All nine participating States in the neonatal central line-associated bloodstream infection (NCLABSI) project have completed plans to sustain this work. These plans highlight a continued desire to monitor and report out on rate data and focus on safety culture. Many States are planning additional activities around unit team engagement and sharing of lessons learned through more site visits by the State clinical lead or an increased number of statewide collaborative meetings. Six new States have also expressed commitment to spreading the interventions of this project to NICUs in their State. These new State clinical leads have also completed plans to spread the success of the NCLABSI project. Many of them expressed interest in trying to use the NCLABSI project to achieve some consistency across their State NICUs in following evidence-based best practices in CLABSI prevention through insertion, and care and maintenance of central lines. There are efforts to have these 15 State neonatal quality collaboratives examine and compare their data, and learn from each other.
Leveraging these State partnerships and this collective data set will be crucial to maintaining the NCLABSI project’s successes. Moving forward, the work started in NCLABSI will continue to gain momentum through the State neonatal quality collaboratives and can only grow stronger with additional partnerships through quality improvement organizations, hospital engagement networks, insurers, family and patient groups, and other national stakeholders.