By October 30, please work with your neonatal team to complete this hospital-level survey for the period of July through September 2020. Please complete this survey even if your hospital does not have a NICU Level II-IV.

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* 1. What is your health system name?

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* 2. Which site/hospital within your health system are you submitting data for?

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* 3. What is your name?

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* 4. At the end of the quarter, what cumulative percentage of nurses caring for the newborn have been trained on validated assessments for NAS in the past year? (Report estimate in 10% increments; round up)

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* 5. At the end of the quarter, what cumulative percentage of nurses caring for the newborn have achieved a 90% or greater inter-rater reliability score?  (Report estimate in 10% increments; round up)

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* 6. Does your PA PQC hospital have quality improvement efforts in place to increase inter-rater reliability for NAS assessments?

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* 7. Does your PA PQC hospital have standardized pharmacologic protocols for NAS?

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* 8. Does your PA PQC hospital have standardized non-pharmacologic protocols for NAS?

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