Breast Pump PilotBreast Pump PilotNuPAFP ConferenceNuPAFP ConferenceOctober 13-14, 2010October 13-14, 2010

Presented by: Presented by: Lisa Akers, MS, RD, IBCLC, RLCLisa Akers, MS, RD, IBCLC, RLC

Breast Pump PilotBreast Pump PilotNuPAFP ConferenceNuPAFP ConferenceOctober 13-14, 2010October 13-14, 2010

Presented by: Presented by: Lisa Akers, MS, RD, IBCLC, RLCLisa Akers, MS, RD, IBCLC, RLC

Color Me HealthyColor Me Healthy

Objectives• Upon completion of this

presentation, you will be able to:– State the purpose of the BP pilot; – Describe the design of the BP pilot;

and– Explain the outcome of the BP pilot.

Background• It is understood that Hospital-

Grade Electric Breast Pumps:– Are time consuming– Are expensive– Are always in demand by participants– Vary from LA to LA

Goals of the Pilot• Eliminate the burden of tracking,

retrieval, and cleaning• Provide an electric BP that WIC

participants can use for subsequent children

• Decrease the cost of hospital-grade electric BP to WIC Program

Objectives of the Pilot

• Determine the amount of time to track, clean, and retrieve hospital-grade BP

• Follow WIC participants who receive a pilot BP for at least 6 months

Pilot Breast Pump• Single-User WIC Pump In Style• Donated by Medela

Policy Issues of Pilot• Participants must:

– Be certified as fully or mostly BF– Be BF > 6 months– Returning to work/school or

separated for > 4 hrs/day– Make a commitment to BF for at least

6 months

Policy Issues of Pilot cont.

• Participants must:– Attend a class or meet with Peer

Counselor to discuss BP– Pick up FIs every month (during pilot

only)– Sign a written agreement regarding

the use of the pilot pump

Written Agreement• Similar to the Breast Pump Loan

Agreements except:– Must agree to keep and use breast

pump for subsequent children for 5 years. (Exceptions are made with special circumstances).

Site Selection for Pilot

• Central Shenandoah – Largest WIC BF Peer Counselor

Program in the state– Have 1 BF Peer Counselor who only

handles BP loans

Comparison• 20 Pilot Pumps vs. 29 Hospital-

Grade BP

Outcomes

Quantitative Outcomes

• As of the end of Aug:– 12 of the pilot moms were still BF, 8

of those > 6 months– Only 2 had used some formula– 6 had completed the program– 2 were lost to follow-up

Quantitative Outcomes

• All said that the pump helped meet their BF goals

Quantitative Outcomes cont.

• Time Data:– Average time for instruction & F/U

with Pilot pump – 8 minutes– Average time for instruction, F/U,

retrieval & cleaning for hospital-grade pump – 69 minutes

Staff Time• Pilot Pump

– $1.36 per pump

• Hospital-Grade Pump – $11.73 per pump

Funding Data!

Background for Calculations

• 15% of all infants born in the US are NICU infants

• WIC averages 5% part. growth/yr• Average – 10,000 BF part./yr• 78% of women go back to work

after birth

Hospital-Grade Pump Background

• Contract good for 5 yrs.• WIC purchases on average:

– 315 new & 315 refurbished BP/yr– 4,000 collection kits/yr.

Cost to VA WIC• Combined Program:

– 1,170 - hospital-grade pump + 5% growth/yr (remains the same)

– 6,630 –personal use pump for yr 1 (varies)

+

Cost Breakdown• Personal Use Needed:

– Yr. 1 – 6,630– Yr. 2 – 390 (5% growth)– Yr. 3 – 409 (5% growth)– Yr. 4 – 429 (5% growth)– Yr. 5 – 451 (5% growth)

Substantial Cost Savings

• VA WIC could save $1,388,693.80 over the course of 5 yrs!!!

Questions?