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3 Circles of Support to Remove Breastfeeding Barriers: A Collective Responsibility Welcome Summit Attendees! Welcome to the 4th Annual California Breastfeeding Summit, Circles of Support to Remove Breastfeeding Barriers: A Collective Responsibility. This summit brings together professionals throughout California who are working in their communities to improve infant, family, and community health. The overwhelming response the summit has received clearly demonstrates a commitment in our communities to implementing evidence-based maternity policies and practices that support breastfeeding. The Summits have fostered productive partnerships between hospitals and community agencies so that mothers are supported at every level of care. The goal of this Summit is to improve health outcomes by building a strong foundation of support that encircles women in California. An incredibly dedicated planning committee has put together a dynamic program for our hospitals and community partners this year to meet the summit goal. Our speakers and workshops will inspire you and empower you to strengthen breastfeeding support throughout the continuum of care. After attending the conference, you will be able to do the following: Utilize state and local breastfeeding data to measure and improve lactation support services for improved mother-baby outcomes. Promote policy and practice improvements in your discipline to remove barriers to providing a strong foundation of mother-baby centered breastfeeding support services. Interpret how the five circles of breastfeeding support: (1) Family and Social Network, (2) Health Care Systems, (3) Government and Legislation, (4) Response to Crisis or Emergency, (5) Workplace and Employment, can increase exclusive breastfeeding rates, prolong duration and support mothers breastfeeding goals. Employ the changing paradigm of breastfeeding support from one of individual behavior to collective responsibility, with particular emphasis on the role of the five circles of support to increase exclusive breastfeeding rates, prolong duration and support mothers breastfeeding goals. Please visit the exhibit tables to view the wonderful products and services that are available in the breastfeeding community. To get the most out of your learning experience, be sure to discuss and share with those around you. The local agency sharing tables also present the opportunity to learn about experiences and solutions that can help you advocate for change in your communities. Most importantly, when you return home, share the ideas and resources you find here at the Summit with your colleagues. Inspire them! On behalf of the California Breastfeeding Coalition Board of Directors and our members, I thank you for coming. Sincerely, Patty Almaguer Auchard Patty Almaguer Auchard, MD, IBCLC California Breastfeeding Coalition, Chairperson and the 2014 Board: Gretchen Andrews, IBCLC Gini Baker, RN, MPH, IBCLC Ernelyn Navarro, DM, BCC, LCSW Mary Woelfel, MPH, IBCLC Grace Yee, IBCLC Ifeyinwa Asidodu, RN, MS, IBCLC Denise Breheny, BSN, RNC-MNN, IBCLC Gail Newel, MD, MPH, FACOG Wendy Wright, MBA, IBCLC Patty Zoll, MA 3

4 California Breastfeeding Summit 4

5 Circles of Support to Remove Breastfeeding Barriers: A Collective Responsibility Partners The California Breastfeeding Coalition would like to express its appreciation for the generous support provided by the California WIC Program Presenting Partner We give special thanks to the following sponsoring organizations and companies for their generous support: Thank you for your support! 5

6 California Breastfeeding Summit Special Thanks & Acknowledgements The California Breastfeeding Coalition would like to thank and acknowledge the following individuals for their hard work and dedication to our common vision that there are no barriers to breastfeeding in California and for making the California Breastfeeding Summit a SUCCESS! Gretchen Andrews, Inland Empire Breastfeeding Coalition, California Breastfeeding Coalition Gini Baker, UCSD Extension Perinatal Health Programs, California Breastfeeding Coalition Susana Berumen, Riverside County Department of Public Health Shirley Chan, Peninsula Regional Breastfeeding Collaborative Susan Crowe, Lucile Packard Children s Hospital at Stanford Karen Farley, California WIC Association Suzanne Haydu, CDPH, Maternal, Child and Adolescent Health Susan McLaughlin, Peninsula Regional Breastfeeding Collaborative Sherri Mendelson, Providence Holy Cross Medical Center Ernie Navarro, Inland Empire Breastfeeding Coalition, California Breastfeeding Coalition Jeanette Panchula, Breastfeeding Coalition of Solano County Karen Peters, BreastfeedLA Jeffery Rosenhall, CDPH Obesity Prevention Program Monique Sims-Harper, Contra Costa WIC Program Tamesha Valverde, Delta Health Care, Breastfeeding Coalition of San Joaquin Dr. Nancy Wight, Sharp Mary Birch Hospital for Women and Rady Children s Hospital, San Diego Breastfeeding Coalition Mary Woelfel, San Joaquin County Public Health Services, California Breastfeeding Coalition Dr. Patty Auchard, Ventura Breastfeeding Coalition, California Breastfeeding Coalition Michele Bunker-Alberts, Alameda Health System, Highland Campus, Alameda County BF Coalition Denise Breheny, Kaiser South Bay, California Breastfeeding Coaition Linda Cowling, CDPH Obesity Prevention Program Angela Damon, BS, IBCLC Alyson Foote, Riverside County Department of Public Health, Inland Empire Breastfeeding Coalition Leslie Kaye, CDPH WIC Program Carol Melcher, Carol Melcher Consulting Dr. James Murphy, San Diego Breastfeeding Coalition Gail Newel, Fresno County Department of Public Health, California Breastfeeding Coalition Gloria Pecina, United Health Centers WIC Program Jennifer Pettus, CRP WIC Program, Breastfeeding Coalition of Greater Sacramento Carina Saraiva, CDPH, Maternal, Child and Adolescent Health Jennie Torti, Perinatal Advisory Council: Leadership, Advocacy and Consultation Carolyn Waggoner, CDPH WIC Program Wendy Wright, Lactation Navigation, California Breastfeeding Coalition Grace Yee, City & County of San Francisco WIC Program, California Breastfeeding Coalition Patty Zoll, County of Ventura, California Breastfeeding Coalition 6

7 Circles of Support to Remove Breastfeeding Barriers: A Collective Responsibility California Department of Public Health WIC Program WIC Supports Breastfeeding: The Gift that Lasts a Lifetime Proud to be a Partner of the 2014 California Breastfeeding Summit 7

8 California Breastfeeding Summit 2013 California Baby-Friendly Designated Hospitals The California Breastfeeding Coalition inducts the following hospitals into the Golden Circle of California Hospitals for championing our vision to remove all barriers to breastfeeding by achieving the Baby-Friendly Designation. COUNTY HOSPITAL MONTH Monterey Natividad Medical Center February San Bernardino Redlands Community Hospital February California Baby-Friendly Designated Hospitals Golden Circle of California Baby-Friendly Hospitals, a global symbol of providing world-class maternity care. COUNTY HOSPITAL YEAR BABY-FRIENDLY Sonoma Women's Health & Birth Center 1997, August San Bernardino Weed Army Community Hospital 1998, December Alameda Kaiser Hospital: Hayward 2001, January Ventura Ventura County Medical Center 2003, July Monterey Community Hospital 2004, January San Diego Scripps Memorial Hospital: Encinitas 2004, January Riverside Kaiser Foundation Hospital- Riverside 2005, March San Bernardino Naval Hospital- Robert E. Bush 2005, May Los Angeles Glendale Memorial Hospital & Health Center 2005, July Riverside Corona Regional Medical Center 2005, December San Diego UCSD Medical Center 2006, April San Bernardino Barstow Community Hospital 2007, June San Francisco San Francisco General Hospital 2007, June Riverside Desert Regional Medical Center 2007, July Los Angeles Providence Holy Cross Medical Center 2007, August San Bernardino Community Hospital of San Bernardino 2007, August San Bernardino San Antonio Community Hospital 2008, July Yolo Sutter Davis Hospital 2008, August San Bernardino St. Mary Regional Medical Center 2008, October San Bernardino Arrowhead Regional Medical Center 2009, January San Bernardino Loma Linda University Medical Center 2009, January Sacramento The Birth Center- Fair Oaks 2009, March Orange St. Joseph Hospital 2009, May Orange Hoag Memorial Hospital 2009, July Sacramento Kaiser Foundation Hospital South Sacramento 2009, July San Bernardino Kaiser Foundation Hospital- Fontana 2010, April Los Angeles Kaiser Hospital- Downey 2010, May Nevada Tahoe Forest Hospital 2010, August San Bernardino St. Bernardine Medical Center 2010, August Yolo Woodland Health Care 2010, August Los Angeles Kaiser Hospital- Los Angeles, Sunset 2010, December San Diego Kaiser Hospital- San Diego 2010, December Ventura Santa Paula Hospital 2010, December 8

