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Improving Commitment to Family-Centered Care in the NICU: A Multicenter Collaborative Quality Improvement Project
Malathi Balasundaram1,2, Henry C Lee3, Laura C Hedli4
1Division of Neonatal & Developmental Medicine, Stanford University, Palo Alto, CA, USA. malathib@stanford.edu.
Objective:
Despite evidence demonstrating the positive impact of family-centered care (FCC) in the neonatal intensive care unit (NICU), FCC is not standard of care. This multi-center, quality improvement initiative aimed to increase the percentage of NICUs with FCC committees and Family Partnership Councils (FPCs).
Study Design:
Participating NICUs were divided into small groups for collaborative mentoring. A key driver diagram and Pareto charts evaluated barriers to FCC and directed interventions. The primary outcome measure was development of an FCC committee and/or FPC. Process measures were views of bi-monthly educational webinars, evaluated using Statistical Process Control charts.
Result:
Across 22 NICUs, the percentage with FCC committees and FPCs increased from 18% to 59% and 18% to 45%, respectively. Average webinar views increased from 28 to 182 views/webinar with clear signal on XmR chart.
Conclusion:
A collaborative mentoring model and focused education achieved the goal of increasing NICU FCC committees and FPCs.
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