Presentation on theme: "Every Week Counts Learning Collaborative July 13, 2012"— Presentation transcript:
1 Every Week Counts Learning Collaborative July 13, 2012
2 Preparing for a Lifetime, It’s Everyone’s Responsibility Breastfeeding Workgroup
3 Breastfeeding Workgroup Co-Leads Nancy Bacon, MS, RD/LD, CDE MCH Nutrition Consultant Maternal and Child Health Service Oklahoma State Department of Health Adrianna Halstead, RD/LD WIC Breastfeeding Peer Counseling Specialist WIC Service Oklahoma State Department of Health orWill add brief info here re the workgroup history
4 Breastfeeding Workgroup Purpose Increase the % of mothers who breastfeed their infants at 6 months of age.Outline specific breastfeeding activities that will improve maternal & infant outcomes.Coordinate with WIC to plan and promote the annual WIC Breastfeeding Conference.Provide consistent breastfeeding messages.
5 Breastfeeding Workgroup Purpose Maintain the Breastfeeding WebsiteSupport the OK Breastfeeding HotlineMILK (6455)Support the OK Hospital Breastfeeding Education ProjectIncrease the number of Baby-Friendly hospitals in Oklahoma
6 Oklahoma Hospital Breastfeeding Education Project Leader Rebecca “Becky” Mannel, BS, IBCLC, FILCA Clinical Instructor Department of OB/GYN University of Oklahoma Health Sciences CenterSince 2008, the OSDH has partnered with the OUHSC Dept of OB/GYN to provide a statewide breastfeeding hotline for nursing mothers and families, expectant parents, and health care providers ( MILK (6455). In Oct of 2010, this partnership was expanded to create Oklahoma’s Hospital Breastfeeding Education Project. This project provides birthing facilities in Okla. assistance to help assess their current level of breastfeeding care and identify areas to improve. Becky Mannel, Lactation Services Manager and Clinical Instructor with OUHSC’s Dept. of OB/GYN, is the project coordinator. She offers in-person evidence-based staff trainings, individual train the trainer sessions, ongoing technical support, and additional staff education and resources as needed. Since the project’s launch, 42 of our 59 delivering hospitals are participating .
7 Surgeon General’s Call to Action: Health Care System Ensure that maternity care practices around the United States are fully supportive of breastfeeding.Provide education and training in breastfeeding for all health professionals who care for women and children.
8 CDC’s Breastfeeding “Report Card” Maternity Practices & Infant Nutrition/Care (mPINC) Survey 2009US Average: 65 out of 100Oklahoma score: 55Staff breastfeeding education:51 out of 100Oklahoma score: 38These are failing grades!How did your hospital score?
9 New Breastfeeding Goals from Healthy People 2020 ObjectiveU.S. BaselineHP 2020 GoalWorksite Lactation Support Programs25% of employers38% of employersReduce Formula Supplementation in 1st 2 days of life24.2% of breastfed newborns14.2% of breastfed newbornsIncrease # of Baby-Friendly Hospitals4% of U.S. hospitals8.1% of US hospitals
10 Oklahoma Hospital Breastfeeding Education Project PurposeIncrease breastfeeding initiation and duration rates through change in breastfeeding related maternity care policies and practices in Oklahoma hospitals
11 Activities to Date Contract approved Oct 2010 CDC “ARRA” fundingTitle V fundingOngoing curriculum review/developmentData collection and collaborationOffice of Perinatal Quality ImprovementOK Hospital AssociationRising Star Education’s Breastfeeding Continuing Education Program (BCEP)
12 Activities to Date Initial phase launched in Dec 2010 13 Site visits conducted42 participating birthing hospitals7 BCEP trainer sessions provided520 BCEP books provided to 42 hospitalsFull day staff training class provided statewideWebsite developedResources – modules, videos, policiesRecognition for hospitals– For Hospitals8 of 20 hospitals responded initially
13 Hospital Stories “We put our formula in the supply pyxis” Implementing skin to skin in first hour“most of our nurses did this at previous jobs!”“We have changed our HR policy so our staff can use break times for milk expression”“We have provided BCEP to ALL our staff and our doctors”We have decided to pursue Baby-Friendly!”
