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WIC Coordinator Webcast 2/23/12

WIC Coordinator Webcast 2/23/12. ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives. WIC Updates ~. Breastfeeding Project FRESH Benefit Level Change to $30 Media and PSA’s WIC Opinion Survey Customer Service. WIC Funding and Status~. FY 2012 Funding Level

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WIC Coordinator Webcast 2/23/12

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  1. WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

  2. WIC Updates ~ • Breastfeeding • Project FRESH Benefit Level Change to $30 • Media and PSA’s • WIC Opinion Survey • Customer Service

  3. WIC Funding and Status~ • FY 2012 Funding Level • Breastfeeding Funding and Support • FY 2013 Budget • Food Costs

  4. Caseload ~ • Final FY 2011 Reports • FY 2012 – First Quarter • Charting Participation • Review Monthly

  5. New Initiatives~ • Looking at Enhancements • Summer EBT for Children • WIChealth.org • Audits, Fraud, Others

  6. WIC Fall Coordinator’s Meeting ~Save the Dates~ Oct. 9 and 10, 2012 Tuesday and Wednesday Bay City

  7. WIC System Update WIC Coordinator Meeting February 23, 2012 Laurie Perrelli, MS, RD WIC System Requirements Manager

  8. 2012 MI-WIC Releases Release 5.1- April 12 Available in your clinics April 13

  9. Release 5.1 (April 2/13) includes: Breastfeeding Assessment incorporated into Guided Script Future Appointments button Bug Fixes Underweight/overweight MI-WIC auto-risk assignment by MI-WIC Client Agreement validation AND MORE…

  10. Tune into the Release 5.1 Web Cast for more information March 29, 2012

  11. Other 2012 MI-WIC Changes New WHO Growth Charts New Risk Codes

  12. 2012 MI-WIC Releases Release 5.2 – August 9 (available in your clinics August 10) Release 5.3 – December 13 (available in your clinics December 14)

  13. REMINDER Clinics must stop using MI-WIC by 5:00 p.m. on the Thursday before the release into the clinic

  14. A notification has been sent to your Health Officers re: MI-WIC Releases

  15. Questions/Comments? Laurie Perrelli, MS, RD WIC System Requirements Manager (517) 335-8631 perrellil@michigan.gov

  16. WIC Risk Criteria Changes 2011-2012 • 7 Revised Risks and 1 New Risk based on: • Risk Identification and Selection Collaborative (RISC) 5 year review cycle • 2 risks revised • CDC 2010 Growth Chart recommendations • NCHS 2010 Terminology for Childhood Overweight and Obesity • Anthropometric definitions or titles are impacted

  17. WIC Risk Changes-Revised • 103 Underweight or At Risk of Underweight (Infants and Children) • Previous terminology: At Risk of Becoming Underweight • Michigan-Underweight will continue as a separate High Risk • 113 Obese (Children 2-5 years) • Continues as >95th percentile BMI for age • Client-centered sensitivity re: “obese” • Use term for assessment documentation only

  18. WIC Risk Changes-Revised • 114: Overweight or At Risk of Overweight (Children 2-5 years) • Previous terminology: At Risk of Becoming Overweight • 121: Short Stature or At Risk of Short Stature (Infants and Children) • Revised cut-offs reflect WHO growth chart • 152 Low Head Circumference (0-24 mo) • Revised cut-offs reflect WHO growth chart • Age criterion expanded to 24 months

  19. WIC Risk Changes-Revised • 344 Thyroid Disorders (All Categories) • Expanded diagnosis definitions • hyperthyroidism • hypothyroidism • congenital hyperthyroidism • congenital hypothyroidism • postpartum thyroiditis • Diagnosis by health care provider

  20. WIC Risk Changes-Revised • 351 Inborn Errors of Metabolism (IEM) • All Categories (Infant, Children, Women) • IEM are Rare • Criteria include new information on • Definitions Justifications • Clarifications References • WIC implications • Specialized formula for some • Support of the dietary care plan developed by a specialized treatment center • Coordination of care opportunities

  21. WIC Risk Changes-NEW • 115: High Weight for Length (Infants & Children < 24 months of age) • No previous criteria for excessive wt-for-length • >97.7 percentile • Identification of potential risk for later overweight or obesity status

  22. WIC Laboratory Manual Revised January 31, 2012 Effective April 1, 2012

  23. WIC Laboratory Manual • WIC Website (www.michigan.gov/wic) • WIC Laboratory Manual and Appendices • Beneath MI-WIC Policy 2.16 Hematological Risk Determination • Training Manual Section • Forms and Resources • WIC Daily Client Log: Hemocue (DCH-1489) • WIC Hemocue QC Log (DCH-1488)

  24. Lab Manual Changes • Removal of References to: • Hematocrit Procedures • Hemocue B Analyzers

  25. Lab Manual Changes (cont’d):Hand Hygiene Requirements • Hand washing with soap -OR- • Hand Sanitizers • Recommend that hand sanitizers contain at least 60% Ethyl Alcohol • Practice Hand Hygiene Before and After Each Client • Continued Requirement for Sinks in the Lab Area • More information on hand hygiene: www.cdc.gov/handwashing

