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WIC Coordinators Meeting 10/27/05 Revised 11/8/05. Alethia Carr Director. Agenda . Where’s MIHP? System Upgrade Caseload Issues Funding News Infrastructure Grants. Mission of WIC.

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WIC Coordinators Meeting 10/27/05 Revised 11/8/05


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    1. WIC Coordinators Meeting10/27/05Revised 11/8/05 Alethia Carr Director

    2. Agenda • Where’s MIHP? • System Upgrade • Caseload Issues • Funding News • Infrastructure Grants MDCH WIC DIVISION

    3. Mission of WIC Mission——To improve health outcomes and quality of life for eligible women, infants and children by providing nutritious food, nutrition education, breastfeeding promotion and support and referrals to health and other services. — MDCH WIC DIVISION

    4. Vision of WIC . . . To have a major impact on improving health outcomes for participants, be recognized as a national leader, and achieve excellent satisfaction as viewed by the participants and the general public. MDCH WIC DIVISION

    5. Where’s MIHP ? • Policy Change Issued • Prelim Report from Pilots • WIC Should . . . • Visit website often MDCH WIC DIVISION

    6. New Policy Bulletin • Changes Name to MIHP • Gives new Screening Form • Revises the Assessment Form • New Revised Care Plan • Supports Integrated Efforts • Future Plans • Tell Us Your Concerns MDCH WIC DIVISION

    7. System Upgrade Project • Thank you for your input • Your work has just begun • Expert will report details • Planning is key to survival • What bothers you about SUP? MDCH WIC DIVISION

    8. Caseload Issues • Mi Participation Up 2K • Reasonable Caseloads • Waiting List Requirements • Consider Community Partners MDCH WIC DIVISION

    9. Funding News • Continuing Resolution • Maintenance Proposed • Food Funds may be short • Caution continues MDCH WIC DIVISION

    10. Infrastructure Grants • Guidance sent • Key points to Remember • Due 11/23 • Address a priority • Explain budget • Give details MDCH WIC DIVISION

    11. Summary • Expect many changes • Planning reduces surprises • Thanks for your GREAT WORK MDCH WIC DIVISION

    12. WIC Vision . . . To have a major impact on improving health outcomes for participants, be recognized as a national leader, and achieve excellent satisfaction as viewed by the participants and the general public. MDCH WIC DIVISION

    13. Vendor Management & Operations Rosendo C. Reyes Dates and responses for M-TRACX availability Coupon Echo Number problems

    14. Dates & Responses for M-TRACX Availability State Holidays, M-TRACX NOT Planned to be Available: • November 11, 24, 25, 2005 • December 23, 26, 30 2005 • January 2, 16, 2006 • February 20, 2006 • May 26, 2006 • July 4, 2006 • September 4, 2006 Reference: WCL #2005-22 Note: Underlined dates were requested for Online availability. MDCH WIC DIVISION

    15. ECHO Number Errors • ALWAYS check the COMPLETE Printer Coupon Number against the COMPLETE computer Coupon Verify Number before pressing Transmit! • FAILURE TO CHECK each time IS A CITATION ON THE ACCREDITATION MANAGEMENT EVALUATION! • As soon as the Echo problems are discovered, FIXimmediately. • Contact the Participant to return for new coupons. MDCH WIC DIVISION

    16. ECHO Number Error Impact • The vendor does not initially get paid. • WIC staff must manually review all rejected coupons to determine if valid. • WIC staff have to key into M-TRACX every coupon determined to be valid. • An additional check must be created for each vendor that redeemed one of these coupons. • The rolling average price of these coupons for the peer groups are not accurate. MDCH WIC DIVISION

    17. Local Agency Issues Michelle R. Moore – Local Agency Liaison • Assignment Changes • Equipment Replacement • Clinic Moves • Anti-Virus/Software Updates MDCH WIC DIVISION

    18. Assignment Changes • Michelle Moore will be the liaison for all agencies. • If you need training, have questions regarding clinic moves, closures, etc, contact her at 517-335-8632. • Mary Ann Baker will be focusing on data reporting issues. Please remember, allow a minimum of 2 weeks for ad hoc reports. To request reports, contact your consultant. WCL 2005-31 MDCH WIC DIVISION

