Value in Inpatient Pediatrics

​Value in Inpatient Pediatrics (VIP) Network

​APPLY NOW! JOIN REVISE II - Reducing Excessive Variability in Infant Sepsis Evaluation

The Value in Inpatient Pediatrics (VIP) Network, an established pediatric acute care quality improvement (QI) network at the American Academy of Pediatrics (AAP), announces a project to implement the highly anticipated Clinical Practice Guideline: Evaluation and Management of Well- Appearing Febrile Infants 8–60 Days Old, released in July 2021, in a national QI collaborative designed to improve and standardize care for febrile infants in a hospital setting. 

Using the recommendations in the febrile infant clinical practice guideline (CPG), this QI effort will provide hospital and emergency medicine teams with education that includes evidence-based best practice recommendations, strategies for implementation, and tools to bring about sustainable change, while also assessing the implementation strategies associated the greatest success. 

Providing multi-disciplinary teams with quality improvement education and tools specific to management of children with fever will increase compliance with the evidence-based research and thereby decrease overuse of non-evidence-based therapies and tests.

Project Informational Webinar


Registration for Live Q&A w/ Project Leaders

Dr Paul Aronson & Dr Corrie McDaniel:
August 11th at 3 PM CST 

Project Site Application Link

Any questions, please contact AAP Staff, Brittany Jennings at

Benefits of Participation:

  • Be a part of the change!  And make a difference in the overall improvement of child health!
  • Take part in a nationally recognized project facilitated by the American Academy of Pediatrics
  • Implement an AAP Clinical Practice Guideline
  • Receive a change/implementation package that includes education, clinical algorithms, and assistance with communication of project goals (to facilitate discussions with colleagues, etc.)
  • Use the Quality Improvement Data Aggregator (QIDA) Data Collection Tool and compare progress alongside all participating sites in real time
  • Receive Maintenance of Certification Part 4 and Part 2 CME credits upon completion of specified criteria 
  • Receive project-based curricula, feedback and guidance from early adopters and experts in the field of pediatric febrile infant care 
  • Connect with peers from around the country on an ongoing basis via the project listserv & at future professional conferences
  • Lead a QI project at your local hospital site with guidance from the project leadership and/or 1-on-1 project coaches

Who We Are

The Value in Inpatient Pediatrics (VIP) Network is the inpatient pediatric quality improvement network at the American Academy of Pediatrics.   


To improve the value of care delivered to any pediatric patient in a hospital bed by helping providers implement clinical practice guidelines and other best practices, with a special focus on eliminating harm and waste caused by over utilization. 

The VIP Network Steering Committee

Matthew D Garber, MD, FHM, FAAP (Medical Director)
Shawn Ralston, MD, FAAP
Sunitha Kaiser, MD, MSc, FAAP
Ricardo A Quinonez, MD, FHM, FAAP
Russell McCulloh, MD, FAAP
Eric Biondi, MD, MSBA, FAAP
Kavita Parikh, MD, MSHS, FAAP  

What We Do

The Value in Inpatient Pediatrics (VIP) Network strives to provide project opportunities to hospitalists who do not have the organizational resources to conduct QI projects on their own. The VIP Network determines their projects based on the need to help providers implement AAP clinical practice guidelines and other best practices, with a special focus on eliminating harm and waste caused by over utilization. 

VIP Network Publications, Presentations, and Awards

Project Portfolio

Title: Standardization of Fluids in Inpatient settings (SOFI) 
Primary Aim/Goal: This project aims to better describe and standardize the use of IVF in inpatient pediatric settings across the U.S. and evaluate the impact of an intervention bundle on maintenance IVF use.  In addition, since the use of peripheral IVs, IVF and laboratory draws are closely related in clinical practice, this project aims to improve health care value by reducing the number of routine laboratory draws.
Years Run: 2018-2020
Project Leader: Sahar Rooholamini, MD, MPH 

Title: Pathways for Improving Pediatric Asthma Care (PIPA) 
Primary Aim/Goal: To improve the value of hospital care for children with asthma by providing hospitals evidence-based tools and implementation support via a randomized, stepped-wedge design. 
Years Run: 2017-2019
Project Leader: Sunitha Kaiser, MD, MSc 
Results: Project in Progress

Title: Reducing Excessive Variability in Infant Sepsis Evaluation (REVISE)
Primary Aim/Goal: To improve and standardize care for febrile infants between the ages of 7 to 60 days by providing inpatient and emergency department physicians with quality improvement educations and tools specific to the management of children. 
Years Run: 2016-2018
Project Leader: Eric Biondi, MD, M.S. 

Title: Quality Improvement for the Management of Children Hospitalized with Urinary Tract Infection (Q-UTI) 
Primary Aim/Goal: Improve care delivery for pediatric patients hospitalized with Urinary Tract Infection (UTI) utilizing clinical quality measures informed by the AAP Clinical Practice Guideline for the Diagnosis and Management of UTI (Roberts, et al 2011). 
Years Run: 2015-2016
Project Leader: Richard Engel, MD, FAAP

Title: Stewardship and Improvement in Bronchiolitis (SIB) 
Primary Aim/Goal: Exploring which tools and resources best improve the quality of care for children admitted to the hospital with bronchiolitis across the hospital care continuum (including the emergency department and inpatient units). The specific target areas are overuse of bronchodilators, corticosteroids, chest radiography and antibiotics, underuse of secondhand smoke exposure screening and interventions.
Years Run: 2015-2016
Project Leader: Grant Mussman, MD, MHSA and Michele Lossius, MD

Title: Improving Community-Acquired Pneumonia (ICAP) Management Project 
Primary Aim/Goal: Improve care delivery for pediatric patients hospitalized with community-acquired pneumonia (CAP) by measures identified in the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America's guidelines, The Management of Community Acquired Pneumonia in Infants and Children Older than 3 Months of Age: Clinical Practice Guidelines (Bradley et al, 2011).  
Years Run: 2014-2015
Project Leader: Kavita Parikh, MD, MSHS and Eric Biondi, MD, M.S.

Title: Quality Collaborative for Improving Hospitalist Compliance with the AAP Bronchiolitis Guideline (B-QIP) 
Primary Aim/Goal: Improve care for pediatric patients hospitalized with bronchiolitis by improving compliance with the AAP Guideline: Diagnosis and Management of Bronchiolitis.
Years Run: 2013-2014
Project Leader: Shawn Ralston, MD, MA, FAAP and Matthew D. Garber, MD, FHM, FAAP

Who Can Join?

The VIP Network is open to AAP member physicians who are interested in improving the quality and delivery of pediatric care in the inpatient setting with a commitment to being involved in QI activities. 

Interested in joining the VIP network? Apply here