WIC Coordinator Webcast WIC Coordinator Webcast 2/23/122/23/12

~ Director’s Updates~ WIC Funding and Status~ Caseload~ New Initiatives

WIC Updates ~WIC Updates ~Breastfeeding

Project FRESH Benefit Level Change to $30

Media and PSA’s

WIC Opinion Survey

Customer Service

WIC Funding and Status~WIC Funding and Status~FY 2012 Funding Level

Breastfeeding Funding and Support

FY 2013 Budget

Food Costs

Caseload ~Caseload ~Final FY 2011 Reports

FY 2012 – First Quarter

Charting Participation

Review Monthly

New Initiatives~New Initiatives~Looking at Enhancements

Summer EBT for Children

WIChealth.org

Audits, Fraud, Others

WIC Fall Coordinator’s WIC Fall Coordinator’s MeetingMeeting

~Save the Dates~

Oct. 9 and 10, 2012Tuesday and Wednesday

Bay City

WIC System UpdateWIC System UpdateWIC Coordinator MeetingFebruary 23, 2012

Laurie Perrelli, MS, RDWIC System Requirements Manager

2012 MI-WIC Releases

Release 5.1- April 12Available in your clinics April 13

Release 5.1 (April 2/13) includes:Breastfeeding Assessment incorporated into

Guided Script

Future Appointments button

Bug FixesUnderweight/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 ReleasesRelease 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 MI-WIC 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, RDWIC System Requirements

Manager(517) 335-8631perrellil@michigan.gov

WIC Risk Criteria Changes WIC Risk Criteria Changes 2011-2012 2011-2012

7 Revised Risks and 1 New Risk 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-WIC Risk Changes-RevisedRevised 103 Underweight or 103 Underweight or At Risk of At Risk of

Underweight (Infants and Children) 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) 113 Obese (Children 2-5 years) ◦ Continues as >95th percentile BMI for age◦ Client-centered sensitivity re: “obese”

Use term for assessment documentation only

WIC Risk Changes-RevisedWIC Risk Changes-Revised 114: Overweight or At Risk of 114: Overweight or At Risk of

Overweight (Children 2-5 years) Overweight (Children 2-5 years) ◦ Previous terminology: At Risk of Becoming

Overweight 121: Short Stature or At Risk of Short 121: Short Stature or At Risk of Short

Stature (Infants and Children)Stature (Infants and Children)◦ Revised cut-offs reflect WHO growth chart

152 Low Head Circumference (0-24 mo)152 Low Head Circumference (0-24 mo)◦ Revised cut-offs reflect WHO growth chart◦ Age criterion expanded to 24 months

WIC Risk Changes-RevisedWIC Risk Changes-Revised344 Thyroid Disorders (All 344 Thyroid Disorders (All

Categories)Categories)Expanded diagnosis definitions

◦ hyperthyroidism◦ hypothyroidism◦ congenital hyperthyroidism◦ congenital hypothyroidism◦ postpartum thyroiditis

Diagnosis by health care provider

WIC Risk Changes-RevisedWIC Risk Changes-Revised351 Inborn Errors of Metabolism 351 Inborn Errors of Metabolism

(IEM)(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

WIC Risk Changes-NEWWIC Risk Changes-NEW115: High Weight for Length 115: High Weight for Length

(Infants & Children < 24 months of (Infants & Children < 24 months of age)age)◦ No previous criteria for excessive wt-for-

length◦ >97.7 percentile◦ Identification of potential risk for later

overweight or obesity status

WIC Laboratory WIC Laboratory ManualManual

Revised January 31, 2012

Effective April 1, 2012

WIC Laboratory ManualWIC 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 ChangesLab Manual Changes

Removal of References to:

◦Hematocrit Procedures

◦Hemocue B Analyzers

Lab Manual Changes (cont’d):Lab Manual Changes (cont’d):

Hand Hygiene RequirementsHand 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

Lab Manual Changes (cont’d):Lab Manual Changes (cont’d):

Personal Protective EquipmentPersonal Protective Equipment

Personal Protective Equipment to include:

◦Full length lab coat-OR-

◦ScrubsScrubs that become soiled with potentially hazardous body fluids must be changed before continuing clinic activities

Lab Manual Changes (cont’d):Lab Manual Changes (cont’d):

Retention schedulesRetention 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

Suspected Child Abuse Suspected Child Abuse and Neglect Reportingand 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 The Importance of ReferralsReferralsAre your clients receiving the best care?

MI-WIC Policy 6.02 states: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 Federal Regulations, CFR 246.7(b) states: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 How are we doing as a State?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

We can do We can do better……….How?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

Observe CPA staff to Observe CPA staff to determine if they are under determine if they are under documentingdocumenting

We Can all do Better!We Can all do Better!• Let’s give our WIC Clients our our

best care best care so they may achieve their best outcomestheir best outcomes!

