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Upcoming important dates, next steps for the Human Milk NCCC Phase II Initiative...
(The HM NCCC initiative's weekly email newsletter comes out every Wednesday.)
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| Help! |
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We would like for each of you to complete a survey to help us better assess what types of services, protocols, and practices your hospital currently has in place. This will help us to focus our Phase III efforts over the next several months and move the initiative forward.
Please use this ink to complete the Phase II initiative snapshot questions.
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Milk NCCC Phase II Learning Session 2 "Ring of Knowledge"
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If you brought materials to the learning session for the 'Ring of Knowledge' and you have them in digital form please send them to me so that we may post them up to share with those teams who weren't able to attend
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Announcements to all Initiatives
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We wanted to make all hospitals aware that there will be a change in the enrollment of patients in the NCCC Exclusive Breast Milk Initiative. To allow smaller units to join the initiative the inclusion criteria of <1500 grams will no longer apply. For the larger units you may still only submit data for the <1500 gram pts. Please send me an email to let me know if you are interested in joining the Exclusive Human Milk NCCC initiative.
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| Culture: "The Call to Adventure" Leadership's Role |
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Effective change efforts are usually initiated by effective leaders. These individuals are often described as visionary, they are described as demonstrating a willingness to "step out in front", take risks or "take the bold step forward."
Embarking on a journey into the unknown requires a deep level of personal commitment. When leadership moves beyond personal achievement or advancement and seeks to improve peoples' lives, it enters the realm of creating purpose and meaning. It means putting yourself and your ideas on the line. One of the leader's most significant roles is to create an environment in which others can take risks-to "hold the space," invite people in and make transformation possible. (Kimball, 2005).
Are you as a leader willing to take a bold step forward and put yourself and your ideas on the line to make change happen?
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| QI Tips: Supporting change with data |
|  Supporting change with data:
What is meant by the term data? How can we use data to guide actions for improvement? To make effective changes we have to be observant. Observation is an important source of learning while trying to improve, however, there are some weaknesses associated with relying on observation alone: - Our mind filters observations.
- Our present observations are affected by our past observations, .
It is useful, then, to turn observations into data. We define data as documented observations, including those that result from a measurement process. Five types of data have been found to be useful in supporting improvement efforts: - Continuous measurements,
- Counts of observations,
- Documentation of what people think and feel,
- Rating,
- Ranking.
No matter what type of data you are collecting, the collection of data should start with a plan. Include in the plan: - What data will be collected
- How they will be collected
- Who will collect them
- When and where they will be collected .
Langley, Gerald J.; Moen, Ronald D.; Nolan, Kevin M.; Nolan, Thomas W.; Norman, Clifford L.; Provost, Lloyd P. (2009-06-03). The Improvement Guide: A Practical Approach to Enhancing Organizational Performance (JOSSEY-BASS BUSINESS & MANAGEMENT SERIES) (Kindle Locations 827-828). Wiley Publishing. Kindle Edition. |
In the literature...
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|  Title: Combining hand techniques with electric pumping increases the caloric content of milk in mothers of preterm infants J Morton1, RJ Wong1, JY Hall1, WW Pang2, CT Lai2, J Lui2, PE Hartmann2 and WD Rhine1
Objective: We previously reported that preterm mothers' milk production can exceed levels of term mothers by using early hand expression and hands-on pumping (HOP) with the highest production (955 ml per day) in frequent users of hand expression. In this study, we compared milk composition between mothers stratified by early hand expression frequency.
Conclusion: Mothers combining manual techniques with pumping express high levels of fat-rich, calorie-dense milk, unrelated to production differences.
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November Webinar
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The next webinar will be Tuesday, November 12th, 2:00 - 3:00 PM. Please plan to have at least one person from your team on the call so we can hear your 'voice'.
Click here for webinar information.
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Contact
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Tammy Haithcox
PQCNC Clinical Initiative Manager
Tammy.Haithcox@pqcnc.org
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