New Mobile App - Amazon S3 · • Developing mobile app • Printed materials • Founder, President of Coffective Consulting • Provide Collective Impact Strategy Consulting to

Ryan Comfort, CEO • (917) 593-3933 • [email protected] • Coffective.com

New Mobile App:

Helping WIC Families Prepare for

and Succeed with Breastfeeding

NWA Nutrition Education & Breastfeeding Conference

September 9, 2014

mailto:[email protected]

Disclosure • Founder, President of Coffective

• Developing mobile app

• Printed materials

• Founder, President of Coffective

Consulting

• Provide Collective Impact Strategy

Consulting to governments and

hospitals

Community Powered Solutions

Why did a 27 year old

man start a business

to support

breastfeeding?

(in 4 pictures!)

My Goal

My Inspiration


Not aware of available

resources

From this,

to…



I wasn’t going to

learn what I needed

to here…



“What did I get

myself into?”


Moms faced same

problems offline


Resources weren’t

aware of each other

either!


Complexity of the problem was

10x greater than I imagined, but

the opportunity is 50x greater.


One year at

national level


My Role • Support existing communities

• Identify motivations of each stakeholders

• Help them connect and coordinate

• To be more effective

• Create tools that can support

implementation

• Community + Effective



State Level • **Women, Infants and Children**

• Division of Nutrition & Physical

Activity

• Maternal and Children Health

• Chronic Disease

• Office of Minority Health

• Office of Women’s Health


Local Level • Local WIC Agencies

• Hospitals

• Coalitions

• Home visitors

• Other community stakeholders



“Well, that’s

obvious”




Where to start?


Ideal Starting Point • Have impact on rates, particularly

disparities

• Clearly defined

• Engage multiple stakeholders

• Has momentum and interest

• Presents win-win opportunity

• Foundation for future initiatives


Clearly Defined


Multiple Stakeholders • Must have “Baby Friendly Taskforce”

• Prenatal education

• Must coordinate with organizations that provide

prenatal support

• Community resources

• Must refer moms back to community resources

upon discharge


Momentum


Win for Hospital • Greatest challenge for hospitals is

providing compliant prenatal education

• Prenatal providers can incorporate appropriate

messages in their training


Win for WIC WIC needs pregnant women to be

referred to WIC earlier in pregnancy and

new moms upon discharge

• Hospitals are required to strengthen continuity

upon discharge


Foundation for

Others • Engage moms’ “Champions”

• Engage physicians

• Engage community stakeholders

• Professional and peer support



Developing tools: • Prepared Checklist

• Complementary Offline Materials

• Mobile App

• Local implementation plan

• State-level coordination

A primary tool that

can: • Be tailored to the local community

• Provide structure to prenatal education

• Promote WIC & other community resources

• Provide transparency of hospital practices

• Help moms self advocate

• Track what mom received

• Facilitate WIC being notified upon discharge with

key patient info


The Mobile

App

Search

“Coffective”

Michigan • Landscape Analysis

• Kick off Webinar

• Survey

• Great insight

• Interesting insight



CombinedAnalysis

WIC WIC WIC HOSPITAL HOSPITAL HOSPITAL WIC HOSPITAL HOSPITAL WIC WIC HOSPITAL HOSPITAL

WIC Pilot Hospital Pilot Births

If possible, please

provide a rough

estimate of the % of

your WIC clients who

give birth at this

hospital

How often do members

of your staff

communicate with this

hospital?

Hospital is aware of the

breastfeeding services

WIC provides

Knowledgeof

WICServices

WICmothersreceive

consistent

information

Preparedfor

HospitalPractices

Score

We have a positive

working relationship

with this hospital

Wehavea

positiveworking

relationshipwith

WIC

WICisawareof

ourbreastfeeding

practices Unsure or Don't Know

Average Rating of

Hospital Practices

Doyou

havea

WIC

Contact

SelfAssessmentof

theirown

Practices BabyFriendly

MarquetteCountyHealthDepartment 5.0 MarguetteGeneralHospital 5.0 700 50%ormore Monthly Agree 2.8 NoOpinion 2.2 Agree Agree Agree 0% 3.0 Yes 2.7 StartedBabyFriendlyProcess,butnotcurrentlyactive

2 DistrictHealthDepartment#10 5.0 MercyHospital-Cadillac 5.0 325 50%ormore LessthanMonthly Agree 1.8 Agree 1.7 Agree StronglyAgree Agree 0% 3.2 Yes 3.6 Notonthe4DPathway

