2016 Summit ProgramDate
November 14 and 15, 2016

Charleston Marriot Town Center
200 Lee Street, Charleston, WV

2016 Summit Overview
The program is designed to bring professionals from multiple disciplines together to discuss perinatal and child health issues. Local and nationally recognized faculty will encourage participants to consider new research, best practices, collaborative and innovative strategies in perinatal health policy, education and practice. After completing this course, participants will be able to:

  • Describe best practices in perinatal health;
  • Collaborate to increase favorable birth outcomes and decrease risks;
  • Identify quality improvement strategies to promote better health outcomes for pregnant women and newborns;
  • Outline policies and practices that lead to improvements in the quality and delivery of health care in West Virginia;
  • Stimulate collegial conversations about what is appropriate and necessary treatment; and
  • Build and strengthen the West Virginia Perinatal Partnership.

(Download the 2016 WV Perinatal Summit Overview)



Sharing Responsibility for Improving Hospital Transfers
This presentation highlights ways to enhance patient safety and provider experience during maternal transports. The talk will describe Smooth Transitions, a Quality improvement initiative in Washington state.

Robert Palmer, MD
Co-Chair, Smooth Transitions Work Group
Washington Department of Health, Perinatal Advisory Committee
Seattle, WA (bobpalmermd@gmail.com)
Melissa Denmark, LM, CPM
Project Coordinator, Smooth Transitions
Snohomish, WA (melissadenmark1@gmail.com)
(Download the Presentation – PDF)

Wisdom and Legacy Building in Perinatal Loss

Joshua Dower, MD
Associate Professor Director Pediatric Supportive Care Team;
WVU Medicine, Children’s Hospital
Morgantown, WV (jdower@stonerisehealthcare.com)
Christy Orndorff, RN
Nurse Coordinator Pediatric Supportive Care Team;
WVU Medicine Children’s Hospital
Morgantown, WV (OrndorffC@wvumedicine.org)
(Download the Presentation – PDF)

Hemodynamic Variability in Appalachian Pregnancies
This presentation reviews the variability in the physiology underlying hypertension and the implications of the various types of hypertension on therapeutic options.

David G. Chaffin, Jr., MD, FACOG,
Professor, Director Division of Maternal Fetal Medicine,
Department of Obstetrics and Gynecology,
Marshall University Joan C. Edwards School of Medicine,
Medical Director of Perinatal Services, Cabell Huntington Hospital,
Huntington, WV (chaffind@marshall.edu)
(Download the Presentation – PDF)

Perinatal Bereavement Support in the Acute Care Setting

This session discusses program dynamics, including strategies for inter-professional and interdisciplinary communication when caring for families experiencing perinatal loss. Community resources and methods for providing ongoing support will be provided.

Joshua Dower, MD
Associate Professor Director Pediatric Supportive Care Team;
WVU Medicine, Children’s Hospital
Morgantown, WV (jdower@stonerisehealthcare.com)
Christy Orndorff, RN
Nurse Coordinator Pediatric Supportive Care Team;
WVU Medicine Children’s Hospital
Morgantown, WV (OrndorffC@wvumedicine.org)
Lee Ann Romeo, RNC
United Hospital Center, Childbirth Educator and Lactation Counselor;
Founder of Embracing Invisible Wings Support Group
Clarksburg, WV (romeol@wvumedicine.org)

New Understanding of How Tobacco Harms Children and What Providers Can Do About It
Geared toward family care practitioners, pediatricians and those encountering families with children in every setting, this presentation identifies practical interventions to reduce tobacco harm to children and improve family health.

Harold J. Farber, MD, MSPH
Associate Professor, Pediatric Pulmonary Section;
Baylor College of Medicine, Texas Children’s Hospital;
Associate Medical Director, Texas Children’s Health Plan
Houston, TX (hjfarber@texaschildrens.org)
(Download the Presentation – PDF)

Smooth Transitions: How Hospital Providers and Community-Based Midwives Are Working Together to Make Hospital Transfers Safer and More Satisfying
This session shares models of successful implementation of the Smooth Transitions quality initiative by hospitals in Washington State. The presenters will discuss strategies for replicating similar quality improvement programs and share case studies of maternal transports.

