Goal To foster the healthy development of children by promoting and supporting the practice of...

Goal

To foster the healthy development of children by promoting and supporting the practice of

breastfeeding in Tennessee

THE TENNESSEE BREASTFEEDING HOTLINE (TBHL)

Service Recipients

Nursing mothers, their families and partners, expectant parents, and health care providers in

Tennessee.


LeBonheur received the award in September of 2013Soft Launch was implemented November 2013

Statewide January 2014


Project Manager / Coordinator: Helen Scott RN, IBCLC, RLCProject Evaluator Dr. Christina Underhill

Director: Sandra Madubuonwu MSN, CLC, RN

Consultants and Counselors

Crystal Higgins, MS, CLCVictoria Roselli, BS, IBCLC, RLC

Lori Jill Lewis, BSN,CLC,RNElizabeth Pletz, BSN,CLC,RNAngela Rainey BSN ,CLC,RN

Pam Avant BSN,IBCLC,RNCreedon Ryan, BSN, CLC,RNLakisha Windle, RN, CLCBridgette Reed, BA, CLCJulie Bridger, BSN, CLC,RN


THE TBHL TEAM

Staffing

Answering the phone .

Managing software programs

Follow-ups

Call Reports

Feedback on call reports

One on one meetings

Group Staff Meetings

Management Meeting

Communications with the State

Reports

CAB meetings

OPERATION OF THE HOTLINE

CONTINUOUS QUALITY MEASURES

Use of AAP GuidelineMonitored call with Lactation CounselorFollow-up calls to participantsConference Call meetingsFeedback to CounselorsTranscript Review Professional staff credentialing and staff training Community Advisory Board

TBHL OVERVIEW AND PROGRESS

Call volume has progressively increased since the implementation of the project in November of 2013

CALL VOLUME NOVEMBER 1,2013 –AUGUST 3 1, 2014

JUNE CALL VOLUME BY DAY OF THE WEEK

JULY CALL VOLUME BY DAY OF THE WEEK

AUGUST CALL VOLUME BY DAY OF THE WEEK

RELATIONSHIP

. Caller’s Relationship to Mother Caller's Relationship to Mother

November December January February March April May June Percentage

Family or household member

0 0 0 4 3 3 3 4 1.4%

Self 2 14 20 135 172 204 236 263 75.8% Spouse or partner

0 3 2 7 7 4 11 6 2.9%

Undisclosed 2 25 90 31 19 31 26 10 16.9% Other 0 10 1 3 7 11 7 4 3.1% TOTALS: 4 52 113 180 208 253 283 287 100.0%

MOTHER’S RACE

Race of Mother April May June3rd Quarter

Totals Percentages

American Indian or Alaskan Native 2 3 5 10 1.2%Asian 2 4 0 6 0.7%Black 29 36 30 95 11.5%Mixed 0 2 1 3 0.4%Other 3 5 5 13 1.6%White 107 125 141 373 45.3%Undisclosed 110 108 105 323 39.2%TOTALS: 253 283 287 823 100%

Top Ten ReasonsPrimary Reason for Calling Total Calls Percentage

Other 172 24.0%Not making enough milk 117 16.3%Medications & breastfeeding 110 15.3%Breast engorgement 94 13.1%Breast/nipple pain 60 8.4%Baby refusing to nurse 49 6.8%Sore nipples 49 6.8%Breast pumps/rental 25 3.5%Baby spitting up 17 2.4%Overactive letdown/too much milk 24 3.3%

TOTALS: 717 100.0%

Calls to the Tennessee Breastfeeding HotlineBy County of Caller

October 2013 through June 2014

Sumner

Benton

Bledsoe

Chester

Crockett

Fentress

Grainger

Hancock

Haywood Henderson

Houston

Humphreys

JacksonLake

Lauderdale

Lincoln

Mcminn

Mcnairy

Monroe

Moore

Morgan

Overton

Polk

ScottTrousdale

Unicoi

Union

Van Buren

Carroll Cumberland

Obion

Pickett

Wayne

White

Carter

Clay

Cocke

Lewis

Hardin

Jefferson

Bradley

Blount

Claiborne

Lawrence

Loudon

Smith

Campbell

Giles

JohnsonMacon

Weakley

Dekalb

Rhea

Fayette

Hickman

Marion

Stewart

Cannon

Franklin

Gibson

Meigs

Perry

Sequatchie

Hardeman

Roane

Coffee

Decatur

Putnam

Grundy

HenryCheatham

Marshall

Dyer

Tipton

Anderson

Hamblen

Sevier

Hawkins

Warren

Bedford

Madison

WashingtonGreeneDickson

SullivanMontgomery

Maury

Robertson

Wilson

Knox

Williamson

Hamilton

Rutherford

Davidson

Shelby

01 to 5051 to 100101 to 200201 to 500501 to 1500

TOP 10 COUNTIES

Shelby 353 35.5%

Davidson 263 26.5%Hamilton 93 9.4%Rutherford 92 9.3%Williamson 54 5.4%Knox 40 4.0%Wilson 33 3.3%Sumner 30 3.0%Sullivan 18 1.8%Montgomery 18 1.8%

TOTALS: 994 100.0%

FOLLOW UP Callers Who are Still Breastfeeding at each Follow-up Annual Totals

Number Percentage

24 hour follow-up 291 of 302 96.3%

4 week follow-up 158 of 189 83.6%



FOLLOW UP

Satisfied or Very Satisfied with Services at each Follow-up

Number Percentage





FOLLOW UP Increase in Confidence/Comfort Level with Breastfeeding at each Follow-up Annual Totals

Number Percentage


4 week follow-up 170 of 189 89.9%8 week follow-up 65 of 76 85.5%12 week follow-up 49 of 58 84.4%

OUTCOME MEASURES

STRENGTHS OF THE PROGRAM

Dedicated full time and PRN employees Participant could call from any part of the

state. Availability of the program 24hours a day Use of experts in the area of breastfeeding Availability of Breastfeeding resources to all Follow up at different intervals to ensure

that participants needs were met

STRENGTHS OF THE PROGRAM

Comprehensive and easily accessible data base system. Reliable routing telephone system Outcomes are measured to enhance and inform practice. Success of the project have attracted other states to

inquire about how to implement the program in their state

Increased Breastfeeding awareness for the entire state. Flexibility for staff scheduling

CHALLENGES

Creating a clear, informative greeting message for callers

Learning the resources available for the State of Tennessee

Lack of local lactation counselors for non-WIC participants

Crank calls have increased, being an issue at night and on weekends.

Hospitals Bi Centers

Pediatricians Hospitals Birthing Centers Pediatricians Breast Pump and supplies National Breastfeeding Helpline WIC / Health Dept.

Pump and supplies National Breastfeeding Hospitals

IBCLCs by Location Breastfeeding Coalitions Womens Health. Gov TN BF laws Medications Kellymom Le Leche League

Our resource list began with about 150 WIC and Health Departments offices across the State. We now have over 450 resources . thing

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LAUREN ROBINSON AND HER SON (CAB MEMBER )


LISA FISHER AND TEAM MEMBERS

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