MPH 599 Practicum Report

Andrea Eden Shingleton, BSN, RN

Women’s Health and Obstetrical Special Care Unit

University of Cincinnati Medical Center

234 Goodman Rd.

Cincinnati, OH 45219

Harrieth Mwalupindi, PhD. MSN, RNC-OB

9/2/2016 to 10/17/2016

Abstract:

The objectives for this practicum was to learn how to design, implement and evaluate a health

promotion/education program for healthcare providers caring for obstetrical special care patients

and their newborns. After a review and analysis of medical literature and research findings, the

specific population identified was pregnant women with substance use disorder. The most

effective format of the educational program for healthcare providers was an all day conference

with multiple expert speakers.

Introduction

 The 2nd Annual Perinatal Summit: Managing Maternal Substance Use and Treatment is

the brainchild of the Assistant Chief Nursing Officer of Maternity and Newborn Services at the

University of Cincinnati Medical Center (UCMC). Last year, this conference received an

overwhelmingly positive response with request for more education sessions. Targeting a wide

audience of health care providers, the 2nd Annual Perinatal Summit will cover a variety of topics

in relation to substance use in pregnancy and the care of mother/ infant dyad.

As a regional provider of healthcare services, UCMC recognizes the impact of the drug

epidemic on its citizens. The Perinatal Summit is scheduled for November 17, 2016 in

Cincinnati, the largest city in the Tri-State area (Southwest Ohio, Northern Kentucky and

Southeast Indiana). The location of the Summit is significant. According to the Centers for

Disease Control, in 2014, the five states with the highest rates of death due to drug overdose

were West Virginia, New Mexico, New Hampshire, Kentucky and Ohio. The National Institute

on Drug Abuse (2014) attests that exposures to heroin (reported to poison control centers) in

Cincinnati decreased by 13.4 percent during 2013, compared with the previous year, but they

were 134 percent higher than in 2011. Additionally, the amount of heroin seized in Cincinnati

by the Regional Enforcement Narcotics Unit (RENU) increased by 191 percent in 2013 from the

previous year (Scaglione, 2014).

Substance Abuse and Mental Health Services Administration (SAMHSA) monitors and

reports illicit drug use in the U.S. Approximately 5.4 percent of pregnant women aged 15 to 44

are current illicit drug users (SAMHSA, 2014). The rate among women in this age group who

are not currently pregnant is 11.4 percent (SAMHSA, 2014). When separated by age, the rate of

current illicit drug use is highest in pregnant women aged 15 to 17 (14.6 percent) (SAMHSA,

2014). Greenfield, Manwani, and Nargiso (2003) affirm that a significant gender differences

exist in the prevalence of substance use disorders in the U.S. because women are more

vulnerable to the medical, physical, mental, and social consequences of substance use. The

potential effect on newborns exposed to illicit substances is significant and carries additional

unique risks during pregnancy (Greenfield, Manwani, and Nargiso, 2003).

UCMC believes in the commitment of serving their community with excellence and

compassion (UC Health, 2016a). The Perinatal Summit is a way for UCMC to educate and to

inspire healthcare professionals to provide life changing, patient-centered care for the mother

with substance use disorder and her infant. Additionally, while highlighting the latest research

and evidence-based practices during the Summit, UCMC is fulfilling the mission and vision to

drive innovation through groundbreaking research (UC Health, 2016a).

Originating in 1823, UCMC provided care for the aged, indigent and orphaned of the

community (UC Health, 2016b). Today, the state-of-the-art medical facility of UCMC has an

international reputation, serving peoples from around the world. Collaborating with the

University of Cincinnati Medical School, one of the top 50 medical schools, UCMC provides

healthcare professionals with the latest technological procedures and clinical trials medications.

The U.S. News & World Report consistently recognizes UCMC as one of ‘America’s Best

Hospitals’ (UC Health, 2016b).

The Maternity and Newborn Service line at UCMC offers care for routine to complex

conditions. With advanced specialty care, UCMC provides women with high-risk pregnancy or

fetal care needs a safe place to give birth (UC Health, 2016c). Additionally, the Neonatal

Intensive Care Unit (NICU) at UCMC is a staffed with Neonatologists and specialized nurses

(UC Health, 2016c). Mothers with substance use disorder expose their unborn babies to drugs

causing Neonatal Abstinence Syndrome. These infants typically require specialized care in the

NICU to prevent death or disability.

UCMC is a non-profit organization dedicated to improving the health of the region and

beyond. As the facilitator of the Perinatal Summit, UCMC is able to provide human resources,

marketing services and a facility to help fulfill budgetary needs. Since other expenses like

honorariums and travel expenses of the speakers, lunches and gift bags are not covered, the

planning committee asked for sponsors. Several physician groups and community groups with a

like-vision for the health of expectant mothers donated funds to defer costs not covered by the

admission fees. In addition, the attendees paid an entrance fee to cover the cost of continuing

education credits.

Discussion

As a member of the planning committee for the 2nd Annual Perinatal Summit, I assisted

the project lead, Dr. Harrieth Mwalupindi in a variety of activities. When I joined the team in

early September, several meeting had already taken place and various roles had already been set.

As the assistant to the project lead, I worked directly with Dr Mwalupindi on each activity. One

of the first activities assigned to me was to complete the application for continuing education

credits (CECs) for the nurse and physician attendees (see Appendix A for the completed sample).

This is a rigorous process with specific protocols to be followed. Completing the CECs was

important to the success of this project because the Ohio Board of Nursing requires nurses to

complete 24 CECs for licensure renewal every two years and attendees expect to receive these

credits. The CECs process involved many hours of work. Some of my tasks included writing

learning objectives for each session, contacting and creating bios for each speaker, designing an

evaluation form for the attendees and distributing and collecting financial disclosure forms from

each speaker and member of the planning committee.

In addition to completing the CECs, I also constructed a sponsorship letter in response to

the lack of funding for our project. In collaboration with the Assistant Chief Nursing of

Maternity and Newborn Services, I drafted and edited the sponsor letter, sponsor levels and

attendee form (see Appendix B for sample). This letter was distributed to physician groups and

community agencies asking for a sponsorship of the conference. Several physician groups from

UCMC and Cincinnati Children’s Hospital and Medical Center responded with donations of a

$1,000, for a total of $3,000. In addition to the physician groups, the March of Dimes donated

$2,000 and Buckeye Health donated an additional $500. I am the most proud of my contribution

to this part of the Summit.

At UCMC, committees are required to formally record and submit their meeting minutes.

I completed the meeting minutes in a specific structured format to meet this requirement.

Examples of these meeting minutes are in Appendix C. Creating the minutes was an excellent

communication tool for all the members of the committee to review and affirm all the work

being done to make the conference a success.

In Appendix D, the 2nd Annual Perinatal Summit Communication Plan is detailed. I

created this document in response to a subcommittee meeting I attended with Dr Mwalupindi and

the Assistant Chief Nursing Officer. The communication plan was developed to distribute the

invitation to the conference to local agencies. The Assistant Chief Nursing Officer has developed

relationships with community partners. She is the champion of the Summit and committed to use

her influence to make the conference a success.

