Perinatal Summit. Kara Classens, BSN RN-BC Coordinator, CME Munson Medical Center Margo Francisco, FACHE VP, Planning and Regional Munson Healthcare

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1 Perinatal Summit Obstetric and perinatal care in Northern is unique. In many other states, as well as in southern, rural areas exist around a center urban population areas. This is not so in s Upper Peninsula nor in northern Lower. Northern is uniquely rural with 21 counties comprising >11,000 square miles, a population <500,000 and 5,000 births per year. This geographical area is all rural with no urban areas adjacent or within. Access to quality and comprehensive perinatal care is a challenge. The northern region perinatal initiative began in 2011 to consider and address issues related to perinatal care in this unique and rural region. The mission the regional initiative is to construct a sustainable integrated and coordinated network care to deliver perinatal services to women and children in northern lower that builds on the existing structure care and results in reduced infant mortality, reduced low birth-weight babies, appropriate prenatal care for mothers and reduced costs. The initiative focuses on the four Perinatal Periods Risk (PPOR), which all have a direct impact on infant morbidity and mortality. The Regional Perinatal Summits for Northern Lower bring together pressionals from the region to disseminate information about evidence-based best practices, regional approaches, perinatal programming information and future regional initiatives. The goal our perinatal summits is to continue the work necessary to provide every patient in the northern Lower region, the same quality perinatal care no matter where they are cared for. This particular summit program aims to update regional providers on the many factors surrounding the use substances during pregnancy and engage a broad range stakeholders in visioning for an excellent integrated and coordinated approach that will deliver the best interventions and support for pregnant women in northern lower. Physicians (pediatricians, family practice, obstetricians, etc.), maternal and child health staff, health departments, and mental health providers focused on women and children (behavioral, mental, and substance abuse) in the northern lower 21 counties. Kara Classens, BSN RN-BC Coordinator, CME Munson Medical Center Margo Francisco, FACHE VP, Planning and Regional Munson Healthcare Collaboration Kathy Garthe, MSN, RN Facilitator for Regional Munson Healthcare Projects Jennifer Groseclose Senior Planning Analyst Munson Healthcare Betsy Hardy, BSN, RN Coordinator, Healthy Munson Medical Center Futures Lyn Jenks President Munson Healthcare Charlevoix Hospital Jean Kerver, PhD, MSc, RD Asst. Pr. Epidemiology State University Jenifer Murray, BSN, MPH, RN Public Health Consultant JHM Consulting Julia Riddle, DO Family Practice Grand Traverse Women s Clinic David Sciamanna, DO Perinatology Munson Medical Center Sue Winter, LMSW Executive Director NMSAS Recovery Center

2 Kathy Garthe, MSN, RN Facilitator for Regional Projects Munson Healthcare Lyn Jenks President Munson Healthcare Charlevoix Hospital Kathy Garthe, MSN, RN is the Facilitator for Regionalization Projects for Munson Healthcare. In 2011, Kathy was asked by the hospital CEO s in the North Central Hospital Council to convene a multiagency group to address perinatal concerns across northern lower. That perinatal work group includes representatives from 34 organizations and covers the 21 counties in Prosperity Regions 2 and 3. Lyn began her career in healthcare at Hutzel Hospital in the Detroit Medical Center after attending Wayne State University. After moving to Petoskey in 1973, she joined the staff at Lockwood MacDonald Hospital, then Northern Hospital. There, she held positions ranging from Director, Administrative Services to Vice President Marketing and Planning to President the Hospital Foundation. In 1988, Lyn started her own consulting firm and has provided support to hospitals and other non-prits all over the country, specializing in leadership development, philanthropy, governance and strategic planning. John Keller Director Alpena/Mo ntmorency Office the Departmen t Health and Human Services Hon. Thomas LaCross Probate Judge Alpena County Probate Court Lyn is currently President Munson Healthcare Charlevoix Hospital in Charlevoix,. John Keller is the director the Alpena/Montmorency Office the Department Health and Human Services. Keller has held various positions for the department, including services supervisor, Children s Protective Services worker and Child Welfare Licensing consultant. Keller has 34 years experience in child welfare in both the public and private sectors. He is a 2007 graduate the Department Health and Human Services Leadership Academy. He also serves on the boards the Sunrise Centre, a substance abuse treatment facility, and the Boys and Girl Club Alpena. The Honorable Thomas LaCross is the Probate Judge for the Alpena County Courts. Judge LaCross earned a Bachelor s Degree in Criminal Justice Administration from Madonna University and attended Law School at Wayne State University, earning a Juris Doctorate Degree in Judge LaCross has been with the Alpena County Probate Court since He has also served as the Presiding Judge for the 26 th Circuit Court Family Division and

