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WORKSITE HUMAN MILK SUPPORT AND CULTURE CHANGE – FROM

POLICY TO IMPLEMENTATION

Lucie Cregeur – Best Buy Thia Bryan, MA, IBCLC – HealthPartners

Confidential – Best Buy internal use only. Do not copy, publish, or distribute. The material in this document is confidential to Best Buy. 2

BEST BUY MOTHER’S ROOM PROGRAM BestBuyadded4mother’sroomsonourcorporatecampusinAugust2018.Strategies:•  solicitedexecuAvesponsorship•  surveyedmothers•  providedcompeAAvebenchmarks

PrioriAzed3IniAaAves:1.   Access:moremother’sroomspacesviaamulA-usersuite

inacentrallocaAon,45%increaseinspace.2.   Sanita>on:We’veincreasethefrequencyandscopeof

cleaningtherooms.We’llalsoaddsanitaAonwipesineachroomsouserscanhelpkeepthemclean.

3.   Ameni>es:We’rereplacingthechairsandtables(moreergonomic),repainAngtheroomsandaddingartworktomaketheroomsmorecomfortable.

Confidential – Best Buy internal use only. Do not copy, publish, or distribute. The material in this document is confidential to Best Buy. 3

EXECUTIVE SUMMARY •  BestBuyprovidesgreatresourcesfornewmoms,including11mother’sroomsoncampus,onsitedaycare(withaccesstodiscount),carpoolparkingduringthirdtrimester,HealthLinknursesandhelpfulto-doliststoprepareforbabyandreturntowork.

•  However,thereisanopportunitytosupportthisgroupmoreby:•  MakingiteasiertoreachtheirbreasTeedinggoalsbyhavingmoremother’sroomsavailable/convenient,andensuringthatthoseroomsarecleanandfunc>onal

•  BuildingastrongercultureofsupportfornursingmomsandposiAoningitlessasanaccommodaAonandmoreasaleadershipvalueofcelebraAngdifferences

•  Improvingsupportfornewmomswillimproveengagementandproduc>vity.

Confidential – Best Buy internal use only. Do not copy, publish, or distribute. The material in this document is confidential to Best Buy. 4

IMPROVEMENTS TO REACH BEST IN CLASS Basic Services Advanced State of the ArtElectrical Outlet Electrical Outlet Electrical OutletRoom locks from the inside Room locks from the inside Room locks from the insideTable or flat surface to hold the breast pump Table or flat surface to hold the breast pump Table or flat surface to hold the breast pumpDisinfectant wipes Disinfectant wipes Disinfectant wipesRoom is located near a source of running water Room has a sink Room has a sinkDesk or table top space is provided Desk or table top space is provided Desk or table top space is providedEmployee stores milk in a public area refrigerator or personal cooler Employer provides a small

refrigerator within the room for storing milk Employer provides a small refrigerator within the room for storing milk and accessible refrigerator near room reserved only for mothers

Company provides rooms and uses first-come, first-serve approach to use rooms Company provides scheduling system to reserve the rooms Company provides enough rooms or stalls so mother's have

flexibility to pump during the day and accommodate their schedules

Employee brings her own breast pump (health insurance plan pays for or subsidizes) Employer provides a hospital-grade multi-user electric breast

pump Employer provides a hospital-grade multi-user electric breast pump

Employee brings her own attachment kit if hospital grade pump is used Employer subsidizes the cost of attachment kits for

hospitalgrade pump Employer provides the attachment kit for employees

Comfortable chair Comfortable chair, footstool Comfortable chair, footstoolRoom is clean (i.e. Lactation program stipulate that individual users take responsibility for keeping the room clean.) room is professionally cleaned daily room is professionally cleaned daily; Microwave is available in

rooms to steam pump partsMirror Clocks, attractive wall hangings, full length mirrors, lamps Clocks, attractive wall hangings, full length mirrors, lampsRooms are secured and large enough to store individual's pump and parts Storage cubbies Providing half-height lockers for people to store their

personal equipment, cooler bag, sweater, etc

  Bulletin board for posting baby photos and notes of supportBulletin board for posting baby photos and notes of support  Documentation of how to use mother’s rooms: locations,

security key, scheduling rooms, standard booking time, code of conduct

 

