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April 2024

What: The Forum included presentations on Stigma/Biases Data and Lived Experience Experts efforts to support stigma reduction and identify other opportunities, Plan of Safe Care, and Cannabis. In the afternoon there were multiple breakout sessions for opportunities to focus on the “how-tos” of implementation, and barriers and opportunities. 

When: April 29, 2024
9 am – 4 pm MT

Where: University of Colorado Anschutz Medical Campus – Donald M. Elliman Conference Center & Virtual

View Slides & Recordings by Session

Workshop – Partnering with Patients About Ongoing Cannabis Use and Lactation: A Practical Strategies Workshop

Erica Wymore, MD MPH
Maya Bunik, MD MPH

View the slides.

Erica Wymore, MD MPH, earned her medical degree from the University of Colorado School of Medicine in 2002 and continued her Pediatrics Residency and Neonatal-Perinatal Medicine Fellowship also at the University of Colorado/Children’s Hospital Colorado and completed her Masters of Public Health from the Colorado School of Public Health. She has a national reputation and expertise in perinatal cannabis exposure and breastfeeding, with grant support studying quantification of cannabis use during pregnancy, understanding maternal-fetal metabolism, excretion into human breast milk, and the neonatal effects of perinatal cannabis use. Her advocacy work aims to translate her clinical research to action- she is a steering member of the Colorado Hospitals Substance Exposed Newborn Quality Improvement Collaborative, focused on improving and standardizing care for opioid and substance exposed newborns across Colorado. She serves on the SuPPORT (Supporting Perinatal substance use Prevention, Recovery and Treatment in Colorado) Policy and Analysis working group which collaborates with state agencies improving family support and care in the setting of substance use. And, she is a founding and co-chair of the CHNC (Children’s Hospitals Neonatal Consortium) Focus Group for Infants Prenatally Substance Exposed, a North American research collaboration of clinical researchers representing the unique population of infants in NICUs at Level IV hospitals.

Workshop – They are Discharged, Now What? Caring for Infant with Prenatal Exposure in an Outpatient Setting

Kathleen Hannan, MD, MSCS
Kaitlin Whelan, MD

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Dr. Kathleen Hannan is an academic neonatologist at Children’s Hospital Colorado and the University of Colorado Hospital. She serves on the CHoSEN Steering Committee, with a particular focus on neonatal outcomes and improving the transition for IPSEs from hospital to home. She is also sees infants with medical complexity, including IPSEs, in her NICU follow-up clinic at CHCO.

Kaitlin Whelan, MD is an Assistant Professor of Pediatrics for the University of Colorado School of Medicine. She completed her pediatrics residency at Children’s Colorado. At her previous outpatient private practice, she was the physician lead for her multidisciplinary care team and rounded in the NICU and nursery. Her clinic interests include care coordination and mental health.

Workshop – The Early Intervention Program

Kellyana Foster, Early Intervention Colorado
Laura Miller, Developmental Pathways

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Laura Miller is an Associate Director in the Early Intervention Department at Developmental Pathways. She has more than 18 years of experience working in the world of I/DD. In addition to her work with Developmental Pathways, she has been an Advocate and worked overseas with individuals with varying degrees of abilities. While Laura has worked with individuals with disabilities throughout all ages of life, her passion lies in working with young children and their families. Laura has a bachelor’s degree in political science, but her passion has always been supporting children and families.

Workshop – Utilizing Motivational Interviewing to Address Perinatal Cannabis Use

Vanessa Langston, BSN, RN, BA

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Welcome & Opening Remarks

Susan Hwang, MD, MPH, PhD
Susanna Snyder, MA

View the Welcome recording.
View the Opening Remarks recording.

