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

2015 Record Review Training-Formula Approval Risk Rule Revisions Kevin Sarb Risk Revisions 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 (continued)  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 October 2015 1

2015 Record Review Training-Formula Approval 201 Low Hematocrit/Low Hemoglobin  Priority level for NPP women corrected  Table 201 ‐ C was added (previously omitted)  Risk Help document has been revised. 211 Elevated Blood Lead Levels  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 332 Short Interpregnancy Interval (formerly Closely Spaced Pregnancy)  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). October 2015 2

2015 Record Review Training-Formula Approval 361 Depression  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 381 Oral Health Conditions (formerly Dental Problems)  Title revised to more accurately reflect the conditions included in this criterion.  MI ‐ WIC and Risk Help revised and updated. 411 Inappropriate Nutrition Practices for Infants  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: October 2015 3

2015 Record Review Training-Formula Approval 425 Inappropriate Nutrition Practices for Children  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: 601 Breastfeeding Mother of Infant at Nutritional Risk  Pregnant women added as an allowable category for assignment of this risk. 602 Breastfeeding Complications or Potential Complications  Pregnant women added as an allowable category for assignment of this risk. October 2015 4

2015 Record Review Training-Formula Approval 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 Overview  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 Internet Explorer browsers and Microsoft Support  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 October 2015 5

2015 Record Review Training-Formula Approval Risk Code changes  Modification to existing risk codes  Please contact Kevin Sarb or your WIC consultant for more additional details Scanning in MI ‐ WIC  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 using IE browsers during transition  No immediate change after the release for IE users  Same scan screen and functionality  “Scan” under the Miscellaneous menu October 2015 6

2015 Record Review Training-Formula Approval Scanning using Non ‐ IE browsers during transition  Users can use Non ‐ IE browsers but will need to install new plug ‐ in by accessing the new scan screen October 2015 7

2015 Record Review Training-Formula Approval  Use new image with altered menu items  New image with popup to install plugin October 2015 8

2015 Record Review Training-Formula Approval Signature functionality in MI ‐ WIC  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 Post release signature using IE browsers during transition  No immediate change after the release for IE users  Same signature screen and functionality  “Signature” under the Miscellaneous menu October 2015 9

2015 Record Review Training-Formula Approval Post release signature using Non – IE browsers during transition  Users can use Non ‐ IE browsers but will need to install new plug ‐ in and configuration settings by accessing the new signature screen October 2015 10

2015 Record Review Training-Formula Approval  Separate circles Direct Print Document Functionality  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 October 2015 11

2015 Record Review Training-Formula Approval October 2015 12

2015 Record Review Training-Formula Approval Mapping and distance functionality  New mapping functionality will produce more reliable maps in MI ‐ WIC and WCC  Working with partners in DTMB to implement by the release  10 mile parameter screen shot needed October 2015 13

2015 Record Review Training-Formula Approval October 2015 14

2015 Record Review Training-Formula Approval Single Certifier Monitoring Report  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 October 2015 15

2015 Record Review Training-Formula Approval Bug Fixes Things to look for at Conference  DSM table  Demo WIC Client Connect Mobile App  Demo MILogin  Work Groups  System Work Group  Emergency Backup System Work Group Dates and Times Reminder  5/18/2016 – Stop using MI ‐ WIC by 5:00pm  5/19/2016 – Release 7.5 will be available in Local Agencies October 2015 16

2015 Record Review Training-Formula Approval Questions October 2015 17