Quality Improvement Work Group Session #2

1. Quality Improvement Work GroupSession #2 Date Facilitator/Chair person

2. Hospital Report Possibilities • 1. Data collection – current practice • 2. Forming QI teams • 3. Reviewing policies/procedures

3. Resources for Sample Tools/Policies • Academy of Breastfeeding Medicine web site (www.bfmed.org) • Click on Resources • California Department of Public Health’s Model Hospital Policy Recommendations and Toolkit (http://cdph.ca.gov/CAHospitalBFToolkit )

4. Essentials of Successful QI Meetings

5. Essentials Summary:Develop a Plan • Facilitator (keeps meeting on track) • Engaged and invited participants • Objectives • Agenda • Meeting assignments/preparation/data

6. Facilitator • Keeps meeting focused on agenda • Requests agenda items w/deadline for reply • Circulates agenda w/meeting notice (time, place) at least a week prior to meeting • May designate Parliamentarian/gate keeper to help • Follows time frame • May create ‘parking lot’ for non-agenda items that need handling later

7. Engaged/Invited Participants • Appeal to special interest of each • e.g. Couplet care costs less in staffing • e.g. Well babies transition smoother • e.g. Stable sick babies maintain temp better • e.g. Soothing strategy goes beyond BF decreasing late night peds calls • e.g.Empowers both parents promoting bonding decreasing risk of abuse

8. Participant Responsibilities • Be on time!!! • Sign – in • Accept or decline meeting by email/phone • Engage in positive discourse/constructive criticism • Share responsibilities that evolve

9. Objectives • Clearly defined • Measurable • Guides the meeting in what needs to be accomplished e.g. The group will choose one of the 10 Model Hospital Policies to begin implementing in their facility

10. Measurable Objective • Policy #5: Nurses, physicians, etc should encourage new mothers to hold their newborns skin to skin during the first two hours following birth and as much as possible thereafter, unless contraindicated.

11. Agenda • Communicates meeting objectives • Provides for information gathering • What’s happening? • e.g. Analyze current policies • What needs to happen/how do we get there? • e.g. Edit current or create new policies

12. Specific Agenda Information Gathering Applicable to Policy #5 • Policies • Review current e.g. Is there rooming-in 23 of 24 hours? Are babies recovered with mothers? vaginal births c-section births • Data • Gather current baseline data • e.g. How long are babies skin-to-skin now? • e.g. Determined by retro chart audits or prospective forms • Determine how much and how long to monitor • e.g. Skin-to-skin 30 minutes/baby monitored for 1 month

13. Meeting Assignments/Prep • Minutes • Time keeper • Presenters

14. Next Meeting Assignments • Summarize, record action points (minutes) • Clearly state assignment, responsible party, deadline (see minutes template) • Determine plan for future meetings e.g. time, place, length, food or no Report Meeting Summary to next Regional BBC QI Work Group!

15. Thank You! • Together we make a bigger difference!