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Years Active: 2009 2010




Improve thermal management in participating NICUs to reduce the number of infants whose admission temperature is less than 36C. Teams will focus on improving pre-delivery environmental factors, optimizing thermal management during resuscitation, and improving temperature regulation during transport to NICU.

This is the first improvement project for neonatology (NICU) which was launched at the Annual Meeting on March 5-6, 2009. Thermal management prior to admission to the NICU is a recognized challenge, especially for sick and premature infants.

Teams collected baseline data (cycle 1) and completed an initial review of existing thermal management practice. Three subsequent change cycles (cycle 2-4) with interspersed face-to-face regional learning sessions and supporting monthly webinars were completed ending with the 2nd Annual TIPQC meeting in 2010. Improvement sustainment checks were completed in 2010 and 2011. Project-wide aggregate admission temperature data for very low birth weight infants is displayed to the right. Thermal management continues to be monitored as a balancing measure in the Golden Hour Project.


Active Participating

Hospital Teams

  • Baptist Memorial Health Care
  • Children’s Hospital at Erlanger
  • East Tennessee Children’s Hospital
  • Holston Valley Medical Center
  • Jackson-Madison County General Hospital
  • Johnson City Medical Center
  • Le Bonheur Children’s Hospital
  • Maury Regional Medical Center
  • Methodist LeBonheur Healthcare – Germantown
  • Moroe Carrel Jr. Children’s Hospital at Vanderbilt
  • Nashville General Hospital at Meharry
    Parkridge Medical Center
  • Physicans Regional Medical Center
  • Regional One Health
  • Saint Francis Hospital – Memphis
  • Saint Thomas – Midtown Hospital
  • Saint Thomas – Rutherford Hospital
  • TriStar Centennial Medical Center
  • The University of Tennessee Medical Center

State Project Leader

Peter Grubb, MD, the TIPQC Medical Director led this first statewide project in the NICUs.



TIPQC is actively recruiting devoted health care professionals, community leaders and patient and family partners to further our mission of improving health outcomes for mothers and babies in Tennessee.