The Neonatal Quality Improvement Collaborative of Massachusetts (NeoQIC) and the Massachusetts Perinatal Quality Collaborative (MPQC) are excited to support a statewide quality improvement initiative focused on improving the care of infants and families impacted by perinatal opioid use and neonatal abstinence syndrome. Building upon years of past work by hospitals and organizations throughout the state, this initiative was formally launched in January 2017 and relies on close collaborations with many state partners, including the Department of Public Health, the Bureau of Substance Addiction Services, the Department of Children and Families, Early Intervention, and the Health Policy Commission.

All hospitals that care for mothers or newborns are invited to participate. Please see the drop down menu below to access more information on the various components of our project.

For more information, please contact:

Elisha Wachman, Neonatal Lead

Davida Schiff, Pediatric Lead

Amy Walker, OB Lead

Aviel Peaceman, Senior Project Manager

Online Stigma, Bias, and Trauma-Informed Care Training

Description: In partnership with the Brigham & Women’s Hospital C.A.R.E. (Coordinated Approach to Resilience and Empowerment) Clinic, PNQIN is proud to offer online stigma, bias, and trauma-informed care training. This team-focused training is led by Dr. Annie Lewis-O’Connor and is intended for maternal and neonatal health care and service providers. The training content is centered on patients experiencing Substance or Opioid Use Disorder (SUD/OUD) and Neonatal Abstinence Syndrome (NAS).

Training topics include: Trauma, Adverse Childhood Experiences (ACEs), unconscious bias and stigma, structural racism, and the six principles of trauma-informed care.

Training objectives:

Understand the roles of stigma, bias, and trauma-informed care and resilience on disparities in health and birth outcomes specifically:

Pain management for pregnant and postpartum patients experiencing OUD

Discharge and prescription practices for obstetric patients

OUD treatment bias for pre- and postpartum patients

IMPORTANT: This training was initially designed to be interactive and delivered in a group setting. We encourage you to gather a group from your hospital to watch the training recording, then debrief and discuss together. All team members must register individually and complete the post-test survey individually. Please do so, as this will help us keep accurate records of who completed the training. Thank you! ​

To register for this training as a Nursing CEU credit-seeker, please click here.

To register for this training as a CME or Social Work credit-seeker, please click here.

Additional TIC Resources:​​

​National Birth Equity Collaborative 

NNPQC Thematic Webinar on Trauma-Informed Care: Addressing Stigma and Bias

Early Intervention Project

One of the primary goals of the PNQIN statewide perinatal opioid project is to improve the follow-up of infants at risk for neonatal abstinence syndrome (NAS) by increasing enrollment of these infants in Early Intervention (EI). State data shows us that referral is only one step in the process, and that even if most infants with NAS are referred to EI before discharge, rates of enrollment are significantly lower. To address this issue, PNQIN and the Massachusetts Department (MDPH) are leading a structured QI initiative to improve EI referral and enrollment rates among substance exposed newborns (SEN) and infants with NAS. ​

PNQIN Spring Summit 2019 Early Intervention Breakout Session

Early Intervention and NAS: What We Can Learn From Families and Hospitals:
Hafsatou Diop, MD, MPH; Elizabeth Peacock-Chambers, MD, MSc; Jennifer Lee, MD
In this breakout session, leaders defined a Family Centered Care (FCC), described the primary components of FCC for this population of pregnant, postpartum and parenting women with opioid use disorders, described ways in which peer mentors are powerfully influential in providing FCC, and described ways that organizations can support and develop the role of peer mentors in implementing FCC. To view the presentation, click here.

State Guidelines

Massachusetts Department of Public Health (DPH):

Massachusetts Department of Children and Families:

State Resources

Family Ties

Click here for information intended to help hospitals forming cuddler programs within their organization.


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