Actions from the March 2015 Board of Directors Meeting

Date: April 20, 2015

To: LLLI Community

From: Diane Jeffer, Secretary, LLLI Board of Directors

Re: Actions from the LLLI Board of Directors’ Annual Session held March 21-22, 2015

Abstract

The LLLI Board of Directors met March 16-22, 2015 in Schaumburg, Illinois, USA. The Annual Session was conducted March 21 and 22. Executive Director Katie Keel was present for the meeting and discussions. The Board visited Bostrom’s Chicago office one day and met LLLI staff members. Throughout the week support staff joined discussions when relevant to their positions.

The Board extended its gratitude to Ann Calandro for serving on the Executive Transition Team as LLLI Community Liaison and for her preceding volunteer service as Interim Executive Director. A new Executive Committee and Nominating Committee were elected. The Board approved several policy amendments and a
first reading of a Bylaws revision was presented. Reports and recommendations submitted by each Board committee were reviewed and discussed.

Board Sessions for 2015-16 will be scheduled in midyear 2015, late 2015, and early 2016. The next Board meeting will be held by teleconference in July 2015.

Nominating Committee

The Board elected the Executive Committee for 2015-2016.

Co-Chairmen: Linda Anderson and Lydia de Raad

First Vice-Chair: Carolyn Driver-Burgess

Second Vice-Chair: Marian Tompson

Secretary: Diane Jeffer

Treasurer: Constance Pond

Committee Member-at-Large: Katherine Velasquez

The Board elected the 2015-2016 Nominating Committee.

Katherine Velasquez (Chairman)

Anne Batterjee

Diane Jeffer

June Winfield

Yanet Olivares

Executive Director

LLLI Executive Director Katie Keel reported that the LLLI office’s transition to Bostrom management was complete by January 15, 2015. Bostrom completed assignments of all LLLI staff by January 20, 2015, and training and orientation is proceeding as needed. Two previous LLLI employees will continue to serve on LLLI
staff at Bostrom.

The new LLL Leader periodical, Leader Today, with a fresh format and new editor was launched and has been well-received. Issues and articles may be viewed or downloaded at www.leadertoday-llli.org

Regular communication calls with Direct Connect Area Networks (DCANs) have been initiated and will be
scheduled as needed throughout the coming year.

The Leader’s Handbook (4th edition, 2003) is available for download at www.llli.org/leaderpages/leadershandbook. Hard copies may be purchased for $11 plus shipping from the LLLI online store. A workgroup will be reinstated to continue revising the Leader’s Handbook.

The LLLI Community Network (CN) was discontinued on March 20, 2015 and critical files were archived or transferred to the LLLI website for easy access. LLLI tear-off sheets, logo, and other information from the CN Library are available at
www.llli.org/leaderpages/leaderdownloads.html.

Audit, Finance, and Resource Development

The Board approved hiring Porte Brown LLC as the LLLI independent auditor for fiscal year 2014-2015. In a Special Session on December 29, 2014, the Board reviewed and accepted an unqualified (clean) audit as prepared by Desmond & Ahern, Ltd. for fiscal year 2013-2014. Form 990 was subsequently filed as required by US law.

The Finance Committee and Treasurer have worked closely with LLLI finance staff during the period of transition to Bostrom. Databases, programs, and accounting systems are being integrated and streamlined. Complete details of fiscal year 2014-2015 will be presented when these changes are complete. Spending has been reduced significantly over the past year, resulting in an improved financial position.

The LLLI Development Director and Resource Development Committee led a Board workshop on the topic of raising donations.

The Board agreed on its annual total donation goal for fiscal year 2015-2016. Board members contribute to the goal with personal cash contributions and in-kind gifts, and they solicit donations from supporters to LLLI. Full Board participation in fundraising helps to inspire donations inside and outside LLL.

The 2014 year-end appeal and matching gift campaign generated contributions that exceeded any year since 2007.

The Annual Report for 2013-2014 has been completed and is published on the LLLI website at www.llli.org/docs/00000000000000001AnnualReport/2013-2014_annual_report.pdf.