Susan Hwang, MD MPH PhD is a neonatologist, health services researcher, and perinatal quality improvement expert at Children’s Hospital Colorado and the University of Colorado School of Medicine.  She leads the Colorado Hospitals Substance Exposed Newborn Quality Improvement Collaborative (CHoSEN QIC) and the Data-driven Engagement of Families to Improve the NICU Experience (DEEFINE) QIC. She previously led the Massachusetts Hospitals Safe Infant Sleep Quality Improvement Collaborative. Dr. Hwang received her medical degree from SUNY Downstate, MPH from the Harvard School of Public Health, and PhD from the University of Colorado Graduate School. She completed her pediatric residency and chief residency at New York University and her neonatal fellowship at Boston Children’s Hospital. Dr. Hwang is an NIH-funded investigator whose research interest is in the transition of high-risk infants from hospital to home, with particular focus on safe infant sleep practices to reduce sudden unexpected infant death.

Susanna C. Snyder (she/her) is the Child and Family Health Division Director at the Department of Health Care Policy and Financing, the Department responsible for administering Health First Colorado, Colorado’s Medicaid Program. She is an Applied Medical Anthropologist who comes to this work with over 15 years of experience in maternal and child health research, advocacy, and policy. She received her M.A. in Medical Anthropology and continued her graduate work in Oregon State’s Reproductive Health Lab. She has worked in direct services and non-profits involved with pregnant people and children experiencing homelessness, pregnant people considering adoption and families involved in child welfare.

Since 2015, Susanna has been working with her colleagues at HCPF to administer, innovate and implement Medicaid policy for Coloradans, with a special focus on improving equity. In her current role, she is accountable for driving a strategic and aligned vision to build a complete and accessible continuum of services for Medicaid and CHP+ enrolled children, birthing parents and their families. Implementations from her team that she is most proud of include: expanding guaranteed coverage for postpartum people to 12 months, expanding family planning access to folks without documentation and an expanded income group, innovations in home visiting billing, and expanding coverage for more types of midwives and doulas—coming July 2024.

The ability to leverage her training as a researcher and experience in nonprofit and direct services to effect meaningful change in Coloradans’ lives is an incredible opportunity that she takes very seriously.

Multisystems Update

Kathryn (Kathi) Wells, MD, FAAP

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Dr. Kathryn Wells is the Executive Director of the Kempe Center for the Prevention and Treatment of Child Abuse and Neglect and the Section Head for Child Abuse and Neglect in the Department of Pediatrics at the University of Colorado School of Medicine. Prior to this role, Dr. Wells served as the Medical Director and Team Lead of the Denver Health medical clinic at the Denver Family Crisis Center for 15 years.  Dr. Wells is also an attending physician with the Kempe Child Protection Team at Children’s Hospital Colorado and has an academic appointment as an Professor in Pediatrics at the University of Colorado Health Sciences Center.  She is a Board-Certified Pediatrician and is Sub Boarded in Child Abuse Pediatrics.

CPCQC Program Updates

Sarah Briley, MPH, CHES

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Sarah Briley, as the Clinical Quality Improvement Program Manager, focuses on shifting evidence-based research into action by assisting Colorado hospitals in implementing emerging best practices. Sarah partners with national and state maternal health leaders to develop hospital protocols, policies, and practices, as well as education and training for medical providers, to improve health outcomes.

Sarah is a passionate public health professional who has spent her entire career dedicated to reducing maternal mortality and morbidity. While working in state government and nonprofits, Sarah has remained steadfast on improving the lives of pregnant and postpartum people by conducting focus groups to learn directly from those with lived experience, designing and evaluating health programs, policy development, and the creation of non-traditional partnerships. 

Sarah earned her Master of Public Health degree from Indiana University and a Bachelor of Science at Indiana State University. In the fall of 2016, Sarah became a Certified Health Education Specialist (CHES®).

Early Years of Recovery Informed Neurodevelopmental Care after Prenatal Substance Exposure

Barbara Chaiyachati, MD, PhD

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Dr. Barbara Chaiyachati is a clinician scientist at CHOP and the University of Pennsylvania. Her research portfolio includes a spectrum of work that addresses the biologic and lived trajectories after early life experiences of adversity, with particular drive toward identifying actionable points of intervention. Her interdisciplinary approach including genomics, epigenomics, clinical, and administrative data, reflects the interconnectedness of health and lived experiences. She integrates her action-oriented view to her clinical work as a founding leader within a clinical care track providing follow-up care for infants born substance exposed, NFP-RISE.