Employee takes usual lunch and break times to express milk; extra time needed is considered unpaid leave time Extra time that may be needed is made up as part of a

flexible schedule (coming in early, staying late, etc.) Break time is considered paid time, whether the employee goes over the allotted break time or not

Company makes pregnancy and breastfeeding pamphlets, books, and videos available Company offers classes on pregnancy and breastfeeding

during the lunch hour Education is available for dads as well as partners of male employees

Company provides mothers with names of lactation consultants and other resources in the community Company contracts with an IBCLC or other lactation expert

to assist employees with their questions or concerns Contract lactation expert services are also available for female partners of male employees

Names of local support group meetings are available to employees; a bulletin board for sharing notes of encouragement provided in lactation room

Company hosts regular support group meetings Providing electronic options for staying connected in the lactation room and at home

Company provides onsite childcare for quick and easy direct access to the baby during breaks Company allows mother to bring the baby to work during the

first few months Company provides onsite childcare for quick and easy direct access to the baby during breaks or allows mother to bring the baby to work during the first few monthsDedicatedparkingspacesforexpecAngmoms,Approvedirectflightfortravelingnursingmomsandcovercosttoshipbreastmilk

Green: Currently provided by Best Buy Mother’s Room program; Yellow: recommended enhancements

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Confidential – Best Buy internal use only. Do not copy, publish, or distribute. The material in this document is confidential to Best Buy. 5

COMPETITIVE BENCHMARKING

If Best Buy added a

multi-user suite with 6 stalls or 10 single user

rooms

•  Light Blue: multi-user suites•  Dark Blue: single user rooms

•  Best Buy lags competitors in Mother’s Room Usability•  Best Buy has more women and fewer available pumping sessions than other local, tech, and Fortune

500 employers

Note: General Mills has onsite infant daycare to accommodate nursing mothersUniversity of Minnesota has more private office space than traditional organizations

Confidential – Best Buy internal use only. Do not copy, publish, or distribute. The material in this document is confidential to Best Buy. 6

PRIORITIZED ACTIONS AND ASSIGNED OWNERSHIP

HealthPartners Organization Breastfeeding Support Created with best info known to date - updated March 2016

Organization/facility Lactation features

Hospitals Details/description Baby-friendly 10 Steps Donor milk IBCLCs Pumps

Hospital 1 Approved baby-friendly and donor milk with med need policy DME

Hospital 2 On Baby-friendly pathway and has donor milk with med need policy DME

Hospital 3 Working towards 10 steps and has donor milk with med need policy

Hospital 4 Educ materials and some L&D staff training

Hospital 5 Consultant avail through clinic and some L&D staff training

Hospital 6 Educ materials and some L&D staff training

Clinics (Obgyn, Peds, Midwives, etc.) Education Space Center IBCLCs Pumps

Clinic system 1 Breastfeeding Center in St. Paul, specialized rooms, ed materials, website, community breastfeeding support group

Clinic system 2 Dedicated IBCLCs in state-of-the-art bf center, galactalogues, support group

Clinic system 3 One counselor (non-IBCLC) avail for appt, QUI clinic project

Clinic System 4 Refers to System 1's BF Clinic

Clinic System 5 Details unclear, IBCLC shortage in outstate MN

Clinic Sytem 6 Refers to System 1's BF Clinic

Clinic system 7 IBCLCs avail for appts, ed materials and classes through hospital

Clinic system 8 Details unclear

Employee support Space Group HG Pump Space Info

Corporate headquarters Non-dedicated spaces, outlook scheduling, monthly support group Employee ordered 5X in-progress

Hospital 2 Dedicated spaces, HG pumps with free employee kits plus PPMDs 2X

Clinic system 1 Rooms made avail as needed, no dedicated spaces or HG pumps in-progress In-progress large clinics X* in-progress

Clinic system 2 Dedicated spaces, HG pumps with free employee kits At hospital X*

Hospital 1 Dedicated spaces, outlook scheduling coming soon community 1/1/2016 3X DME

Definitions:

Baby-friendly - certification program from Best Fed Beginnings Pumps - breast pumps or referrals available onsite

10 steps - processes that support baby-friendly, often done before baby-friendly Education - comprehensive breastfeeding education

Donor milk - Sterilized HMBANA human donor milk is available and procedures in place Space - space for pumping

IBCLCs - International Board Certified Lactation Consultant Center - Breastfeeding suppport center with specialized staff

