1. E videnced Based Breastfeeding Hospital Initiative (EBBHI) Every step toward breastfeeding success counts IDPH Statewide Quality Council History of Breastfeeding Workgroup September 18, 2012

2. Each hospital belongs a Perinatal Center There are 10 Perinatal Centers each is managed by a Perinatal Administrator Perinatal Services is overseen by IDPH and the Perinatal Advisory Committee (PAC) Statewide Quality Council (SQC) is a committee which assists in guiding practice in birthing hospitals Regionalized Perinatal Centers in Illinois UIC U OF C LOYOLA NORTHWESTERN RUSH/AIMMC STROGER ROCKFORD PEORIA SPRINGFIELD SOUTHERN ILLINOIS

3. Background June 2011- SQC recommends that Breastfeeding be a care initiative. A Breastfeeding workgroup is formed. The task of the workgroup is to make program recommendations and to report at the October meeting.

4. Breastfeeding Workgroup Members Rachel Abramson, HealthConnect One Ann Borders, MD NorthWestern Karen Callahan, Rush/AIMMC RQC Charlotte Johnson, Stroger Hospital Janine Lewis, Illinois Maternal ChildHealth Coalition Dawn Reiman, Rush/AIMMC Perinatal Center Deborah Rosenberg,UIC School of Public Health Janet Tolley, St. Johns Hospital Catherine Willows, Illinois AAP

5. Background October 2011 - Recommendations for EBBHI presented to the SQC by Breastfeeding workgroup Group recommends Project EBBHI Minimum breastfeeding quality indicators Project timeline Virtual toolkit to assist hospitals in meeting the indicators

6. Background April 2012 - Breastfeeding workgroup comes back to the SQC with ideas for a virtual toolkit available through the Breastfeeding Blueprint website and requests a letter of support introducing the project from the Director of Public Health to all birthing hospitals. Recommendations are presented to the PAC and is approved for 2013. HealthConnect One begin work on the virtual toolkit.

7. Minimum Statewide Quality Indicators All Infants Provide Skin to Skin Contact for at least 30 minutes to all patients without complications regardless of feeding method within 2 hours of delivery Promote 24 hour rooming in to keep mothers and babies together unless medically indicated Breastfeeding Infants Initiate breastfeeding within 60 minutes for all uncomplicated vaginal and cesarean births Facilitate breastfeeding on demand Educate and promote patients and families on the benefits of exclusive breastfeeding Support exclusive breastfeeding by avoiding the use of routine supplementation of breastfeeding infants through the use of formula, glucose, or water unless medically indicated. For mothers who are separated from their babies educate and initiate breast pumping as soon as possible post delivery or within 6 hrs

8. EBBHI Project Timeline Upon Approval Director of Public Health Complete Network Breastfeeding Practice Survey 1 st Quarter Identify Hospital Champions Create a breastfeeding committee Complete Baby Friendly Assessment Report Baseline Quality Outcomes Establish Data Collection Process Report Status (RQC Network Report) 2 nd Quarter Create a workplan Breastfeeding policy development or revision Report Status (RQC Network Report) 3 rd Quarter Implement workplan Educate staff and providers Report Status (RQC Network Report) 4 th Quarter Report Quality Outcomes Complete Network Breastfeeding Practice Survey Report Status (RQC Network Report)

9. NEXT STEPS...