9 Circles of Support to Remove Breastfeeding Barriers: A Collective Responsibility California Baby-Friendly Designated Hospitals (continued) COUNTY HOSPITAL YEAR BABY-FRIENDLY Los Angeles Kaiser Permanente Medical Center Woodland Hills 2011, April Los Angeles Kaiser Permanente Medical Center Baldwin Park 2011, May Orange Kaiser Foundation Hospital Orange County Anaheim 2011, July Orange Kaiser Foundation Hospital Orange County Irvine 2011, July Monterey Salinas Valley Memorial Health Care System 2011, July Orange St. Jude Medical Center 2011, July Los Angeles Valley Care Olive View UCLA Medical Center 2011, July Los Angeles Kaiser Permanente Medical Center Panorama City 2011, August Butte Enloe Medical Center 2011, August Riverside Parkview Community Hospital Medical Center 2011, September Los Angeles Henry Mayo Newhall Memorial Hospital 2011, November Alameda Alameda County Medical Center 2012, February Los Angeles Kaiser Permanente South Bay Medical Center 2012, February San Joaquin St. Joseph's Medical Center 2012, March Santa Cruz Dominican Hospital 2012, March Santa Cruz Sutter Maternity & Surgery Center 2012, March Sacramento Sutter Medical Center Sacramento 2012, March Los Angeles Harbor-UCLA Medical Center 2012, March Los Angeles LAC + USC Health Care Network 2012, March Los Angeles Kaiser Permanente West Los Angeles Medical Center 2012, April Riverside Riverside Community Hospital 2012, May Orange Mission Hospital 2012, July San Luis Obispo French Hospital Medical Center 2012, September The Ten Steps To Successful Breastfeeding The BFHI promotes, protects, and supports breastfeeding through The Ten Steps to Successful Breastfeeding for Hospitals, as outlined by UNICEF/WHO. The steps for the United States are: 1 - Have a written breastfeeding policy that is routinely communicated to all health care staff. 2 - Train all health care staff in skills necessary to implement this policy. 3 - Inform all pregnant women about the benefits and management of breastfeeding. 4 - Help mothers initiate breastfeeding within one hour of birth. 5 - Show mothers how to breastfeed and how to maintain lactation, even if they are separated from their infants. 6 - Give newborn infants no food or drink other than breastmilk, unless medically indicated. 7 - Practice rooming in -- allow mothers and infants to remain together 24 hours a day. 8 - Encourage breastfeeding on demand. 9 - Give no pacifiers or artificial nipples to breastfeeding infants Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or clinic 9

10 California Breastfeeding Summit General Information Registration & Information Desk Hours The Registration & Information Desk is in the Conference Center Foyer. The staff is available to answer questions and provide assistance to conference attendees. Date January 29 January 30 January 31 Time 10:00 AM 5:30 PM 7:30 AM 6:30 PM 7:30 AM 3:30 PM Seating Policy Seating for all sessions is on a first-come, firstserved basis. If your first choice is at its capacity, we would appreciate your cooperation in attending the session of your second choice. Evaluations The evaluations are very useful in planning for future summits. Each summit attendee is encouraged to complete the evaluation for each workshop you attend. Evaluations can be dropped off at the registration desk. Messages A message board will be located by the registration desk. Lactation Room / Babies A lactation room is available for pumping or breastfeeding. Please ask the registration desk for information and help with access to the room. Babies are welcome. We ask parents to please tend to baby outside of the workshop rooms if the baby is displaying discomfort. Please feel free to breastfeed baby anywhere. Emergencies & First Aid In the event of an emergency, or if someone needs immediate first aid attention, contact the hotel operator using one of the house phones. House phones are located in all the meeting rooms, lobby areas, guest rooms and the registration area. Hotel & Contact Information The location of the California Breastfeeding Summit is the Lions Gate Conference Center. The Conference Center is located just minutes away from the Sacramento International Airport, and is a short drive from many attractions. Lions Gate Hotel & Conference Center 3410 Westover Street Sacramento, CA Tel: :00 PM Check-in 12:00 PM Check-out *Note the Conference Center is located just off of the hotel at 5411 Luce Avenue. Hotel Dining Lions Gate Hotel is home to a critically acclaimed onsite restaurant and lounge, the O Club, offering wonderful fine dining during your stay in Sacramento, CA. Hours of Operation: Breakfast (complimentary to hotel guests) M-F: 6:30 a.m - 9:30 a.m. Lunch Daily: 11:00 a.m. - 2:00 p.m. Dinner Tuesday, Wednesday: 5:30 p.m. - 9:00 p.m. Thursday and Friday: 5:30 p.m. - 10:00 p.m. Parking Free parking is provided at the hotel for guests, with a shuttle provided between the Conference Center and hotel. Additional free parking space is available at the convention center. 10

11 Circles of Support to Remove Breastfeeding Barriers: A Collective Responsibility Continuing Education Units Physicians For Physicians: This activity has been planned and implemented in accordance with the Institute for Medical Quality/California Medical Association s CME Accreditation Standards through the joint sponsorship of the Perinatal Advisory Council: Leadership, Advocacy and Consultation (PAC/LAC) and of the California Breastfeeding Coalition. PAC/LAC is accredited by the Institute for Medical Quality/California Medical Association (IMQ/CMA) to provide continuing education for physicians. PAC/LAC designates this education activity for a maximum of 13 AMA PRA Category 1 Credit(s) TM. Physicians should only claim credit commensurate with the extent of their participation in the activity. This credit may also be applied to the CMA Certification in Continuing Medical Education. 1. Please sign the daily sign in sheet at the registration desk for each of your days of attendance. Include your license number. 2. Turn in your evaluation and pick up your CME certificate at the end of each day 3. It is recommended that physicians retain certificates for 4 6 years after the event. Nurses The Perinatal Advisory Council Leadership, Advocacy and Consultation (PAC/LAC) is an approved provider by the California Board of Registered Nursing Provider CEP This course is approved for 17 contact hours of continuing education credit. 1. RNs need to sign the daily sign in sheet at the registration desk for each of your days of attendance. Include your license number. 2. Turn in your evaluation at the end of the day. 3. Please pick up your certificate at the end of the day and retain your certificate of attendance for a period of four years after the course ends. California WIC Association, summit co-sponsor, is offering continuing education units for International Board Certified Lactation Consultants (IBCLC/RLC) and Registered Dietitians. Please take a moment to read the guidelines below to expedite processing your units. Information and sign-in sheets for CERP s and CPEU s are available at the registration area. A maximum of 17 CERPs and 17 CPEU have been applied for and are pending approval. This includes 1.0 CPEU s for the Exhibit Viewing and Local Agencies Sharing. Certificates of Attendance IBCLC CERP Certificate: Your certificate will be ed to you after the Summit. Please be sure to sign in on each day. RD CPEU Certificate: Certificates of attendance will be available in the afternoon at the registration desk. Lactation Consultants/Lactation Educators/CLCs 1. Sign the daily sign in sheet at the registration desk for each of your days of attendance. 2. Complete and turn in your evaluation at the end of each day. 3. A certificate of attendance will be ed to you. 4. CLEs and CLCs: A certificate of attendance will be ed to you as documentation of workshop attendance as preparation for your IBCLC exam. Registered Dietitians 1. RDs do not need to sign in. Report your activities to the ADA at your five year reporting period. 2. RDs should take an attendance certificate from the registration desk during the afternoon of each day and turn in your evaluation form. 3. Keep for your certificate for your records for two years past the expiration of your five year period. 11

12 California Breastfeeding Summit Plenary Speakers DIANA S. DOOLEY, Secretary, California Health and Human Services Agency Diana Dooley, Secretary, California Health and Human Services Agency, appointed December 2010 by Governor Jerry Brown, leads 13 state departments within the Agency, chairs Covered California (the Health Benefit Exchange) and serves as chair or member of numerous other boards and commissions. Previously, Dooley was President and CEO of the California Children s Hospital Association. Dooley began her career as an analyst for the State and in 1975, she was appointed to the staff of Governor Jerry Brown for whom she served as Legislative Director and Special Assistant until the end of his term in Before becoming an attorney in 1995, she owned a public relations and advertising agency. Dooley moved into health care in 2000 when she left her private law practice to serve as General Counsel and Vice President at Children s Hospital Central California. Dooley is active in civic and community affairs, having served on the Boards of Directors of the UC Merced Foundation, Blood Source of Northern California and The Maddy Institute at California State University, Fresno. She is also a past president of Planned Parenthood, the Visalia Chamber of Commerce and the Central California Futures Institute. Dooley is a native of Hanford, California and graduated from Hanford High School in She received her bachelor s degree in Social Sciences from California State University, Fresno in 1972 and her law degree from San Joaquin College of Law in She is married to Dan Dooley and has two adult daughters. M. JANE HEINIG, PhD, IBCLC, Executive Director and Academic Administrator, UC Davis Human Lactation Center Dr. Jane Heinig is an International Board Certified Lactation Consultant on the faculty in the Department of Nutrition at UC Davis where she conducts research in the areas of public health nutrition, nutrition education, program evaluation, and infant nutrition, growth and development. She received her PhD in Nutrition Science from UC Davis and has been an IBCLC for 20 years. Dr. Heinig is the former Editor-in-Chief of the Journal of Human Lactation, a position she held for 15 years. She is the Executive Director of the UC Davis Human Lactation Center and Graduate Advisor for the Masters Degree Program in Maternal and Child Nutrition at UC Davis. She has published widely in the scientific literature and currently is a member of the International Lactation Consultant Association and the American Public Health Association. She is also a co-author of the UC Davis-based blog Secrets of Baby Behavior. ERIC WALSH, MD, MPH, DrPH Director and Health Officer, City of Pasadena Health Department Dr. Eric Walsh is the Director and Health Officer for the City of Pasadena s Health Department in Pasadena, California. He oversees one of only three city-based health departments in the state. In his current role, he champions maternal child issues such as exclusive breastfeeding for at least the first 6 months of life, violence prevention and intervention work, availability to affordable fruits and vegetables and access to quality health care. He is a strong believer in servant leadership and collaboration with community partners. Dr. Walsh is committed to the highest level of care for individuals infected with HIV. Dr. Walsh was born in Hartford, Connecticut. He is a graduate of Oakwood University in Huntsville Alabama, The University of Miami Miller School of Medicine in Miami, Florida, and Loma Linda University School of Public Health in Loma Linda, California. He recently completed his Doctorate in Public Health. He is board certified in Family Medicine and is Board Eligible in Preventive Medicine and Public Health. Dr. Walsh is on staff at the Loma Linda University School of Medicine in the Family Medicine Department. Dr. Walsh served on the current, and previous, Presidential Advisory Council on HIV/AIDS. He has been on CDC committees and served on a committee for the former Surgeon General, Dr. David Satcher. Dr. Walsh is a sought-after speaker on issues such as health disparities, racism s impact on health, maternal child health issues, and violence as a contagious disease among other topics. 12

