CELIAC & NUTRITION

Fall 2013

“WIC TALKS” Program Questions and Answers

“Quality means doing it right

when no one is looking”

By: Henry

Ford

Inside This Issue:

NE. Stats 2

FNS Update & P&P Updates

6-7

Local Agency Happenings

7

Breastfeeding Updates

8-9

Social Media 9

State Office Updates

10-11

FAQ’s 3-4

Obesity Graphics

12

New Staff & SDWIC IT Updates

5

2014 Bi-Mo. Scheduled Calls

13

Volume 4, Issue 1

Sources: Academy of Nutrition and Dietetics

Nutrition Care Manual

Foods to Avoid

WHEAT

RYE BARLEY

OATS

Wheat-KINDS: Spelt, Kamut, Faro, Durum, Semolina, Triticale Wheat-FORMS: Wheat bran, couscous, graham, matzo, wheat germ, cracked wheat, farina Barley: Malt, malt flavoring, malt extract, malt syrup, malt vinegar Untested oats

READ LABLES - MANY SEASONINGS & SAUCES ARE MADE WITH FERMENTED

GRAINS THAT CONTAIN GLUTEN

Foods to Offer

Amaranth, Arrowroot, Bean flours, Buckwheat, Corn flour, Flax, Millet, Nut flours, Oats processed to be gluten-free, Potato flour, Rice (all forms), Sorghum, Soy, Tapi-oca Milk & Milk Products (all types) Meat/Proteins - Fish, poultry, eggs, nuts/butters, dried legumes, lentils Vegetables - All fresh, plain frozen, and canned Fruits - All fresh, plain frozen, and canned Fats/Oils - Vegetable oils, butter

Celiac disease is an autoimmune disease of the small intestine, is characterized by damage to the villus epithelial cells in response to ingestion of gluten in genetically susceptible Individuals. Gluten is a protein found in some cereal grains, including wheat. The damage to the small intestine resolves when gluten is removed from the diet. (Murray, 1999; Fasano, 2001). Celiac disease was once thought to be rare however, epidemiological studies in Europe and in the United States indicate that the prevalence of celiac disease in both locations is approximately 1 in 130 to 1 in 300, making it one of the most common genetically based diseases (Fasano, 2003). The prevalence in children is estimated to range from as few as 1 in 300 to as many as 1 in 80 (Hill, 2005). The prevalence of celiac disease is higher among individuals who fall within the scope of the following (Hill, 2005l Fasano, 2003): *First & second degree relatives of individuals with history of celiac disease * Insulin dependent diabetes * Autoimmune thyroiditis * Down syndrome * Turner syndrome * Williams syndrome * IgA deficiency * Dental enamel defects * Osteoporosis * Iron-deficiency anemia resistant to iron therapy * Short stature * delayed puberty. Management of this chronic disease is dependent on lifelong, strict adherence to a gluten free diet.

SDWIC IT - NUTRITION STATS 2013 Page 2

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Wic.org

NE

RD

TOP NUTRITION EDUCATION PROVIDER’S

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MyPlate

Veg/Fruit

Infant 1‐5

TOP NUTRITION TOPICS

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Pmealtime

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TOP GROUP CLASSES OFFERED

The following are questions/suggestions raised by staff. Answers provide program policy clarification or a response to suggestions.

Page 3 “WIC TALKS”

SDWIC– IT

Q When we print out the schedule every day it is a jumbled mess. Is there a way that we can print so it is organized by authorized person?

A There are two options to print the daily schedule: Print Schedule button at the bottom of the screen or the Print Screen. The Print Schedule is a list by day of scheduled appoint-ments. The Print Screen is a “calendar” look at the schedule. The option to arrange by authorized person is not available as appointments are not scheduled by authorized per-son, but for clients/families.

Food Package & Approved Foods

Q Can we allow organic baby foods and if not can we issue a cash voucher for infants for fresh fruits and fresh vegetables?

A Although organic baby foods are allowed federally, it has been the decision of the South Dakota to not offer organic baby foods at this time. This decision has been based on cost and availability statewide. Fruit and Vegetable cash value vouchers are not allowed

Q What can I do if a WIC participant needs a formula that is not approved by the WIC Program?

A All requests to add a formula to the WIC Program need to sent to the State Breastfeed-ing Coordinator by using the food/formula request form. This is found in the shared drive/wic forms folder/Request for Adding Formula or Acceptable Foods. Once re-ceived, the formula will be reviewed by state office staff taking nutrition content, cost, availability, and statewide need into consideration. This process may take several weeks to complete. If the participant is not able to wait for state office approval, or the state office does not approve the desired formula, participants may be able to get it through Medicaid. Policies 11.01 and 11.01B describe the steps for completing this.

