inspire. innovate. accelerate. - public.vtoxford.org · are you and your nicu prepared for the...

Are You and Your NICU Prepared for the Future?

2018

Inspire. Innovate. Accelerate.

www.vtoxford.org/Annual_Quality_Congress

September 20–24, 2018 Sheraton Grand Chicago Chicago, Illinois

2 VERMONT OXFORD NETWORK

How to Navigate the MeetingChoose a learning track to navigate the meeting. This year there is no pre-registration for breakout sessions (page 7). Meeting participants are welcome to attend any session on a space-available basis. Please plan to arrive early to reserve your seat.

Clinical Improvement• Neonatologists / Fellows • Pediatricians / Pediatric Hospitalists• Bedside Nurses• Respiratory Therapists• Pharmacists• Dieticians / Lactation Consultants• Physical Therapists / Occupational Therapists• Parents

Advanced Practice• Neonatal Nurse Practitioners / Physician Assistants• APN Program Training Faculty • Clinical Nurse Specialists

Education• Clinical Educators• Outreach Educators

Leadership • Physician Medical Directors• Nursing Directors• Senior Leaders• Quality and Safety Officers• State Quality Improvement Leaders

Data • Quality Improvement Specialists• Health Information Technologists• Data Managers / Contacts

2018

Inspire. Innovate. Accelerate.

Dear Friends and Colleagues,Welcome to the 2018 Vermont Oxford Network Annual Quality Congress, a time for deep discussion of pressing challenges and exciting developments for our community of practice, and a time to reflect on the enormous impact we have had in the neonatology community and in the lives of countless infants and families.

The state of our Network is strong! At this Congress, you will hear remarkable stories of improvement documented in over 300 abstracts submitted by care teams from around the world. Importantly, families play a key role as faculty and as equal members of improvement teams, infusing our discussions with their experience and insights.

Unfortunately, the State of our Union is marred by divisions and an assault on the most defenseless among us. Our commitment to “Follow Through” recognizes that social determinants of health are as important in affecting outcomes as our medical interventions. As a community committed to caring for a medically and socially vulnerable population, I urge you to take inspiration from the dedication and accomplishments on display here and to follow through when you return home by speaking out and advocating for the vulnerable patients and families we are privileged to serve.

Sincerely,Jeffrey

Jeffrey D. Horbar MD Chief Executive and Scientific Officer

Vermont Oxford Network

AccreditationContinuing Medical Education credits will be available for physicians, nurses, and pharmacists.

Find us on Facebook, Twitter, and LinkedIn

#AQC2018

VON’s Annual Quality Congress is free of commercial support. Vermont Oxford Network does not accept industry sponsorship, displays, or product advertising.

3ANNUAL QUALITY CONGRESS 2018

For You in ChicagoYour VON team is available to discuss upcoming offerings and answer your questions. Stop by VON Central in the Plenary Ballroom Promenade and during the QI Science Poster Session to learn more about:

Genomics Learning Network with Rady Children’s Institute for Genomic Medicine

iNICQ 2019: The Ins & Outs of Neonatal Care

Statewide and Health System Implementation Packages:- Improving Outcomes for Substance-Exposed

Infants and Families- Choosing Antibiotics Wisely: Combating Misuse and Overuse

Virtual Quality Congress

Conference handouts and abstracts available www.vtoxford.org/LMS

Wifi is available on the Ballroom Level Network Name: VONAQC2018Password: Quality18

Food and BeverageComplimentary continental breakfast is available in the morning. We are offering “cash-and-carry” snacks and beverages during morning and afternoon breaks in effort to continue to provide a high-quality and affordable meeting for all attendees.

Information on our Private Breastfeeding Room is available at the VON registration desk. A pump is provided; please bring your own pumping kit/personal supplies.

Take the Learning with YouEncore Webinar October 24 at 3:00 PM EasternInvite your team to view select sessions from this conference, including a live Q&A. Register for this free webinar at www.surveymonkey.com/r/AQC-Encore.

Enduring Content for AttendeesAnnual Quality Congress attendees receive a complimentary Virtual Quality Congress Pass, which includes recorded sessions and QI Poster Session abstracts. The pass also includes expanded access to meeting materials and recorded sessions from 2016 and 2017. Log on at www.vtoxford.org/LMS.

Share the Experience with Your ColleaguesSpread the inspiration to your team with a Virtual Quality Congress Pass. The pass includes recorded sessions from the 2016, 2017, and 2018 Annual Quality Congress, including more than 500 abstracts of real-world, evidence-based improvement. CME/CNE will be awarded for viewing each session.

Individual Pass: $500 (non-member $950)Center-Level Pass: $5,000 (non-member $10,000), complimentary for NICQ 2018-19 teams

Annual Quality Congress 2018

Socialize and Network with Friends and ColleaguesWalk or Run for FunThursday - Monday, 6:00 AMSheraton Lobby

Join your colleagues for a fun run or walk to get your day started.

VON Statewide Partner and Health System ReceptionsFriday, 6:00 PMMeeting Room Level 2

A Cultural Journey of Ethiopia in ConcertSaturday, 6:00 PM - 6:45 PMPlenary Ballroom

Pre-registration for the VON Social Event required.

We are delighted to welcome special musical guest, Fendika. Ethiopia is a multiethnic society with more than 80 tribal groups and spoken languages with an equally varied musical tradition. Fendika, a group of the most accomplished traditional musicians and dancers founded by Melaku Belay, is committed to the preservation and development of traditional music culture, adding dance movements and sounds that revitalize ancient artistic forms. Melaku and his group have presented a cultural journey of Ethiopia in concerts and festivals throughout the world, and he has been awarded many international awards.

Animated NICU: Disney and Beyond!Saturday, 6:45 PM - 10:30 PMPlenary Ballroom

Pre-registration required.

Grab your costume and get animated for dinner and dancing Saturday night in the main ballroom.

