1. 2015 System Changes Presentation to: Nutrition Service Directors Presented by: Julianne Gaston R.D. L.D. Date: July 7 & 8, 2015

2. AUGUST 3 – SEPTEMBER 3 CHECK WITH YOUR DEVELOPER Effective Date

3. PNSS DATA Part One

4. Date Previous Pregnancy Ended Name changed Name changed from Date Last Pregnancy Ended – For clarity of which pregnancy we want recorded Any pregnancy regardless of how it ended

5. 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

6. Discontinued Recumbent/standing – Not needed because all children > 2 are plotted on the same growth chart

7. Data Revised Revised for bi-annual WIC Participant and Program Characteristic (PC 2014) Revised to collect and link to participant risks

8. Parity New Definition Previously restricted to > 20 weeks Includes all previous pregnancies – Does not include current pregnancy

9. Parity Possible entries codedefinition 00None, first pregnancy 01-29Number of previous pregnancy

10. 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

11. Maternal Smoking Possible entries codeDefinition 00Does not smoke/00 cigarettes per day 01-96Number of cigarettes smoked per day 97> 97 cigarettes per day 98Smokes, quantity unknown 99Unknown or refused

12. Household Smoking Previously “Household Smoking Prenatal Visit” Now “Household Smoking” for all participants Required for all certifications, mid-certs, half- certs and mid-Assessments

13. Household Smoking Possible Entries Key is where the smoking is taking place in Participants who are smokers can be “2” if they do not smoke in their home CodeDefinition 1Yes, someone smokes inside the home 2No, no one smokes inside the home 9unknown

14. 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

15. Drinks per Week Possible entries codedefinition 00Does not drink 011 drink per week 02-97Number of drinks per week 98Drinks, but quantity unknown 99Unknown or refused

16. Certification Forms Updated paper certification forms will be available in the 2016 WIC Procedure’s Manual

17. RISK CRITERIA Part Two

18. 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

19. NUTRITION QUESTIONNAIRE IS GOING ELECTRONIC Part Three

20. 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

21. 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)

22. Nutrition Education Data elements related to nutrition education renamed to remove reference to “secondary” nutrition education

23. 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

24. Nutrition Education Contact Provided CodeDescriptionUsage *PPrimaryCertification/subcert HHigh riskHigh risk secondary LLow riskLow risk secondary NNot provided/missedMissed secondary *new

25. 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

26. Online Nutrition Education Topics CodeTopic 401Fruits and Vegetables 402Calcium 403Cholesterol 404Oral Health 405Iron 406Breastfeeding 407Strong for Life (under development) 408Physical Activity (under development)

27. COMING IN THE FUTURE GEORGIA WIC ONLINE TARGET DATE: FULL IMPLEMENTATION - OCTOBER Part Four

28. 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

29. Online Nutrition Education Front End Systems will request online data from CSC – Front end record will match CSC