Welcome to the Texas Ten Step Star Achiever Program

Texas' most renowned, state-of-the-art hospitals are staying ahead of the curve by embracing the wisdom of nature through the Ten Step Star Achiever Initiative – improving infant health, increasing patient satisfaction, earning recognition and achieving greater success. Using a quality improvement model, the initiative offers a learning collaborative, training, ongoing technical assistance and tools for facilities to improve policies and processes that impact breastfeeding outcomes.

Participation in the initiative provides advantages not only to new moms and babies as hospitals increase implementation of recommended care practices— facilities undertaking the Ten Steps to Successful Breastfeeding also see benefits including greater patient satisfaction, increased efficiency, and improved performance on national quality measures. Download the Star Achiever brochure (PDF, 788kb) which outlines the Ten Steps to Successful Breastfeeding and shows how the steps assist facilities to address the Aims of Improvement.


The Star Achiever Initiative prepares hospitals to provide cutting edge care. Watch how birthing facilities can improve patient satisfaction and maternity care through full implementation of the Ten Steps to Successful Breastfeeding and achievement of the Baby Friendly hospital designation.


Learn how adopting the Ten Steps to Successful Breastfeeding through the Star Achiever Program assists your facility to improve performance scores and addresses core measures. Share this presentation with administrators and key leaders in your facility!

Star Achiever
Ten Step Modules

Test your knowledge of the Ten Steps and assess your facility’s readiness by using this interactive training resource.

Star Achiever

This step-by-step training kit is a resource that hospitals can use in the Texas Ten Step Star Achiever process. The toolkit provides a strong foundation toward understanding and implementing each of the Ten Steps to Successful Breastfeeding.

Ten Steps to Successful Breastfeeding Videos

Watch our step-by-step videos to learn how hospitals are implementing evidence-based care related to breastfeeding.