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Breast Pump Pilot NuPAFP Conference October 13-14, 2010 Presented by: Lisa Akers, MS, RD, IBCLC, RLC...
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Transcript of Breast Pump Pilot NuPAFP Conference October 13-14, 2010 Presented by: Lisa Akers, MS, RD, IBCLC, RLC...
![Page 1: Breast Pump Pilot NuPAFP Conference October 13-14, 2010 Presented by: Lisa Akers, MS, RD, IBCLC, RLC Color Me Healthy.](https://reader030.fdocuments.in/reader030/viewer/2022032705/56649dd95503460f94acf697/html5/thumbnails/1.jpg)
Breast Pump PilotBreast Pump PilotNuPAFP ConferenceNuPAFP ConferenceOctober 13-14, 2010October 13-14, 2010
Presented by: Presented by: Lisa Akers, MS, RD, IBCLC, RLCLisa Akers, MS, RD, IBCLC, RLC
Breast Pump PilotBreast Pump PilotNuPAFP ConferenceNuPAFP ConferenceOctober 13-14, 2010October 13-14, 2010
Presented by: Presented by: Lisa Akers, MS, RD, IBCLC, RLCLisa Akers, MS, RD, IBCLC, RLC
Color Me HealthyColor Me Healthy
![Page 2: Breast Pump Pilot NuPAFP Conference October 13-14, 2010 Presented by: Lisa Akers, MS, RD, IBCLC, RLC Color Me Healthy.](https://reader030.fdocuments.in/reader030/viewer/2022032705/56649dd95503460f94acf697/html5/thumbnails/2.jpg)
Objectives• Upon completion of this
presentation, you will be able to:– State the purpose of the BP pilot; – Describe the design of the BP pilot;
and– Explain the outcome of the BP pilot.
![Page 3: Breast Pump Pilot NuPAFP Conference October 13-14, 2010 Presented by: Lisa Akers, MS, RD, IBCLC, RLC Color Me Healthy.](https://reader030.fdocuments.in/reader030/viewer/2022032705/56649dd95503460f94acf697/html5/thumbnails/3.jpg)
Background• It is understood that Hospital-
Grade Electric Breast Pumps:– Are time consuming– Are expensive– Are always in demand by participants– Vary from LA to LA
![Page 4: Breast Pump Pilot NuPAFP Conference October 13-14, 2010 Presented by: Lisa Akers, MS, RD, IBCLC, RLC Color Me Healthy.](https://reader030.fdocuments.in/reader030/viewer/2022032705/56649dd95503460f94acf697/html5/thumbnails/4.jpg)
Goals of the Pilot• Eliminate the burden of tracking,
retrieval, and cleaning• Provide an electric BP that WIC
participants can use for subsequent children
• Decrease the cost of hospital-grade electric BP to WIC Program
![Page 5: Breast Pump Pilot NuPAFP Conference October 13-14, 2010 Presented by: Lisa Akers, MS, RD, IBCLC, RLC Color Me Healthy.](https://reader030.fdocuments.in/reader030/viewer/2022032705/56649dd95503460f94acf697/html5/thumbnails/5.jpg)
Objectives of the Pilot
• Determine the amount of time to track, clean, and retrieve hospital-grade BP
• Follow WIC participants who receive a pilot BP for at least 6 months
![Page 6: Breast Pump Pilot NuPAFP Conference October 13-14, 2010 Presented by: Lisa Akers, MS, RD, IBCLC, RLC Color Me Healthy.](https://reader030.fdocuments.in/reader030/viewer/2022032705/56649dd95503460f94acf697/html5/thumbnails/6.jpg)
Pilot Breast Pump• Single-User WIC Pump In Style• Donated by Medela
![Page 7: Breast Pump Pilot NuPAFP Conference October 13-14, 2010 Presented by: Lisa Akers, MS, RD, IBCLC, RLC Color Me Healthy.](https://reader030.fdocuments.in/reader030/viewer/2022032705/56649dd95503460f94acf697/html5/thumbnails/7.jpg)
Policy Issues of Pilot• Participants must:
– Be certified as fully or mostly BF– Be BF > 6 months– Returning to work/school or
separated for > 4 hrs/day– Make a commitment to BF for at least
6 months
![Page 8: Breast Pump Pilot NuPAFP Conference October 13-14, 2010 Presented by: Lisa Akers, MS, RD, IBCLC, RLC Color Me Healthy.](https://reader030.fdocuments.in/reader030/viewer/2022032705/56649dd95503460f94acf697/html5/thumbnails/8.jpg)
Policy Issues of Pilot cont.
• Participants must:– Attend a class or meet with Peer
Counselor to discuss BP– Pick up FIs every month (during pilot
only)– Sign a written agreement regarding
the use of the pilot pump
![Page 9: Breast Pump Pilot NuPAFP Conference October 13-14, 2010 Presented by: Lisa Akers, MS, RD, IBCLC, RLC Color Me Healthy.](https://reader030.fdocuments.in/reader030/viewer/2022032705/56649dd95503460f94acf697/html5/thumbnails/9.jpg)
Written Agreement• Similar to the Breast Pump Loan
Agreements except:– Must agree to keep and use breast
pump for subsequent children for 5 years. (Exceptions are made with special circumstances).
