breastfeeding support for the community. introductions isdh-indiana wic director sara renner, mph,...
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![Page 1: Breastfeeding Support for the Community. Introductions ISDH-Indiana WIC Director Sara Renner, MPH, MBA ISDH-Indiana WIC Breastfeeding Coordinator Crystal](https://reader036.vdocuments.site/reader036/viewer/2022062718/56649e755503460f94b769a0/html5/thumbnails/1.jpg)
Breastfeeding Support for the Community
![Page 2: Breastfeeding Support for the Community. Introductions ISDH-Indiana WIC Director Sara Renner, MPH, MBA ISDH-Indiana WIC Breastfeeding Coordinator Crystal](https://reader036.vdocuments.site/reader036/viewer/2022062718/56649e755503460f94b769a0/html5/thumbnails/2.jpg)
Introductions
• ISDH-Indiana WIC Director• Sara Renner, MPH, MBA
• ISDH-Indiana WIC Breastfeeding Coordinator• Crystal Fowler, RN, BSN, IBCLC
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Background on WIC
• Started over 40 years ago• Funded & guided by USDA• Indiana has 41 agencies, 138 clinic sites• 50% clients are children• Others include Infants, pregnant, breastfeeding, postpartum
• Nutritious Foods & Education• Referrals to other community resources• Breastfeeding Information and Support
![Page 4: Breastfeeding Support for the Community. Introductions ISDH-Indiana WIC Director Sara Renner, MPH, MBA ISDH-Indiana WIC Breastfeeding Coordinator Crystal](https://reader036.vdocuments.site/reader036/viewer/2022062718/56649e755503460f94b769a0/html5/thumbnails/4.jpg)
Internal Improvements• Business/outreach training• Communication skills, outreach plans
• Assessing needs of community partners• Will see increase in WIC outreach after February 2016
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Why Does WIC look different within Indiana?• Managed by a Sponsoring Agency• Agencies are typically a Health Dept., Hospital System, or a
Community Action Program• Rules/policies established by agency• Ex: PC and home visits
• Still follow USDA & State guidelines• Staffing issued by state based on caseload• More clients in that area then more staff
• Clinic in every county• Could have several counties managed by the same sponsor
• Clients do not have to see WIC in the county she resides• Do not want clients to clinic hop
![Page 6: Breastfeeding Support for the Community. Introductions ISDH-Indiana WIC Director Sara Renner, MPH, MBA ISDH-Indiana WIC Breastfeeding Coordinator Crystal](https://reader036.vdocuments.site/reader036/viewer/2022062718/56649e755503460f94b769a0/html5/thumbnails/6.jpg)
Limitations• Funding designated by USDA• Agency rules differ throughout state• Staff hours/availability based on caseload• One clinic may have many more PC hours if much higher caseload• Similar to hospital staffing: One RN/LC to x # of patients
• Can only help the moms that come and get and certified• If we don’t see them, we can’t help them
![Page 7: Breastfeeding Support for the Community. Introductions ISDH-Indiana WIC Director Sara Renner, MPH, MBA ISDH-Indiana WIC Breastfeeding Coordinator Crystal](https://reader036.vdocuments.site/reader036/viewer/2022062718/56649e755503460f94b769a0/html5/thumbnails/7.jpg)
Visits to Clinic• Initial certification• F/u 1 month visit if breastfeeding or as needed• Typically 3 months for check pick ups• Mid-Cert• Recertification• After delivery (prenatal to PP)
![Page 8: Breastfeeding Support for the Community. Introductions ISDH-Indiana WIC Director Sara Renner, MPH, MBA ISDH-Indiana WIC Breastfeeding Coordinator Crystal](https://reader036.vdocuments.site/reader036/viewer/2022062718/56649e755503460f94b769a0/html5/thumbnails/8.jpg)
What does a WIC visit look like?
