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Human Milk Feeding Change Package

This is the Change Package for Healthy Newborn Human Milk Feeding. It includes information relevant to the initiative.

Quality Improvement Planning and Tools

Measure Set

This document lists the measures for the initiative.
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Key Driver Diagram

The diagram provides the underlying approach for the initiative.
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Measure Tracking Worksheet

This document is designed to assist tracking measures.
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Project Assessment Scale

This scale will be used for assessing progress in the initiative.
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Team Aims Worksheet

This document provides guidance on overall aims.
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WisPQC Data Terms of Use

This document is required for sharing data.
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PDSA Worksheet

This worksheet is a component of IHI’s QI Essential Toolkit. The Plan-Do-Study-Act (PDSA) cycle is a useful tool for documenting a test of change. Use this worksheet for each change you test.
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QI Project Charter

The QI Project Charter provides a rationale and roadmap for team to clarify thinking about what needs to be done and why.
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Change Package

Topic Change Ideas Resources
Addressing DisparitiesStaff is working to confirm change ideas. Download: Improving Health Equity – Assessment Tool for Health Care Organizations
Article: Acculturation and Breastfeeding Among Hispanic American Women: A Systematic Review
Article: Structural Racism and Barriers to Breastfeeding on Chicagoland’s South Side
Article: Racial and Ethnic Disparities in Breastfeeding Initiation
Article: Care During Pregnancy, Childbirth, Postpartum, and Human Milk Feeding for Individuals Who Identify as LGBTQ
Article: Differences in Breastfeeding Among Medicaid and Commercially Insured Patients: A Retrospective Cohort Study
Article: Racism, Bias, and Discrimination as Modifiable Barriers to Breastfeeding for African American Women: A Scoping Review of the Literature
Article: Racial and Ethnic Disparities in Breastfeeding Continuation Among U.S. Hispanic Mothers: Identification of Mechanisms
Article: Disparities in Breastfeeding Among U.S. Black Mothers: Identification of Mechanisms
Article: Disparities in Breastfeeding Outcomes Among Women with Opioid Use Disorder
Article: Social Health Care Determinants of Breastfeeding Black Women: A Multigenerational Study
Promote and Support Infant/Parent Bonding
  • Provide staff education.
  • Include EHR fields and audit charts.
  • Implement PDSA case review processes.
  • Document and evaluate outliers.
  • Actively solicit parental feedback.
  • Have a process to identify, mitigate, understand, and learn from patient feedback related to experience.
  • Identify resources for pumping, saving, transferring milk for infants separated from parents.
 Article: Feasibility of AWHONN’s Immediate and Continuous Skin-to-Skin Nursing Care Quality Measures
Article: The Nine Stages of Skin-to-Skin: Practical Guidelines and Insights from Four Countries
Article: Mapping, Measuring, and Analyzing the Process of Skin-to-Skin Contact and Early Breastfeeding in the First Hour After Birth
Article: Social Interactions and Institutional Structures that Influence 24-Hour Rooming-in for New Mothers and Newborns in the Hospital Setting
Article: A Quality Improvement Initiative: Improving First-Hour Breastfeeding Initiation Rate Among Healthy Newborns
Support and Education for Lactating Parents
  • Provide patient support materials in multiple languages and consider literacy level.
  • Include parents in development of support plans.
  • Actively solicit parental feedback.
  • Develop and implement curriculum for staff.
  • Develop checklist to assess staff practice and competency.
  • Have a process to identify, mitigate, understand, and learn from patient feedback related to experience.
  • Engage WIC and community resources in discharge planning.
 Article: Perinatal Hospital Practices Are Associated with Breastfeeding through 5 Months Postpartum among Women and Infants from Low-Income Households
Article: A Comparison of Audio-Only and Audio-Visual Tele-Lactation Consultation Services: A Mixed Methods Approach
Support and Education for Staff
  • Identify gaps in knowledge and care.
  • Engage parents in educational needs assessment.
  • Develop or introduce educational resources.
  • Evaluate existing policies/protocols/procedures to determine relevance.
  • Include stigma and bias training.
 Article: Nurse-Reported Staffing Guidelines and Exclusive Breast Milk Feeding
System Support
  • Evaluate policies related to formula and supply acquisition.
  • Assess need for donor milk.
 Download: The CDC Guide to Strategies to Support Breastfeeding Mothers and Babies

The Family Voice

Voices of Impact
The Voices of Impact video series is available through the Council on Patient Safety in Women’s Health Care. The goal of the Voices of Impact video series is to elevate the voices of women and families who have experienced severe maternal events. Putting voices to the numbers can bring awareness to this critical issue and empower women and their care providers to make a positive impact.
VISIT SITE
Voices of Impact: Irving Family’s Story
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