WIC Coordinator Webcast 22312 Directors Updates WIC Funding

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 WIC and PSA’s Opinion Survey Customer Service

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

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

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

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

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

2012 MI-WIC Releases Release 5. 1 - April 12 Available in your clinics April 13

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…

Tune into the Release 5. 1 Web Cast for more information March 29, 2012

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

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)

REMINDER Clinics must stop using MIWIC by 5: 00 p. m. on the Thursday before the release into the clinic

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

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

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

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 >95 th percentile BMI for age ◦ Client-centered sensitivity re: “obese” Use term for assessment documentation only

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

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

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

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

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

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)

Lab Manual Changes Removal of References to: ◦ Hematocrit Procedures ◦ Hemocue B Analyzers

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 Area More Requirement for Sinks in the Lab information on hand hygiene:

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

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 ØLab logs must be retained in the lab area for 2 months ØCopy of Manufacturer’s Package Insert for each lot number of liquid control solutions are retained with the corresponding QC Log

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

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

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. ”

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. ”

How are we doing as a State? • Management Evaluation Indicators tell the story: • 5. 1 a Medicaid Referrals – 50% Met • 5. 1 b Health and Resource Referrals – 45. 5% Met • 5. 1 c Substance Abuse Referral Info – 63. 6% Met

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 12 th, 2012 Statewide M. E. results, 2011 and changes for the coming M. E. ’s (head’s up) Upcoming CPA Trainings – March 21 st , and 22 nd in Grand Rapids April 24 th, and 25 th in Clare

Observe CPA staff to determine if they are under documenting

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

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

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

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

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. H 1@michigan. gov mjbe #4

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

BREAK 10 Minutes

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

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

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

Breast Pumps Contract Change Personal Use Electric Pump Returning to Work or School Separated from Baby Plan to Continue Breastfeeding Policy 4. 06

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

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

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

And the Nominee is… Michigan BF Network Awards ◦ Health Care Provider ◦ Public Health ◦ Community www. mibfnetwork. org/projects/annualawards

VOTER REGISTRATION, CIVIL RIGHTS and OUTREACH

Voter Registration Important Information (MI WIC Policy 1. 10): 1 - Remember to offer voter registration to all clients at certification, recertification and at the time of change of address. 2 - Help the client complete the VR Form when needed 3 - With Change of Address by phone mail VR form to client. 4 - Declination Forms must be completed when client answers NO, is under age 18 or already registered at present address.

Voter Registration

When to give the client the Voter Registration (VR) or Declination Form Yes, interested in registering to vote No, Declination obtained No, Registered at Present address Address Change Under age 18 Give the client the VR Application Give the Declination Form, have client sign and date Give the client the Declination form, have client sign and date Give the client the VR Form to complete or mail if called in Give them the Declination From

Voter Registration WIC E-notice 2012 -13 Voter Registration Deadlines

Civil Rights (MI WIC Policy 1. 09)

Civil Rights All new staff must take the test immediately. Those who have previously taken and passed the test shall review the Civil Rights policy once a year. Names of those passing the test shall be reported annually with the Nutrition Services Plans and documented in MI WIC.

Civil Rights MI WIC Policy 9. 02 – Employee Compliance - Guidance #3 states: The Michigan WIC Employee Confidentiality and Compliance Agreement and Signature Form (9. 02 A) may be reviewed and signed by WIC staff in conjunction with the annual Civil Rights Training.

Civil Rights Remember to input all of your staffs’ trainings in MI WIC, to do this go to the: The Admin Screen User Setup Staff Information Select staff persons name Staff Training

Civil Rights

Outreach

To get to the Civil Rights Power Point go to: www. Michigan. gov/WIC

Look for Civil Rights

Thank you Cheryl Bernard, MPA Public Health Consultant bernardc@michigan. gov

REGISTRATION NOW OPEN …. 2012 WIC Training & Educational Conference Register you and your staff TODAY @ www. events. mphi. org

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

Q& A Break 10 Minutes