Collaborative Initiatives for Quality Improvement (CIQI) Program

Collaborative Life Cycle

CHNC CIQI engages participating member hospitals quality improvement efforts.

The life cycle of collaboratives
involves the following phases:

Pre-Project Phase
Project Proposal to
Steering Committee
Project Planning &
Pilot Phase
Project Roll Out Phase

9-12 months

6-9 months

  • Develop idea
  • Identify key stakeholders and leaders
  • Innovation
  • QI Methodology
  • CHND Outcomes
  • Meaningful to CHNC NICUs
  • Adaptable to local site process
  • Engage experts
  • Develop “CPR” and other team training documents
  • Define measures
  • Develop feasible smart aim
  • Prepare QI Portal for data entry, driver diagrams, progress reports, and reporting
  • IRB/QI oversite review
  • Assess data collection burden
  • Identify common process barriers across sites
  • Develop feasible smart aim
  • Develop feasible smart aim
  • Sign up teams
  • Educate teams
  • Prep and run monthly meetings
  • Prep and run huddles
  • Establish faculty advisors (project management team)
  • Train faculty advisors
  • Assess/Collect baseline data

Collaborative Methodology

Using the Model for Improvement, CHNC Quality Improvement Collaboratives engage member hospitals to share knowledge, best practice, and improvement ideas in efforts to enhance the quality of care within NICUs across. This process includes:

  • Developing SMART AIMS—Specific, Measurable, Achievable, Realistic, and Timebound
  • Creating Driver Diagrams to distinguish linkages of cause and effect
  • Utilizing Plan-Do-Study-Act (PDSA) cycles
  • As developed by the Associates in Process Improvement
  • Encourages small, rapid, less-costly tests of change before large scale deployment
  • Providing Monthly Meetings for QI education, team feedback, networking, and data sharing
  • Utilizing huddle calls for teams to share challenges, and progress


Centers participating in CHNC CIQI projects receive benefits such as:
  • Measurable patient outcomes through participation in a national multicenter collaborative
  • Develop local quality improvement team capacity.
  • Basic and advanced QI education
  • Establish relationships with team members of collaborating hospitals
  • Shared learning between centers to help overcome local barriers and to share local success
  • Maintenance of Certification (MOC) quality improvement credit

Project Planning and Management Teams

Planning Teams develop the resources to launch a QI collaborative, and oversee development of collaborative aim statements, clinical practice recommendations, driver diagrams, metrics, data collection plans, and collaborative handbooks.

Project Management Teams oversee project execution and developing training and materials to facilitate improvement efforts over the course of the collaborative. Project Management Team faculty also serve as advisors to collaborative participants during the collaborative.

Would you like to learn more about CHNC CIQI projects, or how to join?

Contact the CHNC CIQI Program.