Breastmilk Nutrition - Collaborative #2

One of the most important and high visibility outcomes associated with NICU healthcare today is the metric “Percentage of Very Low Birth Weight Infants (VLBW) Discharged Home on Any Breastmilk”. Despite this, the median percentage of very low birth weight infants discharged on any breastmilk of the 118 participating CPQCC NICUs in the 2007 data set was only 48%. 

Because of this surprisingly low rate, the 5-fold variation in rates across the state, and since breastmilk feeding has been associated with numerous improved outcomes, California Perinatal Quality Care Collaborative (CPQCC)  has chosen to focus on breastmilk nutrition for its 2009 Quality Improvement Collaborative.  The goal of this collaborative is to: Increase the percentage of VLBW infants receiving any breastmilk at discharge by implementing a series of evidence-based best practices system-wide. To move your NICU further faster, CPQCC in partnership with California Children’s Services (CCS) has already identified the relevant scientific evidence and hand-selected a panel of the nation's leading improvement experts to guide the CPQCC/CCS Breastmilk Nutrition Quality Improvement Collaborative.

As survival rates for preterm infants and all NICU patients improve, more attention is being focused on improving the quality of survival through optimal nutritional management. This collaborative provides an opportunity for your NICU to aggressively pursue an improved care system for newborns requiring treatment involving breastmilk nutrition.  

The primary aim of this collaborative is to increase the percentage of infants with birthweight of less than 1500 grams receiving any breastmilk at discharge.

Results

CPQCC Collaborative #2: (10.2009 thru 10.2010)

o   Increase from 54.6% breast milk feeding to 64.0% at end of collaborative
o   Decrease in NEC rates from 7.0% to 2.4% at the end of the collaborative