1. Improving Maternity Care with the Georgia 5-STAR Hospital Initiative Cheryl Riley, MCH Breastfeeding Coordinator Georgia Department of Public Health

2. Georgia 5-STAR Overview Georgia SHAPE Initiative Purpose: to recognize and award birthing hospitals for implementing evidence-based maternity care practices that promote and support breastfeeding One star is awarded for every two steps implemented of the Ten Steps to Successful Breastfeeding, as defined by WHO and Baby- Friendly USA

3. What is “Baby-Friendly?” Baby Friendly Hospital Initiative v. Baby-Friendly USA v. Georgia 5-STAR

4. Georgia 5-STAR v. Baby-Friendly Georgia 5-STAR Implementation of Ten Steps to Successful Breastfeeding Rewards incremental improvement – 1 STAR for every 2 Steps FREE – provide technical assistance and workshops Baby-Friendly Implementation of Ten Steps to Successful Breastfeeding All or Nothing – Either you are Baby-Friendly or Not – implement all 10 Steps Fee-based – transactions required for technical assistance and designation

5. Georgia 5-STAR Hospital Initiative 5-STAR Evaluation Questionnaire 5-STAR Application – 1 st rollout April 1 st – 2 nd review October 5-STAR Advisory Committee – 6 members; 2 alternates 5-STAR Training Workshops – 2014 Atlanta - Loudermilk Center – 2015 DeKalb Medical & Martin Army – 2016 St. Joseph Candler – Savannah

6. 5-STAR Training Martin Army Community Hospital November 16-18, 2015 46 participants; 12 hospitals

7. 5-STAR Training February 24-26, 2016 St. Joseph Candler Hospital 47 participants; 18 hospitals

8. What are The Ten Steps?

9. Georgia 5-STAR Workshops Ten Steps to Successful Breastfeeding (Condensed) 1.Policy 2.Staff Education 3.Prenatal Education 4.Skin-to-Skin 5.BF Assessment, Hand Expression, Safe Formula Preparation/Feeding 6.Exclusive Breastfeeding + WHO Code 7.Rooming-In 8.Feeding Cues 9.Limiting pacifiers/bottle tops 10.Post-discharge support

10. Georgia 5-STAR Hospital Initiative Baby-Friendly/5-STAR designated 1. Emory Midtown 2.Doctor’s Hospital of Augusta 3.DeKalb Medical 4.Grady Memorial Hospital 5.Piedmont Henry

11. Participating Birthing Centers Augusta University Medical Center Clearview Regional Medical Center Crisp Regional Medical Center Floyd Medical Center Gwinnett Medical Center Hamilton Medical Center Liberty Regional Medical Center Medical Center of Central Georgia Memorial Health University Center Midtown Medical Center Navicent Health Northside Hospital – Atlanta Northside Hospital –Cherokee Campus Northside Hospital – Forsyth Phoebe Putney Piedmont Newnan Piedmont Newton Rockdale Medical Center Southeast Georgia Health Center St. Francis Health, LLC Tanner Medical Center Tift Regional Medical Center Trinity Regional Medical Center Upson Regional Medical Center Martin Army Community Hospital Winn Army Community Hospital

12. WIC Support WIC plays an important role as an advocate and resource for breastfeeding promotion and support. Offers assistance to local hospitals with lactation training for staff. Creates referral communication with hospitals to coordinate post discharge lactation support for mothers. Celebrates and recognize hospitals that have earned the Baby Friendly designation

13. Thank you! Want more information contact: Cheryl Riley Cheryl.Riley@dph.ga.govCheryl.Riley@dph.ga.gov