Robert Palmer, MD
Co-Chair, Smooth Transitions Work Group
Washington Department of Health, Perinatal Advisory Committee
Seattle, WA (bobpalmermd@gmail.com)
Melissa Denmark, LM, CPM
Project Coordinator for Smooth Transitions
Snohomish, WA (melissadenmark1@gmail.com)
(Download the Presentation – PDF)

Caring for the Opioid-Exposed Newborn
This session focuses around three baby-centered direct care techniques to foster neurobehavioral organization in the infant with NAS. The impact rooming-in may have on decreasing the need for pharmacologic treatment in the opioid exposed infant as well as information on the relation of various 6 medications to breastfeeding, including those for mental health disorders and tobacco, are discussed during this session.

Bonny Whalen, MD
Assistant Professor of Pediatrics
Geisel School of Medicine, Dartmouth
Hanover, NH (bonny.l.whalen@hitchcock.org)
(Download the Presentation – PDF)


Project WATCH – Working in Appalachia to Identify CCHD, Hearing Loss and At-Risk Infants
Presented by Collin John, MD, PhD
Assistant Professor
WVU Department of Pediatrics and Internal Medicine
Morgantown, WV
This presentation described the role of Project WATCH as a public health tool and use in mandated newborn screening initiatives.
For more information about Project WATCH contact:
The Birth Score-Developmental Risk Screen and Newborn Hearing Screening System
West Virginia University School of Medicine
Robert C. Byrd Health Science Center
PO Box 9214, Room 2350
Morgantown, West Virginia 26506-9214
Phone: (304) 293-7302
Email: chamilton@hsc.wvu.edu

Obstetric Patient Safety
This presentation describes how checklists and safety bundles can improve patient safety and obstetric outcomes. The safety initiatives from the Alliance for Innovation in Maternal Health – Council on Patient Safety in Women’s Health Care – Patient Safety bundles are reviewed.
David Jude, MD, FACOG
Chair, Department of Obstetrics and Gynecology
Marshall University Joan C. Edwards School of Medicine
Huntington, WV (jude@marshall.edu)
AIM Bundle website
(Download the Presentation – PDF)

SCOPE – Safety Certification in Outpatient Practice Excellence for Women’s Health from the American College of Obstetricians and Gynecologists (ACOG)
Anne Banfield, MD, FACOG
OB/GYN Director, Women’s Health Services
Chief of Staff, Davis Medical Center
Elkins, WV. (banfield.anne@davishealthsystem.org)
ACOG SCOPE information
(Download the Presentation – Prezi Application)

From WV Hills to Distant Hills: Rwanda and West Virginia’s Shared Perinatal Experiences

Dr. Baltierra shares his experiences of working in Rwanda and what similarities exist with West Virginia. He describes the role that education and simulation training has on direct patient care and areas of future collaboration for improving perinatal outcomes in Rwanda and West Virginia.

David Baltierra, MD
Program Director for the Rural Family Medicine Residency Program,
Harpers Ferry Family Medicine,
WVU East Jefferson Medical Center
Ranson, WV (baltierrada@wvuhealthcare.com)
(Download the Presentation – PDF)

Baby Friendly Hospital Initiative – Best Practice
This presentation describes the advantages for birthing facilities achieving Baby Friendly status. The ten steps to successful breastfeeding are reviewed as well as a description of the process for seeking Baby Friendly recognition.

Trish MacEnroe, BD, CDN, CLC
Executive Director, Baby-Friendly USA, Inc.
Albany, NY (tmacenroe@babyfriendlyusa.org)
(Download the Presentation – PDF)

Neonatal Encephalopathy: Perspectives from the ACOG and AAP Revision
The session discusses neonatal signs consistent with an acute peripartum or intrapartum event. Types and timing of factors consistent with an acute event are discussed as well as methods for determining root cause when evaluating newborns with encephalopathy.

Mary E. D’Alton, MD, FACOG
Columbia University College of Physicians and Surgeons
New York, NY (Dr. D’Alton can be reached c/o Hope Yates@  hsy2112@cumc.columbia.edu)
(Download the Presentation – PDF)

Using Implementation Science to Decrease Recurrent Preterm Births at Boston Medical Center
This session covers the barriers to implementation of medical knowledge into clinical practice, including a framework to develop skills to assess implementation strategies. Preventing recurrent preterm birth nationally and locally are reviewed.

Jodi F. Abbott, MD
Vice Chair of Education, Associate Professor
Boston University School of Medicine
Boston, MA (Jodi.Abbott@bmc.org)
(Download the Presentation – PDF)

Skin to Skin Care in the OB Operating Room
This presentation discusses the benefits of skin-to-skin contact after delivery and barriers to achieving this following cesarean delivery. She also discusses potential dangers of skin-to-skin contact following any
type of delivery. The presenter provides examples of ways to make this practice work in your institution through steps for a quality improvement project.

