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 32 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.
Hear from One of Our Mother Partners
Breastfeeding in 2019: Safe Sleep, Bias, Gender Equitable Norms, and Paid Leave
In honor of National Breastfeeding Month, we’ve taken time with NICHQ Faculty Expert, Lori Feldman-Winter, MD, MPH, an internationally and nationally recognized expert on breastfeeding nutrition, education and policy, to recognize successes and learn about opportunities for improvement. Her frank description of bias and her passion for promoting gender-equitable social norms have inspired us to continue pursuing sustainable improvements.
Our Systems Meant to Help Are Hurting Black Families
When does mandated reporting hurt rather than improve health outcomes? Erin Cloud, who’s spent the past seven years advocating for parents in the child welfare system, shares a thought provoking story about what happens when biased reporting causes unintentional harm. Here, we shine a spotlight on this troubling example of when systems meant to support children’s health end up failing black mothers and children.
How Do We Address Safe Sleep Disparities? Start by Building Trust
Healthy babies shouldn’t die in their sleep. But, despite decades of trying to reduce the number of sudden unexpected infant deaths (SUID) they still persist. And most often, their persistence affects families of color. In this article, Founder of the Global Infant Safe Sleep Center, Stacy Scott, shares ideas on how we can best address this alarming lack of equity and reduce sleep-related deaths across all populations.
Closing the Breastfeeding Disparity Gap: Methods for Improvement
When compared to all other racial groups, Hispanic mothers are most likely to supplement breastmilk with formula within the first two days of life. One hospital on the Texas-Mexico border, serving a nearly 100 percent Hispanic population, has introduced a variety of interventions aimed at closing the breastfeeding disparity gap, specifically as it relates to exclusive breastfeeding.
QI Initiative Brings National Changes to Breastfeeding Support
The NICHQ-led Best Fed Beginnings initiative has made it possible for 218,000 more babies to be born in Baby-Friendly hospitals every year. Collaboration was essential because of the complex challenges for creating better breastfeeding support.
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.