Systems Design

  • Managing Life Stressors Helps to Reduce Infant Mortality

    Posted September 29, 2015 by Wendy Loveland

    Participants in the Collaborative Improvement and Innovation Network to Reduce Infant Mortality (IM CoIIN) are working to reduce the U.S.’s infant mortality rate and improve birth outcomes. By addressing the underlying causes of infant mortality, in particular, stress, teams hope to reduce infant deaths overall, as well as close the disparity gap between white and black babies.

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  • Diaper Vouchers Add Extra Incentive for Pregnant Women to Quit Smoking

    Posted September 22, 2015 by Cindy Hutter

    It is not exactly cold hard cash, but don’t poo poo it. Free diapers are enough of an incentive to encourage pregnant women to quit smoking and stay quit.

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  • A Practical Approach to Keep Stakeholders Engaged

    Posted September 10, 2015 by Cindy Hutter

    When it comes to building and maintaining support for its ongoing infant mortality reduction efforts, the Wisconsin Division of Public Health has a practical solution: repackage and re-share. Factsheets are helping Wisconsin build and maintain support for their infant health work.

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  • Addressing Infant Health Disparities in the American Indian Population Starts by Building Trust with Tribes

    Posted September 03, 2015 by Rachel Kremen

    Native Americans have rich traditions and beliefs that often conflict with Western healthcare culture. To address disparities in infant health in this vulnerable population, experts say public health and healthcare workers need to build relationships first, then offer advice second.

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  • Resources and Must Reads for Infant Mortality Awareness and Sickle Cell Awareness Month

    Posted September 01, 2015 by NICHQ

    NICHQ is joining with organizations around the country and world to celebrate Infant Mortality Awareness Month and National Sickle Cell Awareness Month in September. NICHQ has a long history of working to improve outcomes on these health topics. We invite you to explore and share our resources, stories, videos and other materials related to reducing infant mortality rates and improving care for individuals with sickle cell disease.

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  • A Breastfeeding Culture Starts in the Community, Not the 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.

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  • 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.

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  • 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.

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  • 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.

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  • 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).

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  • 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.

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  • 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.

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  • 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.”

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  • 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.

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  • 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.

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  • 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.

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  • 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.

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  • 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.

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