Arkansas Payment Improvement Initiative (APII) William Golden MD MACP
Golden Start Breastfeeding Initiative
description
Transcript of Golden Start Breastfeeding Initiative
Golden Start Golden Start Breastfeeding InitiativeBreastfeeding Initiative
Leslie Anderson RN, PHN
Laura Pearson RN, PHN
OverviewOverview
Public Health Agencies in 9 counties and 10 Public Health Agencies in 9 counties and 10 Hospitals in our region have partnered together Hospitals in our region have partnered together to form the Golden Start Initiativeto form the Golden Start Initiative Becker, Clay Douglas, Grant, Otter Tail, Pope, Becker, Clay Douglas, Grant, Otter Tail, Pope,
Stevens, Traverse, and WilkinStevens, Traverse, and Wilkin
Grant RegionGrant Region
EducationEducation
This project focuses on educating healthcare staff, in This project focuses on educating healthcare staff, in order to provide families with current, correct, order to provide families with current, correct, evidence-based information regarding feeding their evidence-based information regarding feeding their babiesbabies
Evergreen PerinatalEvergreen Perinatal Two 3-day coursesTwo 3-day courses
Over 120 nurses trainedOver 120 nurses trained
One 5- day Train-the-trainerOne 5- day Train-the-trainer Ability to reach 42,000 women of childbearing ageAbility to reach 42,000 women of childbearing age
Clinic educationClinic education
PoliciesPolicies
This project focuses on developing or This project focuses on developing or enhancing lactation friendly enhancing lactation friendly policies policies in the in the clinic, hospital, and public health arenas by clinic, hospital, and public health arenas by encouraging our partners to work towards encouraging our partners to work towards achieving the “Ten Steps” of the Baby achieving the “Ten Steps” of the Baby Friendly Hospital Initiative and the Friendly Hospital Initiative and the Breastfeeding Friendly Public Health Breastfeeding Friendly Public Health Department projectDepartment project
Businesses and DaycaresBusinesses and Daycares
This project focuses on connecting with local businesses in order to assist them in complying with state and federal statutes regarding lactating employees
Business Case for BreastfeedingBusiness Case for Breastfeeding All partner counties have PHNs trained All partner counties have PHNs trained Will connect with businesses and daycares in Will connect with businesses and daycares in
regionregion
History of Golden StartHistory of Golden Start
The Golden Start Intervention, which was fashioned after a NICU study done by Paula Meier @ Rush University, encourages & supports mothers to commit to at least 4 weeks of mother’s milk for their infants
10 Steps to Successful Breastfeeding10 Steps to Successful Breastfeeding
Step 1. Maintain a written breastfeeding policy Step 1. Maintain a written breastfeeding policy that is routinely communicated to all health care that is routinely communicated to all health care staff.staff.
Step 2. Train all health care staff in skills Step 2. Train all health care staff in skills necessary to implement this policy.necessary to implement this policy.
Step 3. Inform all pregnant women about the Step 3. Inform all pregnant women about the benefits and management of breastfeedingbenefits and management of breastfeeding..
Step 4. Help mothers initiate breastfeeding within Step 4. Help mothers initiate breastfeeding within one hour of birthone hour of birth
Step 5. Show mothers how to breastfeed and how Step 5. Show mothers how to breastfeed and how to maintain lactation, even if they are separated to maintain lactation, even if they are separated from their infantsfrom their infants
10 Steps - continued10 Steps - continued Step 6. Give infants no food or drink other than Step 6. Give infants no food or drink other than
breastmilk unless medically indicatedbreastmilk unless medically indicated Step 7. Practice rooming-in – allow mothers and Step 7. Practice rooming-in – allow mothers and
infants to remain together twenty-four hours a infants to remain together twenty-four hours a dayday
Step 8. Encourage breastfeeding on demandStep 8. Encourage breastfeeding on demand Step 9. Give no pacifiers or artificial nipples to Step 9. Give no pacifiers or artificial nipples to
breastfeeding infantsbreastfeeding infants Step 10. Foster the establishment of breastfeeding Step 10. Foster the establishment of breastfeeding
support groups and refer mothers to them on support groups and refer mothers to them on discharge from the hospital or clinicdischarge from the hospital or clinic
The Golden StartThe Golden Start
Rush University Study Rush University Study
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10 Steps to Successful Breastfeeding 10 Steps to Successful Breastfeeding
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Golden Start InitiativeGolden Start Initiative
Influences on Healthcare SettingInfluences on Healthcare Setting
HospitalsHospitals Baby Friendly AssessmentBaby Friendly Assessment
www.babyfriendlyusa.orgwww.babyfriendlyusa.org
Public Health DepartmentsPublic Health Departments Breastfeeding Friendly AssessmentBreastfeeding Friendly Assessment
Wisconsin Division of HealthWisconsin Division of Health www.dhs.wisconsin.gov/health/Nutrition/Breastfeeding/departments.pdfwww.dhs.wisconsin.gov/health/Nutrition/Breastfeeding/departments.pdf
Assessment posted on MBC websiteAssessment posted on MBC website
More Steps CountMore Steps Count
Maternity care practices: implications for Maternity care practices: implications for breastfeedingbreastfeeding
DiGirolamo AM, Grummer-Strawn LM, Fein DiGirolamo AM, Grummer-Strawn LM, Fein S. Center for Disease Control S. Center for Disease Control
Conclusion: “Increased Baby-Friendly Conclusion: “Increased Baby-Friendly Hospital Initiative practices improve the Hospital Initiative practices improve the chances of breastfeeding beyond 6 months.”chances of breastfeeding beyond 6 months.”
