Breast Milk Feeding
The Breast Milk Feeding Advanced Application is aimed at Women and Newborn clinical directors, operational directors, clinical program guidance teams, and operational guidance teams. The application focuses on providing data for a hospital system’s newborn cohort. It aids in tracking and reporting The Joint Commission Perinatal Core Measure PC-05 (exclusive breast milk feeding) and helps identify opportunities for promoting exclusive breast milk feeding within the newborn population.
- Executive Dashboard Screen: Provides high-level metrics that quickly reveal the general status of the newborn patient population and associated measures
- General Metrics Screen: Provides information on general metrics such as length of stay, mortality rate, readmission, and neonate complications—with the ability to drill deeper into the data tied to these metrics.
- Exclusive Breastfeed Rate Screen: Provides metrics and associated details for exclusive breastfeeding rates; also provides information related to other feeding type categories and The Joint Commission exclusions for not breast feeding.
- Breastfeeding Metrics Screen: Provides additional metrics related to exclusive breastfeeding rates.
- Patient Level Detail Screen: Provides a list of filtered individual patient records.
- Identifies opportunities to increase exclusive breast milk feeding during the hospital stay.
- Provides data to help meet the PC-05 regulatory requirements.
Available Measures Include:
- Proportion of newborns whose mothers initiate breastfeeding during the delivery inpatient stay.
- Proportion of newborns whose mothers exclusively breastfed during the delivery inpatient stay.
- Proportion of newborns who receive exclusive breast milk supplementation during the delivery inpatient stay if mothers are unable to directly breastfeed their newborn.
- Patient Satisfaction
Exclusive breast milk feeding has become increasingly important not only as regulatory measure but as a significant way to improve population health. Breastfeeding is associated with a decrease in many pediatric diseases (otitis media, respiratory tract infections, asthma, atopic dermatitis, gastroenteritis, type 2 diabetes, sudden infant death syndrome and pediatric obesity). Women who have breastfed also benefit; they have lower rates of postpartum hemorrhage, type 2 diabetes, ovarian cancer, and breast cancer. Unfortunately the rate of breastfeeding is only 38% at three months and drops to 16% by six months. Hospitals must recognize their role in affecting breastfeeding practice over time: the most significant predictor of breastfeeding duration is whether the infant received formula supplementation while in the hospital.
What types of problems does Exclusive Breast Milk Feeding address?
To increase exclusive breast milk feeding of newborns, it’s helpful to have a birds-eye view of metrics associated with exclusive breast milk feeding (skin-to-skin time, time of first feeding, use of a lactation consultant, medications given during labor, C-section or vaginal delivery, mother’s ethnicity , language preference, etc.). These metrics guide the focus of improvement activities aimed at increasing exclusive breast milk feeding.
- To improve population health, a hospital wants to use data to help increase breastfeeding rates in their Women’s and Newborn population.
- A hospital’s executive team identifies the need to improve exclusive breast milk feeding rates to meet Joint Commission PC-05 requirements.
- The Lactation Standards Team wants to create a breastfeeding preparation class targeting women who are historically least likely to breastfeed.
- Improved documentation of breastfeeding practices.
- Improved rates of hospitalized newborn exclusive breast milk feeding.
- Improved rates of breastfeeding after discharge.
Success Measure Examples
There are 3 types of success measures:
- Identify hospitals within the system who have lowest rates of exclusive breast milk feeding.
- Improve documentation processes by X%.
- Improve rates of exclusive breast milk feeding by X%. Lower rates of otitis media, URI, asthma, and gastroenteritis within the first year of life for infants who are exclusively breast milk and formula fed.