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Implementation is the execution of the nursing care plan developed during the planning phase.
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Primary Healthcare Services01:30

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Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
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Translating Team-Based Breastfeeding Support into Primary Care Practice.

Ann M Witt1, Rachel Witt2, Lauren Lasko2

  • 1From the Breastfeeding Medicine of Northeast Ohio, Cleveland, OH (AMW, RW, LL); Senders Pediatrics, Cleveland, OH (AMW); Case Western Reserve University, Cleveland, OH (AMW, SF); Neighborhood Family Practice, Cleveland, OH (LL); Oregon Health & Science University, Portland, OR (SF). awitt@bfmedneo.com.

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|November 10, 2019
PubMed
Summary
This summary is machine-generated.

Implementing an integrated lactation consultant (LC) and primary care provider (PCP) model improved breastfeeding support and patient satisfaction in a federally qualified health center (FQHC). This team-based approach enhanced visit volume and provider experience.

Keywords:
Access to Health CareBreast FeedingCommunity Health NursingCommunity MedicineContinuity of Patient CareCounselingDelivery of Health CareHealth Care DisparitiesHealth PromotionLactationNeeds AssessmentNewbornsPractice ManagementPractice-Based ResearchPreventive MedicinePrimary Health CareSurveys and QuestionnairesWomen's Health

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Area of Science:

  • Healthcare delivery models
  • Public health initiatives
  • Maternal and child health

Background:

  • Team-based care enhances evidence-based, patient-centered practice.
  • Integrated lactation consultant (LC) and primary care provider (PCP) models improve breastfeeding support.
  • Practices require guidance for implementing team-based breastfeeding support models.

Purpose of the Study:

  • To pilot a 6-step needs assessment for implementing an integrated LC/PCP model.
  • To assess the feasibility and impact of this model in a federally qualified health center (FQHC).
  • To evaluate changes in provider satisfaction and visit volume post-implementation.

Main Methods:

  • A 6-step needs assessment informed model implementation at an FQHC.
  • Baseline data included practice volume, breastfeeding intent/rates, provider surveys, and financial variables.
  • Post-implementation outcomes measured provider satisfaction and visit volume.

Main Results:

  • Monthly lactation visit volume doubled after team-based LC/PCP implementation.
  • Providers reported improved breastfeeding support (100%) and positive patient experiences (84%).
  • Financial analysis estimated increased visits and revenue to cover staff training costs.

Conclusions:

  • Team-based LC/PCP healthcare delivery is effective for patient-centered counseling.
  • Practice assessment is crucial for financial feasibility and confirming provider interest.
  • Integrated LC/PCP models can be successfully implemented in FQHCs to enhance breastfeeding support and provider satisfaction.