Review of EHM Mother Baby October 2010-October 2011

EHM Well
Expert Team Met June-September 2010 Identified patient population and scope of project (Shift reporting on sample of all infants based on JC methodology) Claimed our Aim
A 50% increase in the use of Exclusive Human Milk in Mother-Baby Units

Developed Action Plan

Keep mom and baby together Support breastfeeding and milk expression Limit formula availability

EHM Well
Action Plan
Skin to Skin (L&D and M-B Unit) Couplet care Breastfeeding support Hand Expression Restricting formula access Exclusive human milk use

EHM Well
1st Learning Session (Jan 2011)
Breastfeeding Support Skin to Skin State Efforts Patient/family presentations Action plan overview Team building

2nd Learning Session (May 2011)

Eliminating supplementation Family perspective Team discussions

Weekly email newsletters Monthly webinar meetings

EHM NICU Discharges

Discharges
1400 1200

1000
800 600 Discharges

400
200 0 Oct Nov Dec Jan Feb Mar Apr May June July Aug Sept Oct

All

Skin to Skin in L&D

Caucasian

Skin to Skin L&D Reasons

No Skin to Skin Receiving Encouragement

Breastfeeding Support Every Shift

Moms Demonstrated Hand Expression

Hispanic

Moms Demonstrated Hand Expression Unknown

Number of Times Skin to Skin for One Hour

Babies Separated < 1 Hour Any Shift

Caucasian

Babies Separated < 1 Hour Any Shift Unknown

Caucasian

Indications for Supplement

Exclusive Milk Feeding

All African American

Caucasian

Hispanic

TEAMWORK

Alone we can do so little, together we can do so much.

Helen Keller

Think Big

Think Big
The work you have done The work you will do What other people think about your work
AHA DMA DPH State Legislature BCBSNC and Office for Rural Health and Community Care

Phase 2 EHM Mother Baby EHM Well

Based on evidence Based on experience Combine with ongoing initiatives

Phase 2 EHM Well EHM Mother Baby

Focused Action Plan
What is our area of operations? What is our mission? What are 1or2or 3 key elements
Support in house decision regarding breastfeeding Keep moms and babies together
Skin to Skin Couplet care

Reduce formula exposure

Getting There

Phase 2 EHM Mother Baby EHM Well

Our compass on this mission
Data collection
Minimalist
Guides the work, is not the work Sampling vs all babies

If it creates new work is seen by leaders as something we need to improve

Identify those key metrics worthy of your time to measure

Clinical Decision Support

Knowledge

Interface Engine

Data

Relay

Think Big