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MN WIC Program

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change BF to Non-BF, risk factors

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 ā€œVā€), they display under the initial certification period.

Risk Factors tab with initial cert information circled in red

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.

Risk Factors tab showing the risk factors not forwarding to pseudo-cert

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

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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:

The participant's WIC Category cannot be changed in this manner.  A new certificaiton willl need to be completed.

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

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