Personnel Committee

January 15, 2015 was the final day for LLLI staff at the Schaumburg office. The LLLI Board thanked all retiring and relocating staff members for their dedication, support, and hard work throughout their employment and especially during the recent months of transition.

The Board is pleased and impressed with the professional work done by Bostrom and the LLLI ED and staff during the transition.

Professional Advisory Board Committee

The Board approved two new members and two former members to be invited to join the Health Advisory Committee (HAC). Twenty-two current members whose terms are expiring will be invited to renew membership. Six retiring HAC members will be thanked for their valuable contributions. The Board approved the conferral of Emeritus status to seven deceased or retiring members.

Program Services Committee

The Board has agreed to renew the LLLI Memorandum of Understanding (MOU) with World Alliance for Breastfeeding Action (WABA). The updated agreement strengthens the position of LLLI as a WABA Core Partner.

The 2010 LLLI PCP training materials are being updated and edited under the new WABA/LLLI PCP Initiative. A new logo and an expansion of the topics covered in the materials have been developed. In June 2015 this initiative will be finalized in Penang (Malaysia) and a launch is planned for October 2015.

60th Anniversary Workgroup

An international workgroup has been developing plans for the LLLI 60th Anniversary celebration, Building a Legacy, from October 1, 2016 to September 30, 2017. Dedicated anniversary pages will go live on the LLLI website later this year. The Board budgeted funds to complete the LLLI DVD highlighting the work of the Founders.

Strategic Plan Committee

The Board drafted three overarching objectives for the LLLI Strategic Plan. Input will be widely sought from the LLLI community.

Bylaws Committee

A first reading of the following Bylaws amendment was presented; two readings are required to amend LLLI Bylaws.

DECLARATION OF PRINCIPLES
LLLI believes that breastmilk is the superior human food human milk is the natural food for babies and that mothering through breastfeeding is the most natural and effective way for a mother to understand and satisfy the needs of her baby.

Rationale:This revision is proposed to bring the Bylaws into agreement with the recently amended human milk concept.

A revised Milk Donation policy was approved. A separate fact sheet for Leaders will be developed to provide current milk donation guidelines.

Milk Donation Policy

Donating Human Milk

La Leche League International fully supports the use of human milk for babies. The first priority of LLLI is to help mothers to breastfeed their babies at the breast. A second priority is to help helping mothers when it is necessary for them to express and safely store and handle their own milk for their babies. When their own mother’s milk is unavailable, babies may need human milk donated by other mothers. It is essential that this donated milk be safe. According to the World Health Organization, donor milk is the best option following one’s own expressed milk.


As an international organization, LLLI is aware that many mothers in many cultures have informally shared their breastmilk and wet nursed among family members and trusted friends. LLLI also recognizes that in times of severe maternal illness/death and natural disaster, sharing milk has been lifesaving. The latter special circumstances, however, are beyond the scope of this policy statement. In keeping with the recommendations of the Health Advisory Council of the LLLI Professional Advisory Board, LLLI has developed stringent guidelines concerning the collection and use of donated human milk.

It is always important for the Leader to encourage the mother to talk with her own and the baby’s health care providers about their particular situation. If the baby or mother is hospitalized and breastfeeding is not possible, the Leader would recommend that the mother dialogue with medical staff regarding possible hospital policies related to obtaining and using the mother’s own milk or donor milk.

When a mother contacts a Leader seeking to acquire donated human milk or to discuss personal options, the Leader‘s role is to shall respond with information and support, including information about the benefits and risks of such practices as This shall include information about induced lactation, and/or relactation, wet-nursing, or cross-nursing. This discussion may include formal, commercial, or informal (peer-to-peer) forms of milk sharing, which are practiced in various ways around the world. The Leader shall also suggest the mother dialogue with an appropriate, licensed health care provider and contact a licensed human milk bank or other regulated and medically supervised human milk collection center in her country. The Leader shall inform any mother interested in using donated human milk for her baby, whether on an occasional or on a long term basis, of the documented benefits and risks connected with this form of infant feeding. Benefits include, but are not limited to: optimal nutrition, easy digestibility, and immunologic protection. Risks can include, but are not limited to: transmission of certain infectious agents, like bacteria or viruses, some of which may be found in milk expressed by asymptomatic women; drugs; possibly some environmental contaminants, and potentially unhygienic storage and handling of unprocessed donated milk. Milk from a qualified milk bank will require donors meet specific health requirements before accepting their donated milk, which eliminates many of those risks. Each country sets its own standards for milk donors and these screening criteria are available by contacting the milk banks directly.