During the planning process, the committee assigned me the task of investigating options

for providing lunch to the Summit participants. In Appendix E, I created a detailed report and

submitted it to the committee for review including all the local catering companies. From this

list, the Giminetti Baking Company was selected as a potential provider. In addition to the

companies listed, I also contacted the UCMC catering service. After comparing prices and

services, the committee chose the UCMC catering service. The food prices are the same, but the

UCMC catering service will deliver, set-up and clean-up at no additional cost.

Appendix F is the conference agenda and learning objectives for the Summit. I attended

the meetings and added to the conversation concerning the agenda. I contacted speakers to

confirm availability to build the agenda. I wrote the learning objectives based on the topic

assigned to each speaker. I distributed the topics and learning objective to each of the speakers.

Each of the tasks I was assigned to complete will assist in the success of the Summit. The

learning objectives I created for the Summit will appropriately address the challenges of caring

for pregnant women with substance use disorder and their newborn. The first presenter is Dr.

Christine Wilder; she is the Clinical Director of the Addiction Sciences Division at UCMC. She

will present how to recognize physiologic pathway and differentiate the disease process of

addiction during the Summit. Healthcare providers must first understand the disease process and

the physiological changes to the body in order to provide patient-centered care.

Next, Dr. Sammarco, the Hamilton County Coroner will discuss the current opioid

epidemic and the impact on our community. Cincinnati has made national news with the recent

Carfentanyl overdoses and Dr. Sammarco is the expert in our area with the most up-to-date

statistics of the affects of the current epidemic. Attendees will hear of the devastation from the

opiate epidemic in our community.

Next, Dr. Lauren Janssen, the Director of Pediatrics at the Center for Addiction at John

Hopkins School of Medicine and a national expert; she will discuss the complexities of treatment

of the mother / infant dyad with opiate addiction and teach participants how to evaluate

individual patient needs related to addition. As health care providers, we are charged with

decreasing the suffering of our clients. Afshin Taleghani, PharmD will describe medication and

disease management of addiction by integrating current evidence with existing practice.

Effective pain management is challenging in the opiate addicted client, the audience will learn

about research-based protocols to help laboring women and medications to treat Neonatal

Abstinence Syndrome.

Substance abuse affects all systems of the body, Dr. Lynch, UCMC cardiologist, will

teach participants about the effect of addiction on cardiac processes and how to improve care for

this population. In addition to understanding the physiological effects of addiction, our audience

will to become more self-awareness of their attitudes toward persons who use illicit drugs and to

avoid punitive terminology when providing care for individuals with substance use disorder.

Charles Gorman is a licensed addiction counselor who has worked in the community for twenty

years helping clients overcome substance abuse.

Next, attendees will learn about current evidence-based practices for maternal addiction

necessary to improve clinical outcomes from Dr. James Van Hook, UCMC Obstetrician and

Board of Directors for the Addiction Services Council. Finally, the Summit participants will

learn about the legal ramifications and barriers related to maternal addiction assistance from

Ohio Representative Doug Green. As an advocate for the Maiden Law, Rep. Green will help

participants understand the role that legal protection a mother’s right to parent her child can have

on decreasing substance use.

While coordinating the details of the Summit, I identified and overcame some barriers.

The first barrier I encountered was the related to the dynamic of the group. The leader of the

committee, Dr. Mwalupindi is also a full-time clinical educator for the Obstetrical Special Care

Unit. None of her other duties were relieved in order for her to plan the Summit. At first, I

would wait for her to assign tasks to me. I learned quickly that she was very busy with her own

tasks and that I needed to be a self-starter. After we would attend a meeting, I would de-brief

with her about the potential tasks I could assign to myself. With her agreement, I would then

give her short updates on my progress and find additional tasks to complete. An example of this

is the sponsorship letter. During the meeting, funding was discussed among the committee

members. Several ideas were suggested, but at the end of the meeting, no one had volunteered to

make any of the suggestions actionable. I suggested to Dr. Mwalupindi that I would be willing to

create a sponsorship letter. She agreed, but was not willing to take on any of the time

requirements of the task herself. I researched potential formats, drafted the letter and presented

the letter to the marketing department for approval. I then sent the revised draft to the committee

members for edits. After edits where made to the original document, the Assistant Chief Nursing

Officer saw the potential of the letter and asked me to create sponsor levels and attendee forms.

The finished product helped us collect $5,500 in donations. I do not believe this would have been

possible if I had not taken the imitative to start the process of writing a sponsor letter.

In addition to the busyness of committee members, I also had difficultly coordinating my

work schedule with the scheduled committee meetings. I knew it was imperative to attend the

meeting to be up-to-date on the other member’s progress, but I also have to balance my

commitments at work. I was able to exchange specific workdays by coordinating with my

supervisor. It was a win-win because I could work on days with staffing shortages. On days that I

was not able to change my schedule, the supervisor offered to provide care for my patients while

I attended the meeting. Overcoming this barrier taught me to ask for help and to be flexible in

order to create a positive work relationship.

Personal Assessment

Working on the committee for the 2nd annual Perinatal Summit for my practicum has

greatly contributed to my understanding of public health practice. The public health

competencies are analytical and assessment skills, program and policy development skills,

communication skills, cultural competency, leadership and systems thinking skills and

community dimensions of practice skills. In this section, I identified examples of six public

health competencies during the MPH practicum.

In my practicum, I used analytical and assessment skills to complete several tasks. First,

while writing the learning objectives I identified factors affecting the health of the community,

and then selected valid and reliable research data to create the most relevant topics for the

conference. Reviewing community health assessments aided me in recognizing the need for expo

tables with community resources at the summit. I have coordinated the acquisition of community

agencies to present their resources and educational brochures to be available for the attendees.

The main purpose of the practicum was to develop a health promotion program. I have

used program and policy development skills throughout the practicum. Having participated in the

planning committee, I have taken on tasks independently and collaboratively to meet the goals

and objectives of the Summit. As the conference facilitator, UCMC has specific organizational

goals that must be followed in the foundation of each decision made by the committee.

Completing the minutes for each meeting, I have contributed to the ongoing progress of the

committee to plan an effective health promotion activity. Additionally, I gathered research to

affirm the importance of the conference topic to submit with the continuing education credit

application. I also developed the evaluation form each attendee will complete at the end of the

conference to gain feedback on the effectiveness of the program.

In addition to planning skills, I utilized communication skills in a variety of formats.

First, I communicated information and conveyed data to a group of professionals during

committee meetings. Secondly, I effectively communicated in writing with linguistic and cultural

proficiency in the completion of the meeting minutes, the sponsorship letter, the CECs

application and various e-mails. I facilitated ongoing communication with community agencies

and organizations asked to collaborate with UCMC.

While developing the sponsorship letter and conference agenda, I used cultural

competency skills to recognize the diverse perspectives of the participants. It was the goal of the

conference to appeal to the attendees’ sense of community partnership with UCMC. The

sponsorship letter included the word community in each designated each sponsor level. When

writing the learning objectives and planning the agenda for the conference, it was important to

bring a diverse voice to the challenge of addiction. We not only wanted experts in acute care

outcomes, but we wanted to share psychosocial aspects of substance use and the way the legal

system affects the health of our community.

Planning the Summit, I have used leadership and systems thinking skills. UCMC is a part

of the larger inter-related system of care for pregnant women with substance use disorder and

their infants. Having completed this practicum, I am now able to describe the way public health,

health care and other organizations can work together to impact the health of the community.