Piloting a Plan of Safe Care Framework for Colorado: Accelerating Progress & Aligning Investments

Jade Woodard, MPA, Illuminate Colorado
Courtney L. Everson, PhD, Colorado Evaluation and Action Lab, University of Denver
Katrina Baker, Peer Specialist & Community Advocate, San Luis Valley (SLV) Area Health Education Center (AHEC)
Amy Robertson, MD, San Luis Valley Health
Audrey L Reich Loy, LCSW, LAC, San Luis Valley Health

View the recording.

Jade Woodard has served as the Executive Director of Illuminate Colorado since its inception in 2015, following 7 years as the Executive Director of founding partner agency, the Colorado Alliance for Drug Endangered Children. Prior to this work, she provided family support services in a variety of settings to families impacted by homelessness, domestic violence, and substance use disorders. Jade has a Bachelor’s Degree in Social Work and a Master’s Degree in Public Administration. As the Executive Director of Illuminate Colorado, she has participated in and led many state level initiatives related to child maltreatment, substance use, child maltreatment prevention, public awareness, and collaborative community approaches. Currently, Jade serves on the Colorado Partnership for Thriving Families Steering Committee, SuPPoRT Colorado Steering Committee, Delivery of Child Welfare Services Task Force, Home Visitation Investment Task Force, Essentials for Childhood Steering Committee, Early Childhood Department Transition Advisory Group, Safe Child Care Task Force, Plans of Safe Care Rule Writing Group, and Colorado Consortium for Prescription Drug Abuse Prevention.

Courtney L. Everson, PhD, is the Senior Project Director for the Colorado Evaluation and Action Lab at University of Denver. The Colorado Lab is a social and health policy lab that supports all three branches of government in generating and using data to inform policy development and practice. With deep experience in research, community engagement, and leadership in health and human services, Dr. Everson leverages the principles of collaboration and social justice to advance evidence-based decision-making and strategic learning. As a mixed methodologist, Dr. Everson leads much of the Colorado Lab’s work in public health, prevention sciences, and family strengthening across the life course. She is most passionate about maternal health equity and policy research that helps childbearing families thrive. Dr. Everson holds a PhD in applied medical anthropology with doctoral-level concentrations in public health and women, gender, and sexuality studies.

Katrina Baker is a Southern Ute Tribal member from the Southern Ute Reservation. Katrina works at the San Luis Valley Area Health Education Center as a Peer Recovery Specialist.

Dr. Amy Robertson is a Board Certified Obstetrics and Gynecologist who practices at San Luis Valley Health in Alamosa, CO.  A native of North Little Rock, Arkansas, Dr. Robertson completed her Residency at the Oklahoma University Health Science Center in Oklahoma City.  Prior to that, Dr. Robertson spent eight years at the University of North Carolina-Chapel Hill as she completed undergraduate and medical school studies.  She came to Colorado to be closer to her family who all moved individually to Southern Colorado.  Passionate for rural health, Dr. Robertson is intent to provide equal opportunity for women in underserved communities, particularly enjoying the entire scope of care, from being a woman’s primary care physician to her surgeon as well.

Audrey Reich Loy graduated in 2010 from the University of Denver’s Graduate School of Social Work. Soon after, Audrey moved to the San Luis Valley to join the behavioral health team at San Luis Valley Health, where she worked for five years as a therapist and clinical supervisor.  From there, Audrey moved into various management positions at SLVH, overseeing Primary Care operations and integrated care services. Currently, Audrey is the Director of Programs, overseeing services related to transitions of care and population health, as well as grant development.  Audrey’s past work history in social work includes both clinical and administrative roles in the fields of child welfare, trauma, and healthcare.  Additionally, she has taught for a number of years for both Adams State University and the University of Denver graduate programs on a variety of subjects related to counseling and social work. Audrey is passionate about rural healthcare and addressing barriers to equitable care.

