Nutrition Education Management Evaluation Tools Record Review - - PDF document

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Nutrition Education Management Evaluation Tools Record Review - - PDF document

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10/16/2020 Nutrition Education Management Evaluation Tools Record Review Training 1 Lesson Plans -Group Education -S elf-Directed Modules -Take Home Nutrition Ed 2 1 10/16/2020 Nutrition Ed Materials 3 List of S tate approved

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Nutrition Education

Management Evaluation Tools Record Review Training

Lesson Plans

  • Group Education
  • S

elf-Directed Modules

  • Take Home Nutrition Ed

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Nutrition Ed Materials

List of S tate approved publications (No review of materials required by LA)

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Nutrition Ed Cont’ d Education Mall/ S elf Directed Modules

  • How are topics offered?
  • Easy to understand, current, appropriate for

client?

  • Is there Evaluation of client learning?
  • Behavior change based?

5 6

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Breastfeeding Education and S upport

Breastpump Issuance

  • Education on Manual Expression?
  • Pump Assembly and Cleaning?
  • Milk Handling and S

torage?

  • Documentation
  • Pump
  • Pump Release S

igned!

  • Education

Breastfeeding Education and S upport

Breastfeeding Peers

  • Client Centered?
  • Contact Documented?
  • Referral to IBCLC

7 8

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Interim Nutrition Ed Contact

Observe Group or Individual education

  • Client Centered
  • Attainable goals
  • Interaction positive?
  • Evaluation?

Nutrition Counseling/ Care Plan Observation

  • Nutrition Assessment?
  • Client’s nutrition problem/ concern/ needs/ motivation
  • Client’s input
  • Intervention Plan
  • Identified Behavior Change/Goal(s) identified by client & RD
  • NE documented
  • Plan
  • Next Appt
  • Indicators to monitor and evaluate client progress toward goal

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Administration ME Tool LA Required Procedures

  • 1. Disaster Plan
  • 2. Returned Formula (if donating)
  • 3. Hematological Re-test
  • 4. Immunization Policy
  • 5. Nutrition Education Collaboration-Proj ect Fresh & MS

UE

  • 6. Homeless Facility Agreement

11 12

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Certification Timeframes 10/20 day report

 Lists clients (Cert/PCert) who are scheduled outside of

10/20 day allowance

“ Y

es” means that client was scheduled for this date at their request, even though “ sooner” appointments were available

“ No” means that clients were scheduled for this date

because no sooner appointments were available

Initial appointment scheduled, if rescheduled, the client

will still display on the list as over 10/ 20 day

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10/20 day Report

13 14

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Returned Formula

  • S

torage-Limited Access

  • Out of site of clients
  • Following LA Policy?
  • Logs completed and sent to S

tate WIC

  • Replace returned formula with EBT benefits

15 16

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Breastfeeding Education, Promotion and Support Environment Training of staff Promotion and S upport of client Classes S upport Groups Peer Counselors After Hours availability of Peer counselor Breastpump Inventory

S taffing

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MI-WIC Policy 9.02A

  • Complete annually

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Dual Enrollment

  • Only WIC-WIC

Resolving Dual Enrollment

  • Do monthly

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Do Monthly Blank Page = Zero Dual Enrollments!

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Caseload Management Report

  • clinic/ reports/ caseload

 Closeout participation should

average 97%

  • f base caseload

 Closeout reported at end of

2nd month

Jan reported March 5th  Initial participation is

participation for specified month at end of month

Jan reported Feb 5th  Enrollment is current

number of enrollees eligible for benefits

25

Single Cert Audit Requirements

The WIC Coordinator or designee shall conduct an audit of:

1.

All infant formula fed (IFF/IBP) certification records within 14 days of the certification

2.

