Got Breast Milk? Incorporating a Perinatal Information System to Measure Exclusive Breast Milk Feeding
- Identify methods to document organizational adherence to Joint Commission Core Measures for Exclusive Breast Milk Feeding.
- Identify methods to monitor organizational adherence to Joint Commission Core Measures for Exclusive Breast Milk Feeding.
- Describe and example of educational and implementation stategies used in our organization.
Exclusive breast milk feeding is a long expressed goal of WHO, AAP, ACOG and the Department of Health and Human Service and was identified by The Joint Commission as a Perinatal Care measures ( Joint Commission Core Measure PC-05) in January 2010. There is no greater healthcare challenge than that of clinical information and documentation. It is in gathering and making accessible information about the patient, about care provided and outcomes that we will be able to measure the number of exclusively breast milk fed newborns compared to all term newborns
Proposed change: To capture early breastfeeding attempts and successes in a real-time, electronic record
Implementation, outcomes and evaluation:
Duke University Health System (DUHS) partnered with our established perinatal information system to identify and develop consistent processes, policy and clinical performance measurements for exclusive breast milk feeding. A multidisciplinary team was formed to include representatives from the health system in partnership with the vendor. The team included Lactation Consultants, Nursing, Medical Providers, Nursing Leadership, Nursing Education and Nursing Informatics. The goal was to share perspectives across the health system in developing consistent practices and measuring clinical performance using the current perinatal information system.
The key challenge is consistent education and clinical practice of care providers in the outpatient and inpatient clinical settings of DUHS. An algorithm was developed to assist with the incorporation of the core measure PCO5 into the DUHS Perinatal Information System. This presentation will address pre and post-implementation data.
Outcomes:
Streamlined documentation
Increased accuracy of clinical information
Implications for nursing practice:
Readily available information at the point of care across a health system and across a continuum of perinatal care
Participation in Quality Improvement project
Keywords:
Joint Commission Core Measures
Early Breastfeeding
Electronic Medical Record