Newborns with Prenatal Substance Exposure: Optimizing Clinical Care to Support Families and Reduce Inequity

Sharon Ostfeld-Johns, MD, IBCLC

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Dr. Sharon Ostfeld-Johns is an Assistant Professor of Pediatrics and Internal Medicine at Yale School of Medicine. Her clinical work is as a Med/Peds hospitalist, spending half of her time caring for hospitalized adults and half for hospitalized children, including newborns during their newborn hospital stay. She is a medical educator and serves as one of the faculty leaders of the Race, Bias, and Advocacy in Medicine distinction pathway for Internal Medicine residents. She has been working in the area of prenatal substance exposure for over three years and in that time has collaborated with local partners including child abuse specialists, addiction medicine specialists, obstetrician/gynecologists, social workers, the hospital legal team, and many folks who work in child protective services, as well as other professionals locally and nationally who are committed to improving care for families affected by substance use and substance use disorders.

Closing Remarks

Susan Hwang, MD, MPH, PhD

View the recording.

Susan Hwang, MD MPH PhD is a neonatologist, health services researcher, and perinatal quality improvement expert at Children’s Hospital Colorado and the University of Colorado School of Medicine.  She leads the Colorado Hospitals Substance Exposed Newborn Quality Improvement Collaborative (CHoSEN QIC) and the Data-driven Engagement of Families to Improve the NICU Experience (DEEFINE) QIC. She previously led the Massachusetts Hospitals Safe Infant Sleep Quality Improvement Collaborative.  Dr. Hwang received her medical degree from SUNY Downstate, MPH from the Harvard School of Public Health, and PhD from the University of Colorado Graduate School. She completed her pediatric residency and chief residency at New York University and her neonatal fellowship at Boston Children’s Hospital. Dr. Hwang is an NIH-funded investigator whose research interest is in the transition of high-risk infants from hospital to home, with particular focus on safe infant sleep practices to reduce sudden unexpected infant death.

October 2023

What: The Forum included presentations on Stigma/Biases Data and Lived Experience Experts efforts to support stigma reduction and identify other opportunities, Plan of Safe Care, and Cannabis. In the afternoon there were multiple breakout sessions for opportunities to focus on the “how-tos” of implementation, and barriers and opportunities. 

When: October 20, 2023
9 am – 4 pm MT

Where: University of Colorado Anschutz Medical Campus – Donald M. Elliman Conference Center & Virtual

View Slides & Recordings by Session

Welcome & Opening Remarks

Susan Hwang, MD, MPH, PhD
Chris deGruy Kennedy, Colorado State Representative

Dr. Hwang celebrates the progress made up to date and laying down the path forward. She finishes her opening remarks by laying out clear drivers and measurable goals for positive intervention for both Mom and Baby. State Representative Chris DeGruy also shares a statement, sharing not only his political support of this work, but also his personal drive for change. 

Download the slides.

View the recording.

Susan Hwang, MD MPH PhD is a neonatologist, health services researcher, and perinatal quality improvement expert at Children’s Hospital Colorado and the University of Colorado School of Medicine.  She leads the Colorado Hospitals Substance Exposed Newborn Quality Improvement Collaborative (CHoSEN QIC) and the Data-driven Engagement of Families to Improve the NICU Experience (DEEFINE) QIC. She previously led the Massachusetts Hospitals Safe Infant Sleep Quality Improvement Collaborative.  Dr. Hwang received her medical degree from SUNY Downstate, MPH from the Harvard School of Public Health, and PhD from the University of Colorado Graduate School. She completed her pediatric residency and chief residency at New York University and her neonatal fellowship at Boston Children’s Hospital. Dr. Hwang is an NIH-funded investigator whose research interest is in the transition of high-risk infants from hospital to home, with particular focus on safe infant sleep practices to reduce sudden unexpected infant death.