If a mother is interested in donating her milk, or in receiving donated milk, the a Leader shall should urge the mother to investigate various ways of donating and acquiring human milk. The mother should be encouraged to make an informed decision that is best for her and her baby and meets cultural expectations. A Leader may provide contact information for licensed non-profit human milk banks, or other regulated and medically supervised collection centers, and formal/medically supervised or informal milk-sharing networks. Protocols for the careful and safe collection and handling of human milk are the responsibility of milk banks and networks, and the Leader should encourage the mother to evaluate these protocols. It is not the responsibility of LLL Leaders or LLLI to license, recommend, or assess milk banks or networks, but to share information with mothers.

A Leader shall never pressure a mother to donate or to continue donating her milk. All identifying information concerning the donors and recipients shall remain confidential. A Leader shall remind a potential donor mother that her own baby has a natural priority to her milk. A Leader shall inform a potential donor that: 1) a donor may request complete information from the milk bank or collection center about how her milk will be used; 2) a donor may inquire if she may restrict how her milk will be used; 3) a donor may make her decision about donation in the light of the information she receives from the milk bank or collection center.

A Leader should never use her position as an LLL Leader to set up any type of milk-sharing network. A Leader shall never initiate the suggestion of an informal milk-donation arrangement or act as an intermediary in such a situation. If a mother wishes to discuss these options -which may include donating expressed milk, wet-nursing or cross-nursing – the Leader’s role is to provide information about the benefits and risks, as mentioned above, including the limitations of home sterilization of expressed breastmilk. If the baby is hospitalized, the mother is directed to dialogue with the medical staff caring for her regarding hospital policies on providing human milk for a baby in their care. The mother will then make her own informed decision based on her situation and culture.

As with other breastfeeding-related topics, Leaders are expected to keep up-to-date with current best practices and information for their locations.

(Aug 76; rev Oct 92, Mar 07, Mar 11, Mar 15)

Rationale:The revision addresses the rapid rise in informal milk-sharing in recent years and a general disparity in access to donor milk around the world. The new policy encourages Leaders to discuss possible options and offers Leaders greater flexibility to address the diverse situations that mothers face.

Policies and Standing Rules: Appendix 9 – Global Leaders Committee was amended as indicated below; The Global Leaders Committee (the “GLC”) is composed of Leader-representatives (“Representative(s)”) from each entity that directly connects to LLLI. Each entity that connects to LLLI will be allocated a number of Representatives in accordance with the formula set forth below:

  • If the Area Network has fewer than 350 Leaders, then it will be allocated 2 Representatives;
  • If the Area Network has between 351 and 700 Leaders, then it will be allocated 3 Representatives;
  • If the Area Network has between 701 and 1,250 Leaders, then it will be allocated 4 Representatives;
  • If the Area Network has between 1,251 and 2,000 Leaders, then it will be allocated 5 Representatives;
  • If the Area Network has between 2,001 and 3,000 Leaders, then it will be allocated 6 Representatives;
  • If the Area Network has between 3,001 and 5,000 Leaders, then it will be allocated 7 Representatives;and
  • If the Area Network has more than 5,000 Leaders, then it will be allocated 8 Representatives.

