Evidenced Based Breastfeeding Hospital Initiative (EBBHI)

1
EvidencedBasedBreastfeeding HospitalInitiative
(EBBHI)
Every step toward breastfeeding success counts
IDPH Statewide Quality Council History
of Breastfeeding Workgroup September 18, 2012
2
Regionalized Perinatal Centers in Illinois

• 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

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
• 1st 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)
• 2nd Quarter
• Create a workplan
• Breastfeeding policy development
• or revision
• Report Status (RQC Network Report)

• 3rd Quarter
• Implement workplanEducate staff and providers
  Report Status (RQC Network Report)
  
• 4th Quarter
• Report Quality Outcomes
• Complete Network Breastfeeding
• Practice Survey
• Report Status (RQC Network Report)

9
NEXT STEPS . . .