C3-a - Well-Baby Visits in Primary Care

Theme 2. Optimizing capacity of interprofessional teams

Presentation Materials (Members only)

Well Baby Group Baby Friendly Initiative (BFI)

(I) Well-Baby/Well-Child Care Groups: The Bridgepoint FHT Report Five Years Later

Learning Objectives

The Bridgepoint FHT has been providing well baby care in a group model since 2010. Well baby groups optimize the scope of nursing practice, primary provider time and create a community of support for new parents. In this workshop we will explain how to get groups started, discuss pitfalls and successes and how to automate your processes to keep this model sustainable.

Summary

Well-baby groups were started at the Bridgepoint FHT due to the overwhelming demand for well child appointments. Since 2010 we have utilized and revised our model for well baby group visits. This model of care optimizes the nursing scope of practice, improves primary provider efficiency while meeting the needs of the growing young community our FHT serves. In this workshop we will provide the practical perspective from nurses, administration and primary providers of what works and what does not in the well baby and child care model. We will provide tools to get your team started, discuss how to optimize your team roles to keep this model sustainable and how to spread this model within and across teams. 

Presenters

  • Bridgepoint FHT
    • Lora Cruise, Medical Director
    • Alice McDermott, Administrative Assistant
  • Meghan Rule, RN, NP Candidate Ryerson, Bridgepoint FHT

Authors and Contributors

  • Colleen Youngs, RN, NP candidate Bridgepoint FHT

(II) Baby Friendly Initiative (BFI): Leveraging the EMR to Capture Breastfeeding Statistics

Learning Objectives

Using the Newborn Support and Breastfeeding Program as a case example, presenters will demonstrate how breastfeeding data collection has evolved from paper-based surveys distributed at group classes, to retrospective data collection through the Healthy Beginnings Program, to custom forms integrated into encounter assistants using the EMR. Presenters will describe the team-based approach taken to ensure consistent and reliable data collection for Baby Friendly Initiative (BFI) reporting. Participants will learn about the challenges in accurately capturing breastfeeding statistics and tips and tricks to promote organization wide data collection.

Summary

In pursuing Baby Friendly Initiative (BFI) accreditation, Two Rivers Family Health Team is required to monitor breastfeeding rates, duration and exclusivity. Since 2010 when the breastfeeding program was first developed we have struggled to find an accurate method to capture breastfeeding statistics. Although breastfeeding status is collected at each well-baby visit, extracting data from the Rourke is a challenge due to inconsistencies in documentation. We initially started with paper-based surveys distributed at breastfeeding classes, but found a bias as we were only reaching those patients who attended the sessions. Data collection then evolved to a retrospective approach extracted from the 3-year old Healthy Beginnings appointment. Finally, through taking a team-based approach, breastfeeding rates are now recorded at each well-baby visit using a breastfeeding status custom form. Medical office assistants input a breastfeeding status form at patient each encounter- 2 months, 4 months, 6 months, 9 months, 12 months, 15 months and 18 months. Through taking a consistent and team-based approach, BFI data collection has progressed to a more accurate, reliable and meaningful process.

Presenters

  • Kim Lichty, RN, International Board Certified Lactation Consultant, Two Rivers FHT

Authors and Contributors

  • Jessie Rumble, RN, MScN, Health Promoter, Two Rivers FHT