North Carolina Maternity Center Breastfeeding-Friendly Designation

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Detailed Description

The North Carolina Maternity Center Breastfeeding-Friendly (NCMCBF) Designation Program encourages hospitals and maternity centers across the state to promote and support breastfeeding by facilitating changes that result in the incremental adoption of the Baby-Friendly Hospital Initiative's Ten Steps to Successful Breastfeeding.

Expected Outcomes

Some of the expected outcomes of NCMCBF include changing maternity center environment as well as policies and practices by affecting breastfeeding social norms (short term outcome) and improving breastfeeding initiation, duration and exclusivity (long term outcome).

Evidence

Evidence-based bright spot (strong evidence)

Key Principles

Hospitals and maternity centers download an application from the North Carolina Maternity Center Breastfeeding-Friendly (NCMCBF) Designation Program page of the Nutrition Services Branch website

The application is submitted with supporting documentation demonstrating compliance with the requirements for each step in the application. Using assessment criteria in the review tool, the NCMCBF Designation Program committee members review submitted applications. Review committee members utilize the assessment criteria and review tool to determine the award level for NCMCBF Designation Program applicants. Hospitals and maternity centers are awarded up to five stars based on the number of the Ten Steps they have achieved. Hospitals and maternity centers that receive a designation are provided a packet including a certificate of designation, logos to use in promotion of the designation, and a sample press release. These hospitals and maternity centers also receive recognition on the North Carolina Division of Public Health, Nutrition Services Branch website. Engage stakeholders, including hospitals and maternity centers, to solicit feedback during the development/adaptation of the program and to create buy-in for the program. Create or adapt standards, designation levels, a program application, and logo for the program, based on state or regional needs. Assemble a review team that is knowledgeable in quality improvement, breastfeeding and the Ten Steps to Successful Breastfeeding. Develop and implement a selection process for designation. Distribute and make the program application available to hospitals and maternity centers. Publicize the program through media outlets. Provide a designation packet to all hospitals and maternity centers awarded designation. Provide technical assistance and feedback to hospitals and maternity centers that express interest in the program, apply for the designation and/or are awarded designation.

Tags

Hospitalizations, Nutrition, Breast-feeding, Child health, Pregnancy

Cost Details

Hospital policy changes are often needed to allow adoption of maternity care practices in keeping with the Ten Steps to Successful Breastfeeding (such as rooming-in|skin-to-skin, avoidance of pacifiers and formula supplementation without medical need). These policy changes have financial implications, as well as implications for staff practices

Key Steps for Implementation

Hospitals and maternity centers download an application from the North Carolina Maternity Center Breastfeeding-Friendly (NCMCBF) Designation Program page of the Nutrition Services Branch website The application is submitted with supporting documentation demonstrating compliance with the requirements for each step in the application. Using assessment criteria in the review tool, the NCMCBF Designation Program committee members review submitted applications. Review committee members utilize the assessment criteria and review tool to determine the award level for NCMCBF Designation Program applicants. Hospitals and maternity centers are awarded up to five stars based on the number of the Ten Steps they have achieved. Hospitals and maternity centers that receive a designation are provided a packet including a certificate of designation, logos to use in promotion of the designation, and a sample press release. These hospitals and maternity centers also receive recognition on the North Carolina Division of Public Health, Nutrition Services Branch website. Engage stakeholders, including hospitals and maternity centers, to solicit feedback during the development/adaptation of the program and to create buy-in for the program. Create or adapt standards, designation levels, a program application, and logo for the program, based on state or regional needs. Assemble a review team that is knowledgeable in quality improvement, breastfeeding and the Ten Steps to Successful Breastfeeding. Develop and implement a selection process for designation. Distribute and make the program application available to hospitals and maternity centers. Publicize the program through media outlets. Provide a designation packet to all hospitals and maternity centers awarded designation. Provide technical assistance and feedback to hospitals and maternity centers that express interest in the program, apply for the designation and/or are awarded designation.

