Weekly Wednesday Wire: April 29, 2015

Please note: Inclusion of an item in this e-newsletter does NOT imply endorsement or support of such item by the United States Breastfeeding Committee, unless specifically noted.

Federal News

CACFP Comment Opportunity Deadline Extended, from USDA

The comment period has been extended on proposed rule changes to the nutrition standards of the Child and Adult Care Food Program (CACFP), that include expanded breastfeeding provisions. Those unable to send in comments earlier now have another month, until 11:59 p.m. EDT on May 27, 2015. The proposed changes would incentivize and encourage breastfeeding by allowing reimbursement to the child care facility when the mother directly breastfeeds her child at the site. (Meals containing breast milk or iron-fortified infant formula are already eligible for reimbursement.) The following suggested talking points on the breastfeeding provisions have been compiled from several partners' model comments:

  • All major medical authorities recommend exclusive breastfeeding for the first six months of life, followed by continued breastfeeding for at least the first year. The new proposed rules are well supported by the evidence, better reflecting this public health imperative and aligning with Action 16 of The Surgeon General's Call to Action to Support Breastfeeding.
  • We strongly encourage USDA to maintain the proposed allowance that any child care facility receive reimbursement for meals when a mother directly breastfeeds her child at the child care facility.
  • We encourage the USDA to ensure that this reimbursement is allowable for children at any age; there is no reason to stop at six months.
  • It is important to highlight the best practice of clear communication between mother and child care provider regarding the timing of the last feed, which is key to making direct breastfeeding at the end of the day work for all parties.
  • We encourage USDA to implement these changes with minimum burden to the facility, while emphasizing a mother's right to appropriate accommodation for breastfeeding onsite. It is critical that mothers are not directed to breastfeed in locations that are uncomfortable or unsanitary.

Healthy Hospital Environments Website, from CDC

The Centers for Disease Control and Prevention has launched the Healthy Hospital Environments website, which includes lactation resources for employees and a practice-to-practice case study series with brief stories highlighting successful strategies and solutions to barriers. The website also contains a toolkit with steps for implementing environmental changes, conducting evaluations, and conducting on-site assessments.

Innovative Approaches for Newborns & Pregnant Women, from AHRQ

The latest issue of the Agency for Healthcare Research and Quality's Health Care Innovations Exchange features three programs that have successfully implemented innovative approaches to improving health outcomes for newborns and pregnant women. One success story features a policy that denies insurance payments for hospital and physician charges associated with early (prior to 39 weeks gestational age) elective inductions or non-medically indicated deliveries.

Member News

Case Studies on Addressing Inequities Public Health, from APHA

The American Public Health Association has released a new report, entitled "Better Health Through Equity: Case Studies in Reframing Public Health Work." The report highlights state and local efforts to understand and address heath inequities, including successful initiatives in Menominee Indian Tribe, Colorado, Oregon, Texas, Virginia, and Wisconsin.

Newborn Hospital Discharge Readiness Recommendations, from AAP

The American Academy of Pediatrics has updated its policy statement on the discharge readiness of new mothers and their newborns. The statement outlines specific criteria that should be met to ensure that the mother is prepared to care for herself and her baby after leaving the hospital, including the health of the mother, the health and stability of the baby, the ability and self-assurance of the mother to take care of her baby, the level of support she will receive at home, and access to appropriate follow-up care. Additional criteria that need to be met before discharge of a healthy newborn include that the infant has completed at least two successful feedings, either bottle or breastfed.

Text4Baby Transition, from HMHB

The National Healthy Mothers, Healthy Babies Coalition has published its final issue of the Monday Morning Memo, announcing that Text4Baby and the National Premature Infant Health Coalition are transitioning to new nonprofit partners. The Text4baby program will move to ZERO TO THREE, the National Center for Infants, Toddlers, and Families, on May 1, 2015. The National Premature Infant Health Coalition moved to the Alliance for Patient Access on January 1, 2015.

Partner News

Integrated Care Certification Program, from TJC

The Joint Commission has introduced a new voluntary Integrated Care Certification program for Joint Commission-accredited hospitals, critical access hospitals, and ambulatory health providers. Certification requirements emphasize building a strong foundation made up of structures, processes, and a culture that leads to successful integration of care and improved patient outcomes. During on-site visits, Joint Commission reviewers will evaluate clinical integration, hand-off communications, management of information, patient and family engagement, and performance improvement activities spanning the integrated sites.

Hospital Breastfeeding Rates Article, from NICHQ

The National Institute for Children's Health Quality has published a blog post entitled, "The Secret to Increasing Hospital Breastfeeding Rates."

Public Health Funding Report, from TFAH

Trust for America's Health has published its 10th annual report, "Investing in America's Health: A State-by-State Look at Public Health Funding and Key Health Facts," presenting an objective, nonpartisan, independent analysis of the status of public health funding policies. The report also recommends ways to assure that public health systems meet community needs and work across boundaries to accomplish goals.

News from the Field

State Public Health Law Case Study & Funding Opportunity, from Aspen Institute

The Aspen Institute has released case study highlights from the Excellence in State Public Health Law (ESPHL) program, developed by its Justice & Society Program with funding from the Robert Wood Johnson Foundation, with the goal of advancing public health through state policy and law. The Aspen Institute has also announced a second round of funding for TeamWork: Leadership for Healthy States: applications will be accepted May 1 through June 30. States are invited to attend a pre-application call to learn more about the 2015-2016 TeamWork cohort on May 7 at 4 p.m. ET. Contact an Aspen Institute representative for more information or to join the call.

Collective Impact Connection

Public Participation & Community Ownership in Collective Impact, from Tamarack

The March 2015 issue of Engage!, Tamarack's free monthly e-magazine, includes an article entitled, "The Pendulum Swing of Collective Impact." The author posits that a missing piece from the evolving Collective Impact model is the lack of mention of formative and ongoing public participation in large-scale change. The article reminds us that better institutional collaboration is only part of the picture, suggesting a greater focus on the community as a whole taking on responsibilities for problems and their solutions, with a pronounced emphasis on engaging citizens in collective action efforts.

State/Community News

Legislative Action Alerts, from Texas

The Texas Breastfeeding Coalition has compiled an action toolkit detailing a variety of ways for Texas residents to support current breastfeeding legislation. Individuals can contact their legislators about the following active bills:

  • HB 786 would give public salaried employees time and a place to pump milk at work;
  • HB 232 would strengthen the right to breastfeed so the current law can truly protect moms;
  • HB 1898/SB 26 would require state agencies to become Mother-Friendly Worksites;
  • HB 3976 would license International Board Certified Lactation Consultants;
  • SB 1479 would require time and a place to pump for teachers; and
  • HB 1281 would require accommodations and prohibit discrimination over pregnancy, childbirth, or related medical conditions (including lactation).

News & Views

The Washington Post:"Surgeon General Vivek Murthy wants to move U.S. health care toward a 'prevention-based society'"

HealthAffairs Blog: "Interview: Dr. Gail Christopher, Vice President For Policy And Senior Advisor For The W.K. Kellogg Foundation"

metroparent magazine: "Airport unveils 3 lactation stations for nursing moms"

The Washington Post: "Why pregnant women in Mississippi keep dying"

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