Kylia Crane, RDN, LDNutrition Coordinator

Georgia Chapter- American Academy of Pediatrics

kcrane@gaaap.org404-881-5093

WIC and Georgia Chapter of theAmerican Academy of PediatricsCollaborations

Promotion & Education

2001- 2012 Physician Education WIC Physician Outreach Pilot1. Needs Assessment 2. What is WIC?3. WIC Approved Formula & Medical Foods4. Referrals5. Resources in the community

Purpose 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

2002 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 Georgia’s Newborn Screening for Metabolic and Sickle Cell Disorders and Universal Newborn Hearing Screening and Intervention

Pilot 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

WIC & 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

Birth- 5 Topics Presented

Children 1st- single point of entry Universal Newborn Hearing Screening &

Intervention Metabolic screening Babies Can’t Wait Childrens Medical Services High Risk Infant Follow Up GA HealthCheck Requirements

Public Health District’s Role

Creation of Physician Listing in District-Pediatricians, Family Physicians, & OB-Gyns

Districts selected outreach method-Lunch workshops, office visit, educational toolkit, regionalMeetings, grand rounds

Strongly encouraged District/County staff would attend scheduled office visits

District Tailored Outreach Materials

Educational ToolkitPediatric & 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 

Educational ToolkitOB/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

Georgia AAP’s 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

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

Physician 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.

Post 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

Things 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

Things 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

Technical Assistance Protocol

Please have District contact me after an attempt has been made to resolve issue with physician practice.

During contact please provide:1. Patient Name, DOB, parent/guardian name

2. Physician/or Practice Staff Name, number

3. Diagnosis- any necessary documented information

4. Name of WIC Clinic, Nutritionist who contacted Physician/Practice Staff

Technical 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.

Questions???