January 2, 2007 WIC Update

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SUBJECT 1: State Office Closed for Holiday
SUBJECT 2: HANDS System Changes
SUBJECT 3: Tri-Monthly Food Instrument Issuance Project Update
SUBJECT 4: WIC and Senior Farmers' Market Nutrition Programs Update
SUBJECT 5: Visioning the Future of the Registered Dietitian (RD)

  1. State Office Closed for Holiday:  The State WIC office will be closed and there will be no HANDS Help Desk coverage on Monday, January 15, 2007 because of the Martin Luther King, Jr. holiday.
    If you have questions contact Mark Davis at mark.davis@health.mo.gov or 800-392-8209 or 573-526-5323.
  2. HANDS System Changes:  Effective immediately, when a date of last normal menses (DLNM) and pregnancy code (PREG Code) needs to be changed, the local WIC provider will no longer need to call the WIC HANDS Help Desk for assistance.

    Key the DLNM on the H205 screen and then press CTRL.  This will automatically change the PREG Code for the record.

    Only the current pregnancy, DLNM/PREG Code can be changed.
    Previous pregnancy DLNM/Preg Codes cannot be changed.

    This change is needed when a woman's EDC date changes or when an automatic risk factor (such as X5 premature) for an infant is assigned in error or needs to be assigned.

    If you have any questions about this change, please call or email Melissa Seaver at Melissa.Seaver@health.mo.gov or 800-392-8209 or 573-751-6489.
  1. Tri-Monthly Food Instrument Issuance Project Update:  State staff has been working for the past several months to develop the tri-monthly food instrument issuance pilot project.  Project focus' include: implement tri-monthly FI issuance for low/moderate risk participants; improve nutrition services for breastfeeding and/or high-risk participants; enhance program performance for new participants; and enhance resource management (time, personnel and funding) at the local level through resource reallocation.  They have identified measurements of success and pilot agency selection criteria.  These are attached for your reference.  The tri-monthly pilot period will be six months.  The pilot group will include a minimum of 6 agencies (2 small (< 500 monthly caseload), 3 medium (501-1500 monthly caseload) and 1 large (> 1501 monthly caseload) and a maximum of 12 agencies (3 small, 6 medium and 3 large - 1 from Kansas City/Jackson County, 1 from St. Louis City/County and 1 from a rural county); a minimum of 2 agencies with satellite clinic sites; and a maximum of 2 pilot agencies for each state TA team/health district.  Twenty-two (22) agencies have volunteered to be in the pilot project.  Pilot agencies from each health district are being selected according to their last quarter's performance as documented on selected WIC reports (refer to pilot agency selection criteria on attached summary) and overall ability to successfully follow-through during the pilot period.  Also attached is the project plan timeline for the tri-monthly project.  Agencies selected for the first pilot group will be notified in January.  Please contact Lyn Konstant (Lyn.Konstant@health.mo.gov) with questions on the tri-monthly FI issuance project.
  2. WIC and Senior Farmers' Market Nutrition Programs Update:  We have been receiving some calls from local farmers' markets inquiring about whether we will be operating the WIC and Senior Farmers' Market Nutrition Programs (FMNP/SFMNP) in 2007.  As you may recall, both the programs were terminated at the end of the 2004 season due to lack of match funding required in order to receive the federal funds.  The General Assembly allocated general revenue funds for state fiscal year 2007 for match.  We completed the application for WIC FMNP funding in November; we will not be notified about the status of our application until at least mid January.  USDA told us that the priority for WIC FMNP funding would be to existing programs, so we are not optimistic about being funded.  We will not be applying for SFMNP funding because USDA is not accepting any applications for new programs in 2007.  The limited funding is being allocated to existing programs only.  The federal funding for both programs has not increased in past years, so USDA makes its allocation decisions accordingly.  Please feel free to share this information with local farmers' markets if these contact you.  For more information, please contact Randy Walton, WIC Vendor Coordinator at Randy.Walton@health.mo.gov.
  3. Visioning the Future of the Registered Dietitian (RD):  The attached is from an e-mail sent from American Dietetic Association (ADA) requesting information about the dietetics practice specifically for the Registered Dietitian.  ADA is requesting people from a variety of backgrounds, RDs and non-RD's to complete the survey.  We highly encourage you to review the attached and complete this survey since it has the potential to have major implications for the WIC program.  The more responses ADA receives, the more apt they are to listen to what people are saying about the field of dietetics and Registered Dietitians.  If you have any questions, please contact Vicki.Strickland@health.mo.gov.

Attachments:
Pilot Agency Selection Criteria & Pilot Make-up Recommendations
Project Plan 12-14-2006
Dietetics Practice Information Request