September 13, Appendixes (as supplied by author) Appendix 1: Participating Institutions and Workshop Faculty

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1 Appendixes (as supplied by author) Appendix 1: Participating Institutions and Workshop Faculty Albany Medical Center, Albany, NY Pinheiro JM, MD, MPH; Spilman LJ, RNC, MSN, NNP Anne Arundel Medical Center, Annapolis, MD - Rindfleisch S, DO; Lin Y, MD Aultman Hospital, Canton, OH - Vazquez R, MD; Parsons S, NNP Baptist Medical Center South, Montgomery, AL Wallin LA, MD; Harris M, BSN, MEd Baptist Memorial Hospital for Women, Memphis, TN - Arrindell EL, MBBS; Bentley T, RNC Barbara Bush Children's Hospital at Maine Medical Center, Portland, ME Sobel DB, MD; Carroll A, RNC, NNP Baystate Medical Center Children's Hospital, Springfield, MA Rothstein R, MD; Shah BL, MD Blank Children's Hospital, Des Moines, IA - Riley BJ, MD; Terrones A, RNC, MSN, NNP Brookdale University Hospital Medical Center, Brooklyn, NY Kim R, MD, MPH; Jean-Baptiste D, MD Bryn Mawr Hospital, Bryn Mawr, PA Jaquette M, MD; Stavis R, MD, PhD Cape Fear Valley Medical Center, Fayetteville, NC Gallaher KJ, MD Carle Foundation Hospital, Urbana, IL - Stratton WC, MD; Beever SR, RN, MS Centennial Medical Center, Nashville, TN - Hassell SE, MD; Palmer ES, MD Children's Hospital of Greenville, Greenville, SC - Walker, MS, MD; Ferlauto J, MD Columbia Hospital for Women, Herdon, VA Chowdry PK, MD, MBBS; Harkavy K, MD Community Medical Center, Missoula, MT Hiller J, MD; Bingham J, RN Connecticut Children's Medical Center, Hartford, CT Herson V, MD; Zaremba S Cooper Hospital/UMC, Camden, NJ - Courtney SE, MD; Hart JJ, RRT Deaconess Medical Center, Spokane, WA - Shapiro R, MD; Seaburg A, RN Eastern Maine Medical Center, Bangor, ME - Elliott C, MSN, RNC, NNP; Knight S, MD Eastern Oklahoma Perinatal Center at St. Francis Hospital, Tulsa, OK Karathanos A, MD; Gordon T, RRT Evanston Hospital, Evanston, IL MacKendrick W, MD; Wolf S, RN Exempla St. Joseph Hospital, Denver, CO - Ukrainski CT, MD; Pantoja AF, MD Floating Hospital for Children at Tufts - New England Medical Center, Boston, MA - Hagadorn J, MD; Fiascone J, MD Florida Regional Perinatal Center, Sacred Heart Health Systems, Pensacola, FL - Nagel JW, MD; Moore-White M, RNC, MS Forrest General Hospital, Hattiesburg, MS Stewart KD, MD Forum Health - Tod Children's Hospital, Youngstown, OH Samson P, MD Freeman Health System, Joplin, MO - Porte MA, MD; Yoakam B, RN, BSN Geisinger Medical Center, Danville, PA Patel BD, MD; Johnson-Robbins LA, MD 1

