. Author manuscript; available in PMC: 2015 Aug 22.

Published in final edited form as: J Hum Lact. 2014 Feb;30(1):31–40. doi: 10.1177/0890334413515948

Table 2.

Benchmark Results by Peer Group for 2011 mPINC Survey Indicators and Total mPINC Score.

State	Eligible Facilities (n)	Response Rate (%)	Average Total mPINC Score^a	Percentage of Facilities That Met Each Indicator from the 2011 mPINC Survey

				Step 1^b (%)	Step 2^c (%)	Step 3^d (%)	Step 4^e (%)	Step 5^f (%)	Step 6^g (%)	Step 7^h (%)	Step 8ⁱ (%)	Step 9^j (%)	Step 10^k (%)	Code^l (%)
West, large facilities

Hypothetical benchmark			80	29	71	98	78	98	46	83	94	54	35	37
CA	272	81	79	29^*	66	90	61	94	21	73	87	52	28	37^*
WA	76	89	77	16	50	84	78^*	96	46^*	83^*	94^*	43	31	31
OR	62	85	80^*	12	46	96	62	98^*	38	68	91	49	23	29
CO	53	81	77	23	71^*	96	71	96	27	57	88	54^*	35^*	17
AZ	53	77	73	13	55	98^*	56	90	28	73	78	44	20	13
UT	45	93	69	17	53	93	74	79	20	48	68	14	24	17
Lowest score gap			11	17	25	14	19	19	26	35	26	40	15	24

West, small facilities

Hypothetical benchmark			78	33	44	100	75	100	58	95	100	100	61	55
ID	34	79	73	33^*	44^*	100^*	63	100^*	26	70	85	41	33	11
MT	32	88	69	8	32	93	50	89	39	62	82	52	29	19
NM	31	84	69	13	42	85	69	77	27	69	65	44	24	27
AK	26	77	78^*	16	35	75	75^*	90	58^*	95^*	95	55	35	55^*
WY	22	86	70	6	33	81	67	89	53	50	89	28	61^*	6
NV	18	83	60	7	40	93	33	67	20	60	67	13	13	7
HI	10	70	76	0	43	100	43	100^*	29	71	100^*	100^*	43	29
Lowest score gap			18	33	12	25	42	33	38	45	35	87	48	49

Midwest, large facilities

Hypothetical benchmark			76	21	64	100	65	99	46	33	91	39	44	33
IL	123	89	66	11	53	98	49	89	19	29	82	27	23	5
OH	113	83	71	21^*	64^*	99	65^*	96	17	27	90	28	44^*	11
WI	104	84	76^*	19	54	97	65^*	99^*	46^*	24	91^*	38	39	27
MN	100	89	72	19	41	98	58	87	32	26	85	39^*	42	33^*
IN	99	95	68	18	51	96	58	96	21	19	88	29	28	13
MI	89	87	67	20	44	100^*	55	83	12	33^*	74	34	21	9
Lowest score gap			10	10	23	4	16	16	34	14	17	12	23	28

Midwest, small facilities

Hypothetical benchmark			72	55	73	99	82	94	37	31	87	29	51	27
IA	78	91	67	13	37	99^*	59	92	16	10	85	28	51^*	1
MO	75	87	66	12	47	94	50	94^*	27	22	87^*	28	24	3
KS	73	84	64	7	33	93	55	89	27	31^*	82	24	31	8
NE	56	88	64	15	25	98	64	92	22	27	75	29^*	30	8
SD	23	87	63	21	35	85	45	80	37^*	5	75	25	30	0
ND	13	85	72^*	55^*	73^*	82	82^*	73	27	0	73	27	36	27^*
Lowest score gap			9	48	48	17	37	21	21	31	14	5	27	27

