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WIC and Georgia Chapter of the American Academy of Pediatrics Collaborations

WIC and Georgia Chapter of the American Academy of Pediatrics Collaborations. Kylia Crane, RDN, LD Nutrition Coordinator Georgia Chapter- American Academy of Pediatrics kcrane@gaaap.org 404-881-5093. Promotion & Education. 2001- 2012 Physician Education WIC Physician Outreach Pilot

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WIC and Georgia Chapter of the American Academy of Pediatrics Collaborations

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  1. WIC and Georgia Chapter of theAmerican Academy of PediatricsCollaborations Kylia Crane, RDN, LD Nutrition Coordinator Georgia Chapter- American Academy of Pediatrics kcrane@gaaap.org 404-881-5093

  2. Promotion & Education • 2001- 2012 Physician Education • WIC Physician Outreach Pilot • Needs Assessment • What is WIC? • WIC Approved Formula & Medical Foods • Referrals • Resources in the community

  3. Purpose of Physician Outreach Campaign • Assist physicians and office staff in understanding public health programs and services for women, infants and children • Identify the benefits of these programs • Encourage referrals by physicians to appropriate public health programs and services

  4. 2002 Pilot of Physician Outreach Campaign Goals • Increase WIC participation rates • Increase breastfeeding rates • Address childhood obesity • Increase physician awareness of Children 1st , services related to Georgia’s Newborn Screening for Metabolic and Sickle Cell Disorders and Universal Newborn Hearing Screening and Intervention

  5. Pilot Site Selection The State WIC Office & MCH selected the following as pilot sites: • Dublin- FY 03 • Waycross- FY 04 • Macon- FY 05 • Valdosta- FY 06 • Augusta- FY 07 • Coastal- FY 08 • Technical Assistance Project- FY 09 • Columbus- FY 10 • Clayton- FY 11 • Rome- FY 12

  6. WIC & Nutrition Topics Presented • What is WIC? • WIC services • Qualifications/Eligibility • Referrals • WIC Formula Contract/ Medical Documentation • Breastfeeding support • EPIC Breastfeeding Program • Feeding Practices • Childhood obesity- Expert Committee Recommendations • Utilizing Local Resources

  7. Birth- 5 Topics Presented • Children 1st- single point of entry • Universal Newborn Hearing Screening & Intervention • Metabolic screening • Babies Can’t Wait • Childrens Medical Services • High Risk Infant Follow Up • GA HealthCheck Requirements

  8. Public Health District’s Role • Creation of Physician Listing in District- Pediatricians, Family Physicians, & OB-Gyns • Districts selected outreach method- Lunch workshops, office visit, educational toolkit, regional Meetings, grand rounds • Strongly encouraged District/County staff would attend scheduled office visits • District Tailored Outreach Materials

  9. Educational Toolkit

  10. Educational Toolkit

  11. Georgia AAP’s Role • Create an outreach toolkit that included Pediatrician Guide to Public Health Programs and Services as a core piece • Lunch and Learn Workshops to Physicians & Practice Staff • Identify benefits of these programs for physicians and their patients • Provided referral & resource materials • Answer questions/concerns about WIC

  12. Challenges in Provider Outreach • Limited face time with physician staff • Large practices may having “rolling” lunch break • Bias or negative perception of public health • Bias or negative perceptions of physicians & staff

  13. Physician Feedback • Need guidance on Medical Documentation • Need guidance on Special Formulas & Appropriate Usage • Physicians concern over language used to discuss WIC Medical Prescriptions ex. This formula is approved with prescription. Preferred- This formula is approved if patient has appropriate diagnosis indicated for that formula.

  14. Post Campaign Activities 2012-2015 • General Physician Education throughout state • Development of Special Formula Infant Formula Algorithm- Stan Cohen, MD • Trainings on Infant Formula • Technical assistance with Medical Documentation- Special Formulas & Medical Foods • WIC Advocate Survey Dissemination • EPIC Breastfeeding Program

  15. Things to Come… • Developing Referral & Networking Plan • Special Infant Formula Algorithm • Evaluation of effectiveness • Update algorithm & resource information • Developing policies for issuance of Child Special Formula Nutritionals

  16. Things to Come… • 2 Presentations at WIC Conference in August • High Risk Infant-Special Formulas • Premature Infant Nutrition- Treatment Guidelines • Technical assistance with physicians- Medical Documentation- Special Formula Issuance • Blast-communications • Newsletter Articles

  17. Technical Assistance • Protocol • Please have District contact me after an attempt has been made to resolve issue with physician practice. • During contact please provide: • Patient Name, DOB, parent/guardian name • Physician/or Practice Staff Name, number • Diagnosis- any necessary documented information • Name of WIC Clinic, Nutritionist who contacted Physician/Practice Staff

  18. Technical Assistance • Physician Office will be contacted • State Office & District Staff will receive communication on status of issue • If issue not resolved via phone- possible lunch and learn workshop may be approved. • Lunch and learn workshop- I will schedule and invite District/and or County staff to attend at physician practice. I will assist District/County staff in sharing of information for workshop.

  19. Questions ???

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