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Unfolding Case Scenario 5-1 Quality improvement in the hospital through breastfeeding education and support

Learning Objectives

  1. List the neonatal and maternal health complications associated with suboptimal breastfeeding.
  2. Define the cost to the hospital of training hospital staff in clinical lactation.
  3. List how hospital staff training in clinical lactation will improve patient safety and care.
  4. Identify strategies for effective communication during an elevator (short) pitch

Question 1

You are in an elevator, when the elevator stops at the 2nd floor. The Chief Operating Officer (COO) of the hospital gets on the elevator. For the last six months the COO has been championing quality improvement initiatives in maternal-child care. You have been wanting to bring up breastfeeding education for hospital staff to the COO as she could influence this change. Now is your opportunity! After pleasantries, it seems that the COO is in a good mood and you decide now is a good time to make your pitch.

What is an appropriate way to indicate to the COO that you would like her attention?

Oh perfect! You are just the person I wanted to talk to. I think I know why our hospital is failing breastfeeding women.

Question 2

You are in an elevator, when the elevator stops at the 2nd floor. The Chief Operating Officer (COO) of the hospital gets on the elevator. For the last six months the COO has been championing quality improvement initiatives in maternal-child care. You have been wanting to bring up breastfeeding education for hospital staff to the COO as she could influence this change. Now is your opportunity! After pleasantries, it seems that the COO is in a good mood and you decide now is a good time to make your pitch.

After getting the go-ahead from the COO, you decide to start with an impactful statement about the importance of initiating breastfeeding in the first day postpartum. Which of the following statements about the association between breastfeeding and health or economic factors is a correct and relevant statement for the COO of a hospital system?

Question 3

You are in an elevator, when the elevator stops at the 2nd floor. The Chief Operating Officer (COO) of the hospital gets on the elevator. For the last six months the COO has been championing quality improvement initiatives in maternal-child care. You have been wanting to bring up breastfeeding education for hospital staff to the COO as she could influence this change. Now is your opportunity! After pleasantries, it seems that the COO is in a good mood and you decide now is a good time to make your pitch.

You’ve shared the overall importance of breastfeeding support in the hospital setting, but as you move on to the next topic, you notice that the COO’s eyes start to glaze over. You are worried  that she may have lost interest in what you’re saying or is unable to follow along with the flow of your ideas. What can you say to get back on track?

Question 4

You are in an elevator, when the elevator stops at the 2nd floor. The Chief Operating Officer (COO) of the hospital gets on the elevator. You have been wanting to bring up breastfeeding education for hospital staff to someone who could influence this change and now is your opportunity. After pleasantries, it seems that the COO is in a good mood and you decide now is a good time to make your pitch.

You’ve shared the overall importance of breastfeeding support in the hospital setting and were able to re-engage the COO by identifying the value to the hospital of training staff in breastfeeding support. What is the best statement to make that helps the COO understand the costs associated with training maternity staff in clinical lactation?

Question 5

You are in an elevator, when the elevator stops at the 2nd floor. The Chief Operating Officer (COO) of the hospital gets on the elevator. You have been wanting to bring up breastfeeding education for hospital staff to someone who could influence this change and now is your opportunity. After pleasantries, it seems that the COO is in a good mood and you decide now is a good time to make your pitch. You’ve shared the overall importance of breastfeeding support in the hospital setting and were able to re-engage the COO by identifying the value to the hospital of training staff in breastfeeding support. The COO seems convinced that there is a return on investment from training hospital staff in clinical lactation.

Which of the following statements is the most evidence-based regarding the effect of hospital staff training on patient safety and care?

Unfolding Case Scenario 5-2 for Quality improvement in the hospital through breastfeeding education and support

Learning Objectives

  1. Describe federal laws and regulations that employers must follow when a lactating mother returns to work
  2. List why employee lactation support would affect employee satisfaction and employee turnover
  3. Outline how to implement accessible lactation spaces throughout the hospital for hospital staff use
  4. Explain why supporting hospital staff with their lactation needs will translate to better patient care

Question 1

You are in an elevator, when the elevator stops at the 2nd floor. The Chief Operating Officer (COO) of the hospital gets on the elevator. For the last six months the COO has been championing quality improvement initiatives in women’s health. You have been wanting to bring up lactation rooms for hospital staff to the COO as she could influence this change. Now is your opportunity! The COO indicates that she has about a minute until she has to get off on the 11th floor. You’ve been practicing this pitch for the last few weeks. What kind of practice is most likely to yield a ‘smooth’ and ‘successful’ elevator pitch?

Question 2

You are in an elevator, when the elevator stops at the 2nd floor. The Chief Operating Officer (COO) of the hospital gets on the elevator. For the last six months the COO has been championing quality improvement initiatives in women’s health. You have been wanting to bring up lactation rooms for hospital staff to the COO as she could influence this change. Now is your opportunity! The COO indicates that she has about a minute until she has to get off on the 11th floor.

You want to start off with an impactful statement about the policies and regulations requiring lactation spaces in workplaces. What is the best statement with which to lead?

Question 3

You are in an elevator, when the elevator stops at the 2nd floor. The Chief Operating Officer (COO) of the hospital gets on the elevator. For the last six months the COO has been championing quality improvement initiatives in women’s health. You have been wanting to bring up lactation rooms for hospital staff to the COO as she could influence this change. Now is your opportunity! The COO indicates that she has about a minute until she has to get off on the 11th floor. You jump into your pitch and want to first impress her with the importance of the problem you are addressing. 

What is the most impactful statement that will ensure the COO understands the importance of lactation rooms for employees at her hospital?

Question 4

Question 41 pts

You are in an elevator, when the elevator stops at the 2nd floor. The Chief Operating Officer (COO) of the hospital gets on the elevator. For the last six months the COO has been championing quality improvement initiatives in women’s health. You have been wanting to bring up lactation rooms for hospital staff to the COO as she could influence this change. Now is your opportunity! The COO indicates that she has about a minute until she has to get off on the 11th floor. You jump into your pitch and want to first impress her with the importance of the problem you are addressing.

The COO leans in and is excited about the possibility of decreasing burnout among female healthcare professionals. She wants to know if improving breastfeeding and lactation outcomes among hospital staff will translate to increased exclusive breastfeeding rates among patients. What can you tell her about that?

Question 5

You are in an elevator, when the elevator stops at the 2nd floor. The Chief Operating Officer (COO) of the hospital gets on the elevator. For the last six months the COO has been championing quality improvement initiatives in women’s health. You have been wanting to bring up lactation rooms for hospital staff to the COO as she could influence this change. Now is your opportunity! The COO indicates that she has about a minute until she has to get off on the 11th floor. You jump into your pitch and want to first impress her with the importance of the problem you are addressing. The COO leans in and is excited about the possibility of decreasing burnout among female healthcare professionals. 

You make your pitch and feel like it went well. You would now like to ask for a follow-up meeting. How can you phrase that request for the highest chance of success?

“I don’t want to take any more of your time right now, but how could I go about scheduling a meeting with you to go over my proposal in more detail? I’d love to get started on this for you.”