MN WIC Program
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|121, breastfeeding, cert end date, certification history, infant, nutrition assessment, risk factors|
For Children over Two Years Old, the System is Not Assigning Risk Factor 121 and if 121 Is Already Assigned It Is Removing it when a Pseudo-Cert is Created (TMP-132)
Description: For children over two years old, whose height is less than the 10th percentile, the system is not auto-assigning Risk Factor 121. If a pseudo-cert is created and Risk Factor 121 has been previously assigned, the system is removing the risk factor even though it may still be applicable.
What You Should Do: When this happens, document that Risk Factor 121 should be assigned in a note.Resolution: This issue has been added to the issues queue.
Identified Issues - Posted 2/24/14
Certification History Tab Displays Date WIC Category Changed from Breastfeeding to Non-Breastfeeding as Cert End Date
For Breastfeeding women who are less than 6 months postpartum and whose WIC Category is changed to Non-Breastfeeding, the Certification History tab will display the date the pseudo-cert was created, or the date the WIC Category was changed, as the cert end date of the Breastfeeding certification record.
For example, a breastfeeding woman's initial certification period is displayed in the Certification History tab as 3/13/13 - 2/28/14:
If her Category is changed from Breastfeeding to Non-Breastfeeding on 6/5/13 the system indicates her new Cert End Date based on her infant's date of birth, which in this instance is 8/31/13:
When we re-open the Certification History tab, it now displays the start and end date of the breastfeeding portion of her most recent certification and will display 6/5/13 as the end date:
However, in the Risk Factors tab, both the breastfeeding portion of her certification from 3/15/13 - 6/5/13 and her non-breastfeeding portion from 6/5/13 - 8/31/13 display.
From the 2.18.06 Release Document
Pseudo-Certs and Risk Factors Assigned during Nutrition Assessment
Changes made to information in the Participant Folder cause the system to reassess risk factor assignment, such as when you add new height/weight measurements. When changes to risk factors occur, a pseudo-cert is created. Remember, a pseudo-cert is simply a modification to how the certification period displays in the Risk Factors tab in HuBERT.
If risk factors were initially assigned during Certification Guided Script (CGS) in the Nutrition Assessment screen (as indicated below with the blue “V”), they display under the initial certification period.
If a pseudo-cert is created, and a more recent Nutrition Assessment has been performed, as you may see occurring more often with mid-certifications, the system will review the most recent Nutrition Assessment for risk factors. If no risk factors were assigned during the most recent Nutrition Assessment, the system will not carry any risk factors forward into the pseudo-cert (as shown below). NOTE: CPAs are only required to assign all applicable risk factors during actual certifications; not mid-certs.
Although it may appear that the risk factors have been removed, always keep in mind that pseudo-certs are simply a change to the way the certification period is displayed, and that the risk factors assigned during the initial certification continue to be associated with that certification.
April 2013 HuBERT Hints #2
Cannot Change Participants from BF to NBF if Pseudo-Cert Already Created for Date
Description: If any changes are made to a woman's folder that result in the system creating a pseudo-cert, you are unable to change the participant's WIC Category from Breastfeeding to Non-Breastfeeding.
Explanation: Pseudo-certs are auto-created by the system whenever it performs an assessment of the current risk factors and either assigns or removes a risk factor based on assessable criteria. This can occur when a Participant Folder is first opened (ex: Household Smoking has changed) or when information is entered (ex: hemoglobin value is entered). A pseudo-cert is also created when a participant's WIC Category is changed (ex: infant to child automatically changed during End-of-Day or by user when woman changes from Breastfeeding to Non-Breastfeeding).
However, the system can only create one pseudo-cert per date. If a pseudo-cert is created due to a risk factor change, you will be unable to change a woman's WIC category.
What You Should Do: If a woman is no longer breastfeeding and her infant is less than 6 months old, you should change her WIC Category in the Demographics tab immediately, before any other changes are made to the folder.
In instances when the pseudo-cert is auto-created before you have a chance to do this (such as a change in Household Smoking), you will be unable to change the WIC Category and will receive the following message when trying to change the WIC Category:
If this occurs, you can either wait until the next day to change the WIC Category or call the Help Desk for assistance.
NOTE: If a woman is no longer breastfeeding and the infant is over 6 months old, you cannot change her WIC Category in Demographics. You must terminate her record then update the infant's Health Information.
August 2011 HuBERT Hints #4