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Prematurity Question 12 – X5 Infants only (use %)

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Presentation on theme: "Prematurity Question 12 – X5 Infants only (use %)"— Presentation transcript:

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3 Prematurity Question 12 – X5 Infants only (use %)

4 Low Birth Weight Question 12 – X4 Infants and Children (use %)

5 Overweight, Children Question 12 – A5 & A6 Children only (use %)

6 Anemia Question 12 – B1 Children only (use %)

7 Anemia Question 12 – Y1 Children only (use %)

8 Anemia Question 11 – B1 Prenatal (P), Breastfeeding (B) and Postpartum (N) (use %)

9 Anemia Question 11 – Y1 Prenatal (P), Breastfeeding (B) and Postpartum (N) (use %)

10 Overweight Women on WIC Question 11 – A4 Prenatal (P), Breastfeeding (B) and Postpartum (N) (use %)

11 Prenatal Weight Gain Question 8 Less than or equal 15 lbs (use %)

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13 Breastfeeding Anytime

14 Breastfeeding Duration 6 mo

15 Breastfeeding Duration 1 yr

16 Smoking Behavior Question 7 Prenatal (P), Breastfeeding (B) and Postpartum (N) (use %)

17 Drinking Behavior Question 7 Prenatal (P), Breastfeeding (B) and Postpartum (N) (use %)

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19 Enrollment in WIC, 1st trimester (use the percentage)

20 Prenatal Care Began in 1st trimester (use the percentage)

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22 No-Show Rates - CR

23 No-Show Rates - VN

24 Contracted Monthly Caseload

25 Monthly Caseload –W

26 Monthly Caseload – I

27 Monthly Caseload – INP

28 Monthly Caseload – C

29 Monthly Caseload – # MO Count the number of months with data

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31 Use this total from all received 680-01 quarterly reports from the previous year. (Oct, Jan, Apr and July)

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33 Lost and Stolen Total this number from Oct, Jan, Apr and July’s quarterly reports.

34 Void or Damaged Total this number from Oct, Jan, Apr and July’s quarterly reports.

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36 Total Infant Food Packages

37 Standard Formula Food Packages Total all Enfamil, Prosobee and Lactofree products

38 Premature Formula Food Packages Total all Enfacare, and Neosure products

39 Hypoallergenic Formula Food Packages Total all Nutramigen, Alimentum and Pregestimil products

40 Special Formula Food Packages Total all Other and Special Formula products

41 Breastfeeding Food Packages Total all Cereal and Juice and Blank Package Number products


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