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Area of Science:

  • Neonatal care
  • Public health initiatives
  • Healthcare quality improvement

Background:

  • Opioid-exposed neonates (OENs) face significant risks of postdischarge complications.
  • Effective connection to outpatient resources is vital for mitigating these risks.
  • Existing discharge processes for OENs required improvement to ensure comprehensive care.

Purpose of the Study:

  • To enhance the completion rate of a standardized discharge bundle for OENs.
  • To improve the connection of OENs to essential outpatient services post-discharge.
  • To reduce postdischarge complications in OENs through improved care coordination.

Main Methods:

  • Implementation of the 'Team Hope' initiative, a hospital-wide program focused on OEN care.
  • Development and application of a standardized discharge bundle including referrals to primary care, early intervention, home nursing, development clinic, and specialized clinics.
  • Utilizing statistical process control charts to monitor the discharge bundle completion rate over time.
  • Employing targeted interventions such as provider education, EHR reminders, and physician reminders.

Main Results:

  • Initial discharge bundle completion rate was 2.6% before intervention.
  • Following implementation of the standardized bundle and interventions, the completion rate increased to 60.3%.
  • Specific elements like early intervention and development clinic referrals showed significant improvement.
  • The study analyzed data from 119 OENs, with 83 included in the post-intervention analysis.

Conclusions:

  • A standardized discharge bundle effectively improved discharge processes for OENs.
  • The implemented interventions successfully increased the rate of complete discharge bundles.
  • This approach enhances the continuity of care and support for OENs after hospital discharge.