Wisconsin Association for Perinatal Care

Wisconsin Association for Perinatal Care

2009 annual report

Dear Colleagues:

I personally want to thank all of you who contributed to WAPC’s success in 2009. Without volunteers like you who willingly share their expertise and enthusiasm for improved perinatal outcomes, WAPC would be an ordinary organization. Because of you, WAPC is exceptional and exclusive. WAPC is the oldest and largest perinatal association in the country. WAPC is known for its educational programs, role in setting standards of care for perinatal health, and strategic partnerships that accomplish goals through synergy and careful use of human and financial resources.

This report focuses on the accomplishments of 2009—the annual

conference, the regional forum series, publications, membership, financial standing, and leadership. The WAPC Board of Directors continues to monitor progress in accomplishing goals set out in the 2008 strategic plan.

There are many opportunities ahead. For example, PeriData.Net

®

is

establishing itself as a robust perinatal data platform. It is used by a variety of groups to report outcome measures. One of these groups is the Wisconsin Hospital Association. It uses PeriData.Net

®

to report perinatal measures through its public reporting system, CheckPoint.

WAPC needs you as a partner, advocate, and champion. I invite all of you to continue to work with WAPC in 2010 to strengthen partnerships to address perinatal health issues. I ask for your help to make Wisconsin a place where every baby is born as healthy as possible and every baby is born into a family that is prepared to offer nurturance, love, and support.

With continued gratitude for your contributions,

Betty Minton, RNC, BSN WAPC President

visionandmission

The Wisconsin Association for Perinatal Care is the premier multidisciplinary association providing leadership, advocacy, and education to improve perinatal health outcomes of women, infants, and their families.

Our mission is to improve perinatal outcomes by:

• Leading collaborative efforts that promote, develop, and coordinate systems of perinatal care • Advocating for perinatal health

• Providing and supporting education and information exchange that focuses on the continuum of perinatal care

• Valuing and engaging the talented and diverse perinatal health care community

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Betty Minton, RNC, BSN WAPC President

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ww education

At the core of WAPC’s vision statement, is the role of education to improve perinatal health outcomes of women, infants, and their families. Two major educational accomplishments in 2009 included the annual statewide perinatal conference and the regional forum series.

WAPC’s premier educational event is its annual conference.

In 2009, WAPC hosted its 39th _{Annual Statewide Perinatal Conference}

on April 26-28, at the Country Springs Hotel in Waukesha, WI. Here are some of the highlights of the conference.

2009 WAPC Annual Conference Highlight

The conference included three plenary speakers—James W. Collins, Leonardo Trasande, and Mary Jo Baisch.

James W. Collins, Jr., MD, MPH, 2009 Thomas A. Leonard, MD, Memorial Lecture

Dr. Collins presented the Thomas A. Leonard, MD, Memorial Lecture. His presentation,

New Insights into Racial Disparity and Pregnancy Outcomes: A Life Course Perspective, not only illustrated the epidemiological facts about infant mortality among African Americans, but allowed participants to explore possible causative factors associated with racial disparities—factors that have been recently identified.

Dr. Collins pointed out that the disparities are not intrinsic to the African race: Something about the African American experience in the United States is detrimental to pregnancy outcomes. Dr. Collins presented preliminary findings of an unpublished study, which found that exposure to neighborhood poverty across generations underlies the problem of low birth weight among Whites and African Americans. The cumulative effect of lifetime exposure to stress from poverty appears to play a major role in pregnancy outcomes. Dr. Collins called for a new societal approach to deal with this important public health issue.

Leonardo Trasande, MD, MPP

Dr. Trasande, Co-Director of the Children’s Environmental Health Center at the Mount Sinai School of Medicine in New York City was the opening plenary session speaker. His presentation, Investing Wisely in Children’s Health and Development through Environmental Prevention, focused on children’s health and development within the context of environmental prevention.