New Coordinator Survival New Coordinator Survival Skills – coming soonSkills – coming soon

~ Suggested New WIC Coordinator Orientation

~ Archive Webcast Table – roles and viewing times

New Coordinator Survival New Coordinator Survival SkillsSkills ~Next Steps:

Conference call with new coordinators

Feedback from WIC Local Agency Policy Committee

Local Agency Volunteers Local Agency Volunteers Needed – Video Conference Needed – Video Conference TestTest

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 ConferencingWIC 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

WIC TrainingsWIC Trainings*CPA March 21st – 22nd Grand Rapids April 24th – 25th Clare*WIC Release Webcast

March 29th

*Breastfeeding CoordinatorsMarch 27th

*Time Savers - Milk ExpressionMarch 28th

*ME Related Policy & Feedback WebcastApril 12th

*Preventing Birth Defects: A Collaborative Effort

April 26th - Webcast

BREAK 10 MinutesBREAK 10 Minutes

What’s New in What’s New in Breastfeeding?Breastfeeding?

• Training• Pumps• Regional LCs• WIC Conference• New FY Peer Counselor Budgets • MI BF Network Awards

Growing IBCLCsGrowing IBCLCs

CLS CourseIntensive Lactation Management

Preparatory for IBCLC exam

April 16 – 20

FAX the Registration by March 15

Building Bridges to BF Building Bridges to BF DurationDuration

USDA/MWR Project

Partnership Local WIC & Hospital◦Best Practices◦2012: May 30 & 31st

2013 Planning

Breast PumpsBreast PumpsContract Change

Personal Use Electric PumpReturning to Work or School

Separated from Baby

Plan to Continue BreastfeedingPolicy 4.06

Regional Lactation Regional Lactation ConsultantsConsultants

Technical Consultation to the LA expert

Back-up to the LA Expert

Peer Counselor Updates

No Client Contact

WIC’s WIC’s WOWWOW Conference Conference

Tapping Into the Power of Influence

Yes You CAN!

Helping Moms Return to Exclusive BF

Breastfeeding Education Challenges

Peer Counselor BudgetsPeer Counselor Budgets

FY 2012 – 2013

Use DCH Forms: 385 and 386

Due April 20th

E-mail to lothamerj@michigan.gov

And the Nominee is…And the Nominee is…

Michigan BF Network Awards

◦Health Care Provider◦Public Health◦Community

www.mibfnetwork.org/projects/annual-awards

VOTER REGISTRATION, VOTER REGISTRATION, CIVIL RIGHTS and CIVIL RIGHTS and OUTREACHOUTREACH

Voter RegistrationVoter RegistrationVoter 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 needed3- 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 RegistrationVoter Registration

When to give the client the When to give the client the Voter Registration (VR) or Voter Registration (VR) or Declination FormDeclination 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 RegistrationVoter Registration WIC E-notice 2012-13 Voter Registration Deadlines

State and National Election Dates for 2012

Election Dates Dates to Send Voter Registration to City, Township or County Clerk’s Office Weekly

Dates to Send Voter Registration to City, Township or County Clerk’s Office Daily

Close of Voter Registration Dates*

2/28/12 Prior to 1/23/12 1/23/12 – 1/30/12 1/30/12

5/8/12 Prior to 4/2/12 4/2/12 – 4/9/12 4/9/12

8/7/12 Prior to 7/2/12 7/2/12 – 7/9/12 7/9/12

11/6/12 Prior to 10/2/12 10/2/12 – 10/9/12 10/9/12

Civil Rights (MI WIC Policy Civil Rights (MI WIC Policy 1.09)1.09)

Civil RightsCivil 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 RightsCivil RightsMI WIC Policy 9.02 – Employee

Compliance - Guidance #3 states:

The Michigan WIC Employee Confidentiality and Compliance Agreement and Signature Form (9.02A) may be reviewed and signed by WIC staff in conjunction with the annual Civil Rights Training.

Civil RightsCivil RightsRemember to input all of your

staffs’ trainings in MI WIC, to do this go to the:

The Admin ScreenUser SetupStaff InformationSelect staff persons nameStaff Training

Civil RightsCivil Rights

OutreachOutreach

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

Look for Civil RightsLook for Civil Rights

Thank you

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

REGISTRATIONREGISTRATIONNOWNOWOPEN ….OPEN ….2012 WIC Training & Educational ConferenceRegister you and your staff TODAY @www.events.mphi.org

WIC TrainingsWIC Trainings*CPA March 21st – 22nd Grand Rapids April 24th – 25th Clare*WIC Release Webcast

March 29th

*Breastfeeding CoordinatorsMarch 27th

*Time Savers - Milk ExpressionMarch 28th

*ME Related Policy & Feedback WebcastApril 12th

*Preventing Birth Defects: A Collaborative Effort

April 26th - Webcast

Q& A Break 10 MinutesQ& A Break 10 Minutes