A BBC document developed by Orange County RPPC with Title V funding through CDPH/MCAH, 2010

Quality Improvement Work GroupSession #2

DateFacilitator/Chair person

Hospital Report Possibilities

1. Data collection – current practice 2. Forming QI teams

3. Reviewing policies/procedures

Resources for Sample Tools/Policies

Academy of Breastfeeding Medicine web site (www.bfmed.org) Click on Resources

California Department of Public Health’s Model Hospital Policy Recommendations and Toolkit (http://cdph.ca.gov/CAHospitalBFToolkit )

Essentials of Successful QI Meetings

Essentials Summary:Develop a Plan

Facilitator (keeps meeting on track)

Engaged and invited participants

Objectives

Agenda

Meeting assignments/preparation/data

Facilitator

Keeps meeting focused on agenda Requests agenda items w/deadline for reply Circulates agenda w/meeting notice (time, place) at

least a week prior to meeting May designate Parliamentarian/gate keeper to help Follows time frame May create ‘parking lot’ for non-agenda items that

need handling later

Engaged/Invited Participants

Appeal to special interest of each e.g. Couplet care costs less in staffing e.g. Well babies transition smoother e.g. Stable sick babies maintain temp better e.g. Soothing strategy goes beyond BF decreasing late

night peds calls e.g.Empowers both parents promoting bonding decreasing risk of abuse

Participant Responsibilities

Be on time!!! Sign – in Accept or decline meeting by email/phone Engage in positive discourse/constructive

criticism Share responsibilities that evolve

Objectives

Clearly defined Measurable Guides the meeting in what needs to be accomplished

e.g. The group will choose one of the 10 Model Hospital Policies to begin implementing in their facility

Measurable Objective

Policy #5: Nurses, physicians, etc should encourage new mothers to hold their newborns skin to skin during the first two hours following birth and as much as possible thereafter, unless contraindicated.

Agenda

Communicates meeting objectivesProvides for information gathering

What’s happening?e.g. Analyze current policies

What needs to happen/how do we get there?e.g. Edit current or create new policies

Specific Agenda Information Gathering Applicable to Policy #5

Policies Review currente.g. Is there rooming-in 23 of 24 hours?Are babies recovered with mothers?

vaginal birthsc-section births

Data Gather current baseline data e.g. How long are babies skin-to-skin now? e.g. Determined by retro chart audits or prospective forms Determine how much and how long to monitor e.g. Skin-to-skin 30 minutes/baby monitored for 1 month

Meeting Assignments/Prep

Minutes Time keeper Presenters

Next Meeting Assignments

Summarize, record action points (minutes) Clearly state assignment, responsible party,

deadline (see minutes template) Determine plan for future meetings

e.g. time, place, length, food or noReport Meeting Summary to next Regional

BBC QI Work Group!

Thank You!

Together we make a bigger difference!