Additionally, during this practicum I have been able to ensure a quality professional

development opportunity for health care providers in my area by submitting the CECs

application. I have advocated for the role of public health in providing population health

services by coordinating expo tables at the Summit.

Finally, because of the practicum I can recognize the relationships that affecting health in

my community. Having worked in a hospital for my entire career, I have only had small

experiences with community health services. While developing the communication plan for

disbursement of information about the Summit, I learned from the assistant Chief Nursing

Officer the importance of the community dimensions of practice skills. She has developed

relationships with a large number of community agencies. Because she has donated to and

participated in community health promotion events: when she asked, they listened. The Summit

is a collaboration with community partners to improve the health in our community. Working on

this project, I gained many valuable skills to aid me in my future public health career.

In Appendix G, the evaluation of my performance in the MPH practicum at UCMC is

available. Dr. Mwalupindi rated my quality of work as unusually high quality and consistent.

When comparing me with others of my experience, she rated my amount of work as

exceptionally rapid and prolific. My attendance and punctuality were perfect. When asked to

assess my knowledge and skill in public health concepts, she rated me 5/5, stating exceptionally

well informed and able to integrate knowledge and skills in performing at a very high level. She

described me as highly cooperative, willing to assist others and has a noticeable good effect on

work group. Concerning my ability to deal with customers, she said I have an unusual knack for

successfully dealing diplomatically with conflicts and in getting the cooperation of others. When

asked about the ethical obligations and responsibilities, she wrote that I exhibited a very high

level of integrity that engendered the utmost confidence and respect. She described me as

resourceful and active in looking for duties and learning beyond what is required and able to

solve problems on her own. During my practicum, all requests were met quickly and followed

through to completion. She rated me as a highly effective communicator, very valuable to the

project and the organization.

Conclusions and Recommendations

The Summit is scheduled for November 17, 2016. I have committed to continue on the

planning committee to see this project to the end. I am in charge of several items including

coordinating the volunteers, evaluating the effectiveness of the Summit and creating a reference

binder for next year’s committee. In order to head up the volunteers, I have created a volunteer

sign-up sheet with roles and responsibilities. I have distributed this to managers at UCMC. Once

I receive the list of volunteers, I will send an email detailing the expectations. I am also creating

a volunteer cheat sheet that will include a map of the facility, the agenda and answers to

frequently asked questions.

In order to evaluate the effectiveness of the conference, I will summarize the evaluation

forms collected on the day of the Summit. The results of the evaluations will be discussed in a

post-conference meeting of the planning committee. We will use the suggestions of the attendees

to plan the next conference. I have also submitted a draft of the flyer to be included in the

participant’s packet that invites them to save the date for the 3rd Annual Perinatal Summit.

Finally, I have committed to create a resource binder for the next conference. I suggested

this to Dr. Mwalupindi and she was very receptive to the idea. As a part of the marriage ministry

at my church, we provided a series of marriage classes twice a year. In order to minimize the

preparation work, a resource binder was available with all the teaching content, Power Point

slides, handouts, and resources for childcare and catering. As the resource binder was so

valuable in the marriage ministry, I anticipate the Perinatal Summit committee will also find it to

be an asset. In order to complete the binder, I will create a call list with the phone numbers and

email addresses of this year’s committee members. A copy of the agenda, application for

continuing education credits, communication plan and sponsor letter will also be included. I will

create an electronic copy of all documents on a flash drive to add to the binder. At the

conference, I will collect photos of the expo tables, contact information for the vendors and

examples of the educational brochures. The resource binder would not be complete without

systematic instructions for the registration process and the evaluation process. Working on this

project has taught me valuable lessons in bridging acute care with public health practice for the

benefit of my community.

References

References

CDC. (2014). State data. Retrieved on October 11, 2016 from

http://www.cdc.gov/drugoverdose/data/statedeaths.html

Greenfield, S.F., Manwani, S.G. & Nargiso, J.E. (2003). Epidemiology of substance use

disorders in women. Obstet Gynecol Clin North Am, 3. 413-446.

National Institute on Drug Abuse. (2014). Drug abuse patterns and trends in Cincinnati

(Hamilton County). Retrieved on October 11, 2016 from

https://www.drugabuse.gov/about-nida/organization/workgroups-interest-groups-

consortia/community-epidemiology-work-group-cewg/meeting-reports/highlights-

summaries-january-2014-3

SAMHSA. (2014). Results from the 2013 National Survey on Drug Use and Health: Summary of

National Findings. NSDUH Series H-48, HHS Publication No. (SMA) 14-4863.

Rockville, MD.

Scaglione, J. (2014). Drug abuse patterns and trends in Cincinnati (Hamilton County). Retrieved

on October 11, 2016 from

https://www.drugabuse.gov/about-nida/organization/workgroups-interest-groups-

consortia/community-epidemiology-work-group-cewg/meeting-reports/highlights-

summaries-january-2014-3

UC Health (2016a). Retrieved on October 11, 2016 from http://uchealth.com/university-of-

cincinnati-medical-center/about/mission-vision-values/

UC Health (2016b). Retrieved on October 11, 2016 from http://uchealth.com/university-of-

cincinnati-medical-center/about/

UC Health. (2016c). Retrieved on October 11, 2016 from

http://uchealth.com/womens-health/neonatal-intensive-care/

Appendix AContinuing Education Credit Forms

University of Cincinnati, Continuing Medical Education – Disclosure of Relationships with Commercial Interests

The ACCME requires all individuals in a position to control the content of a certified CME activity to disclose all relevant commercial financial relationships occurring within the past 12 months. This includes financial relationships of a spouse/partner. The ACCME Standards for Commercial Support defines a “commercial interest” as “any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients”.

Financial relationships are those relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest, (e.g. stocks, stock options, or other ownership interest excluding diversified mutual funds) or other financial benefit. Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research), consulting, speaking and teaching, membership on advisory committees or review panels, board membership, and other activities for which remuneration is received or expected. The intent of this disclosure is to help ensure that CME activities are objective, unbiased, and based on the best available scientific evidence, not to prevent individuals with such relationships from serving as faculty, author, reviewer or Planning Committee member.

PLEASE COMPLETE THE FOLLOWINGNAME OF PROGRAM: 2nd Annual Perinatal Summit:Managing MaternalSubstance Use and TreatmentDATE OF PROGRAM: 11/17/2016

Nature of Relationship Self/Spouse or Partner

List Name(s) of Commercial Entity(ies)

Product or Service

Clinical

Condition

Advisory Board                        

Consultant                        

Employee                        

Officer or Board Member                        

Shareholder                        

Grant Recipient                        

Speaker’s Bureau                        

Intellectual Property/Patents                        

Other Relationships                        

NAME: Lakshmi Sammarco, MD

Product Off-label Use Manufacturer

                 

                 

                 

                 

E-MAIL ADDRESS (Required):      ROLE (check all that apply): Speaker/Author Planning Committee Member ReviewerHave you or your spouse /partner had financial relationships or affiliations with any commercial entity in the past 12 months? No: Yes: If yes, please complete the following:

Name of Spouse/Partner: (Enter only if financial relationships are cited)      

OFF-LABEL DISCLOSURE

Do you intend to reference off-label/unapproved uses of drugs or devices in your presentation? No Yes

If yes, please identify the product, off-label use, and its manufacturer.

