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SUSTAINABILITY. or How do we keep it going? Date:. Introductions. Name Position Facility. Assessments. Yours Mine Ours. From the Depths to the Peaks San Francisco General Did It!. San Francisco General Hospital 2007 Maternal Race/ Ethnicity & Birthplace.

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Or how do we keep it going date

SUSTAINABILITY

or

How do we keep it going?

Date:


Introductions
Introductions

  • Name

  • Position

  • Facility


Assessments
Assessments

  • Yours

  • Mine

  • Ours


From the Depths to the Peaks

San Francisco General Did It!


San francisco general hospital 2007 maternal race ethnicity birthplace
San Francisco General Hospital 2007Maternal Race/ Ethnicity & Birthplace


San francisco general hospital 2004 2007 perinatal characteristics
San Francisco General Hospital 2004- 2007Perinatal Characteristics

  • 97.8% Medi-Cal Delivery

  • 28.1% Incomplete High School

  • 55.5% First Trimester Prenatal Care

  • 1.4% No prenatal Care

  • 11.4% Primary C-section

  • 10.2% Repeat C-section


San francisco general hospital 2004 2007 any exclusive breastfeeding
San Francisco General Hospital 2004- 2007Any/Exclusive Breastfeeding


2007 california s best any exclusive breastfeeding
2007 California’s BestAny/Exclusive Breastfeeding



Research can we use it for sustainability
Research – Can We Use It for Sustainability?

  • Ritualized behavior activity –activated by threat or perceived threat


Ethnic beliefs birthing
Ethnic Beliefs & Birthing

  • Trends and themes

    • Special diets – spoiled milk

    • Decreased BF after immigration


Research based solutions
Research-based Solutions

  • Cambodian diet initiation Galvin, et.al.Mat Child Health J, 2008

  • South Asian grandmothers’ groups

  • Ingram, et. al., Midwifery, 2003.





Next steps1
Next Steps

  • Evaluate baseline data

  • Make conclusions

  • Take the conclusions to QI Committee

  • Revise Policies and procedures


Next steps2
Next Steps

Birth and Beyond



Sustainability looks like
Sustainability Looks Like. . .

  • Administrator training

  • Regular Multidisciplinary QI Committee meetings

  • Staff training

  • Train the trainer education

  • BBC network QI meetings

  • BBC evaluation access



When we march together
When we march together. . .

. . .we’re much more effective


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