Neonatal Abstinence Syndrome

Priority 1: Quality Improvement

NAS Quality ImprovementA multi-modal quality improvement initiative is a proven way to standardize your organization’s approach to pharmacologic and nonpharmacologic care for infants exposed to opioids. Valuable tactics of large and small system change include stakeholder engagement where physician leaders are essential to the process and aid in setting priorities, strategies and best practices for better outcomes.

Standard work processes help sustain improvements when multidisciplinary teams identify strategies to increase access to care, coordinate services, improve provider awareness and develop appropriate training for those caring for pregnant and postpartum women and infants impacted by these substances. By using the fundamentals of quality improvement, providers are able to harness powerful tools that accelerate change.


  • Identify the strategic priority for tackling this issue now.
  • Create a list of stakeholders necessary to inform and drive this imperative.
  • Identify the business case for this quality improvement initiative.
  • Identify the gap between current and possible performance.
  • Consider evidence of best practice describing the ideas to best describe ideas to close the gap.
  • Identify the strategic primary and secondary drivers of change and the actionable change concepts necessary to take to testing.
  • Create a timeline for implementation.
  • Describe early theory of what changes the teams will need to test, adapt and implement in order to reach the initiative’s aim.
  • Plan for spread that considers a timetable and appropriate units for adopting change.

For more information on NJHA’s activities to improve maternal and child health,