14 Baby-Friendly Oklahoma Purpose:Provide OK Birthing hospitals support to work toward Baby-Friendly Hospital designationOffer a statewide Baby-Friendly Hospital Summit (winter 2013) to educate maternity care leaders and promote steps toward the Baby-Friendly designationGoals:Improve exclusive breastfeeding rates at hospital dischargeImprove duration ratesReduce Oklahoma infant mortality and child/adult obesity rates
15 Baby-Friendly Hospital = Optimal Breastfeeding Care Two main components:Ten Steps to Successful BreastfeedingNo marketing of breastmilk substitutes in the hospitalBaby-Friendly hospitals do not accept or distribute free or low-cost supplies of breastmilk substitutes, nipples or pacifiers.We’re also working to increase the number of baby-friendly certified hospitals in OK, and have received funding to continue these efforts. We’re currently working to identify 10 birthing hospitals that will to work toward achieving the Baby-Friendly Hospital designation by beginning implementing 4 of the 10 Steps to Successful Breastfeeding
16 Ten Steps to Successful Breastfeeding Every facility providing maternity services and care for newborn infants should:Have a written breastfeeding policy that is routinely communicated to all health care staff.Train all health care staff in skills necessary to implement this policy.Inform all pregnant women about the benefits and management of breastfeeding.Help mothers initiate breastfeeding within one hour of birth.Show mothers how to breastfeed, and how to maintain lactation even if they should be separated from their infants.
17 Ten Steps to Successful Breastfeeding Give newborn infants no food or drink other than breastmilk, unless medically indicated.Practice rooming-in – allow mothers and infants to remain together – 24 hours a day.Encourage breastfeeding on demand.Give no artificial teats or pacifiers (also called dummies or soothers) to breastfeeding infants.Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or clinic.
19 Baby-Friendly Oklahoma July 2012 – June 2013 Year One - Recruit first group of 10 hospitalsHospitals will:Sign a commitment letter to implement 4 of the 10 Steps in 1st yearParticipate in kickoff conference call/webinarComplete Baby-Friendly USA Discovery phase (1st 2 months)Register, CEO support letter, self-assessmentBegin Baby-Friendly USA Development phasePolicy, staff training, patient educationBaby-Friendly Oklahoma provides:Website ResourcesModel PolicyBaby-Friendly Curriculum (15 nursing contact hours)Regional Train the trainer skills labs (verify competency)Regularly scheduled conference calls for hospital teamsComplete Baby-Friendly USA Discovery phase (1st 2 months)
20 Baby-Friendly Oklahoma (Year 1) Hospital Maternity Leadership Summit – Winter 2013Nationally known speakersHospitals invited to send a MCH Leadership team (up to 3) to learn ways to implement the 10 StepsParticipating Hospitals receive:$500 travel reimbursement for team attending Summit$3,000 stipend for part of Baby-Friendly FeesOngoing support, resources, and breastfeeding education for all healthcare staff to promote adoption of evidence- based breastfeeding policiesOn site and regional trainings, and regularly scheduledconference calls
21 Baby-Friendly Hospital Initiative (Year 2 ) July 2013- June 2014 Recruit second group of 10 hospitalsRepeat first year stepsFirst group of 10 hospitals to complete Development and Dissemination phasesCollect data and address gaps in implementation of 10 stepsBaby-Friendly OklahomaProvides team for mock surveysCalculates fair market value of formula/supplies purchasing for hospitals
22 Baby-Friendly Hospital Initiative (Year 3 ) July 2013 - July 2014 1st group of hospitals will complete Designation PhaseSchedule readiness telephone interview with Baby-Friendly USAConduct mock surveys with OK Baby-Friendly teamSchedule Baby-Friendly USA assessmentRecruit third group of 10 hospitalsRepeat first and second year steps
23 Oklahoma Hospitals Doing the Right Thing Join your peers in eliminating the negative practice of giving commercial formula “gift” bags to new families!Bag-FreeGoing Bag-FreeInterestedGreat Plains RegionalClaremore IndianDuncan RegionalJackson County MemorialDeaconessHillcrest Medical CenterOU Medical Center, OKCALL Integris HospitalsMercy Health CenterOU Medical Center, EdmondMercy MemorialNorman Regional Healthplex systemWeatherford RegionalOSU Medical CenterSt. John’sSt Anthony’sUnity Health Center
24 Oklahoma Hospitals Doing the Right Thing To join the effort, contact Becky Mannel or OPQI officeGoal: Bag free in August for US Breastfeeding Month/World Breastfeeding WeekGet your hospital included in the press release which is sure to generate national attention!Hospitals should market health,and nothing else!