One key element to make sure change sticks and gets anchored to a culture is to nurture a coalition of leaders that support the ongoing improvement effort. Here's how.

When Nicole Acosta delivered her first child in May 2013, she didn't get as much breastfeeding support as she expected to at her hospital. The hospital experience certainly changed for the better by the time she had her second son in June 2015. 

The National Center for Medical Home Implementation has named NICHQ's use of internal patient transformation facilitators an "innovative and promising practice" in pediatric medical home implementation.

Collaborative Improvement and Innovation Networks (CoIINs) offer many tools, resources and underlying supports for participants to use to accelerate change. A participant just needs to reach out and embrace them. 

Recruitment is open for hospitals in New York State to join the state's Breastfeeding Quality Improvement in Hospitals (BQIH) Learning Collaborative. If the results of the predecessor cohort of hospitals is any indication, these new recruits are in for some big changes.