Predict, Prevent and Manage Severe Hyperbilirubinemia in Term and Late Preterm Newborns

Focus of

Strategy

Strategies

Practitioners

·     Educational meetings: conferences, lectures, workshops or traineeships, grand rounds, seminars, and symposia.

·     Educational materials: Printed or electronic information.

·     Web-based education: Computer-based educational activities.

·     Educational outreach/academic detailing: A trained person meets with providers in their practice setting to provide information with the intention of changing the provider’s practice. The information may include feedback on the performance of the provider(s).

·     Audit and feedback: Any summary of clinical provision of health care over a specified period; may include recommendations for clinical action. The information is obtained from medical records, self-assessment check lists, databases or observations of patients. Summary may be targeted at the individual practitioner or the organization.

·     Reminders: The provision of information verbally, on paper or on a computer screen to prompt a health professional to recall information or to perform or avoid a particular action related to patient care.

·     Local opinion leaders: Providers nominated by their colleagues as “educationally influential.” In general, such individuals are identified by their peer colleagues, are trained as change agents and operate within their communities to teach and enable change.

·     Patient-mediated interventions: Interventions directed at patients (e.g., mass media campaigns, reminders, education materials) to optimize professional–patient interactions.

·     Practice tools: Tools designed to facilitate behavioural/practice changes, e.g., flow charts.

Patients

·     Patient education materials: Printed/electronic information aimed at the patient, consumer, family, caregivers, etc.

·     Mass media campaigns.

·     Reminders: The provision of information verbally, on paper or electronically to remind a patient/consumer to perform a particular health-related behavior.

·     Decision-support tools: Aids designed to facilitate shared decisions by patients and their physicians.

Organizations and regulatory bodies

·     Changes to health care teams: Changing tasks or responsibilities of health professionals or compositions of health professional groups.

·     Information and communication technology: Electronic decision support, order sets, care maps, electronic health records, office-based personal digital assistants, etc.

·     Audit and feedback: Any summary of clinical provision of health care over a specified period; may include recommendations for clinical action. The information is obtained from medical records, databases or observations by patients. Summary may be targeted at the individual practitioner or the organization.

·     Administrative procedures / policies.

·     Formularies: Drug safety programs, electronic medication administration records.

·     Financial incentives or penalties: The use of remuneration for the performance of certain functions or actions, e.g., screening procedures in primary care.

·     Mandated practices.