BreastfeedLA BEST Project Bringing Education, Systems-Change, and Technical Assistance to you A project of The Breastfeeding Task Force of Greater Los Angeles Call for Hospital Team Applications With funding from the Centers for Disease Control and Prevention s (CDC) Community Transformation Grant and in partnership with the LA County Department of Public Health, the Breastfeeding Task Force of Greater Los Angeles has launched the BEST Project. We are currently recruiting up to 12 hospitals within LA County to receive coaching and technical support to improve maternity care practices that support breastfeeding and to achieve Baby-Friendly designation. For questions regarding the BEST Program, please contact us at (213) 596-5776. Timeline Request for Applications released Wednesday, May 23, 2012 Information session via conference call Wednesday, May 30, 2012 12pm-1pm Call-in (702) 851-4044, access code 2110423 Applications/letters of commitment due Wednesday, June 13, 2012 5pm Site visits/hospital selection June 1 - September 29, 2012 Project duration Through September 29, 2016 Contingent on federal funding In addition to completing the BEST application below, applicants will be required to submit a signed letter of commitment from both the hospital s CEO and CNO on hospital letterhead. A sample letter is provided in Appendix A. Key BreastfeedLA BEST Project activities will include: Assist in prioritizing the hospital s Baby-Friendly work plan Provide ongoing coaching and technical assistance Partner with Baby-Friendly USA to guide hospitals through the designation process Provide a Mock Survey Provide Baby-Friendly USA Development Phase fee ($2200) to eligible hospitals* Key hospital team activities will include: Identify and engage an interdisciplinary team of hospital s administrative, medical and nursing staff, lactation staff, and other engaged stakeholders Participate in monthly Regional Hospital Breastfeeding Consortium (RHBC) meetings Report monthly data and progress to BreastfeedLA Best Project Send a team to the LA County Breastfeeding Summit, October 24, 2012 (discounted registration) Pursue the Baby-Friendly designation
All applications must be submitted by Wednesday, June 13, 2012 at 5pm to BTFGLA either by fax to (213) 596-5776 or e-mailed to info@breastfeedla.org. Eligibility: All LA County hospitals with maternity care services that are not currently designated as Baby Friendly are eligible to apply. *To qualify for having the Baby-Friendly USA Development Phase fee of $2200 paid by this project, the hospital must meet all of the following criteria: Be in Discovery (D-1) of the 4-D Pathway, or not yet be registered with Baby-Friendly USA. Hospitals in Development (D-2) or above are not eligible for this scholarship. Not have funding from an outside source, such as First 5 LA Not be participating in the NICHQ Best Fed Babies Collaborative
BreastfeedLA Application Instructions: The application is available in as a Word document so that it can be electronically completed then submitted to the Breastfeeding Task Force of Greater LA. All applications must be submitted by Wednesday, June 13, 2012 at 5pm either by fax to (310) 596-5776 or e-mailed to info@breastfeedla.org. Please contact us via e-mail if you would like to receive the application as a Word document. Application Checklist: Completed application CEO/CNO letter of support (see Appendix A for sample letter) Team leader name: Team leader job title: Team leader phone: Email address: Hospital name: Hospital address: Is your hospital part of a health system that represents multiple hospitals? Yes No If so, which health system? Please note that you must submit an individual application for each hospital in your health system that is interested in applying. Do you receive outside funding to pursue the Baby-Friendly Designation? Yes No If yes, please identify funder First 5 LA Other Have you applied to participate in the NICHQ Best Fed Babies Collaborative? Yes No Do you have a target date for your Baby-Friendly USA on-site assessment? Yes No If yes, when? Total number of annual births: Distribution by insurance status (percent): Private insurance MediCal Uninsured
Distribution of births by race and ethnicity (percent): African American American Indian Asian Multiple Race Pacific Islander Other White Hispanic Missing 1. Include the name and title for each of the following required team members: Administrative leader: Baby-Friendly coordinator (if on staff): Physician leader from obstetrics or pediatrics: Nurse manager in L&D/postpartum/nursery: Staff nurse in L&D/postpartum/nursery: Senior lactation patient care staff member: Quality improvement representative: 2. Do you currently have a breastfeeding committee? Yes No If no, move on to next question. If yes, how often do they meet? Time: Date: 3. Who serves on your committee? (check all that apply) Baby-Friendly coordinator Director L&D Mother-Baby Postpartum Nursery NICU Nurse manager L&D Mother-Baby Postpartum Nursery NICU Lactation services coordinator Clinical nurse specialist Medical Director OB/GYN Peds NICU Staff physician OB/GYN Peds NICU Staff midwife Staff nurse L&D Mother-Baby Postpartum Nursery NICU Database manager/coordinator Other (please specify) 4. Do you keep track of patient breastfeeding rates? Yes No If yes, please state your rates Any breastfeeding while in the hospital % Exclusive breastfeeding while in the hospital % Exclusive formula while in the hospital % 5. How are rates monitored and how do you use this information? (max 100 words)