Please note the following from the ACCME Standards for Commercial Support, “An individual who refuses to disclose any financial relationships will be disqualified from being a Planning Committee member, a teacher, or an author of CME, and cannot have control of, or responsibility for, the development, management, presentation or evaluation of a CME activity.”

Your signature indicates that you have read this form in its entirety.

SIGNATURE:       DATE:      

Continuing EducationApplication for Faculty Directed CE Activity

Title of Program: 2 nd Annual Perinatal Summit: Managing Maternal Substance Use and TreatmentName of Organization: University of Cincinnati Medical Center (UCMC)

Date(s) of the Activity: 11/17/2016

Name/Title of Person Responsible for CE Activity: Harrieth Mwalupindi PhD, MSN, RNC-OB / OBSCU Clinical Program Developer

Work Address /ML: 234 Goodman Street Cincinnati, Ohio 45219___ML0727________________

Phone Number: __513-584-2231

Email:__harrieth.mwalupindi@uchealth.com_______________________________________Planning Committee (at least one licensed nurse and/or dialysis technician representing target

audience):_ Harrieth Mwalupindi, PhD, MSN, RNC-OB; Charlotte Pearson, MSN, RN;

Andrea Eden Shingleton, MPH student, BSN, RN

Needs Assessment: How did you determine this program was needed? (Check ALL that apply.)

Management Request X Formal Education Needs Assessment

DEPARTMENT USE ONLY

Program #:

# of Contact Hours:

New System, Equipment, or Regulation X Quality Improvement Issue

X Trends in the literature and health care

X Staff Request X OtherDescribe: National healthcare epidemic

Target Audience: Nurses, Social worker, Pharmacy, Residents

Faculty Credentials: (credentials shall include qualifications for all faculty members for the topic area to be presented)*Name: Afshin Taleghani, PharmD

Education: Undergraduate and Graduate, University of Cincinnati, 2011, Doctorate of Pharmacy Current Position: University of Cincinnati Adjunct Professor at James A. Winkle College of Pharmacy, Pharmacy Practice and Administration for UCMC, 2011 to present Professional qualifications specific to topic being presented: Pharmacist specializing in the care of infants diagnosed with Newborn Abstinence Syndrome in the Neonatal Intensive Care Unit

Name: Charles Gorman, LICDC, LPCC

Education: LPCC Post Graduate coursework, University of Dayton, 1996 ; Masters of Education, Xavier university, 1989; Bachelor of Science, Abilene Christian University, 1984

Current Position: Southern Community College Associate Professor, 2005 to present

Professional qualifications specific to topic being presented: Licensed Independent Chemical Dependency Counselor, LICDC; Licensed Professional Clinical Counselor, LPCC; Executive Director at FRS Counseling for substance abuse disorder, 1996-2005, Addiction Therapist for Shawnee Mental Health Center, 1994-1996

Name: Dr. Lauren Jansson

Education: State University of New York Albany, B.S; Biology -1981; SUNY at Brooklyn College of Medicine – 1985; Children’s Hospital at Albany Medical Center, Pediatrics residency- 1988; Albert Einstein College of Medicine of Yeshiva University Developmental and Behavioral Pediatrics Fellowship 1990

Current Position: Director of Pediatrics, Center for Addiction and Pregnancy; Associate Professor of Pediatrics at the John Hopkins University School of Medicine Professional qualifications specific to topic being presented: Board certified, American Board of Pediatrics, 1989, 2016; principal investigator of NIDA funded research project involving the evaluation of fetal and infant neurobehaviors after opiate exposure.

Name: Dr. James Van Hook

Education: 1975-1978 Louisiana Tech University – B.S; 1978-1982 Louisiana State University Medical College – Medicine; 1982-1986 University of Texas Medical Branch – OB/GYN residency; 1989-1990 Wake Forest University Medical Center – Critical Care Fellowship; 1991-1993 University of Washington Medical Center - Maternal-Fetal Medicine Fellowship; 1998-1999 Auburn University – Medical Management Certificate; 2002 American Board of Addiction Medicine, Chevy Chase, MD – Addiction Medicine Fellowship

Current Position: Board of Directors, Addiction Services Council

Professional qualifications specific to topic being presented: Currently a board certified addiction medicine councilor with over a decade of experience. Completed a fellowship in addiction medicine and currently is an expert in the community and abroad for maternal addiction.

Name: Dr Donald Lynch Jr.

Education: Medical School, University of North Carolina, Chapel Hill; Internal Medicine Residency, Johns Hopkins Hospital, Baltimore; Cardiology Fellowship, Vanderbilt University Medical Center, Nashville

Current Position: Assistant Professor of Medicine, Interventional Cardiology; University of Cincinnati Heart, Lung and Vascular Center

Professional qualifications specific to topic being presented: Board certified in Internal Medicine and Vascular Medicine

Name: Dr Christine Wilder

Education: Medical School, University of Virginia, Charlottesville; Psychiatry Residency, Duke University, Durham; Addiction Psychiatry Fellowship, University of Cincinnati Medical Center

Current Position: Assistant Professor of Psychiatry University of Cincinnati; Clinical Director, Addiction Sciences Division

Professional qualifications specific to topic being presented: Board certified in Psychiatry and Addiction Psychiatry; Certification, Master Health Education Specialist

Name: Dr Lakshmi Sammarco

Education: Medical School, University of Cincinnati College of Medicine- 1988; Diagnostic Radiology Residency, Case Western Reserve University-MetroHealth Medical Center, 1993; Neuroradiology Fellowship, University of California Los Angeles

Current Position: Hamilton County Coroner, Founder of NeuroRadPro LLC; Assistant Professor of Psychiatry University of Cincinnati; Clinical Director, Addiction Sciences Division

Professional qualifications specific to topic being presented: Board certified in Neuroradiology

Name: Representative Doug Green

Education: BS at Case Western University

Current Position: Ohio House of Representatives, District 66, 2013 to present

Professional qualifications specific to topic being presented: Advocate for House Bill 325, Maiden Law, to help pregnant women who are addicted to drugs get assistance without fear of ramification.

*Attach additional sheet with faculty credentials.

Co-providership: Program is co-sponsored (underline): No Yes

If yes, a copy of the co-sponsorship agreements included

Co-Sponsor Name:

Co-Sponsor Address:

Primary purpose of this continuing education activity is to promote the sale of items or services:

Circle one: No Yes

(If the program purpose is to sell items or services it is not appropriate for approval of continuing education contact hours)

Describe Adult Learning Principles utilized during planning and implementation: (Check ALL that apply.)

X Experienced Based X Direct Application and Relevant To Job or Profession

X Cooperative, Interactive Format X Feedback is encouraged

Opportunity to Practice New Knowledge Other:

and Skills

Physical facilities are adequate to meet the learning needs (underline): Yes No

If no describe,

Verification of Participation and Successful Completion (check all that apply):

X Attendance will be verified at the event. If no, please explain:

X Completion/submission of evaluation form.

X Attendance at 80% of the event.

X Other (please describe): Participant must attend the program in its entirety to receive contact hours

Participant must be informed of criteria prior to participation by:

X Information on brochure/advertising material.