• Alaska

• Colorado Perinatal Care Quality Collaborative

• Georgia Perinatal Quality Collaborative

• HCA Healthcare

• Kansas Perinatal Quality Collaborative

• Maryland Patient Safety Center

• Oregon/Washington, Northwest Neonatal Improvement Priority Alliance (NWIPA)

• Tennessee Initiative for Perinatal Quality Care

• Virginia Neonatal Perinatal Collaborative


Thursday, September

Track 2: Intermediate QI Skills

This advanced learning track dives deeper into understanding variation, measurement, and data. Participants will practice building and using run charts and statistical process control charts. This track is ideal for participants who have completed the VON / IHI Foundations in Improvement course and other health care professionals who have had prior QI training. Come prepared with QI data and a laptop.

Track 1: Foundational QI Skills

This track is ideal for fellows who are planning their capstone project and early career neonatologists who are interested in integrating robust quality improvement methods at their center. Other professionals, particularly newly forming interdisciplinary quality improvement teams, also attend and will enrich the learning environment and dialogue.

Jump Starting Quality 4.0 Strategies to Launch a Successful Quality Improvement Project

In this hands-on workshop, participants will do real work on a newly proposed or ongoing QI project. The educational design is a “flipped classroom” and pre-work is required. This workshop is at capacity for 2018.

12:30 Welcome! Quality Matters in the Neonatal Community of Practice J. Horbar / M. Buus-Frank

12:40 QI Treasure Hunt Exercise: What Are You Working On? D. Dukhovny

1:00 Crafting a SMART Aim D. Dukhovny

1:20 Tabletop Groups Discuss and Share

1:50What, Why and “How To” Develop Driver Diagrams

R. Vartanian


2:35 Break

2:50 Part 1: Measurement A. Rolnitsky


3:30Part 2: Creating and Interpreting Run Charts

A. Rolnitsky


4:15 Break

4:40Time to Take Action! Planning and Executing Small Tests of Change

R. Vartanian

1:00

Understanding Measurement and Variation

• Variation in Measurement• Common Versus Special

Cause Variation• Understanding Variation and

Lessons for Improvement

M. Gupta

1:20

Run Charts: Theory and Use

• Structure• Mathematical and Statistical Basis• Tests for Detecting Variation• Examples

M. Posencheg

1:30

Control Charts: Theory and Use

• Structure• Mathematical and Statistical Basis• Tests for Detecting Variation• Types of Control Charts• Examples

H. Kaplan

2:00 Making Charts! Group Exercises All

2:35 Break

2:50

Using Charts to Drive Improvement

• Sample Size Considerations• Changing Limits• Fixing Limits

M. Posencheg

3:20 Making Better Charts! Group Exercises All

4:15 Break

4:40Tips for Success: Lessons From QI Case Studies

M. Gupta

5:00 PDSA Exercise All

5:25 How and Why Engage Parents in QI? M. Fry

5:35 Publishing Your QI Work T. Ho / Faculty Panel

5:50 Closing Remarks and Next Steps D. Dukhovny

6:00 Session Adjourns

Track 1 Michigan Track 2 Superior

Track 1 and Track 2 Michigan

Track 1 and Track 2 Michigan

20

New This Year!

In collaboration with


Genomics Summit Practical Genomics for Practicing CliniciansSheraton I

Rapid whole genome sequencing (rWGS) has quickly moved from the “bench” to the bedside. Learn how rWGS has brought hope to some of the most challenging cases we face in neonatal medicine and position your center and/or health system to bring precision medicine to newborns with often unrecognized rare diseases.

1:00Welcome! Preparing for the New World of Genomic Medicine

1:10Time Counts! Clinical Case Study: Medical and Family Perspectives

N. Sweeney

2:00 Discussion

2:15The Evidence, Evolving Science and Enhancing Your Genomic IQ

J. Carroll

2:45 Discussion

3:00 Break

3:15

Bridging the Gap: Creating Learning Networks and Building Local Genomic Capacity

• Not Just a Distant Laboratory• Practical Logistics• Power of a Learning Network

S. ChowdhuryL. Salz

3:45 Discussion

4:00

The Genomics-Enabled NICU of the Future

• Revolutionary Diagnostics and Data Converge

• Harnessing Artificial Intelligence to Improve Neonatal/Perinatal Care

• Impact on Healthcare Utilization, Workload, and Costs

S. Kingsmore

4:30 Discussion

4:50 Charting Our FutureS. Kingsmore

J. Horbar

5:00 Break

5:15 Genomics Town HallS. Kingsmore

J. HorbarR. Soll

Genomics Town Hall5:15 – 6:00 PM Plenary Ballroom

All Annual Quality Congress participants are welcome to join this engaging discussion to learn about a new learning network to harness the power of the worldwide neonatology community in service of evidence-based precision medicine for newborn infants.

VON Statewide Partner and Health System Receptions6:00 PM Meeting Room Level 2

Friday, September

NICQ & iNICQ Symposium Plenary Ballroom

Teams enrolled in current VON Quality Improvement Collaboratives - NICQ 2018-19 and iNICQ: Choosing Antibiotics Wisely - present evidence-based, peer-reviewed improvement stories and convene in homerooms. Podium presentations are selected based on strong QI methodology, measurable improvement, deep family engagement, and innovation.

7:00 Pre-Session Networking

7:45 Welcome! Improvement MattersD. Zayack

M. Buus-FrankA. Srinivasan

7:50Brief Family Story: What Matters Most?

8:10Resources, Revenue and Quality in the NICU - Can They Co-Exist?

