Lactation Services at Presbyterian Hospital

Gretta Blythe RN, BSN, IBCLC

Describe key components of a comprehensive lactation program

Selling a Service
Identifying your customers
Administration Healthcare System Physicians, nurses and other
Healthcare Providers

Patients / Clients Community

Social Marketing Letters

Marketing
Doctor Office Communication/ rounds, emails Word of Mouth and Reputation Advertisements/ coupons Articles and Interviews Letters to Admin. and Insurance Co. Health Fairs and Community Events Website/ internet

The Nursing Mother’s Place
PH Charlotte PH Matthews  PH Huntersville  Matthews Children’s Clinic Blakeney Medical Park A Woman’s View

Lactation Center Components
 Inpatient Consultations  Outpatient Consultations  Warm-line / Phone Assistance  Rental Station – Pump and Baby Weigh Scale Rental  Breastfeeding Classes  Clinical Internship  Staff Education/In-services/Online Education  Donor Milk  Retail

Inpatient Consultations

Registration and Billing
Outpatient re-occurring Reimbursement / Casemix

Outpatient Consultations

Pump and Scale Rental

Budget
Staffing Volume / Productivity

Managed Care
Breastfeeding saves healthcare dollars Standard of Care Consumer expectation Options

Customer Satisfaction

Lactation Board
Increases support Diverse input
increases creative ideas strengthens anticipatory trouble-shooting provides perceptive feedback develops a more complete vision

Presbyterian Hospital Huntersville

Presbyterian’s Women Specialty Center The Nursing Mother’s Place at Blakeney

NICU Support

Donor Milk Program

Phone Support

Breastfeeding Classes

A Woman’s View Retail
POS / Deposits
 Inventory  Best Selling Vendors

Intern Program
“Win Win for All”

Health Care Team

Consistency
Policy Care Paths Mother Infant Guide Approved Handouts Scripting

Documentation
      QS/ CPN/ EPIC Progress Notes Core Measure PQCNC BFHI Best Fed Beginnings

Staff Education
Online education In-services Educational Boards Skills Fair Competencies / Simulations

Recognition for Hospital
Baby Bootie Award Breastfeeding Friendly Workplace Award Breastfeeding Friendly Business Award Golden Bow

American Academy of Pediatrics Policy Statement 2012
Breastfeeding and the Use of Human Milk

The Ten Steps to Successful Breastfeeding Baby Friendly Hospital Initiative

Initiatives
Kangaroo Care Mother Baby Care PQCNC ? Best Fed Beginnings Baby Friendly Business Case of Breastfeeding NCBC Goal: Increase Exclusive Breastfeeding

Joint Commission Perinatal Core Measure Exclusive Breast Milk Feeding

PQCNC / Perinatal Quality Collaborative of North Carolina
Initiative to increase exclusive breastfeedingin the well, term infant Initiative to support the mom of the VLBW infant to provide milk for her baby for the first 28 days

Affordable Care Act
Ensures Women Receive Preventive Services at No Additional Cost The guidelines can be found at: www.hrsa.gov/womensguidelines/ To learn more about the Affordable Care Act, please visit http://www.healthcare.gov/

Business Case for Breastfeeding About The Business Case For Breastfeeding For Business Managers Easy Steps to Supporting Breastfeeding Employees Tool Kit: Resources for Building a Lactation Support Program Employee's Guide to Breastfeeding and Working Outreach Marketing Guide

Best Fed Beginnings: An Introduction to the NICHQ and the CDC Breastfeeding Initiative

Goals
Website On-line Store 24 hour beeper Grant Doula Program Open other sites

Keys to Success
 Administration’s Support  Location  Staff/Commitment  Practice within your scope  Teamwork/Multi-disciplinary team  Evidence & Research/Consistency/Scripts  Disney Approach/ internal & external customers  It’s All in Your Presentation

Goal of Healthy People 2020
 In early postpartum 75%  At 6 months 50%  At 1 year 25%  73.9% to 81.9%  43.4% to 60.5%  22.7% to 34.1%

Breastfeeding Report Card for 2010 released by CDC "The most recent CDC data show that 3 out of every 4 new mothers in the U.S. now starts out breastfeeding. The U.S. has now met the Healthy People 2010 national objective for breastfeeding initiation. However, rates of breastfeeding at 6 and 12 months as well as rates of exclusive breastfeeding at 3 and 6 months remain stagnant and low."

Comprehensive lactation support and counseling, by a trained provider during pregnancy and/or in the postpartum period, and costs for renting breastfeeding equipment.