Breast Pump Pilot NuPAFP Conference October 13-14, 2010 Presented by: Lisa Akers, MS, RD, IBCLC, RLC Color Me Healthy

Objectives Upon completion of this presentation, you will be able to: –State the purpose of the BP pilot; –Describe the design of the BP pilot; and –Explain the outcome of the BP pilot.

Background It is understood that Hospital-Grade Electric Breast Pumps: –Are time consuming –Are expensive –Are always in demand by participants –Vary from LA to LA

Goals of the Pilot Eliminate the burden of tracking, retrieval, and cleaning Provide an electric BP that WIC participants can use for subsequent children Decrease the cost of hospital-grade electric BP to WIC Program

Objectives of the Pilot Determine the amount of time to track, clean, and retrieve hospital- grade BP Follow WIC participants who receive a pilot BP for at least 6 months

Pilot Breast Pump Single-User WIC Pump In Style Donated by Medela

Policy Issues of Pilot Participants must: –Be certified as fully or mostly BF –Be BF > 6 months –Returning to work/school or separated for > 4 hrs/day –Make a commitment to BF for at least 6 months

Policy Issues of Pilot cont. Participants must: –Attend a class or meet with Peer Counselor to discuss BP –Pick up FIs every month (during pilot only) –Sign a written agreement regarding the use of the pilot pump

Written Agreement Similar to the Breast Pump Loan Agreements except: –Must agree to keep and use breast pump for subsequent children for 5 years. (Exceptions are made with special circumstances).

Site Selection for Pilot Central Shenandoah –Largest WIC BF Peer Counselor Program in the state –Have 1 BF Peer Counselor who only handles BP loans

Comparison 20 Pilot Pumps vs. 29 Hospital-Grade BP

Outcomes

Quantitative Outcomes As of the end of Aug: – 12 of the pilot moms were still BF, 8 of those > 6 months –Only 2 had used some formula –6 had completed the program –2 were lost to follow-up

Quantitative Outcomes All said that the pump helped meet their BF goals

Quantitative Outcomes cont. Time Data: –Average time for instruction & F/U with Pilot pump – 8 minutes –Average time for instruction, F/U, retrieval & cleaning for hospital-grade pump – 69 minutes

Staff Time Pilot Pump –$1.36 per pump Hospital-Grade Pump –$11.73 per pump

Funding Data!

Background for Calculations 15% of all infants born in the US are NICU infants WIC averages 5% part. growth/yr Average – 10,000 BF part./yr 78% of women go back to work after birth

Hospital-Grade Pump Background Contract good for 5 yrs. WIC purchases on average: –315 new & 315 refurbished BP/yr –4,000 collection kits/yr.

Cost to VA WIC Combined Program: –1,170 - hospital-grade pump + 5% growth/yr (remains the same) –6,630 –personal use pump for yr 1 (varies) +

Cost Breakdown Personal Use Needed: –Yr. 1 – 6,630 –Yr. 2 – 390 (5% growth) –Yr. 3 – 409 (5% growth) –Yr. 4 – 429 (5% growth) –Yr. 5 – 451 (5% growth)

Substantial Cost Savings VA WIC could save $1,388, over the course of 5 yrs!!!

Questions?