Interstate Collaborative for Widepsread Implementation of the Ten Steps to Succes

描述（由申请人提供）：成功母乳喂养的十个步骤是一套实践和政策，构成了一个以证据为基础的质量改进倡议，以提高医疗保健系统的母乳喂养率。这些改进被认为会改善婴儿健康，降低传染病发病率。拟议的为期两天的会议将汇集一个全面的，但有针对性的，卫生部门和国家母乳喂养联盟的代表谁是目前正在努力系统化的实施十个步骤，在他们的国家的产妇设施。短期目标是通过各州之间的合作，确定和传播系统实施"十个步骤"的"最佳做法"，并制定一个高度具体的研究议程，进一步研究美国医院系统实施循证母乳喂养支持的机会和挑战。长期目标是促进遵守以证据为基础的创新战略，以提高母乳喂养率，实现2020年健康人目标，并鼓励和增加关于美国妇产设施十个步骤有效实施战略的研究数量和质量。 相关性：美国妇女健康办公室的母乳喂养行动蓝图、疾病预防控制中心的母乳喂养干预指南、AHRQ的促进母乳喂养初级保健干预措施以及所有其他与健康有关的联邦机构都承认母乳喂养是一项公共卫生优先事项，可以通过有质量、有系统地实施"十个步骤"来保护和促进。拟议的努力是对这些行动呼吁的直接回应。 结果如下：这次会议将通过协同和传播来自17个州的最佳做法产生重大的全国影响，这些州已经推进了十个步骤的系统实施。其他成果包括制定最新的，具有成本效益的，可行的实施战略和并行的，高度具体的研究议程。研究结果将被广泛传播，以告知在美国各地医院实施提高实践质量的十个步骤，并相应地提高母乳喂养率。虽然参与的利益相关者将主要是公共卫生专业人员和社区组织者，但本次会议的成果对消费者、患者、临床医生、机构、卫生保健系统采购和基础设施、所有部门的政策制定者和研究人员都很重要。致力于参加的合作者的服务领域对应于美国每年超过70%的活产婴儿，并在州一级社会经济人口变量，母乳喂养率，平均mPINC分数和指定为婴儿友好的设施中发生的活产婴儿的百分比方面代表了显着的多样性。本次会议产生的产品和传播将为未来的研究，政策，实践和卫生服务研究人员的培训提供信息。会议还将加强AHRQ、州级利益攸关方和国家领导人在促进妇幼健康方面的合作关系。 公共卫生相关性：美国妇女健康办公室母乳喂养行动蓝图、疾病预防控制中心母乳喂养干预措施指南、美国人权咨询机构促进母乳喂养初级保健干预措施以及所有其他与健康有关的联邦机构都承认母乳喂养是一项公共卫生优先事项，可以通过有质量、有系统地实施"十个步骤"来保护和促进。拟议的努力是对这些行动呼吁的直接回应。

DESCRIPTION (provided by applicant): The Ten Steps to Successful Breastfeeding are a set of practices and policies that constitute an evidence-based quality-improvement initiative to increase breastfeeding rates in healthcare systems. These improvements are known to result in improved infant health and reduced infectious disease rates. The proposed two day conference will bring together a comprehensive, yet targeted, group of health department and state breastfeeding coalition representatives who are currently working toward systematizing implementation of The Ten Steps in their state's maternity facilities. The short-term aims are to define and disseminate "best practices" in systematic implementation of The Ten Steps through collaboration among active states, and to develop a highly specific research agenda for further study of opportunities and challenges to systematized implementation of evidence-based breastfeeding support in America's hospitals. The long term aims are to advance adherence to evidence-based and innovative strategies to increase breastfeeding rates toward the achievement of Healthy People 2020 Objectives, and to encourage and increase the number and quality of studies regarding the effective implementation strategies of The Ten Steps in America's maternity facilities. Relevance: The United States Office of Women's Health Blueprint for Action on Breastfeeding, the CDC Guide to Breastfeeding Interventions, AHRQ's Primary Care Interventions to Promote Breastfeeding, and every other health-related federal institution acknowledge breastfeeding as a public health priority that can be protected and promoted with quality, systematic implementation of The Ten Steps. The proposed effort is in direct response to these calls to action. Results: The conference will result in significant national impact by synergizing and disseminating best practices from seventeen states that have advanced systematic implementation of the Ten Steps. Additional results include the formulation of updated, cost-effective, and feasible implementation strategies and a concurrent, highly-specific research agenda. The outcomes will be broadly disseminated to inform implementation of the Ten Steps for improved quality of practice in hospitals across the US and, accordingly, to increase breastfeeding rates. While participating stakeholders will be primarily public health professionals and community organizers, the outcomes of this conference will be important to consumers, patients, clinicians, institutions, health care system purchasing and infrastructure, policymakers in all sectors, and researchers. The service areas of the collaborators committed to attending correspond to greater than 70% of the live births per year in the United States and represent significant diversity in terms of state-level socioeconomic population variables, breastfeeding rates, average mPINC scores and percent of live births occurring at facilities designated as baby friendly. The products and dissemination resulting from this conference will inform future research, policy, practice, and training of health services researchers. The meeting will also enhance collaborative relationships between AHRQ, state-level stakeholders and national leaders in maternal and child health promotion. PUBLIC HEALTH RELEVANCE: The United States Office of Women's Health Blueprint for Action on Breastfeeding, the CDC Guide to Breastfeeding Interventions, AHRQ's Primary Care Interventions to Promote Breastfeeding and every other health-related federal institution acknowledge breastfeeding as a public health priority that can be protected and promoted with quality, systematic implementation of The Ten Steps. The proposed effort is in direct response to these calls to action.