3 Maria Muzik, MD, MS Assistant Pressor, Department Psychiatry University for the 88 th District Court for Alpena County. Prior to his judicial appointments, Judge LaCross was a practicing attorney and also serviced as the Regional Director for Catholic Human Services. Dr. Maria Muzik is an Assistant Pressor in the Department Psychiatry, University, and Assistant Research Scientists in the Center for Human Growth & development, University, conducting research and providing clinical care. She completed her medical training in psychiatry at the University Vienna in Austria, and at the University in the United States. She is a certified psychotherapist in Psychoanalytic Therapy through the Vienna Psychoanalytic Institute, a certified mother-infant psychotherapist through the University Infant Mental Health Certificate Program, and she holds also a Master s degree in Clinical Research and Statistical Analysis from the University, School Public Health. Clinically she focuses on work with mothers suffering from anxiety, trauma and depression during pregnancy and postpartum, and their infants or young children. She is the Medical Director the University Department Psychiatry Women and Infants Mental Health Clinic, and leads the UM Perinatal Collaborative Care efforts to the community. Her research focuses similarly on the study stress, trauma and mental illness in the context childbearing, and its influence on the developing mother-infant relationship. Dr. Muzik also conducts research on the effectiveness behavioral interventions delivered to women in pregnancy and postpartum to support their mental health and parenting. Specifically, she conducts a study on the impact mindfulness yoga on depression in pregnancy, and she developed a postpartum parenting and self-care skills curriculum (Mom Power) geared towards high-risk, traumaexposed mothers with depression and traumatic stress. Dr. Muzik s research is supported by the National Institute Mental Health, foundation grants such as Robert Wood Johnson Foundation, the Todd Ouida Foundation, and the Rachel Upjohn Scholars Foundation, and through funds by the Centers for Medicare and Medicaid Services Medicaid Match Program in the state.

4 Steven Ondersma, PhD Julia Riddle, DO Angie Fortney- Ross, BS, RN Sue Winter, LMSW Associate Pressor, Department Psychiatry and Behavior Neuroscienc es Family Practice Registered Nurse, NICU Executive Director Wayne State University Grand Traverse Women s Clinic Munson Medical Center Northern Substance Abuse Services Dr. Ondersma is Associate Pressor in the Department Psychiatry and Behavioral Neurosciences at the School Medicine here at Wayne State University. Dr. Ondersma's primary interest focuses on developing ways to turn patient use mhealth technology in the waiting room into a high-reach tool for integrating physical and behavioral health, increasing access to care, and establishing rigorous benchmarks for key health outcomes. He has been PI on multiple NIH and CDC funded grants is currently PI on two NIDA research grants focusing on the development and validation technology-based brief interventions for substance abuse and other risk factors among high-risk parents, especially pregnant and post-partum women A native Traverse City, Dr. Julia Riddle attended State University for both her undergraduate and medical school studies. She received her doctorate from the MSU College Osteopathic Medicine and served her residency at Munson Medical Center. With a diverse medical background, Dr. Riddle has previously served as a medical lab tech and as a doula to help with natural childbirths. She is the proud mother to 4 children: Asher, Miles, Maya and Stella. In her spare time Dr. Riddle enjoys running, yoga and biking. Angela Fortney-Ross graduated from Oakland University with a degree in physiology and later persuaded nursing. Angie has been a RN in the NICU for 20 years. She participates in the perinatal Substance abuse steering committee. She has developed evidence based guidelines and management for NAS babies and their families. She developed MOMS - Maternal Opiate Medical Support - focused on early intervention for this population. She participates in the collaborative on NAS as well as the Vermont Oxford network for best practices for NAS. She has spoken across the state to help promote best nursing practices in NICU. Sue Winter is the Executive Director Northern Substance Abuse Services, Inc. (NMSAS) and has over 25 years experience in the field. She has a Master s Degree Social Work from State University.

5 In accordance with the ACCME and State Medical Society Standards Commercial Support, Munson Medical Center will implement mechanisms, prior to the planning and implementation this CME activity, to identify and resolve conflicts interest for all individuals in a position to control the content this CME activity. Planning Committee: All the above listed planners the Regional Perinatal Summit for Northern Lower report that they have no relevant financial interests to disclose in the context this activity. Faculty: All the following faculty report that they have no relevant financial interests to disclose in the context this activity: Kathy Garthe Lyn Jenks John Keller Thomas LaCross Maria Muzik Julia Riddle Angie Fortney-Ross Sue Winter Dr. Steven Ondersma reports that he is the President and part-owner Interva, Inc but receives no salary. AMA: Munson Medical Center is accredited by the State Medical Society to provide continuing medical education for physicians. Munson Medical Center designates this live activity for a maximum 5.5 AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent their participation in the activity. AOA: Munson Medical Center is an accredited AOA sponsor. This activity will be submitted to the AOA for credit approval/designation. Approval/assignment credit designation is pending approval the AOA-CCME Non-physician pressionals should check with their individual credentialing body to confirm that participation in this CME activity will be recognized for credit. CME Credits can be used to meet the continuing education requirements for nursing re-licensure without limitation. All participants wishing to receive CME credit for this activity will be required to complete the CME Evaluation form at the conclusion the activity. Certificates Attendance are available upon request at the conclusion this activity. Please visit the registration table to obtain your Certificate Attendance if desired. Not Applicable. Not commercially supported.