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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