Past Projects

While initiatives often target a specific clinical area, NCQC also infuses adaptive components of improving safety into all of these initiatives, such as creating a fair, just, and accountable culture; optimizing teamwork and communication; leadership involvement; and a structured process to analyze and learn from hospital-acquired conditions or process defects when they occur. The following is a comprehensive list of the Quality Center’s past work in various target areas.

2015 Readmissions Collaborative Learning Network
2015 Readmissions Collaborative Learning Network

2015 Readmissions Collaborative Learning Network

The Readmissions Collaborative Learning Network began in July 2015, and provided education, structured networking, and guidance for participating hospitals. The curriculum was based on the new AHRQ Hospital Guide to Reducing Medicaid Readmissions, which is applicable to all payer populations and includes updated evidence and tools.

Perinatal Safety Initiatives 2015-2016
Perinatal Safety Initiatives 2015-2016

Perinatal Safety Initiatives 2015-2016

Perinatal Safety Learning Network: NCQC offered the Perinatal Safety Learning Network, which consisted of a webinar series with networking opportunities for sharing strategies on implementing the three Partnership for Maternal Safety Bundles: PPH, hypertension and VTE.

Newborn Blood Screening Transit Times: NCQC offered educational programming regarding the importance of decreasing Newborn Blood Screening Transit Times to less than 2 days.

NC39 Weeks - Preventing Elective Early-term Deliveries (EED) Campaign
NC39 Weeks - Preventing Elective Early-term Deliveries (EED) Campaign

NC39 Weeks - Preventing Elective Early-term Deliveries (EED) Campaign

An elective early-term delivery or EED, defined as a delivery between 37-39 weeks without a medical or obstetrical indication, carries significant increased risk for a baby as compared to infants born between 39 and 41 weeks. Earlier this year, the Centers for Medicare and Medicaid Services announced a new initiative to reduce EEDs. The project, Strong Start, builds on the Partnership for Patients and is a joint effort with many national organizations devoted to the health of women and children.

NoCVA Preventing Adverse Drug Events 2012-2014
NoCVA Preventing Adverse Drug Events 2012-2014

NoCVA Preventing Adverse Drug Events 2012-2014

Participating healthcare facilities, the NC Quality Center and the Virginia Hospital and Healthcare Association worked together in a three year (2012-2014), regional learning network designed to introduce, practice, assess and reinforce evidence-based Adverse Drug Event Prevention strategies. Hospital teams received in-person learning sessions to promote best practices and collaborative learning, quarterly content webinars, a website for resources and materials and a network list serv to enhance knowledge sharing.

NoCVA Preventing Adverse OB Outcomes 2012-2014
NoCVA Preventing Adverse OB Outcomes 2012-2014

NoCVA Preventing Adverse OB Outcomes 2012-2014

Participating healthcare facilities, the NC Quality Center, Synensis, the Virginia Hospital and Healthcare Association worked together to improve perinatal safety. Hospital teams developed an actionable OB simulation training improvement plan integrating evidence-based teamwork and communication methods and strategies into OB clinical skills simulations.

NoCVA Preventing Injuries from Falls and Immobility 2012-2014
NoCVA Preventing Injuries from Falls and Immobility 2012-2014

NoCVA Preventing Injuries from Falls and Immobility 2012-2014

Participating healthcare facilities, the NC Quality Center, The Carolinas Center for Medical Excellence and the Virginia Hospital and Healthcare Association worked together in a three year, regional learning network designed to introduce, practice, assess and reinforce evidence-based Falls Prevention strategies. Hospital teams received in-person learning sessions to promote best practices and collaborative learning, quarterly content webinars, a website for resources and materials and a network list serv to enhance knowledge sharing.

