2.50
Hdl Handle:
http://hdl.handle.net/10755/203226
Type:
Presentation
Title:
Baby-Friendly, A Healthcare System Journey
Abstract:
(Summer Institute) This poster is a snapshot of the evidenced based quality initiative implemented across the Texas Health Resources Healthcare System to improve breastfeeding outcomes and also obtain designation by WHO / UNICEF as a Baby Friendly Hospital. Problem: Improve breastfeeding outcomes and exclusivity among breastfeeding couplets to meet Healthy People 2010 goals of 75% new mothers breastfeeding at hospital discharge. Evidence: Breastfeeding rates increase with implementation of the Ten Steps to Breastfeeding. Strategy: Developed a system workgroup to collaborate on necessary resources for implementation of the Baby Friendly Hospital Initiative (BFHI): as outlined by the World Health Organization (WHO) and United Nations’ Children’s Fund (UNICEF). Practice Change: Developed educational programs to meet staff development ; Provided educational opportunities in breastfeeding for our physician partners; Developed pocket guides and scripting to ensure continuity of care; Implemented a comprehensive breastfeeding program; Negotiated purchasing contracts for formula; Designed documentation to accurately document breastfeeding education; Customized high quality, cost effective discharge education; Revised prenatal education programs; Implemented rooming-in and quiet time; Developed and implemented mock surveys; Enhanced the work of the Hyperbilirubinemia Task Force. Results: Six hospitals within THR are recognized as providing optimal breastfeeding support and designated as Baby Friendly Hospitals. All hospitals increased their breastfeeding rates. Recommendations: Alignment with the Joint Commission Perinatal Core Measure of promoting exclusive breastfeeding. Implement the recent Healthy People 2020 targets for improved breastfeeding support. Lessons Learned: Enhanced efforts to gain physician support and buy-in were critical to the success of the implementation, and improvements could be made in those efforts. Strong support from senior leadership was key to success. As outcomes became evident, buy-in for the change also became stronger. Hospitals with designated Baby Friendly project leaders were much more successful with the change process and implementation. Community education on change in care models (rooming-in) was important . Bibliography: Academy of Breastfeeding Medicine. (2003). Clinical Protocol #3. Hospital Guidelines for the Use of Supplementary Feeding in the Healthy Term Breastfeeding Neonate. Academy of Breastfeeding Medicine, Inc. Academy of Breastfeeding Medicine. (2003). Clinical Protocol #5. Peripartum Breastfeeding Management for Healthy Mother and Infant at Term. Academy of Breastfeeding Medicine, Inc. American Academy of Pediatrics, and The American College of Obstetricians and Gynecologists. (2007). Guidelines for perinatal care (6th ed.) Elk Grove Village, IL. Baby-Friendly Hospital Initiative. (2009). Implementing the UNICEF/WHO baby friendly initiative in the U.S. Retrieved August 17, 2009, from http://www.babyfriendlyusa.org Centers for Disease Control and Prevention .(2004, November 15). What: Is low breastfeeding prevalence a health problem? Retrieved August 17, 2009, from http://www.cdc.gov/pednss/how_to/interpret_data/case_studies/breastfeeding/what.htm Crenshaw, J. Care Practice #6: No separation of Mother and Baby, with Unlimited Opportunities for Breastfeeding. The Journal of Perinatal Education Summer 2007, 16(3): 39-43. Hahn, J. Building a Breastfeeding Center of Excellence. AWHONN Lifelines 2005 August/September 9(4):306-311. Merten, S., Dratva, J. & Ackermann-Liebrich, U. Do Baby-Friendly Hospitals Influence Breastfeeding Duration on a National Level? Pediatrics 2005, 116:e702-e708 Mullen, K., Conrad, L., Hoadley, G., & Iannone, D., Family-Centered Maternity Care. Nursing for Women’s Health. 2007. 11(3):288-290. [© Academic Center for Evidence-Based Practice, 2011. http://www.acestar.uthscsa.edu]
Keywords:
Baby-Friendly; Journey
Repository Posting Date:
16-Jan-2012
Date of Publication:
3-Jan-2012
Sponsors:
UTHSCSA Summer Institute

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleBaby-Friendly, A Healthcare System Journeyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/203226-