    19. Equipment Replacement • Currently, computers with with Windows 98 and Windows 2000 are being replaced. • Some machines with WIN ME may also be replaced. • Agency provided machines will not be replaced by the state WIC office. • Prior to machines being delivered to your clinics, DIT staff will contact you. • If you have questions, contact Michelle. MDCH WIC DIVISION

    20. Clinic Moves • Clinics moving to new locations or relocating within the same building should provide a minimum of 60 days notice. (90 days is better.) • To open a new automated clinic, 90 days is required. This is to ensure that DIT has time to contact with the phone company for circuit connections & disconnections. It also allows them to block off time to be available to assist local IT staff if necessary. • Please provide at least 30 days notice for clinic closures. MDCH WIC DIVISION

    21. Anti-Virus/Software Updates • Per TIPS message #5, it is imperative that any software updates sent from Microsoft, be installed on your PCs. Users are automatically notified of available XP updates. • Also, it is necessary to have the most recent anti-virus software loaded on each computer. • Contact your local IT staff if you have any questions about your virus software. MDCH WIC DIVISION

    22. VENA • VENA is changing WIC dietary assessment from emphasison Diet assessment to Improved nutrition education with a Client-centered approach • Emphasis on client conversations that help increase participant sense of ownership and involvement in their WIC experience • Will draw on motivational negotiation • See FAQ attachment MDCH WIC DIVISION

    23. VENA Training in 2006 • WIC Conference 2006: • 2010 – The Future of WIC Nutrition Assessment • Current WIC Assessment Protocol • Dietary assessment in light of the new Value Enhanced Nutrition Assessment (VENA) guidance. MDCH WIC DIVISION

    24. USDA VENA Timeline • Final VENA guidance (Now delayed to 12/05) • Fiscal Year 2005 - FNS develops VENA Staff Training Curriculum and other technical assistance • 2006 - WIC State agencies review existing nutrition assessment protocols and FNS conducts regional Competencies Training • August 15, 2007 - WIC State agencies submit VENA implementation plans to FNS Regional Offices • Fiscal Year 2008-2009 - WIC State agencies revise nutrition assessment policy and procedures • October 1, 2009 - VENA implemented MDCH WIC DIVISION

    25. Other WIC Training in 2006 • Provide 1 or 2 training opportunities in new FY to discuss 2006 change in risk codes preliminary to VENA • New Dietary Guidance (US Dietary Guidelines) and Diet Assessment (My Pyramid) tools related to risk code changes MDCH WIC DIVISION

    26. Fit WIC for Overweight • Fit WIC video intended to be used with facilitated discussion • Posters for clinics mailed out – Set of 4 posters, about 3 sets per clinic sent to coordinator MDCH WIC DIVISION

    27. Revisions to MI WIC Risk Codes Effective October 1, 2005 Policies were sent AFTER the Effective date Please implement ASAP, but NO LATER THAN November 1, 2005

    28. Policies Affected • 1.02 – Overview of WIC Program • 2.04 – Medical & Nutritional Risk • 6.02 – Content of Nutrition Education • 6.03 – Required Services for High Risk • 6.05 – Documentation of Nutr Services MDCH WIC DIVISION

    29. Policy 1.02 – Overview of WIC Program • Additional information about foods provided by WIC (“supplemental foods”) – based on USDA definition • Changes Michigan Department of Public Health (MDPH) to Michigan Department of Community Health (MDCH) MDCH WIC DIVISION

    30. Policy 2.04 – Medical & Nutritional Risk • Michigan accreditation document changes • Minor changes provide clarification of written text • Reference added MDCH WIC DIVISION

    31. Policy 2.04 – Medical & Nutritional Risk -- Exhibit A • Reflects changed USDA Risk Criteria • Criterion #103, Underweight or At Risk of Becoming Underweight (Infants and Children) and Criterion # 104, High-risk underweight • Round down to whole number • Removes VLBW note MDCH WIC DIVISION