G. Suresh

8:25 Discussion

8:35• Micro-Premature Infants POD• Micro-Premature Infants 2• Micro-Premature Infants 3

9:00 Discussion

9:10

• Micro-Premature Infants 4• Multi-System (Lung and Brain)

Outcomes• Nutrition / Minimizing NEC

9:35 Discussion

9:45

iNICQ: Choosing Antibiotics Wisely Data-Driven Improvement Stories

• Reducing the Unnecessary Antibiotic Exposure in Newborns at Risk for Early Onset Sepsis

• Reducing Antibiotic Exposure• CHOP Newborn Network-Wide

Implementation of the Sepsis Risk Calculator

10:10 Discussion

10:20Break / Teams Move to Individual Collaborative Homerooms

10:35

A View From the CDC: The Antibiotic Stewardship Landscape: The Battle Against Misuse, Overuse, and Resistance

A. Srinivasan D. Pollock

10:55 Discussion

11:05Whistle-Stop Antibiotic Stewardship Learning Improvement Tour and Content Expert Team Project Consults

Moderator: D. Dukhovny

12:05 Debrief / Share Learning

12:15 Lunch on Your Own

1:30iNICQ and NICQ 2018-19 Teams Convene in Homerooms

5:15 Session Adjourns

Open to All

21

In collaboration withIn collaboration with

J. HorbarS. Kingsmore

S. Bender-HopeN. DeMarco-Hope

G. Trachimowicz

J. MeyersJ. Chuo

G. McGill / J. ScobleC. Voelker

H. Miller / H. HallModerator: D. Zayack

S. Chu / E. WrightC. Scheckla

A. Swinehart J. Warren / N. Wiggins

Moderator: D. Zayack

NICQ 2018-19: Data-Driven Improvement Stories

NICQ 2018-19: Data-Driven Improvement Stories

Moderators: D. Dukhovny / K. Puopolo


6:00 Walk or Run for Fun Lobby

6:45 Optional Sunrise Sessions

New VON QI Collaboratives OfferingsPreview of Coming Attractions

• iNICQ 2019: Critical Transitions — The Ins and Outs of Neonatal Care

• NICQ 2020-2021

• VON / IHI Foundations in Improvement Science Certificate

State of the Section on Neonatal-Perinatal Medicine (SoNPM)

Sheraton I J. Zupancic

National Association of Neonatal Nurses New APN Workforce Standards: A Matrix to Guide Practice

Chicago VIII S. Bellini

Calling All Fellows! Meet the Professor Mayfair M. Gupta

Using the NICU Wisely

8:00 State of the Network Address J. Horbar

8:20 Discussion

8:30Critical Transitions: Improving the Ins and Outs of Newborn Care

D. Pursley

8:45 Who Really Needs NICU Care? D. Goodman

9:05NICU Length of Stay: Too Long or Too Short?

J. Zupancic

9:25Improvement Matters Panel Discussion

Preceding Faculty J. Schulman

M. Burke S. Rani Narasimhan

10:00Telemedicine: A Bridge to Continuity of Care

J. Chuo

10:20 Discussion

10:30 Networking Break

Follow-Through: Care Beyond the NICU Walls

11:00 Why Follow-Through MattersModerator:

Y. Ogbolu

11:10 Getting Started A. Beck

11:30If I Could Change the World: A Parent Perspective

K. Dorough

11:40Improvement Matters Panel Discussion

Preceding Faculty N. MatobaJ. Magiello

12:00 Networking Lunch* or Lunch on Your Own

2:00 Breakout Sessions

3:30 QI Science Poster Session

5:00 Meeting Adjourns

6:45 Social Event: Animated NICU: Disney and Beyond! *

6:00 Walk or Run for Fun Lobby

7:00Late Breaking Science Session: NAS: New RCT and QI Evidence Driving Improvement

A. PicarilloJ. Shenberger

Moderator:M. Hudak

Artificial Intelligence and You8:00 Artificial Intelligence in the NICU

Moderator: J. Gray

8:20 Life 3.0: Humanity in the Age of AI M. Tegmark

8:50 Discussion

9:05 My Baby’s Surgeon is a Robot P. Kim

9:20Improvement MattersPanel Discussion

Preceding Faculty

9:40Hall of States Poster Session / Networking Break

The Developing Brain 10:20 Developing Brains in the NICU

Moderator: S. Miller

10:30 Procedural Pain and the Brain R. Grunau

10:50 Discussion

11:00 Brains in a Dish A. A. Mansour

11:20Nurturing the Preterm Brain: Insights from Imaging

S. Miller

11:40Improvement MattersPanel Discussion

Preceding FacultyC. Travers

L. Townsend

12:00 Lunch on Your Own

1:15 Breakout Sessions

2:30

• China• Gaza• Zambia

C. Zhenghong Li A. Wilkinson

K. Mutesu-Kapembwa R. BenkeleModerator:

D. Ehret

3:30 Meeting Adjourns

D. Zayack

J. McGregor D. Goldmann

Plenary Sessions Plenary Ballroom, unless otherwise noted

Plenary sessions address four themes featuring new data, new science, and new paradigms in neonatal care. Panel discussions featuring content experts, parents, senior leaders, and a team improvement story conclude each themed section.

Saturday, September 22 Sunday, September 23

September 22-23

* Pre-Registration Required

QI Science Poster SessionSaturday, September 223:30 - 5:00 PM

See page 11 for details

M. Buus-Frank

Neonatal Care Around the World

Chicago X


“Graduating” From the NICU: The Journey of a LifetimeModerator: M. Fry

Sheraton II R. RitzemaR. Ritzema

P. Church

Saturday, September 22 2:00 – 3:15 PM Sunday, September 23 1:15 – 2:15 PM

Leading into the Future

Leadership Forum: Future-Proofing Your NICU

Sheraton III D. Pursley

J. Zupancic

A Leader’s Guide: Preparing Your Organization for the Rapidly Approaching Genomics Revolution

Sheraton III S. Kingsmore

Beyond Follow-Up to Follow-Through

Addressing the Social Determinants of Health Patient-by-Patient and Neighborhood-by-Neighborhood Using Place-Based Data

Chicago XA. Beck

Telemedicine: Strengthening Bonds and Bridging Practice Gaps Amongst NICUs, Primary Care and Family

Sheraton II J. Chuo

Best of VON Quality Improvement Abstracts

Top Tier Antibiotic Stewardship Chicago VIIIImprovement Abstracts• Appropriate Use of Antibiotics in the NICU: SRC, Antibiotic

Timeouts, Standardized • Antibiotic Stewardship in a Danish Teritiary NICU/PICU • Antibiotic Stewardship and Early Rule Out Sepsis • Mother-Infant Separation and Antibiotic Use: A

