Diane Spatz at Children's Hospital of Philadelphia is the person to contact 
for info on institutional change :-)  215-590-1000  She just did a 
presentation for our ILCA chapter - LaCTo (Lactation Consultants Together 
:-) on institutional change.  she is an IBCLC and researcher, has written 
articles on the changes at CHOP.

75% of their NICU babies are now breast milk fed.  They are starting to work 
on better transition to the breast before discharge.  It  has only taken her 
8 years :-(  but she has some really great info.

CHOP is considered the number one Children's Hospital in the US. Hopefully 
other hospitals will follow their example.  Pat in SNJ 

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