LESS IS MORE VENA FORMS What are you

LESS IS MORE VENA FORMS

What are you saying, no more forms? No! Forms are necessary & required. Think about your appointments with the doctor, dentist, and even your mechanic. WIC Professionals need forms to: ü Assess ü Document findings ü Communicate Internally ü Streamline Workflow ü Ensure Quality & Efficacy

VALUE ENHANCED • • • Nutrition Assessment Anthropometric Biochemical Clinical Dietary Environment Family information

We took a closer look at the Texas WIC forms… 1. What forms do we use now to complete a Nutrition Assessment (ABCDEF)? What purpose do they serve? 2. What forms do we need to complete a Nutrition Assessment (ABCDEF)? VALUE ENHANCED

USDA VENA Guidance says… WIC Forms should: ü Support VENA ü Be client-centered ü Promote positive counseling session ü Focus on Positive Health Outcomes ü Support Staff Communication ü Easy-to-read

New & Revised WIC FORMS Quick Intake Family Certification Form Employment Verification Form SIF Growth Charts A Participant Forms A, B REVISED Diet Health History Forms A, B, C, D* Documentation Form D, E, F NEW Counseling Tools including Conversation Starters D, E, F

Participant Forms REVISED (WIC-36, WIC-38, WIC-39, WIC-40, WIC-41, WIC-42) ØNew Participant Forms reflect Risk Code Changes

Diet Health History Forms Infant (WIC-42) • Health History • CDC Questions • Dietary Data will be collected! Child (WIC-44) • • Health History CDC Questions No Dietary Data Updates NEW REVISED Woman (WIC-45) • • Health History CDC Questions No Dietary Data Updates NEW

Child Health History Example Questions: Where does your child get health care? How long since your child’s last health care visit? How long since your child’s last dental visit? Was your child born early (37 weeks or less)? Yes No

Child Health History Example CDC Questions: (~6 questions) About how many hours did your child sit and watch television or videos/DVDs yesterday? 2 hours or less More than 2 hours None Unknown Does anyone living in your household smoke inside your home? Yes No

Child Health History UPDATE Has your child been seen by a doctor or other healthcare professional in the last 6 months? Yes No Does your child have any new or ongoing health problems or concerns? Yes No Is there anyone living in your household who currently smokes inside the home? Yes No About how many hours per did your child sit and watch television or videos/DVDs yesterday? 2 hours or less More than 2 hours None Unknown

WOMEN & CHILDREN Use the Health History Form at initial cert & sub-certs as needed Use the Update Form at subsequent certifications NEW! Only 4 Questions!

What will replace the Diet Recall? Ø Diet Health History Form üInfant Diet Questions üCDC questions Ø Conversation Starters üOpen-ended questions Ø Counseling Skills Ø Documentation Tool How will I assess Dietary, Environmental, and Family factors?

Conversation Starters NEW What is the greatest concern you have about your child’s health today? What are some traditional practices that affect your mealtime planning and mealtime setting? What do you do when you have little time to prepare meals?

NEW VENA Documentation Tool The purpose of this tool is to: Ø Promote continuity of care Ø Improve internal communications Ø Establish Credibility Certification Sub-Cert

Documentation Tool • Designed to have one form per family. • Designed to be used in multiple certifications or counseling visits • Designed to make the counseling sessions more effective

Family Documentation Tool

Documentation Tool Components

1. 2. 3. 4. 5. 6. Family’s Concerns & Interests WIC Professional’s Concerns Specialized Referrals (optional) Confidence Scale (optional) Goal & Action Plan Follow up on Goal

VENA Documentation New NE Code: VC-000 -99 NEW

VENA Support • IDL Training • Job Aids – Medical Abbreviations • Continued Development VENA Form ROLLOUT October 1, 2007

Job Aids • • FIT KIDS= HAPPY KIDS Flipchart Agenda Setting Circles Goal Setting Resources Health history forms with risk codes numbers and definitions Standard abbreviations suggestions A reference book for each person doing counseling IDL training, training and more training Other ideas – Conversation flip charts-similar to Fit Kids = Happy Kids – Things you can keep on your desk and have at your fingertips.

Your Questions & Feedback • Step up to the Microphone • Write your ? ? ? s on note card Email: Rebecca. Turnbow@dshs. state. tx. us (512) 341 -4400 ext 2303 Krista. Neal@dshs. state. tx. us (512) 341 -4400 ext 2309