Implementation of a Novel Tool to Collect Milk Feeding Data on Infants in Primary Care Clinics.

We aimed to capture milk feeding type in real time in a racially and socioeconomically diverse population. An electronic tool to assess milk feeding type at every medical visit for children aged 0 to 2 years was designed and incorporated into nursing workflows. The Milk Box tool was successfully added to the electronic clinical workspace of a large health system. There were eight clinics, with diverse characteristics, which incorporated the use of the Milk Box tool over 12 months. Time to 50% uptake of Milk Box varied from 3 to 5 months. Time to >80% uptake varied from 6 to 8 months. Our results show that Milk Box can be quickly incorporated into a clinical workflow when the team is given appropriate training and support. The tool also allows a primary care practice to study local breast milk consumption trends and to provide both individualized and system-level lactation support.

Duke Scholars

Author Gabriela Muriel Maradiaga Panayotti Pediatrics, General Pediatrics and Adolescent Health

Author Melissa Kay Pediatrics, General Pediatrics and Adolescent Health

Author Sophie Kay Shaikh Pediatrics, General Pediatrics and Adolescent Health

Author Karen Roussel Jooste Pediatrics, Hematology-Oncology

Author Charles Thomas Wood Pediatrics, General Pediatrics and Adolescent Health