3 MonroeCountyHealthDepartment 5.0 MercyMemorialHospital 5.0 850 50%ormore LessthanMonthly Agree 3.0 Agree 4.5 Agree Agree Agree 0% 3.2 Yes 4.9 Notonthe4DPathway

Benzie-LeelanauHealthDepartment 5.0 MunsonMedicalCenter 5.0 1,800 50%ormore Weekly Agree 3.0 StronglyAgree 3.5 Agree StronglyAgree StronglyAgree 0% 3.0 Yes 4.7 StartedBabyFriendlyProcess,butnotcurrentlyactive

5 MuskegonCountyHealthDepartment 5.0 HackleyHospitalandMedicalCenter 5.0 2,200 50%ormore Daily Agree 1.8 Agree 1.6 Agree Agree Agree 0% 2.8 No 3.6 Notonthe4DPathway

6 CalhounCountyHealthDepartment 5.0 BronsonBattleCreek 5.0 1,000 50%ormore Monthly Agree 1.4 StronglyAgree 2.5 Agree StronglyAgree Disagree 40% 4.0 Yes 1.9 StartedBabyFriendlyProcess,butnotcurrentlyactive

2 DistrictHealthDepartment#10 5.0 SpectrumHealthGerberMemorialHospital 5.0 500 50%ormore LessthanMonthly Agree 3.0 StronglyAgree 4.9 Agree StronglyAgree StronglyAgree 0% 2.0 Yes 4.9 Notonthe4DPathway

7 WayneCountyHealthDepartment 5.0 OakwoodHospitalandMedicalCenter 5.0 4,100 50%ormore LessthanMonthly Agree 1.2 NoOpinion 1.8 NoOpinion NoOpinion NoOpinion 80% 4.0 No 3.7 Idon'tknow

7 WayneCountyHealthDepartment 5.0 HenryFordWyandotteHospital 5.0 1,700 25%-49% Monthly Agree 1.0 Agree 2.4 Agree Agree NoOpinion 80% 2.0 2.5 Notonthe4DPathway

8 MacombCountyHealthDepartment 5.0 HenryFordMacombHospital 5.0 1,600 25%-49% LessthanMonthly Agree 2.0 StronglyAgree 3.5 Disagree StronglyAgree Agree 0% 3.4 Yes 4.7 Notonthe4DPathway

8 MacombCountyHealthDepartment 5.0 McLarenMacomb 4.0 1,100 lessthan25% LessthanMonthly Disagree 2.0 NoOpinion 3.4 Disagree NoOpinion NoOpinion 80% 4.0 No 3.9 Notonthe4DPathway

9 WashtenawCountyHealthDepartment 5.0 St.JosephMercyAnnArborHospital 5.0 3,500 25%-49% LessthanMonthly Agree 3.0 StronglyAgree - Agree Agree Agree 0% 4.0 Yes 3.6 Notonthe4DPathway

10 St.ClairCountyHealthDepartment 4.0 St.JohnRiverDistrictHospital 5.0 360 lessthan25% LessthanMonthly Agree 1.4 Agree 3.3 NoOpinion Disagree Disagree 100% No 3.9 Notonthe4DPathway

10 St.ClairCountyHealthDepartment 4.0 PortHuronHospital 5.0 1,300 50%ormore LessthanMonthly Agree 1.8 NoOpinion 3.6 Agree StronglyAgree NoOpinion 80% 2.0 Yes 4.0 StartedBabyFriendlyProcess,butnotcurrentlyactive

8 DownriverCommunityServices 4.0 HenryFordMacombHospital 5.0 1,600 25%-49% LessthanMonthly NoOpinion 2.0 StronglyAgree 3.5 NoOpinion StronglyAgree Agree 100% Yes 4.7 Notonthe4DPathway

8 DownriverCommunityServices 4.0 McLarenMacomb 4.0 1,100 25%-49% LessthanMonthly NoOpinion 2.0 NoOpinion 3.4 NoOpinion NoOpinion NoOpinion 100% No 3.9 Notonthe4DPathway

HealthDepartmentofNorthwestMichigan 3.0 MunsonMedicalCenter 5.0 1,800 50%ormore Weekly StronglyAgree 3.0 StronglyAgree 3.5 StronglyAgree StronglyAgree StronglyAgree 0% 3.8 Yes 4.7 StartedBabyFriendlyProcess,butnotcurrentlyactive

