Interstage Change Package

The NPC-QIC Interstage Change Package

The “Interstage” is the time period, typically 4-6 months, between the first surgical palliation (S1P – typically a Norwood procedure) and the second (Glenn) operation. It is historically a time of risk for HLHS infants.

Since the Collaborative’s inception, NPC-QIC centers and parent partners have worked together to improve care and outcomes during the Interstage period.

This change package outlines strategies for NPC-QIC clinicians, parents and researchers to use as they begin or advance Interstage quality improvement (QI) efforts.

Click here to access the NPC-QIC Interstage Change Package

Resources & Materials

• Section: Introduction & Background

  • Model For Improvement

  • PDSA Worksheet

  • KDD Tutorial

  • KDD Video Tutorial (How To)

  • NEONATE Scoring

  • Using Change Concepts For Improvement

• Section: Achieve Adequate Growth

  • Feeding Plan From Parents

  • Nutritional Status and Goals - Coming Soon!

  • NPC-QIC Feeding Workgroup: Interstage Feeding Program

  • NPC-QIC Feeding Workgroup: Journal Article

  • Examples of Digital Home Monitoring Platforms/Applications - Coming Soon!

  • Feeding Pathways

  • Oral Feeds Prior to Stage 1 Palliation Toolkit

  • Tube Weaning Toolkit

  • Children’s Wisconsin Pre-Post

  • Monroe Carell Jr Children's Hospital at Vanderbilt’s Feeding Algorithm

• Section: Phase II Learnings To Date

  • Toolkit Links

  • Gross Motor Toolkit