Decade of Experience • Culture Negative Sepsis and Vancomycin Use • Reduction in Antibiotic Utilization in the Duke NICU • Decreasing Antibiotic Exposure for NICU Infants

Moderators: A. Srinivasan / K. Puopolo / D. Dukhovny / D. Goldmann

Top Tier Improvement Abstracts Chicago XModerators: H. Kaplan / M. Gupta / D. Goldmann

Top Tier State Abstracts and Innovations Sheraton I• Improving NAS - Maryland Patient Safety Collaborative • NAS: Ongoing Improvements in New England• ILPQC NAS Initiatives • Beyond NAS: A Statewide Initiative to Improve the

Care of Opioid-Exposed Newborns and Their Families • Northern New England Regional Follow-up Network

Moderator: M. Walsh

Evidence-Based Medicine

Non-Invasive Ventilation: Evidence-Based Medicine Meets Practice• Does HFNC Provide CPAP? • Non-Invasive Ventilation +/- NAVA • Non-Invasive High-Frequency Ventilation

• Hands-On Skills Station

Moderators: W. Carlo / K. Firestone

Chicago IX

W. Carlo H. Stein M. Dunn

K. Firestone

Evidence-Based Medicine Meets Precision Medicine

Chicago VIII R. Soll

APN Forum: Case-Based Learning

Clinical Case of the Year• Missing Frontal Lobes in a Premature

Infant with Microcephaly • Non-Specific Clinical Signs and Symptoms

With Complex Family Challenges

Moderator: E. Keels

The Developing Brain and Pain

Data into Action

Examples of Excellence:Crowdsourcing Potentially Better Practices for VON Data CollectionModerators: E. Edwards / M. Toomey

Harvesting “Green” Data From Your EMRModerators: E. Edwards / M. Toomey

Breakout Sessions

September 22-23

Clinical Improvement

LeadershipAdvanced Practice Education Data

Statewide Quality Improvement

Top Tier State Abstracts and Innovations Sheraton I• Choosing Antibiotics Wisely: The Georgia Experience • A Piedmont Health System Approach to

Antibiotic Stewardship • Eliminating Unnecessary Antibiotic Exposure

for Hospitalized Newborns in Colorado

Moderator: M. Walsh

Mayfair

Michigan

Chicago IXS. Miller

Michigan

N. Menda

L. Aunsholt A. Pantoja

S. Rani Narasimhan

J. MartinK. Athavale

S. Mohamed

B. DiPietroA. Picarillo

L. CaldarelliM. Gupta

J. Litt

R. Patel J. Martin

T. Heaberlin

J. Haas / K. Kurek

S. Asselin / M. Moreau


Writing for Publication 2.0 Getting Your QI Projects to Press Michigan

Enhance your ability to turn a QI abstract into a publishable manuscript. Participants will learn about the SQUIRE 2.0 guidelines and the differences between developing a QI versus a research paper, and will garner pragmatic strategies and tips on publishing their work from leading editors and faculty. Come prepared to write using your abstract, poster, key data, and/or a draft or outline of a manuscript in process. Pre-work is required.

Editorial Faculty A. Kemper

J. McGrath

Sunday, September 23

6:30 Welcome and Sharing: What Are You Working On?

6:50Framing the Writing Process: What Readers Want From High-Quality QI Papers

7:15 Discussion

7:30 Adjourn for the Evening - or Write in Peace!

Monday, September 24

7:30 Getting Started! First Things FirstA. Kemper

J. McGrath

8:00 Individual / Team Writing

9:00 Share and Debrief

9:15 Break

9:30What is the Data Story?Structuring Key Data, Tables, Figures

A. Kemper J. McGrath

10:00 Individual / Team Writing

10:45 Share and Debrief

11:00 Consult an Expert Round Robin All Faculty

11:45 Sharing a Good Story Well A. Kemper

12:00 Adjourn

Jeffrey D. Horbar MD *Chief Executive and Scientific OfficerVermont Oxford NetworkJerold F. Lucey Professor of Neonatal MedicineUniversity of VermontBurlington, VT

Roger Soll MD *PresidentVermont Oxford NetworkH. Wallace Professor of NeonatologyUniversity of VermontBurlington, VT

Madge E. Buus-Frank DNP, APRN-BC, FAAN *Executive Vice PresidentDirector of QI and EducationVermont Oxford NetworkResearch Assistant Professor, University of VermontFaculty, Geisel School of Medicine at DartmouthBurlington, VT

Danielle Ehret MD, MPH *Director of Global HealthVermont Oxford NetworkAssistant Professor of PediatricsUniversity of VermontBurlington, VT

Denise Zayack RN, BA, MPH *Collaborative Coordinator and CoachVermont Oxford NetworkBurlington, VT

Kelly J. Burch PharmD *Pharmacy Specialist - NeonatologyEmerson NICU at Mercy Children’s HospitalSt. Louis, MO

Marybeth Fry MEd *Lead Family AdvisorVON NICQ 2018-19 NICU Family Care CoordinatorAkron Children’s HospitalAkron, OH

Nancy E. Cloutier Senior Network Meeting ManagerVermont Oxford Network Burlington, VT

Tsveti BerthinAssociate Network Meeting ManagerVermont Oxford NetworkBurlington, VT

* Also serve as contributing faculty

Marie Abraham MAVON NICQ 2018-19 FacultyVice PresidentProgramming and PublicationsInstitute for Patient- and Family-Centered CareOld Lyme, CT

Sarah Asselin MScn, NNPMontreal Children’s HospitalMontreal, Canada

Kamlesh Athavale MDDuke University Hospital, Durham, NC

Amy Atwater RN, BSN, MPA-HVON NICQ 2018-19 FacultySenior Quality Improvement Specialist Helen DeVos Children’s Hospital NICU Grand Rapids, MI

Lise Aunsholt MD, PhDNeonatalklinikken, RigshospitaletCopenhagen, Denmark

June AustinVON NICQ 2018-19 FacultyQuality Improvement FacilitatorJune Austin Consulting Sherwood Park, Alberta, Canada

