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Toolkit: Implementing The Joint Commission Perinatal Care Core Measure on Exclusive Breast Milk Feeding

Background

On March 31, 2010, The Joint Commission’s Pregnancy and Related Conditions core measure set was retired and replaced with the new Perinatal Care core measure set. The new Perinatal Care core measure set became available for selection by hospitals beginning with April 1, 2010 discharges.

On November 30, 2012, The Joint Commission announced that the Perinatal Care core measure set would become mandatory for all hospitals with 1,100 or more births per year, effective January 1, 2014.

The USBC toolkit, Implementing The Joint Commission Perinatal Care Core Measure on Exclusive Breast Milk Feeding, addresses the exclusive breast milk feeding core measure.

Download the Toolkit (revised 2013)

Part 1 of the toolkit, Guidelines for Data Collection, was originally released in January 2010. It is designed to aid hospitals and maternity facilities in accurate collection of the data needed to comply with the new measure. The toolkit was re-released with the addition of Part 2 in December 2010. Part 2 of the toolkit, Implementing Practices That Improve Exclusive Breast Milk Feeding, focuses on improving adherence to evidence-based best practices, which is ultimately reflected in rates of exclusive breast milk feeding.

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Resources for Hospitals/Maternity Centers

Below is a list of selected resources, some of which are available at no cost, and some of which are available for purchase. This list is by no means exhaustive and may be periodically updated. The United States Breastfeeding Committee has no financial interest in the sale or use of any of these resources.

California Department of Public Health: Examples of consents to supplement

  • Includes two model consent forms in English and one in Spanish
  • Includes model policy (from Kaiser) for supplementation

Academy of Breastfeeding Medicine: Clinical protocols

  • See especially Protocol #3 (Supplementation) and Protocol #7 (Model Hospital Policy)

Lamaze International: Healthy birth practices

  • Includes care practice papers such as Keep Mother and Baby Together—It’s Best for Mother, Baby, and Breastfeeding

Health Education Associates: Resources on skin-to-skin contact

JSI Maternal and Infant Health Project: "The Warm Chain"

  • Ten-minute online video demonstrating the World Health Organization’s recommendations on skin-to-skin contact and other measures for preventing neonatal hypothermia

California Department of Public Health: Birth and Beyond California: hospital breastfeeding quality improvement and staff training demonstration project

  • Utilizes Quality Improvement (QI) methods and training to implement evidence-based policies and practices that support breastfeeding within the maternity care setting

Breastfeeding Friendly Consortium: Online provider training module

  • Provides up to 20 hours of credit, designed for physicians, nurses, educators, and health care professionals

Association of Women’s Health, Obstetric and Neonatal Nurses: Guidelines for Professional Registered Nurse Staffing for Perinatal Units

  • Provides staffing recommendations for nurses as well as for lactation consultants

U.S. Lactation Consultant Association: International Board Certified Lactation Consultant Staffing Recommendations for the Inpatient Setting

  • Provides staffing recommendations for lactation consultants in various hospital settings