Intraventricular Hemorrhage

The first project in the Tennessee Tiniest Baby Bundle is the prevention of severe intraventricular hemorrhage (sIVH).  Intraventricular hemorrhage is bleeding inside or around the ventricles of the brain.  Severe IVH is defined as a Grade III or IV hemorrhage and is considered one of the most concerning complications of preterm birth.  Level III and IV NICUs from across Tennessee have come together to achieve a 25% relative reduction (from the respective facility’s baseline over the past 3 years) in sIVH in this population by March of 2024.  TIPQC is proud to have teams of healthcare professionals and parents participate in this very important project.   This project, like so many of the other TIPQC projects, is aimed at improving care for babies and families one project at a time.

Project Application

The application for this TIPQC Quality Improvement (QI) Project is broken up into two main steps:

  • STEP 1: Designate project team members
  • STEP 2: Obtain necessary signatures

STEP 2 is comprised of individual signature pages that must be completed and signed by specific project team members. Both steps must be completed before your project team will be approved to participate in this inter-institutional QI project.

It should be noted that execution of the TIPQC Participation and Data Use Agreement (DUA) with TIPQC is required prior to approval of your facility for this project application. Many facilities have already completed this step. It is only required once and is applicable to all projects.

It is recommended that the “day to day” project team member (i.e. key contact person) complete this application.

The application does not need to be completed all at once. You will see a “Save & Return Later” button at the bottom of each page in the application. Clicking “Save & Return Later” will save your progress and allow you to return where you left off to complete the application any time in the future.

**IMPORTANT: You will be given an auto-generated return code. You will be required to enter this return code upon returning to the application. Please make sure you copy or write down the return code provided.

IVH Hospital QI Teams

Key Driver

QI Project Guidance

IVH Key Driver Diagram

IVH Tool Kit

TTB-sIVH Data Entry Form


IVH State IRB Approval

IVH Protocol (For IRB if needed)


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