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groups:healthcare:donor_milk_transparency_and_traceability [2018/10/28 18:34]
Marissa Iannarone [Section 4 - Resources and Glossary] - added design docs from Rapid Healthcare
groups:healthcare:donor_milk_transparency_and_traceability [2018/11/02 01:35]
Marissa Iannarone
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 ==== Section 6 - Interview Results ==== ==== Section 6 - Interview Results ====
  
-**Interview on 9/27: NICU Lactation ​Conultant**+**Interview on 9/27: NICU Lactation ​Consultant**
  • Pam is a NICU lactation consultant at one of the largest healthcare facility within a healthcare system that has over 900 facilities  • Pam is a NICU lactation consultant at one of the largest healthcare facility within a healthcare system that has over 900 facilities
  • She is specialized due to the size of the facility with NICU lactation consultants and in-patient lactation consultants being distinct roles; her focus is on mother'​s milk, not donor milk  • She is specialized due to the size of the facility with NICU lactation consultants and in-patient lactation consultants being distinct roles; her focus is on mother'​s milk, not donor milk
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  ○ There is informal sharing of donated milk across facilitates within the healthcare system and visibility on supply could be better - an opportunity to improve the donor milk network between facilities within the same system  ○ There is informal sharing of donated milk across facilitates within the healthcare system and visibility on supply could be better - an opportunity to improve the donor milk network between facilities within the same system
  
 +**Interview on 10/31 with dietitian responsible for all NICU feeding (including donor milk) for major hospital**
  
 +  * Currently no issues/​problems with how the current system works
 +  * 9 years ago biggest issue was with hospital admin and getting them to be OK from a legal perspective,​ but that is all resolved now
 +  * They work exclusively with HMBANA milk banks and use the one in Indiana, because there was a contaminate/​foreign object found and she was not happy with how it was addressed
 +  * They do not have a contract with HMBANA and they have an order as needed agreement
 +  * No issues in procuring the amount needed - they order 600 oz every 4 weeks and there is a par level to always have a stock pile
 +  * 6 years ago there was a shortage - and they had to restrict the criteria for babies, but since then have gone back to previous standards of babies that are 1500 grams or less and use it for first 4 weeks
 +  * Bartering/​exchange between hospitals occurs rarely - maybe 3-4/year around holidays when they don’t realize milk banks are closing
 +  * They use Timeless Medical Solutions - tool that monitors the expiration date and provides an alert if it is about to expire
 +  * Would she like more visibility on metrics other than expiration date? - Becoming more prominent in neonatal research is about  - caloric density of every bottle, maybe impact methodology of fortifying milked
 +  * Higher education mothers will ask about where the milk is coming from - but it is rare
 +  * Protocols are determined by physicians and it's costly
 +  * If supply was limitless, they would give it to all babies
 +  * Every NICU patient has a DRG that isn't covered by insurance, although this isn't their area of expertise
groups/healthcare/donor_milk_transparency_and_traceability.txt · Last modified: 2018/11/02 01:35 by Marissa Iannarone