Good evening..
I was listening to the update on the joint commission perinatal core measure sets.  I am very familiar with the PC-05 Exclusive Breastfeeding and have been using it to calculate our facilities exclusive rates for the past 2 years.  Now there is a 5a...Exclusive Breastfeeding considering the mother's choice.  Alternate Measure.

https://manual.jointcommission.org/releases/TJC2013B/MIF0170.html

What?

So according to the webinar I watched sponsored by AWHONN, it seems you can now exclude infant whose mothers have chosen to formula feed and/or combination feed.  

What else is there?

So if I have 100 babies (hypothetically) and 20 are exclusive.  But the other 80 can be tossed out because they are either combination or formula feed.  Does that mean I am 20/20...so 100% exclusive.

Hmm

What am I missing here?? I don't see much released on this and have to say I'm confused, not sure what this will really tell us, other than really great numbers...that aren't really great.
Help..

Denise Bulpitt RN BSN IBCLC
St. Vincent's Medical Center
Bridgeport, Ct.

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