Representatives will be nominated by and elected by the Leaders from the entity they represent and will be elected for a term of two years. LLLI will direct each entity that connects to LLLI to utilize appropriate safeguards that support an open, fair, and equitable nomination and election process.
Representatives of the GLC will:

  • participate in quarterly calls (“Cascade Calls”) with the Executive Director of LLLI and the Chair or Co- Chairs of LLLI’s Board of Directors. If the Executive Director and/or Chair or one or both of the Co- Chairs is unable to participate in a Cascade Call, a designate may participate on the unavailable person’s behalf.
  • deliver quarterly reports to their Leader-constituents detailing the substance of each Cascade Call;
  • solicit and gather questions and concerns from their Leader-constituents on an ongoing basis and in preparation for each quarterly Cascade Call; and,
  • submit proposed agenda items, if any, to the GLC Coordinating Committee (see below) in advance of each Cascade Call.

The GLC shall governed by select a coordinating committee (the “GLC Coordinating Committee”) created, established, and implemented by the Representatives with the primary responsibilitiesy to be the coordination and implementation of Cascade Calls.

The GLC may submit any decision or action of the LLLI Board of Directors to the Board for reconsideration should sixty percent of the Representatives voting on the issue conclude that the decision or action conflicts with LLLI’s mission, and/or violates or conflicts with LLLI’s codes of conduct, Bylaws, Purpose and Principles Reference Set, Policies and Standing Rules and any appendices thereto, and/or any other governing document or set of principles not set forth herein (collectively “LLLI’s Policies”). In order to submit a Board decision or action to the Board for reconsideration, at least eighty percent of the GLC must participate in the vote.

  • Within 45 days of receipt of the notification that sixty percent of the voting Representatives have voted in favor of submitting a Board decision or action for reconsideration, the Board shall revisit the decision or action at issue and submit a written statement to the GLC detailing its reason(s) to either reverse or affirm the earlier decision or action.
  • Upon receipt of a written statement from the Board that it intends to affirm an earlier decision or action that had been submitted for reconsideration by the GLC, the GLC may submit that same Board decision or action for review by the Review Panel if sixty- six percent of the Representatives voting on the issue conclude, upon review of the Board’s written statement that it intends to affirm the decision or action, that the action or decision violates and or conflicts with LLLI’s Policies. In order to submit a Board decision or action to the Review Panel for consideration, at least eighty percent of the GLC must participate in the vote. In no event shall a decision to submit a Board decision or action for review by the Review Panel be made by a vote of absolute numbers less than the number of Representatives that approved the original GLC submission for reconsideration to the Board.
  • Within 60 days of receipt of the notification that sixty-six percent of the voting Representatives have voted in favor of submitting the Board action or decision to the Review Panel for consideration, the Review Panel shall convene and issue a written opinion with its decision as to whether the Board’s decision or action violates or conflicts with LLLI’s Policies.
  • Should the Review Panel conclude that the Board’s decision or action does not violate or conflict with LLLI’s Policies, the Review Panel shall issue a written statement to the Board and the GLC setting forth the reason(s) for this conclusion. This determination shall be final and the GLC shall have no further avenue of recourse with respect to the Board decision or action at issue.
  • Should the Review Panel conclude that the Board’s decision or action does violate or conflict with LLLI’s Policies, the Review Panel shall issue a written statement to the Board and the GLC setting forth the reason(s) for this conclusion. After the issuance of such a statement by the Review Panel, the Board must either reverse its decision or action or take measures to revise and/or clarify the LLLI Policy(ies) at issue so as to ensure that the Board’s decision or action at issue no longer conflicts with LLLI Policy(ies).

The Review Panel shall be composed of five members. Members of the Review Panel will either be former Board members or persons with training, experience or skill regarding policy making and policy implementation. No more than three former Board members may serve on the Review Panel at one time. Members of the Review Panel shall be selected by the LLLI Board subject to the approval of a majority of Representatives of the GLC to serve for a term of three years. Members of the Review Panel shall be governed by the following principles:

  • Each member of the Review Panel shall be fair and impartial; and,
  • A member of the Review Panel must recuse herself/himself from participation in the review process if the subject matter of the Board decision or action under review prevents him or her from being fair and/or impartial.