Janelle G. Bainter MSWVON NICQ 2018-19 FacultyMarch of Dimes NICU Family Support Program Coordinator Barbara Bush Children’s Hospital at Maine Medical CenterPortland, ME

Arvelle Balon-Lyon RN, BNVON NICQ 2018-19 FacultyDirector, Health Innovation GroupDirector, Toward Optimized Practice Alberta Medical Association Lethbridge, Alberta, Canada

Andrew F. Beck MD, MPHAssociate Professor and Attending Pediatrician, Department of Pediatrics, Divisions of General & Community Pediatrics and Hospital Medicine,University of Cincinnati College of Medicine, Cincinnati Children’s Hospital Medical CenterCincinnati, OH

Rodgers Gift Benkele MScCHN, BSN, RPN, RNArthur Davison Children’s HospitalSchool of Paediatrics and Child Health NursingCopperbelt Province Ndola, Zambia

Sandra Bellini DNP, APRN, NNP-BC, CNE Clinical ProfessorDirector, Neonatal Nurse Practitioner TrackUniversity of Connecticut School of Nursing Storrs, CT

September 23-24

FacultyPlanning Committee

In collaboration with

QI Expert FacultyD. Dukhovny J. Gould M. Gupta H. KaplanR. Vartanian D. Zayack


Faculty 2018

Sonia Lomeli Bonifacio MDVON NICQ 2018-19 FacultyAssociate Medical Director, NeuroNICUClinical Associate ProfessorLucile Packard Children’s HospitalStanford University School of Medicine Palo Alto, CA

Barbara S. Boushon RN, BSNLead Quality Improvement Faculty FacilitatorVON NICQ 2018-19McFarland, WI

Mary Catherine BurkeRegional One HealthMemphis, TN

Leslie Caldarelli MDMedical DirectorNICU, Northwestern Medicine’s Prentice Women’s HospitalAssociate Professor of Pediatrics-Neonatology, Northwestern University Feinberg School of MedicineChicago, IL

Waldemar Carlo MDEdwin M. Dixon Professor of PediatricsUniversity of Alabama at BirminghamDirector, Division of NeonatologyDirector, Newborn NurseriesBirmingham, AL

Jeanne Carroll MDAssistant Professor of PediatricsUniversity of California San DiegoRady Children’s HospitalSan Diego, CA

Sheri Carroll MD VON NICQ 2018-19 FacultyCarolina Coastal NeonatologyNICU Medical DirectorNHRMC-Betty H. Cameron Women’s and Children’s HospitalWilmington, NC

Chris Chambers RRTVON NICQ 2018-19 FacultySupervisor, Respiratory TherapyUniversity of Vermont Medical CenterBurlington, VT

Shimul Chowdhury PhD, FACMGClinical Laboratory DirectorRady Children’s Institute for Genomic MedicineRady Children’s HospitalSan Diego, CA

Sherman Chu DOUMass Memorial HealthcareWorcester, MA

John Chuo MD, MSBI, IAAssociate Professor of Clinical Pediatrics, University of PennsylvaniaNeonatal Quality OfficerClinical Champion for Digital Health EvaluationChildren’s Hospital of PhiladelphiaPhiladelphia, PA

Paige Terrien Church MDDirector, Neonatal Follow-Up ClinicSunnybrook Health Sciences CentreToronto, Ontario, Canada

Colby Day MDIncoming Fellow LiaisonAssistant ProfessorUniversity of FloridaJacksonville, FL

Eliza Dollard PharmDBarbara Bush Children’s Hospitalat Maine Medical CenterPortland, ME

Bonnie DiPietro RN, MSDirector of Operations Maryland Patient Safety CenterElkridge, MD

Kiara DoroughNICU Graduate ParentChicago, IL

Dmitry Dukhovny MD, MPHFellow LiaisonVON iNICQ FacultyAssociate Professor of PediatricsOregon Health and Science University, Portland, OR

Michael S. Dunn MD, FRCPCVON NICQ 2018-19 Faculty Sunnybrook Health Sciences CentreAssociate Professor Department of Paediatrics University of Toronto Toronto, Ontario, Canada

Erika M. Edwards PhD, MPHDirector of Data ScienceVermont Oxford NetworkResearch Assistant ProfessorUniversity of VermontBurlington, VT

Kimberly Firestone MSc, RRTNeonatal Respiratory Outreach Clinical LiaisonAkron Children’s HospitalAkron, OH

Victoria A. Flanagan RN, MSPerinatal Outreach EducatorRegional Program for Women’s and Children’s HealthDirector of Operations, NNEPQINDartmouth-Hitchcock Medical Center, Lebanon, NH

Sharyn Gibbins NP-Pediatrics, PhDVON NICQ 2018-19 Faculty Director of Professional PracticeTrillium Health PartnersMississauga, Ontario, Canada

Donald Goldmann MDVON iNICQ 2018: Choosing Antibiotics Wisely FacultyChief Scientific Officer, Emeritus, Institute for Healthcare Improvement Professor of Pediatrics, Harvard Medical School Professor of Immunology and Infectious Diseases, and Epidemiology, Harvard TH Chan School of Public HealthBoston, MA

David C. Goodman MD, MSProfessor, Pediatrics and Community and Family MedicineThe Dartmouth Institute for Health Policy and Clinical PracticeLebanon, NH

Jeffrey B. Gould MD, MPHRobert L. Hess Professor of PediatricsDirector, Perinatal Epidemiologyand Health Outcomes Research UnitDivision of Neonatal and Developmental MedicineDepartment of PediatricsStanford University Medical CenterPalo Alto, CA

James Gray MD, MSAssociate Chief of Neonatology Medical Director, Special Care NurseryChildren’s Hospital at DartmouthProfessor of PediatricsGeisel School of Medicine at DartmouthLebanon, NH

Ruth Grunau PhD, RPsychProfessor, Division of Neonatology, Department of Pediatrics, Associate Member, Department of Psychology, University of British Columbia, Senior Scientist, BC Children’s Hospital Research InstituteVancouver, British Columbia, Canada

