Abstract
Launched in 2020, the Baby Steps model and program supports infants discharged from the neonatal intensive care unit (NICU) and their caregivers during the transition to home. This single-site 5-year evaluation examined program engagement, 30-day readmissions, and emergency department and urgent care utilization. Demographic and outcome data were summarized descriptively. Among 808 families, 76% received Baby Steps services and 38% utilized telehealth. 30-day readmissions declined compared with pre-implementation rates; care utilization varied by year. The Baby Steps model and program has provided sustained support resulting in clinical outcome improvements after NICU discharge, despite implementation challenges.
•The nurse-led Baby Steps program supported more than 800 NICU families after discharge.•Program outcomes include a reduction in 30-day readmission rates.•Shifts in telehealth encounters may reflect evolving family care preferences.•Program sustainability depends on workforce support and hospital resources.