WIC HAPPENINGS WIC OUTREACH WIC SERVICES WIC Turns 40! Minnesota Breastfeeding Coalition Hubert Update Timeline and upcoming anniversary celebration Hosts 2nd Minnesota Perinatal Hospital Leadership Summit Looking back and looking forward PAGE 2 PAGE 3 PAGE 4 MINNESOTA WIC NEWS FOR HEALTH ADMINISTRATORS, DIRECTORS & COORDINATORS Healthy Minnesotans FROM THE DIRECTOR Happy Summer! WIC Makes a Difference Greetings As I write this, we have left a colder than average spring behind and have consistently warmer days. I hope each of you is doing well and is ready for a great summer. Here is some news to bring you up to date on two topics: WIC EBT PLANNING Minnesota wrote a formal request to USDA to begin EBT Planning. The request, known as a Planning Advanced Planning Document (PAPD), was submitted to USDA in late March and has been approved. WIC EBT is much more complex than EBT in SNAP due to the need to provide a specific food package versus a dollar amount. The planning process is lengthy and thorough to ensure a good system and a smooth roll out. Our goal is to keep costs low, similar to costs of the current voucher system. Since EBT for WIC began, the costs have declined significantly. Continued on page 4 JUNE 2014 WIC PER PARTICIPANT RATE IS RAISED This year, although the federal funding situation remains somewhat uncertain, we raised the per participant rate from $13.50 to $14.00 per month. We hope WIC grantees will be able to better utilize these funds to support WIC by receiving them throughout the fiscal year. Continued on page 4 Two recent MDH publications illustrate the importance of WIC in promoting health among Minnesotans: Healthy MN 2020 and Advancing Health Equity in MN: Report to Legislature. Both include breastfeeding, and improving environments to support breastfeeding, as strategies to achieve health for all Minnesotans. Indeed, Healthy MN 2020 focuses on 3 themes. The first “Capitalize on the opportunity to influence health in early childhood” identifies prenatal care, breastfeeding, and food security as key conditions for health. WIC ensures that women are receiving prenatal care, and refers them to care if they are not. While WIC is primarily a health, nutrition and breastfeeding program, the Continued on page 2 WIC COLLECTS AND SHARES SUMMARY DATA that could COVER STORY CONTINUED HEALTHY MINNESOTANS be used in presentations. For example, in FFY 2013, WIC served an WIC food package provided and referrals to nutritious sources of food, when needed, help assure food during critical periods of growth and development. Through the hard work of local WIC staff, and through partnerships with local public health and many other partners, breastfeeding initiation among WIC participants has increased from 40% (1990) to over 76% (2014). average of 124,700 participants monthly, and brought over $93 million to Minnesota grocery stores. A map illustrating the impact of WIC in their communities has been shared with Minnesota’s representatives in Congress to help see the impact of WIC in the areas they represent. WIC AVERAGE MONTHLY PARTICIPATION & WIC DOLLARS SPENT IN LOCAL GROCERY STORES ON FOOD By Congressional District We are also making progress on increasing exclusivity and duration -- important for best health outcomes. Reports are available on the MN WIC Website for your use in learning more about breastfeeding rates in your community. The root causes of health disparities are complex. WIC contributes to reducing health disparities through nutrition counseling and supplemental food to improve pregnancy outcomes, supporting breastfeeding, and providing referrals to meet other needs. PAULSON KLINE BACHMANN NOLAN ELLISON WALZ PETERSON McCOLLUM WIC HEALTH DATA For a complete factsheet: http://www.health.state.mn.us/divs/fh/wic/statistics/wicfacts/0214.pdf WIC Turns 40! Did you know that WIC turns 40 years old in 2014? We are planning for some 40th anniversary celebration activities and materials over the next 6-months and will be providing information about how local WIC agencies can get involved. Research the history of WIC in your community and check out the National WIC Association’s 40th anniversary website at www.WICturns40.org 1960’s 1966 1969 1972 1974 1975 Hunger and malnutrition major problems in our country. Child Nutrition Act of 1966 A White House Conference issues recommendations for the nutritional needs of low-income pregnant women and preschool children. Growing public concern and a group of physicians responding to nutrition-related ailments among their patients formed the building blocks of the WIC Program. WIC was formally authorized by an amendment to the Child Nutrition Act of 1966 as a 2-year pilot program WIC operating in 45 states, including Minnesota. WIC was established as a permanent program 2 THE WORD ON WIC CONNECT WITH US INPUT IDEAS QUESTIONS CONCERNS 800.657.3942 [email protected] WIC OUTREACH 2nd Perinatal Hospital Leadership Summit Hosted by the Minnesota Breastfeeding Coalition (MBC) On May 6, 2014, the MBC hosted its second Perinatal Hospital Leadership Summit for all maternity centers in Minnesota. The purpose of this event was to encourage birthing centers to provide an environment where breastfeeding is supported and can get off to the best start possible. Exclusive breastfeeding in the early days is key to extending duration and to avoiding formula supplementation without a medical reason. The first Hospital Summit, held in May 2013, received rave reviews from attendees. This year’s Summit brought together hospital leaders from around the state to learn about best practices in mother-baby care that supports breastfeeding. MDH Commissioner Ed Ehlinger presented on disparities in breastfeeding rates and how alleviating these disparities can reduce infant mortality. He issued a call to action for hospitals to become Baby-Friendly designated. Perinatal experts spoke about the infant and maternal benefits of breastfeeding, strategies for quality improvement in mother-baby care, and evidence-based practices to reduce early elective inductions. Supporting exclusive breastfeeding during management of medical issues (such as hypoglycemia