Baby/Breastfeeding FriendlyBaby/Breastfeeding Friendly
Most important stepsMost important steps Step 3. Inform all pregnant women about the Step 3. Inform all pregnant women about the
benefits and management of breastfeedingbenefits and management of breastfeeding.. Step 4. Help mothers initiate breastfeeding Step 4. Help mothers initiate breastfeeding
within one hour of birth within one hour of birth Step 10. Foster the establishment of Step 10. Foster the establishment of
breastfeeding support groups and refer mothers breastfeeding support groups and refer mothers to them on discharge from the hospital or clinicto them on discharge from the hospital or clinic
Golden Start InterventionGolden Start Intervention
Prenatal intervention at first WIC appointment Prenatal intervention at first WIC appointment Golden Start Brochure given and discussedGolden Start Brochure given and discussed
Prenatal intervention at third trimester WIC Prenatal intervention at third trimester WIC appointmentappointment Colostrum Brochure given and discussedColostrum Brochure given and discussed
Follow-up Phone CallsFollow-up Phone Calls Immediate post-partumImmediate post-partum 10 days after first call10 days after first call
Golden Start InterventionGolden Start Intervention
Originated in Otter Tail County WIC Originated in Otter Tail County WIC populationpopulation
Shared at PH Directors meetingShared at PH Directors meeting Other counties wanted to replicateOther counties wanted to replicate Grant application written to include 9 countiesGrant application written to include 9 counties
BrochuresBrochures
Golden Start BrochureGolden Start Brochure Colostrum BrochureColostrum Brochure
www.noodlesoup.comwww.noodlesoup.com Distribution TimesDistribution Times
WIC appointmentsWIC appointments Clinic visitsClinic visits Hospitals – post-partum teachingHospitals – post-partum teaching Post-partum PH contactPost-partum PH contact
Golden Start FocusGolden Start Focus
SupportSupport Follow-upFollow-up Connection with resources in the communityConnection with resources in the community Customized brochures for each county with Customized brochures for each county with
contact phone numberscontact phone numbers
EvaluationEvaluation
Focus GroupsFocus Groups Clinic SurveysClinic Surveys Baby Friendly Hospital Initiative AssessmentsBaby Friendly Hospital Initiative Assessments Breastfeeding Friendly Public Health Breastfeeding Friendly Public Health
Department AssessmentsDepartment Assessments Pre-training surveys Pre-training surveys
Connection/NetworkingConnection/Networking
MN Breastfeeding CoalitionMN Breastfeeding Coalition SHIP Conference & QI Collaborative SHIP Conference & QI Collaborative Believers in Breastfeeding—Douglas County Believers in Breastfeeding—Douglas County Becker County Breastfeeding CoalitionBecker County Breastfeeding Coalition Fargo/Moorhead Breastfeeding CoalitionFargo/Moorhead Breastfeeding Coalition
Golden Start InitiativeGolden Start Initiative
Laura Pearson, RN, PHNLaura Pearson, RN, PHN Leslie Anderson, RN, PHNLeslie Anderson, RN, PHN
Project CoordinatorsProject Coordinators
218-736-8625218-736-8625
712 Cascade St. S. Fergus Falls MN 56537712 Cascade St. S. Fergus Falls MN 56537
[email protected]@lrhc.org