1. A BBC document developed by Orange County RPPC with Title V funding through CDPH/MCAH, 2010 Get on Board BBC Regional QI Work Group Meeting #4 Date Facilitator/ Chair person

2. Homework

3. Hospital Multidisciplinary QI Committee Meetings  Who came/discipline represented?  Topics discussed?  What went well?  Lessons learned/do differently  Next steps/next meeting

5. Assignment  What data will be collected?  What tool will be used?  How long will data be collected?  How will staff be informed?

6. Time Line  Add

7. The BBC Application  Initial Background and Contact Information

8. Checklist of Items to Include  Letter of Commitment from CEO  Letters of support  Signed copy of Memorandum of Agreement (MOA)  Narrative from Request for Information (RFI)  Completed Self Appraisal Questionnaire

9. Letter from CEO Administrative support is key is key Improving Breastfeeding Outcomes= Systems Change. Outcomes= Systems Change. Exclusive breastfeeding is a Joint Commission Quality Measure Commission Quality Measure

10. Letters of support  Chief Nursing Officer  Chief or Chair of Obstetrics  Chief or Chair of Neonatology and or Pediatrics. Pediatrics. Lactation Consultant Lactation Consultant (if on staff) (if on staff)

11. Memorandum of Agreement (Hospital Responsibilities)  Hospital Administration Administration  Nursing Staff Learner participants Learner participants Train the Trainer participants Train the Trainer participants

12. MOA – Birth and Beyond CA Responsibilities  Regional RPPC  Birth and Beyond instructional Staff

13. 7 Request For Information (RFI) Questions Asked in the BBC Application 1. Do you have Administrative Support? 2. Is there QI involvement? 3. Do you have Staff Education? 4. Are Model Hospital Policies being used? 5. Who will be leading this project? 6. What Policies have been changed to overcome exclusive breastfeeding barriers? 7. Why is this staff training important to you/your staff?

14. Self Appraisal Questionnaire  Accurate contact information  Hospital Data  Multidisciplinary input

15. Time Line  Add

16. Next Steps for Birth and Beyond California  Download the application. www.ocregionalperinatal.org www.ocregionalperinatal.org www.ocregionalperinatal.org Application deadline Application deadline Electronic submission preferred Questions: Call (Insert contact info)

17. Teaching Tools

18. Showcasing your QI : One hospital’s approach  Wonderful Memorial Hospital’s experience

19. Homework : Sharing of Tools for Physicians   Lactation Management Self Study Module, Level 1 – Wellstart International   Breastfeeding Residency Curriculum – (AAP& ACOG bookstore)   Washington State Physician Collaborative 2 CD (http://www.breastfeedingwa.org/collaborative)http://www.breastfeedingwa.org/collaborative   Breastfeeding Managements, Education Tools for Physicians & Other Professionals – Dr. Jane Morton (www.breastmilksolutions.com )www.breastmilksolutions.com   All are self-study

20. Here’s to Success!!