*3.3. VCH*

The multidisciplinary champion team at VCH was comprised of two clinical nurse specialists and a neonatologist.

### 3.3.1. SMART Aim #1

Increasing number of simulations. The global aim of increasing the number of simulations conducted in the Neonatal Service Line of Valley Children's Healthcare was achieved although the monthly and quarterly targets for the number of simulations per month were not always met. The team has been able to significantly improve the quantity and quality of simulation training. The average compliance with the aim of four simulations per month was 40% (Figure 5).

**Figure 5.** Average compliance with the goal of four simulations at VCH.

### 3.3.2. SMART Aim #2

Performing debriefings. Due to core team turnover, only the five consistent team members for compliance with number of simulations conducted per month and the number of debriefs per quarter have been tracked. The compliance of team members conducting two simulations per month ranges from 0% to 80% with a median of 40%. The compliance of team members conducting two debriefs per quarter ranges from 0% to 80% with a median of 60%. Areas of improvement have been identified and the team is continuing with data gathering and analysis. A follow-up staff survey in fall of 2020 will be conducted.
