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Segment 1

Webcast Introduction and Viewing

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Instructions

Viewing Tips

From the Presentation Resources tab, print the following:- Power Point Slides - Nutrition Education Documentation Cheat Sheet- The Suggested Care Plan Flow DocumentNote the Webcast Presentation Method

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Note the Webcast Presentation Method- Slide Show - MI-WIC System Demonstrations

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MI-WIC

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Nutrition Education and Care Plan Documentation in MI-WIC

Michigan Department of Community Health, WIC Division

Agenda

Agenda Item Recommended Audience

1 Webcast Intro & Viewing Instructions All Trainees1. Webcast Intro & Viewing Instructions All Trainees

2. Nutrition Education Documentation:1. At Certification2. For a 2nd NE Contact

CPA and other Nutrition Educator Staff

3. VENA Supported by MI-WIC CPA and RD

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4. Care Plan Documentation RD

5. Summary & Conclusion All Trainees

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Segment 2

N t iti Ed ti D t tiNutrition Education Documentation

1. At Certification

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2. For a 2nd Nutrition Education Contact

NE Documentation – Certification

1. At Certification:

In the screen flow of a certification, the Nutrition Education Screen follows the Nutrition and Health Summary Screen

Assessment is completed and risks are assigned

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Assessment is completed and risks are assigned BEFORE nutrition education begins

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NE Documentation – Certification

Nutrition Education ScreenEligibility Explanation

• General statement of why client is being enrolled (i.e. because WIC’s services can help with their health concerns)

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• This is provided instead of a detailed discussion and education of all client’s risk (i.e. replaces module 001 Nutrition Risk Education)

NE Documentation – Certification

Nutrition Education Screen

Refused NE – checked in the event a client refuses any education at a Certification

Bolded Topics – are suggested topics based on

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Bolded Topics – are suggested topics based on risks assigned to client

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NE Documentation – Certification

During a Certification, the number of nutrition education topics covered should be limited (i.e. only one or two different topics)p )

Documentation must include:• Date provided• NE Topic• Method• Provider

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• Provider• Evaluation OR wichealth.org-determined Stage• Provider Initials (unless wichealth.org)• Future Visit (the NE Plan for the cert period)

NE Documentation – Certification

Other fields in the Nutrition Education Details grid:

• Start Stage• Behavior Change• Notes

Date Achie ed

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• Date Achieved• Stage Movement

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NE Documentation – Certification

Future Visits

• The Future Visit grid is where the CPA documents the plan for nutrition education for the certification period.

• If a high risk has been identified for the client, the Method of the planned education must be “Counseling”

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p gwith the RD. Another method can be selected ONLY if the client is refusing counseling with the RD or if they are seeing a non-WIC RD.

NE Documentation – Certification

The main Nutrition Education Screen provides an overview of nutrition education that has been provided for the client over all certification periods.

Upon Save the month and year the education was

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p yprovided displays to the left of the topic.

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NE Documentation: 2nd NE Contact

NE Documentation for a 2nd NE contact within theNE Documentation for a 2 NE contact within the certification period must include;

• Date provided• NE Topic• Method

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Method• Provider• Evaluation OR wichealth.org-determined Stage• Provider Initials (unless wichealth.org)

NE Documentation: 2nd NE Contact

If the 2nd nutrition education contact was scheduled on the Classes screen, the user should be sure that all of the required fields are documented.

This will then populate the client’s nutrition

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p peducation record.

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Segment 3

VENA S t dVENA Supported by MI-WIC

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VENA Supported by MI-WIC

MI-WIC Policy supports VENA:

Education should NOT occur all throughout theEducation should NOT occur all throughout the assessment process as risks are identified

Eligibility Explanation instead of “Nutrition Risk Education” module 001

It is NOT expected that all health concerns are educated on

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It is NOT expected that all health concerns are educated on at the certification

Number of topics educated on should be very limited

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VENA Supported by MI-WIC

MI-WIC Screens support VENA:

On the Nutrition Education Screen, the month and year areOn the Nutrition Education Screen, the month and year are noted next to topics that have been discussed. This provides an overview of education the client has received, and allows the CPA to identify most recent education in order to provide follow-up.

Staging the client means taking into account the client’s readiness to make a change

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The client can identify a behavior change they would like to work on. Documentation of the planned change on the MI-WIC screen encourages follow-up and reinforcement at subsequent visits.

VENA Supported by MI-WIC

The Nutrition Education Plan includes:

Client signature to reinforce commitment to behavior change

Reinforces other educational messages

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g

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Segment 4

C PlCare Plan Documentation

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Care Plan Documentation

Components of the Care Plan

AssessmentsSubjective InformationGoal (high-level broad statement of expected outcome)InterventionsBehavior Change Planned

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Plan for follow-up and evaluationReferrals madeFollow-up

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Care Plan Documentation

RD Reviews the Problem List and any notesRD Reviews the Problem List and any notes from CPA and the client’s record for ht, wt, iron levels, medical history, nutrition history, other Notes, etc.

RD provides counseling as appropriate and d

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documents

Care Plan Documentation

RD provides counseling as appropriate andRD provides counseling as appropriate and documents on Care Plan Tab:

Assessments madeSubjective information received

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jIF assessment determines that a Care Plan is not needed

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Care Plan Documentation

RD provides counseling as appropriate and p g pp pdocuments on Nutrition Education Screen:

Interventions completed in the form of nutrition educationDetails should include all fields in the grid

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Details should include all fields in the grid if appropriateHigh level goal related to the nutrition education topic provided

Care Plan Documentation

RD provides counseling as appropriate andRD provides counseling as appropriate and documents on Referrals Screen any referrals provided during the counseling visit

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And on the Care Plan Tab: the plan for follow-up and evaluation

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Care Plan Documentation

The Care Plan Report pulls togetherThe Care Plan Report pulls together information documented on various screens for the counseling session.

The Nutrition Education Plan documents the

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nutrition education provided and the planned behavior change

Care Plan Documentation

The Care Plan Follow-Up Tab allows follow-The Care Plan Follow Up Tab allows followup documentation by the RD, and by other staff such as CPA or Tech staff.

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Segment 5

Summary and Conclusion

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Conclusion

In Summary

The Nutrition Education Screens in MI-WIC support client-centered education in

l i l diseveral ways including:

Documentation of the planned behavior change

Assessment of client’s readiness to change

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Assessment of client s readiness to changeClient’s signed commitment to changeOpportunities for the CPA to follow-up with

the client

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In Summary

Refer to these documents located in the Presentation Resources tab for supporting pp ginformation:

“Nutrition Education in MI-WIC Cheat Sheet”“Care Plan Documentation” Cheat Sheet

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Questions

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