 

CHoSEN Data, Funding, & Policy/Multisystems Update

Susan Hwang, MD, MPH, PhD
Katie Breen, MPH
Kathi Wells, MD, FAAP
Jade Woodard, MPA

Katie Breen, MPH shares program efforts and updates from The Colorado Perinatal Care Quality Collaborative, emphasizing the high rate of accidental overdose in pregnant women, and that these deaths are 100% preventable. Furthermore, she shares details of CPCQC’s Hospital Guidance efforts to remove stigma and bias from Toxicology Testing and Screening.

Dr. Kathryn Wells, MD of the Kempe Center and Jade Woodard, MPA of Illuminate Colorado, SuPPoRT Colorado Co-Chairs,  present organizational updates as well as structural goals and priorities of SuPPoRT Colorado. They then present both State and Federal Policy updates and the significance of each bill.

Download the slides.

View the recording.

Susan Hwang, MD MPH PhD is a neonatologist, health services researcher, and perinatal quality improvement expert at Children’s Hospital Colorado and the University of Colorado School of Medicine.  She leads the Colorado Hospitals Substance Exposed Newborn Quality Improvement Collaborative (CHoSEN QIC) and the Data-driven Engagement of Families to Improve the NICU Experience (DEEFINE) QIC. She previously led the Massachusetts Hospitals Safe Infant Sleep Quality Improvement Collaborative.  Dr. Hwang received her medical degree from SUNY Downstate, MPH from the Harvard School of Public Health, and PhD from the University of Colorado Graduate School. She completed her pediatric residency and chief residency at New York University and her neonatal fellowship at Boston Children’s Hospital. Dr. Hwang is an NIH-funded investigator whose research interest is in the transition of high-risk infants from hospital to home, with particular focus on safe infant sleep practices to reduce sudden unexpected infant death.

Dr. Kathryn Wells is the Executive Director of the Kempe Center for the Prevention and Treatment of Child Abuse and Neglect and the Section Head for Child Abuse and Neglect in the Department of Pediatrics at the University of Colorado School of Medicine. Prior to this role, Dr. Wells served as the Medical Director and Team Lead of the Denver Health medical clinic at the Denver Family Crisis Center for 15 years.  Dr. Wells is also an attending physician with the Kempe Child Protection Team at Children’s Hospital Colorado and has an academic appointment as an Professor in Pediatrics at the University of Colorado Health Sciences Center.  She is a Board-Certified Pediatrician and is Sub Boarded in Child Abuse Pediatrics.

Jade Woodard, MPA has served as the Executive Director of Illuminate Colorado since its inception in 2015, following 7 years as the Executive Director of founding partner agency, the Colorado Alliance for Drug Endangered Children. Prior to this work, she provided family support services in a variety of settings to families impacted by homelessness, domestic violence, and substance use disorders. Jade has a Bachelor’s Degree in Social Work and a Master’s Degree in Public Administration. As the Executive Director of Illuminate Colorado, she has participated in and led many state level initiatives related to child maltreatment, substance use, child maltreatment prevention, public awareness, and collaborative community approaches. Currently, Jade serves on the Colorado Partnership for Thriving Families Steering Committee, SuPPoRT Colorado Steering Committee, Delivery of Child Welfare Services Task Force, Home Visitation Investment Task Force, Essentials for Childhood Steering Committee, Early Childhood Department Transition Advisory Group, Safe Child Care Task Force, Plans of Safe Care Rule Writing Group, and Colorado Consortium for Prescription Drug Abuse Prevention.

Stigma/Bias Data and HardBeauty Lived Experience

Karli Swenson, PhD, MPH(c)
Racquel Garcia, HardBeauty
Tiffany Kuhwede, HardBeauty

Karli Swenson, PhD, MPH(c) of CPCQC presents both qualitative and quantitative data on clinical perceptions of maternal substance use, and how this has a direct impact on the quality of care they receive. She furthermore provides examples of stigmatizing language and the importance of using person-first language in clinical settings. 

Download the slides.

View the recording.

