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NEST

NEST (Newborn Evidence-based Sleep Teaching) Safe Sleep is CPCQC’s statewide hospital quality improvement initiative to reduce sleep-related infant deaths. The program helps hospitals ensure that every baby leaves with safe sleep practices modeled, taught, and supported.

Although most sleep-related infant deaths are preventable, Colorado continues to see persistent disparities. Black, Hispanic, Indigenous, and frontier families experience rates of sudden unexpected infant death (SUID) two to three times higher than white families. NEST Safe Sleep aims to close these gaps by embedding equity-focused, evidence-based safe sleep practices in hospital care and family education.

Through this year long pilot in up to 10 Colorado hospitals, NEST Safe Sleep will:

  • Model safe sleep consistently in newborn care settings
  • Provide standardized, multimodal caregiver education with teach-back
  • Integrate documentation into hospital workflows for accountability and consistency
  • Connect families to essential supplies and community supports when needed

Hospitals participating in this initiative must maintain their status as Active Participants in CPCQC by fulfilling five levels of engagement:

Enrollment

The hospital has signed a Data Use Agreement (DUA) with CPCQC and selected a QI initiative to implement.

Coaching

The hospital attends one virtual QI Coaching session with CPCQC per quarter (4 per year).

Survey Completion

Submit a survey about its practices related to the selected QI initiative at least twice per year.

Meeting Participation

-At least 1 hospital team member attends monthly virtual initiative meetings.

-Hospital representation at one annual forum.

Data Submission

-Submit monthly QI initiative data disaggregated by race, ethnicity, and payor.

-Submit a survey about hospital practices related to the selected QI initiative topic at least twice per year.

Adapted from the NNPQC and NICHQ publication “A Framework for Measuring Hospital Engagement Participation in PQC Quality Improvement Initiatives”, 2024