BayCountyHealthDepartment 3.0 McLarenBayRegion 5.0 875 50%ormore Monthly Agree 2.2 Agree 4.0 Agree Agree Agree 60% 5.0 Yes 3.7 Notonthe4DPathway

Barry-EatonDistrictHealthDepartment 3.0 SparrowHospital 5.0 4,300 50%ormore Notsure Agree 1.0 Agree 3.4 Disagree Agree Agree 20% 2.0 Yes 3.6 D4Designation

MidMichiganCommunityActionAgency 3.0 McLarenBayRegion 5.0 875 lessthan25% LessthanMonthly NoOpinion 2.2 Agree 4.0 StronglyDisagree Agree Agree 100% Yes 3.7 Notonthe4DPathway

Luce-Mackinac-Alger-SchoolcraftDistrictHealthDepartment1.0 MarguetteGeneralHospital 5.0 700 LessthanMonthly Agree 2.8 NoOpinion 2.2 NoOpinion Agree Agree 40% 2.0 Yes 2.7 StartedBabyFriendlyProcess,butnotcurrentlyactive

HospitalResponses,withoutassociatedWIC

AllegianceHealth 5.0 1,800 2.0 Agree 5.0 StronglyAgree Agree Yes 5.0 D4Designation

BeaumontHospitalGrossePoint 5.0 680 1.0 Agree 5.0 Agree Agree No 5.0 D4Designation

BorgessMedicalCenter 5.0 1,400 2.6 Agree 4.2 Agree Agree Yes 4.6 StartedBabyFriendlyProcess,butnotcurrentlyactive

BotsfordHospital 5.0 900 2.0 NoOpinion 1.7 NoOpinion No 2.2 Notonthe4DPathway

HenryFordHospitalDetroit 5.0 2,600 1.8 Disagree - Agree Agree No 4.0 Notonthe4DPathway

HuronValleySinaiHospital 5.0 1,400 1.2 NoOpinion 4.0 NoOpinion NoOpinion 3.5 Idon'tknow

11 HutzelWomen'sHospital 5.0 4,500 1.6 Agree 2.1 Agree NoOpinion No 2.7 Notonthe4DPathway

MemorialMedicalCenterofWestMichigan 5.0 350 3.0 StronglyDisagree 4.2 StronglyDisagree StronglyDisagree Yes 4.7 Notonthe4DPathway

MercyHealthSaintMary'sGrandRapids 5.0 2,000 1.0 Disagree 3.3 Agree Disagree No 4.0 Notonthe4DPathway

SpectrumHealthBigRapidsHospital 5.0 700 2.8 Agree 2.4 Agree Agree Yes 4.0 Idon'tknow

SpectrumHealthButterworthHospital 5.0 7,400 1.6 Agree 2.0 Agree Agree No 4.2 D4Designation

St.JohnHospitalandMedicalCenter 5.0 3,500 2.6 Agree 1.7 Agree NoOpinion Yes 5.0 D4Designation

St.JosephMercyAnnArborHospital 5.0 3,500 3.0 StronglyAgree - Agree Agree Yes 3.6 Notonthe4DPathway

WICresponses,withoutassociatedhospitals

CalhounCountyHealthDepartment 5.0 OaklawnHospital lessthan25% LessthanMonthly Agree NoOpinion 100%

ChippewaCountyHealthDepartment 5.0 WarMemorialHospital 50%ormore Weekly Agree Agree 40% 4.0

2 DistrictHealthDepartment#10 5.0 SpectrumHealthLudingtonHospital 50%ormore Monthly Agree Agree 0% 2.8

2 DistrictHealthDepartment#10 5.0 SpectrumHealthMecostaCountyGeneralHospital 50%ormore LessthanMonthly StronglyAgree StronglyAgree 0% 2.0

2 DistrictHealthDepartment#10 5.0 WestShoreCommunityHospital 50%ormore LessthanMonthly Agree Disagree 0% 2.8

LenaweeCommunityActionAgency 5.0 BixbyMedicalCenter 50%ormore LessthanMonthly StronglyDisagree StronglyDisagree 40% 3.0

MarquetteCountyHealthDepartment 5.0 BellMemorialHospital lessthan25% LessthanMonthly Agree Agree 40% 2.7

12 SaginawCountyHealthDepartment 5.0 CovenantHealthcare 50%ormore Notsure NoOpinion NoOpinion 0% 2.8

ShiawasseeCountyHealthDepartment 5.0 MemorialHealthCareCenter 50%ormore LessthanMonthly Agree Disagree 80% 2.0