and jaundice) were also addressed. Managing these conditions will help hospitals increase their exclusive breastfeeding rates. A panel of local hospitals shared their experiences and efforts to implement the WHO’s Ten Steps to Successful Breastfeeding in their facilities. As more hospitals seek Baby-Friendly Hospital designation and improve their exclusive breastfeeding rates as required by Joint Commission, the MBC plans to continue assisting birth centers with their efforts by providing educational Summits and technical assistance workshops. You can see more details about past MBC events and where local breastfeeding coalitions in Minnesota are located at http://mnbreastfeedingcoalition.org/ Participant Quotes Breast FEEDING 10 STEPS Have a written policy ❶ breastfeeding that is communicated all health care ❷ Train staff in skills necessary all pregnant ❸ Inform women about the benefits and WIC makes a difference every day in lives of families and individuals in Minnesota. It is gratifying to hear about the impact directly from those affected. “My family is eating so much healthier since we’ve been on WIC - more fruits and vegetables, healthier cereals and more string cheese.” management of breastfeeding mothers initiate ❹ Help breastfeeding within half an hour of birth mothers how ❺ Show to breastfeed and how to maintain lactation even if they should be separated from their infants newborn infants ❻ Give no food or drink other “There is such great variety in the WIC foods - I love it!” “I love getting information... and seeing the growth chart. It is also nice to hear when you are doing something right.” than breast milk unless medically indicated rooming-in ❼ Practice allowing mothers and infants to remain together - 24 hours a day breastfeeding ❽ onEncourage demand no artificial teats ❾ orGivepacifiers to breastfeeding infants Refer mothers to ❿ breastfeeding support CONNECT WITH US INPUT IDEAS QUESTIONS CONCERNS 800.657.3942 [email protected] groups on discharge “WIC not only gives you food, but also nutrition information to make better choices.” We’d love to hear how WIC is impacting individuals and families in your communities. Please share your success stories and quotes with us at health.WIC@ state.mn.us. THE WORD ON WIC 3 COVER STORY CONTINUED WIC SERVICES PARTICIPANT RATE RAISED During the last several years, federal funding for Minnesota WIC has been forecasted to decline. However, although initial WIC funding was not quite as high as previous years, the final total after reallocations has exceeded forecasts for two years in a row. "...fine While we are quality pleased with the services final funding Minnesota amounts, we could is known for" make better use of funds if we received earlier notification from USDA. In the three years since rollout, the WIC system (HuBERT) has undergone rapid development and improvement. We have had the opportunity to design, develop, test and implement hundreds of system modifications, including: ■ M any enhancements to improve system flexibility and user efficiencies; to meet regulatory requirements (e.g., federal processing standards); and to implement program changes (such as extending the certification period, and implementing mid-certification assessments). ■ Continuous and ongoing correction of issues We expect the number of releases to decrease this year as we transition to more EBT planning activities. Strategic planning priorities identified by the Executive Steering Committee from the system users group include improving system performance throughout the system lifecycle, addressing federal and state accessibility requirements, and developing the Universal Interface with EBT. WIC BY THE NUMBERS Redeemed Vouchers MARCH 2014 78,040 FRUIT&VEGETABLE VOUCHERS COVER STORY CONTINUED WIC EBT PLANNING The PAPD request to USDA includes the following components and schedule: 2014An RFP for a planning contractor to be published in late fall 2015The planning contractor scheduled to begin in early spring will have responsibility for surveying vendors, preparing implementation planning documents and an RFP for the EBT vendor. 293,705 STANDARD VOUCHERS 536,217 $ $7,557,008 STANDARD VOUCHERS 4 THE WORD ON WIC FRUIT&VEGETABLE VOUCHERS We believe this funding rate is sustainable. We hope it helps WIC agencies continue to provide the fine quality services for which Minnesota is known. 2016 Publishing and awarding the Implementation RFP. 2017-18 Design and development of the EBT system 2018 User Acceptance Testing and piloting of EBT 2019-20 Roll out and full operation of EBT On April 24, 2014 USDA approved our proposed process and timeline. The next step is to complete the funding grant request for submission when technology grants are available. We know that participants are looking forward to using EBT for WIC since the card looks like a credit/debit card making WIC transactions look more like other transactions. EBT will also be a more secure environment for WIC transactions. We are all looking forward to this change! C0NNECT WITH WIC 800.657.3942 [email protected] The WORD on WIC is published by the WIC Program of the Minnesota Department of Health P.O. Box 64882 St. Paul, MN 55164-0882 The U.S Department of Agriculture prohibits discrimination against its customers, employees, and applicants for employment on the bases of race, color, national origin, age, disability, sex, gender identity, religion, reprisal, and where applicable, political beliefs, marital status, familial or parental status, sexual orientation, or all or part of an individual's income is derived from any public assistance program, or protected genetic information in employment or in any program or activity conducted or funded by the Department. (Not all prohibited bases will apply to all programs and/or employment activities.) To file a discrimination complaint, write to: U.S. Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, or call (866) 632-9992 (voice) or (800) 877-8339 (TTY). USDA is an equal opportunity provider and employer. CONNECT WITH US INPUT IDEAS QUESTIONS CONCERNS 800.657.3942 [email protected]
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