Systems Design

  • A Breastfeeding Culture Starts in the Community, Not Hospital

    Posted August 27, 2015 by Heidi Agostinho

    I have worked in Florida helping women to breastfeed for over 25 years and I have heard multiple stories of mothers being misdirected and unsupported by healthcare professionals. I also experienced it myself. So in 2009, when I was asked to begin a project to help Florida hospitals become Baby-Friendly designated and make policy and environmental changes that most believed to be impossible, I couldn’t say no.

    Read more... Comments (0)
  • Why I Participate: By Parent Partner Jennifer Ferrieri

    Posted August 18, 2015 by Jennifer Ferrieri

    Jennifer Ferrieri, a mother of two, shares her breastfeeding experience and why she joined the New York State Breastfeeding Quality Improvement in Hospitals (BQIH) Collaborative as a parent partner.

    Read more... Comments (0)
  • Georgia Becomes Baby-Friendly One Hospital at a Time

    Posted August 13, 2015 by Cindy Hutter

    For DeKalb Medical Center in Decatur, Georgia, becoming designated as Baby-Friendly somehow always got relegated to a “someday list” when there was more time, more resources and fewer competing priorities. Now, someday is today. DeKalb Medical became the first hospital in Georgia to earn Baby-Friendly accreditation, a status which is reserved for birthing facilities that meet recommended care guidelines for lactating mothers and their babies. Georgia families are grateful.

    Read more... Comments (0)
  • The Linchpin in Patient-Centered Medical Home Transformation

    Posted August 11, 2015 by NICHQ

    NICHQ has long been a champion for the active participation of family partners on improvement teams. The reason is simple: system improvement should be driven by the perspective of the people most closely affected by the system’s performance. This was a foundational principle for the CHIPRA Massachusetts Medical Home Initiative, in which the engagement of family partners on improvement teams helped transform 13 pediatric practices into patient-centered medical homes (PCMHs). As a result, the initiative was among the nominees for the 2015 John Q. Sherman Award for Excellence in Patient Engagement.

    Read more... Comments (0)
  • The Gift of a Mother Partner

    Posted August 05, 2015 by Rebekka Henriksen

    In my role as Mother Chair for the New York State Breastfeeding Quality Improvement in Hospitals (BQIH) Collaborative, it has been my privilege to help participating hospital teams connect with and utilize their local parent partners. At times, however, hospital teams struggle with the why’s (why is this role important) and how’s (how can a parent, and more specifically, a mother partner contribute to the implementation of the 10 Steps to Successful Breastfeeding).

    Read more... Comments (0)
  • 218,000 More Babies Per Year to Be Delivered at Baby-Friendly Hospitals

    Posted August 03, 2015 by Cindy Hutter

    NICHQ is proud to celebrate breastfeeding awareness through World Breastfeeding Week and National Breastfeeding Month. These observances come on the heels of a report detailing impressive results from Best Fed Beginnings, a NICHQ-led, groundbreaking national initiative to help hospitals improve breastfeeding-related maternity care and increase the number of Baby-Friendly hospitals in the U.S.

    Read more... Comments (0)
  • States Put the Squash on Smoking During Pregnancy

    Posted July 24, 2015 by NICHQ

    One of the core strategies for lowering the U.S. infant mortality rate is to reduce smoking before, during and after pregnancy. Smoking during pregnancy is associated with multiple fetal health risks, including sudden unexpected infant death. Currently, 21 of 53 states and territories that are part of the Collaborative Improvement and Innovation Network to Reduce Infant Mortality (IM CoIIN) are testing different smoking cessation methods in their communities.

    Read more... Comments (0)
  • Alaska Shows Perinatal Regionalization Works to Reduce Infant Deaths

    Posted July 13, 2015 by Kristie Velarde

    When Stephanie Birch, RNC, MPH, MS, was a new nurse in 1982, Alaska’s infant mortality rate was the highest in the nation. More than 30 years later, Alaska sits at the opposite end of the spectrum, with the lowest rate of infant deaths. While it wasn’t a quick fix, Birch says Alaska shows significant improvement is possible. "You have to be willing to be open to the possibilities for improvement,” she says. “And, don’t give up.”

    Read more... Comments (0)
  • Retraining Hospital Staff to Prioritize Breastfeeding

    Posted July 09, 2015 by Rachel Kremen

    About 80 percent of the women giving birth at CHRISTUS Hospital - St. Elizabeth in Beaumont, TX breastfeed with 50 percent exclusively breastfeeding during their stay. The exclusive rate is up 13 percent from just two years ago. The increase is a result of considerable efforts to retrain staff, eliminate formula giveaways, prioritize skin-to-skin bonding between mother and baby, and educate pregnant women about the benefits of breastfeeding.