Dr. Trasande noted that chronic conditions in children, such as asthma and obesity, have increased sharply over the last 30 years. Environmental and preventable factors contribute to these and other conditions, with the perinatal window being a time of particular vulnerability. Dr. Trasande’s work is part of the National Children’s Study (NCS). Waukesha, WI, serves as one of the seven Vanguard Centers for the NCS.

Mary Jo Baisch, RN, PhD

Dr. Baisch presented The Essence of Care: Developing and Maintaining Relationships with Patients, Families, and Communities as the closing plenary session. Dr. Baisch helped conference participants realize that although the use of technology is ever-increasing in the health care setting, the human needs of a patient remain the same. She encouraged health care providers to look beyond technology to build and maintain relationships with patients, their families, and their communities. Dr. Baisch is an Assistant Professor at the University of Wisconsin-Milwaukee College of Nursing.

2009 Regional Forum Series

In 2009, WAPC resumed its very popular regional forum series. The topic of the 2009 series was

Management of Unipolar Depression in Perinatal Patients. The purpose of the series was to promote maternal mental health through effective screening and treatment for depression. Depression in pregnant and postpartum women is associated with poor perinatal outcomes for both the infant and the mother. Providers may feel unprepared to care for pregnant and postpartum women suffering from depression.

In 2007, representatives from both WAPC and the WI Section of the American College of Obstetricians and Gynecologists (ACOG) formed a multidisciplinary work group to develop easy-to-use tools for clinicians who provide primary care for pregnant and postpartum women who may suffer from depression. The regional forum series provided the opportunity for learners to use innovative clinical tools, including the treatment algorithm and medication chart.

Faculty for the regional forums included Tim Boehmer, RPh; Ann Ebert, PharmD; Paul Koch, MD; Vani Ray, MD; Alpa Shah, MD; and Donald Weber, MD.

WAPC and the respective regions hosted forums on the following dates and at the following

locations:

•

September 14, 2009, 6-8 p.m.—St. Elizabeth Hospital, Appleton

•

September 16, 2009, 5-7 p.m.—St. Vincent Hospital, Green Bay

•

October 2, 2009, 7:30-9:30 a.m.—Wheaton Franciscan Healthcare-Wauwatosa

•

October 7, 2009, 6-8 p.m.—Franciscan Skemp Healthcare Hospital, La Crosse

•

October 14, 2009, 4-6 p.m.—UW-Madison Arboretum, Madison

•

October 21, 2009, 6-8 p.m.—Duluth Clinic, Hayward

•

November 18, 2009, 7-9 p.m.—Aspirus Healthcare, Wausau

One hundred seventy-four people attended the forums. Although all disciplines were represented, the majority of attendees were nurses. Ninety-nine per cent of participants reported feeling

confident using the algorithm and medication chart in their practice and sharing both of these with colleagues.

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publicationsand communicationshighlights

Safe Sleep Bassinet Card:

Click here to download a PDF online. In 2009, WAPC continued the effort to combat infant disparities through its educational projects. WAPC’s Southeast Region created a Safe Sleep Bassinet Card that was distributed to each of Wisconsin’s 100 birthing hospitals between April and September 2009. The card communicates a message about safe sleep from the baby’s perspective and serves as a teaching tool for providers. The card is designed to fit into most hospital bassinets, and parents are encouraged to take the card home with them. Evaluation efforts continue to provide key feedback on the use of card, which will be available in both English and Spanish in 2010.

Becoming a Father:

Click here to download a PDF online. WAPC continued to expand the Planning for Pregnancy series, a set of consumer-based fact sheets on pregnancy. The Preconception and Prenatal Care Committee created a new fact sheet especially for men called

Becoming a Father.

Expectant Father’s Wish List: Through a statewide network, collaborators gathered information

from fathers-to-be. They responded to the question: What can your partner, family, friends, and others do to lessen the stress of pregnancy and help you prepare to be a father? The groundwork of gathering responses from fathers-to-be was the first step in publishing the Expectant Father’s Wish List poster in 2010.

