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Babies Antibiotic Stewardship Improvement Collaborative (BASIC)






Fill out and submit your BASIC sustainability plan to info@ilpqc.org !

Download BASIC Sustainability Plan here!

Hospital teams across Illinois work to provide the right antibiotics to the right babies for the right length of time

Working with hospital-based teams, the Illinois Perinatal Quality Initiative (ILPQC) in 2020 launched a statewide neonatal initiative to implement American Academy of Pediatrics and Centers for Disease Control and Prevention guidelines. ILPQC will work with hospital teams to implement system changes such protocols and tools for Early Onset Sepsis (EOS) risk assessment, identification, and response, as well as clinical culture change using neonatal/pediatric provider & nursing education, clinical debriefs of newborns receiving antibiotics to improve care, and regular data review to improve care for all newborns at risk for EOS.

Key Strategies:

  • 1.

    Increase percentage of physicians and nurses educated about early-onset sepsis (EOS) risk factors, assessment tools, and guidelines

  • 2.

    Increase percentage of newborns with documented use of EOS risk assessment tools at delivery

  • 3.

    Increase percentage of newborns with a blood culture drawn prior to the initiation of antibiotics

  • 4.

    Increase percentage of newborns with care team discussing and documenting plan for length of antibiotic course

  • 5.

    Decrease percentage of newborns of any gestational
    age with a negative blood culture at 36 hours that receive additional antibiotics

  • 6.

    Increase percentage of parents/families provided education about antibiotics and EOS

  • 7.

    Increase percentage of parents/families reporting respectful care from the care team during the
    newborn stay

Toolkit

The BASIC Toolkit has been updated and rearranged  by category in November 2021 to allow resources to be easily accessible. If you have trouble finding any resources reach out to ellie.suse@northwestern.edu

The above materials are examples only and not meant to be prescriptive. The resources provided in this toolkit are for informational purposes only. The exclusion of a resource, program, or website does not reflect the quality of that resource, program or website. Note: websites and URLs are subject to change.

Webinars

Ten Steps to Get Started with BASIC

    1. Schedule regular, at least monthly, BASIC QI team meetings and register for the ILPQC monthly BASIC teams calls
    2. View recording of the ILPQC QI Team Lead Support Call. All team leads including provider and nurse champions should review the recording if not able to attend live webinar led on November 13th.
    3. Review the ILPQC BASIC Data Collection Forms (Monthly Newborn & Monthly Hospital) with your team and discuss strategies for data collection including the Data Dictionary. View slides and recording of the ILPQC REDCap Data Training Call to learn about submitting data and strategies for collecting retrospective and prospective data.
    4. Complete the BASIC Teams Readiness Survey. Please work together as a team to complete the survey. Choose one designee to fill out the BASIC Readiness Survey. This survey will help teams understand current barriers and opportunities for getting started with BASIC. There are no right answers! It’s ok to start with lots of opportunities for improvement!
    5. Create a process flow diagram to reflect your current process for antibiotic decision making and identify key opportunities for improvement. See ILPQC example BASIC process flow diagram in ILPQC toolkit.
    6. Reference the BASIC Key Driver Diagram to identify possible interventions and next steps. Focus first on understanding your team’s clinical culture around antibiotics and how that culture can better promote and support antibiotic stewardship, consider standardized Key QI strategies for BASIC 
    7. Review the online ILPQC BASIC Online Toolkit for nationally vetted resources to support your improvement goals. Contact ILPQC if you need help identifying additional resources.
    8. Meet with your QI team to create a draft 30/60/90 day plan. This plan helps your team decide where to start and identify what you want to accomplish in the first 3 months. Call it the “where should we start” for your BASIC implementation plan.
    9. Plan your first PDSA cycle with your team to address your 30/60/90-day plan. These small tests of change help your hospital test process/system changes to reach initiative goals. Be sure to review results, make improvements and implement if successful, repeat cycle if improvements needed.
    10. Reach out to ILPQC for help (info@ilpqc.org) and celebrate your successes with your team early and often.

     

BASIC Clinical Leadership

  • Leslie Caldarelli

  • Justin Josephsen

  • Sameer Patel

  • Kenny Kronforst

  • Patrick Lyons

  • Gustave Falciglia

  • Jodi Hoskins