WOMEN-INSPIRED SYSTEMS ENRICHMENT

WISE PROVIDED QUALITY IMPROVEMENT ADVISING TO THE NEW YORK CITY BREASTFEEDING HOSPITAL COLLABORATIVE: COHORTS 1 & 2 (BHC1-2): YEAR 4 OF 5. THIS INITIATIVE IS SPONSORED BY THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE WITH FUNDS FROM THE UNITED STATES CENTERS FOR DISEASE CONTROL AND PREVENTION. WISE'S PROGRAMMATIC SERVICES INCLUDED COLLABORATIVE LEARNING SESSIONS, TRAINING OF TRAINERS, NEED-BASED WORKING GROUPS, MOCK ASSESSMENTS, MONTHLY ACTION PERIOD WEBINARS AND MORE. EIGHTEEN (18) URBAN HOSPITALS COMPRISE THIS INNOVATIVE COLLABORATIVE, COLLECTIVELY SERVING GREATER THAN 43,000 BIRTHING PATIENTS EACH YEAR. BHC1-2 MADE SIGNIFICANT PROGRESS TOWARD ITS STATED GOAL TO "INCREASE FROM 2 TO 12 THE NUMBER OF NYC PUBLIC AND PRIVATE HOSPITALS THAT ARE CERTIFIED AS BABY-FRIENDLY" WITH FIVE (5) BHC1-2 HOSPITALS EARNING THE DESIGNATION IN 2016. WITH THIS, 36% OF NYC HOSPITALS WERE BABY-FRIENDLY, AND 18% OF LIVE BIRTHS OCCURRED IN BABY-FRIENDLY HOSPITALS. THUS, NYC FAR EXCEEDED THE HEALTHY PEOPLE 2020 GOAL (8.1%) AND EQUALED THE NATIONAL AVERAGE (18.3%). WISE PROVIDED QUALITY IMPROVEMENT ADVISING TO THE NEW YORK CITY BREASTFEEDING HOSPITAL COLLABORATIVE: COHORT3 (BHC3). THIS INITIATIVE IS SPONSORED BY THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE WITH FUNDS FROM THE NEW YORK CITY GOVERNMENT. WISE'S PROGRAMMATIC SERVICES INCLUDED DEVELOPMENT OF A CALL AND APPLICATION FOR PARTICIPANTS, PROJECT DESIGN AND EVALUATION, LEADING COLLABORATIVE LEARNING SESSIONS, CONDUCTING INITIAL SITE VISITS, DEVELOPING AND IMPLEMENTING AN INTENSIVE MONTHLY DATA PLAN, CULTIVATING A NETWORK OF PROFESSIONALS AND STAKEHOLDERS, FACILITATING MONTHLY ACTION PERIOD WEBINARS, AND MORE. BHC3 COMPRISED NINE (9) HEALTH SYSTEMS IN NYC, WITH THE INTENTION OF INTEGRATING THREE ADDITIONAL FACILITIES IN 2017. THE AIM IS TO INCREASE FROM SEVEN TO FIFTEEN (OF 40 TOTAL) MATERNITY FACILITIES IN NYC EARNING THE BABY-FRIENDLY DESIGNATION BY SEPTEMBER, 2020.WISE PROVIDED QUALITY IMPROVEMENT ADVISING TO CHAMPS SOUTH, PARTICULARLY LEADING THE DEVELOPMENT OF DATA MANAGEMENT SYSTEMS TO MEASURE CHANGES IN PRACTICE. MEASURE COLLECTION, ANALYSIS AND ARRAY WERE DESIGNED TO DRIVE AND REFLECT RACIAL-ETHNIC INEQUITIES IN PRACTICES AND OUTCOMES. WISE ALSO DESIGNED AND CONDUCTED COMPETENCY-BASED "TRAINING OF TRAINERS," TECHNICAL ASSISTANCE SITE VISITS, AND MOCK ASSESSMENTS. CHAMPS SOUTH WAS DEVELOPED BY THE BREASTFEEDING CENTER AT BOSTON MEDICAL CENTER WITH FUNDING FROM THE W. K. KELLOGG FOUNDATION. CHAMPS SOUTH AIMED TO BUILD PARTNERSHIPS AMONG HEALTH SYSTEMS, COMMUNITY MEMBERS, COMMUNITY ORGANIZATION, STATE HEALTH DEPARTMENTS, WIC, AND OTHERS. CHAMPS AIMED TO PROMOTE MATERNITY BEST PRACTICES, INCREASE BREASTFEEDING RATES, DECREASE DISPARITIES, AND SUPPORT HEALTH SYSTEMS TO IMPLEMENT THE TEN STEPS TO SUCCESSFUL BREASTFEEDING - ULTIMATELY EARNING THE BABY-FRIENDLY USA DESIGNATION. CHAMPS SPECIFICALLY TARGETS HOSPITALS IN SOUTHERN STATES WHERE THE DIFFERENCES IN BREASTFEEDING RATES BETWEEN BLACK AND WHITE INFANTS ARE GREATEST. WITH HELP FROM CHAMPS, EXCLUSIVE BREASTFEEDING RATES AND COMMUNITY SUPPORT INCREASED SIGNIFICANTLY IN 33+ HOSPITALS ACROSS MISSISSIPPI, NEW ORLEANS, TEXAS, AND SOUTHERN TENNESSEE. WISE PROVIDED QUALITY IMPROVEMENT ADVISING TO THE VIRGINIA MATERNITY CARE BREASTFEEDING-FRIENDLY DESIGNATION PROGRAM, SPONSORED BY THE VIRGINIA DEPARTMENT OF HEALTH WITH FUNDS FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION. WISE FACILITATED MONTHLY ACTION PERIOD WEBINARS, PARTNERED WITH IN-STATE FACULTY TO FACILITATE TOPICAL WORK GROUPS, AND PLANNED, IMPLEMENTED AND EVALUATED THE ANNUAL COLLABORATIVE LEARNING SESSION. WISE ALSO PROVIDED TRAINING TO VIRGINIA DEPARTMENT OF HEALTH PERSONNEL AND OTHER LOCAL EXPERTS TO ENSURE SUSTAINABILITY OF TECHNICAL ASSISTANCE, MEASUREMENT, AND NETWORK COHESION. WISE CREATED AND DISSEMINATED PATIENT EDUCATION MATERIALS TO SATISFY UNMET NEEDS FOR CULTURALLY-HUMBLE, ACCESSIBLE, EVIDENCE-BASED INFORMATION ABOUT SAFE INFANT FORMULA USE, NORMAL NEWBORN FEEDING PATTERNS, E-RESOURCES FOR FEEDING SUPPORT, PRENATAL ANTICIPATORY GUIDANCE, FORMULA / HUMAN MILK COMPOSITION COMPARISON AND MORE. ALL MATERIALS ARE FREE AND ACCESSIBLE ONLINE. TO DATE, WISE HAS CONFIRMED THAT THE MATERIALS ARE BEING USED IN MORE THAN 40 HOSPITALS AND/OR CLINICS.