    Read more... Comments (0)
  • 5 Key Elements of High-Performing Pediatric Care Coordination

    Posted July 07, 2015 by NICHQ

    A new paper from NICHQ presents a framework from improving care coordination services in pediatric primary care. Derived from lessons learned from the Massachusetts CHIPRA Medical Home Learning Collaborative, the paper address five key elements of high-performing pediatric care coordination.

    Read more... Comments (0)
  • LARC Accessibility, Knowledge Key for Better Interconception Care

    Posted April 15, 2015 by Rachel Kremen

    Contraception is often the last thing on a woman’s mind right after her baby is born. But increasing maternal access to long-acting reversible contraception (LARC) immediately after delivery could have a positive impact on the health of the newborn and future siblings.

    Read more... Comments (0)
  • The Secret to Increasing Hospital Breastfeeding Rates

    Posted April 09, 2015 by Emily Trask

    As hospitals work to increase exclusive breastfeeding rates, they are often challenged by staff members who are resistant to new processes and workflows. Several hospitals are successfully overcoming this obstacle by fostering staff change agents who are involved in the decisions on changes to existing workflows.

    Read more... Comments (0)
  • What’s Behind NYC's Drastic Decrease in Infant Mortality Rates?

    Posted April 07, 2015 by Cindy Hutter

    The saying, "if you can make it here you can make it anywhere," of New York City, holds true for even its youngest members. New York City’s infant mortality rate - 4.6 deaths per 1,000 live births in the first year of life - is nearly 30 percent lower than the US rate. What’s the city’s secret?

    Read more... Comments (0)
  • Making the Case for Using an Internal PTF for Medical Homes

    Posted April 03, 2015 by Cindy Hutter

    In our new white paper, Cultivating Internal Change Agents for Medical Home Transformation, learn about an innovative approach to training internal practice transformation facilitators (PTFs) for medical home implementation efforts.

    Read more... Comments (0)
  • Patient Passports Bring Us One Step Closer to a Patient-Centered Healthcare System

    Posted March 19, 2015 by Cindy Hutter

    NICHQ’s Chief Financial Officer and ardent patient engagement advocate, Tom Dahlborg, MSM, has written extensively about the need for patient-centered care. Dahlborg represents NICHQ on the National Quality Forum’s patient and family engagement action team. The team recently released a Patient Passport tool that encourages better patient engagement with providers.

    Read more... Comments (0)
  • Viewing Health as a System

    Posted March 07, 2014 by Charlie Homer, MD, MPH

    Improvement science teaches us to view outcomes—such as health—as the inevitable product of a system, with the implication that achieving improved outcomes requires changing the system itself. A deep understanding of the system and how it functions can enable smarter decisions about selecting high leverage changes in order to improve system performance.

    Read more... Comments (0)
  • Far From a Gold Medal Performance

    Posted February 28, 2014 by Jonathan Small, MBA

    We have a long way to go before we get a gold medal in child health outcomes. I suggest we begin in a humble place – with the recognition that, while we may have much to teach other countries, we also have a lot to learn.

    Read more... Comments (0)
  • The Secret Ingredient to Fixing Systems Problems

    Posted February 12, 2014 by Cindy Hutter, MBA

    The mantra in quality improvement is “every system is perfectly designed to get the results it gets.” Regardless of your system of choice—your workplace, your home, your community—you’ll need knowledge to improve the system and get the results you want. It’s impossible to be a change agent without being a knowledge seeker first.

    Read more... Comments (0)
More

Archive

Tagcloud

breastfeeding Baby-Friendly infant health parent partner patient and family engagement ADHD NICHQ Vanderbilt Assessment Scale ADHD Toolkit patient engagement quality improvement quality care system design care coordination medical home Best Fed Beginnings skin to skin Ten Steps to Successful Breastfeeding NICHQ newborn screening sickle cell disease asthma CoIIN infant mortality LARC ASTHO smoking cessation reduce smoking QI tips aim statement safe birth Ten Steps Texas Ten Step perinatal regionalization skin-to-skin contact 10 Steps staff training small tests PDSA SCD acute care disparities mother-baby couplet collective impact population health preconception interconception health National Coordinating and Evaluation Center Newborn Screening Program substance abuse breast milk formula milk bank crisis video Huffington Post fundraising campaign safe sleep first responders SIDS SUID team turnover fatigue burnout Lamaze NYC patient tools patient transformation facilitator improvement collaboration healthcare health system health equity innovation design thinking learning collaborative best practices leadership engagement buy in CYSHCN medically fragile chronically ill cartoon obesity healthy weight clinic nutrition counceling healthy weight plan sickle cell diease treatment protocol prenatal education family engagement family health partner positive deviance diabetes public health evaluation maternity care healthy start Childrens Health Collaborative Improvement and Innovation Network Health Outcomes Measurement Cross-Sector Collaboration Improvement Science Knowledge Sharing Bullying Child Health Healthy Living Mental Health Prevention Childhood Obesity Health Disparities Quailty Improvement Systems Change Systems Design Advocacy Health Policy autism ASD