South, large facilities

Hypothetical benchmark			69	24	75	98	53	92	32	53	91	43	33	16
TX	283	77	66	15	57	81	52	88	19	40	86	33	23	16^*
FL	133	67	69^*	17	67	92	53^*	91	18	53^*	83	40	33^*	16^*
NC	88	89	67	16	66	96	42	91	10	31	86	38	22	15
GA	90	83	65	16	59	93	49	91	11	37	77	22	14	4
TN	72	83	62	22	58	97	50	80	15	24	80	25	10	12
VA	63	70	67	11	52	98^*	48	89	32^*	33	91^*	43^*	30	11
LA	61	84	65	24^*	75^*	84	47	92^*	16	20	80	29	16	2
OK	61	80	62	9	47	84	50	82	8	25	78	23	22	6
Lowest score gap			7	15	28	17	11	12	24	33	14	21	23	14

South, small facilities

Hypothetical benchmark			79	50	74	100	63	100	33	67	100	50	40	40
AL	55	84	63	13	74^*	94	50	91	13	13	91	13	20	2
KY	51	88	60	10	53	84	38	84	17	11	84	16	9	7
SC	51	75	67	11	50	100^*	63^*	90	26	32	79	34	32	14
AR	41	68	55	22	36	82	32	75	7	14	68	25	21	7
MS	41	54	51	9	29	96	48	81	0	10	60	10	18	0
MD	35	86	70	10	67	90	57	97	20	37	87	43	30	10
WV	30	93	60	12	36	93	50	96	25	29	86	30	4	0
DC	8	63	79^*	20	60	100^*	60	100^*	20	60	100^*	40	40^*	40^*
DE	6	100	77	50^*	67	100^*	50	83	33^*	67^*	83	50^*	33	33
Lowest score gap			28	41	45	18	31	25	33	57	40	40	36	40

Northeast, all facilities

Hypothetical benchmark			88	44	85	100	91	100	70	52	100	83	71	44
NY	131	83	73	38	68	95	52	94	23	20	94	54	35	12
PA	106	88	66	17	46	96	51	96	17	19	87	21	34	7
NJ	52	85	71	25	77	93	51	100^*	9	9	93	41	16	11
MA	49	94	84	42	85^*	96	82	100^*	30	37	100^*	54	35	30
ME	31	87	83	44^*	65	100^*	73	96	48	44	100^*	82	59	44^*
CT	27	89	76	35	67	100^*	50	88	22	25	88	54	25	33
NH	24	88	88^*	38	67	100^*	91^*	100^*	52	52^*	91	62	71^*	43
VT	12	83	76	30	10	90	70	80	70^*	30	80	70	40	10
RI	7	86	81	33	50	100^*	67	100^*	20	33	100^*	83^*	17	33
Lowest score gap			22	27	75	10	41	20	61	43	20	62	55	37

The total mPINC score is on a scale of 0 to 100.

Hospital has written Breastfeeding Policy including all 10 elements (mPINC question B11).

Staff assessed for level of competency in breastfeeding management and support at least once a year (mPINC question B3).

Breastfeeding is included as routine part of prenatal classes (mPINC question A01).

≥ 90% of healthy full-term breastfed infants are put to the breast within 1 hour after delivery for uncomplicated vaginal births (mPINC question A06).

≥ 90% of breastfeeding, or intending to breastfeed, mothers are taught breastfeeding techniques (mPINC question A15).

< 10% of healthy full-term breastfed infants are supplemented with something other than breast milk (mPINC question A20).

≥ 90% of healthy full-term infants remain with mothers at least 23 hours per day (mPINC question A31).

ⁱ

≥ 90% of mothers are taught to recognize and respond to infant’s first signs of hunger (mPINC question A16).

< 10% of healthy full-term breastfed infants are given pacifiers by maternity care staff (mPINC question A24).

Hospital routinely provides all 3 modes of postdischarge breastfeeding support to mothers (mPINC question A33).

Hospital does not accept free infant formula (mPINC question A25).

Indicates states meeting the benchmark for each indicator.