New York State Breastfeeding Quality Improvement in Hospitals (BQIH) Collaborative
A quality improvement initiative to increase exclusive breastfeeding rates and the duration of any breastfeeding among new mothers, especially low-income women participating in WIC and Medicaid, by improving hospital and worksite policies, practices, systems, and environmental supports for breastfeeding to be consistent with New York State laws, regulations and other policies.
June 2010 to March 2012 (Phase 1); April 2013 to October 2017 (Phase 2)
- Who: Participants include 12 teams in Phase 1 and 20 teams in Phase 2.
- Funder: This project is in partnership with the New York State Department of Health (NYSDOH) Bureau of Community Chronic Disease Prevention. It is funded by the NYSDOH and the Centers for Disease Control and Prevention (CDC).
- Our Role: Facilitate a modified Breakthrough Series Collaborative to apply quality improvement methodology to increasing exclusive breastfeeding rates within a selected group of New York State hospitals. We also assist in building NYSDOH’s internal quality improvement capacity by providing expertise and coaching to the NYSDOH staff supporting the project.
Cultural Sensitivity for Better Breastfeeding Outcomes
Cultivating better breastfeeding habits means respecting cultural beliefs while supporting families to consider evidence based best practices. It relies on forming relationships, slowing down the conversations to uncover the beliefs and circumstances unique to each mother, and utilizing a series of small steps of change to uncover what might be possible. Here's a list of best practices from Davis, who possesses 17 years of community-based health experience.
NYS Builds Unlikely Partnership to Promote Safe Infant Sleep
Because safe sleep is such a complex issue that requires continuous communication and education for families, the New York State Department of Health uses a multifaceted approach with its safe sleep project.
Mother Partners: Promoting Patient-Centered Policies to Support Breastfeeding
Mothers aren't just benefiting from improved practices and policies, they're helping hospitals identify strategies to better serve their patients.
Rooming-in: An Essential Evolution in American Maternity Care
The systematic use of nurseries in hospitals remains an expectation for many families, and now the move to rooming-in is challenging for the hospital staff and parents because many families do not understand the value of babies rooming-in with mothers.
NYS Hospitals See Dramatic Results in Breastfeeding Collaborative
Aggregate results of the 12 hospitals saw a 16 percent improvement in their exclusive breastfeeding rate, 10 percent improvement in babies going skin-to-skin with mothers after a vaginal birth, and 27 percent increase in skin-to-skin after a cesarean section.
Being Small Has Advantages for Hospitals Implementing the Ten Steps
Turns out, size may not matter. Small rural hospitals in New York State are experiencing as much, if not more, success in implementing evidenced-based practices to improve maternity care practices as their bigger suburban and urban counterparts.
What BQIH Project Participants Say
Working with NICHQ, I have been able to assist communities all over New York State with their breastfeeding care efforts. The NICHQ staff is experienced, organized and thorough, ensuring each interpersonal interaction is maximally engaging and productive. Because of the way change efforts are organized, I find myself learning new procedural and educational techniques, and even more about my own field! Thanks to NICHQ for including me on this interesting ride.
It has been an honor to work with NICHQ as a Parent Faculty member. I admire how NICHQ continues to center their work around the people directly impacted by it: families and children. They actively work to include these voices throughout project implementation, ensuring that policies remain grounded in patient experiences and feedback. The expertise and professionalism of NICHQ staff has meant that I always feel supported, and confident that all stake holders are included in the process.
I want to tell you how much I have enjoyed and learned from all of you at NICHQ. You are enthusiastic, supportive, smart and FUN. You have talked me off the ledge many times when I wanted to quit. You are true leaders and passionate about what you do.