13 Circles of Support to Remove Breastfeeding Barriers: A Collective Responsibility Plenary Speakers SUSANNE MADDEN, MBA, President & CEO, The Verden Group, COO, National Breastfeeding Center Susanne Madden completed a Bsc in Business Management at Marymount College in NY, then earned an MBA in both Management Systems and Information & Communication Systems from Fordham University. Her career has spanned across several sections of the healthcare industry. Prior to co-founding NBfC, she was employed by United Healthcare in the area of physician network management, and spent several years as a healthcare consultant specializing in contract negotiations, business creation and development, revenue cycle remediation, vendor management and process improvement. She also owns and manages The Verden Group, a practice management consulting firm. Susanne is an outspoken advocate for healthcare providers, working with policy-makers and private organizations to bring about much needed reform of insurance company business practices. With a keen focus on payers ever-changing policies and their collective impact, she is considered a Payer policy and strategy expert. She writes frequently and speaks regularly on the business aspects of healthcare and is often quoted in industry and media publications. TRISH MACENROE, BS, CDN, IBCLC, Executive Director, Baby-Friendly USA Trish MacEnroe, is Executive Director of Baby-Friendly USA, former chair and treasurer of the NYS Breastfeeding Coalition, and former chair of the WIC Association of NYS. At Baby-Friendly USA, Trish has reorganized the Baby-Friendly designation process and created tools to assist facilities pursuing designation. Most recently, she has reorganized the re-designation process as well as implemented an annual QI program for designated facilities. Previously, Trish worked for the WIC program, most recently as Director of the NYS WIC Training Center, and oversaw development of training programs for all aspects of WIC, including the development of their Breastfeeding Peer Counselor website and curriculum. Trish received her Bachelor of Science degree in Food Science and Nutrition from the University of Rhode Island. JOCELYN AUDELO, RN, MPH, Senior Consultant, Kaiser Permanente Care Management Institute Jocelyn Audelo is a Senior Consultant at the Kaiser Permanente Care Management Institute in Oakland, where she leads work focused on Total Health and Obesity Prevention among childbearing women and young children, and consults with all of Kaiser Permanente s regions to develop and implement clinical best practices in support of that aim. Her prior projects have included the Kaiser Permanente Improving Hospital Breastfeeding Support Implementation Toolkit, and development of a system-wide approach to document and report on breastfeeding exclusivity and persistence for all Kaiser Permanente infants. Prior to joining Kaiser Permanente, Jocelyn worked as a pediatric clinic manager and RN educator at a large federally-qualified health center in East Palo Alto. She holds an MPH in Maternal-Child health from UC Berkeley and received her Bachelors in Nursing from Johns Hopkins University. AIDA CÁCERES-RODRIGUEZ, RNC-NIC, MSN, NNP, IBCLC, Clinical Nurse Specialist - NICU, Arrowhead Regional Medical Center Aida Cáceres Rodriguez with 35 years of experience in nursing has dedicated 32 of those years to Neonatal Intensive Care. Currently she is the Clinical Nurse Specialist for the NICU at Arrowhead Regional Medical Center, Colton, California. She has a passion for the wellbeing of babies and their families and views lactation as pivotal in promoting health for the growing family and especially for those on the NICU journey and beyond. She has 4 children and 5 grandchildren all breastfed! 13

14 California Breastfeeding Summit Summit Program Disclosures at a Glance The following faculty and planning members do not have conflicts of interest to disclose: Karen Peters, RD, MBA, IBCLC Ernelyn Navarro, DM, LCSW, BCC Trish MacEnroe, BS, CDN Carol Melcher, MPH, BS, RN M. Jane Heinig, PhD, IBCLC Eric Walsh, MD, MPH Ruth Patterson, RN, BSN, MHA Connie Cruz, BSN, RN Lucy Chaidez Kelley Knapp, MS, RD Gini Baker, RN, MPH, IBCLC Tina Cardarelli, IBCLC Susana Berumen, IBCLC, RLC Susanne Madden, MBA Jonathan Goldfinger, MD, MPH Chuck Ault Genevieve Colvin, IBCLC Michele Bunker-Alberts, DNP(s), APN-FN-BC, IBCLC Gail Newel, MD, MPH, FACOG Monique Sims, DrPH, MPH, RD, IBCLC Jeanette Panchula, BA-SW, RN, PHN, IBCLC Meg Beard, MPH, MCHES, RD, IBCLC Monique Sims, DrPH, RD, IBCLC Cathy Carothers, BLA, IBCLC Jude Burden Janet Vaughan, MPH, RD, IBCLC, CDE Eve Dunaway, MA, IBCLC Kathleen L. Anderson, MEd, CLC Dana Moore, MPH, CPH Karen Farley, RD, IBCLC Lynn Thiebaud, RN, IBCLC Samuel Nunez Maria Jose Hummel, MPH Heather Readhead, MD, MPH Gloria Pecina, RD, MBA Patt Young, CLE Hilda Jackson, CLE Aida Cáceres-Rodriguez, RNC-NIC, MSN, NNP Jocelyn Audelo, RN, MPH Sherri Mendelson, RNC, PhD, CNS, IBCLC * Mary Woelfel, MPH, IBCLC * Nancy E. Wight MD, IBCLC, FABM, FAAP * Denise Breheny, MSN(c), RNC-MNN, IBCLC * Shirley Chan, RD, IBCLC * Robbie Gonzalez-Dow, MPH, RD, CLE* Patricia Almaguer Auchard, MD, IBCLC * Ernelyn Navarro, DM, LCSW, BCC * * Planning Committee Member 14

15 Circles of Support to Remove Breastfeeding Barriers: A Collective Responsibility Summit Program at a Glance Wednesday, January :00 AM Registration 10:30 AM Pre-conference: Bridging the Breastfeeding Support Gap: Community Resources and Hospitals Coming Together to Accomplish Baby-Friendly Steps 3 and 10 12:30 PM Lunch on your own (affordable lunch available on-site) 1:30 PM Pre-conference: Transforming Committees, Coalitions, and Collaboratives into High Performing Teams: Achieving your Breastfeeding Improvement Goals 5:30 PM Adjourn Thursday, January 30, :30 AM Registration and Continental Breakfast 8:00 AM Exhibits Open; Hospitals, Breastfeeding Coalitions and Community Agencies Sharing Tables 8:00 AM Continental Breakfast 9:00 AM Morning Opening Session 9:10 AM Plenary Session: Government and Legislation: Removing Barriers to Breastfeeding 9:20 AM Opening Plenary: California s Breastfeeding Rates: Gaining Momentum Through Building a Continuum of Care 10:35 AM Celebrating California s Baby-Friendly Hospitals! Senator Kevin de León, Representing the 22 Senate District 11:15 AM Plenary Session: Health for All: Reducing Health Disparities Through Increased Breastfeeding 12:15 PM Exhibits Open; Hospitals, Breastfeeding Coalitions and Community Agencies Sharing Tables 12:15 PM Box Lunches Available for Purchase 1:30 PM Concurrent Workshop Track Sessions Track A: Improving Your Joint Commission Perinatal Care Core Measure of Exclusive Breast Milk Feeding Through Baby-Friendly Implementation Evidence- Based Maternity Practices, Track B: Engaging Faith Community in Breastfeeding Promotion Track C: Making it Work: Using New National Tools to Help Employers Support Nursing Moms 2:45 PM Concurrent Workshop Track Sessions Track A: Nuts and Bolts of the Baby-Friendly Re-Designation Process, Track B: How Licensed Child Care Supports Breastfeeding Families Track C: Strategies to Support Mothers to Facilitate Milk Expression in the Low-Wage Workplace Thursday, January 30, 2014 (continued) 4:00 PM Concurrent Workshop Track Sessions Track A: Baby-Friendly Hospital Initiative Step 6: From Fantasy to Reality, Track B: Establishing Breastfeeding-Friendly Childcare Settings: Resources to Help Child Care Providers and Breastfeeding Families Track C: Evaluating Tools for Supporting Safe and Healthy Infant Feeding and Young Child Feeding in Emergencies 5:00 PM Exhibits Open & Reception; Hospitals, Breastfeeding Coalitions and Community Agencies Sharing Tables 7:00 PM Adjourn Friday, January 31, :30 AM Registration and Continental Breakfast (table topics) 7:30 AM Exhibits Open; Hospitals, Breastfeeding Coalitions and Community Agencies Sharing Tables 8:30 AM Plenary Session: Lactation Support Services Coverage Under the Affordable Care Act 9:45 AM Concurrent Workshop Track Sessions Track A: Implementing Breastfeeding Support in Community Clinics: Lessons Learned for Best Outcomes, Track B: Role of Fathers in Influencing and Supporting Mothers Infant Feeding Decisions, Track C: Engaging Employers: Supporting Nursing Mothers in a Variety of Work Situations 10:45 AM Exhibits Open; Hospitals, Breastfeeding Coalitions and Community Agencies Sharing Tables 11:15 AM Concurrent Workshop Track Sessions Track A: Guidelines and Criteria for a Breastfeeding- Friendly Healthcare Provider Office Track B: Empowering Grandmothers as Breastfeeding Supporters Track C: How to Use Your Cell Phone, Texting, and YouTube to Meet the Learning Needs of Generation Y 12:15 PM Exhibits Open; Hospitals, Breastfeeding Coalitions and Community Agencies Sharing Tables 12:15 PM Lunch Provided 1:15 PM Plenary Session: Moving Ahead to Implement SB 402: California s Baby-Friendly Law 3:15 PM Closing/Evaluation 3:30 PM Adjourn 15

