Risk Rule Revisions Kevin Sarb Risk Revisions The following criteria - - PDF document

2015 Record Review Training-Formula Approval October 2015 1

Risk Rule Revisions

Kevin Sarb The following criteria were revised as part of the routine cyclical review process by USDA and will be implemented with the May 18, 2016 Release.  201 Low Hematocrit/Low Hemoglobin  211 Elevated Blood Lead Levels  332 Short Interpregnancy Interval (formerly Closely Spaced Pregnancy)  361 Depression  381 Oral Health Conditions (formerly Dental Problems)

Risk Revisions

 411 Inappropriate Nutrition Practices for Infants  425 Inappropriate Nutrition Practices for Children  601 Breastfeeding Mother of Infant at Nutritional Risk  602 Breastfeeding Complications or Potential Complications

Risk Revisions (continued)

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 Priority level for NPP women corrected  Table 201‐C was added (previously omitted)  Risk Help document has been revised.

201 Low Hematocrit/Low Hemoglobin

 Definition revised to reflect the current reference value published in guidance from the CDC.  Risk generated when blood levels are ≥ 5 µg/dl (previously ≥ 10 µg/dl) for all categories.  Updated Risk Help

211 Elevated Blood Lead Levels

 Definition cut‐off revised  reflects a more recent review of data  increased risks for adverse outcomes  Interpregnancy interval of < 18 months (540 days).  The cut‐off was previously 16 months (480 days).

332 Short Interpregnancy Interval

(formerly Closely Spaced Pregnancy)

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 This risk has been should no longer be assigned to the “Children” category.  Depression removed from the Medical Conditions pop‐up list  Guidance developed  clarify WIC’s role  increase WIC staff awareness and knowledge  Risk Help updated with revisions and new guidance

361 Depression

 Title revised to more accurately reflect the conditions included in this criterion.  MI‐WIC and Risk Help revised and updated.

381 Oral Health Conditions

(formerly Dental Problems)

 Only section 411.09 revised  Length of time human milk can be safely stored in the refrigerator has been deleted as a risk criterion.  lack of consensus (AAP, ABM) regarding how long human milk can be safely stored in the refrigerator  not possible to set a clear cut‐off  MI‐WIC and Risk Help Docs have been updated  MI‐WIC Nutrition History screen has been revised:

411 Inappropriate Nutrition Practices for Infants

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 425.01 revised  Final Rule allows for assignment of reduced‐fat milk for C1 (12‐23 months)  425.01 Inadequately fortified milk substitutes  Risk Help and MI‐WIC Nutrition History screen have been revised:

425 Inappropriate Nutrition Practices for Children

 Pregnant women added as an allowable category for assignment of this risk.

601 Breastfeeding Mother of Infant at Nutritional Risk

 Pregnant women added as an allowable category for assignment of this risk.

602 Breastfeeding Complications

• r Potential Complications

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Release 7.5 Webcast

Richard Schneider, WIC System Management Specialist Data and System Management Section

• Dr. Kobra Eghtedary, Director

Michigan WIC Program Michigan Department of Health & Human Services

 Internet Explorer (IE) browsers and Microsoft Support  Risk Codes  Scanning and Signature pad Functionality for Non‐ IE Browsers  Multi‐Document Print functionality  Mapping and distance functionality  Things to watch for at Conference  Dates and Times to Remember

Overview

 Microsoft is only supporting IE11

 Internet Explorer 11 is the only version of Internet Explorer that will continue to receive security updates, compatibility fixes, and technical support

 Many Local Agencies have already upgraded to IE11  Work with your Local IT office to ensure all computers are upgraded to IE11 by 5/6/2016

Internet Explorer browsers and Microsoft Support

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Risk Code changes

 Modification to existing risk codes  Please contact Kevin Sarb or your WIC consultant for more additional details  Currently, scanning functions only work in Internet Explorer

 Active X control developed in 2007

 New Software to allow users to scan in all browsers  Will require plug‐in installation on your computers

 Instructions will be provided by 6/1/2016

 Everyone to transition to new scan functionality by 8/5/2016

Scanning in MI‐WIC

 No immediate change after the release for IE users

 Same scan screen and functionality  “Scan” under the Miscellaneous menu

Scanning using IE browsers during transition

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 Users can use Non‐IE browsers but will need to install new plug‐in by accessing the new scan screen

Scanning using Non‐IE browsers during transition

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 Use new image with altered menu items  New image with popup to install plugin

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 Currently, signature functions only work in Internet Explorer

 Active X control developed in 2007

 New Software to allow users to use signature functionality in all browsers  Will require plug‐in installation on your computers

 Instructions will be provided by 6/1/2016

 Everyone to transition to new signature functionality by 8/5/2016

Signature functionality in MI‐WIC

 No immediate change after the release for IE users

 Same signature screen and functionality  “Signature” under the Miscellaneous menu

Post release signature using IE browsers during transition

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 Users can use Non‐IE browsers but will need to install new plug‐in and configuration settings by accessing the new signature screen

Post release signature using Non – IE browsers during transition

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 Separate circles  Prints only relevant documents to the client/family  “Print Selected” button will compile all selected documents and display them in one PDF.

 A system message will also be written to ME compliance  Documents will not be sent directly to the printer.

 “Preview Selected” button will have same functionality as “Print Selected” but will not write a message for ME Compliance

Direct Print Document Functionality

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 New mapping functionality will produce more reliable maps in MI‐WIC and WCC  Working with partners in DTMB to implement by the release

Mapping and distance functionality

 10 mile parameter screen shot needed

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 Modifications to existing report requirements will be implemented in this release.  Requirements based on Policy 9.03  More information on Single Certifier process coming soon

Single Certifier Monitoring Report

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Bug Fixes

 DSM table  Demo WIC Client Connect Mobile App  Demo MILogin  Work Groups

 System Work Group  Emergency Backup System Work Group

Things to look for at Conference

 5/18/2016 – Stop using MI‐WIC by 5:00pm  5/19/2016 – Release 7.5 will be available in Local Agencies

Dates and Times Reminder

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Questions