WashtenawCountyHealthDepartment 5.0 UniversityofMichigan 50%ormore LessthanMonthly StronglyAgree Agree 0% 4.0

DownriverCommunityServices 4.0 BeaumontHospitalTroy lessthan25% LessthanMonthly NoOpinion NoOpinion 100%

GeneseeCountyHealthDepartment 4.0 HurleyMedicalCenter 25%-49% Weekly Agree Agree 0% 4.2

OaklandCountyHealthDepartment 4.0 St.JosephMercyOakland 25%-49% Notsure Agree NoOpinion 100%

Barry-EatonDistrictHealthDepartment 3.0 McLarenGreaterLansingHospital 25%-49% Notsure Agree Disagree 0% 2.0

Barry-EatonDistrictHealthDepartment 3.0 PennockHospital 50%ormore Notsure 0% 2.0

BayCountyHealthDepartment 3.0 CovenantHealthcare lessthan25% LessthanMonthly Agree NoOpinion 80% 5.0

BerrienCountyHealthDepartment 3.0 LakelandMedicalCenterSt.Joseph 50%ormore Weekly Agree Agree 60% 5.0

BerrienCountyHealthDepartment 3.0 Weekly Agree Agree 60% 5.0

Branch-Hillsdale-St.JosephDistrictHealthDepartment 3.0 HillsdaleCommunityHealthCenter 25%-49% LessthanMonthly Agree NoOpinion 0% 2.6

Branch-Hillsdale-St.JosephDistrictHealthDepartment 3.0 CommunityHealthCenter 25%-49% LessthanMonthly Agree NoOpinion 20% 2.0

Branch-Hillsdale-St.JosephDistrictHealthDepartment 3.0 SturgisHospital 25%-49% LessthanMonthly Agree NoOpinion 40% 2.0

HealthDepartmentofNorthwestMichigan 3.0 CharlevoixAreaHospital 50%ormore Notsure StronglyAgree StronglyAgree 40% 4.3

HealthDepartmentofNorthwestMichigan 3.0 McLarenNorthernMichiganRegionalHospital 50%ormore Notsure StronglyAgree StronglyAgree 0% 4.0

IntercareWIC 3.0 BronsonMethodistHospital 25%-49% Monthly Agree Disagree 0% 3.8

MidMichiganCommunityActionAgency 3.0 MidMichiganRegionalMedicalCenter 50%ormore LessthanMonthly StronglyDisagree StronglyDisagree 0% 2.6

MidMichiganCommunityActionAgency 3.0 CovenantHealthcare lessthan25% LessthanMonthly Agree Disagree 80% 2.0

HannahvilleWIC 2.0 St.FrancisHospital 50%ormore LessthanMonthly Disagree Disagree 0% 2.8

HannahvilleWIC 2.0 DickinsonCountyMemorialHospital 25%-49% Notsure Agree NoOpinion 0% 4.8

Luce-Mackinac-Alger-SchoolcraftDistrictHealthDepartment1.0 BellMemorialHospital LessthanMonthly NoOpinion NoOpinion 100%

Dickinson-IronDistrictHealthDepartment - DickinsonCountyMemorialHospital 50%ormore Weekly . Agree . . . . . Agree . . . 20% . 3.3 . .

Chose 5 Pilot

Communities

Pilots: Our Principles • Satisfy existing requirements with a

focus on making your job easier

• Structured Flexibility- Allow you to

adapt to your specific community

• Provide tools that make

implementation efficient

• Efficient meetings, with a purpose


Local Engagement

Strategy • A leadership meeting

• WIC staff take a hospital tour

• Ensure hospital staff knows about WIC

• Joint approach to engaging physicians

• Network and connect with other members

in your community


Michigan Pilots to

Date • Initial kick off meeting

• Follow up calls

• Concrete next steps


Pilot Next Steps • Implementing checklist, including faxing to WIC

• Attending each other’s classes

• WIC staff taking hospital tour

• Presentation about WIC to hospital staff

• Joint approach to engaging physicians

• Community networking event

• Structured ongoing communication

• Have requested – Printed Materials & Community

Training


What you can do

now

First, Remember:

The App is not the


Let it be the catalyst

to making your

community more

effective.


Thank you!


Ryan Comfort, CEO

(917) 593-3933

[email protected]

mailto:[email protected]

Documents

New Mobile App - Amazon S3 · • Developing mobile app • Printed materials • Founder, President of Coffective Consulting • Provide Collective Impact Strategy Consulting to