In case you haven't seen the commentary published in Pediatrics by Drs. Flaherman and Newman regarding the Joint Commission's added measure of exclusive breastfeeding as a quality indicator, here it is (http://pediatrics.aappublications.org/content/127/6/1177.extract). I highly recommend reading the three, wonderful response letters, also found on that site. One quote from the above commentary is: "there is currently not enough evidence to support hospital policies that restrict formula use during the birth hospitalization in developed countries, and there is no evidence that infant feeding should be used as a quality indicator." In terms of the response letters, there are far too many fantastic quotes to choose from.... Happy reading! Brook K. Colgan, MPH, IBCLC Carolina Global Breastfeeding Institute *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome