1. A BBC document developed by Orange County RPPC with Title V funding through CDPH/MCAH, 2010 Quality Improvement Work Group Session #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)www.bfmed.org Click on Resources  California Department of Public Health’s Model Hospital Policy Recommendations and Toolkit (http://cdph.ca.gov/CAHospitalBFToolkit )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!