2 Good Samaritan Hospital, Cincinnati, OH - Falciglia HS, MD; Riedinger D, RN, CNP Greater Baltimore Medical Center, Baltimore, MD - Dentry J, CRNP; Helou S, MD Hahnemann University Hospital, Philadelphia, PA - Anday EK, MD; Chawla HS, MD Hennepin County Medical Center, Minneapolis, MN Cifuentes RF, MD; Tyler MA, BS, RNC, NNP Henrico Doctor's Hospital, Richmond, VA - Frakes CR, MD Hillcrest Medical Center, Tulsa, OK Anderson CA, DO Holy Cross Hospital, Silver Spring, MD Wyner SP, MD Howard County General Hospital, Columbia, MD Razdan B, BSc, MD; Blechman G, MD Janeway Children's Hospital, St. John's, NFLD, Canada - Aziz K, MD; Andrews WL, MD Joe DiMaggio Children's Hospital, Hollywood, FL - Alley MC, ARNP, RNC; Auerbach MR, MD Kosair Children's Hospital, Louisville, KY - Stewart DL, MD; Hilbert TR, RRT Lee Memorial/The Children's Hospital of Southwest Florida, Ft. Myers, FL Liu WF, MD; Laferriere P, RN, ARNP Lenox Hill Hospital, New York, NY Giuliano MA, MD, MEd Maimonides Medical Center, Brooklyn, NY DeKlerk A, MBChB; Pelegano JF, MD Medical College of Georgia, Augusta, GA Medical University of South Carolina, Charleston, SC - Southgate WM, MD; Annibale DJ, MD Memorial Health University Medical Center, Savannah, GA - Sacks L, MD; Jackson-Alston C, RRT Memorial Hospital at Gulfport, Hattiesburg, MS Henderson ER, MD Memorial Hospital of South Bend, South Bend, IN Okanlami O, MBBS Memorial Medical Center, New Orleans, LA - Lunyong VE, MD; Schwab MM, RN, BSN, NNP Mercy Hospital, Chicago, IL - Lu M, RN; Vasa R, MD Mercy Hospital of Pittsburgh, Pittsburgh, PA Israel B, MD; DiNardo C, RN, BSN, NNP Methodist Children's Hospital, San Antonio, TX Molina BC, MD; Battisto MA, MD Methodist Hospital of Indianapolis, Indianapolis, IN - Lorant DE, MD; Harris HB, MD Monmouth Medical Center, Long Branch, NJ - Hudome S, MD Mount Sinai Hospital, Toronto, Ontario, Canada Kelly EN, MB, BCh Mount Sinai Hospital, Chicago, IL - Reyes J, MD; Srinivasan H, MD New York University School of Medicine, New York, NY McCarthy EA, MD; Hendricks-Munoz KD, MD, MPH Newark Beth Israel Medical Center, Newark, NJ Brown DR, MD; Cohen M, MD North Oaks Medical Center, Hammond, LA Villalta IA, MD Northwestern Memorial Hospital, Chicago, IL - Kumar K, MD NYU Medical Center, New York, NY DeSomma M, NNP Oakwood Healthcare System, Dearborn, MI Lueder FL, MD Oregon Health & Science University, Portland, OR Wallen LD, MD; Armen GK, BSN, RNC 2

