Holly,



We ran into  similar circumstances. The word 'refuses' has such a negative connotation.  We asked if we could use the phrase 'Mother chooses to supplement feedings with formula,' or 'Mother chooses to exclusively formula feed.'  Our Quality personnel emailed TJC and we were told that this wording is satisfactory.  We have been using this phrasing for over a year and haven't had any issues.  I hope this helps.



Good Luck!

Carol



Carol Rodriguez Carroll, BA, BSN, RNC-MNN, IBCLC

Lactation Consultant and Perinatal Educator

Memorial Hermann Hospital - Katy

(281) 644-7345; SL (7979)

-----Original Message-----

From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of Holly McSpadden

Sent: Monday, April 28, 2014 3:59 PM

To: [log in to unmask]

Subject: JACHO and the Perinatal Core Measures



I have a question to direct to those of you who are working on documentation of exclusive breastmilk feeding. The hospital committee who is working on the electronic documentation for this measure is using the term "Mom refuses to breastfeed" for any baby who gets any supplementation other than breastmilk. This terminology has raised the ire of some of our physicians who are concerned that the wording is not accurate as it is being used for medical indications for supplementation as well as mother's choice. The committee's answer is that this is the wording used by the Joint Commission. I have not been privy to any of these discussions nor am I a part of the committee setting up the documentation, however one of the physicians has approached me regarding this issue. 



Can any of you wise ones shed any light on this concern?



Holly McSpadden, IBCLC



 



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