Page 4 Fall 2013

Policy

Q I would like a little clarification on the policy of when a client would like to change their proxy.

A How to Change Proxy P&P 2.24 If authorized person wishes to add or change a proxy, authorized person must inform clinic to request the change in proxy. The new proxy will provide proof of identity. Update SDWIC-IT with proxy change and verify change on the WIC ID Pouch.

Q If at a check pick up appointment with the CPA a client comments that the goal has been achieved do you need to evaluate and establish a new goal or wait until the next certification or counseling appointment?

A Every contact must be documented. P&P 5.03 Yes. If a goal is met a new goal should be established.

Q In the WIC Memo 14-019 it states “A column for RD Phone Calls, to be used by Nutrition Staff for all phone contacts will be scheduled in this column. This is not a searchable column when setting up appointments.” Could you please provide further clarification as to what this means?

A This column was established to allow for less than 15 min. appts. To be counted on the show rate report without having to create an actually appointment. This allows the dietitian to make phone calls or e-mail correspondence to clients in between appointments without having to take up space on the calendar and still record as a nutrition contact..

Breastfeeding Promotion & Support

Q Are we able to issue electric breast pumps to WIC participants in the hospital after they deliver?

A No. Electric breast pumps can not be given to WIC participants that are still certified as preg-nant. Policy 4.05A states that breast pumps may not be given prenatally to clients on the WIC Program. Recently, State Office Staff have recognized that there are some situations in which a WIC mom may need a breast pump before she can make an appointment to be certified as breastfeeding. We are in the process of updating the Policy and Procedure Manual to allow for manual breast pumps to be issued prenatally. This should help our moms get through those first few days of breastfeeding without an electric breast pump.

Page 5 “WIC TALKS”

New Staff to the WIC Program—Welcome!!  

As of September 2013 all of the state has implemented the SDWIC-IT System.

A big thanks to all staff for their patience and assistance this past year.

Added to the system since rollouts: Texting function for appointment remind-ers, the ability to connect to the SNAP interface for eligibility and updated the

User Help Manual.

***We continue to take your suggestions and ideas as we move into the maintenance period of the project. ***

Reminder for Help Calls

1. First look in the clinic user manual to see if the issue can be resolved by fol-lowing the step by step instructions. IF NOT ABLE to resolve

2. Call the State Office 605.773.4129

3. Call the Three Sigma Line at 1.888.559.2484

THANK YOU TO ALL THE CLINICS AND STAFF!!!

Name Position Clinic

Start Date

Penny Jensen C BUC/K 10/03/2013

Briana Aadland N DAX 10/09/2013

Morgan Rinke N ROX 10/24/2013

Winona Richards C SHP 10/24/2013

Molly Nelson N MNX 10/28/2013

Brittany Hein N MNX 10/28/2013

Diane Meyers C YAX 11/05/2013

Angelica Frederick C CML 11/18/2013

Caryn Jerke C CYX 12/04/2013

Kris Klaahsen D MNX 01/09/2014

SDWIC - IT UPDATES

Page 6 Fall 2013

NEWS FROM USDA and NATIONAL WIC ASSOCIATION WIC’s Mission is to safeguard the health of low-income women, infants, and children up to age 5 who are at nutritional risk by providing nutritious foods to supplement diets, information on healthy eating, and referrals to health care. Delivering high quality nutrition services is essential in not only carrying out this mission, but also ensuring that WIC continues to be the premiere national public nutrition program. New WIC Nutrition Service Standards: Have been developed to assist State and local agencies in their continual efforts to improve WIC services by focusing on core elements that are essential to providing high quality nutrition services and setting expectations for the WIC Program. Stay tuned for further updates and training. Now available at http://wicnss.nal.usda.gov/ through the WIC Works Resource System.

WIC Policy and Procedure Manual:

The following WIC memorandums were sent out: Let us know if questions….. WIC#14-002: Participant Training Video WIC#14-003: WIC Talks Summer 2013 WIC#14-004: Formula Updates WIC#14-005: USDA Nondiscrimination Statement Update WIC#14-006: WIC Policy and Procedure Manual WIC#14-007: SNAP-Text Functionality WIC#14-008: WIC Policy and Procedure Updates WIC#14-009: Approved Food Guides WIC#14-010: Updates to SDWIC-IT WIC#14-011: Mead Johnson & Nutricia Update WIC#14-012: SDWIC-IT Formulary Information WIC#14-013: EFNEP and FNP Referral WIC#14-014: Civil Rights Annual Training WIC#14-015: Void Lost-Stolen WIC Checks Dual Participation & Chapter 8 WIC#14-016: SDWIC-IT Updates WIC#14-017: Quarterly Breastfeeding Reports WIC#14-018: Abbott Formula Changes WIC#14-019: Appointment Types SDWIC-IT Schedules