Neonatal Nutritional Discharge Plan : Through the work of its Nutrition Committee, WAPC published

the Neonatal Nutritional Discharge Plan, a tool for providers responsible for the successful transition of an infant from the NICU to the community. This tool is available at no charge in both printable PDF and fill-a-form versions on the WAPC Web site. Click here to download a PDF online.

Version 2.0 of the Fetal Monitoring Interactive CD-ROM: The Continuing Education and Outreach

Workgroup of the Tertiary Care Committee developed Version 2.0 of the Fetal Monitoring Interactive CD-ROM. This updated version includes the latest NICHD recommendations. Since its original publication, the CD-ROM has been used in multiple states by individuals and health systems. It has proven to be an effective educational tool that is learner-paced, always available, and cost-effective.

Levels of Care Self-Assessment:

Click here to download a PDF online. WAPC continued to publish results of the Levels of Care Self-Assessment Initiative on the WAPC Web site. In 2009, WAPC developed a Web site for publishing the names of hospitals that completed levels of care self-assessments and a list of such hospitals by geographical location and level of care. WAPC also developed a guide for parents in collaboration with the Wisconsin Hospital Association.

Put me in my crib, bassinet, or Pack n Play® in mom’s room,

On my back, alone.

I shouldn’t sleep on any bed, couch, chair or with anyone. No pillows, no blankets, no bumpers, nothing.

No toys, no stuffed animals. Being hot is not good for me.

Put me in my crib when you feel sleepy. No smoking, it hurts me too.

When You Lay Me Down To Sleep

Please...

When You Lay Me Down To Sleep

Please...

When You Lay Me Down To Sleep, Please...

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awards

The annual statewide perinatal conference gives WAPC the opportunity to recognize the accomplishments of individuals and groups. The awards presented at the annual banquet on April 27, 2009, included:

Michael T. Hynan, PhD

Callon-Leonard Award

Michael T. Hynan, PhD, was awarded the highest honor awarded by WAPC. Dr. Hynan is a Professor Emeritus of Psychology at the University of Wisconsin-Milwaukee. He was recognized for his integral role in the success of numerous WAPC initiatives, most notably those focused on premature infants and perinatal mood disorders. He currently serves on the Perinatal Foundation Program Committee and in the past has served on the Perinatal Foundation Board of Directors.

wapc committeesandwork groups

In 2009, WAPC maintained the following committees and groups that work toward improving perinatal outcomes.

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PROGRAM COMMITTEES

Annual Conference Planning Committee (ad hoc) –

Chair, Paul Neary, MD, President-Elect, Fort Atkinson

Infant and Family –

Co-Chairs, Mary Jo Snorek, MSN, NNP-BC, C-NPT, Madison Jill Paradowski, RN, MS, Milwaukee

Nutrition –

Chair, Judy Zunk, MS, RD, CSP, CD, Milwaukee

Perinatal Data –

Chair, Marianne Weiss, DNSc, RN, Milwaukee

Peripartum –

Chair, Lisa Hanson, CNM, PhD, FACNM, Milwaukee

Preconception & Prenatal Care –

Charlene Galston, RNC, BSN, ME-PD, IBCLC, Black River Falls

Prenatal Testing –

Co-Chairs, Susan R. Davidson, MD, Madison Deborah Larkey, MD, Milwaukee

Public Affairs –

Chair, Lynn M. Klemmer, RNC-OB, MMC, Oshkosh

Tertiary Care –

Chair, Chris L. Van Mullem, RNC, MS, Milwaukee

Work Groups of the Tertiary Care Committee: Continuing Education and Outreach –

Co-Chairs, Debra Gleisberg, BSN, RNC, LCCE, Milwaukee Janice McIntosh, BSN, RNC-OB, C-EFM, Watertown

Fetal Monitoring –

Chair, Chris L. Van Mullem, RNC, MS, Milwaukee

OPERATIONS COMMITTEES

By-Laws –

Chair, Ann M. Ebert, PharmD, Madison

Callon-Leonard –

Chair, Ann M. Ebert, PharmD, Madison

Executive –

Chair, Betty A. Minton, RNC, BSN, Marshfield

Nominating –

Chair, Ann M. Ebert, PharmD, Madison

Planning –

Recognition Awards

WAPC recognized the work of three groups.

