Interstage Change Package

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 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

  • NPC-QIC Feeding Workgroup: Interstage Feeding Program

  • NPC-QIC Feeding Workgroup: Journal Article

  • 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