Together WIC Works… Davison County- Clinic Flow - The move to the new Mitchell Office occurred the third week in September. Overall, it went very well with only minor snags encountered. I have heard very positive comments about the new office space and staff have made the adjustment with few issues. Dewey County – Isabel – Clinic Flow - We have an approved floor plan and systems furniture ordered for this office. It appears that the move will occur in late October or early November. Pennington County - Clinic Flow - The Nutrition Offices were remodeled last week to better meet the needs of a computerized WIC Program. In addition, the office now has a reception area to the left of the doors as you walk in to enhance customer service and patient flow. Region 2 - Recommends the following book : Hidden Rules, by Ruby Payne – Book reviews working with populations of generationally poor vs situational poor. Great source to consider. Brookings County- A WIC client was very pleased to have the opportunity to participate in a group class. When notified of the two topic choices available, the client reported that she had trouble choosing because she thought both sounded like good information. Cheryl Schuh- I have gotten some very positive feedback from clients this past month when I go over growth charts on the computer and they can look at them on my computer screen. They really like that. Kristi King - I like the link to breastfeeding and being able to add and follow-up on breast pumps in SDWIC-IT. Michelle Haselhorst- I have been working on a nutrition and physical activity project for my 4 grade class. I plan to use quite a bit from the “Fuel Up to Play 60” website. It teaches kids to use food as fuel so that they have the energy they need to play 60 minutes per day.

Clinic Happenings...

Page 7 “WIC TALKS”

WIC Policy and Procedure Manual: Continued

The WIC Policy and Procedure Manual is located in SDWIC-IT under the HELP tab by clicking on

the link “Policy and Procedure Manual” The WIC Policy and Procedure Manual is also located through the DOH website under WIC/

Resources/WIC Policy and Procedure Manual WIC Memos are policy updates and are located in the WIC Policy and Procedure Manual under

“WIC Memorandums”. Memos are being sent as email attachments to clinic staff. Also the Mes-sage Board in SDWIC-IT is being used to notify clinic staff when memos are being sent.

Beadle, Walworth, and Codington Counties— Dr. Marianne Neifert (Dr. Mom) visited these three counties this fall to present on the Baby Friendly Hospital Initiative. All presentations were attended by both hospital and community partners with the intention of starting a dialogue about providing the best, consistent breastfeeding messages to moms. This was the third year of Dr. Neifert visits to South Dakota. Minnehaha County— A pregnant client that was not planning on breastfeeding learned about the ben-efits of skin—to—skin contact through using wichealth.org. Although she still is not sure about breastfeeding, she is excited to hold her baby skin—to—skin af-ter birth Brown County— A very grateful new mom received a manual pump from the Brown County office after experiencing extreme engorgement between feedings. Mom came into the WIC office to pick up checks and to schedule certification appointment for her and baby. The manual pump worked wonderfully and mom was able to get an electric pump at her breastfeeding certification appointment one week later! Beadle County— Huron staff have been working with the Huron Regional Medical Center OB staff to help improve breastfeeding outcomes. The focus has been on preparing par-ticipants for breastfeeding prenatally, and educating on the assistance that the WIC Program can provide once baby is born. Specifically, they are working on a breastfeeding plan form that can be shared between the WIC office and the Medical Center.

Pennington County— A breastfeeding participant expressed how grateful she was to a Pennington County dietitian after she was able to continue breastfeeding her baby after re-ceiving an electric breast pump. Baby had a poor latch and mom was consider-ing supplementing formula. Now that mom is able to pump breast milk, her ba-by is still exclusively breastfeeding!

Page 8 Fall 2013

Breastfeeding - Clinic Happenings...

Page 9 “WIC TALKS”

Breastfeeding Peer Counselor Updates:

UPDATES AND HIGHLIGHTS:

There have been a lot of changes in the last few months to the Breastfeeding Peer Counselor Program. Our peer counselor in Aberdeen—Tina Opdahl—has found a new job and is no longer with the BFPC Program. Also, Jennifer Rancour, our Pierre/Ft. Pierre counselor has resigned. Good luck to both Tina and Jennifer in your next ad-ventures! We have hired three new Breastfeeding Peer Counselors! Holly Dupris in Pierre/Ft. Pierre, Angela Shellnut in Aberdeen, and Catherine Fesler in Brookings. Welcome! Current Counselors: Butte County - Christine Byrd Fall River County - Anna Swift Hughes/Stanley County - Holly Dupris Davison County - Penny Overweg Roberts County - Jaime Donnell Brown County - Angela Shellnut Brookings County - Catherine Fesler

WIC TURNS 40 IN 2014!!!