Munish Gupta MD, MMScVON NICQ 2018-19 FacultyNeonatologist Beth Israel Deaconess Medical CenterBoston, MA

Jessica Haas RN, BSNClinical Research Nurse Educator NICUHoops Family Children’s Hospital at Cabell Huntington HospitalHuntington, WV

Heather Hall MD, FAAPMercy Children’s HospitalSt. Louis, MO

Harriet S. Hawkins RN, CCRN, CPN, CPEN, FAENResuscitation Education CoordinatorAnn & Robert Lurie Children’s Hospital of Chicago Chicago, IL

Tracy Heaberlin MSN, NNP-BC, MBAColorado Perinatal Care Quality CollaborativeSteamboat Springs, CO

Sarah Bender-HopeParent AdvisorMission Children’s HospitalAsheville, NC

Nicholas DeMarco-HopeParent AdvisorMission Children’s HospitalAsheville, NC

Timmy Ho MD, MPH Instructor in PediatricsHarvard Medical SchoolBeth Israel Deaconess Medical CenterBoston, MA

Mark L. Hudak MDProfessor & Chairman,Department of Pediatrics, Chief, Division of NeonatologyAssociate Dean of Managed Care, University of Florida College of MedicineJacksonville, FL

Heather Kaplan MD, MSCEVON NICQ 2018-19 Faculty Associate Professor of PediatricsPerinatal Institute and The James M. Anderson Center for Health Systems ExcellenceCincinnati Children’s HospitalMedical CenterCincinnati, OH

Erin L. Keels RN, MS, NNP-BCNeonatal Nurse Practitioner Program ManagerNationwide Children’s Hospital Columbus, OH

Alex R. Kemper MD, MPH, MSChief, Division of Ambulatory PediatricsProfessor of PediatricsNationwide Children’s HospitalColumbus, OH

Peter C. W. Kim MD, CM, PhDProfessor of Surgery, Pediatrics, Integrative Biology and BioengineeringThe George Washington University Washington DCFounder & Chief Scientific Officer Activ Surgical Inc.Boston, MA

Hannah King MPHVON NICQ 2018-19 Faculty Healthcare ConsultantBerkeley, CA

Stephen F. Kingsmore MB, ChB, BAO, DSc, FRCPath President and CEO, Rady Children’s Institute for Genomic Medicine Rady Children’s HospitalSan Diego, CA

Kenneth Kurek Pharm. DPediatric Clinical SpecialistAssociate Clinical Faculty at Marshall University School of PharmacyNICU/PICU/PEDSHoops Family Children’s Hospital at Cabell Huntington HospitalHuntington, WV

John Lester BSc, CPFVON NICQ 2018-19 Faculty Improvement Coach and FacilitatorSherwood Park, Alberta, Canada


Zhenghong Li MD, PhDSupervisor of Postgraduate Associate Professor Vice Director, Department of Pediatrics Peking Union Medical College Hospital Beijing, China

Jonathan S. Litt MD, MPH, ScDNeonatologistBeth Israel Deaconess Medical CenterDirector, NICU GrADS Program, Boston Children’s Hospital Boston, MA

George A. Little MDActive Emeritus Professor of Pediatrics, Obstetrics and GynecologyGeisel School of MedicineChildren’s Hospital at DartmouthLebanon, NH

Joe MagielloParent AdvisorHackensack University Medical CenterHackensack, NJ

Abed AlFattah Mansour PhDResearch AssociateLaboratory of GeneticsThe Salk Institute for Biological StudiesLa Jolla, CA

Julie Martin MDHead of Pediatric Antimicrobial StewardshipPiedmont Athens Regional HospitalAthens, GA

Jacqueline McGrath PhD, RN, FNAP, FAAN Professor EmeritusUniversity of ConnecticutHartford, CT

John McGregor EdDLearning Systems ManagerVermont Oxford NetworkBurlington, VT

Ginny McGill PT, DPT, CNTThe Children’s Hospital at ProvidenceProvidence, AK

Paula Meier RN, PhD, FAANVON NICQ 2018-19 Faculty Director for Lactation Services, NICUProfessor, Pediatrics, and Women, Children and Family NursingRush University Medical CenterChicago, IL

Nina Menda MDMeriter NICU Medical DirectorAssistant ProfessorUniversity of WisconsinMadison, WI

Charles Mercier MD Professor of Pediatrics University of Vermont Chief, Division of Neonatal Perinatal MedicineUniversity of Vermont Children’s Hospital Burlington, VT

Jeffrey M. Meyers MDAssociate Professor of PediatricsMedical Director, NICUDirector of Newborn Quality SciencesGolisano Children’s HospitalRochester, NY

Brenda Miller BFAVON NICQ 2018-19 Faculty Manager, Ronald McDonald House of Ann Arbor Facility Operations and Family SupportAnn Arbor, MI

Steven Paul Miller MDCM, MAS, FRCPC Head, Division of Neurology and Centre for Brain & Mental Health, The Hospital for Sick ChildrenBloorview Children’s Hospital Chair in Paediatric Neuroscience Professor, Department of Paediatrics, University of TorontoToronto, Ontario, Canada

Teesha Miller MBA, MHA, CPBVON NICQ 2018-19 FacultyChildren’s Mercy HospitalKansas City, MO

Heather Miller RN, BSNMercy Children’s HospitalSt. Louis, MO

Shakir Mohamed MD, FAAPPhysician LeaderSaint Louis University/SSM Health Cardinal Glennon Children’s Hospital St. Louis, MO

Marie-Eve Moreau MScN, NNPNeonatal Nurse PractitionerMontreal Children’s Hospital/McGill University Healthcare Center Montreal, Quebec, Canada

Mindy Morris DNP, NNP-BC, CNSVON NICQ 2018-19 FacultyNeonatal Nurse Practitioner Clinical Nurse SpecialistHuntington Beach, CA

