Att 3b_2018 Hospital Report

Attachment 3b 2018 Hospital Report.pdf

Assessment & Monitoring of Breastfeeding-Related Maternity Care Practices in Intrapartum Care Facilities in the United States and Territories

Att 3b_2018 Hospital Report

OMB: 0920-0743

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2018_NA_NA_H99998

2018 mPINC Hospital Report
Hospital Name
Street Address
City, State Abbreviation, Zip Code
H99998

The Maternity Practices in Infant Nutrition and Care
(mPINC) Survey is a national survey of newborn feeding
practices in hospitals in the United States and territories
that provided maternity services in the last year. Battelle
Health and Analytics conducted this survey for the
Centers for Disease Control and Prevention (CDC).
Information about the mPINC survey and interpreting
your scores is available here:
www.cdc.gov/breastfeeding/data/mpinc

Hospital
Total Score

100

Total Score Averages

7975+083+0+0

Summary Information

United States

79

Region (Southeast)§

75

Similar-Sized Hospitals
(Hospitals with 20004999 births per year)¶

83

Understanding your scores:
Your Subscore for each section is the mean of the items in that section. Subscores are not
provided if half or more of the items in that section do not have a score. Your Total Score is
the mean of the six Subscores and is not provided if any Subscore is not scored. Any missing
responses are indicated by “---*” on this report. “NS†” indicates that an item score, Subscore,
or Total Score could not be calculated.

Centers for Disease Control and Prevention
National Center for Chronic Disease Prevention and Health Promotion
Division of Nutrition, Physical Activity, and Obesity

Immediate Postpartum Care
Subscore

100

Subscore
Averages:

United States

Region

Similar-Sized Hospitals

81

75

84
Ideal
Response

Your
Response

Your
Score

After vaginal delivery, percent of newborns who remain in uninterrupted skin-to-skin
contact with their mothers immediately after birth . . .
. . . if breastfeeding, until the first breastfeeding is completed.
. . . if not breastfeeding, for at least one hour.

Most/Most

Most/Most

100

After Cesarean-delivery, percent of newborns who remain in uninterrupted skin-to-skin
contact with their mothers as soon as the mother is responsive and alert . . .
. . . if breastfeeding, until the first breastfeeding is completed.
. . . if not breastfeeding, for at least one hour.

Most/Most

Most/Most

100

Transition

Percent of vaginally-delivered newborns separated from their mothers before starting
rooming-in.

Few

Few

100

Monitoring
following birth

Percent of newborns who receive continuous observed monitoring throughout the first
two hours immediately following birth.

Most

Most

100

Measure

Immediate skin-toskin contact

Explanation

Rooming-In
Subscore

100

Subscore
Averages:

United States

Region

Similar-Sized Hospitals

71

67

78

Measure

Explanation

Rooming-In

Percent of newborns who stay in the room with their mothers for 24 hours/day (not
including separation for medical reasons).

Mother-infant
separation

Rooming-in safety

Ideal
Response

Your
Response

Your
Score

≥80%

100%

100

Indicates usual location of newborns during . . .
. . . pediatric exams/rounds.

Mother's room

Mother’s Room

. . . hearing screening.

Mother's room

Mother’s Room

. . . pulse oximetry screening.

Mother's room

Mother’s Room

. . . routine labs/blood draws/injections.

Mother's room

Mother’s Room

. . . newborn bath.

Mother's room

Mother’s Room

Yes

Yes

Indicates whether your hospital has a protocol requiring frequent observations of highrisk mother-infant dyads by nurses to ensure safety of the infant while they are together.

100

100

Feeding Practices
Subscore
Subscore

100

Subscore
Averages:

United States

Region

Similar-Sized Hospitals

82

77

82

Measure

Explanation

Formula-feeding of
breastfed infants

Percent of healthy, term breastfed newborns who are fed infant formula.

Glucose
monitoring

Indicates whether hospital performs routine blood glucose monitoring of full-term
healthy newborns NOT at risk for hypoglycemia.

Formula
counseling for
breastfeeding
mothers

Frequency that staff counsel breastfeeding mothers who request infant formula about
possible health consequences for their infant and the success of breastfeeding.

2018 mPINC Hospital Report

Ideal
Response

Your
Response

Your
Score

<20%

0%

100

No

No

100

Almost always

Almost always

100

2

Feeding Education
Subscore

100

Subscore
Averages:

United States

Region

Similar-Sized Hospitals

92

91

93
Ideal
Response

Your
Response

Your
Score

Most/Most

Most/Most

100

Percent of breastfeeding mothers who are taught or shown how to . . .
. . . recognize and respond to their newborn’s feeding cues.

Most

Most

. . . breastfeed as often and as long as their newborn wants.

Most

Most

. . . understand the use and risks of artificial nipples and pacifiers.

Most

Most

Most

Most

. . . assess effective breastfeeding by observing their newborn’s latch and the presence
of audible swallowing.

Most

Most

. . . assess effective breastfeeding by observing their newborn’s elimination patterns.

Most

Most

. . . hand express breast milk.

