, MPH, ILPQC Project Coordinator!
Danielle will be the lead coordinator on Hypertension and IPLARC but will help with other initiatives as needed
Dan Weiss will continue to be the lead coordinator on Golden Hour and MNO initiatives

4. Introductions Golden Hour data Finishing strong Sustainability
Announcements

5. Golden Hour Data

6. Neonatal Golden Hour: Communication Practices

7. Neonatal Golden Hour: Delivery Room Practices
Justin and Leslie, the DCC line reflects now all infants <32 weeks with the 30+ seconds versus previous which was We compared the two lines and they are overall similar with the exception of a more pronounced slope to the dip in the 30+ line in late 2016 early 2017.
OK - Leslie

8. Neonatal Golden Hour: Family Engagement
Wow!

9. Neonatal Golden Hour: Admission Practices – Temperature and IV Glucose

10. Finishing Strong
All 2017 Golden Hour data submitted to REDCap by March 15, 2018
Follow-up with teams with missing data through March 31, 2018, when current data system will be closed
Transition to sustainability data system on April 1, 2018, pending availability of sustainability reports – 2018 data can be entered at this time

11. Checklist to Complete Golden Hour Initiative
Submit ILPQC Golden Hour Data Form data through December 2017 by March 15, 2018 in REDCap
Facilitate completion of education with all providers and nurses
Review data for 3 key process measures with your team
Connect with your Perinatal Network Administrator if you are not yet at the 80% debrief, delayed cord clamping, or temperature goal
Develop sustainability plan with your QI team (draft plan provided by ILPQC), submit to your Perinatal Network Administrator
Continue to collect / submit data on sustainability measures for compliance monitoring. Compliance data form and reports active on April 1
Also available for download

12. Supporting Teams to Sustain Improvement
QI Support for teams
ILPQC will review measures on a quarterly basis to identify teams not at goals for outreach
Perinatal Network Administrators will connect with teams still working towards GH Goals
All teams that (1) submit all data through December 2017 by March 15, 2018, and (2) meet or exceed the 80% delivery room debrief, 80% delayed cord clamping, and 80% temperature goals by December 2018 will receive (when both criteria are met) an ILPQC QI Excellence Award Certificate and Letter of Commendation to their hospital administration congratulating them for achievements for the Golden Hour Initiative!
Sustainability plan template available for download

13. Sustained Improvement Metrics
Data form will collect data on these process measures:
Delivery Room Debrief
Delayed Cord Clamping
Temperature at NICU/Specialty Care Nursery Admission
Monitor sustainability reports for these goals:
≥80% of all high risk deliveries completing delivery room debrief
≥80% of infants < 32 weeks gestational age receiving delayed cord clamping for 30+ seconds
≥80% of infants < 32 weeks gestational age admitted to the NICU/SCN with temperature between degrees Celsius

14. Delayed Cord Clamping Item Wording for Sustainability
Delayed cord clamping done?
Yes (30 + seconds)
No (<30 seconds or not attempted)

15. DRAFT: Golden Hour Sustainability Data Form in REDCap

16. Congratulations! Updated GH QI Awards
BRONZE:
Advocate Condell Medical Center – Special Care Nursery
St. John’s Children’s Hospital
Advocate Illinois Masonic Medical Center
Northwestern Medicine Delnor Hospital
SILVER:
AMITA Alexian Brother Women’s and Children’s Hospital
Edward Hospital
GOLD:
Northwestern Memorial Hospital
AMITA Health Adventist Medical Center Hinsdale
After the ILPQC 5th Annual Conference in December, we re-reviewed your hospital’s quality improvement data based on updated Golden Hour Quality Improvement award criteria to include infants <32 weeks who had delayed cord clamping for at least seconds (≥30 seconds) based on the most recent delayed cord clamping guidelines from the American Academy of Pediatrics and American College of Obstetricians and Gynecologist.

17. Congratulations! Updated GH QI Awards
All Quality Improvement Award winners and their award levels (e.g. Gold) will be acknowledged via:
ILPQC website
Neonatal GH monthly
Annual Conference slides on website
Special recognition at the Face to Face!
For the three teams not receiving a banner at the Annual Conference a banner will be printed and shipped to their hospital

18. Golden Hour Sustainability Calls
Transitioning from monthly to quarterly Team Meetings by Q2 2018
2018 Golden Hour sustainability call schedule for data review, team talks
Tuesday, February 20th, 2-3pm
Tuesday, March 20th, 2-3pm
Tuesday, June 19th, 2-3pm
Tuesday, September 18th, 2-3pm
Tuesday, December 18th, 2-3pm
What are helpful topics to cover during sustainability and months where there is no call?

19. Golden Hour Sustainability Team Talks - TENTATIVE
Call Month
Suggested Teams
Suggested Topics
March
St. John’s Children’s Hospital
AMITA Alexian Brother Women’s and Children’s Hospital
Share sustainability plan?
Team Debrief: how are teams achieving success?
June
Northwestern Memorial Hospital
Carle Foundation Hospital
Maintaining provider /nurse engagement?
New Hire Education plans?
September
Advocate Condell Medical Center- SCN
Advocate Illinois Masonic Medical Center
- Maintaining gains in Delayed Cord Clamping?
End of Year
Edward Hospital
NM Delnor Hospital
AMITA Health Adventist Hinsdale
- Continuing provider/nursing education strategies?
Additional topics?
Topics to omit?
Suggestions for changes in team talk structure?
Other feedback?

20. Next Steps:
Submit all 2017 Golden Hour data to REDCap by March 15, 2018
Will follow-up with teams with missing data through March 31, 2018, when current data system will be closed
Teams will transition to sustainability data system on April 1, 2018, pending availability of sustainability reports
Bring a draft of your sustainability plan to March 2018 Golden Hour Teams Call!

21. 2018 OB & Neonatal Face-to-Face Meetings
SAVE THE DATE!
2018 OB & Neonatal Face-to-Face Meetings
OB: May 30th, 2018
Neonatal: May 31st, 2018
Springfield, IL