VERMONT-OXFORD NETWORK
33 Kilburn Street, Burlington, VT 05401 www.vtoxford.org

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Organizations Filed Purposes: To improve the quality and safety of medical care for newborn infants and their families through a coordinated program of research, education, and quality improvement projects.

Quality Improvement & Education NICQ 2018-19 continues the series of intensive improvement collaboratives sponsored by Vermont Oxford Network. Interdisciplinary teams from 56 institutions in North America are working together to improve the quality and safety of medical care for newborn infants and their families by integrating the concepts of family-integrated care, teams and teamwork, the sequence to achieve change, increased value, and standardization into their collaborative improvement work, addressing: Optimizing Outcomes of the Micro-Premature Infant; Optimizing Nutrition and Reducing Necrotizing Enterocolitis; and Multi-system: Minimizing Brain Injury and Minimizing Lung Injury. This project commenced in January 2018 and has been extended to continue through December 2020. iNICQ webinar series: iNICQ 2019 - The Ins & Outs of Neonatal Care: Improving Critical Transitions for Every Newborn - Our Internet-based Newborn Improvement Collaborative for Quality (iNICQ) is a multi-center collaborative dedicated to improving neonatal transitions in all phases of care - from birth to home. A critical transition is any change of the care site or care team, or any significant change to an infant's status or plan of care. These many important transitions occur within a hospital or health system and between several hospitals and communities, and all levels of hospitals, health systems, or regional groups benefit from improving these vulnerable times of care. 124 multi-disciplinary teams used VONs structured curriculum and expert faculty to improve critical transitions. Teams who chose the Intensive curriculum also had access to participate in the Experience-Based Co-Design (EBCD) curriculum with additional faculty, including those from the Point of Care Foundation. Annual Quality Congress - The 2019 Vermont Oxford Network Annual Quality Congress was held on October 3-6, 2019 in Chicago, IL. The aim of the 2019 Annual Quality Congress was to bring together parents, leading academic neonatologists, scientists and practicing clinicians in neonatal medicine to discuss and determine the current status of knowledge and evidence-based content addressing a variety of neonatal patient care needs and dilemmas in the field to improve the care of preterm infants and family-centered care. The topics included: Jump Starting Quality, Q I Collaborative Symposium, Genomic Medicine, Critical Transitions, Using the NICU Wisely, The Color of Health, Neonatal Care Around the World. The agenda also included: The QI Improvement Science Expo featuring State and Regional Group Posters, Family-Centered Care Posters and NICU Improvement Story Posters. The 2019 VONs Annual Quality Congress convened more than 1300 healthcare professionals to learn about and discuss new data, new science, and new approaches in the newborn care across the world. Participants collaborated to accelerate practical improvement in newborn care - discuss and network to learn about rapidly evolving science, technology, and evidence-based practices.

DATABASE/MEMBERSHIP SERVICES Membership: In 2019 there were 1141 active members in the Database. Membership in the Network for the Very Low Birth Weight Database (401 to 1500 grams) cost $4900 in 2019. The 2019 fee for the Expanded Database (all NICU admissions over 401 grams) membership was based on hospital size (AHA Data). Small hospitals were $5350 per year, medium hospitals were $6650 per year and large or Children's hospitals were $7900 per year. Membership entitled members to quarterly and yearly reports from the database, access to the Internet reporting system and participation in clinical trials Scientific studies of the quality of care carried out in intensive care nurseries included preparation of reports on results. In 2020 we published the Vermont Oxford Network Annual Database Summary for 2019, a detailed compendium describing the practices and outcomes at 1073 neonatal units caring for very low birth weight infants and the Vermont Oxford Network 2019 Expanded Database Summary describing the practices and outcomes of all NICU infants regardless of birth weight at 545 units participating in the expanded database. The Nightingale Internet reporting system was provided to members. It allows confidential password protected access to hospital specific reports.

TRIALS ELBW Follow-up: 18-24 Month follow-up continues for infants born between 401 and 1000 grams or 22 weeks 0 days to 27 weeks 6 days. 42 centers participated in 2019 for the 2016 birth year cohort. Centers received reports of their data by birth year as well as a network cohort report. The New England Follow-Up Network also received their own group report. VON Days: In 2019, there were two VON Day Audits on the Ins and Outs of Neonatal Care. Two hundred and eight Centers participated in VON Days audits and 4,988 infants were evaluated. Additionally, Three VON Day Audits on Neonatal Abstinence Syndrome were held. Four states participated, with a total of 99 centers participating and 202 infants evaluated. For each of the VON Day Audits, participating centers received reports of their audits. COCHRANE NEONATAL REVIEW - VON now sponsors the Cochrane Neonatal Review. Cochrane Neonatal is one of over 50 collaborative review groups of Cochrane. Cochrane is an international not-for-profit and independent organization, dedicated to making up-to-date, accurate information about the effects of healthcare readily available worldwide. As a member of Cochrane, Cochrane Neonatal prepares and disseminates evidence-based, regularly updated systematic reviews of the effects of therapies in neonatal-perinatal medicine.

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