And At Least 20%

  • f a random sample
  • f the remaining records

within 14 days of the certification

Use Exhibit 9.03A, WIC S ingle Cert ifier Audit Tool, Exhibit 9.03B WIC S ingle Cert ifier Audit Tool Inst ruct ions and Exhibit 9.03C WIC S ingle Cert ifier Audit Evaluat ion Tool

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Policy 9.03A WIC Single Certifier Audit Tool

RR: S ection 2 28

27 28

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RR: S ection 2 29

9.03C WIC Single Certifier Audit Evaluation Tool

29 30

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Lead Test Billing Report

 Identifies clients who received lead testing in WIC  Assists in billing  Used in ME’s to determine

Need to review budget for Funding sources for lead.

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MIHP Billing Report

 Lists clients who received MIHP services

in WIC.

 May assist WIC with Referrals/ follow-up  May assist in billing for MIHP

32

31 32

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Annual Review

Every clinic-including subcontracts

  • Clinic safety, privacy, accessible, breastfeeding

environment

  • ” …

And Justice For All” poster(s)

  • Appointment times
  • Formula storage & logs
  • EBT card security and logs

Annual Review cont’ d

Each staff

  • Observations
  • Intake, Anthro, lab
  • Certs, evals, nutrition ed, HR counseling (RDs)
  • Record Review
  • Provide feedback

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High Risk Monitoring

  • Are all High Risk (HR) clients being

referred?

  • Record Review
  • HR Record Review
  • Class III Formula clients
  • Appointments available in 30 days
  • Annually Review (minimally)

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OUTREACH/ CIVIL RIGHTS

Referrals

  • Info on Medicaid
  • Other health services

Outreach

  • Annually public announce

WIC eligibility Clinic locations and phone numbers Institutions-group homes, shelters, etc

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Civil Rights Non-Discrimination S tatement

  • Outreach materials
  • Website
  • WIC Newsletters
  • NE material-LA developed and

mentions WIC

  • Current (10/ 15)

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“… And Justice for All” poster

  • Green
  • Dated 9/ 19
  • Prominent place (minimum 1)

Racial/Ethnic

  • Complaints forwarded to US

DA

  • Language availability
  • Families Count by Primary

language

  • Materials
  • Bi-lingual staff

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Civil Rights Training

  • New staff (Upon Hire)
  • All staff annually
  • mihealth.org online course
  • Certificate & S

core

Client Interviews

  • Reviewers complete
  • Do you have surveys, suggestion boxes, or

ways of following up on client satisfaction?

  • Quality Assurance piece for health

department

43 44

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Recordkeeping & Accountability Tool

45

EBT Bulk Card Security page 2

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47

Review 6 pages of EBT Card Issuance logs from various staff and for different time periods. Are logs completed, as required?

(MI-WIC Policy 8.09 Michigan WIC Bridge Card Issuance)

EBT Daily Use

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47 48

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Do S ignature Forms & Authorized Person S ignatures match what was recorded in the logs? (MI-WIC Policy 8.08 Michigan WIC Bridge Card S ecurity )

49

S elect 10 random new card issuances (from different issuers and dates), review S IGNATURE FORMS and AUTHORIZED PERS ON S IGNATURES as recorded in MI-WIC to verify card issuance to the authorized person. (MI-WIC Policy 8.08 Michigan WIC Bridge Card S ecurity )

EBT Daily Use Cards

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MI-WIC: Clinic Module -> Miscellaneous -> Images

EBT Daily Use Cards

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S ignature in MI-WIC should Match S ignature on Form

Jan Jones Jan Jones

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Limit Daily Use to 20-25 cards

EBT Card Security

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S ecure at end of day

EBT Card Security

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Certification/ Observation Tool

Evaluation: Scoring

 Evaluate record using checklist, score each

element

 “+” met expectations/ policy  “0” did not meet expectations/ policy  “N/A” not applicable to record  S

core or total each element

  • Frequent, infrequent or no errors?
  • Two or more is a CITATION for ME’s
56

55 56

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Clerk/CPA Observation Tools

Quality Assurance Checklists to use in staff observations

 Peer  S

upervisor

 Feedback to staff  Identify training

needs

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Quality Assurance for Lab and Anthro

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Quality Assurance for Lab and Anthro

Questions

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2021 Management Evaluations

Initially Remote MEs Fillable Tools on Website

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