Group - breastfeeding support group HG Pump - Hospital grade breastpump available for employee use

Info - breastfeeding info resources available for employees

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•  Cleanliness&aspectsofroomsneededimprovement•  Hospital-gradepumpsdesired•  Schedulingdesired•  Moreroomsneeded(somelocaAons)

•  ConAnuedimprovementofco-workerandleadersupport

•  Careschedules/demands–neededsupervisorhelpwithmanaging/flexibilitytosupportgoal

PRO

GRA

M N

EED

S

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Assessneeds

Developplan

Developresources Train Re-

evaluate Market

Room and Space Recommendations

Intranet and Return-to-Work Resources

Communication Plan MDH Breastfeeding-friendly certification

process

Organization Guideline

PROJECT SCOPE/PLAN

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NEW ROOMS (15+)

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+ PUMPS, WIPES, ETC.

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LESSON 1: GO BEYOND THE LAW MinnesotaWorkplacePumpingLaw•  181.939NursingMothers(a)AnemployermustprovidereasonableunpaidbreakAmeeachdaytoanemployeewhoneedstoexpressbreastmilkforherinfantchild.ThebreakAmemust,ifpossible,runconcurrentlywithanybreakAmealreadyprovidedtotheemployee.AnemployerisnotrequiredtoprovidebreakAmeunderthissecAoniftodosowouldundulydisrupttheoperaAonsoftheemployer.(b)Theemployermustmakereasonableeffortstoprovidearoomorotherloca>on,incloseproximitytotheworkarea,otherthanabathroomoratoiletstall,thatisshieldedfromviewandfreefromintrusionfromcoworkersandthepublicandthatincludesaccesstoanelectricaloutlet,wheretheemployeecanexpresshermilkinprivacy.Theemployerwouldbeheldharmlessifreasonableefforthasbeenmade.(c)ForthepurposesofthissecAon,“employer”meansapersonorenAtythatemploysoneormoreemployeesandincludesthestateanditspoliAcalsubdivisions.(d)AnemployermaynotretaliateagainstanemployeeforasserAngrightsorremediesunderthissecAon.

EnforcementProvision•  InvesAgaAon•  TheDivisionofLaborStandardsandApprenAceshipshallreceivecomplaintsofemployeesagainstemployersrelaAngtosecAons181.172,paragraph(a)or(d),and181.939toandinvesAgateinformallywhetheranemployermaybeinviolaAonofsecAons181.172,paragraph(a)or(d),and181.939toThedivisionshallaaempttoresolveemployeecomplaintsbyinformingemployeesandemployersoftheprovisionsofthelawanddirecAngemployerstocomplywiththelaw.ForcomplaintsrelatedtosecAon181.939,thedivisionmustcontacttheemployerwithintwobusinessdaysandinvesAgatethecomplaintwithintendaysofreceiptofthecomplaint. 12

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LESSON 2: PROVE NEED WITH DATA 2015HealthPartnersLacta>onRoomSurveydata(n=86):•  88%feltsupportedbysupervisor•  83%feltsupportedbyco-workers•  42%couldnotscheduleAmeina

lactaAonroom•  42%saidtheydidnothavea

comfortableplacetopump•  39%tookabreasTeedingclass•  60%hadaccesstosomelevelof

lactaAonsupportatwork•  36%returnedtoworkbefore3months

post-partum•  40%employeessurveyedpumpingto

12+months•  60%introducedcomplimentaryfoods

afer6months

2017BestBuySurvey(n=88Mother’sRoomUsers)•  Howofenaretheyabletofindaspace

topumpthatfitsinyourschedule?•  Have/didyoueverhavetofindan

alterna>vetotheBestBuymother’sroomstomeetyourpumpingneeds?

•  Whatameni>eswouldyouprioriAze?•  Forwhatdura>onareyounursing/

pumping?•  DidyoumeetyourbreasVeeding/

pumpinggoals?•  BestBuy,Myteam,Mysupervisorare

suppor>veofmybreasVeedinggoals(onascaleof1-5)

•  HowsupportedareyouasaparentbyBestBuy?

