Title: Kylia Crane, RDN, LD
1WIC and Georgia Chapter of theAmerican Academy
of PediatricsCollaborations
- Kylia Crane, RDN, LD
- Nutrition Coordinator
- Georgia Chapter- American Academy of Pediatrics
- kcrane_at_gaaap.org
- 404-881-5093
2Promotion Education
- 2001- 2012 Physician Education
- WIC Physician Outreach Pilot
- Needs Assessment
- What is WIC?
- WIC Approved Formula Medical Foods
- Referrals
- Resources in the community
3Purpose of Physician Outreach Campaign
- Assist physicians and office staff in
understanding public health programs and services
for women, infants and children - Identify the benefits of these programs
- Encourage referrals by physicians to appropriate
public health programs and services
42002 Pilot of Physician Outreach Campaign
- Goals
- Increase WIC participation rates
- Increase breastfeeding rates
- Address childhood obesity
- Increase physician awareness of Children 1st ,
services related to Georgias Newborn Screening
for Metabolic and Sickle Cell Disorders and
Universal Newborn Hearing Screening and
Intervention
5Pilot Site Selection
- The State WIC Office MCH selected the following
as pilot sites - Dublin- FY 03
- Waycross- FY 04
- Macon- FY 05
- Valdosta- FY 06
- Augusta- FY 07
- Coastal- FY 08
- Technical Assistance Project- FY 09
- Columbus- FY 10
- Clayton- FY 11
- Rome- FY 12
6WIC Nutrition Topics Presented
- What is WIC?
- WIC services
- Qualifications/Eligibility
- Referrals
- WIC Formula Contract/ Medical Documentation
- Breastfeeding support
- EPIC Breastfeeding Program
- Feeding Practices
- Childhood obesity- Expert Committee
Recommendations - Utilizing Local Resources
7Birth- 5 Topics Presented
- Children 1st- single point of entry
- Universal Newborn Hearing Screening
Intervention - Metabolic screening
- Babies Cant Wait
- Childrens Medical Services
- High Risk Infant Follow Up
- GA HealthCheck Requirements
8Public Health Districts Role
- Creation of Physician Listing in District-
- Pediatricians, Family Physicians, OB-Gyns
- Districts selected outreach method-
- Lunch workshops, office visit, educational
toolkit, regional - Meetings, grand rounds
- Strongly encouraged District/County staff would
attend scheduled office visits - District Tailored Outreach Materials
9Educational Toolkit
Pediatric Family Practice Pediatric Family Practice
WIC Children 1st
Georgia WIC Program Fact Sheet- Physician Reference WIC Clinic List- Columbus District GAWIC Formula Guide New GA WIC Food Package Flyer GA WIC Medical Documentation Forms 1 2 Breastfeeding Education Sheet AAP Breastfeeding Coding Fact Sheet EPIC Breastfeeding Flyer CDC Criteria for Anemia Flyer Expert Committee Guidelines on Prevention, Assessment Treatment of Childhood Obesity AAP Obesity Coding Fact Sheet Additional Materials WIC Partnering with Medical Community CD Breastfeeding and Mothers Milk- Thomas Hale, PhD Body Mass Index (BMI) Wheels Food and Fitness Matter Raising Healthy, Active Kids DVD Physicians Guide to Coastal Public Health Programs and Services Children Special Services Brochures Children 1st Screening and Referral Form Newborn Metabolic Screening Follow-up Brochure Universal Newborn Hearing Screening Intervention Brochure Universal Newborn Hearing Screening Intervention Flow Chart AAP Coding Fact Sheet on Developmental Screening EPIC Immunization Brochure Additional Materials Autism Tool Kit Bright Futures Tool Kit Information
10Educational Toolkit
OB/GYN Practice OB/GYN Practice
WIC Children 1st
Georgia WIC Program Fact Sheet- Physician Reference WIC Clinic List- Columbus District New GA WIC Food Package Flyer GA WIC Medical Documentation Forms 1 2 Breastfeeding Education Sheet AAP Breastfeeding Coding Fact Sheet EPIC Breastfeeding Flyer CDC Criteria for Anemia Flyer Additional Materials WIC Partnering with Medical Community CD Breastfeeding and Mothers Milk- Thomas Hale, PhD Physicians Guide to Coastal Public Health Programs and Services Children Special Services Brochures Children 1st Screening Referral Form Newborn Metabolic Screening Follow-up Brochure Universal Newborn Hearing Screening Intervention Brochure Universal Newborn Hearing Screening Intervention Flow Chart EPIC Immunization Brochure
11Georgia AAPs Role
- Create an outreach toolkit that included
Pediatrician Guide to Public Health Programs and
Services as a core piece - Lunch and Learn Workshops to Physicians
Practice Staff - Identify benefits of these programs for
physicians and their patients - Provided referral resource materials
- Answer questions/concerns about WIC
12 Challenges in Provider Outreach
- Limited face time with physician staff
- Large practices may having rolling lunch break
- Bias or negative perception of public health
- Bias or negative perceptions of physicians
staff
13Physician Feedback
- Need guidance on Medical Documentation
- Need guidance on Special Formulas Appropriate
Usage - Physicians concern over language used to discuss
WIC Medical Prescriptions - ex. This formula is approved with prescription.
- Preferred- This formula is approved if patient
has appropriate diagnosis indicated for that
formula.
14Post Campaign Activities 2012-2015
- General Physician Education throughout state
- Development of Special Formula Infant Formula
Algorithm- Stan Cohen, MD - Trainings on Infant Formula
- Technical assistance with Medical Documentation-
Special Formulas Medical Foods - WIC Advocate Survey Dissemination
- EPIC Breastfeeding Program
15Things to Come
- Developing Referral Networking Plan
- Special Infant Formula Algorithm
- Evaluation of effectiveness
- Update algorithm resource information
- Developing policies for issuance of Child Special
Formula Nutritionals
16Things to Come
- 2 Presentations at WIC Conference in August
- High Risk Infant-Special Formulas
- Premature Infant Nutrition- Treatment Guidelines
- Technical assistance with physicians- Medical
Documentation- Special Formula Issuance - Blast-communications
- Newsletter Articles
17Technical Assistance
- Protocol
- Please have District contact me after an attempt
has been made to resolve issue with physician
practice. - During contact please provide
- Patient Name, DOB, parent/guardian name
- Physician/or Practice Staff Name, number
- Diagnosis- any necessary documented information
- Name of WIC Clinic, Nutritionist who contacted
Physician/Practice Staff
18Technical Assistance
- Physician Office will be contacted
- State Office District Staff will receive
communication on status of issue - If issue not resolved via phone- possible lunch
and learn workshop may be approved. - Lunch and learn workshop- I will schedule and
invite District/and or County staff to attend at
physician practice. I will assist District/County
staff in sharing of information for workshop.
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