Sagori Mukhopadhyay MD, MMScAssistant Professor of Pediatrics, University of Pennsylvania Perelman School of MedicineAttending Neonatologist,Children’s Hospital of Philadelphia Newborn Care at Pennsylvania HospitalPhiladelphia, PA

Kunda Mutesu-Kapembwa MBchB, MMed, Mphil Paediatrician & Neonatologist Women and Newborn HospitalNeonatology National Coordinator Ministry of Health Lusaka, Zambia

Sudharani Narasimhan MDClinical Assistant ProfessorSanta Clara Valley Medical CenterSan Jose, CA

Amy Nyberg BSVON NICQ 2018-19 Faculty March of Dimes NICU Family Support Program CoordinatorHelen DeVos Children’s HospitalGrand Rapids, MI

Alexa O’DellVON NICQ 2018-19 Faculty Chair, NICU Family Advisory CouncilBenefis Health SystemGreat Falls, MT

Yolanda Ogbolu PhD, CRNP-Neonatal, FAANVON Board of Directors Assistant Professor,Director, Office of Global HealthUniversity of Maryland School of NursingBaltimore, MD

Eileen Patterson MCE, PMPVON NICQ 2018-19 Faculty Director, Co-FounderHealth Innovation GroupCalgary, Alberta, Canada

Alan P. Picarillo MD, FAAPVON NICQ 2018-19 Faculty NeonatologistBarbara Bush Children’s Hospitalat Maine Medical CenterPortland, ME

Alfonso Pantoja MDNeonatologistSaint Joseph HospitalDenver, CO

Ravi Patel MD, MScAssociate Professor of Pediatrics and Neonatologist at Emory University School of Medicine and Children’s Healthcare of Atlanta Atlanta, GA

Daniel A. Pollock MDSurveillance Branch ChiefDivision of Healthcare Quality PromotionNational Center for Emerging and Zoonotic Infectious DiseasesCenters for Disease Control and Prevention Atlanta, GA

Michael A. Posencheg MDMedical Director, Intensive Care Nursery, Hospital of the University of Pennsylvania Philadelphia, PA

Jochen Profit MD, MPHAssociate Professor of PediatricsDivision of Neonatal andDevelopmental MedicineDirector, Neonatal Health Systems ResearchPerinatal Epidemiology and Health Outcomes Research Unit Stanford University, School of MedicineStanford, CA

Karen Puopolo MD, PhDSection Chief, Newborn Medicine, Pennsylvania Hospital Associate Professor of Pediatrics University of Pennsylvania Perelman School of Medicine Philadelphia, PA

DeWayne M. Pursley MD, MPHNeonatologist in ChiefBeth Israel Deaconess Medical CenterBoston, MA

Rebecca RitzemaNICU GraduateBronson Children’s HospitalKalamazoo, MI

Ruth RitzemaNICU Graduate ParentNICU Family AdvisorBronson Children’s HospitalKalamazoo, MI

Kate Robson MedParent Coordinator, NICUSunnybrook Health Sciences CenterDirector, Canadian PrematureBabies FoundationToronto, Ontario, Canada

Elizabeth Rogers MDVON NICQ 2018-19 Faculty Associate Professor of PediatricsDirector, ICN Follow Up ProgramAssociate Clinical Director, ICNBenioff Children’s Hospital San Francisco, CA

Asaph Rolnitsky BSC Med, MSc(HQ), MDNeonatologist, Quality Improvement and Patient Safety,Aubrey and Marla Dan Program for High Risk Mothers and BabiesSunnybrook Health Sciences CentreAssistant Professor, PhD Scholar, University of TorontoToronto, Canada

Eduardo Salas PhD VON NICQ 2018-19 Faculty Professor and Allyn R. & Gladys M. Cline Chair in PsychologyChair, Department of PsychologyRice UniversityHouston, TX

Lisa Salz MS, LCGCGenetic CounselorRady Children’s Institute for Genomic MedicineRady Children’s HospitalSan Diego, CA

Jennifer Scoble MDThe Children’s Hospital at ProvidenceProvidence, AK

Jeffrey S. Shenberger MDProfessor of Pediatrics, University of Massachusetts Medical School – BaystateAdjunct Professor of Pediatrics, Tufts University School of MedicineChief of Newborn MedicineBaystate Children’s HospitalSpringfield, MA

Carrie A. Scheckla MN, NNP-BCSalem HospitalSalem, OR

Joseph Schulman MD, MSDirector, NICU Quality Measurement and Improvement California Children’s Services, California Department of Health Care ServicesSacramento, CA

Faculty 2018


Please note Breakout Sessions are open on a space-available basis.

Annual Quality Congress 2018

PLENARY BALLROOM

Meeting Room Level 2 One floor below Lobby Level

Ballroom Level 4 One floor above Lobby Level

QI Science Poster SessionRiver Exhibit Hall (Level 1)

Saturday, 3:30 PM – 5:00 PM

Review the latest science and evidence-based improvement from leading teams, state quality improvement leaders, and parents. Poster authors will be present to discuss their inspiring work during the session. Additionally, the room will be open to view posters during the times listed below:

River Exhibit Hall – Poster Placement and Viewing Hours

Friday, 12:00 PM – 5:00 PM Saturday, 7:30 AM – 3:30 PM

Select Poster Topics• Antibiotic Stewardship• Airway Challenges• APN Forum Case of the Year• Family Advisors• Family-Centered Care• General QI• General Research• Global Health• Golden Hour• Health Equity/SDOH• Human Milk• Improving Safety• Improving Surgical Care • Micropremature Infants• Minimizing Brain Injury• Minimizing Lung Disease• Neonatal Abstinence Syndrome• Optimizing Nutrition / Minimizing NEC• Retinopathy of Prematurity• State Collaboratives and Health Systems• Teams and Team Work• Transport• Using the NICU Wisely

Many thanks to the 250+ teams and families who have contributed to this valuable learning experience.

Hall of StatesBallroom Promenade (Level 4)

Sunday, 9:40 AM – 10:20 AM

Perinatal quality improvement organizations partner with Vermont Oxford Network to build QI capacity throughout their state. Visit these posters to see the remarkable impact of this collaboration.

