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or How do we keep it going? Date:

SUSTAINABILITY. or How do we keep it going? Date:. Introductions. Name Position Facility. Assessments. Yours Mine Ours. From the Depths to the Peaks San Francisco General Did It!. San Francisco General Hospital 2007 Maternal Race/ Ethnicity & Birthplace.

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or How do we keep it going? Date:

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  1. SUSTAINABILITY or How do we keep it going? Date:

  2. Introductions • Name • Position • Facility

  3. Assessments • Yours • Mine • Ours

  4. From the Depths to the Peaks San Francisco General Did It!

  5. San Francisco General Hospital 2007Maternal Race/ Ethnicity & Birthplace

  6. San Francisco General Hospital 2004- 2007Perinatal Characteristics • 97.8% Medi-Cal Delivery • 28.1% Incomplete High School • 55.5% First Trimester Prenatal Care • 1.4% No prenatal Care • 11.4% Primary C-section • 10.2% Repeat C-section

  7. San Francisco General Hospital 2004- 2007Any/Exclusive Breastfeeding

  8. 2007 California’s BestAny/Exclusive Breastfeeding

  9. California’s Lowest Scoring Hospitals 2007

  10. Research – Can We Use It for Sustainability? • Ritualized behavior activity –activated by threat or perceived threat

  11. Ethnic Beliefs & Birthing • Trends and themes • Special diets – spoiled milk • Decreased BF after immigration

  12. Research-based Solutions • Cambodian diet initiation Galvin, et.al.Mat Child Health J, 2008 • South Asian grandmothers’ groups • Ingram, et. al., Midwifery, 2003.

  13. So, where are we?

  14. Baseline Data

  15. Next Steps

  16. Next Steps • Evaluate baseline data • Make conclusions • Take the conclusions to QI Committee • Revise Policies and procedures

  17. Next Steps Birth and Beyond

  18. Sustainability

  19. Sustainability Looks Like. . . • Administrator training • Regular Multidisciplinary QI Committee meetings • Staff training • Train the trainer education • BBC network QI meetings • BBC evaluation access

  20. Congratulations! You did it!

  21. When we march together. . . . . .we’re much more effective

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