CHAMPS: Communities and Hospitals Advancing Maternity Practices

1. Anne Merewood PhD MPH IBCLC Kim Bugg MSN MPH CHAMPS:Communities and Hospitals Advancing Maternity Practices

2. Call Agenda   1.  WKKF Introduction   2.  Meet key team members   3.  Project Overview      a. Objectives      b. Scope      c. Geography   4.  Q & A   5.  Working together   6.  Main contacts

3. Overview from theW.K. Kellogg Foundation

4. Overview • CHAMPS: Communities and Hospitals Advancing Maternity Practices • Breastfeeding-focused initiative to improve MCH outcomes and exclusive breastfeeding in Mississippi, New Orleans, and Southern Texas • Start date August 1, 2014; 3 year project • Sept webinars for interested parties in Mississippi/New Orleans/Southern Texas

5. Overview: Key partners • The Breastfeeding Center, Boston Medical Center: Anne Merewood & team • Reaching Our Sisters Everywhere (ROSE) Kim Bugg & team • Funding: the W. K. Kellogg Foundation

6. BMC and ROSE • Anne Merewood • Kim Bugg

7. BMC partners on board Michael Silverstein, MD, MPH Director, General Academic Pediatrics, Boston Medical Center

8. BMC partners on board Renee Boynton-Jarrett, MD, ScD Associate Professor of Pediatrics, Boston Medical Center

9. BMC partners on board Ning Chen, MS Statistician, Boston Medical Center

10. BMC partners on board • Laura Burnham MPH – Project Manager • Apexa Patel – Project Coordinator • Douglas Rockwell, BA , Manager, Research Administration and Finance, Boston Medical Center

11. Expert collaborators Emily Taylor, MPH Founder and Director, Women-Inspired Systems’ Enrichment (WISE)

12. Expert collaborators Lori Winter, MD, MPH Director, Division of Adolescent Medicine, Cooper University Health Care

13. Expert collaborators Roger Edwards, ScD Assistant Professor, Bouvé College of Health Sciences, Northeastern University

14. Expert collaborators Cathy Carothers, BLA, IBCLC, RLC, FILCA Co-Director, EVERY MOTHER, INC.; Former President, International Lactation Consultant Association; Past chair, United States Breastfeeding Committee

15. Expert collaborators Jere McKinley, BA National Program Director, Health Connect One

16. Objectives: Big picture • Enroll 25 hospitals in 3 target areas (Mississippi, New Orleans, S Texas) • Engage prenatal and postpartum clinics • Link with the perinatal community around/affected by the hospitals

17. Locations: New Orleans • Orleans Parish: 60% White, 35% Black, 5% Hispanic • Breastfeeding initiation (LA) 56% • mPINC rank (LA) 40 • Disparities in infant mortality: 10.7 among Blacks vs 1.9 among Whites • 41% of children live below the poverty line

18. Locations: Mississippi • White: 60%; Black 37%; Latino 3% • 61% breastfeeding initiation • Rank 53/53 on mPINC • Highest infant mortality in US • Infant mortality rate 12.4/Blacks; 5.4/ Whites • 30% of children below poverty line ~ 50% in some counties

19. Locations: Southern Texas • 28 county region • Largely White and Hispanic • mPINC state rank 36 • Counties with high infant mortality: Calhoun (11.5), Frio (19.5), Gregg (10.8) and Lavaca (12.7) • Average 28% below poverty line; ~50% some areas

20. Objectives: Community • Involve community partners in the hospital environment • Create 25 “B-LINKS” community-based breastfeeding support groups • Outreach to, cooperate with, and integrate other Kellogg grantees, community groups, partners and collaborators

21. Measurable outcomes • Baby-Friendly Designation for 10/25 hospitals • Increase exclusive breastfeeding in hospital measured by Joint Commission standards • Improve rates of optimal MCH care in the hospital, such as skin to skin and rooming in

22. Measurable outcomes • Higher rates of breastfeeding/EBF in the community • Increased support for pregnant women and new families in the community, with an emphasis on greater access to breastfeeding-friendly prenatal and postpartum support

23. Hospital measures • We will teach hospitals to measure: • Joint Commission rates (JC agrees to help with training) • Skin to skin – charting and rates • Rooming in – charting and rates

24. Scope • Work with state departments, WIC offices, ongoing projects in the field • Academic/hospital partnerships: • Renee Boynton-Jarrett MD

25. Building hospital-clinic-community partnerships to support breastfeeding

26. CHAMPs

27. Collaboration • Support collaborations between the hospitals, pre- and post-natal clinics, and community-based agencies. • Development and support a local network of clinical and community champions: • Support shared learning opportunities • Develop collaborative problem-solving tools • Build local capacity for resource sharing to support breastfeeding through stages of pre-conception, post-conception, post-partum

28. Model for Building Hospital-Community Partnerships to Support Breastfeeding Quality Improvement Regional/Local Adaptations Learning system, resources and tools Strategic Alliances Community-based Participatory Adapted from Ngo et al 2008

29. Questions and answers?

30. Contact information • The Breastfeeding Center, Boston Medical Center • Laura Burnham, Project Manager • Apexa Patel, Project Coordinator • Anne Merewood, Project Director • Laura.burnham@bmc.org • Apexa.patel@bmc.org • Anne.merewood@bmc.org

31. Mutual support and assistance! • You can help the CHAMPs project by connecting us with your work in the area of interest • We can help you by moving along your agenda in the hospitals, community settings, and state partnerships you have developed