In Community Health Services (BFI in CHS)

Teleconference

Thursday, October 8, 2015 - 10:00 a.m. to 12:00 p.m.

MINUTES

Date: October 8, 2015

Time: 10:00am – 12:00p.m.

Chair: Grace Machado (Peel)

Recorder: Ann Ciniglio (York)

Regrets: Marg LaSalle, Tammy Thomson, Heather Cane, Dawn Hanes, Melinda, Debbie Godfrey, Patrice Kean, , Glenda Blair, Evelyn te Nyenhuis, Jennifer McCuaig, Shauna McGill

Present:

Name / Health Unit/Centre
Catharine Lowes / BFI Implementation Strategy
Heather Lawson / North Bay Parry Sound
Jillian Welk / Waterloo
Jennifer Wyscaver / Elgin-St. Thomas
Jill Mather / Toronto
Tania O’Connor / Ottawa
Ann Ciniglio / York Region
Sue Gierszewski and Anna West / Halton
Wendy Lahey / Wellington-Dufferin-Guelph
Jennifer Beck / Hamilton
Grace Machado & Cindy Johnston / Peel
Kelsey Mighton / Grey Bruce
Janice Magill / Oxford
Karrie-Ann Jones / Sudbury
Kerri Grummett & Lucy Bray / Simcoe Muskoka
Joan Bueckert / Centertown Community Health Center
Margarita Weaver / Lambton
Barbara Bartle / Brant
Angela Silveira / Windsor-Essex
Pamela Drynan & Nicole Ethier / Porcupine
Bev Chambers / Kingston Community Health Center
Jocelyne Doucet / Algoma
Gillian Szollos / Carlington Community Health Centre
Item # / Discussion / Action
1.0 Welcome
  • Welcome to all participants!

2.0 Review of MinutesfromJune 11, 2015
  • Laura Dueck (Middlesex London) was present on June teleconference, please add to Attendees
  • Tania O’Connor – Ottawa Public Health was present
  • Review of Minutes from Feb 12, 2015 : 3.2 should read Amber (Durham) not Amber (York)
  • 3.1 – Chair to be announced today
  • 3.2 - Attach Terms of Reference as approved to these minutes
  • 3.4 Grace to f/u with Laura Dueck re Ages and Stages Questionnaire (re publishers’ response to Code concerns)
  • 3.4 Sobey’s Baby Club – was identified as a Code Violator
Lori Levere confirmed there were definite violations. York have provided their Health Connection literature/Breastfeeding Factsheets for distribution in York Region, but have been very clear in writing on expectations regarding Code compliance
  • 3.4 “Driven to Quit” program –clip showing baby bottle with baby in car seat will be removed
  • 3.5 Sleep Messaging – Grace to f/u with Tanis (BFIO Chair) and Robin(advocacy) to see if the issue of sleep “harm reduction messaging” was taken to Health Canada. Also, Jillian (Waterloo) to f/u with Sharmin (Waterloo) re RNAO and CNO stance on harm reduction messaging as it applies to safe sleep
  • 3.7non direct staff training – please send sharable items to Karen to post
  • 3.9 Link attached , immunize app, ???
  • 4.0 milk sharing issue – Grace and Tanis to bring to BFIO/BCC
/ Cindy Johnston to update previous minutes with edits
Ann Ciniglio to attach approved Terms of Reference to these minutes
Grace to bring information back to group re Ages and Stages questionnaire, Sleep Harm Reduction Messaging and Milk Sharing – after f/u with appropriate participants
2.2 Approval of Minutes from June 11, 2015
  • Minutes approved by Ann Ciniglio, York Region

3.0 New Business
3.1 New Chair
  • Jenny Vandermeer – Leeds Grenville – will be the new Chair!
  • Will chair the February 2016 teleconference
  • Grace will mentor Jenny as “past Chair”
/
  • Thanks Jenny and we welcome you as Chair!

3.2 Terms of Reference
  • Please find attached the approved Terms of Reference (approved at June Teleconference)

3.3 Video Clarification from Immunization Video (Sue-Halton)
  • June minutes indicate Tanis is looking into edits/revisions of immunize.ca video
  • No video on CHEO website - some written info which addresses effectiveness of breastfeeding during painful procedures
  • Caring for Kids – looked at website, breastfeeding as pain relief is buried well down in list of strategies – effectiveness of topical analgesics discussed, followed by sugar water – then breastfeeding
  • PIDAC document addresses breastfeeding as means of pain relief during vaccination (Ann, York)
  • CHEO working on new video around pain relief? CHEO does link to document from Ottawa PU on webpage on this topic
  • Catharine Lowes – lot of activity on Twitter around pain management and skin to skin/breastfeeding during painful procedures
  • New BFI Implementation Strategy/York Region poster series includes posters on skin to skin and breastfeeding during painful procedures. Posters can be found on
/
  • Grace to f/u with Tanis re this agenda item

