Northridge Hospital Foundation Baby Friendly Hospital

EXHIBIT A – Performance Matrix Contract Number: 08540 Contract Period: Agency Name: Northridge Hospital Foundation ...

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EXHIBIT A – Performance Matrix Contract Number:

08540

Contract Period:

Agency Name:

Northridge Hospital Foundation

Project Name:

Baby Friendly Hospital

Project Length:

July 1, 2014- April 30, 2015

Revision Date:

2 years, 3 months

Project Description: Year 2 of Baby Friendly Hospital The Baby-Friendly Hospitals Project will enhance and support a continuum of care to improve initiation and duration of breastfeeding by improving breastfeeding policies and procedures in birthing hospitals. This improvement in breastfeeding policies will also support outcome of strengthened "attachment and bonding" between mother and child as it is aimed at increasing exclusive breastfeeding.

Performance Objectives

Due Date

Measureable, observable, and attainable objectives including: (1) Outcomes –Changes in health/mental health status, developmental status, attitudes, behaviors, knowledge, skills, practices, or policies; (2) Outputs -- The direct result of activities and typically expressed as the number or scope of services and/or products that are delivered or produced; and/or, (3) Major Deliverables -- Tangible products that are submitted in fulfillment of contract requirements.

Date Objective will be completed.

Quantity by Quarter Q1 (Jul-Sep)

Q2 (Oct-Dec)

Q3 (Jan-Mar)

Q4 (Apr-Jun)

BF Taskforce Meets Quarterly as shown through meeting minutes

6/30/2015

1

1

1

1

Update the three year BFHP Work Plan as needed through submitted copy

6/30/2015

N/A

N/A

N/A

1

Implement QI Data Collection Plan- and report to Breastfeeding Task Force and communicate as part of quarterly progress reports to First 5 LA

6/30/2015

1

1

1

1

Train 90% of nurses as shown through attendance rosters and quarterly progress reports (Goal 100%)

6/30/2015

60%

70%

80%

90%

Train 80% physicians (Perinatologists, Obstetricians, Pediatricians and Neonatologists) as shown through attendance rosters and quarterly progress reports

6/30/2015

20%

40%

50%

80%

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EXHIBIT A – Performance Matrix Promote effective communication policy changes to nursing staff and physicians as shown through copies of policy changes

6/30/2015

N/A

N/A

N/A

1

Develop and maintain updated list of referrals to breastfeeding support groups for patients upon discharge as reported through quarterly progress reports

6/30/2015

1

1

1

1

Ensure 100% of patients are rooming-in (excluding NICU admissions) as reported in quarterly progress reports

6/30/2015

100%

100%

100%

100%

Ensure 90% of vaginal births (non-NICU admissions) receive skin-to-skin contact immediately (within 5 minutes after birth) as reported in quarterly progress reports (Goal 100%)

6/30/2015

60%

60%

80%

90%

Ensure 90% of C-section births (non-NICU admissions) receive skin-to-skin contact as soon as mother is responsive as reported in quarterly progress reports (Goal 100%)

6/30/2015

60%

60%

90%

90%

Ensure 80% of patients initiate breastfeeding (excluding NICU admissions) within one hour of birth as reported in quarterly progress reports (Goal 100%)

6/30/2015

50%

60%

70%

80%

Ensure 80% of patients are breastfeeding at all at discharge (excluding NICU admissions) as reported in quarterly progress reports (Goal 100%)

6/30/2015

60%

60%

70%

80%

Ensure 50% of patients are breastfeeding exclusively discharge (excluding NICU admissions) as reported in quarterly progress reports (Goal 100%)

6/30/2015

50%

50%

40%

50%

Ensure 100% of patients receive information about breastfeeding support in their preferred language as shown through copies of brochures/informational documents and as reported in quarterly progress reports

6/30/2015

100%

100%

100%

100%

Ensure 100% of patients are provided referrals to breastfeeding support groups upon patient discharge as reported through quarterly progress reports

6/30/2015

100%

100%

100%

100%

Submit F5LA-wide data reporting (Getting Better Data) twice yearly (7/31/2013 and 1/1/2014)

1/1/2014

1

N/A

1

N/A

Provide quarterly progress reports to First 5 LA

6/30/2015

1

1

1

1

*yellow denotes required objectives (if appropriate)

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