Vermont Oxford Network

Vermont Oxford Network Transforming data into action to help save babies lives.

Vermont Oxford Network (VON) is a nonprofit voluntary collaboration of health care professionals working together as an interdisciplinary community to change the landscape of neonatal care. Founded in 1988, VON is now comprised of teams of health professionals representing neonatal intensive care units and level I and II care centers around the world, in support of our mission to improve the quali

ty and safety of medical care for newborn infants and their families through a coordinated program of research, education, and quality improvement projects.

Our next Grand Rounds is two weeks from today!  We invite our international newborn care community to join us for a webi...
07/23/2025

Our next Grand Rounds is two weeks from today! We invite our international newborn care community to join us for a webinar focused on oxygen use in the NICU. Oxygen therapy is critical to the care of sick preterm newborns. Although lifesaving, oxygen therapy can contribute to serious problems, including retinopathy of prematurity and bronchopulmonary dysplasia. Our attempts to find the “right” amount of oxygen to administer while in intensive care are imperfect and leave us with many unanswered questions. We will examine evidence-based practices that maximize the benefits of oxygen administration in the NICU while minimizing potential harms. Join us 8/6 at 12ET. CEUs are included for this webinar.

To register, please visit: https://bit.ly/4eZ6drf

07/21/2025

In sharing members stories, we strive to bring you front line information on how QI improvement can work in your setting. VON members participating in quality improvement programs contribute to – and benefit from – a culture where QI is the norm, not the exception. They build trusting relationships and learn together; they value data transparency and collectively problem-solve to improve outcomes for infants and families across institutions.
To learn more about our QI Collaborative All Care is Brain Care, please visit https://bit.ly/478Rl5H

Did you know?  In addition to our standard VLBW and Expanded databases, VON also has an ELBW follow up database.  The re...
07/17/2025

Did you know? In addition to our standard VLBW and Expanded databases, VON also has an ELBW follow up database. The report is intended for use as one component of a continuous quality improvement program. The goal is to obtain a complete description of health and developmental outcome status for ELBW infants at 18 to 24 months’ corrected age. A sample data item from our last report is included in the slides.

Our next birth year will close and report out this fall. To be a part of this database in the future, please visit https://public.vtoxford.org/data-and-reports/elbw-follow-up/.

The Extremely Low Birth Weight (ELBW) Follow-Up Report represents the outcomes of infants at 18 to 24 months' corrected age collected by 66 Vermont Oxford Network members voluntarily participating in the ELBW Follow-Up Project. Infants eligible to participate in the 2021 cohort of the ELBW Follow-Up Infant Project were born between January 1 and December 31, 2021 and at birth were 401 to 1000 grams OR 22 weeks, 0 days to 27 weeks, 6 days gestational age (Extremely Low Gestational Age Newborns – ELGAN infants). Except where noted, comparison of 2021 data is made to aggregated data over 3 years (2019 - 2021).

Join us 8/6 at 12E for our next Grand Rounds Evidence to Practice: Oxygen in the NICU. Oxygen therapy is critical to the...
07/07/2025

Join us 8/6 at 12E for our next Grand Rounds Evidence to Practice: Oxygen in the NICU. Oxygen therapy is critical to the care of sick preterm newborns. We will examine evidence-based practices that maximize the benefits of oxygen administration in the NICU while minimizing potential harms.
To learn more about this offering and see recordings of previous recordings, please visit https://public.vtoxford.org/qi-grand-rounds/ .

Data submission and reports are complete for birth year 2024 thanks to our amazing VON members.  Your efforts this past ...
07/03/2025

Data submission and reports are complete for birth year 2024 thanks to our amazing VON members. Your efforts this past year ensured 1,111 centers have finalized infant data in the VLBW and Expanded databases! This is more than any other neonatal database!

Nightingale has been updated with 2024 birth year Network and NICU type data and your center’s risk-adjusted results. Geographical comparison groups (states, countries, etc.) have also been posted. The Annual Report and Membership Survey Report have been posted as printable PDFs in the Report Download area of Nightingale.

Not a member? Visit https://public.vtoxford.org/data-and-reports/ to learn how to join our international database and start benchmarking your data today!

