A quality improvement project to increase breast milk use in very low birth weight infants.

Objective: To evaluate a multihospital collaborative designed to increase breast milk feeding in premature infants.

Methods: Eleven NICUs in the California Perinatal Quality of Care Collaborative participated in an Institute for Healthcare Improvement-style collaborative to increase NICU breast milk feeding rates. Multiple interventions were recommended with participating sites implementing a self-selected combination of these interventions.