EvidencedBasedBreastfeeding HospitalInitiative(EBBHI)

Every step toward breastfeeding success countsEvery step toward breastfeeding success counts

IDPH Statewide Quality Council

History of

Breastfeeding Workgroup

September 18, 2012

Each hospital Each hospital belongs a belongs a Perinatal CenterPerinatal Center

There are 10 There are 10 Perinatal Centers each is managed by a Perinatal Perinatal Centers each is managed by a Perinatal AdministratorAdministrator

Perinatal Services is overseen by IDPH and the Perinatal Perinatal Services is overseen by IDPH and the Perinatal Advisory Committee (PAC) Advisory Committee (PAC)

Statewide Quality Council (SQC) is a committee which Statewide Quality Council (SQC) is a committee which assists in guiding practice in birthing hospitalsassists in guiding practice in birthing hospitals

Regionalized Perinatal Centers in Regionalized Perinatal Centers in IllinoisIllinois

UIC

U OF C

LOYOLA

NORTHWESTERN

RUSH/AIMMC

STROGER

ROCKFORD

PEORIA

SPRINGFIELD

SOUTHERN ILLINOIS

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.

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

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

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.

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

EBBHI Project TimelineUpon Approval Director of Public HealthComplete 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 workplan

Educate staff and providers Report Status (RQC Network Report)

4th Quarter Report Quality Outcomes Complete Network Breastfeeding Practice Survey Report Status (RQC Network Report)

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