Applications for the VON Award for Excellence in Quality Improvement open soon!  VON recognizes outstanding dedication t...
06/27/2025

Applications for the VON Award for Excellence in Quality Improvement open soon! VON recognizes outstanding dedication to data-driven quality improvement in teams who demonstrate dedication to VON core values of quality improvement: measurement, evidence, families, equity, and collaboration. Award recipients are active members of our QI Collaborative, All Care is Brain Care. If your center is currently participating in the collaborative in the iNICQ or NICQ level, stay tuned for how to apply!

To learn more about the award and how to apply in future years, please visit: https://public.vtoxford.org/award-for-excellence-in-quality-improvement/

06/24/2025

The annual VON Award for Excellence in Quality Improvement recognizes VON member teams who demonstrate dedication to VON core values of quality improvement: measurement, evidence, families, equity, and collaboration. The selective award recognized six hospitals for their work in 2024. These multidisciplinary teams demonstrated their dedication to VON principles of quality improvement.

To learn more about the 2024 award recipients, please visit https://public.vtoxford.org/member-stories/award-for-excellence-in-qi-2024-projects/.

On June 19, 1865, more than two years after the Emancipation Proclamation, enslaved African Americans in Galveston, Texa...
06/19/2025

On June 19, 1865, more than two years after the Emancipation Proclamation, enslaved African Americans in Galveston, Texas were finally informed of their freedom. Juneteenth honors this day and the ongoing pursuit of equity and justice. Because of the history of racism in this country, health and well being are largely determined by race, ethnicity, income, immigration status, and local neighborhood. The effects are pronounced for infants in NICU care. There is much our neonatal improvement community can and must do to address social determinants of health.

Our free toolkit for health equity and follow-through offers ways for any and all teams and individuals to get started or further develop initiatives locally and on a larger scale. To access, please visit: https://public.vtoxford.org/health-equity/.

In honor of Father's day, we join  to recognize the often-overlooked strength of fathers in the Neonatal Intensive Care ...
06/16/2025

In honor of Father's day, we join to recognize the often-overlooked strength of fathers in the Neonatal Intensive Care Unit (NICU). To bring awareness to this group of NICU parents, Alex, a NICU dad and a family faculty member in the All Care is Brain Care QI Collaborative, is leading a push up challenge!
The Challenge Details:
✔️What: 100 push-ups per day
✔️When: Kicks off on Father’s Day, June 16, 2025
✔️Duration: As many days as your child’s NICU stay
✔️Purpose: Raise awareness, build community, and honor the emotional and mental health challenges of NICU dads.
Visit Alex's page to learn more: .

Happy Father's Day to all the NICU dads out there supporting their partners and children before, during and after a NICU...
06/15/2025

Happy Father's Day to all the NICU dads out there supporting their partners and children before, during and after a NICU stay. We know this journey you are on is unique and emotionally and physically trying. We see you and we thank you!

Led by Danielle Ehret, MD, MPH, VON Chief Medical Officer and Director of Global Health, a corps of dedicated volunteers...
06/13/2025

Led by Danielle Ehret, MD, MPH, VON Chief Medical Officer and Director of Global Health, a corps of dedicated volunteers, and our partners in Ethiopia, quality improvement initiatives were implemented to improve the use of CPAP in the Ethiopian Neonatal Network. Ethiopian nurse-physician pairs mentored hospitals in standardizing assessments of RDS and optimizing the use of CPAP, which increased CPAP use and decreased preterm infant mortality.

Click here to read more: https://bit.ly/3ZwE6cm

Today, more than 80% of infants born very preterm receive neonatal intensive care in multihospital systems. Practice var...
06/10/2025

Today, more than 80% of infants born very preterm receive neonatal intensive care in multihospital systems. Practice variations across health systems regarding outcomes for high-risk newborn infants are important to understand given the vulnerability of the population and associated high hospitalization costs. In a recent study published in JAMA Network Open, Vermont Oxford Network assessed outcomes at US member hospitals in 224 health systems that delivered care to very preterm infants . We found clinically meaningful differences in mortality and length of stay among health systems, suggesting opportunities for health systems to improve quality for infants born very preterm.

Quality improvement could decrease mortality and potentially reduce the resources used in patient care. Doing so will require quality improvement efforts at the system level.

If you are interested in learning more about our programs and services for health systems, please contact us to explore how VON can help your system achieve breakthrough performance.

To read the whole article, please visit https://bit.ly/45ICC2n.

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