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Perinatal Multidisciplinary Quality Improvement Tutorial

MO-10-0017 BFP

Preparing Hospital Management for the Birth and Beyond California (BBC) Project

Some hospitals that qualified for the Birth and Beyond California Project were not yet ready to participate.  Regional Perinatal Program of California (RRPC) Region 8, in Orange County, developed and offered a six-session Quality Improvement (QI) tutorial workgroup in order to prepare them for participation.  Tutorial participants learned how to create systems to successfully improve their maternity services.

Hospital administration, risk management and perinatal management staff from multiple facilities were invited to participate in this tutorial work group that was led by RPPC staff.  Outside speakers were added when appropriate.  Through this series of sessions, the group learned how to create a Multidisciplinary Quality Improvement (MQI) Committee for each facility using Work Group participants as the nucleus.

The outcome of the six one-hour sessions was a Hospital Quality Improvement Team at each facility. The Team provided leadership in implementing evidence-based policies and practices that support breastfeeding within the maternity care setting.  In addition, those who participated in this project became the nucleus for their own Regional Quality Improvement Network.

Below are the meeting topics and downloadable materials.  Speaker’s notes in the PowerPoint presentations provide additional direction.

Download the full Tutorial (23.4 MB)

Individual sessions are can be downloaded below:

1.  Introduction
  • Regional QI Meeting #1 Agenda (Word)Opens a new browser window.
  • Regional QI Meeting #1 - Introduction (PowerPoint, 2.5 MB)Opens a new browser window.
  • Multidisciplinary QI Team Worksheet (Word)Opens a new browser window.
  • OC Program Timeline (PDF)Opens a new browser window.
  • Regional QI Flowchart Generic (PDF)Opens a new browser window.
  • Multidisciplinary Improved Hospital Breastfeeding Rates (PDF)Opens a new browser window.
  •  4. Data and Tools
  • Regional QI Meeting #4 Agenda (Word)Opens a new browser window.
  • Regional QI Meeting #4 - Data and Tools (PowerPoint, 2.4 MB)Opens a new browser window.
  • OC Program Timeline (Word)Opens a new browser window.
  • Regional QI Flowchart Generic (PDF)Opens a new browser window.
  •  2. Creating a Team
  • Regional QI Meeting #2 Agenda (Word)Opens a new browser window.
  • Regional QI Meeting #2 - Creating Team (PowerPoint, 1.1 MB)Opens a new browser window.
  • PDCA (Plan-Do-Check-Act) Cycle (PDF)Opens a new browser window.
  • PDCA (Plan-Do-Check-Act) FlowChart Problem Specific (PDF)Opens a new browser window.
  • Multidisciplinary QI Team Worksheet (Word)Opens a new browser window.
  • Multidisciplinary Improved Hospital Breastfeeding Rates (PDF)Opens a new browser window.
  •  5. Education
  • Regional QI Meeting #5 Agenda (Word)Opens a new browser window.
  • Regional QI Meeting #5 - Education (PowerPoint)Opens a new browser window.
  •  3. The PLAN-DO-CHECK-ACT (PDCA) Cycle
  • Regional QI Meeting #3 Agenda (Word)Opens a new browser window.
  • Regional QI Meeting #3 - PDCA Cycle (PowerPoint, 1.4 MB)Opens a new browser window.
  • Multidisciplinary Improved Hospital Breastfeeding Rates (PDF)Opens a new browser window.
  • PDCA (Plan-Do-Check-Act) Cycle (PDF)Opens a new browser window.
  • Regional QI FlowChart Generic (PDF)Opens a new browser window.
  • PDCA (Plan-Do-Check-Act) Flowchart Problem Specific (PDF)Opens a new browser window.
  •  6. Sustainability
  • Regional QI Meeting #6 Agenda (Word)Opens a new browser window.
  • Regional QI Meeting #6 - Sustain (PowerPoint, 1.1 MB)Opens a new browser window.
  • QI Project Umbrella Graph (PDF)Opens a new browser window.
  • Regional QI Flowchart Generic (PDF)Opens a new browser window.
  • Individual Hospital Visits

    After this series, it is helpful to conduct individual hospital visits. A PowerPoint (PowerPoint, 3.8 MB)Opens a new browser window. with suggested topics to discuss during this visit is also included.

  • Hospital Site Visit (PowerPoint, 3.8 MB)Opens a new browser window.
  • Needs Assessment Tool - Hospital (Word)Opens a new browser window.
  • Needs Assessment Tool - Lactation Service (Word)Opens a new browser window.
  • Prior to this hospital visit, include hospital-specific data in the PowerPoint Slides.   Examples are provided within the slides.

    Data to include in the slide set can be found at:
  • California Department of Public Health’s In-Hospital Breastfeeding Data
  • California WIC Association’s “Hospitals Breastfeeding Rates Reports”
  • CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC) Benchmark Report. Hospitals that participated in this Centers for Disease Control (CDC) and Prevention survey received a report that compares a facility's total score and individual scores on each of the maternity practice domains included in the survey, with the scores of other facilities in the same state as well as facilities of a similar size (i.e., number of births annually) from across the country.
  • Confidential, Internal Hospital QI Projects and data could be added, with the consent of Hospital Administration such as:
  • Perinatal Profiles
  • Breastfeeding rates
  • Rooming-in rates
  • Supplementation rates
  • Self-assessments using the Baby Friendly Hospital (PDF)Opens a new browser window. or California Model Hospital Policy Recommendations (Word)Opens a new browser window.
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    Last modified on: 6/14/2011 8:15 AM