The Cascade Calls will be governed by the following principles:

  • The Executive Director and the Chair or Co-Chairs of the Board will be present on each Cascade Call, absent extenuating circumstances.
  • During each Cascade Call, the Chair or Co-Chairs of the Board, with the assistance of the Executive Director, will report on the following agenda items: (1) LLLI’s general budget, (2) fundraising efforts, (3) publications, (4) branding, (5) Leader accreditation, and (6) global policy making. Additional agenda items may be submitted by the Representatives of the GLC Coordinating Committee thirty days in advance of the each Cascade Call.
  • Prior to each Cascade Call, Representatives will solicit and gather questions and agenda items from their Leader-constituents.
  • The agenda for each Cascade Call will be jointly developed by the Executive Director, the Co-Chairs of the Board, and the GLC Coordinating Committee.
  • Prior to each Cascade Call, the Executive Director will prepare and post a financial report on LLLI’s website in a manner easily accessible to all Leaders.
  • Should the Executive Director and the Chair or Co-Chairs of the Board conclude that any topic within the scope of the agenda items to be reported on is confidential and, therefore, cannot be discussed during the Cascade Call, the Executive Director and the Chair or Co-Chairs of the Board shall provide information sufficient for the GLC to understand why discussion of the topic must remain confidential, including: (1) the general subject matter of the topic, (2) the reason why confidentiality is necessary, and (3) an approximation of when the topic will be fully disclosed to the GLC.
  • During the Cascade Calls, Representatives will be permitted to ask questions and/or comment on any of the items set forth on the agenda, as well as any additional agenda items submitted thirty days in advance of the Cascade Call. The GLC will utilize conference call software, or some other protocol, to ensure that the ability to ask questions and/or comment on any of the agenda items is allocated in a fair and orderly manner.
  • No later than fourteen days after each quarterly call, Representatives will provide quarterly reports to their Leader-constituents detailing the minutes of each Cascade Call. During the Cascade Calls, the GLC will make detailed notes of the conversation to use as a basis for the subsequent report; the corrected notes will be made available to the GLC Representatives and the Executive Director and Chair or Co-Chairs of the Board. In the twenty-eight days following each quarterly call, the GLC Coordinating Committee shall work closely with the Executive Director and the Chair or Co-Chairs of the Board to produce a complete report of the Cascade Call, subject to the approval of the GLC.
  • The GLC may request, by a two-thirds vote of the Representatives, one additional Cascade Call per quarter on any subject matter falling within the scope of the agenda items discussed during the preceding Cascade Call. Such requests (detailing the subject matter) will be submitted to the Executive Management and the Chair or Co-Chairs of Board and the requested call shall be held within fourteen days of the submission of the GLC’s request.
  • No later than fourteen seven days after each the completion and approval of the Cascade Call report, the Executive Director will post a full and complete recording the complete report of the Cascade Call on LLLI’s website in a manner readily accessible to all Leaders.

(Date Nov 12, rev Sept 14, Mar 15)

Rationale: This policy was revised at the request of Global Leaders Committee members to reflect actual committee practices. The reference to a report being accessible to all Leaders was removed because it is impossible to assure that all Leaders would have access to an online report in their own languages.

Policies and appendices that are no longer applicable were approved for deletion. A list of deleted policies will appear at the end of the PSR index on the LLLI website. The deleted items are: LLL Logo and LLL Name Protection, Conferences, Leader: Special Recognition, Legal Associates Program, Medical Associates Program, Medical Associates Program: Interns and Residents, Appendix 13: Medical Associates Program, and Speaking Engagements.

Several policies were amended in minor ways to update terminology or to cross-reference with other policies. These amended policies were: Selling Items with LLL’s Name or Logo, Books: Translations, Board Committee Members from ID, Bylaws, Amendments, Health Advisory Council: Initial Selection and Re-
Evaluation Process, Health Advisory Council: Guidelines for Use, LAC, MAC, and Appendix 20: Board Member Nomination.

The Board discussed correspondence received from Leaders regarding the philosophy concept that refers to a father’s role. A task force will be convened under the Bylaws Committee to review this concept.

If you have questions, please contact ED@llli.org.