Table 1 Key steps and interventions for GMA and HINE screening from 2022 to 2023.

From: Standardizing early cerebral palsy detection in high-risk infants: reducing age at diagnosis through a quality improvement initiative

Cycle number

Month and Year

Key step and/or intervention

GMA in the NICU

1

September 2022

Started conducting GMA after training course in August 2022

2

October 2022

Began biweekly GMA video review; Division wide research conference presentation

3

February 2023

Educational session for the advanced practice providers and nurses

4

June 2023

Third iPad acquired

5

July 2023

Flowsheet created in EMR

6

August 2023

Advanced GMA course

7

September 2023

Monthly educational sessions for the pediatric residents

8

November 2023

Clinical practice guidelines presented to division of neonatology

GMA in the HRIF clinic

1

August 2022

Transitioned to 3-4 month visits, basic GMA course, started conducting GMA

2

October 2022

Began biweekly GMA video review

3

February 2023

Joint monthly meetings with local cerebral palsy center

4

June 2023

Education session to division of neurology

5

July 2023

Flowsheet created in EMR

6

August 2023

Advanced GMA course

HINE in the HRIF clinic

1

July 2021

Physical therapist joined HRIF and started administering HINE

2

March 2022

Formal HINE training by Cerebral Palsy Foundation, started conducting HINE routinely in clinic

3

April 2023

HINE flowsheet created in EMR

4

November 2023

Internal HINE review