Karli Swenson, PhD, MPH(c) is a program assistant at the Colorado Perinatal Care Quality Collaborative. Karli received her PhD in Physiology where she studied cannabis and CBD usage in pregnancy, and is soon to complete her masters in maternal and child public health. Karli has been with CPCQC working on the CO AIM SUD initiative to improve substance use screening, brief intervention, and referral to treatment for pregnant patients. Recently, Karli has been working predominantly to address stigma and bias among healthcare providers to improve the care for pregnant patients with substance use disorders. 

Keynote Presentation - A Paradigm Shift: Early Intervention and Continuity of Services for Pregnant Individuals Who Use Substances, Their Infants & Families

Nancy K. Young, MSW, PhD

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Dr. Nancy Young is the Executive Director of Children and Family Futures, a research and policy institute whose mission is to prevent child abuse and neglect while improving safety, permanency, well-being, and recovery outcomes with equity for all children, parents and families affected by trauma, substance use and mental health disorders. Since 2002, she has served as Project Director of the National Center on Substance Abuse and Child Welfare, an initiative of the Children’s Bureau (CB), Administration for Children and Families (ACF), and the Substance Abuse and Mental Health Services Administration (SAMHSA). Since 2010, she has served as the Project Director of the Office on Juvenile Justice and Delinquency Prevention’s (OJJDP) Training and Technical Assistance Program to improve outcomes for families through Family Treatment Courts. Dr. Young holds a PhD and an MSW from the University of Southern California, School of Social Work.

Keynote Presentation - Cannabis Use in Pregnancy and While Breastfeeding: What Have We Learned?

Torri Metz, MD, MS

Dr. Torri Metz, MD, MS breaks down the data of cannabis products and their outcomes if used during pregnancy or breastfeeding. She explains what this data means for a now-prominent substance in Colorado and what providers should be advising based on these data. 

Download the slides.

View the recording.

Torri Metz, MD, MS, is Vice-Chair for Research, Division Chief of Maternal-Fetal Medicine and an Associate Professor of Obstetrics and Gynecology at the University of Utah Health. She is a practicing maternal-fetal medicine subspecialist. Dr. Metz completed both her medical school and residency training at the University of Colorado. She then went on to complete her Maternal-Fetal Medicine fellowship and Master of Science in Clinical Investigation at the University of Utah in 2012. She is a member of both the Society for Maternal-Fetal Medicine (SMFM) Clinical Document Review Panel and SMFM Board of Directors. Nationally, she has served on the American College of Obstetricians and Gynecologists (ACOG) Committee on Clinical Practice Guidelines-Obstetrics and is an American Board of Obstetrics and Gynecology board examiner for subspecialty boards. She is the Deputy Editor for Obstetrics for the Green Journal, Obstetrics & Gynecology. She is the PI for the Utah Center of the Eunice Kennedy Shriver NICHD Maternal-Fetal Medicine Units Network and has R01 funding from the National Institutes of Health to study the association between cannabis use and adverse pregnancy outcomes.

Transitions of Care for Families Affected by Substance Use at Poudre Valley Hospital

Monica Faherty, MSN, RN, IBCLC
Robyn Gustafson, MSN, APRN, CPNP-PC, C-ONQS
Courtney Kuepper, LSW, PMH-C
Jeannie Folan, MD

Monica Faherty, MSN, RN, IBCLC, Robyn Gustafson, MSN, APRN, CPNP-PC, C-ONQS, Courtney Kuepper, LSW, PMH-C, and Jeannie Folan, MD educate attendees on full spectrum family care including Medication Assisted Treatment for mothers with SUD. 

Download the slides.

View the recording.

Monica Faherty, MSN, RN, IBCLC is a Texas native. She has a nursing background in women and infant care and in lactation.  She currently is the OB Care Manager at Family Medicine Center where she co-manages all of the OB patients with the residents and faculty attendings. In her free time she loves to hike, spend time with her neighborhood commune, travel, and enjoy each day with her ginger boys. 