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LESSON 3: GET LEADERSHIP SUPPORT

BEST BUY INTERNAL STAKEHOLDERS

ExecuAveSponsors:SVPBusiness,SVPHR,CFO/WomenERGChair

HR:Benefits,Wellness,D&I

ParenAngGroup

NursingParents

CampusFaciliAesandProperAes

CorporateComm/PR

Women’sEmployeeNetwork

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SVPStrategicPlanning&HR

DirectorofEmployeeOccupaAonalHealth

ProgramManagerWell-being

ProductInnovaAonWell-being

EmployeeHealthTeam

FaciliAes,Sourcing,HRand

Safetyleads

HEALTHPARTNERS LACTATION STEERING GROUP

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Lesson 4: Get The Word Out!

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LESSON 5: KEEP EVOLVING

Think Outside the Room •  OngoingAssessment•  Forall•  HolisAcsupport•  ConnecAons•  Language•  Cultureandother•  Sustainability•  Partnership

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RESOURCES • MDHBreasTeedingFriendlyRecogniAonwebsiteresources:hap://www.health.state.mn.us/breasTeedingfriendly

• USBCWorksiteSupportLawResources:hap://www.usbreasTeeding.org/workplace-law

•  CDC:haps://www.cdc.gov/women/index.htm

• WomensHealth.GovBusinesscaseforBreasTeeding:haps://www.womenshealth.gov/breasTeeding/breasTeeding-home-work-and-public/breasTeeding-and-going-back-work/business-case

•  ColoradoBreasTeedingCoaliAonEmployerSupportVideoVigneaes:haps://www.colorado.gov/cdphe/breasTeeding-workplace

• WIC:haps://wicbreasTeeding.fns.usda.gov/ 21

Thanks!

Lucie CregeurLucie.cregeur@bestbuy.com

Thia Bryan, MA, IBCLCThia.a.bryan@healthpartners.com

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Confidential – Best Buy internal use only. Do not copy, publish, or distribute. The material in this document is confidential to Best Buy. 23

APPENDIX

Confidential – Best Buy internal use only. Do not copy, publish, or distribute. The material in this document is confidential to Best Buy. 24

BENEFITS INCLUDE RETENTION, REDUCED SICK TIME

•  TheUSDepartmentofHealthandHumanServices'BusinessCaseforBreasTeedingreportsthatinaddiAontoimprovingreten>onofexperiencedemployees,breasTeedingleadstolowerhealthcarespending,decreasedabsenteeism,increasedproduc>vity,improvedmorale,andposi>vecompanyimage

•  AstudyofmulAplecompanieswithlactaAonsupportprogramsfoundanaverageretenAonrateof94%.

•  Reduced time off due to sick children: One-day absences to care for sick children occur more than twice as often for mothers of formula feeding infants.

Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3020209/

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Confidential – Best Buy internal use only. Do not copy, publish, or distribute. The material in this document is confidential to Best Buy. 25

MOMS AND EMPLOYERS REAP MANY BENEFITS FROM BREASTFEEDING PROGRAMS “Inthepast40years,researchfindingsoverwhelminglyinfavorofbreastmilkoverformulahaveinsAgatedamarkedincreaseinthenumberofmotherschoosingtonursetheirchildrenforthefirstyearoflifeorlonger.Thedrama>chealthbenefitsforinfantandmotherhaveinfluencedthesemotherstodedicatelongandtedioushourstopumpingandstoringbreastmilkwhentheyarenotwiththeirbabies.”–TheAmericanInsAtuteofArchitectsWorkplacebreasTeedingprogramsmayhelptomi>gatehealthcarecosts,lostproduc>vityandabsenteeismby•  Reducingtheriskofsomeshort-andlong-termhealthissuesforwomenandchildren;•  Decreasingemployeeabsencesassociatedwithcaringforasickchild;•  PromoAnganearlierreturnfrommaternityleave;and•  IncreasingretenAonoffemaleemployees.LowerHealthCareCosts•  BreasTeedingcanreducemedicalcostsformotherandchild.Forevery1,000babiesnotbreasTed,thereareanextra2,033physicianvisits,212daysinthehospitaland609prescripAons.

Confidential – Best Buy internal use only. Do not copy, publish, or distribute. The material in this document is confidential to Best Buy. 26

LOCAL ROOM EXAMPLES

Individual Mother’s Room Target Multi-user Suite with 20 stalls and shared storage General Mills Individual Mother’s Room with hospital grade pump

Confidential – Best Buy internal use only. Do not copy, publish, or distribute. The material in this document is confidential to Best Buy. 27

BEST BUY SINGLE-USER MOTHER’S ROOM