Most

Most

Measure

Explanation

Formula
preparation &
feeding techniques

Among mothers whose newborns are fed any formula, percent of breastfeeding
mothers taught . . .
. . . appropriate formula feeding techniques.
. . . how to safely prepare and feed formula.

Feeding cues &
pacifiers

Percent of breastfeeding mothers who are taught or shown how to . . .
. . . position and latch their newborn for breastfeeding.

Identify/solve
breastfeeding
problems

100

100

Discharge Support
Subscore

100

Subscore
Averages:

United States

Region

Similar-Sized Hospitals

78

74

81
Ideal
Response

Your
Response

Your
Score

Indicates whether your hospital’s discharge criteria for breastfeeding newborns requires
direct observation of at least one effective feeding at the breast within the 8 hours prior
to discharge.

Yes

Yes

100

Post-discharge
follow-up visit

Indicates whether your hospital’s discharge criteria for breastfeeding newborns requires
scheduling of the first follow-up visit with a health care provider.

Yes

Yes

100

Post-discharge
breastfeeding
support

Indicates whether your hospital’s routine discharge support to breastfeeding mothers
includes:
a) in-person follow-up visits/appointments for lactation support,
b) personalized phone calls to mother to ask about breastfeeding, or
c) formalized, coordinated referrals to lactation providers in the community when
additional support is needed.

Yes to any

Yes/Yes/Yes

100

Indicates whether your hospital gives mothers any of these items free of charge (not
including items prescribed as part of medical care):
a) infant formula,
b) feeding bottles/nipples, nipple shields, or pacifiers, or
c) coupons, discounts, or educational materials from companies that make or sell infant
formula or feeding products.

No to all 3

No/No/No

100

Measure

Explanation

Pre-discharge
criteria

Distribution of
infant formula or
formula-related
supplies/coupons
as gifts

2018 mPINC Hospital Report

3

Institutional Management
Subscore

100

Subscore
Averages:

United States

Region

Similar-Sized Hospitals

70

70

79
Ideal
Response

Your
Response

Placement and monitoring of the newborn skin-to-skin with the mother immediately
following birth.

Yes

Yes

Assisting with effective newborn positioning and latch for breastfeeding.

Yes

Yes

Assessment of milk transfer during breastfeeding.

Yes

Yes

Assessment of maternal pain related to breastfeeding.

Yes

Yes

Teaching hand expression of breast milk.

Yes

Yes

Teaching safe formula preparation and feeding.

Yes

Yes

Nurse competency
assessment

Assesses whether formal assessment of clinical competency in breastfeeding support
and lactation management is required of nurses.

Yes

Yes

100

Documentation
of exclusive
breastfeeding

Indicates whether your hospital records/tracks exclusive breastfeeding throughout the
entire hospitalization.

Yes

Yes

100

Acquisition of
infant formula

Indicates how your hospital acquires infant formula.

Pays fair market
price

Pays fair market
price

100

Indicates whether your hospital has a policy requiring . . .
. . . documentation of medical justification or informed consent for giving non-breast
milk feedings to breastfed newborns.

Yes

Yes

. . . formal assessment of staff's clinical competency in breastfeeding support.

Yes

Yes

. . . documentation of prenatal breastfeeding education.

Yes

Yes

. . . staff to teach mothers breastfeeding techniques AND staff to show mothers how to
express milk.

Yes/Yes

Yes/Yes

. . . purchase of infant formula and related breast milk substitutes by the hospital at fair
market value AND a policy prohibiting distribution of free infant formula, infant feeding
products, and infant formula coupons.

Yes/Yes

Yes/Yes

. . . staff to provide mothers with resources for support after discharge.

Yes

Yes

. . . placement of all newborns skin-to-skin with their mother at birth or soon thereafter.

Yes

Yes

. . . the option for mothers to room-in with their newborns.

Yes

Yes

Measure

Explanation

Your
Score

Indicates which competency skills are required of nurses:

Nurse skill
competency

Written policies

100

100

§	Regions: Mid-Atlantic (Delaware, District of Columbia, Maryland, New Jersey, Pennsylvania, Puerto Rico, Virginia, West Virginia), Midwest (Illinois, Indiana, Iowa,
Michigan, Minnesota, Ohio, Wisconsin), Mountain Plains (Colorado, Kansas, Missouri, Montana, Nebraska, North Dakota, South Dakota, Wyoming), Northeast
(Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island, Vermont, U.S. Virgin Islands), Southeast (Alabama, Florida, Georgia, Kentucky,
Mississippi, North Carolina, South Carolina, Tennessee), Southwest (Arizona, Arkansas, Louisiana, New Mexico, Oklahoma, Texas, Utah), West (Alaska, American
Samoa, California, Guam, Hawaii, Idaho, Northern Mariana Islands, Nevada, Oregon, Washington),
¶	 Similar-Sized Hospitals: number of annual births in the following ranges: <250, 250-499, 500-999, 1000-1999, 2000-4999, ≥5000
*	 --- indicates a missing response
†	 NS indicates no score (an item score, Subscore, or Total Score could not be calculated)

2018 mPINC Hospital Report

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