2015 System Changes

Presentation to: Nutrition Service Directors

Presented by: Julianne Gaston R.D. L.D.

Date: July 7 & 8, 2015

AUGUST 3 – SEPTEMBER 3CHECK WITH YOUR DEVELOPER

Effective Date

PNSS DATAPart One

Date Previous Pregnancy Ended

• Name changed from Date Last Pregnancy Ended– For clarity of which pregnancy we want

recorded

• Any pregnancy regardless of how it ended

PNSS DATA Discontinued• PNSS (Pregnancy Nutrition Surveillance

System) data is no longer being collected by CDC– Diabetes during pregnancy– Hypertension during pregnancy – postpartum

visit– Multivitamin consumption prior to pregnancy– Cigarettes per day - prior to pregnancy– Cigarettes per day - postpartum visit– Cigarettes per day – last 3 months of

pregnancy– Household smoking – postpartum visit– Drinks per week - 3 months prior to pregnancy

Discontinued• Recumbent/standing

– Not needed because all children > 2 are plotted on the same growth chart

Data Revised• Revised for bi-annual WIC Participant and

Program Characteristic (PC 2014)• Revised to collect and link to participant

risks

Parity• New Definition• Previously restricted to > 20 weeks• Includes all previous pregnancies

– Does not include current pregnancy

Parity• Possible entries

code definition

00 None, first pregnancy

01-29

Number of previous pregnancy

Maternal Smoking• Previously “Cigarettes Per Day – Prenatal

Visit”• Now “Cigarettes Per Day” for all women

– Enter the number of cigarettes woman is currently smoking

• Required for certifications and mid-Assessments

Maternal Smoking• Possible entries

code Definition

00 Does not smoke/00 cigarettes per day

01-96 Number of cigarettes smoked per day

97 > 97 cigarettes per day

98 Smokes, quantity unknown

99 Unknown or refused

Household Smoking• Previously “Household Smoking Prenatal

Visit”• Now “Household Smoking” for all

participants• Required for all certifications, mid-certs,

half-certs and mid-Assessments

Household Smoking• Possible Entries

• Key is where the smoking is taking place• Participants who are smokers can be “2” if

they do not smoke in their home

Code Definition

1 Yes, someone smokes inside the home

2 No, no one smokes inside the home

9 unknown

Drinks per Week• Previously “Drinks Per Week – Last Three

Months of Pregnancy”• Now “Drinks Per Week” for all women• Required for certifications and mid-

Assessments

Drinks per Week• Possible entries

code definition

00 Does not drink

01 1 drink per week

02-97 Number of drinks per week

98 Drinks, but quantity unknown

99 Unknown or refused

Certification Forms• Updated paper certification forms will be

available in the 2016 WIC Procedure’s Manual

RISK CRITERIAPart Two

Data Element #30 – Reason for Certification

• Risk 361 – “Depression” removed as risk for child

• Risk 381 – “Dental Problems” renamed “Oral Health”

Changes to risk criteria will be discussed in detail at July training

NUTRITION QUESTIONNAIRE IS GOING ELECTRONIC

Part Three

Inappropriate Nutrition Practices

• When risk 400 is selected, user must choose at least one inappropriate nutrition practice– INP must match WIC Type– For each INP selected, a text box will be

provided to enter documentation– Documentation will print on cert form

*Changes to inappropriate nutrition practice definitions will be discussed in detail at July risk criteria training

Goal Text Box• All systems will provide a place to

document goal • Space for 200 characters (some systems

will allow for more)• Goal will print on certification form

• Example – Mom will provide three servings of vegetables per day starting tomorrow and decrease time from three to two hours per day. (120)

Nutrition Education• Data elements related to nutrition

education renamed to remove reference to “secondary” nutrition education

Primary Nutrition Education• Primary (provided at certification) nutrition

education will be documented in the system

• Primary nutrition education required for transactions C (certification) and S (Subcert)

• All primary nutrition education will be recorded as an individual nutrition education type

Nutrition Education Contact Provided

Code Description Usage

*P Primary Certification/subcert

H High risk High risk secondary

L Low risk Low risk secondary

N Not provided/missed

Missed secondary

*new

Nutrition Education Topics• Exit Counseling

– For infant/child, new topic added• Called “Exit Counseling”• Replaces “Alcohol, Tobacco, Drugs and other Harmful

Substances” and “Immunizations”• Exit Counseling will be at the top of the list• User will only need to check one box instead of two

• New topics/codes for online nutrition education– Start with a “4”– Allowed for all WIC types

Online Nutrition Education Topics

Code Topic

401 Fruits and Vegetables

402 Calcium

403 Cholesterol

404 Oral Health

405 Iron

406 Breastfeeding

407 Strong for Life (under development)

408 Physical Activity (under development)

COMING IN THE FUTUREGEORGIA WIC ONLINETARGET DATE: FULL IMPLEMENTATION - OCTOBER

Part Four

Online Nutrition Education• Family Enrollment

– Enter all family members ID numbers– Enter GAWIConline.org with any previously

recorded ID

• Data Transfer to CSC– All of the family WIC ID numbers– Date of lesson completed– Topic

• CSC will add to participant record– Can be viewed on GWIS

Online Nutrition Education• Front End Systems will request online data

from CSC– Front end record will match CSC