1990

• The second HIP member survey is published
• The Bladder Health Council is formed by the American Foundation of Urologic Disease of the American Urological Association, with HIP as a charter member
• Receives third mention in Dear Abby column resulting in 45,000 inquiries
• The Junior League of Spartanburg supplies volunteers to assist HIP with responses, while the post office is so overwhelmed that it temporarily suspends operations.

1991

• Moves to larger offices in Spartanburg, SC
• Article in Readers Digest promotes new Bladder Retraining program offered by HIP
• Serves as consultant to Agency for Healthcare Policy & Research (AHCPR) in the production of Clinical Practice Guidelines for Urinary Incontinence in Adults
• 2nd printing of Pelvic Muscle Exercise Cassette Tape and Booklet
• HIP establishes 1-800-BLADDER toll-free consumer hot line

1992

• Katherine Jeter increases her service to HIP by accepting a full-time position as Executive Director
• HIP published Bladder Control: How to Regain It, How to Maintain It video
• Third HIP member survey is published
• Serves as peer reviewer for the AHCPR’s Clinical Practice Guidelines
• Celebrates 10-year anniversary with a special logo and four- point message

1993

• Releases 1993-95 Strategic Plan
• Third printing of Pelvic Muscle Exercises for Men and Women (Audio Cassette Tape and Booklet)
• Establishes new level of HIP professional membership
• Participates for the first time at the International Continence Society (ICS) annual conference
• For the first time, incontinence appears among the top three issues that women report to public health service agencies. In addition, the 1992 HIP member survey indicates that 87% of respondents had seen a physician about their incontinence, dramatically higher than non-members
• Establishes the Continence Resource Service (CRS) database of healthcare providers who are specially trained in the diagnosis and treatment of incontinence for the purposes of assisting consumers needing referrals of local providers

1994

• HIP and The Simon Foundation for Continence collaborate to create the Alliance for Continence, a partnership originally conceived to respond jointly to media and consumer inquiries
• HIP, in cooperation with The Simon Foundation, publishes the Clinician’s Desk Reference – Assessment, Treatment, and Management of Incontinence, borrowing from a format concept of the Continence Foundation of Australia, Ltd. and the Continence Foundation in England.
• Consumer Education Days (in collaboration with The Simon Foundation) are planned and hosted in Phoenix, Dallas, Boca Raton, New York City, and San Mateo, CA
• HIP organization headquarters moves to larger offices in Spartanburg, SC, doubles again in size.
• Develops a Speaker’s Bureau comprised of HIP professional members
• Funded by an NIH Research Grant, HIP hosts the symposium “Managing Incontinence in Elderly Dependent Institutionalized and Community Dwelling Persons: An Agenda for Research and Care”
• HIP publishes Guidelines and Recommendations for Two Models of Continence Care funded by a grant from F.O. Wisman.
• Katherine Jeter is appointed as consumer representative to the FDA’s Gastroenterology/Urology Devices Panel for a 4-year term

1995

• HIP joins with the American Foundation for Urologic Disease (AFUD) and others to create a functional Bladder Health Council to orchestrate the first ever Bladder Health Week on September 10-16, 1995. It is subsequently moved to the second full week in November of each year
• Katherine Jeter retires as HIP Executive Director and is named Director-Emeritus of the Board alongside Charles Sigety
• Nancy Muller serves as Interim Executive Director and Advisor to the Board during a national search for new Executive Director
• HIP revamps criteria for its Continence Resource Service requirements to enable participation by allied health professionals including nurse practitioners, nurse specialists, and physical/occupational therapists. CRS quickly triples in size

1996

• Organization changes name to the National Association For Continence (NAFC) to be more contemporary in its appeal, more positive in its image, and broader in its outreach
• The HIP Report newsletter is renamed as Quality Care®.
• Lynda Christison is hired as NAFC’s new Executive Director
• NAFC enjoys significant media mentions on the NBC Today Show and in Prevention Magazine.
• NAFC member survey (Consumer ’96: A Survey) is published and presented at the International Continence Society (ICS) in Athens, Greece
• NAFC launches its consumer education website: www.nafc.org
• NAFC initiates the Annual Giving fundraising campaign

1997

• NAFC publishes the first Men’s Pelvic Muscle Exercises Audio Cassette Tape and Manual
• A planned giving program is initiated to promote long-range fund development
• Fourth Dear Abby mention appears nationwide in the syndicated column
• First appearance in AARP’s Modern Maturity magazine.
• F.O. Wisman gives a grant to establish an endowment fund that was initiated by a Board matching contribution campaign

1998

• NAFC designs a poster for distribution to physician clinics to encourage patients to ask their healthcare provider about incontinence
• Lynda Christison resigns as NAFC Executive Director
• Board Members John Bouda and Lindsey Kerr, MD are temporarily named as Interim Executive Director and NAFC National Spokesperson, respectively.
• NAFC’s database is redesigned to enable electronic order processing/tracking and include member history and profiles
• NAFC expands its Annual Meeting to include an educational program for healthcare professionals with continuing education credits
• 1999
• Published the Take Control Support Group Kit