X Verbal statement at beginning of activity.

X Written information on handouts.

Other (please describe):

For External Applications Only:

Describe your record-keeping system: (see External Application directions, page 5, for specific requirements)

Attach a copy of the brochure or flyer that will advertise the CE activity. If brochure is not yet complete, send a copy of the draft. Send the final brochure/flyer prior to the activity.

NOTE: Contact hours MAY NOT be advertised prior to approval. Statements such as “pending” or “applied for” MAY NOT be used.

Attach a completed “CE Activity Approval Form” (see page 10)

UC HealthCE ACTIVITY APPROVAL FORM

Title of Offering: 2 nd Annual Perinatal Summit: Managing Maternal Substance Use and Treatment

Date(s) of Offering: 11/17/2016

PROGRAM #

Objectives: List objective in operational/ behavioral terms.

Content (topics):List each topic area to be covered and provide an outline of the content to be presented.

Time Frame:State the time frame for the topic area, including breaks

Faculty:List the faculty or presenter for each topic and include faculty/participant ratio.

Method:Describe the teaching method(s) used for each.

1. Recognize physiologic pathway and differentiate the disease process of addiction

1. Physiology of addiction2. Disease process3. Maternal Addiction Programs4. Management of mothers’ care

throughout pregnancy and postpartum periods

5. Education resources for staff

55 minutes Dr. Christine Wilder Interactive lecture, discussion, case study/scenario

2. Discuss opioid epidemic and the impact on this demographic.

1. Opioid epidemic in Tristate area2. Data reflecting

maternal/neonatal mortality

55 minutes Dr. LakshhmiSammarco

Interactive lecture, discussion, case study

3. Discuss the complexities of treatment of the mother / infant dyad with opiate addiction.

4. Evaluate individual patient needs related to addition.

1. Management of Newborn Abstinence Syndrome

2. Advocating for the best patient care practices

3. Healthcare professional challenges meeting patient needs

55 minutes Dr. Lauren Jansson, Interactive lecture, discussion, case study/scenario

5. Describe medication and disease management of

1. Optimal pain management of drug addicted mothers during

50 minutes Afshin Taleghani, PharmD

Interactive lecture,

addiction by integrating current evidence with existing practice

pregnancy, labor and postpartum2. Perinatal Addiction

Pharmacological Agents:3. Addiction Maintenance Therapy

(Methadone/Buprenorphine)4. Withdrawal medication

management

discussion, case study

6. Recognize current limitations/restrictions necessary to improve clinical practice.

1. Improvement of clinical practice related to maternal addiction and cardiac patients

2. Addiction effects on cardiac disease processes

3. CCHMC-UCMCHeart Program for pregnant patients

55 minutes Dr. Donald Lynch, Interactive lecture, discussion, case study

7. Evaluate self-awareness and avoid punitive terminology when providing care

1. Avoiding punitive terminology

50 minutes Charles Gorman, LICDC, LPCC

Interactive lecture, discussion, case study

8. Recognize current evidence-based practices for maternal addiction necessary to improve clinical outcomes

1. Management of the high-risk perinatal patient with addiction

2. Treatment options/recommendations

3. Screening protocols and fetal/neonatal implications

50 minutes Dr. James Van Hook Interactive lecture, discussion, case study

9. Discuss legal ramifications and barriers related to maternal addiction assistance.

4. Background/personal experience5. Mothers’ fear of seeking help

due to criminalization potential6. How attendees of conference can

help

50 minutes Representative Doug Green, Ohio House of Representatives

Interactive lecture, discussion, case scenario

10. Describe available resources in the community to employ effective strategies for discharge education.

1. Audience inquiry to:a. Panelist prompting further

discussion on evidence based interventions.

b. Disease process vs.

55 minutes Panel DiscussionCharles Gorman,Dr. James Van Hook,Rep. Green, Dr. Lauren Jansson, Dr.Donald

Interactive discussion, questions and answer session, panel conclusion

intentional self-destructive behavior.

2. Personal experience – journey through mother’s addiction

a. Collaboration with available community resources

b. Legal implications of maternal addiction

Lynch, Dr. Christine Wilder, Afshin Taleghani, PharmD

UC HealthCONTINUING EDUCATION ATTENDANCE SHEET

Program Title: 2nd Annual Perinatal Summit: Managing Maternal Substance Use and TreatmentDate: November 17, 2016Program Coordinator: Harrieth Mwalupindi PhD, MSN Program #: ______________

PLEASE PRINT

NAME TITLE * EMPLOYEEID#

FACILITY / UNITor

HOSPITAL 1.2.3.4.5.6.7.8.9.10.11.12.13.14.15.16.17.18.19.20.21.

* Must know who are RNs and who are not for correct totaling of Contact hours.

UC HEALTH

CONTINUING EDUCATION

TITLE: 2nd Annual Perinatal Summit: Managing Maternal Substance Use and TreatmentProgram #: PROVIDER UNIT COORDINATOR: Amy Costanzo MSN, RN-BCDATE: November 17, 2016

EXCELLENT GOOD POOR

1. Did this educational activity meet your personal and professional needs?

Comments:

3 2 1

2. Will the content gained in the CE Activity be useful in your practice?

Comments: 3 2 1

3. Was the faculty effective in:A. Dr. Christine Wilder

1. Style and Delivery2. Knowledge of Subject

B. Dr. Lakshni Sammarco1. Style and Delivery2. Knowledge of Subject

C. Dr. Lauren Jansson1. Style and Delivery2. Knowledge of Subject

D. Afshin Taleghani, PharmD1. Style and Delivery2. Knowledge of Subject

33

33

33

33

22

22

22

22

11

11

11

11

E. Dr. Donald Lynch3. Style and Delivery4. Knowledge of Subject

F. Dr. James Van Hook1. Style and Delivery2. Knowledge of Subject

G. Representative Green1. Style and Delivery2. Knowledge of Subject

H. Charles Gorman, 1. Style and Delivery2. Knowledge of Subject

33

33

33

33

22

22

22

22

11

11

11

11

4. Did the content meet the following objectives:1. Recognize physiologic pathway and differentiate the disease process of addiction2. Describe available resources in the community to employ effective strategies for

discharge education.

3

3

2

2

1

13. Discuss opioid epidemic and the impact on this demographic. 3 2 14. Discuss the complexities of treatment of the mother / infant dyad 5. Evaluate individual patient needs related to addition

33

22

11

6. Describe medication and disease management of addiction by integrating current evidence with existing practice.

7. Recognize current limitations/restrictions necessary to improve clinical practice.8. Evaluate self-awareness and avoid punitive terminology when providing care.9. Discuss legal ramifications and barriers related to maternal addiction assistance.10. Recognize current evidence-based practices for maternal addiction necessary to

improve clinical outcomes.

3

3

3

3

2

2

2

2

1

1

1

1

Comments/Suggestions:

A draft of program advertising must be submitted with this application and include the following information:

Title of program: 2 nd Annual Mother’s Addiction Journey in Healthcare Date: 11/17/16Time: 8:00 a.m. – 5:00 p.m.Place: Kresge Auditorium Target audience: NursesWho to contact for more information: Harrieth Mwalupindi 584-2231

If not approved for continuing education at the time you begin advertising do not mention contact hours or CEUs.