3 Ottawa Hospital, Ottawa, Ontario, Canada - Blayney MP, MB, BCh.BAO; Pageau R, RRT Pennsylvania Hospital, Philadelphia, PA Gerdes JS, MD; Abbasi S, MD Promina Gwinnett Health, Lawrenceville, GA Provena Covenant Medical Center, Urbana, IL - Rein G, RN Riverside Methodist Hospital, Dublin, OH Wall PM, MD Rose Medical Center, Denver, CO - Toney JV, MD; Anderson BA, MD Sacred Heart Medical Center, Eugene, OR - Bent RC, MD; Coulombe RA, RRT Saint Elizabeth Regional Medical Center, Lincoln, NE Cherng W, MD, MPH; Schwarzkopf K, RN, BSN Santa Rosa Children's Hospital, San Antonio, TX - Pierce MR, MD Scott and White Memorial Hospital, Temple, TX Krauss DR, MD Shady Grove Adventist Hospital, Rockville, MD - Nigam M, MD Sinai Hospital of Baltimore, Baltimore, MD Partyka CM, MD; Browne R, NNP Southern Regional Medical Center, Riverdale, GA - Velez FJ, MD, FAAP; White MR, RN, CPHQ Sparrow Hospital, Lansing, MI - Karna P, MD; Olomu IN, MD SSM Cardinal Glennon Children's Hospital, St. Louis, MO Mantych GJ, MD St. Agnes HealthCare, Baltimore, MD St. Charles Medical Center, Bend, OR - Merritt TA, MD, MHA; Merritt M, BS, RN St. Elizabeth's Medical Center, Boston, MA St. Francis Hospital & Medical Center, Hartford, CT - DeSilva HN, MBBS; Longobucco D, MSN St. John's Hospital, Springfield, IL - Crouse C, MD, PhD St. Joseph's Children's Hospital, Paterson, NJ Zauk A, MD; Skroce L, MD St. Joseph's Health Center, Syracuse, NY - Consenstein L, MD; Sotomayor T, RNC, NNP St. Joseph's Marshfield Clinic, Marshfield, WI - Hoehn GJ, MD St. Luke's Hospital, Bethlehem, PA Unger A, MD; Achter W, MD St. Luke s Regional Medical Center, Boise, ID - Harper N, MD; Talbert J, BSRT, RRT St. Mary's Hospital, Milwaukee, Watertown, MI - Gilbertson D, RN, MS, NNP; Wolf J, MD St. Mary's Hospital & Medical Center, Grand Junction, CO Olewnik AB, MD; Gaines C, BS, RN, NNP St. Mary's/Duluth Clinic Health Systems, Duluth, MN - Muskovitz L, MD; Peters D, NNP St. Peter's Hospital, Albany, NY - Bogdanowicz C, RNC, NNP; Narkewicz K, MD St. Vincent Catholic Medical Center of New York, Staten Island, NY Harin A, MD; Barone A, DO St. Vincent Healthcare, Billings, MT - Stevens K, MD; Boe T, RNC, BSN St. Vincent Hospital, Green Bay, WI Brand JM, DO; Bertagnoli MW, MD Sunnybrook & Women's College Health Sciences Centre, Toronto, Ontario, Canada - Dunn MS, MD; Reilly M, RRT Sunrise Children's Hospital, Las Vegas, NV Kurlinski JP, MD; Valentin MM, RN 3

4 Texas Tech Medical School, Amarillo, TX - Naqvi M, MD; Reynolds K, NNP, MSN The Methodist Hospitals, Gary, IN - Poornima S, MD; Johnson B, RN The Reading Hospital and Medical Center, Reading, PA Hoffman D, MD; Brown GD, DO The Stamford Hospital, Stamford, CT - Rakos GB, MD; LiVolsi K, RNC, BSN, MHA Tulane Hospital for Children, New Orleans, LA Reynolds J, MD U. Mass Memorial Health Care, Worcester, MA - Beaver PA, RNC, MS, NNP; Bean SA, MD University Medical Center, Las Vegas, NV - Krishnan R, MD; Vazquez E, RN, NNP University of Illinois at Chicago, Chicago, IL Vidyasagar D, MD; Bhatt R, MD University of Iowa Health Care: Children's Hospital of Iowa, Iowa City, IA Acarregui MJ, MD; Eastman D, ARNP, MA University of Michigan Health Systems, Ann Arbor, MI Schumacher RE, MD; Dechert RE, MS, RRT University of Tennessee Memorial Hospital, Knoxville, TN - Wright K, MD; Johnson J, RN, BSN Vassar Brothers Medical Center, Poughkeepsie, NY - DeIulio DM, MD; Artigas V, RNC,NNP, MSN Weiler Hospital-Montefiore, Bronx, NY Reinersman GT, MD; Vega-Rich CR, MD Wellstar Kennestone Hospital, Marietta, GA - Casanova ED, MD; Marino B, MD Women's & Children's Hospital, Lafayette, LA Vo CT, MD; Nelson ND, RNC Woodhull Medical Center, Brooklyn, NY - Brea FE, MD; Cupolo C, PA York Hospital, York, PA - Ferrentino FL, MD, BEE; Shapiro SL, MD, BS Workshop and Project Faculty and Staff Gary L. Albrecht, PhD, Professor of Public Health, University of Illinois at Chicago Professor of Disability and Human Development, University of Illinois at Chicago Michael Bracken, PhD, Professor and Head of Chronic Disease Epidemiology, Yale University, Professor of Obstetrics, Gynecology and Neurology, Yale University, Director of the Yale Perinatal Epidemiology Unit, Co-editor of the Neonatal Review Group of the Cochrane Collaboration Jeffrey Buzas, PhD, Associate Professor of Statistics, University of Vermont Jeffrey D. Horbar, MD, Principal Investigator, Professor of Pediatrics, University of Vermont College of Medicine, Chief Executive and Scientific Officer, Vermont Oxford Network Nancy E. Leahy-Jacklow, Workshop Facilitator, Independent Consultant 4