16 California Breastfeeding Summit Wednesday, January 29, 2014 Pre-Conference Agenda California Breastfeeding Coalition Presents California Breastfeeding Summit Circles of Support to Remove Breastfeeding Barriers: A Collective Responsibility Wednesday, January 29, 2014 WEDNESDAY AGENDA AT A GLANCE 10:30 5:30 Breastfeeding Coalitions Pre-conference Lions Gate Hotel Club Ballroom 10:00 10:30 Registration Lions Gate Hotel Club Ballroom Foyer 10:30 12:30 2 CME 2 CEU 2.0 CERP-R 2 CPEU Bridging the Breastfeeding Support Gap: Community Resources and Hospitals Coming Together to Accomplish Baby-Friendly Steps 3 & 10 Karen Peters, RD, MBA, IBCLC Trish MacEnroe, BS, CDN, IBCLC Moderator Denise Breheny, BSN, RNC-MNN, IBCLC 12:30 1:30 Lunch on Your Own (affordable lunch available on-site or at the restaurant) 1:30 5:30 4 CEU 4.0 CERP-R 4.0 CPEU Transforming Committees, Coalitions and Collaboratives into High Performing Teams: Achieving your Breastfeeding Improvement Goals Ernelyn J. Navarro, DM, BCC, LCSW Carol Melcher, MPH, BS, RN Moderator Mary Woelfel, MPH, IBCLC 16

17 Circles of Support to Remove Breastfeeding Barriers: A Collective Responsibility Wednesday, January 29, 2014 Pre-Conference Description 10:30 AM 12:30 PM Lions Gate Hotel Club Ballroom Bridging the Breastfeeding Support Gap: Community Resources and Hospitals Coming Together to Accomplish Baby-Friendly Steps 3 & 10 Presenters: Karen Peters, RD, MBA, IBCLC and Trish MacEnroe, BS, CDN, IBCLC Continuity of Care is a goal of the Baby-Friendly Hospital Initiative. This interactive workshop will provide tools for community breastfeeding advocates and hospitals to build a more robust safety net for mothers and babies. Steps 3 & 10 of the Ten Steps to Successful Breastfeeding require the hospital to address this issue. Learn from five communities who have utilized Continuity of Care Connections tools developed by the United States Breastfeeding Committee. Learning Objectives By the end of the session, learners will be able to: Describe the Baby-Friendly USA Guidelines and Evaluation Criteria for Continuity of Care (Steps 3 & 10). Conduct a Continuity of Care community assessment to identify resources and gaps in care. Work in interdisciplinary teams to cooperate, collaborate, and communicate, ensuring that lactation care is continuous and reliable. 1:30 PM 5:30 PM Lions Gate Hotel Club Ballroom Transforming Committees, Coalitions and Collaboratives into High Performing Teams: Achieving your Breastfeeding Improvement Goals Presenters: Carol Melcher, MPH, BS, RN and Ernelyn Navarro, DM, BCC, LCSW The purpose of this workshop is to provide leaders and members of Breastfeeding Coalitions, Collaboratives, or Committees with the knowledge, understanding, and tools to create dynamic and high performing teams. A foundational framework that combines established practices discussed in the literature will guide leaders and teams to enhance effectiveness, develop resultsoriented goals and achieve desired outcomes. Learning Objectives By the end of the session, learners will be able to: Apply a framework to create a dynamic Breastfeeding Coalition, Collaborative, or Committees. Describe shared responsibilities and accountabilities for leaders and members in developing and implementing action plans for their breastfeeding initiatives/projects. Utilize tools and techniques to engage team members to achieve desired outcomes and sustain optimal performance. Identify potential barriers and how to mitigate team conflict. Explain how to evaluate and monitor team performance. 17

18 California Breastfeeding Summit Thursday, January 30, 2014 Program Agenda California Breastfeeding Coalition Presents California Breastfeeding Summit Circles of Support to Remove Breastfeeding Barriers: A Collective Responsibility Thursday, January 30, 2014 THURSDAY AGENDA AT A GLANCE 7:30 4:00 Registration McClellan Convention Center Foyer 8:00 9:00 Continental Breakfast General Session Room 8:00 9:00 Exhibit Show & Coalitions, Community Agencies and Hospitals Sharing Tables 9:00 12:15 Morning Opening Session General Session Room 9:00 9:10 Opening Welcome Patty Almaguer Auchard, MD, IBCLC, Chair, California Breastfeeding Coalition 9:10 9:20 Opening Plenary 9:20 10:20 Plenary Session Government and Legislation: Removing Barriers to Breastfeeding Diana Dooley, Secretary, California Health and Human Services Agency 1 CME/ 1 CEU/ 1 CERP-R/ 1 CPEU California Breastfeeding Rates: Gaining Momentum Through Building a Continuum of Care Jane Heinig, PhD, IBCLC, UC Davis Human Lactation Center 10:20 10:35 Stretch Break 10:35 11:15 Celebrating California s Baby-Friendly Hospitals! Parade of Baby-Friendly Hospitals, Induction of 2013 Designated Baby-Friendly Hospitals Senator Kevin de León, representing the 22nd Senate District, California State Senate 11:15 12:15 Plenary Session 1 CME/ 1 CEU/ 1 CERP-R/ 1 CPEU Health for All: Reducing Health Disparities Through Increased Breastfeeding Eric G. Walsh, MD, DrPH, Public Health Director and Officer, City of Pasadena 12:15 1:30 Lunch on Your Own (Box Lunches Sold On-Site) Exhibits Open Hospitals, Coalitions, and Community Agencies Sharing Tables General Session Room 18

19 Circles of Support to Remove Breastfeeding Barriers: A Collective Responsibility Thursday, January 30, 2014 Program Agenda California Breastfeeding Coalition Presents California Breastfeeding Summit: Circles of Support to Remove Breastfeeding Barriers: A Collective Responsibility THURSDAY AGENDA AT A GLANCE continued 1:30 2:30 CONCURRENT WORKSHOP TRACK SESSIONS 1:30 2:30 Track A Health Care Systems Track B Family and Social Networks Track C Workplace and Employment Education Units: 1 CME/ 1 CEU/ 1 CERP-R/ 1 CPEU 1 CEU/ 1 CERP-R/ 1 CPEU 1 CEU/ 1 CERP-R/ 1 CPEU Session Title: Improving Your Joint Commission Perinatal Care Core Measure of Exclusive Breast Milk Feeding Through Evidence-Based Maternity Practices Engaging the Faith Community in Breastfeeding Promotion Making it Work: Using New National Tools to Help Employers Support Nursing Moms Speaker: Ruth Patterson, RN, BSN, MHA Monique Sims, DrPH, RD, IBCLC Connie Cruz, BSN, RN Cathy Carothers, BLA, IBCLC Room: Moderator: Aspen B Carina Saraiva, MPH Stanford Sherri Mendelson, RNC, PhD, CNS, IBCLC Berkeley Grace Yee, IBCLC 2:30 2:45 Break Dedicated time for Exhibit Show & Hospitals, Coalitions and Community Agencies Sharing Tables General Session Area 2:45 3:45 CONCURRENT WORKSHOP TRACK SESSIONS 2:45 3:45 Track A Health Care Systems Track B Family and Social Networks Track C Workplace and Employment Education Units: 1 CME/ 1 CEU/ 1 CERP-R/ 1 CPEU 1 CERP-R/ 1 CPEU 1 CERP-R /1 CPEU Session Title: Nuts and Bolts of the Baby- Friendly Re-Designation Process How Licensed Child Care Supports Breastfeeding Families Strategies to Support Mothers to Facilitate Milk Expression in the Low-Wage Workplace Speaker: Trish MacEnroe, BS, CDN, IBCLC Lucy Chaidez Jude Burden Kelley Knapp, MS, RD Janet Vaughan, MPH, RD, IBCLC, CDE Room: Moderator: Aspen B Denise Breheny, BSN, RNC- MNN, IBCLC Stanford Jeffery Rosenhall, MA Berkeley Patty Zoll, MA 3:45 4:00 Break Dedicated time for Exhibit Show & Hospitals, Coalitions and Community Agencies Sharing Tables General Session Room 19

