Meetings

Monday, June 27, 2011, San Diego - REGISTER HERE!

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December 1 and 2, 2010

Members of the California Breastfeeding Roundtable (CBR) worked on developing action plans for the following prioritized strategies:

1. Promoting early mother/baby follow-up visits to health plans and healthcare providers in order to identify and respond to potential problems with breastfeeding.
   This group will initially direct their efforts to joining the efforts underway, to work with the Department of Health Care Services staff to improve and streamline Medi-Cal for breastfeeding. The group is drafting a letter for use with health plans that details the need for breastfeeding support as a preventive benefit, and assisting with developing a series of webinars on utilizing Medi-Cal for breastfeeding support.


2. Provide technical assistance to California hospitals to develop and implement the ten California model hospital/Baby Friendly policy recommendations to support breastfeeding.
   Many members in this group are very experienced at implementing hospital polices to support breastfeeding. Their initial activities will focus on educating health care professionals, administrators, and insurance providers. They will also create an action plan to provide recommendations to the State Department of Public Health on how to support implementation of the policies and how to consistently and effectively report breastfeeding data.


3. Develop activities for providing technical assistance to businesses to support breastfeeding mothers returning to work.
   The CBR is committed to being a nimble advisory group and this priority moved up the list since the December meeting with the inclusion of workplace lactation accommodation in federal health care reform. The CBR workgroup is planning to work with the California Department of Public Health to request County Health Officers to assess whether their county and cities have Workplace Breastfeeding Policies. They also plan to build relationships with other groups that have influence over business.

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Agenda Item Handouts and Presentations for June 23-24, 2010

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CBR Prioritized Strategies and Activities

1. CBR Prioritized Strategies and Activities: This document highlights the results of the activities that the CBR members prioritized for their top three strategies. The CBR members prioritized the activities via a webinar and an online survey. They originally prioritized strategy three, but is was replaced by strategy six due the urgent need to address Lactation Accommodation in the Workplace with the passage of Health Care Reform and the inclusion of workplace breastfeeding policies in the new federal law.

Reimbursement for Breastfeeding Consults and Breastfeeding Supplies through
Medi-Cal and Health Plans

1. Medi-Cal Support for Breastfeeding: Provides an overview about the current efforts to establish a sustainable breastfeeding network for Medi-Cal recipients.
2. Breastfeeding Pump Map: Breastfeeding support using Medi-Cal Los Angeles pilot flow chart
3. NICU Flow Chart: NICU breastfeeding support using Medi-Cal Los Angeles pilot flow chart.
4. Breastpump and LC author form 4-8-10 rev 61510: Health Net Draft Breastpump and Lactation Consult Authorization Form
5. CHMC Innovation Presentation: An overview of California Hospital Medical Center’s (CHMC) NICU Breast Pump Pilot Program. This handout also includes information about LA Best Babies Network and CHMC’s efforts to increase exclusive breastfeeding.
6. Breastfeeding Support FQHC: A description of reimbursement for lactation services in Santa Barbara County through Federally Qualified Health Centers (FQHC).
7. CCAH BF Benefits: Central California Alliance for Health (Medi-Cal Managed Care) breastfeeding support and breast pump benefit description.
8. Coding: The primary care pediatrician’s guide to getting paid for supporting breastfeeding and lactation from AAP.

CE Training on Model Hospital Breastfeeding Policy for Providers

1. 4-D Designation Pathway: Provides a visual description of the new Baby-Friendly 4-D designation pathway of discovery, development, dissemination and designation.
2. CDPH Birth & Beyond California:This site provides information about the Birth and Beyond California Project. It is an approach to collaborate with hospitals to improve their exclusive breastfeeding rates by establishing hospital policies and a continuous quality improvement plan. Check this site for updates. A comprehensive toolkit is soon to be posted.
3. http://softhospital.com/: This website is developed to describe and share the Perinatal Services Network of Loma Linda University Children’s Hospital’s experience in successfully helping Inland Empire hospitals achieve Baby-Friendly status.

Workplace Lactation Accommodation

1. Workplace Lactation Accommodation: Provides a summary of the Federal, State and Local provisions for workplace lactation accommodation, current legislation, and special projects.
2. HR3590 Sec 4207 Nursing Mothers: Federal Lactation Accommodation provisions
3. usbreastfeeding.org:This site includes Frequently Asked Questions about Health Care Reform provisions that relate to supporting breastfeeding mothers in the workplace. It will be updated as the federal law is implemented.
4. CA Labor Code 1030-1033: California Lactation Accommodation Labor Code
5. AB 2468: Bill language for AB 2468/de León.
6. AB 2468 Fact Sheet: AB 2468 Fact Sheet about Breastfeeding Mother-Friendly Workplaces
7. Fact Sheet Beverage Campaign: Information for breastfeeding advocates about California Campaign for Healthy Beverages supported by The California Center for Public Health Advocacy.
8. Nomination State Award Form: Every year the California Breastfeeding Coalition awards businesses that support breastfeeding women in the workplace.

Meeting with Co-Sponsors
The CBR is sponsored by several divisions in the California Department of Public Health and representatives provided important updates.

The group heard updates from Carina Saraiva, MCAH Division, on the extensive work being done on the hospital breastfeeding data and the announcement of the 2008 data to be released in late July, and 2009 data in early fall. Adjustments have been made in the methodology that will continue to provide the hospitals and advocates with important data for tracking hospital breastfeeding rates while hospital policies are improved.

The members were encouraged to hear from Grace Huppert, of the California Obesity Prevention Program, that the updated California Obesity Prevention Plan is close to final approval, and contains many policy recommendations for breastfeeding support and improvement. Daisy Silverio, WIC Division, brought welcome news to members, especially those representing community partners in hospitals and clinics, about the possibilities for collaboration with Breastfeeding Peer Counselors and Regional Breastfeeding Liaisons. Finally, Judy Sundquist, from Department of Health Care Services, shared her work developing a Breastfeeding Health Assessment guide for the Child Health and Disability Prevention Program.

Meeting in the Community
Thank you to Miller Children's Hospital, Long Beach Memorial, for hosting the meeting. Opportunities for the CBR members to actually meet in the facilities of stakeholders adds an important dimension to the commitment of the CBR to reach out to breastfeeding experts and mothers.

Next Meeting
The workgroups and whole membership will meet long distance to work on their action steps, and the group will reconvene in December 1-2 in Sacramento.