5 Rise` Jones, PhD, Research Associate, Health Research and Policy Center, Chicago, IL James Kendig, MD, Professor of Pediatrics, The Milton S. Hershey Medical Center, Penn State University Laura Leviton, PhD, Senior Program Officer for Research and Evaluation, Robert Wood Johnson Foundation Anne Morgan, MS, Medical Biostatistics, University of Vermont Paul Plsek, MS, Paul E. Plsek & Associates, Inc. Senior Fellow, Institute for Healthcare Improvement John C. Sinclair, MD, Professor, Departments of Pediatrics, Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada, Coordinating Editor, Cochrane Neonatal Collaborative Review Group, Center for Clinical Research and Evidence-Based Medicine, University of Texas-Houston, Houston, TX Wende Smith, Administrative Support, Vermont Oxford Network Roger F. Soll, MD, Professor of Pediatrics, University of Vermont College of Medicine, Vice President and Director of Clinical Trials, Vermont Oxford Network Gautham Suresh, MD, Assistant Professor of Pediatrics, University of Vermont College of Medicine, Postgraduate Fellow, Vermont Oxford Network Elizabeth Wojciehowski, PhD, RN, CS, Assistant Research Professor College of Nursing, University of Illinois at Chicago 5

6 Appendix 2: Agenda for Intervention Workshop Saturday, September 16, :00 to 9:00 PM Opening Dinner Session Welcome Horbar Team and Faculty Introductions Plsek Project Overview and Horbar Sunday, September 17, 2000 Morning 7:30 Refreshments 8:15 Goals for the Day Horbar 8:30 Evidence-Based Medicine 101 Bracken 9:15 Surfactant Therapy Evidence Review Soll 10:00 Break 10:15 Review of the Rochester Surfactant Trials Kendig 11:00 Gap Between Evidence and Practice and Tradeoffs Horbar 11:45 Lunch (provided) Afternoon 1:00 Site Team Exercise: Practice Assessment Plsek/Faculty Sites assess their own current practice 1:20 The PDSA /Improvement Model Plsek 2:05 Site Team Exercise: Improvement Aims Faculty 2:50 Break Sites develop initial measurable improvement aims 3:15 Group Exercise: Improvement Aims Faculty Discuss measurable aims from sites Develop 5 minute presentation 4:15 5 Minute Group Presentations Groups 6

7 Monday, September 18, 2000 Morning 7:30 Refreshments 8:00 Goals for the Day Horbar 8:15 Practical Considerations and Variables Kendig 8:30 Habit for Systems Thinking Plsek 9:30 Break (Hotel Check-out) 10:00 Site Team Exercise: Thinking About Change Faculty What changes will result in an improvement? 11:00 Group Exercise: Sharing Changes and Plans Faculty Discuss site plans and common barriers 11:45 Working Lunch (provided): Consultation with Faculty Afternoon Site teams finalize improvement aims Site teams design improvement cycles (PDSA) 1:15 TIPS from the Experts Plsek/Horbar Overcoming Barriers Bringing About Change 1:45 Wrap-up/Next Steps Plsek/Horbar 2:00 ADJOURN Mote: Site team exercises were completed by multidisciplinary site teams. Group exercises were completed by participants from multiple institutions. All exercises had written instructions and were facilitated by project faculty. 7