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TIPQC: Tennessee Initiative for Perinatal Quality Care

TIPQC: Tennessee Initiative for Perinatal Quality Care. Aim: Improve Tennessee Morbidity and Mortality Mission: Design and implement data-driven, provider level statewide QI projects Member stakeholders: Neonatologists, MFM, OB, Family Practice RN, NPs, nurse midwives, lactation consultants

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TIPQC: Tennessee Initiative for Perinatal Quality Care

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  1. TIPQC: Tennessee Initiative for Perinatal Quality Care • Aim: Improve Tennessee Morbidity and Mortality • Mission: Design and implement data-driven, provider level statewide QI projects • Member stakeholders: • Neonatologists, MFM, OB, Family Practice • RN, NPs, nurse midwives, lactation consultants • Hospital administration, Payers, Government • Families, Advocacy Groups, Community Groups

  2. The NICU CLABSI Challenge * <22 wks 23-26 wks 27-34 wks 34-36 wks 37-38 wks >39wks < 750 grams 751-1000 grams 1001-1500 grams 1501-2500 grams >2500 grams 3.8 3.3 1.7 2.4 0.9

  3. Vermont Oxford Network 2007Infants <1500gm with any nosocomial infection • Our patients are different… • …but so are our NICUs. • Some NICUs have far fewer nosocomial infections • Some NICUs have far fewer CLABSI episodes

  4. TIPQC CLABSI Project Similarities Differences Remove line when… Companion Project HBM4VLBW Balancing measures • Hand Hygiene • Full barrier (right size!) • Insertion Bundle • Line Carts • Maintenance bundle • Post results • Investigate episodes • Culture Change

  5. NICU Balancing Measures • CLABSI • Morbidity • Mortality • LOS • Cost Growth Failure Other infection NEC PNALD Osteopenia

  6. TIPQC CLABSI Project Similarities Differences Remove line when… Companion Project HBM4VLBW Balancing measures Necrotizing Enterocolitis Growth Other infection Congenital Malformations GI atresias Abdominal wall • Full barrier (right size!) • Checklists • Line Carts • Maintenance bundle • Post results • Investigate episodes • Culture Change

  7. What can you do? • If you have a NICU, find your TIPQC team! • Ask about the Temperature Project • Ask if your NICU uses central lines • Share your TPSC CLABSI report • Sponsor your NICU’s participation • www.TIPQC.org • Project application TIPQC.office@tipqc.org

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