At the initiative kickoff meeting in January 2019, teams were introduced to an algorithm to manage hypoglycemia. If an algorithm was already in use at a facility, teams were encouraged to examine their current practice and to consider incorporating the use of glucose gel. The Atrium facilities embraced this idea and began meeting to discuss their current algorithm. Multiple system wide calls were held to obtain feedback from as many providers as possible. The algorithm was expanded and administration of glucose gel was included. After several PDSA cycles of small changes, a system wide algorithm was produced. The algorithm has been rolled out to all Atrium facilities to begin staff education on the changes thus standardizing the management of neonatal hypoglycemia across their healthcare system.