The cornerstone initiative of the CHoSEN Collaborative is focused on quality improvement. Known as “CHoSEN QIC”, this work is built around multidisciplinary hospital-based improvement teams working collaboratively to achieve measurable improvements.
When hospitals commit to becoming members of CHoSEN QIC, teams use structured quality improvement methods to improve their local practices, including setting specific aims, following appropriate outcome and process measures, and using Plan-Do-Study-Act cycles to test and implement changes.
Building upon the work done by states like Massachusetts, Connecticut, and Vermont, the CHoSEN QIC aims to improve the hospital care of substance exposed newborns using a quality improvement framework with implementation of a bundle of care practices along with robust data collection and analysis to measure the impact of our work.
The quality improvement work of Colorado birthing hospitals has demonstrated success significantly decreasing the average length of stay of infants with NAS, and decreasing the proportion of infants treated with morphine.
Components of Participation
Hospital teams collect data on key performance measures, using a shared database with online data entry that is used to assess hospital and statewide progress, and regular progress reports are returned to hospital teams to drive improvement.
The CHoSEN database tracks key outcome and process measures related to the care of substance exposed newborns and their families.
Participating hospital teams are asked to use this database to collect information on substance exposed newborns under their care.
The database is designed with the appropriate privacy and security precautions, and hospitals are able to enter data into the database once appropriate data use agreements are completed.
The data form covers a range of measures related to Neonatal Abstinence Syndrome (NAS), including:
- maternal-fetal exposures,
- use of breast-milk during hospitalization,
- pharmacologic therapy for NAS,
- non-pharmacologic therapy for NAS,
- length of stay,
- discharge disposition, and
- follow-up care.
To Join CHoSEN QIC
There is no cost to participate. Hospitals must:
- Submit a team roster.
- Obtain hospital approval.
- Complete the Data Use Agreement.
Click HERE to join or talk to a CHoSEN Collaborative representative to get started today.