3.4 Angela Silveira (Windsor-Essex County)
  • A)BFI Pre-Assessment stage – asking the group about how to deal with the challenges of several “hot topics”, such as risk of artificial nipples/ pacifiers, use of LAM as birth controlmethod
  • Ann from York updating that their BFI experience has resulted in increased messaging around LAM with all breastfeeding families in terms of what it involves (criteria), and part of routine counselling with breastfeeding families. Extra teaching with sexual health team and all Child and Family Health Team PHNs regarding LAM as viable birth control option was also necessary
  • Grace pointing out that it is really about ensuring families make an informed birth control decision, and have all the information they need to make informed decisions, including LAM criteria, as well as alternative methods.
  • Joan (Ottawa) – working with MDs, had mom who was being following and did get pregnant while following LAM criteria – then MDs skeptical
  • Catharine Lowes – Niagara – highlighted importance that LAM be mentioned at lots of different points of client contact: clinic, prenatal, early postpartum contact
  • Ann (York) highlighted importance of supporting staff with the language and timing of risk messaging around risks of artificial nipples and ABM use.
  • Question to Grace regarding whether assessors
    “take into consideration the individual situation of each client they interview, ie how many contacts has the individual had with the organization/HU”– Grace responds “yes”-can give info to assessors re ct situation- how much access to service has ct had and at what point in their prenatal/postpartum journey.
  • Grace reminding participants that if HUs have specific questions or challenges - can be addressed to Lead Assessor who will provide advice to work through challenge

3.5 Anna Halton – Social Media
  • Anna (Halton) thought it might be helpful to speak with other HUs to discuss how to best support non-breastfeeding families and safe formula use/AFASS in social media forum
  • Anna is attempting to set-up a network to examine how social media can be used to support non-breastfeeding families in a BFI compatible manner
  • Plan: Host teleconference in November 2015 to discuss strategies
  • Once this initial teleconference has occurred, strategies will be shared with this group
/
  • Email Anna with interested staff from your organization
  • Anna will be in touch with interested parties re teleconference
  • Anna will bring recommendations back to this group

3.6 Catharine Lowes – BFI Strategy Update
  • Catharine working with BFI Strategy until March
  • BFI Implementation Strategy and York Region have created and released a series of breastfeeding posters with BFI messaging - can downloaded from TEGH website. PDFs are “printable” – organizations can add own contact info
  • Hot Topic Webinars Continue – last Monday” informed decision making, language around informed decision making”, scripts available – not sure where it will be housed – will get back to us on this
-Nov 17: 8 - 9am This is a Grand Rounds being held at Royal -Victoria Hospital in Barrie. Topic is: Defining and Managing Medical Supplementation Speaker is Pediatrician Dr. B. Babic from St. Joseph's Healthcare Hamilton. - Target audience is Family Physicians and Pediatricians
More info from Lucy (Simcoe Muskoka)
November 17th talk on Defining and Managing Medical Supplementation by Dr. Babic, we are hosting it locally in Barrie. It will be available live via OTN from 8:00 – 9:00 and it can be accessed via this link: . Organizations can self register via OTN using this number 47387396. The webcast will be available online 5 days after the event and there will most likely be a link from the TEGH microsite.
-Dec 14 Educational needs : who needs what. 12-1pm
  • 20 hr courses are being delivered around province – heading up to Northern cities later this fall ( going to Brampton, Timmins, Sarnia)
  • Train the Trainer courses – someone from organization had to attend BFI Implementation Workshop in order to be eligible to host/teach the 20 hr course
  • Formula resource to be released – continuing to tweak and striving to meet needs of populations that will be using it
  • More involved in social media – tweet chat this week
  • Now I’m Ready (Solids Poster) – BFI Implementation Strategy is holding back this poster. Issues around the wording of the exclusive breastfeeding/intro to solids at six months message at population level: discussion around wording. Should it be “at” or “about” six months – population vs individual messaging
  • Some confusion in the Practice Outcome Indicators (pg 9 – Step 6: both “at” and “about” messaging used – which one should be consistently used in intro to solid messaging at population level? Grace discussed “at” messaging at population level, and “about” with signs of readiness at individual basis
/
  • Catharine to inform where webinars and info/handouts/slides will be available for non-live viewing
  • Grace will bring the issue of conflicting “about” and “at” messaging re solid introduction in Indicators to BCC/Assessors. Indicators are being revised.

3.7 Infant and Young Children Feeding in Emergencies Lucy
  • Working with ER Planning team – key messages r/t infant feeding in emergencies: seeking input from other Hus. Are Hus discussing milk sharing/wet nurses?
  • Ann (York) – updated Emergency Planning Guide, as well as Manual for Emergency Reception Center Staff for staff last year, including infant and young child feeding in emergencies
  • Jill (Toronto) – looking at it soon –noted London-Middlesex have a brochure for families on infant feeding in emergencies
  • Jill will forward London-Middlesex brochure
/
  • Ann to send out York Region’s info
  • London Middlesex brochure:

3.8 Jennifer (Hamilton) 20 hour course
  • Jennifer Beck seeking out 20 hour courses being offered this fall
  • York running one now – full at present. No cost
  • Simcoe Nov 13, 20, 27 – 20 hr course running $50
  • Link to Simcoe 20 hr course:
/
  • Ann to find out cost of York’s 20 hour course for external partners

3.9 / Ann (York) Which HUs are running BFing Groups?
  • Toronto , Simcoe Muskoka run postpartum breastfeeding groups

4.0 / 2016 Teleconference Dates:
-Feb 11 2016: Minutes: Jill (Toronto); BU: Heather (NB)
-June 9 : Minutes: Heather (NB)
-October 13
-BFIO will continue to sponsor line

Next Meeting –February 11. 2016

Minutes – Jill (Toronto)

Back-up – Heather (North Bay)

1