Leading Practice Change

About the CHoSEN Collaborative

Since 2017, the Colorado Hospital Substance Exposed Newborns Collaborative or “CHoSEN” Collaborative has led the effort to increase consistency in implementation of best practice approaches in the identification of and response to newborns prenatally exposed to substances in the Rocky Mountain region.

Nearly 50 percent of Colorado births occur in a hospital participating in the CHoSEN Quality Improvement Collaborative (CHoSEN QIC), the cornerstone initiative of the CHoSEN Collaborative, is built around multidisciplinary hospital-based improvement teams working collaboratively to achieve measurable improvements.

Creating Change

The CHoSEN Collaborative aims to increase consistency in implementation of best practice approaches in the identification of and response to newborns prenatally exposed to substances at the time of birth by:

    • Implementing recommendations that improve maternal and/or child outcomes, including but not limited to using structured quality improvement methods and sharing of data and practices;
    • Identifying additional recommendations for practice and policy; and
    • Engaging birth hospitals across the state in education related to prenatal substance exposure

Funding

​Funding to support the CHoSEN Collaborative comes from the Colorado Attorney General’s Office, COPIC Medical Foundation, Caring for Colorado Foundation, and University of Colorado School of Medicine Medicaid Upper Payment Limit Program. 
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