Breastfeeding (BEST) and K-10

Breastfeeding (BEST) and K-10
Funded by: PA Department of Health

Breastfeeding Education, Support, and Training (BEST) and the Keystone 10 program

Funded by: PA Department of Health

The EPIC (Educating Practices/Physicians in their Communities) - BEST program is a statewide practice education program using office-based change as the key to promoting initiation and increasing the duration of exclusive breastfeeding. BEST is funded by the PA Department of Health and contractually administered by the PA Chapter, American Academy of Pediatrics.

This CME/CEU program helps practices:

  • Recognize misconceptions by health professionals that create barriers to breastfeeding
  • Develop office, hospital, and workplace policies to support breastfeeding
  • Provide anticipatory guidance to support mothers to successfully breastfeed
  • Assist women with breastfeeding problems, and help them utilize community resources
  • The EPIC- BEST team is comprised of pediatricians, obstetricians, Family Medicine physicians and International Board Certified Lactation Consultants (IBCLC). A physician and an IBCLC will come to your practice.
  • EPIC-BEST presentations can be scheduled on site at practices, at grand rounds, monthly meetings and staff meetings.

The Keystone 10 program: The Keystone 10 breastfeeding quality improvement initiative was launched in 2015. This no cost, voluntary initiative has been developed to align closely with the evidence based Ten Steps to Successful Breastfeeding that serve as core components of the World Health Organization's Baby Friendly Hospital Initiative (BFHI). The BFHI is the benchmark across the world for improving breastfeeding awareness, education and support within health care settings. Similar initiatives in other states were also reviewed and many successful elements from those programs have been incorporated within the Keystone 10.

This initiative is being conducted in collaboration with the Hospital & Healthsystem Association of Pennsylvania (HAP) and is endorsed by a variety of breastfeeding and health care-related organizations. The PA Chapter of the American Academy of Pediatrics is the Pennsylvania Department of Health's' primary partner in Keystone 10, serving as the managing entity for the initiative.

87 facilities from all over the state are currently participating in the Keystone 10 Initiative and are working in five regional learning collaboratives. In addition to working with the hospitals to advance the 10 steps to successful breastfeeding, Keystone 10 offers a 15 Hour Interdisciplinary Breastfeeding Management Course for the hospitals of Pennsylvania.


Director: Dottie Schell, RN
E:This email address is being protected from spambots. You need JavaScript enabled to view it.
Pediatric Advisor: Debra Bogen, MD, FAAP