*2.3. VCH*

The Neonatal Service Line of Valley Children's Healthcare includes an 88-bed level IV Regional NICU located at the free-standing children's hospital in Madera, a 14-bed level III community NICU in Fresno, an 8-bed level II community NICU in Merced, and a second 6-bed level II NICU in Hanford. Given the complexity of multiple locations, sta ff composition and size, and critical nature of the patient population, VCH chose to participate in Simulating Success with the goal of improving team clinical and communication skills through simulation-based training. The team's goal was to increase the number of simulations o ffered and to improve the comfort level and skill set of sta ff performing resuscitation for infants in all units through e ffective simulation and debriefing. The first SMART aim was to run two simulation events per month at Regional NICU, two simulation events per month at one of the level II NICUs, and one quarterly simulation event at the other level II NICU by October 2020. The second SMART aim was to have each member of the core simulation team perform two debriefs per quarter and participate in two of the monthly simulation events.
