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PQCNC Newborn / NICU Initiative Selection 2020

1. Your name? *This question is required.

2. Your email? *This question is required.

3. Your organization? *This question is required.

4. From the following list of possible new Initiatives please select the initiatives your facility would be willing to participate in - that is, build a team, collect data, design and complete interventions, etc. - in 2020. You can select one or more depending on the interests of your facility, and don't worry, selecting all seven does not mean you'll be doing all seven... *This question is required.

Decrease CLABSI & Maintain low CLABSI rate in North Carolina
Evidence-Based Standardization of Phototherapy Treatment of Neonatal Hyperbilirubinemia in Term and Late Preterm Infants
Neonatal Hypoglycemia Care & Prevention
Beyond the Mother Baby Dyad - The Hospital Caregivers Safety Net
Support of the NICU Family in Crisis
Rescuing Moms and Babies from Maternal Substance Use Disorders
Addressing Toxic Stress in Infancy and Beyond

5. Are you using a screen reader to submit this survey? *This question is required.

Please rank the suggested PQCNC 2020 Newborn Initiatives in order of preference... *This question is required. Order the items from the following list. First select an item with the spacebar to show a menu of possible ranking positions. Next, click a ranking position to order it in the ranked list. Note the menu will display more ordering options as you add items to the ranked list.

Decrease CLABSI & Maintain low CLABSI rate in North Carolina
Evidence-Based Standardization of Phototherapy Treatment of Neonatal Hyperbilirubinemia in Term and Late Preterm Infants
Neonatal Hypoglycemia Care & Prevention
Beyond the Mother Baby Dyad - The Hospital Caregivers Safety Net
Support of the NICU Family in Crisis
Rescuing Moms and Babies from Maternal Substance Use Disorders
Addressing Toxic Stress in Infancy and Beyond

Rank the following suggested PQCNC 2020 Initiatives in order of preference... *This question is required. Note: for the following table each column is restricted to a single answer across all rows.

	1	2	3	4	5	6	7
Decrease CLABSI & Maintain low CLABSI rate in North Carolina	Rank Decrease CLABSI & Maintain low CLABSI rate in North Carolina as 1 out of 7	Rank Decrease CLABSI & Maintain low CLABSI rate in North Carolina as 2 out of 7	Rank Decrease CLABSI & Maintain low CLABSI rate in North Carolina as 3 out of 7	Rank Decrease CLABSI & Maintain low CLABSI rate in North Carolina as 4 out of 7	Rank Decrease CLABSI & Maintain low CLABSI rate in North Carolina as 5 out of 7	Rank Decrease CLABSI & Maintain low CLABSI rate in North Carolina as 6 out of 7	Rank Decrease CLABSI & Maintain low CLABSI rate in North Carolina as 7 out of 7
Evidence-Based Standardization of Phototherapy Treatment of Neonatal Hyperbilirubinemia in Term and Late Preterm Infants	Rank Evidence-Based Standardization of Phototherapy Treatment of Neonatal Hyperbilirubinemia in Term and Late Preterm Infants as 1 out of 7	Rank Evidence-Based Standardization of Phototherapy Treatment of Neonatal Hyperbilirubinemia in Term and Late Preterm Infants as 2 out of 7	Rank Evidence-Based Standardization of Phototherapy Treatment of Neonatal Hyperbilirubinemia in Term and Late Preterm Infants as 3 out of 7	Rank Evidence-Based Standardization of Phototherapy Treatment of Neonatal Hyperbilirubinemia in Term and Late Preterm Infants as 4 out of 7	Rank Evidence-Based Standardization of Phototherapy Treatment of Neonatal Hyperbilirubinemia in Term and Late Preterm Infants as 5 out of 7	Rank Evidence-Based Standardization of Phototherapy Treatment of Neonatal Hyperbilirubinemia in Term and Late Preterm Infants as 6 out of 7	Rank Evidence-Based Standardization of Phototherapy Treatment of Neonatal Hyperbilirubinemia in Term and Late Preterm Infants as 7 out of 7
Neonatal Hypoglycemia Care & Prevention	Rank Neonatal Hypoglycemia Care & Prevention as 1 out of 7	Rank Neonatal Hypoglycemia Care & Prevention as 2 out of 7	Rank Neonatal Hypoglycemia Care & Prevention as 3 out of 7	Rank Neonatal Hypoglycemia Care & Prevention as 4 out of 7	Rank Neonatal Hypoglycemia Care & Prevention as 5 out of 7	Rank Neonatal Hypoglycemia Care & Prevention as 6 out of 7	Rank Neonatal Hypoglycemia Care & Prevention as 7 out of 7
Beyond the Mother Baby Dyad - The Hospital Caregivers Safety Net	Rank Beyond the Mother Baby Dyad - The Hospital Caregivers Safety Net as 1 out of 7	Rank Beyond the Mother Baby Dyad - The Hospital Caregivers Safety Net as 2 out of 7	Rank Beyond the Mother Baby Dyad - The Hospital Caregivers Safety Net as 3 out of 7	Rank Beyond the Mother Baby Dyad - The Hospital Caregivers Safety Net as 4 out of 7	Rank Beyond the Mother Baby Dyad - The Hospital Caregivers Safety Net as 5 out of 7	Rank Beyond the Mother Baby Dyad - The Hospital Caregivers Safety Net as 6 out of 7	Rank Beyond the Mother Baby Dyad - The Hospital Caregivers Safety Net as 7 out of 7
Support of the NICU Family in Crisis	Rank Support of the NICU Family in Crisis as 1 out of 7	Rank Support of the NICU Family in Crisis as 2 out of 7	Rank Support of the NICU Family in Crisis as 3 out of 7	Rank Support of the NICU Family in Crisis as 4 out of 7	Rank Support of the NICU Family in Crisis as 5 out of 7	Rank Support of the NICU Family in Crisis as 6 out of 7	Rank Support of the NICU Family in Crisis as 7 out of 7
Rescuing Moms and Babies from Maternal Substance Use Disorders	Rank Rescuing Moms and Babies from Maternal Substance Use Disorders as 1 out of 7	Rank Rescuing Moms and Babies from Maternal Substance Use Disorders as 2 out of 7	Rank Rescuing Moms and Babies from Maternal Substance Use Disorders as 3 out of 7	Rank Rescuing Moms and Babies from Maternal Substance Use Disorders as 4 out of 7	Rank Rescuing Moms and Babies from Maternal Substance Use Disorders as 5 out of 7	Rank Rescuing Moms and Babies from Maternal Substance Use Disorders as 6 out of 7	Rank Rescuing Moms and Babies from Maternal Substance Use Disorders as 7 out of 7
Addressing Toxic Stress in Infancy and Beyond	Rank Addressing Toxic Stress in Infancy and Beyond as 1 out of 7	Rank Addressing Toxic Stress in Infancy and Beyond as 2 out of 7	Rank Addressing Toxic Stress in Infancy and Beyond as 3 out of 7	Rank Addressing Toxic Stress in Infancy and Beyond as 4 out of 7	Rank Addressing Toxic Stress in Infancy and Beyond as 5 out of 7	Rank Addressing Toxic Stress in Infancy and Beyond as 6 out of 7	Rank Addressing Toxic Stress in Infancy and Beyond as 7 out of 7

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