6. Has a representative from your hospital participated in one of the Regional Hospital Breastfeeding Consortiums (RHBCs)? Yes No If no, skip to next question. If yes, which RHBC and how often? North (SPA 1/2) East (SPA 3/4) South (SPA 7/8) Frequently Occasionally Rarely Never 7. Have you initiated the Baby-Friendly designation process? Yes No If no, please skip to the next question. If yes, please indicate where your hospital is in the 4-D Pathway and complete the self-appraisal. Discovery Development Dissemination Designation 8. Baby-Friendly self-appraisal: QUESTION NO IN Have you met with CEO about Baby-Friendly Hospital Initiative? Have you sent the CEO Letter of Support to Baby- Friendly USA (BFUSA)? Have you sent the Baby-Friendly Self- Appraisal Tool to Have you sent the Development Phase Application and Agreement to Have you sent the Development Application Fee to Have you established your Baby-Friendly Committee? Does your Baby-Friendly Committee meetings weekly/bi-weekly? Have you sent your Baby-Friendly work plan to Have you sent Breastfeeding Policy to Have you sent your Staff & Care Providers Training Plan to Have you sent your Patient Education Plan to Have you sent your Breastfeeding Support Following Discharge Plan to Have you sent your Data Collection & Quality Improvement Plan for Maternity Care & Infant Feeding? PROGRESS YES
What percent of your staff have completed the 20 hour training? What percent of your care providers have completed the 3 hour training? Are you collecting & analyzing exclusive breast milk feeding data? Are you auditing mother per the BFUSA Guidelines and Criteria? Are you auditing staff and providers per the BFUSA Guidelines and Criteria? Are you paying for formula? Have you implemented your QI Plan? Have you completed your Readiness Telephone Interview by Baby-Friendly USA? Have you completed your Mock Survey? Have you scheduled your On-site assessment with 9. Do you have a written infant feeding policy? Yes No If no, go to next question. If yes, please identify the types of issues that are addressed in your policy, as applicable: Formal in-service training programs for hospital staff Prenatal classes informing mothers about breastfeeding Asking about mothers feeding plans Initiating breastfeeding within 60 minutes after uncomplicated vaginal birth Initiating breastfeeding after recovery for births by uncomplicated cesarean section Showing mothers how to express breast milk and maintain lactation should they be separated from their infants Giving breastfed infants food or drink other than breast milk 24-hour/day rooming-in Breastfeeding on-demand and duration and frequency of individual feedings Use of pacifiers by breastfed infants Referral of mothers with breastfeeding problems to appropriate resources (e.g. lactation consultant/specialist, community support group, medical provider, WIC Program) Referral of mothers to appropriate community breastfeeding resources upon discharge 10. Describe barriers you have overcome in the last 3-5 years to increase your breastfeeding rates and how you overcame them. (max 100 words) 11. Why would this project be beneficial to your hospital at this time? (max 100 words)
12. Do you have any additional information that you feel would be a compelling reason for your hospital to be selected to participate in this project? (please include only information that has not been stated in the previous answers. This question is not being scored.) (max 100 words) Appendix A. Sample CEO/CNO Letter of Support (Letter should be completed on official hospital stationary) Date BEST Project Breastfeeding Task Force of Greater Los Angeles Dear Review Committee, I am writing in support of (hospital s name) s application for the Breastfeeding Task Force of Los Angeles BEST Project. We are committed to improving our maternity care practices that support breastfeeding and to take the steps to achieve Baby-Friendly designation. The staff and management of (hospital name) will work together to improve the education, care and support offered to our breastfeeding families. We will lend our support and assistance to this important endeavor. Sincerely, Name Title (CEO/president) and Name Title (CNO)