Quality Improvement and Safety
At Lucile Packard Children’s Hospital Stanford and our satellite NICUs, faculty and staff are committed to improving quality of care and ensuring the safety of mothers and babies. We strive to listen to the needs of families and engage in continuing education and outreach. Here are a few of our initiatives:
BETTER OUTCOMES FOR BABIES LOCAL IMPROVEMENT TEAM
(BOB LIT): This multi-disciplinary quality improvement group made up of doctors, nurses, clinical nurse specialists, nurse managers, and parents, has been in existence for nearly two decades. Acting to improve the care delivered in NICU, this group operates as part of the Packard Quality Management System (PQMS). The PQMS was initiated at the hospital in 2011 and encourages employees to be engaged, focused on addressing daily problems to impact higher-level goals and boost families’ satisfaction.
QUALITY CARE COLLABORATIVES: Stanford is the coordinating center for the California Perinatal Quality Care Collaborative (CPQCC) and a participating member of the Vermont Oxford Network. These collaboratives collect and assess data from hundreds of NICUs. They also provide recommendations to improve care delivery for infants. Reporting to the Executive Board of the CPQCC, the Perinatal Quality Improvement Panel is tasked with implementing its recommendations for Continuous Quality Improvement objectives. Many of these objectives provide instruction from our faculty who are content experts in various topics related to neonatology. Recent examples include breast milk nutrition and prevention of CLABSI in the NICU. The Perinatal Quality Improvement Panel is also tasked with improving quality care delivery processes and evaluating progress throughout the state.
FAMILY-CENTERED CARE: A hallmark of the patient experience at Lucile Packard Children’s Hospital Stanford is family-centered care. We encourage parents to participate during medical rounds and engage in skin-to-skin contact, which has been shown to have a positive impact on an infant's neurologic and physical health. With the launch of our new electronic medical record system, we are working to revamp progress letters to families entitled "Your Baby’s Daily Update.” These letters include information on recent labs, nutritional status, and any changes in the baby’s condition the last 24 hours. Helping to develop this project was Heather Keller, who is our parent representative on our Better Outcomes for Babies Local Improvement Team. Keller also participates the state and national quality management team.