If you will advertise after program approved, add the following wording:

This CE activity ( ) contact hours is provided by University Hospital. University Hospital is approved as a provider of continuing education by the Ohio Board of

Nursing through the OBN Approver Unit at UC Health. (OBN-007-92)

UC Health CE Approver Unit Financial Disclosure Form

In accordance with the UC Health Position on Commercial Support and UC Health and Ohio Board of Nursing standards, all planners, speakers, and authors involved in the development of continuing education (CE) content are required to disclose to the program provider their relevant financial relationships. An individual has a relevant financial relationship if he or she has a financial relationship in any amount occurring in the last 12 months with a commercial interest whose products or services are discussed in the CE activity content over which the individual has control. Relevant financial relationships will be disclosed to the activity audience.

Conference/Program Title: 2nd Annual Mother’s Addiction Journey in Healthcare

Planner/Presenter/Content Expert Name: Harrieth Mwalupindi

1. Does the CE content over which you have control contain information about healthcare products or services?

Yes No (Answer is required.)

If Yes, please move to question 2. If No, please sign a hard copy or if submitting electronically, type your last name in the signature box at the bottom of this form.

2. Regarding the healthcare products or services that will be discussed in the CE content over which you have control, have you had a financial relationship in any amount in the last 12 months with companies that produce these products or provide these services?

Yes No (If Question 1 is Yes, you must answer Question 2.) If Yes, please complete the table below. If No, please sign a hard copy, or if submitting electronically type your last name in the signature box at the bottom of this form. If Question 2. is Yes, you must list at least one relationship in the table.Company or Service Provider

Nature of Relationship (e.g., independent contractor, employee, consultant, advisory board, research grant recipient [exceptions: non-profit or governmental organization, and non-healthcare related companies] non-CE speakers bureau, stockholder, etc.

Are you continuing to receive a financial benefit from this relationship?

If the relationship has ended, when?MM/DD/YYYY

Yes No Yes No Yes No Yes No Yes No

Electronic SignatureI confirm that the information reported above is accurate. I understand that this information will be disclosed publicly in conference materials or publications, where appropriate. I further understand that the program provider reserves the right to replace me in an educational program, decline to publish my work, or otherwise limit my participation in this particular activity if they believe that a significant conflict of interest exists. I agree to notify the program provider if there is any change in the information that I have provided regarding my financial relationships prior to the educational program or publication of my work.

Please sign a hard copy or type your last name in the electronic signature box if submitting electronically. This will act as your electronic signature for this form. Signature

Appendix BSponsor Letter

October 4, 2016

Dear Community Partner,As you are aware, there continues to be a pressing need for ongoing supportive and innovative solutions to the opiate and heroin overdose epidemic facing our community. According to the Centers for Disease Control, in 2014, the five states with the highest rates of death due to drug overdose were West Virginia, New Mexico, New Hampshire, Kentucky and Ohio. Mothers and their infants are especially vulnerable to the effects of opiate and heroin addiction. At University of Cincinnati Medical Center, our clinical care and innovations are on the frontlines of caring for at-risk women who face substance use disorder.

Our efforts to improve the outcomes of mothers with substance use disorders can only be effective with the collective impact and support of everyone in our community. That’s where you come in!!!

University of Cincinnati Medical Center Women and Infant services will be hosting our 2nd Annual Perinatal Summit: Managing Maternal Substance Use and Treatment to be held on November 17, 2016 in the Kresge Auditorium in the University of Cincinnati Medical Science Building, University of Cincinnati College of Medicine from 8:00 AM to 5:00 PM.   

I am asking you to become one of our special supporters by making a contribution at one of the following levels:

Community Champion SponsorCommunity Advocate Sponsor

Community Contributor SponsorCommunity Partner SponsorCommunity Friend Sponsor

Your partnership helps to educate the community on the most current research, best treatment and care practices. Together we will reduce the number of pregnancy complications caused by substance use disorder and reduce maternal and infant mortality in our community.

I hope to hear from you soon, and thank you in advance for your consideration and generosity.

With warm regards,

Ruby Crawford-HemphillRuby Crawford-Hemphill, RNC, BSN, MSAAssistant Chief Nursing Officer Patient Care ServicesUniversity of Cincinnati Medical Center234 Goodman StreetCincinnati, OH  45219Ruby.Crawford-Hemphill@UCHealth.com513.584.2548 (phone); 513.584.1151 (fax)

Levels of Sponsorship

Community Champion Sponsor - $5,000+

Upfront Seating at the Summit for 20 persons Lobby signage as a sponsor* Sponsorship recognition, pre-event and during the program

Community Advocate Sponsor – $3,000

Upfront Seating at the Summit for 15 persons Lobby signage as a sponsor* Sponsorship recognition pre-event and during the program

Community Contributor Sponsor – $2,000

Upfront Seating at the Summit for 10 persons Lobby signage as a sponsor* Sponsorship recognition pre-event and during the program

Community Partner Sponsor – $1,000

Upfront Seating at the Summit for 5 persons Lobby signage as a sponsor Sponsorship recognition, pre-event and during the program

Community Friend Sponsor- $500

Upfront Seating at the Summit for 2 persons Sponsorship recognition, pre-event and during the program

*Contact Event Co-Chairpersons Harrieth Mwalupindi via phone at 513-584-2231 or via email at harrieth.mwalupindi@uchealth.com or Charlotte Pearson via phone at 513-584-0959 or via email at charlotte.pearson@uchealth.com for additional information.

Sponsorship Form

I wish to be a Community Champion Sponsor- $5,000+

I wish to be a Community Advocate Sponsor- $3,000

I wish to be a Community Contributor Sponsor- $2,000

I wish to be a Community Partner Sponsor- $1,000

I wish to be a Community Friend Sponsor- $ 500

Please complete the following information:Sponsor Name as it should be listed on all materials:

Address:

Telephone: Fax:

Email: Website:

Contact Name:

Authorized Sponsor Signature: Date:

On behalf of the University of Cincinnati Medical Center Women’s Health and Infant Services, we thank you for your generous support. To confirm your sponsorship, we ask that you complete the following steps:

1. Send a copy of the Sponsor Form, advertisements and logos via email by October 17 toharrieth.mwalupindi@uchealth.com

2. Mail a copy of the Sponsor Form and a check made payable to October 17 to: Women’s Health and Infant Services

Tabitha WolffUniversity of Cincinnati Medical Center234 Goodman StreetCincinnati, OH  45219

3. Send a copy of the Attendee Form via email by November 1 to harrieth.mwalupindi@uchealth.com

**Contact Event Co-Chairpersons Harrieth Mwalupindi via phone at 513-584-2231 or via email at harrieth.mwalupindi@uchealth.com or Charlotte Pearson via phone at 513-584-0959 or via email at charlotte.pearson@uchealth.com for additional information.