    32. 2.04 – Medical & Nutritional RiskExhibit A • Reflects changed USDA Risk Criteria • The statement “This risk code does not apply when measurements are plotted on the VLBW Growth Charts” No longer applies due to use of gestation adjusted age and was removed from • Code #113, High Risk Overweight • 114, At Risk of Overweight • 121, Short Stature or At Risk of Short Stature • 135, Inadequate Growth • 152, Low Head Circumference MDCH WIC DIVISION

    33. 2.04 – Medical & Nutritional RiskExhibit C • Reflects changed USDA Risk Criteria • Addition of Exhibit 2.04C -- Guidelines for Growth Charts and Gestational Age Adjustment for Low Birth Weight and Very Low Birth Weight Infants • Attachment on calculating gestation adjusted age MDCH WIC DIVISION

    34. 2.04 – Medical & Nutritional RiskExhibit C • Guidelines related to Growth Charts are under review in Michigan and a memo will be sent out sometime in November 2005 MDCH WIC DIVISION

    35. 2.04 – Medical & Nutritional RiskExhibit A • Exhibit C is referenced in • Criterion #121, Short Stature or At Risk of Short Stature (Infants and Children) • Criterion #134, Failure to Thrive • Criterion #141, Low Birth Weight and Very Low Birth Weight • Criterion #151, Small for Gestational Age • Criterion #152, Low Head Circumference • Criterion #153, Large for Gestational Age (LGA) MDCH WIC DIVISION

    36. 2.04 – Medical & Nutritional RiskExhibit A • Reflects changed USDA Risk Criteria • Criterion #142, , Prematurity (MTRACX change expands age range for code to 24 months) • References Exhibit C MDCH WIC DIVISION

    37. 2.04 – Medical & Nutritional RiskExhibit A • Reflect changed USDA Risk Criteria • Criterion #337, History of Large for Gestational Age (LGA) Infant • Code now applies to breastfeeding and non-lactating women MDCH WIC DIVISION

    38. 6.02 – Content of Nutrition Education • Definition of “nutrition education” from USDA • Policy 6.02 and Exhibit B changed wording to reflect scheduling with the RD rather than referring participant to the RD MDCH WIC DIVISION

    39. 6.03 – Required Services for High Risk • Documenting high risk • Changes reflecting nutrition care plans • Changes wording on scheduling vs. referring to the RD • Wording changes about “no show” visits • Change reflecting information about how a nutrition education contact can be counted MDCH WIC DIVISION

    40. 6.03 – Required Services for High Risk • Exhibit 603B Provides a template for High Risk Nutrition Care Plans MDCH WIC DIVISION

    41. 6.05 – Documentation of Nutrition Services • Exhibit 6.05B Gives internet module codes and changes module names MDCH WIC DIVISION

    42. Marketing Materials distributed August, 2005 Staff flyer Participant flyer Participant ID/VOC Stuffer MDCH WIC DIVISION

    43. www.wichealth.org Internet Nutrition Education WIC Coordinator Meeting October 27, 2005 MDCH WIC DIVISION

    44. 901 Make Meals and Snacks Simple 902 Secrets for Feeding Picky Eaters 904 Create Good Eating Habits in Your Child 903 Trust Your Child to Eat Enough 905 Help your Child make Good Eating Choices 907 Happy, Healthy Active Children 906 Support For Breastfeeding Moms 908 Be Healthy as Your Baby Grows Two New Modules are now Available ! (Temporary Module Codes) (440)Starting To Feed Your Baby Solid Foods (442)Your Baby’s First Cup MDCH WIC DIVISION

    45. Module Codes • 901 – 908 are now available in MTRACX for the first 8 modules. • Use temporary codes for the two new modules: • 440 Starting to Feed Your Baby Solids • 442 Your Baby’s First Cup MDCH WIC DIVISION

    46. October 5, 2004 – March 31, 2005 31.8% MDCH WIC DIVISION

    47. October 2004 – June 2005 MDCH WIC DIVISION

    48. Most Popular Modules?? Happy, Healthy Active Children Make Meals and Snacks Simple Trust Your Child to Eat Enough Secrets for Feeding Picky Eaters MDCH WIC DIVISION

    49. Standard High Risk Care Plans Coming soon.... MDCH WIC DIVISION

    50. MDCH WIC DIVISION