  26. Lab Manual Changes (cont’d):Personal Protective Equipment • Personal Protective Equipment to include: • Full length lab coat -OR- • Scrubs • Scrubs that become soiled with potentially hazardous body fluids must be changed before continuing clinic activities

  27. Lab Manual Changes (cont’d):Retention schedules • Changed Retention Schedule of QC and Daily Client Logs to be Consistent with Other WIC Retention Schedules • 3 years, 150 days Following end of Fiscal Year • Lab logs must be retained in the lab area for 2 months • Copy of Manufacturer’s Package Insert for each lot number of liquid control solutions are retained with the corresponding QC Log

  28. Suspected Child Abuse and Neglect Reporting • NEW!!! Centralized phone reporting • Begins March 5, 2012 • All reporting of suspected child abuse and neglect • Follow within 72 hours with a DHS-3200 Report of Suspected Child Abuse and Neglect

  29. The Importance of Referrals Are your clients receiving the best care?

  30. MI-WIC Policy 6.02 states: • “During the initial certification visit and thereafter as appropriate, each client, parent or caretaker shall be advised of the types of health and community services available, where they are located, how they may be obtained, and why they may be useful.”

  31. Federal Regulations, CFR 246.7(b) states: • “Program Referral and Access. State and local agencies shall provide WIC Program applicants and participants or their designated proxies with information on other health-related and public assistance programs, and when appropriate, shall refer applicants and participants to such programs.”

  32. How are we doing as a State? • Management Evaluation Indicators tell the story: • 5.1a Medicaid Referrals – 50% Met • 5.1b Health and Resource Referrals – 45.5% Met • 5.1c Substance Abuse Referral Info – 63.6% Met

  33. We can do better……….How? • Chart Audit Training – March • check MPHI Training Website for dates • Saginaw, Livingston County, Kent County, and Grand Traverse County • Webcast April 12th, 2012 • Statewide M.E. results, 2011 and changes for the coming M.E.’s (head’s up) • Upcoming CPA Trainings – • March 21st , and 22nd in Grand Rapids • April 24th, and 25th in Clare

  34. Observe CPA staff to determine if they are under documenting

  35. We Can all do Better! • Let’s give our WIC Clients our best care so they may achieve their best outcomes!

  36. New Coordinator Survival Skills – coming soon ~ Suggested New WIC Coordinator Orientation ~ Archive Webcast Table – roles and viewing times

  37. New Coordinator Survival Skills ~Next Steps: Conference call with new coordinators Feedback from WIC Local Agency Policy Committee

  38. Local Agency Volunteers Needed – Video Conference Test March 8, Thursday – WIC video conference test date. ~ 9:30 am to 10:30 am (possibly less time) April 12, Thursday – WIC Management Evaluation 2011 Feedback & Related ME Policy Video Webcast mjbe#3

  39. WIC Video Conferencing • March 8 Test Date 9:30 to 10 :30 am • Need feedback from four local WIC Agencies: a) experienced videoconference sites (2) b) inexperienced video conference sites (2) c ) need camera ball, or camera on/connected to your videoconferencing computer d) volunteer now and/or e-mail Heather (1-one) Kahn KahnH1@michigan.gov mjbe #4

  40. WIC Trainings *CPA March 21st – 22nd Grand Rapids April 24th – 25th Clare *WICRelease Webcast March 29th *Breastfeeding Coordinators March 27th *Time Savers - Milk Expression March 28th *ME Related Policy & Feedback Webcast April 12th *Preventing Birth Defects: A Collaborative Effort April 26th - Webcast

  41. BREAK 10 Minutes

  42. What’s New in Breastfeeding? Training Pumps Regional LCs WIC Conference New FY Peer Counselor Budgets MI BF Network Awards

  43. Growing IBCLCs CLS Course • Intensive Lactation Management • Preparatory for IBCLC exam • April 16 – 20 • FAX the Registration by March 15

  44. Building Bridges to BF Duration • USDA/MWR Project • Partnership Local WIC & Hospital • Best Practices • 2012: May 30 & 31st • 2013 Planning

  45. Breast Pumps • Contract Change • Personal Use Electric Pump Returning to Work or School Separated from Baby Plan to Continue Breastfeeding Policy 4.06

  46. Regional Lactation Consultants • Technical Consultation to the LA expert Back-up to the LA Expert Peer Counselor Updates No Client Contact

  47. WIC’s WOW Conference • Tapping Into the Power of Influence • Yes You CAN! • Helping Moms Return to Exclusive BF • Breastfeeding Education Challenges

  48. Peer Counselor Budgets • FY 2012 – 2013 • Use DCH Forms: 385 and 386 • Due April 20th • E-mail to lothamerj@michigan.gov

  49. And the Nominee is… • Michigan BF Network Awards • Health Care Provider • Public Health • Community www.mibfnetwork.org/projects/annual-awards

  50. VOTER REGISTRATION, CIVIL RIGHTS and OUTREACH

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