Attendee Form

Name of Sponsor: __________________________________________________Contact Name: ___________________________________________ _________Contact Telephone: (_______) _______________________________________ Contact Email: _____________________________________________________

Friend level1. ____________________________________________________2.Partner Level 3. ____________________________________________________4. ____________________________________________________5.Contributor Level6. ____________________________________________________7. ____________________________________________________8. ____________________________________________________9. ____________________________________________________10.Advocate11. ___________________________________________________12. ___________________________________________________13. ___________________________________________________14. ___________________________________________________15.Champion Level16. ___________________________________________________17. ___________________________________________________18. ___________________________________________________19. ___________________________________________________20.**Contact Event Co-Chairpersons Harrieth Mwalupindi via phone at 513-584-2231 or via email at harrieth.mwalupindi@uchealth.com or Charlotte Pearson via phone at 513-584-0959 or via email at charlotte.pearson@uchealth.com for additional information.

Appendix C

Meeting Minutes

Mother’s Addiction Journey in Healthcare: 2nd Annual Conference: November 17, 2016

Date of Meeting: 9/27/2016Invited: Harrieth Mwalupindi, Ruby Crawford-Hemphill, Kaye Scott, Terri Ann Fredette, Emily Rosenberg, Charlotte Pearson, Colleen Pfister

In Attendance: Harrieth Mwalupindi, Ruby Crawford-Hemphill, Andrea Eden-Shingleton, Colleen Pfister Absent: Emily Rosenberg, Kaelene Acosta, Julie Bell, Kaye Scott, Terri Ann Fredette, Kimberly Crawford, Charlotte PearsonAgenda:

1) Speaker confirmation update2) Confirmation of location3) Marketing updates4) CEs and CMEs updates5) Parking updates6) Lunch for the attendees7) Registration and payment8) Sponsors9) Participant gift bags

Agenda No. Agenda Item: Responsible person: Follow up/Updates:1 Speaker confirmation

updateConfirmed speakers: Dr. Wilder, Dr. Van Hook, Dr. Ward, Dr. Lynch K.B.-Patient to share story; Afshin TaleghaniDr. Jansson (Johns Hopkins)Dr. Sammarco, Hamilton County Coroner Social Worker- Sandy ErnestVideoPending speakers: Rep. Doug Green Panel members:Sheriff Dept: Major McGraw/ Chief of police

Ruby/ Candace

Julie Bell , Charlotte, Ruby

2 Confirmation of location Krege Auditorium available 11/17/16-tables, tableclothAV taping, confirmed w/ modules for CEs

ColleenTerri AnnHarrieth

3 Marketing updates Save the Date sent Terri Ann/ Suki

Registration available on Eventbrite Terri Ann4 CEs and CMEs updates Nursing CEs submitted

CMEs in process, no fee this timeHarrieth/ Andrea

5 Parking updates Parking:Eden Garage, arrange payment Colleen/ Harrieth

6 Lunch for the attendees Cafeteria catering pricing to compare to Giminetti’s

Colleen/ Andrea

7 Registration and payment $65 fee includes CE/CMEs, lunch, parkingEventBrite online payment

HarriethCharlotte

8 Sponsors honorarium, accommodations, travel expensesConfirmed sponsors; Evans, Van Hook, Greenberg, MDsPending: March of Dimes, Dr. Ware

Ruby

9 Participants gift bags Women’s Health to provide pens, notepads, folders, small gift bag

Colleen/Andrea

2nd Annual Perinatal Summit: Managing Maternal Substance Use: November 17, 2016

Date of Meeting: 9/20/2016Invited: Harrieth Mwalupindi, Ruby Crawford-Hemphill, Kaye Scott, Terri Ann Fredette, Emily Rosenberg, Charlotte Pearson, Colleen Pfister

In Attendance: Harrieth Mwalupindi, Ruby Crawford-Hemphill, Terri Ann Fredette, Andrea Eden-Shingleton, Charlotte Pearson, Julie Bell Absent: Kaye Scott, Emily Rosenberg, Kaelene Acosta, Kimberly Crawford, Colleen PfisterAgenda:

1) Speaker confirmation update2) Sponsorship3) Confirmation of location4) Marketing updates5) CEs and CMEs updates6) Parking updates7) Web link set up8) Name of the conference9) Fees for the nurses from WHS10) Sponsorship letter and donation form11) Lunch for the attendees

Agenda No.Agenda Item: Responsible person: Follow up/Updates:

1 Speaker confirmation update

Pending speakers: Dr. Lynch (date change)Dr. Sammarco, Hamilton County CoronerPolice/ Sheriff Dept: Major McGraw no responseConfirmed speakers: Dr. Jansson (Johns Hopkins), Rep. Doug Green Dr. Wilder, Dr. Van Hook, Charles GormanK.B.-Patient to share story; Afshin TaleghaniStill need a Video

Terri AnnRubyJulie

Julie Bell/ Andrea

2 Sponsorship Accommodations, funding Ruby, Harrieth, Andrea

3 Confirmation of location Krege Auditorium available 11/17/16 0800-1700Fee $65 early bird by Oct 17, then $70,

4 Marketing updates Save the Date in process, thursdayRegistration available from UC Health- no paymentTaping of conference, UC

Terri Ann/ SukiTerri Ann

5 CEs and CMEs updates First draft complete for nursing CEs, To update with each speaker confirmationCMEs- Amy Costanzo

Harrieth/ Andrea

6 Parking updates Eden Garage, Kingsgate Marriott, lot 22Add to flyer and website, Map for website Charlotte/ Terri Ann

7 Web link set up Eventbrite site, go live Thurs or Fri Terri Ann/ Charlotte8 Name of conference Changed to 2nd annual perinatal summit:

Managing maternal substance use and treatment

9 Registration fee for nurses Fee same for everyone, UCMC nurses can ask for education reimbursement

10 Sponsor letter Draft letter completed, waiting for feedback from Tricia Mullins

Ruby, Andrea

11 Lunch/meal Giminetti Baking Co box lunches Andrea12 Expo booths behavioral health clinics, needle exchange

programs,UCMC- NAS committee member, NICU, case manager, cardiologyManaged care companySocial work referral

Ruby, Andrea

Next meeting is Tuesday, Sept 27, 2016

Mother’s Addiction Journey in Healthcare: 2nd Annual Conference: November 17, 2016

Date of Meeting: 9/7/2016Invited: Harrieth Mwalupindi, Ruby Crawford-Hemphill, Kaye Scott, Terri Ann Fredette, Emily Rosenberg, Charlotte Pearson, Colleen Pfister

In Attendance: Harrieth Mwalupindi, Kaye Scott, Ruby Crawford-Hemphill, Terri Ann Fredette, Kimberly Crawford, Andrea Eden-Shingleton, Charlotte Pearson Absent: Emily Rosenberg, Kaelene Acosta, Julie BellAgenda:

1) Speaker confirmation update2) Confirmation of location3) Marketing updates4) CEs and CMEs updates5) Parking updates6) Lunch for the attendees7) Registration and payment8) Sponsors9) Participant gift bags

Agenda No. Agenda Item: Responsible person: Follow up/Updates:1 Speaker confirmation

updateConfirmed speakers: Dr. Wilder, Dr. Van Hook, Dr. Ward, Dr. Lynch K.B.-Patient to share story; Afshin TaleghaniPending speakers: Dr. Jansson (Johns Hopkins)Rep. Doug Green Dr. Sammarco, Hamilton County CoronerPanel members:Sheriff Dept: Major McGrawSocial Worker- ? Sandy ErnestVideo