dc.description.abstract(Summer Institute) This poster is a snapshot of the evidenced based quality initiative implemented across the Texas Health Resources Healthcare System to improve breastfeeding outcomes and also obtain designation by WHO / UNICEF as a Baby Friendly Hospital. Problem: Improve breastfeeding outcomes and exclusivity among breastfeeding couplets to meet Healthy People 2010 goals of 75% new mothers breastfeeding at hospital discharge. Evidence: Breastfeeding rates increase with implementation of the Ten Steps to Breastfeeding. Strategy: Developed a system workgroup to collaborate on necessary resources for implementation of the Baby Friendly Hospital Initiative (BFHI): as outlined by the World Health Organization (WHO) and United Nations’ Children’s Fund (UNICEF). Practice Change: Developed educational programs to meet staff development ; Provided educational opportunities in breastfeeding for our physician partners; Developed pocket guides and scripting to ensure continuity of care; Implemented a comprehensive breastfeeding program; Negotiated purchasing contracts for formula; Designed documentation to accurately document breastfeeding education; Customized high quality, cost effective discharge education; Revised prenatal education programs; Implemented rooming-in and quiet time; Developed and implemented mock surveys; Enhanced the work of the Hyperbilirubinemia Task Force. Results: Six hospitals within THR are recognized as providing optimal breastfeeding support and designated as Baby Friendly Hospitals. All hospitals increased their breastfeeding rates. Recommendations: Alignment with the Joint Commission Perinatal Core Measure of promoting exclusive breastfeeding. Implement the recent Healthy People 2020 targets for improved breastfeeding support. Lessons Learned: Enhanced efforts to gain physician support and buy-in were critical to the success of the implementation, and improvements could be made in those efforts. Strong support from senior leadership was key to success. As outcomes became evident, buy-in for the change also became stronger. Hospitals with designated Baby Friendly project leaders were much more successful with the change process and implementation. Community education on change in care models (rooming-in) was important . Bibliography: Academy of Breastfeeding Medicine. (2003). Clinical Protocol #3. Hospital Guidelines for the Use of Supplementary Feeding in the Healthy Term Breastfeeding Neonate. Academy of Breastfeeding Medicine, Inc. Academy of Breastfeeding Medicine. (2003). Clinical Protocol #5. Peripartum Breastfeeding Management for Healthy Mother and Infant at Term. Academy of Breastfeeding Medicine, Inc. American Academy of Pediatrics, and The American College of Obstetricians and Gynecologists. (2007). Guidelines for perinatal care (6th ed.) Elk Grove Village, IL. Baby-Friendly Hospital Initiative. (2009). Implementing the UNICEF/WHO baby friendly initiative in the U.S. Retrieved August 17, 2009, from http://www.babyfriendlyusa.org Centers for Disease Control and Prevention .(2004, November 15). What: Is low breastfeeding prevalence a health problem? Retrieved August 17, 2009, from http://www.cdc.gov/pednss/how_to/interpret_data/case_studies/breastfeeding/what.htm Crenshaw, J. Care Practice #6: No separation of Mother and Baby, with Unlimited Opportunities for Breastfeeding. The Journal of Perinatal Education Summer 2007, 16(3): 39-43. Hahn, J. Building a Breastfeeding Center of Excellence. AWHONN Lifelines 2005 August/September 9(4):306-311. Merten, S., Dratva, J. & Ackermann-Liebrich, U. Do Baby-Friendly Hospitals Influence Breastfeeding Duration on a National Level? Pediatrics 2005, 116:e702-e708 Mullen, K., Conrad, L., Hoadley, G., & Iannone, D., Family-Centered Maternity Care. Nursing for Women’s Health. 2007. 11(3):288-290. [© Academic Center for Evidence-Based Practice, 2011. http://www.acestar.uthscsa.edu]en_GB
dc.subjectBaby-Friendlyen_GB
dc.subjectJourneyen_GB
dc.date.available2012-01-16T11:04:28Z-
dc.date.issued2012-01-03en_GB
dc.date.accessioned2012-01-16T11:04:28Z-
dc.description.sponsorshipUTHSCSA Summer Instituteen_GB
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