Save the Dates! 2019 Annual Quality CongressOctober 3-7, 2019Sheraton Grand Chicago

2020 Annual Quality CongressNovember 5-9, 2020Sheraton Grand Chicago

Gold Coast Lobby Level 3

Map and Session LocationsJan Schriefer MBA, MSN, DrPHVON NICQ 2018-19 Faculty Director of Pediatric Quality Improvement,Department of Pediatrics Associate Professor, Pediatric Hospital MedicineUniversity of Rochester School of Medicine and DentistryRochester, NY

Ginny ShafferVON NICQ 2018-19 Faculty Parent NavigatorThe Children’s Hospital at ProvidenceAnchorage, AK

Arjun Srinivasan MD (CAPT, USPHS)Associate Director for Healthcare Associated Infection Prevention Programs Division of Healthcare Quality PromotionCenters for Disease Control and PreventionAtlanta, GA

Eileen Steffen RNC-NICVON NICQ 2018-19 FacultyNICU Quality and Research CoordinatorSaint Barnabas Medical CenterLivingston, NJ

Howard Stein MD Medical Director NICU, ProMedica Toledo Children’s HospitalClinical Professor Pediatrics, University of Toledo, College of Medicine and Life Sciences Toledo, OH

Gautham Suresh MD, DM, MS, FAAPSection Head and Service Chief NeonatologyTexas Children’s HospitalHouston, TX

Nathaly M. Sweeney MD, MPHClinical Assistant ProfessorNeonatal-Perinatal MedicineDepartment of PediatricsUniversity of California San DiegoPhysician ScientistRady Children’s Institute for Genomic MedicineRady Children’s HospitalSan Diego, CA

Amanda Swinehart MSN, NNP-BCSalem HospitalSalem, OR

Sarah N. Taylor MD, MSCRVON NICQ 2018-19 FacultyAssociate ProfessorDepartment of PediatricsSection of Neonatal-Perinatal MedicineClinician-Scholar TrackYale University School of MedicineNew Haven, CT

Max TegmarkProfessor, Physicist & AI ResearcherMassachusetts Institute of TechnologyCambridge, MA

Mike Toomey VON Member Services ManagerBurlington, VT

Leigh TownsendParent AdvisorWomen’s Baton RougeBaton Rouge, LA

Gina M. Trachimowicz MDNeonatologistBarbara Bush Children’s Hospital at Maine Medical Center Portland, ME

Colm P. Travers MD Division of NeonatologyUniversity of Alabama at Birmingham, Birmingham, AL

Rebecca J. Vartanian MDAssistant ProfessorDivision of Neonatal-Perinatal MedicineDepartment of Pediatrics and Communicable Diseases University of MichiganMedical Director of Respiratory Care ServicesC. S. Mott Children’s HospitalAnn Arbor, MI

Lelis Vernon BAVON NICQ 2018-19 Faculty Volunteer ParentBaptist Children’s HospitalMiami, FL

Cindy Voelker MD, FAAPWoman’s HospitalBaton Rouge, LA

Michele Walsh MDWilliam and Lois Briggs Chair and Chief, Neonatology UH Rainbow Babies and Children’s Hospital Professor of Pediatrics, Case Western Reserve University School of Medicine Cleveland, OH

Jamie B. Warren MD, MPHOregon Health and Science University Portland, OR

Nikki Wiggins MSN, RN, CCRNOregon Health and Science University Portland, OR

Andrew Wilkinson MA, NBChB, DCH, FRCP, FRCPCHEmeritus Professor of PaediatricsUniversity of OxfordOxford, UK

Erin WrightFamily AdvisorUMass Memorial HealthcareWorcester, MA

John Zupancic MD, ScDAssociate Professor of PediatricsHarvard Medical SchoolAssociate Chief of NeonatologyBeth Israel Deaconess Medical CenterBoston, MA

Announcing Our Next iNICQThe Ins and Outs of Neonatal Care: Improving Critical Transitions for Every Newborn

Significant changes to care of infants present some of the greatest challenges to care teams and families. Join us in this quality improvement collaborative to make sure care during transitions for every infant is:

Register by December 1, 2018 for your center, health system, or statewide collaborative to participate in 2019.

Safe

Timely

Efficient

Effective

Equitable

Patient- and Family-Centered

Socially Responsible*

Recognizing Statewide and Health System Partners in ImprovementStatewide and regional perinatal quality improvement organizations and health systems have achieved measurable improvement at a large scale by partnering with Vermont Oxford Network to build QI capacity and implement evidence-based potentially better practices.

Current VON statewide partners engaged in iNICQ: Choosing Antibiotics Wisely:

• Alaska

• Colorado and the Colorado Perinatal Care Quality Collaborative (CPCQC)

• Georgia Perinatal Quality Collaborative (GaPQC)

• Oregon / Washington Northwest Neonatal Improvement Priority Alliance (NWIPA)

• Tennessee and the Tennessee Perinatal Quality Improvement Collaborative (TIPQC)

Current VON health system partners engaged in iNICQ: Choosing Antibiotics Wisely:

• Cleveland Clinic

• Indiana University Health

• Inova

• Piedmont Healthcare

Current VON partners working on Neonatal Abstinence Syndrome (NAS)

• Indiana and the Indiana Perinatal Quality Improvement Collaborative (IPQIC)

• Kansas and Wichita State University (WSU)

• Maryland and the Maryland Patient Safety Center (MPSC)

• Michigan UP and Michigan Public Health Institute

• Virginia and the Virginia Department of Health (VDH)

Past NAS statewide partners

• Alaska

• Massachusetts (NeoQIC)

• Michigan (MICQI)

• New Hampshire (Northern New England Perinatal Quality Collaborative)

• Wisconsin (WINpqc)

Internet-based Newborn Improvement Collaborative for Quality

33 Kilburn Street, Burlington, VT 05401

802.865.4814 | vtoxford.org

* based on the Institute of Medicine’s STEEEPS criteria

Contact Madge Buus-Frank, [email protected], or Pam Ford, [email protected], to learn more.

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