![Page 10: Breast Pump Pilot NuPAFP Conference October 13-14, 2010 Presented by: Lisa Akers, MS, RD, IBCLC, RLC Color Me Healthy.](https://reader030.fdocuments.in/reader030/viewer/2022032705/56649dd95503460f94acf697/html5/thumbnails/10.jpg)
Site Selection for Pilot
• Central Shenandoah – Largest WIC BF Peer Counselor
Program in the state– Have 1 BF Peer Counselor who only
handles BP loans
![Page 11: Breast Pump Pilot NuPAFP Conference October 13-14, 2010 Presented by: Lisa Akers, MS, RD, IBCLC, RLC Color Me Healthy.](https://reader030.fdocuments.in/reader030/viewer/2022032705/56649dd95503460f94acf697/html5/thumbnails/11.jpg)
Comparison• 20 Pilot Pumps vs. 29 Hospital-
Grade BP
![Page 12: Breast Pump Pilot NuPAFP Conference October 13-14, 2010 Presented by: Lisa Akers, MS, RD, IBCLC, RLC Color Me Healthy.](https://reader030.fdocuments.in/reader030/viewer/2022032705/56649dd95503460f94acf697/html5/thumbnails/12.jpg)
Outcomes
![Page 13: Breast Pump Pilot NuPAFP Conference October 13-14, 2010 Presented by: Lisa Akers, MS, RD, IBCLC, RLC Color Me Healthy.](https://reader030.fdocuments.in/reader030/viewer/2022032705/56649dd95503460f94acf697/html5/thumbnails/13.jpg)
Quantitative Outcomes
• As of the end of Aug:– 12 of the pilot moms were still BF, 8
of those > 6 months– Only 2 had used some formula– 6 had completed the program– 2 were lost to follow-up
![Page 14: Breast Pump Pilot NuPAFP Conference October 13-14, 2010 Presented by: Lisa Akers, MS, RD, IBCLC, RLC Color Me Healthy.](https://reader030.fdocuments.in/reader030/viewer/2022032705/56649dd95503460f94acf697/html5/thumbnails/14.jpg)
Quantitative Outcomes
• All said that the pump helped meet their BF goals
![Page 15: Breast Pump Pilot NuPAFP Conference October 13-14, 2010 Presented by: Lisa Akers, MS, RD, IBCLC, RLC Color Me Healthy.](https://reader030.fdocuments.in/reader030/viewer/2022032705/56649dd95503460f94acf697/html5/thumbnails/15.jpg)
Quantitative Outcomes cont.
• Time Data:– Average time for instruction & F/U
with Pilot pump – 8 minutes– Average time for instruction, F/U,
retrieval & cleaning for hospital-grade pump – 69 minutes
![Page 16: Breast Pump Pilot NuPAFP Conference October 13-14, 2010 Presented by: Lisa Akers, MS, RD, IBCLC, RLC Color Me Healthy.](https://reader030.fdocuments.in/reader030/viewer/2022032705/56649dd95503460f94acf697/html5/thumbnails/16.jpg)
Staff Time• Pilot Pump
– $1.36 per pump
• Hospital-Grade Pump – $11.73 per pump
![Page 17: Breast Pump Pilot NuPAFP Conference October 13-14, 2010 Presented by: Lisa Akers, MS, RD, IBCLC, RLC Color Me Healthy.](https://reader030.fdocuments.in/reader030/viewer/2022032705/56649dd95503460f94acf697/html5/thumbnails/17.jpg)
Funding Data!
![Page 18: Breast Pump Pilot NuPAFP Conference October 13-14, 2010 Presented by: Lisa Akers, MS, RD, IBCLC, RLC Color Me Healthy.](https://reader030.fdocuments.in/reader030/viewer/2022032705/56649dd95503460f94acf697/html5/thumbnails/18.jpg)
Background for Calculations
• 15% of all infants born in the US are NICU infants
• WIC averages 5% part. growth/yr• Average – 10,000 BF part./yr• 78% of women go back to work
after birth
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Hospital-Grade Pump Background
• Contract good for 5 yrs.• WIC purchases on average:
– 315 new & 315 refurbished BP/yr– 4,000 collection kits/yr.
![Page 20: Breast Pump Pilot NuPAFP Conference October 13-14, 2010 Presented by: Lisa Akers, MS, RD, IBCLC, RLC Color Me Healthy.](https://reader030.fdocuments.in/reader030/viewer/2022032705/56649dd95503460f94acf697/html5/thumbnails/20.jpg)
Cost to VA WIC• Combined Program:
– 1,170 - hospital-grade pump + 5% growth/yr (remains the same)
– 6,630 –personal use pump for yr 1 (varies)
+
![Page 21: Breast Pump Pilot NuPAFP Conference October 13-14, 2010 Presented by: Lisa Akers, MS, RD, IBCLC, RLC Color Me Healthy.](https://reader030.fdocuments.in/reader030/viewer/2022032705/56649dd95503460f94acf697/html5/thumbnails/21.jpg)
Cost Breakdown• Personal Use Needed:
– Yr. 1 – 6,630– Yr. 2 – 390 (5% growth)– Yr. 3 – 409 (5% growth)– Yr. 4 – 429 (5% growth)– Yr. 5 – 451 (5% growth)
![Page 22: Breast Pump Pilot NuPAFP Conference October 13-14, 2010 Presented by: Lisa Akers, MS, RD, IBCLC, RLC Color Me Healthy.](https://reader030.fdocuments.in/reader030/viewer/2022032705/56649dd95503460f94acf697/html5/thumbnails/22.jpg)
Substantial Cost Savings
• VA WIC could save $1,388,693.80 over the course of 5 yrs!!!
![Page 23: Breast Pump Pilot NuPAFP Conference October 13-14, 2010 Presented by: Lisa Akers, MS, RD, IBCLC, RLC Color Me Healthy.](https://reader030.fdocuments.in/reader030/viewer/2022032705/56649dd95503460f94acf697/html5/thumbnails/23.jpg)
Questions?