Examining the practices of key organizations such as hospitals, large employers, health care systems, insurers, and WIC programs, has the potential for affecting the breastfeeding rates in our community. This is usually the least understood and most frequently ignored level of the Spectrum, yet this level has enormous potential.

Examples include:

• Pursing Baby-Friendly designation
• Implementing the 9 Steps to Breastfeeding Friendly: Guidelines for Community Health Centers and Outpatient Care Settings
• Implementing lactation accommodation workplace support programs
• Complying with the World Health Organization (WHO) International Code of Marketing of Breast Milk Substitutes