Robyn Gustafson, MSN, APRN, CPNP-PC, C-ONQS is the APRN for Women and Children’s Service Line for UCHealth Northern Region and has worked for PVH/UCHealth for the last 23 years in the Women and Children’s Service Line. Some of her many roles have included bedside staff nurse and clinical educator, she has been the APRN for Women and Children’s Service Line for the last nine years. As the APRN Robyn works to bring nursing and medical practice together to provide high quality, evidenced based care to all patients in the Women and Children’s Service line from neonates to pediatrics to birthing patients through developing and implementing best practices with a multidisciplinary team.

Jeannie Folan, MD is originally from Colorado Springs. She attended medical school at Georgetown University, before moving to Fort Collins to complete her family medicine residency training and faculty development fellowship at the Fort Collins Family Medicine Residency. She is now faculty at the Fort Collins Family Medicine Residency and CU School of Medicine at CSU. She spends her free time outside with her husband, daughter, and 2 golden retrievers. 

Breakout Session - Getting into the Weeds: Updates in Perinatal Cannabis and Lactation

Laurie Halmo, MD, FAAP

Dr. Halmo presents on evidence updates and discussion of the constantly challenging question of perinatal cannabis use, the new CHoSEN Breastfeeding Guidelines, and recommendations for harm reduction strategies.

Download the slides.

View the recording.

Dr. Halmo is a medical toxicologist and an assistant professor of pediatrics in the Section of Hospital Medicine at the University of Colorado School of Medicine and Children’s Hospital Colorado. In addition to her clinical work as a pediatric hospitalist and medical toxicologist, Dr. Halmo is involved in numerous quality improvement initiatives related to the care of hospitalized toxicology patients, with a particular focus on children and maternal-infant dyads affected by substance use.

Breakout Session - From Tradition to Transformation: The Case for Adapting New Toxicology Testing Practices

Christine Gold, MD
Lyle Wagner, MSN, RN, CPNP-AC/PC

Why has a new set of guidelines been developed for toxicology testing at birthing facilities in Colorado? This workshop will focus on defining current state in toxicology testing as a baseline to generate conversation around inequity and bias in common toxicology testing practices. Participants will then be lead through a case and discussion to identify opportunities for improved toxicology testing practices as one of many tools to generate institution-level change and maximize support of substance-affected families.

Download the slides.

View the recording.

Christine Gold is a Pediatric Hospitalist and an Associate Professor of Pediatrics for the University of Colorado School of Medicine.  Her clinical work is in the level 1 newborn nursery setting.   Dr. Gold is a co-chair for the Illuminate/SuPPoRT Colorado Policy Analysis Workgroup and a leader in substance-exposed newborn work at UCHealth.  She works closely with organizations across Colorado to optimize and standardize care of substance-affected families.

Lyle Wagner is a pediatric nurse practitioner and former NICU nurse who currently works as a newborn hospitalist. She is a Senior Instructor at the University of Colorado School of Medicine and the Advanced Practice Provider Lead at the University of Colorado Hospital Newborn Nursery.  Lyle is actively involved in the Illuminate/SuPPoRT Colorado Policy Analysis Workgroup and helps lead efforts to improve care of substance exposed newborns and substance affected families at the University of Colorado Hospital. 

Breakout Session - Plans of Safe Care: Tips and Tricks for Clinic and Hospital-Based Implementation

Lauren Bruns, MD, FAAP

Lauren Bruns MD, FAAP is a newborn hospitalist and Co-Chair of SuPPoRT Colorado’s Plans of Safe Care Work Group. She’s spent the last few years working to integrate Plans of Safe Care into Epic such that it may be utilized by prenatal care providers, inpatient pediatricians, and hospital-based social workers. 

Dr. Bruns hosted a tips and tricks session to review tools and templates for Plans of Safe Care implementation for prenatal care and pediatric providers. 

Download the slides.

View the recording.

Lauren Bruns is Assistant Professor of Pediatrics with CU School of Medicine and works clinically as a newborn hospitalist at Denver Health. In her non-clinical time, she serves as a steering committee member of CHoSEN QIC and SuPPoRT Colorado as Plans of Safe Care Work Group Co-Chair. She is also the PI of Denver Health’s CMS funded Maternal Opioid Misuse Grant, which supports the Perinatal Navigator and Peer Recovery Support Program.