20 California Breastfeeding Summit Thursday, January 30, 2014 Program Agenda California Breastfeeding Coalition Presents California Breastfeeding Summit: Circles of Support to Remove Breastfeeding Barriers: A Collective Responsibility THURSDAY AGENDA AT A GLANCE continued 4:00 5:00 CONCURRENT WORKSHOP TRACK SESSIONS 4:00 6:00 Track A Health Care Systems Track B Family and Social Networks Track C Response to Crisis or Emergency Education Units: Session Title: 2 CME/ 2 CEU/ 2 CERP-R/ 2 CPEU Baby-Friendly Hospital Initiative Step 6: From Fantasy to Reality 1 CERP-R/ 1 CPEU (4pm-5pm) Establishing Breastfeeding Friendly Childcare Settings: Resources to Help Child Care Providers and Breastfeeding Families 2 CME/ 2 CEU/ 2 CERP-R/ 2 CPEU Evaluating Tools for Supporting Safe and Healthy Infant Feeding and Young Child Feeding in Emergencies Speaker: Gini Baker, RN, MPH, IBCLC Eve Dunaway, MA, IBCLC Tina Cardarelli, IBCLC Kathleen L. Anderson, MEd, CLC Susana Berumen, IBCLC, RLC Dana Moore, MPH, CPH Room: Aspen B Stanford Berkeley Moderator: James Murphy, MD, FAAP, FABM, IBCLC Jeffery Rosenhall, MA Suzanne Haydu, MPH, RD Lucy Chaidez 5:00 7:00 Exhibits Open & Reception General Session Area Hospitals, Coalitions, and Community Agencies Sharing Tables 20

21 Circles of Support to Remove Breastfeeding Barriers: A Collective Responsibility Thursday, January 30, 2014 Workshop Descriptions 9:20 AM 10:20 AM General Session Room PLENARY SESSION California Breastfeeding Rates: Gaining Momentum Through Building a Continuum of Care Presenter: Jane Heinig, PhD, IBCLC In this presentation, Dr. Heinig will provide an update of the latest breastfeeding rates, discuss multiple points of decision-making faced by new mothers, and highlight services and linkages that are needed to support exclusivity and duration of breastfeeding in California. Learning Objectives By the end of the session, learners will be able to: Describe recurring disparities in CA breastfeeding rates based on socioeconomic factors. Apply specific strategies to address at least two points of decision related to mothers infant feeding practices. Develop specific linkages among relevant programs and services needed to support extended exclusive breastfeeding in California. 11:15 AM 12:15 PM General Session Room PLENARY SESSION Health for All: Reducing Health Disparities Through Increased Breastfeeding Presenter: Eric G. Walsh, MD, MPH, DrPH Ending health disparities has become a top priority for public health professionals. What is not often discussed are the disparities in breastfeeding rates between certain racial/ethnic minority groups and how those mirror disparities for those populations throughout the life span. One theory is that health disparities are a byproduct of minority stress as quantified by allostatic load. In this presentation, we look at how increasing breastfeeding rates impacts stress and even how stress can impact breastfeeding. We discuss breastfeeding as a component of reducing health disparities. Learning Objectives By the end of the session, learners will be able to: Describe health disparities based on race/ethnicity. Analyze how the stress of health disparities impacts on lactogenesis. Identify the role of breastfeeding in reducing health disparities. Employ techniques for providers to support breastfeeding. 21

22 California Breastfeeding Summit Thursday, January 30, 2014 Workshop Descriptions 1:30 PM 2:30 PM Aspen B TRACK A: HEALTH CARE SYSTEMS Improving Your Joint Commission Perinatal Care Core Measure of Exclusive Breast Milk Feeding Through Evidence-Based Maternity Practices Presenter: Ruth Patterson, RN, BSN, MHSA If you work in the world of the inpatient newborn, this course is for you. Whether you are a staff nurse working with normal newborns or in a NICU, or manager/administrator, you will benefit from learning more about the Perinatal Core Measures. Compliance with the measures for Exclusive Breast Milk Feeding is now publically reported, and in this world of health care transparency, prospective patients can compare your information with results in other facilities. Understanding the detail of the language used by The Joint Commission is a critical first step toward meeting compliance goals. Your presenter enjoys taking complex subjects like this and breaking them down to usable pieces for every person. This course will also discuss some of the evidence based practices that can aid in meeting your goal, along with the performance improvement techniques that are being employed by a tertiary care facility with nearly 5000 births per year. Learning Objectives By the end of the session, learners will be able to: Identify the two Perinatal Core Measures for Exclusive Breast Milk Feeding of infants, and describe the numerator and denominator of each. Access The Joint Commission website and use the algorithms to simulate abstraction of three sample cases using the Perinatal Breast Feeding Core Measures Specification Guidelines. Collaborate with other participants to develop a successful improving exclusive breast feeding strategy to be communicated in their home facilities. 22

23 Circles of Support to Remove Breastfeeding Barriers: A Collective Responsibility Thursday, January 30, 2014 Workshop Descriptions 1:30 PM 2:30 PM Stanford TRACK B: FAMILY AND SOCIAL NETWORKS Engaging the Faith Community in Breastfeeding Promotion Presenters: Monique Sims, DrPH, MPH, RD, IBCLC and Connie Cruz, BSN, RN In this session, participants will explore the history of spirituality and health. The speakers will outline the drivers for working with faith institutions and showcase best practice models of engaging the faith community to improve breastfeeding rates and address racial inequities in breastfeeding support. The seminar will also provide insight into how faith and health models can build breastfeeding support networks and afford opportunities for peer-to-peer support. Participants will leave with insight, scientific evidence and tools to help them initiate and market similar projects in their local areas. Learning Objectives By the end of the session, learners will be able to: State one rationale for partnering with faith institutions in breastfeeding promotion. Identify one article in literature that supports faith and health interventions. Be able to identify three strategies for engaging faith communities in breastfeeding promotion. Identify faith institutions as partners to reduce racial inequities in breastfeeding support. 23

24 California Breastfeeding Summit Thursday, January 30, 2014 Workshop Descriptions 1:30 PM 2:30 PM Berkeley TRACK C: WORKPLACE AND EMPLOYMENT Making it Work: Using New National Tools to Help Employers Support Nursing Moms Presenter: Cathy Carothers, BLA, IBCLC, FILCA Although new moms who return to work after having their baby often WANT to continue breastfeeding, the demands of motherhood and employment can make breastfeeding seem overwhelming. The challenges are even greater for women working in hourly jobs in non-office settings where time and space to express milk require creative solutions that are not so easily apparent. This session gives practical solutions for supporting nursing moms working in a variety of difficult job settings and showcases NEW resources to be launched soon by the HHS Office on Women s Health. These resources, which feature California businesses, can be used for local advocacy and support of new moms. Learning Objectives By the end of the session, learners will be able to: Name three major barriers to breastfeeding among employed women. Identify practical solutions for helping mothers manage milk expression in non-office job settings. Identify new resources from the HHS Office on Women s Health and recommendations for implementing them in local communities. 24

25 Circles of Support to Remove Breastfeeding Barriers: A Collective Responsibility Thursday, January 30, 2014 Workshop Descriptions 2:45 PM 3:45 PM Aspen B TRACK A: HEALTH CARE SYSTEMS Nuts and Bolts of the Baby-Friendly Re-Designation Process Presenter: Trish MacEnroe, BS, CDN, IBCLC Achieving Baby-Friendly designation is a remarkable accomplishment. The process is detailed and thorough. It requires examining, challenging and modifying longstanding policies and procedures. It entails training and skill building among all levels of staff. It necessitates implementing audit processes to assure quality in all aspects of maternity care operations. However, achieving Baby-Friendly designation is only part of the equation. Sustaining the new practices is essential to retaining designation. This workshop will review the components of the Baby-Friendly Annual QI and Re-Designation process. Learning Objectives By the end of the session, learners will be able to: Review the components of the Baby-Friendly Annual Quality Improvement and Re-Designation process. Participate in the Baby-Friendly Re-Designation process to maintain quality lactation care for patients in the hospital. 25

26 California Breastfeeding Summit Thursday, January 30, 2014 Workshop Descriptions 2:45 PM 3:45 PM Stanford TRACK B: FAMILY AND SOCIAL NETWORKS How Licensed Child Care Supports Breastfeeding Families Presenters: Lucy Chaidez, Jude Burden, and Kelley Knapp, MS, RD Would you like to learn about how breastfeeding is supported in child care by the State of California? Listen to these state representatives discuss child care provider training, licensing regulations, and the federal child nutrition program that support the breastfed child in the child care setting. We will review regulations, best practices for supporting breast feeding mothers, and how to contact and deal with problems with licensed child care facilities. Learn about how breastfeeding will be incorporated into a new law that requires child care providers to have nutrition training! You will also learn about USDA guidance for feeding breastfed infants and toddlers and claiming these meals for reimbursement in the USDA Child Nutrition Programs. Learning Objectives By the end of the session, learners will be able to: Identify Community Care Licensing regulations regarding breastfeeding in licensed Family Child Care Homes & Child Care Centers. Reference best practices for creating a supportive/welcoming environment for breastfeeding mothers in licensed child care facilities. Reference best practices for educating staff about breastfeeding in licensed child care facilities. Report how the newest state training module in nutrition for child care providers will incorporate the best practices regarding feeding breastfed children in the child care setting. Contact CCL, Resource & Referral agencies, and the Child Care Advocate in order to make a complaint, check a licensee s file for citations/complaints and find out how to contact providers/licensees. Identify USDA guidance for feeding breastfed infants and toddlers in the Child Nutrition Programs. 26