Charlotte/ RubyRubyRuby

CharlotteJulie BellJulie Bell

2 Confirmation of location UC Health Business Center Auditorium, date changed to 11/8/16? change date due to election day, Rep. Green and Dr. Sammarco not availableKrege Auditorium available 11/17/16

Ruby

3 Marketing updates Save the Date formattingRegistration available from UC Health- no paymentTheme of conference, develop symbol

Terri Ann/ Suki

Terri Ann

4 CEs and CMEs updates First draft complete for nursing CEsTo update with each speaker confirmationCMEs- Amy Costanzo

Harrieth/ Andrea

5 Parking updates Parking:Eden Garage, arrange payment Colleen/ Harrieth

6 Lunch for the attendees Contact Einstein Bagels to sponsor lunch/ breakfastContact Tabitha with website payment info

AndreaHarrieth

7 Registration and payment $65 fee includes CE/CMEs, lunch, parkingNeed online payment option, call Amy Costanza

Kaye/ HarriethCharlotte

8 Sponsors Need sponsors for honorarium, accommodations, travel expensesPotential sponsors; other MDs, March of Dimes

Ruby

9 Participants gift bags Contact Amy Mueller about gift cupsWomen’s Health to provide pens, notepads, folders, small gift bag

Andrea

Next meeting is Wednesday, September 21, 2016

Appendix D2nd Annual Perinatal Summit

Communication PlanSeptember 23, 2016

Ruby’s list Amy Costanza Karen Sims Dr Gilbertson Michelle Doll Cradle Cincinnati Crime Stoppers Alan Jones School of Pharmacy Susan Taylor School of Nursing John Kue CCHMC Peds West Chester, Pam Krieg Christy Kuhns Candace Novak Links Talbert House

Charlotte’s List Dr Wilder Susan Hatfield

Andrea’s List Public Health Departments/ Dept of Health and Human Services

o Cincinnatio Hamilton Coo Kenton Coo Butler Coo Warren Coo Campbell Coo Boone Co

Help Me Grow Needle Exchange Program Closing the Health Gap OSOPHE Ohio Society of Public Health Education

Potential Expo Tables (Andrea, Harrieth)1. Dr Wilder, behavioral health clinics2. UC Health, NAS committee, cardiology, case managers, NICU3. Managed Care Organizations4. Social work referrals, CPS5. Community agency, needle exchange program

Appendix ELunch Options for Conference

Panera Bread120 Calhoun Street Cincinnati, OH 45219 (513) 961-63009.99-13.99 Sandwich, chips, cookie9.99-13.99 Salad, bread, cookie11.99 Half sandwich, half salad, bread, cookieZoup!260 Stetson St513.221.1888$ 11.50 SOUP AND SANDWICH BOX LUNCHCustomize your lunch with your choice of any 8oz side soup and half sandwich, bread hunk and dessert.$ 11.50 SOUP AND SALAD BOX LUNCHCustomize your lunch with your choice of any 8 oz side soup and half salad, bread hunk and dessert.Giminetti Baking Co2900 Gilbert AveCincinnati, Oh 45206-1207513-751-ROLL (7655)BOX LUNCHES$7.95 Sandwich, Potato Chips and Cookie$8.95 Sandwich, Side, Cookie Sides:Potato Salad, Pasta Salad, Fruit SaladSandwiches include lettuce and tomato.Assorted Bread, Meat and Cheese unless otherwise specifiedMayonnaise, Mustard, Napkin and Utensils are provided in each boxJimmy JohnsYour choice, any slim, sub or club, bag of chips, giant cookie & pickle spear in a perfect, easy to carry box$10-13/ boxVondarhaars19 W. Pleasant StreetReading, Ohio 45215 513-554-1969 Tel$10.95 Per Person “Wrapped” Box Lunch SelectionsChoice of WrapsOven Roasted Turkey Breast • Old Fashioned HamTop Round of Roast Beef • Turkey Club w/ Bacon & CheddarTuna Salad • Sunflower Chicken Salad • Chicken Caesar (accompanied w/Caesar Dressing)Vegetarian (Red Pepper Hummus, Leaf Lettuce, Tomato and Cucumber)(Wraps are prepared on a variety of different Tortillas and include Lettuce and Provolone cheese)Choice of OneRed Skin Potato Salad -or- Chef’s Choice Pasta Salad“Wrapped” Box Lunches Includes:Variety of Individually Bagged SnacksFresh Cut Fruit SaladFresh Baked Assorted Cookies or Chocolate BrownieChocolate Candy SurpriseCondiment Packets, Napkins & ForksEinstein Bros. Bagels

271 Calhoun St #5101B Cincinnati, OH 45219(513) 221-0036

Lunch Boxes All sandwiches are served with choice of Chips, Fruit or Potato Salad, Pickle & choice of Gourmet Cookie or Brownie 9.49BreakfastBAGELS & SHMEAR BAKER'S DOZEN 13 Fresh-Baked Bagels & 2 Tubs of Double-Whipped Shmear (Serves up to 24) 14.99 BAGELS & SHMEAR NOSH BOX 24 Fresh-Baked Bagels & 4 Tubs of our Double-Whipped Shmear (Serves up to 24) 29.99 Coffee for the Group Your choice of one of our Fresh-Brewed Coffee Blends conveniently served in a portable & pourable box, with cups, lids, half & half, sweeteners & stir sticks Serves up to 10 (96 oz) 15.99Prestige Catering2650 Highland Ave.Cincinnati, OH 45219513-475-4136Box Lunches$7.95 per person includes beveragesIncludes Wrapped Cookie, Pasta Salad, Regular or Baked Chips, Garnishes, Condiments, & Soda or Bottled Water

Ham & Cheese Croissant Turkey Sub Roast Beef Hoagie Chicken Caesar Salad Tuna Salad Croissant Vegetarian Salad Sandwich Wrap

Honey baked Ham7772 Montgomery Rd, Cincinnati, OH 513-891-9411

$8.29 Assorted Signature Sandwich Boxed Lunches   Most ordered in Box Lunches category! Click for details.Each box includes a sandwich, pickle, chips, and your choice of dessert. Consider a Specialty Sandwich Boxed Lunch for vegetarians in your party. $8.49 Assorted Specialty Sandwich Boxed Lunches  Each box includes a specialty sandwich, pickle, chips, and your choice of dessert. Add drinks, and you're all set. $8.49 Assorted Salad Boxed LunchesEach box includes your choices of salad and dessert. Add drinks, and you're all set. Which Wich2904 Vine St, Cincinnati, OH (513) 751-9424Boxed Lunches$8.00 Wich Boxed LunchEach box includes your choice of regular wich, chips, and a cookie. Served with your choice of cheese, lettuce, and tomatoes. The 'Wich On Sycamore425 Sycamore Street, Cincinnati, OH (513) 421-9424$9.99 'Wich Boxed Lunch SandwichesEach box includes your choices of sandwich, side, and cookie. $10.99 Salad Boxed Lunch .Each box includes your choices of large salad, side, and cookie. Sides- Potato Chips, Spiced Fruit Cup, Pecan Cranberry Slaw, Curried Egg Salad, Black Bean & Corn Salad, Celery Couscous Crunch, Edamame Wheatberry Salad, Apple, Banana, grapes

Appendix FConference Agenda and Learning Objectives

Appendix GPracticum Evaluation Form