The first recognition award was presented to

Memorial Medical Center

(MMC) in Ashland, WI

. Erin Tenney, RN, BSN, accepted the award for MMC, the first birth hospital to complete the WAPC Levels of Care Self-Assessment.

The second award was to the

Wisconsin Division of Public Health

for its continued work to raise awareness about the disparate birth outcomes among African Americans living in southeast Wisconsin. Seth Foldy, MD, Division of Public Health administrator, accepted the award.

The third award went to the

WAPC Nutrition Committee

for its work in developing a nutritional discharge plan for infants in the NICU transitioning to the community. Judy Zunk, MS, RD, CSP, CD, committee chair, accepted the award.

wapc statementofincome andexpenses

January 1 – December 31, 2009

INCOME

Contributions Corporate Contributions $16,100 Individual Contributions $5,310 Fees Meeting Fees $51,025 Membership Dues $23,274 Publications $26,998 PeriData.Net

®

$680 Grants DHS $139,500 Perinatal Foundation $157,652 Other Revenue Interest Income $11,634 Regional Interest $116

WAPC Regional Revenue $11,365

Other Income $2,717

Contributed Services* $53,120

Total Income $499,491

EXPENSES

Accounting Services $7,573

Bank Service Charge $1,755

Contributed Services* $53,120 Development/Training $774 Faculty/Consultants/Subcontracts $15,031 Fees $2,455 Meetings $38,840 Miscellaneous $2,188 Overhead** $83,739 Postage $2,944 Printing $41,961 Regional Organizations $15,096

Salaries & Fringe $251,792

Travel $5,173

Total Expenses $522,441

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The percentage of functional expenses is 60% to program, 39% to management and general, and 1% to fundraising. A copy of the financial audit prepared by SVA Certified Public Accountants, S.C. is available upon request.

*Contributed services are based on volunteer service hours of program committee and work group experts that are converted to dollar values, based on an annual salary survey of directors of the WAPC board.

**Includes administrative expense, depreciation, office supplies, property and general liability insurance, rent, telephone, Web site connection, and internal printing, postage, and copying.

Erin Tenney, RN, BSN

Tim Boehmer, RPh & Seth Foldy, MD

WAPC

ORGANIZATIONAL

CHART

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Betty Minton, RNC, BSN, President, Ministry Health Care at Saint Joseph’s Hospital, Marshfield & Saint Clare’s Hospital, Weston (10++) Paul J. Neary, MD, President-Elect, Fort HealthCare, Fort Atkinson (10++) Linda S. Kent, RN, MSN, Secretary, Northcentral Technical College, Wausau (10++) Ann M. Ebert, PharmD, Immediate Past-President, Meriter Hospital, Madison (09++)

wapc

–

Executive Committee

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Margaret Malnory, MSN, RN, Treasurer, Wheaton Franciscan Healthcare-All Saints, Racine (11++) Carol A. Browning, MD, Perinatal Foundation Representative, Bayside (10++)

board of directors

–

Directors

Janine M. Bamberger, MS, RD, CD, Aurora Sinai Medical Center, Brookfield (10++)

Meggan Baudek, RN, BSN, IBCLC, Nurse Rep., Western Region, Gundersen Lutheran Medical Center, La Crosse (12++) Kay Lynn Breen, MD, St. Vincent Hospital, Green Bay (11++)

