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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
slide4
From the Depths to the Peaks

San Francisco General Did It!

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
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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