• Certification process• Intake with Clerk
• Mom provides necessary paperwork• Gives demographic information
• Certification with CPA• Gives a brief general health history• Gets nutrition assessment• Lactation assessment as appropriate• Referral to PC
• Food package determination • Based on: Prenatal, PP, Breastfeeding, Infant (formula or BF), Child
• Educated on how to use vouchers and buy foods at stores• Other referrals as needed• Returns to clinic in 3 months or as needed
![Page 9: Breastfeeding Support for the Community. Introductions ISDH-Indiana WIC Director Sara Renner, MPH, MBA ISDH-Indiana WIC Breastfeeding Coordinator Crystal](https://reader036.vdocuments.site/reader036/viewer/2022062718/56649e755503460f94b769a0/html5/thumbnails/9.jpg)
Breastfeeding Support
• Eligible clients receive the following lactation support • Infant feeding classes• Breastfeeding and nutrition education• Peer counselor
• Cheerleader, liaison• Private lactation consultation where available
• Weight checks, lactation management, etc• Breast pump based on client’s need
• Manual, single user, hospital-grade• NICU, back to work/school, increase supply, occasional need
![Page 10: Breastfeeding Support for the Community. Introductions ISDH-Indiana WIC Director Sara Renner, MPH, MBA ISDH-Indiana WIC Breastfeeding Coordinator Crystal](https://reader036.vdocuments.site/reader036/viewer/2022062718/56649e755503460f94b769a0/html5/thumbnails/10.jpg)
WIC & Hospital Collaboration• May look very different throughout the state• Monthly meetings: LC, social worker, etc• Baby Friendly Task Force Meetings• Hospital Certifications• Peer Counselor visits• Weekly referral form pick ups• Nurse Navigator• WIC assisting with a hospital breastfeeding class/support
group• We can be creative!
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Benefits to Collaboration• Improve mPINC score relating to discharge planning• Improve continuity of care from hospital to WIC clinic• Improve exclusivity-JACHO measure• Increase WIC exclusivity @ 3 months
• Help clients meet lactation goals with lactation services• Referral resource to meet other needs• Healthy families• Nurse Family Partnership• Smoking cessation
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WIC Hospital Staff• Competent Professional Authority (CPA)• RD, RN, or Nutritionist• Would be the person doing certification in hospital• Going through outreach training now• Has attended a 5 day lactation course
• Peer Counselor (PC)• Typically a former/current WIC mom• Breastfed a child• Has gone through USDA Loving Support training• Has attended a 5 day lactation course
![Page 13: Breastfeeding Support for the Community. Introductions ISDH-Indiana WIC Director Sara Renner, MPH, MBA ISDH-Indiana WIC Breastfeeding Coordinator Crystal](https://reader036.vdocuments.site/reader036/viewer/2022062718/56649e755503460f94b769a0/html5/thumbnails/13.jpg)
IU Monroe WIC & Bloomington HospitalHospital Peer Counselor
• Robin Lemieux, RD, IBCLC• Breastfeeding Coordinator• IU Health Bloomington WIC
• Heidi Daugherty, RN, IBCLC • Bloomington Hospital
• Initial concerns & fears• Benefits & Outcomes
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Neighborhood Health & Parkview-Hospital Certifications
• Breanne Yoder• Nutrition Coordinator• Neighborhood Health Clinics
• Angela Russ, MSN, RNC-MNN, IBCLC-pending
• Prenatal Supervisor/Birth Planner• Parkview Women’s & Children’s Hospital/Parkview Regional Medical Center
• PC in hospital• CPA doing certifications• WIC spent some time teaching Birth Planner about services
and process
![Page 15: Breastfeeding Support for the Community. Introductions ISDH-Indiana WIC Director Sara Renner, MPH, MBA ISDH-Indiana WIC Breastfeeding Coordinator Crystal](https://reader036.vdocuments.site/reader036/viewer/2022062718/56649e755503460f94b769a0/html5/thumbnails/15.jpg)