Sarah Coyne, JD, Quarles & Brady, LLP, Madison (10++)

Susan R. Davidson, MD, Dean Medical Center, Madison (10++) Sarah K. Dillman, RN, BSN, Dean Health Plan, Madison (12++)

Charlene Galston, RNC, BSN, ME-PD, IBCLC, Black River Memorial Hospital, Black River Falls (10++) Lisa Hanson, CNM, PhD, FACNM, Marquette University, College of Nursing, Milwaukee (10++) Carol Hasenyager, MD, Primary Care Clinic, Menomonee Falls (12++)

Kristine Hayes, CSW, Gundersen Lutheran Medical Center, La Crosse (11++) Cindi Jungwirth, RNC, MSN, Affinity Health System, Oshkosh (10++)

Timothy Klatt, MD, Medical College of Wisconsin, Milwaukee (10**) Lynn M. Klemmer, RNC-OB, MMC, Mercy Medical Center, Oshkosh (10++) Glenn R. Krieg, CPA, Morgan Murphy Media, Madison (10++)

Terry Kruse, RN, Wisconsin Department of Health Services, Madison (10++) Jeffrey H. Lamont, MD, FAAP, Marshfield Clinic, Weston (10++)

Deborah Larkey, MD, Columbia-St. Mary’s Hospital, Milwaukee (10++) Romney Ludgate, BA, MA, Waunakee (11++)

Amy K. Marquardt, CSW, Aspirus Wausau Hospital, Wausau (11++)

W. Curtis Marshall, BS, MS, Wisconsin Division of Public Health, Southeast Regional Office, Milwaukee (10++) Sue Miller, BSW, Abri Health Plan, West Allis (11++)

Phillip L. Nielsen, MSW, Franciscan Skemp Healthcare, La Crosse (12++) Heather Pauls, JD, Losby & Pauls, Eau Claire (12++)

Ruth Ann Rodda, RN, St. Vincent Hospital, Green Bay (10++) Carolyn Rumph, RD, CD, Meriter Hospital, Madison (10++)

Katherine Sagers McGlynn, MSW, APSW, St. Elizabeth Hospital, Appleton (11++) Kimberly J. Seeger, MD, St. Elizabeth Hospital, Appleton (12++)

Joanne A. Selkurt, MD Gundersen Lutheran Clinic, Whitehall (10++) Elizabeth Siitari, MD, UW Health-West Towne, Madison (11++)

Mary Jo Snorek, MSN, NNP-BC, C-NPT, Neonatal Resources of Wisconsin, Inc., Madison (10++) Melissa Thayse, CSW, St. Vincent Hospital, Green Bay (12++)

Chris L. Van Mullem, RNC, MS, Aurora Sinai Medical Center, Milwaukee (10++) Michelle Venn, RN, Alverno College School of Nursing, Milwaukee (11++) Sarah L. Walder, RNC, MSN, NNP-BC, Aspirus Wausau Hospital, Wausau (12++) Donald F. Weber, MD, Luther Midelfort, Eau Claire (10++)

Marianne Weiss, DNSc, RN, Marquette University, College of Nursing, Milwaukee (10++) Judy Zunk, MS, RD, CSP, CD, Wee Care WIC, Menomonee Falls (10++)

++Date after name indicates the year in which the director’s term ends. **Resigned from Board in 2009.

BOARD OF DIRECTORS

– Meetings

The Wisconsin Association for Perinatal Care Board of Directors met on April 26, 2009, from 11:30 a.m. – 2:30 p.m. at the Country Springs Hotel, Waukesha, and on November 6, 2009, from 10 a.m. – 3 p.m. at the West 14th Restaurant, Marshfield.

WAPC

– Staff

Ann E. Conway, MS, MPA, RN, Executive Director • Eva Fassbinder Brummel, MPH Kristine E. Casto, MPH, CPH, CPhT • Barbara Wienholtz, AD

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