WIC and Georgia Chapter of the American Academy

Promotion & Education l 2001 - 2012 Physician Education Ø 1. 2. 3. 4.

Purpose of Physician Outreach Campaign l Assist physicians and office staff in understanding public

2002 Pilot of Physician Outreach Campaign Goals l l Increase WIC participation rates Increase

Pilot Site Selection The State WIC Office & MCH selected the following as pilot

WIC & Nutrition Topics Presented l l l l l What is WIC? WIC

Birth- 5 Topics Presented l l l l Children 1 st- single point of

Public Health District’s Role l Creation of Physician Listing in District. Pediatricians, Family Physicians,

Educational Toolkit Pediatric & Family Practice WIC Georgia WIC Program Fact Sheet- Physician Reference

Educational Toolkit OB/GYN Practice WIC Georgia WIC Program Fact Sheet- Physician Reference WIC Clinic

Georgia AAP’s Role l Create an outreach toolkit that included Pediatrician Guide to Public

Challenges in Provider Outreach l l Limited face time with physician staff Large

Physician Feedback l l l Need guidance on Medical Documentation Need guidance on Special

Post Campaign Activities 2012 -2015 l General Physician Education throughout state l Development of

Things to Come… l Developing Referral & Networking Plan l Special Infant Formula Algorithm

Things to Come… l 2 Presentations at WIC Conference in August l l High

Technical Assistance l Protocol l l Please have District contact me after an attempt

Technical Assistance l l Physician Office will be contacted State Office & District Staff

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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 l 2001 - 2012 Physician Education Ø 1. 2. 3. 4. 5. WIC Physician Outreach Pilot Needs Assessment What is WIC? WIC Approved Formula & Medical Foods Referrals Resources in the community

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

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

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

WIC & Nutrition Topics Presented l l l l l 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

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

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

Educational Toolkit Pediatric & Family Practice WIC Georgia WIC Program Fact Sheet- Physician Reference WIC Clinic List- Columbus District GAWIC Formula Guide New GA WIC Food Package Flyer GA WIC Medical Documentation Forms 1 & 2 Breastfeeding Education Sheet AAP Breastfeeding Coding Fact Sheet EPIC Breastfeeding Flyer CDC Criteria for Anemia Flyer Expert Committee Guidelines on Prevention, Assessment & Treatment of Childhood Obesity AAP Obesity Coding Fact Sheet Additional Materials: WIC Partnering with Medical Community CD Breastfeeding and Mothers’ Milk- Thomas Hale, Ph. D Body Mass Index (BMI) Wheels Food and Fitness Matter: Raising Healthy, Active Kids DVD Children 1 st Physicians Guide to Coastal Public Health Programs and Services Children Special Services Brochures Children 1 st Screening and Referral Form Newborn Metabolic Screening Follow-up Brochure Universal Newborn Hearing Screening & Intervention Flow Chart AAP Coding Fact Sheet on Developmental Screening EPIC Immunization Brochure Additional Materials: Autism Tool Kit Bright Futures Tool Kit Information

Educational Toolkit OB/GYN Practice WIC Georgia WIC Program Fact Sheet- Physician Reference WIC Clinic List- Columbus District New GA WIC Food Package Flyer GA WIC Medical Documentation Forms 1 & 2 Breastfeeding Education Sheet AAP Breastfeeding Coding Fact Sheet EPIC Breastfeeding Flyer CDC Criteria for Anemia Flyer Children 1 st Additional Materials: WIC Partnering with Medical Community CD Breastfeeding and Mothers’ Milk- Thomas Hale, Ph. D Physicians Guide to Coastal Public Health Programs and Services Children Special Services Brochures Children 1 st Screening & Referral Form Newborn Metabolic Screening Followup Brochure Universal Newborn Hearing Screening & Intervention Flow Chart EPIC Immunization Brochure

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

Challenges in Provider Outreach l l 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

Physician Feedback l l l 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.

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

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

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

Technical Assistance l Protocol l l Please have District contact me after an attempt has been made to resolve issue with physician practice. During contact please provide: 1. 2. 3. 4. 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

Technical Assistance l l 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.

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