Zoom Logo

NYSPQC Donor Milk Webinar: Part 2 - Shared screen with speaker view
NYS DOH
26:01
Welcome! Please chat any questions for the presenters to Everyone in the chat box throughout the webinar.
Christine Scheinman
39:38
For NYU: what do you use to fortify your donor milk? Are you using bovine foritifers or Prolacta?
Christine Scheinman
40:11
For NYU what is your yearly budget for donor milk? For the NICU? and also for mother baby?
Samantha Alessi
40:13
Hi Christine! It's Sam! We use both. We are not consistently using Prolacta yet because we do not have it built out in EPIC yet
Samantha Alessi
40:30
Once it is built out in EPIC, we will be using it more often
Christine Scheinman
41:20
Hi Sam!! I was impressed with the zero NEC rate, we hanvent gotten there yet but are not using prolacta!
Erin Christopher
42:05
Hi Christine! Its Erin Christopher from Crouse. We have our own donor human milk bank here, we use Prolacta, and have seen incredible growth in our neonates, minus NEC.
Ivan Hand
42:20
We use the Similac Human Milk Fortifier (bovine) for all our human milk.
Maria Smilios
48:29
Have you set up Epic to automatically charge for the donor milk or is it entered manually?
Maria Smilios
49:07
Have you tracked reimbursement of donor milk?
Samantha Alessi
49:51
We are currently working on this at NYU.
Julie Bouchet-Horwitz
50:10
The coding and billing department handles the claims and finds out from nursing how much each infant consumes. I’ll be speaking about this next.
Christine Scheinman
52:14
CHONY is also exploring an electronic inventory system. Kerriton was our top pick...
Erin Christopher
52:20
It took a lot of work, but we are seeing reimbursement through Medicaid/Fidelis patients with donor human milk. Private insurance, not yet.
Maria Smilios
54:09
Can someone using Epic discribe how they are labeling their bar coded donor milk and the information you have added on the label?
Erin Christopher
55:43
has anyone used the Tymeless system?
Janet Micheli
57:16
How difficult/easy is it to get donors?
Samantha Alessi
57:29
Hi Maria. Happy to answer your questions. We generate labels through a PRN order in EPIC. It then will generate a label for the breastmilk
Erin Christopher
01:07:05
CDC recommends 24 hours after thawing per 2019 guidelines, the 48 hour recommendations come from HMBANNA?
Christine Scheinman
01:09:07
48 hrs is also from NY state Wadsworth guidelines for donor milk
Erin Christopher
01:13:36
Prior approval is extremely difficult in a NICU when the neonates cannot wait 1-2 days to start being fed unfortunately.
Roseanne Motti
01:17:40
Erin, Julie was referring to out-patients when discussing prior approvals.
Erin Christopher
01:18:56
Thank you!
Camie Berardi
01:18:57
http://sgiz.mobi/s3/NYSPQC-Enteral-Nutrition-Improvement-Project-November-2019-Coaching-Call-Webinar-Evaluation-Survey
Christine Scheinman
01:20:04
How much do you charge for the Kosher Milk? Will you be adding it to the hospital order form?
Julie Bouchet-Horwitz
01:21:04
Erin - if you have a patient on a commercial plan, offer PDHM to baby and submit a PA so that you can get reimbursed. The effective date is when the PA was written.
Roseanne Motti
01:22:35
Christine, same fee.
Camie Berardi
01:22:52
http://sgiz.mobi/s3/NYSPQC-Enteral-Nutrition-Improvement-Project-November-2019-Coaching-Call-Webinar-Evaluation-Survey