Comprehensive Program Redesign: Procedural Education, Quality Improvement, and Credentialing Needs for Advanced Practice Providers.

Advanced practice providers (APPs) experience limited clinical opportunities to perform neonatal procedures to maintain competency and hospital credentialing, especially high-acuity procedures that are extremely rare but crucial during patient emergencies. Incorporating simulation as part of continuing professional education can help APPs maintain clinical procedural competency and learn new procedural techniques to improve the quality and safety of procedures performed in the clinical setting. In 2013, we successfully developed and implemented an annual didactic and simulation-based neonatal procedural skills program. Since then, our APP group has experienced significant growth, which introduced challenges to sustain a high-quality program that would be valued by participants. These challenges presented the opportunity for a major program redesign addressing education, competency, credentialing, safety, and quality improvement. In this article, we describe the challenges that we uncovered from a comprehensive needs assessment that informed program redesign. We also present evaluation of the redesigned program, which includes learner, patient care, and systems-based outcomes.