Breakout Session - Essential Resources When Working with Families Impacted by Substance Use (Panel Discussion)

Facilitated by:
Blair Weikel, MPH
Jenny Koch-Zapfel, MSW

Establishing a relationship with a consistent person who has knowledge of effective services can be an essential element of supporting families struggling with substance use disorders. This panel discussions includes programs such as The CHoSEN Perinatal Navigator Program, Family Connects, Child First and Tough as a Mother, and is designed to shed light on essential resources for providers working with patients navigating substance use during the prenatal and parenting phases. The session focuses on how family support programs work and function and address the benefits of patient navigation services.

Recording coming soon!

Jenny Koch-Zapfel, MSW, has been with the Kempe Center for the Prevention and Treatment of Child Abuse and Neglect for 18 years. During that time, Jenny has gained extensive experience in program development, training and coaching. Jenny currently serves as a Trainer and Coach for the SafeCare®Colorado Program at Kempe as well as the Program Manager for the CHoSEN QIC Perinatal Navigator Program. Jenny received her Masters of Social Work from the University of Denver’s Graduate School of Social Work in 2000. Jenny has worked in the field of child welfare since 1994 and has provided direct services to families as a child protection worker and home visitor and has been involved in the research and program development of programs serving the child welfare population and in the training of staff serving the child welfare population.

Closing Remarks

Susan Hwang, MD, MPH, PhD

Dr. Susan Hwang returns to explain the Maternal Opioid Misuse Model as a health equity atlas project, sharing its aims and goals with attendees. Presenters and partners are thanked for their support in putting together such an exciting event, and for their continued work toward progress in their respective areas. 

Download the slides.

View the recording.

Susan Hwang, MD MPH PhD is a neonatologist, health services researcher, and perinatal quality improvement expert at Children’s Hospital Colorado and the University of Colorado School of Medicine.  She leads the Colorado Hospitals Substance Exposed Newborn Quality Improvement Collaborative (CHoSEN QIC) and the Data-driven Engagement of Families to Improve the NICU Experience (DEEFINE) QIC. She previously led the Massachusetts Hospitals Safe Infant Sleep Quality Improvement Collaborative.  Dr. Hwang received her medical degree from SUNY Downstate, MPH from the Harvard School of Public Health, and PhD from the University of Colorado Graduate School. She completed her pediatric residency and chief residency at New York University and her neonatal fellowship at Boston Children’s Hospital. Dr. Hwang is an NIH-funded investigator whose research interest is in the transition of high-risk infants from hospital to home, with particular focus on safe infant sleep practices to reduce sudden unexpected infant death.

April 2023

What: Keynote presentations on Best Practice Recommendations for Collaboration and Integration of Plans of Safe Care Implementation in Colorado, and Indications for Toxicology Testing in Colorado Birthing Facilities. Plus, a presentation from The Colorado Naloxone Project, and more!

When: April 18, 2023
9 am – 3:30 pm MT

Where: University of Colorado Anschutz Medical Campus – Krugman Conference Hall & Virtual

Missed a forum? Check out our blog recaps to access previous forum slides and recordings.

Fall 2023 CHoSEN Forum Hosted on October 20th

On October 20, 2023, multi-sector professionals who work with perinatal individuals impacted by substance use convened for a Colorado Hospital Substance Exposed Newborns (CHoSEN) Forum that included an in-person attendance or virtual option. Here's the recap of the...

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April 2023 CHoSEN Forum Hosted on April 18th

On April 18, 2023, multi-sector professionals who work with perinatal individuals impacted by substance use convened for a Colorado Hospital Substance Exposed Newborns (CHoSEN) Forum that included an in-person attendance or virtual option.Mandy Bakulski, Maternal...

Read More

Fall 2022 CHoSEN Forum Hosted on October 20th

On October 20, 2022, multi-sector professionals who work with perinatal individuals impacted by substance use convened for a Colorado Hospital Substance Exposed Newborns (CHoSEN) Forum that included an in-person attendance option for the first time in over two...

Read More
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