27 Circles of Support to Remove Breastfeeding Barriers: A Collective Responsibility Thursday, January 30, 2014 Workshop Descriptions 2:45 PM 3:45 PM Berkeley TRACK C: WORKPLACE AND EMPLOYMENT Strategies to Support Mothers to Facilitate Milk Expression in the Low-Wage Workplace Presenter: Janet Vaughan, MPH, RD, IBCLC, CDE Low-wage workers tend to have less access to workplace flexibility and other forms of support that facilitate milk expression. Explore case studies and WIC participant survey data to identify barriers and facilitators to breastfeeding among women employed in a variety of occupations, including hospitality, agriculture, retail, office/student, etc. A Monterey County WIC-produced video, A Day in the Life of a Breastfeeding Farmworker, demonstrates to mothers, health/wic workers, and employers how the right kind of support (specifically peer support: informational, instrumental and/or emotional) can empower low-wage workers in challenging circumstances to achieve their breastfeeding goals. Learning Objectives By the end of the session, learners will be able to: Identify at least one barrier that mothers face in two different low-wage workplaces (e.g. agriculture, hospitality, retail, office/student, etc.). Identify at least one strategy to support mothers in overcoming barriers to milk expression in two different low-wage workplaces. 27

28 California Breastfeeding Summit Thursday, January 30, 2014 Workshop Descriptions 4:00 PM 6:00 PM Aspen B TRACK A: HEALTH CARE SYSTEMS Baby-Friendly Hospital Initiative Step 6: From Fantasy to Reality Presenters: Gini Baker, RN, MPH, IBCLC and Eve Dunaway, MA, IBCLC Change can happen! This presentation will dissect the components of Step 6 of Baby-Friendly Hospital Initiative (BFHI) looking at the barriers to implementation and networking solutions for implementation while engaging the hospital staff. It takes teamwork and innovation, and Step 6 of BFHI is a crucial agent of change. We will review the concept of crisis management for the dyad and family and specific information for consistent and useable techniques to validate supplementation and impact initiation, exclusivity, and duration of breastfeeding for consistency of care. Learning Objectives By the end of the session, learners will be able to: List at least one component of steps 4, 5, and 6 of the Baby-Friendly Hospital Initiative and one intervention that can be implemented for each step to increase breastfeeding initiation, exclusivity, and duration. Describe the average newborn infant stomach size and average breast capacity of the human breast and how to use this information as intervention for decreasing supplementation in the newborn. Assess for milk transfer recognizing pathophysiology of infant sucking patterns in day of life 0-3. State the quantitative signs of milk transfer for the breastfeeding dyad. Describe at least one way to implement biological nurturing in the newborn infant and its role in breastfeeding outcomes. List at least three interventions in the medical office and hospital setting that will impact breastfeeding initiation, reduce supplementation, and increase duration of breastfeeding. 28

29 Circles of Support to Remove Breastfeeding Barriers: A Collective Responsibility Thursday, January 30, 2014 Workshop Descriptions 4:00 PM 5:00 PM Stanford TRACK B: FAMILY AND SOCIAL NETWORKS Establishing Breastfeeding Friendly Childcare Settings: Resources to Help Child Care Providers and Breastfeeding Families (4pm-5pm) Presenters: Tina Cardarelli, IBCLC, Kathleen L. Anderson, MEd, CLC and Susana Berumen, IBCLC, RLC Child Care is a staple in most households with young children and working parents, but do they support breastfeeding? In this session, we ll learn from three experts who are making child care environments more supportive of mothers who choose to breastfeed their young children. Center -based and home-based Child Care can be a breastfeeding-friendly environment and this panel will help deepen participants understanding of how to make this happen in your community. Learning Objectives By the end of the session, learners will be able to: Identify two strategies for implementing Baby-Friendly policies in the Child Care setting. Identify two challenges or barriers to Breastfeeding-Friendly environments in the Child Care setting. Identify unique criteria for providing Breastfeeding-Friendly environments in both home-based and center-based Child Care settings. 29

30 California Breastfeeding Summit Thursday, January 30, 2014 Workshop Descriptions 4:00 PM 6:00 PM Berkeley TRACK C: WORKPLACE AND EMPLOYMENT Evaluating Tools for Supporting Safe and Healthy Infant Feeding and Young Child Feeding in Emergencies Presenter: Dana Moore, MPH, CPH During this session, we will discuss a position paper and tools to support safe and healthy infant and young child feeding in an emergency. Participants will be working in small break out groups using a criteria rating form to identify tools and educational materials [for hospitals, first responders, local health departments, and community and faith based organizations] that will accompany the position paper upon its release. Learning Objectives By the end of the session, learners will be able to: Integrate best practices and real-life lessons learned in emergency preparedness and response with personal clinical expertise and patient values regarding safe and healthy infant and young child feeding in an emergency (Evidence Based Practices). Increase knowledge of currently available guidelines and resources supporting safe and healthy infant and young child feeding in an emergency and apply this knowledge to patient interactions. Effectively evaluate currently available emergency preparedness resources supporting infant feeding in an emergency for appropriate use and application in child care plans for pregnant and breastfeeding women. 30

31 Circles of Support to Remove Breastfeeding Barriers: A Collective Responsibility Notes 31

32 California Breastfeeding Summit Friday, January 31, 2014 Friday, January 31, 2014 Program Agenda California Breastfeeding Coalition Presents California Breastfeeding Summit: Circles of Support to Remove Breastfeeding Barriers: A Collective Responsibility FRIDAY AGENDA AT A GLANCE 7:30 9:30 Registration McClellan Convention Center Foyer 7:30 8:30 Continental Breakfast in the Exhibit Show Room General Session Room Breakfast table topics: TBA 7:30 12:00 Exhibits Open General Session Room Hospitals, Coalitions, and Community Agencies Sharing Tables 8:30 9:30 Plenary 1 CME/ 1 CEU/ 1 CERP-R/ 1 CPEU Lactation Support Services Coverage Under the Affordable Care Act General Session Room Susanne Madden, MBA, COO, National Breastfeeding Center & CEO, The Verden Group 9:30 9:45 Break Dedicated time for Exhibit Show & Hospitals, Coalitions and Community Agencies Sharing Tables General Session Room 9:45 10:45 CONCURRENT WORKSHOP TRACK SESSIONS 9:45 10:45 Track A Health Care Systems Track B Family and Social Networks Track C Workplace and Employment Education Units: 1 CME/ 1 CEU/ 1 CERP-R/ 1 CPEU 1 CEU/ 1 CERP-R/ 1 CPEU 1 CERP-R/ 1 CPEU Session Title: Implementing Breastfeeding Support in Community Clinics: Lessons Learned for Best Outcomes Role of Fathers in Influencing and Supporting Mothers Infant Feeding Decisions Engaging Employers: Supporting Nursing Mothers in a Variety of Work Situations Speaker: Karen Farley, RD, IBCLC Jonathan Goldfinger, MD, MPH Lynn Thiebaud, RN, IBCLC Chuck Ault Samuel Nuñez Genevieve Thomas Colvin, IBCLC Room: General Session Room Stanford Aspen B Moderator: Linda Cowling, MPH, RD Ernelyn Navarro, DM, BCC, LCSW Grace Yee, IBCLC 10:45 11:15 Break Dedicated time for Exhibit Show & Hospitals, Coalitions and Community Agencies Sharing Tables General Session Room 32

33 Circles of Support to Remove Breastfeeding Barriers: A Collective Responsibility Friday, January 31, 2014 Program Agenda California Breastfeeding Coalition Presents California Breastfeeding Summit: Circles of Support to Remove Breastfeeding Barriers: A Collective Responsibility FRIDAY AGENDA AT A GLANCE Friday, January 31, :15 12:15 CONCURRENT WORKSHOP TRACK SESSIONS 11:15 12:15 Track A Health Care Systems Track B Family and Social Networks Track C Family and Social Networks Session Title: 1 CME/ 1 CEU/ 1 CERP-R/ 1 CPEU Guidelines and Criteria for a Breastfeeding-Friendly Healthcare Provider Office 1 CEU/ 1 CERP-R/ 1 CPEU Empowering Grandmothers as Breastfeeding Supporters 1 CEU/ 1 CERP-R/ 1 CPEU How to Use Your Cell Phone, Texting, and YouTube to Meet the Learning Needs of Generation Y Speaker: Maria Jose Hummel, MPH Gail Newel, MD, MPH, FACOG Gloria Pecina, MBA, RD Michele Bunker-Alberts, DNP (s), APN-FN-BC, IBCLC Heather Readhead, MD, MPH Monique Sims, DrPH, MPH, RD, IBCLC Patt Young, CLE Jeanette Panchula, BA-SW, RN, PHN, IBCLC Hilda Jackson, CLE Meg Beard, MPH, MCHES, RD, IBCLC Room: General Session Room Stanford Aspen B Moderator: Linda Cowling, MPH, RD Sherri Mendelson, RNC, PhD, CNS, IBCLC Carolyn Waggoner, MS, RD, CLE 12:15 1:15 Break Dedicated time for Exhibit Show & Hospitals, Coalitions and Community Agencies Sharing Tables General Session Room 12:15 1:15 Lunch Provided General Session Room 1:15 3:15 2 CME 2 CEU 2 CERP-R 2 CPEU Moderator: Moving Ahead to Implement SB 402: California s Baby-Friendly Law Trish MacEnroe, BS, CDN, IBCLC, Executive Director, Baby-Friendly USA Aida Cáceres-Rodriguez, RNC-NIC, MSN, NNP, IBCLC, Clinical Nurse Specialist NICU Arrowhead Regional Medical Center Jocelyn Audelo, RN, MPH, Senior Consultant, Kaiser Permanente Care Management Institute Karen Farley, RD, IBCLC and Denise Breheny, BSN, RNC-MNN, IBCLC 3:15 3:30 Closing and Evaluation General Session Room Robbie Gonzalez-Dow, MPH, RD, CLE, Executive Director, California Breastfeeding Coalition 33