Other Key Requirements

Obtain buy-in from stakeholders. The breastfeeding workgroup sought buy-in from the North Carolina Hospital Association, North Carolina Pediatric Society, and the North Carolina Child Fatality Task Force. Create the program to be voluntary versus mandatory. Provide post-review technical assistance calls to designated hospitals and maternity centers to build momentum for future submissions. Limit site visits or onsite technical assistance to reduce staffing costs. This measure allows the program to be administered by an existing staff position with a very small % FTE (full time equivalent) allocated to the NCMCBF Designation Program. Designate dedicated staff hours for technical assistance calls and follow-up

Required Staffing (FTEs)

North Carolina State Breastfeeding Coordinator (5% FTE)

Special Funding

The NCMCBF Designation Program review committee provides their time as an in-kind donation for the formulation and continuation of the intervention

North Carolina Maternity Center Breastfeeding-Friendly (NCMCBF) Designation Program application North Carolina Maternity Center Breastfeeding-Friendly Designation Application Resources

Training

Training Assistance Contact NCMCBF about further training information

Types of Staff

North Carolina State Breastfeeding Coordinator

Outcome Measures

Increase the proportion of infants who are ever breastfed

Process Measures

Implementation of the Ten Steps to Breastfeeding Ten Steps to Breastfeeding

Additional Resources

Full Program Description North Carolina Maternity Center Breastfeeding-Friendly Designation Currently the North Carolina State Breastfeeding Coordinator Supplies for designation packets: CDs, certificate paper, mailing cost

Key Contacts

Bethany Holloway, MEd, RD, LDN, IBCLC State Breastfeeding Coordinator

Snapshot

Topic
  • Women's health and wellbeing

  • Child health and wellbeing

  • Health System Transformation Oasis

Time

Fewer than 12 months

This is a description.

Difficulty

Easy/not that challenging

Cost

Minimal

Evidence

Evidence-based bright spot (strong evidence)

Influence
  • Individual/family

Setting
  • Healthcare, public health department or health services

  • Childcare

ROI

To be determined

Geographic Context
  • Urban/large city

  • Suburban

  • Small town

  • Village

  • Rural

Geographic Unit
  • State

Portfolio
  • Portfolio 1 (Improving mental/physical health with patients or workforce)

    This portfolio supports health care organizations focused on improving the physical and/or mental health of individuals for whom they feel directly responsible (e.g., patients and/or employees).

  • Portfolio 2 (Improving social/spiritual well-being with patients or workforce)

    This portfolio supports health care organizations to consistently screen for and address the social and spiritual drivers of health and wellbeing for patients and/or employees. Social drivers encompass socioeconomic factors, such as food, housing, or transportation, for example, while spiritual drivers include factors that contribute to a sense of purpose, meaning, self-worth, hope, and resilience.

  • Portfolio 3 (Improving community health and well-being together with partners for a specific issue)

    ​​​​In this portfolio, health care organizations work together with community partners to improve specific health and wellbeing outcomes for a place-based population.

Action Areas
  • Equity

    ​​​​​​Everyone deserves to have a fair and just opportunity to be healthier. This requires removing obstacles to health such as poverty, discrimination, and their consequences, including powerlessness and the lack of access to good jobs with fair pay, quality education and housing, safe environments, and health care.

  • Social determinants screening/referrals

    ​​​​​​Resources to help implement a type of internal assessment used by healthcare organizations to consistently screen for and address the social and spiritual drivers of health and wellbeing for a defined population, with a goal of ultimately connecting patients with community resources. Social drivers of population health include socioeconomic factors such as food, housing, education, transportation, and income, and social connectedness. Spiritual drivers include all factors that contribute to a sense of purpose, meaning, self-worth, hope, and resilience.

  • Care management

    Resources to help a set of activities that help improve patient care and reduce  medical services by “enhancing coordination of care, eliminate duplication, and helping patients and caregivers more effectively manage health conditions” as stated by the Robert Wood Johnson Foundation.  

  • Behavioral health integration

    Resources to help a strategy involving integrating behavioral health care into primary care through co-location or collaborative agreements. Integration boosts remission and recovery rates for patients with behavioral health issues.

  • Team-based care

    Resources to help implement a team-based healthcare strategy that seeks to maximize the assets each member brings to the team, including the patient, to create an optimal care experience before, during, and after clinical encounters.

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