The National WIC association website has some great materials highlight-ing the positive things that the WIC Program does for families. Check out this great website for materials that can be shared within your office. Cele-

brate WIC!

www.wicturns40.org

This website has short videos on the topics of: WIC Overview, Nutrition Education, Healthy Food, Breastfeeding Support and

Healthcare Referrals

The South Dakota WIC Facebook page To view search for “South Dakota WIC Program” on Facebook

Social Media Updates:

THANK YOU peer

counselors for all that You do!

Page 10 Fall 2013

WIC State Staff: Dawn Boyle: Management Information Specialist. 605-773-4129 Rhonda Buntrock: WIC Program Director. 605-773-4786 Beth Henrichsen: Vendor Manager. 605-773-6206 Leslie Lowe: Quality Assurance Specialist. 605-773-4792 Renee Osterkamp: Retail Coordinator. 605-773-4782 Ardys Roseland: Program Operations Specialist. 605-773-4988 Jackie Binder: Nutrition/Training Coordinator. 605-260-4407 Shelby Sloan: Breastfeeding Coordinator. 605-394-2540

WIC Happenings:

NEW RETAILERS :

Presho Community Pharmacy—Presho

Burke Community Pharmacy—Burke

CHANGE OF OWNERSHIP:

Gemars—Tyndall is now Buches

Gemars—Tripp is now Buches

Hagemans—Hoven is now Kruegers Food Fair

Northwest Grocery—Sioux Falls. New owner under the same name.

STORE CLOSURES:

Brick Market—Summit

Retailer Happenings:

Mailing Address State WIC Office: 600 E Capitol Ave Pierre, SD. 57107 Phone: 605-773-3361

“Change your

thoughts and

you will change the

world.”

—--Norman Vincent

peale

WIC WORKS!

A note from your new Nutrition/Training Coordinator… “Overweight and obesity may soon cause as much preventable disease and death as cigarette smoking.” -Surgeon General David Satcher, The Surgeon General’s Call to Action to Prevent and Decrease Overweight and Obesity, December 13, 2001. Lets start the year out right by “Helping our WIC Participants Eat Smart.” We have the opportunity to help improve diets, thereby decreasing the risk of Obesity. Now is the time to act to promote a healthy future for our WIC Participants. Please feel free to contact me with any questions or suggestions. Phone: 605-260-4407 Email: Jackie.Binder@state.sd.us - Jackie

Questions/Comments?

Contact: WIC

Nutrition / Training

Coordinator Jackie Binder

(605) 260-4407

A note from your Breastfeeding Coordinator… Thank you all for your hard work and patience with SDWIC-IT. It has definitely been an adjustment for everybody, but from what I can tell, you are all doing very well! So keep up the good work! I just wanted to put out a reminder that, although I am the Breastfeeding Coordinator, I also tackle WIC foods and food packages. If you have questions or issues—including those in SDWIC-IT—regarding the food package, give me a call or shoot me an email. I will do my best to help you out! Phone: 605-394-2540 Email: Shelby.Sloan@state.sd.us -Shelby

And remember, a little nonsense now and then is relished by the wisest men

Page 11

2014 BI MONTHLY CALLS

Tuesday, January 28th, 2014: 9:30 – 11:00 am CST ALL STAFF- Infant Mortality 11:00 – 11:30 Local Agency Breastfeeding Coordinators

Tuesday, February 25th, 2014: 9:30 – 11:00 am CST

ALL STAFF - SDWIC—IT Updates

Tuesday, March 25th, 2014: 9:30 – 11:00 am CST Nursing Staff 11:00 – 11:30 Local Agency Breastfeeding Coordinators

Tuesday April 29th, 2014: 9:30 – 11:00 am CST

Nutrition Staff Tuesday, May 27th, 2014: 9:30 – 11:00 am CST

Nursing Staff 11:00 – 11:30 Local Agency Breastfeeding Coordinators

NO CALL IN JUNE – All Staff Conference in Pierre Tuesday, July 29th, 2014: 9:30 – 11:00 am CST

Nutrition Staff Tuesday, August 26th, 2014: 9:30 – 11:00 am CST

Nursing Staff 11:00 – 11:30 Local Agency Breastfeeding Coordinators

Tuesday, September 23rd, 2014: 9:30 – 11:00 am CST

Nutrition Staff Tuesday, October 28th, 2014: 9:30 – 11:00 am CST

Nursing Staff 11:00 – 11:30 Local Agency Breastfeeding Coordinators

Tuesday, November 18th, 2014: 9:30 – 11:00 am CST

Nutrition Staff

Tuesday, December 16th, 2014: 9:30 – 11:00 am CST Nursing Staff 11:00 – 11:30 Local Agency Breastfeeding Coordinators