34 California Breastfeeding Summit Friday January 31, 2014 Workshop Descriptions 8:30 AM 9:30 AM GENERAL SESSION ROOM PLENARY SESSION Lactation Support Services Coverage Under the Affordable Care Act The Affordable Care Act has opened the door to mothers receiving lactation support. Or has it? This presentation will discuss the provisions inherent in the new law, the reasons why there is confusion about what should be covered and who should provide those services, and why insurers appear to not be complying with the law, and what can be done about it. Presenter: Susanne Madden, MBA, COO, National Breastfeeding Center & CEO, The Verden Group Learning Objectives By the end of the session, learners will be able to: Explain the Affordable Care Act s (ACA) breastfeeding services and supplies provision. Identify how the ACA impacts what insurers have to cover for breastfeeding services and supplies. Describe how counselors and physicians can work successfully within the ACA framework. 34

35 Circles of Support to Remove Breastfeeding Barriers: A Collective Responsibility Friday January 31, 2014 Workshop Descriptions 9:45 AM 10:45 AM GENERAL SESSION ROOM TRACK A: HEATLH CARE SYSTEMS Implementing Breastfeeding Support in Community Clinics: Lessons Learned for Best Outcomes Presenters: Karen Farley, RD, IBCLC, Jonathon Goldfinger, MD, MPH, and Lynn Thiebaud, RN, IBCLC Breastfeeding initiation rates in California have improved as a result of multiple strategies in hospitals and WIC clinics to implement policies and support systems for new mothers and babies. Now efforts must focus on breastfeeding duration and building community-based continuums of breastfeeding care. Historically, WIC provided this postpartum support for low-income mothers. The rollout of the Affordable Care Act, including Breastfeeding Preventive Services, and the expansion of health coverage for millions more Californians, provides an opportunity to include community clinics and health plans in breastfeeding support. This workshop will describe efforts of a CDC-funded grant to pilot comprehensive breastfeeding policies in 15 community clinics, including use of IBCLCs, billing for lactation services, data collection and use of EMR for breastfeeding support, staff education, and worksite lactation. Learning Objectives By the end of the session, learners will be able to: List 5-10 steps that can be implemented in a community clinic to improve breastfeeding support. Describe multi-level staff training for breastfeeding that supports Patient Centered Medical care. Identify how to use their EMR and informatics to provide continuous quality improvement for breastfeeding. 35

36 California Breastfeeding Summit Friday January 31, 2014 Workshop Descriptions 9:45 AM 10:45 AM STANFORD TRACK B: FAMILY AND SOCIAL NETWORKS Role of Fathers in Influencing and Supporting Mothers Infant Feeding Decisions Presenters: Chuck Ault, National Training Director, Boot Camp for New Dads Samuel Nuñez, Executive Director, Fathers and Families of San Joaquin Fathers play a crucial role in supporting mothers and newborns. It s important for healthcare providers, WIC staff, and other breastfeeding advocates to understand how fathers beliefs, lifestyle, and emotional support influence mothers behaviors and choices. In this session, experts from local and national programs will offer effective strategies and evidenced-based practices/ tools to engage/involve fathers and creative ways to provide education. Workshop attendees will have opportunities to gain insights and hear fathers perspectives Learning Objectives By the end of the session, learners will be able to: Describe how to engage and reach out to fathers. Develop strategies to create father-friendly programs/services and practices. Explain how to address the various needs of fathers (such as teens and new dads). Identify resources to support fathers. 9:45 AM 10:45 AM ASPEN B TRACK C: WORKPLACE AND EMPLOYMENT Engaging Employers: Supporting Nursing Mothers in a Variety of Work Situations Presenters: Genevieve Thomas Colvin, IBCLC Employment worksites are as diverse as the populations that we serve. A one-size-fits-all approach to lactation accommodations often leaves out unusual and non-office worksite considerations. In this session, participants will learn new strategies for engaging employer decision makers, provide policy adoption resources and tools, as well as solutions for unusual employment situations. Learning Objectives By the end of the session, learners will be able to: Identify two strategies for engaging employer decision makers. Identify two resources from a policy adoption tool kit. Identify two lactation accommodation solutions for unusual employment situations. 36

37 Circles of Support to Remove Breastfeeding Barriers: A Collective Responsibility Friday January 31, 2014 Workshop Descriptions 11:15 AM 12:15 PM GENERAL SESSION ROOM TRACK A: HEATLH CARE SYSTEMS Guidelines and Criteria for a Breastfeeding-Friendly Healthcare Provider Office Presenters: Maria Jose Hummel, MPH, Gail Newel, MD, Gloria Pecina, MBA, RD Michele Bunker-Alberts, DNP(s), APN-FN-BC, IBCLC and Heather Readhead, MD, MPH This session will introduce participants to the Breastfeeding-Friendly Healthcare Provider Office Initiative. This initiative is based on the groundbreaking project funded by the Centers for Disease Control and Prevention and sponsored by the California Department of Public Health (CDPH) Obesity Prevention Program to increase breastfeeding support in California community clinics. Participants will learn about tools and resources that they can implement to provide breastfeeding education, support and promotion to their own patients. CDPH, California Breastfeeding Coalition (CBC) and California WIC Association (CWA) coordinated an Expert Advisory Board to develop the "Guidelines and Criteria for a Breastfeeding-Friendly Healthcare Provider Office." This session will highlight each of the guideline's "Steps 1 9," including a brief description, criteria for evaluation and recommendations for implementation. Participants will understand the content and use of the document in supporting offices, clinics and health centers in their efforts to ensure successful breastfeeding via financiallysustainable services. Learning Objectives By the end of the session, learners will be able to: Develop outpatient clinical practice policies and procedures that support breastfeeding duration. Communicate expectations to all staff using skills-based competencies appropriate to training and role in patient care. Prepare to provide breastfeeding support services that are financially-sustainable and integrated into the larger context and system of health care to meet patient needs. Plan clinical quality assurance and improvement activities that ensure high-quality and evidence-based clinical practices. 37

38 California Breastfeeding Summit Friday January 31, 2014 Workshop Descriptions 11:15 AM 12:15 PM STANFORD TRACK B: FAMILY AND SOCIAL NETWORKS Empowering Grandmothers as Breastfeeding Supporters Presenters: Monique Sims, DrPH, MPH, RD, IBCLC, Patt Young, CLE, Jeanette, Panchula, BA-SW, RN, PH, IBCLC and Hilda Jackson, CLE This seminar will provide insight into the rationale and strategies for engaging grandmothers in breastfeeding promotion. Learn best practice models for breastfeeding promotion with this critical person in the mother s breastfeeding support networks, the benefits of grandmother support for increasing breastfeeding initiation, as well as opportunities for peer-to-peer support and key messages to empower grandmothers to support breastfeeding. You will leave with insight, scientific evidence and tools to help initiate and market similar projects in your local area. Learning Objectives By the end of the session, learners will be able to: State one rationale for engaging grandmothers in breastfeeding promotion. Identify one article in literature that supports educating grandmothers to improve breastfeeding rates. Be able to identify three strategies for marketing breastfeeding promotion activities to grandmothers. Describe one breastfeeding intervention targeted to grandmothers. State three key messages that should be included in breastfeeding promotions for grandmothers. 38

39 Circles of Support to Remove Breastfeeding Barriers: A Collective Responsibility Friday, January 31, 2014 Workshop Descriptions 11:15 AM 12:15 PM ASPEN B TRACK C: WORKPLACE AND EMPLOYMENT How to Use Your Cell Phone, Texting, and YouTube to Meet the Learning Needs of Generation Y Presenter: Meg Beard, MPH, MCHES, RD, IBCLC Santa Barbara County WIC revised their prenatal breastfeeding class to meet the needs of Gen Y and developed the unprecedented nationally recognized Bfed Texting Program for the Peer Counseling Program. Bring your cell phone and come discover how using the cell phone, texting, and YouTube can help meet the learning needs of Gen Y. Down load a bar code scanner on your smart phone before the session to link to our YouTube site. Join us for an interactive learnercentered use of the cell phone in class, use of WIC successful breastfeeding participants in the video clips, and the top 10 ways to have a great milk supply. All parts of this class are generation Y friendly. Learning Objectives By the end of the session, learners will be able to: Identify the current generation of mothers and their specific learning needs. List three ways texting can be used to enhance breastfeeding promotion and education. Explain two reasons why YouTube may be useful for generation Y. 39