Helena Brady, PhD(c), NNP-BC, IBCLC, NICU
Nursing Director
University Healthcare – Berkeley Medical Center
Martinsburg, WV (hbrady@wvumedicine.org)
(Download the Presentation – PDF)

Low Cost, High Use Maternal and Neonatal Simulation: The Natalie Family Comes to West Virginia
This session focuses on using an integrative model for teaching maternal and neonatal survival in a resource-limited environment. The presenters discuss the role simulation has in the transfer of skills and trainer development, as well as techniques for using this model in your own healthcare setting.

David Baltierra, MD
Assistant Clinical Professor; Program Director
WVU Rural Family Medicine Residency Program
Harper’s Ferry, WV (baltierrada@wvuhealthcare.com)
Amanda J. Baltierra, DNP, MPH, FNP-BC
Psychiatric – Mental Health Nurse Practitioner
Dominion Center for Behavioral Health Services
South Riding/Leesburg, VA (abaltierra@citlink.net)
(Download the Presentation – PDF)

The Baby Friendly Journey – EMPower Hospitals Share Their Experiences
Learn how to begin the Baby Friendly application process in your institution panel discussion with representatives from the WV EMPower Hospitals:
St Mary’s Medical Center:
Mary Stewart  (Mary.Stewart@st-marys.org)
Stonewall Jackson Memorial Hospital:
Robin Drake  (rdrake@stonewallhospital.net)
Mon General:
Mary Chaney (ChaneyM@monhealthsys.org)
Ohio Valley Medical Center:
Janet Medovic (jmedovic@ovrh.org)
Moderated by Trish MacEnroe, BD, CDN, CLC.  (tmacenroe@babyfriendlyusa.org)

Peripartum Thromboprophylaxis – What are the data?
This session describes the best evidence for thromboprophylaxis in the peripartum patient including the pharmacology of anticoagulants in pregnancy.

Leo Brancazio, MD
Professor and Chair Department Obstetrics and Gynecology,
West Virginia University School of Medicine,
Morgantown, WV (lbrancaz@hsc.wvu.edu)
(Download the Presentation – PDF)

Keeping up With Zika: What Clinicians Need to Know
Answering the questions surrounding Zika in the Mountain State regarding reporting requirements, patient care and follow up for this disease.

Maria C. del Rosario, MD, MPH
Director of Surveillance; Division of Infectious Diseases Epidemiology; WVDHHR, Bureau for Public Health Office of Epidemiology and Prevention Services
Charleston, WV
(No presentation for download due  to the continuing fluid nature of the Zika virus disease epidemiology, for more information go to www.zikawv.org  or to www.cdc.gov/zika)

For specific requests or questions from the audience about Zika, please contact the Office of Epidemiology and Prevention Services at
350 Capitol Street
Room 125
Charleston, WV 25301
Phone: (304)558-5358
Toll Free: (800) 423-1271

South Carolina Birth Outcomes Initiative – A Perinatal Start Up
This session reviews the data demonstrating improvement in perinatal measures resulting from the South Carolina perinatal initiative to improve birth outcomes. Also covered are how local action can make an impact and how South Carolina has been able to recruit stakeholders for their perinatal initiative.

Scott Sullivan, MD
Associate Professor and Director of Maternal Fetal Medicine
Medical University of South Carolina,
Columbia, SC (sullivas@musc.edu)
(Download the Presentation – PDF)

Perinatal Mental Health: “This isn’t what I expected,” Adjusting to life with baby
This session discusses various perinatal syndromes including “Baby Blues,” Postpartum Depression, Postpartum Psychosis and Anxiety Disorders. Discussion includes screening and assessment tools as well as treatment options.

Elizabeth R. Cohen, MSW, LICSW
Director, Women’s Mental Health and Wellness Division
WVU Department of Obstetrics and Gynecology
Morgantown, WV (cohene@wvumedicine.org)
Michelle Comer, LGSW
Xylem Family Resources,
Huntington, WV (togetherformoms@gmail.com)

This event is provided by the West Virginia Perinatal Partnership. It is made possible through grants from the West Virginia Higher Education Policy Commission, Division of Health Sciences; WV Bureau for Behavioral Health and Health Facilities; WV Bureau for Public Health, Office of Maternal, Child and Family Health, the March of Dimes and through support from partners listed below.