NoCVA Preventing Pressure Ulcers 2012-2014
NoCVA Preventing Pressure Ulcers 2012-2014

NoCVA Preventing Pressure Ulcers 2012-2014

Participating healthcare facilities, the NC Quality Center, The Carolinas Center for Medical Excellence and the Virginia Hospital and Healthcare Association worked together in a three year, regional learning network designed to introduce, practice, assess and reinforce evidence-based Pressure Ulcer Prevention strategies. Hospital teams received in-person learning sessions to promote best practices and collaborative learning, quarterly content webinars, a website for resources and materials and a network list serv to enhance knowledge sharing.

Protected: Small, Rural Safety Culture Improvement Network (SCIN) 2014
Protected: Small, Rural Safety Culture Improvement Network (SCIN) 2014

Protected: Small, Rural Safety Culture Improvement Network (SCIN) 2014

Creating a culture of safety is imperative for organizational learning and the design of safe systems. The term “Just Culture” refers to a system of shared accountability where healthcare organizations are responsible for the systems they have designed and for supporting the safe choices of patients, visitors and staff. Staff, in turn, is accountable for the quality of their choices within those systems. Teamwork and communication among providers and patient and family engagement (PFE) are also critical elements of a safe culture. This program is designed to help small and rural hospitals understand how all these elements connect to support the hospital’s overall patient safety performance improvement (PI) plan. Hospitals will be asked to complete self-assessments of patient safety culture and PFE practices and review and revise PI plans to integrate these principles.

Patient-Family Engagement (PFE) Learning Network 2013-2014
Patient-Family Engagement (PFE) Learning Network 2013-2014

Patient-Family Engagement (PFE) Learning Network 2013-2014

Patients and families are critical partners in all efforts at all levels to improve the quality and safety of health care. Outcomes improve with widespread adoption of patient and family engagement best practices.

National statistics suggest over 100,000 patients die every year in U.S. hospitals as a result of preventable harm. Experience in the field indicates that this is a conservative estimate of the challenge we face as servant leaders to ensure a safe care experience for all patients. Current efforts to prevent hospital-acquired conditions could mean over 1.8 million fewer injuries every year. Initiatives to reduce readmissions by preventing complications during a transition from one care setting to another could mean more than 1.6 million patients would recover from illness without needing re-hospitalization within 30 days of discharge.

Just Culture DSOHF Collaborative
Just Culture DSOHF Collaborative

Just Culture DSOHF Collaborative

Welcome North Carolina Division of State Operated Healthcare Facilities (DSOHF) Just Culture Collaborative participants. This page is a centralized location to communicate collaborative updates, share improvement resources, view upcoming collaborative events and to facilitate collaboration between facility teams.

NoCVA Safe Surgery
NoCVA Safe Surgery

NoCVA Safe Surgery

To enhance surgical teamwork and communication, implement the use of the WHO surgical safety checklist, and reduce all surgical complications and procedural harm, including SSI and VTE, the NoCVA Safe Surgery Learning Network provides these tools, resources and activities

Preventing Avoidable Readmissions - NoCVA Collaborative
Preventing Avoidable Readmissions - NoCVA Collaborative

Preventing Avoidable Readmissions - NoCVA Collaborative

A collaborative program designed to reduce hospital readmissions by implementing evidence-based interventions within an open and collaborative network. The primary interventions to be used in this program are from the IHI “Creating an Ideal Transition Home to Reduce Avoidable Rehospitalizations” model. Key changes include enhanced assessment of patient post-hospital needs, effective teaching and enhanced patient learning, ensured post-hospital care follow-up, providing real-time handover communications, and development of community cross continuum teams.

Just Culture 2012 Collaborative
Just Culture 2012 Collaborative

Just Culture 2012 Collaborative

Creating a culture of safety is imperative for organizational learning and the design of safe systems. To do so it is necessary to create an open and fair culture, a balance between a blame-free and a punitive culture. It is necessary for all individuals to continually evaluate risks inherent in the choices they make.

The term “Just Culture” refers to a system of shared accountability where healthcare organizations are responsible for the systems they have designed and for supporting the safe choices of patients, visitors and staff. Staff, in turn, is accountable for the quality of their choices within those systems.

Past Projects