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)
NEXT STEPS . . .