40 California Breastfeeding Summit Friday January 31, 2014 Workshop Descriptions 1:15 PM 3:15 PM GENERAL SESSION ROOM PLENARY SESSION Moving Ahead to Implement SB 402: California s Baby-Friendly Law Presenters: Trish MacEnroe, Executive Director, Baby-Friendly USA Aida Cáceres-Rodriguez, RNC-NIC, MSN, NNP, IBCLC, Clinical Nurse Specialist NICU, Arrowhead Regional Medical Center Jocelyn Audelo, RN, MPH, Senior Consultant, Kaiser Permanente Care Management Institute The enactment of SB 402 represents a great victory -- an opportunity for California hospitals to provide evidence-based breastfeeding support for all women and infants, closing the gaps in maternity care practices and circumstances rendered by socioeconomic status. The new legislation will also require monumental policy, workflow, and culture change for most facilities across the state, and presents new challenges for care teams to navigate. This session will describe the opportunities and challenges that facilities may face in the process of meeting the requirements outlined in SB 402 and discuss the importance of designation as a prime motivator for implementing and sustaining practices that support lactation, key processes in the Baby-Friendly designation process and costs associated with achieving designation, as well as, best practices identified within the Kaiser Permanente system to achieve widespread, sustained focus on improvement in hospital breastfeeding support, and the Model Hospital Policy Recommendations adopted by the California Department of Public Health. Learning Objectives By the end of the session, learners will be able to: Utilize the information to convene a multi-disciplinary team and develop plans to move forward with achieving the Baby-Friendly designation in their facility. Describe the costs associated with achieving Baby-Friendly designation. Describe the importance of the external verification process in assuring that the Ten Steps to Successful Breastfeeding are solidly incorporated into the maternity care practices at their facility. Communicate hospital policy, workflow, and culture changes that will be required to successfully implement the requirements outlined in SB

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42 California Breastfeeding Summit Ameda Breastfeeding Products Contact: Ame Heinemeyer 2577 Carpenter St. Thousand Oaks, CA Phone: Website: Boot Camp for New Dads Contact: Chuck Ault Barranca Pkwy. Ste. C107 Irvine, CA Phone: Website: Exhibitors Baby gooroo Inc. Contact: Amy Spangler 12 Ball Creek Atlanta, GA, Phone: Website: Breastfeeding USA Contact: Patty Jacobs 1507 Pearl St. Alameda, CA Phone: Website: California Department of Public Health Maternal, Child and Adolescent Health Contact: Suzanne Haydu 1615 Capitol Ave., MS 8306 Sacramento, CA Phone: Website: California Smoker s Helpline Contact: Ying Cherrie Ng 9500 Gilman Drive #0905 La Jolla, CA Phone: Website: Carolina Global Breastfeeding Institute Contact: Kathleen Anderson 421 Pittsboro St., CB 7445 Chapel Hill, NC Phone: Website: KNOWMOR Inc. / Kid s Korner Contact: Judy Terwilliger 5150 Molakini Way Fair Oaks, CA Phone: Website: California WIC Program, California Department of Public Health Contact: Leslie Kaye 3901 Lennane Drive Sacramento, CA Website: wicworks/pages/default.aspx California WIC Association Contact: Donna Hoffman 1450 Drew Avenue, Suite 150 Davis, CA Phone: Website: Hygeia II Medical Group, Inc Contact: Tom Dempski 2356 Canyon Drive Saint Charles, MO Phone: Website: LA Publishing, LLC Contact: Joanna Garofalo PO Box 4422 Midlothian, VA Phone: Website: 42

43 Circles of Support to Remove Breastfeeding Barriers: A Collective Responsibility LactaMed Contact: Melinda Berry 830 N. John Young Parkway Kissimmee, FL Phone: ext Website: Moby Wrap Inc. Contact: Megan Kepler 2500 Floral Ave. Chico, CA Phone: Website: Exhibitors Limerick Contact: Joan Ortiz 2150 N. Glenoaks Blvd Burbank, CA Phone: Website: Mothers Milk Bank Contact: Pauline Sakamoto 751 S. Bascom Avenue San Jose, CA Phone: Website: MotherToBaby California Contact: Robert Felix 9500 Gilman Drive #0828 La Jolla, CA Phone: Website: The Nurture Blanket Contact: Leslie Brogden 1107 N. Cornell Ave. Fullerton, CA Phone: Website: Philips Avent Contact: Susan Gregor 1600 Summer Street Stamford, CT Phone: Website: Stark Productions Contact: David Stark 1952 Asilomar Oakland, CA Phone: Website: UC San Diego Extension Contact: Nicole Mitchell 9500 Gilman Dr., Dept. 0170E La Jolla, CA Phone: Website: Pumping Essentials Contact: Joy Kosak 8890 Cal Center Drive Sacramento, CA Phone: Website: Step2 Education Contact: Laura Fisher PO Box 47 Kilcoy, QLD, 4515 AU Phone: Website: UC Davis Human Lactation Center Contact: Jennifer Banuelos Department of Nutrition, One Shields Ave Davis, CA Phone: Website: 43

44 California Breastfeeding Summit Local Agencies Sharing Tables Throughout California, hospitals and communities are working to improve infant, family and community health by implementing policies and practices that support breastfeeding. This is a great opportunity to learn about what hospitals, local breastfeeding coalitions and WIC Agencies are doing to increase local breastfeeding rates. Come and visit our local agency sharing tables located in the General Session Room. The sharing tables will be available for viewing on: Thursday Viewing Thursday Dedicated Sharing Table Viewing 7:30 AM 7:00 PM 7:30 AM 9:00 AM 12:15 PM 1:30 PM 2:30 PM 2:45 PM 3:45 PM 4:00 PM 5:00 PM 7:00 PM Friday Viewing 7:30 AM 1:15 PM Friday Dedicated Sharing Table Viewing 7:30 AM 8:30 AM 9:30 AM 9:45 AM 10:45 AM 11:15 AM 12:15 PM 1:15 PM A More Excellent Way Faith and Health Programs This table would represent a More Excellent Way Faith and Health Program that has been funded for the past 8 years in Solono County and has recently expanded to Contra Costa County. This 501c3 organization collaboratively plans an African American Baby shower every year with break out sessions for Grandmothers, Fathers and siblings, with an Peer Counseling Program as a continuum of the baby shower where the moms closely followed in the home, hospital and community by trained Breastfeeding Peer Counselors and IBCLC s. Contact Person: Jessica Lee Phone Number: Breastfeeding Coalition of Greater Sacramento Breastfeeding Coalition of Greater Sacramento The Breastfeeding Coalition of Greater Sacramento is a non-profit organization that promotes breastfeeding in the Greater Sacramento area. We have chosen to be an action-based group dedicated to promoting, supporting and protecting breastfeeding in our community. Our coalition will share details about our 2 nd Annual Breast Milk Donation Drive held December 13 th Teaming up with CRP WIC, Sac County WIC and Sutter Memorial Hospital, the Coalition drew in moms throughout the Sacramento region to donate breast milk to infants in need, bringing in more than 4,500 ounces of breast milk for the milk bank. Contact Person: Heather Conway Phone Number:

45 Circles of Support to Remove Breastfeeding Barriers: A Collective Responsibility Local Agencies Sharing Tables Breastfeeding Coalition of San Joaquin County Nursing Nook The Breastfeeding Coalition of San Joaquin County s latest outreach project features a big white tent with comfortable rocking chairs, baby changing table, portable fans, cold water and resource table with lots of breastfeeding information. The Nursing Nook made its debut in May 2013 at Children and Youth Day in Stockton. Coalition members talked with pregnant and new mothers, proud fathers and grandmothers, as well as interested teenagers and senior citizens. Five other outreach events followed. The Nursing Nook's objectives are to: Raise awareness in San Joaquin County about the importance of breastfeeding for the health of our community Answer questions and provide information about local breastfeeding support resources Provide a space for nursing moms who want a quiet place to rest and breastfeed their babies Some asked if the Nursing Nook gives the message that mothers should not breastfeed in public. Nothing could be further from the truth! One of the giveaways at the table is a card with California's Right to Breastfeed in Public Law. The Coalition supports and encourages mothers to breastfeed anywhere. We also know that sometimes babies (and their moms) need a break from the excitement of a busy fair. The Nursing Nook provides one option for them. Contact Person: Mary Woelfel, MPH, IBCLC Phone Number: BreastfeedLA BreastfeedLA BreastfeedLA is dedicated to improving the health and well being of infants and families through education, outreach, and advocacy to promote and support breastfeeding. Contact Person: Genevieve Thomas Colvin Phone Number: California Health Collaborative Regional Perinatal Programs of California The purpose of our table will be to share the goals, outcomes, best practices and new projects of the Regional Perinatal Programs of California (RPPC). We will highlight each of the nine RPPC regions. One of the most important projects we have is the support we offer hospitals on the implementation of SB 502 in 2014 and the introduction of SB 402, to be implemented in Contact Person: Brandi Muro Phone Number:

46 California Breastfeeding Summit Local Agencies Sharing Tables Health Net Health Net Medi-Cal Breastfeeding Support Health Net Medi-Cal developed an Infant Nutrition Benefits Provider Guide instructing providers how to access breast pumps, lactation support and therapeutic infant formula. Health Net will share the processes for accessing breastfeeding support through Health Net Medi-Cal Managed Care. In addition, Health Net developed a Breastfeeding Provider Toolkit which includes resources for providers to utilize in their practice. Copies will be available. Contact Person: Juli Coulthurst Phone Number: UC Davis Medical Center UC Davis Medical Center Lactation Program UC Davis Medical Center lactation program serves both patients and employees of the UC Davis Health System. It is an award winning program that has received the National IBCLC Lactation Award, Sacramento County and California State Mother Baby Workplace Awards, and Social Responsibility Employee Excellence Awards with the UC Davis Health System. This year we have accomplished so much increased patient lactation rates, 7 day a week coverage, pediatric lactation clinic, Weekly Breastfeeding Support Group, a campus-wide Employee Support Program with 12 pump room locations, and improved lactation and late preterm hospital policies. Our lactation motto is Dare to Dream and those dreams do come to fruition at UC Davis Medical Center! Contact Person: Debbie Albert Phone Number: Office:

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48 Street Map 48