COMING SOON TO YOUR LOCAL WIC AGENCY!

1. COMING SOON TO YOUR LOCAL WIC AGENCY! MOWINS MARK DAVIS-CUSTOMER SERVICE MANAGER mark.davis@dhss.mo.gov LARRY RUTLEDGE-PROJECT COORDINATOR larry.rutledge@dhss.mo.gov

2. Welcome - Introductions • Welcome! • Administrative Details • Introductions: • Your name • Your agency, what you do there • One thing you hope the new system will do differently or better than HANDS • Review agenda • Feedback Form

3. State Agency Models - SAM • “Build Once, replicate many times” • All USDA WIC SAMS will have the following features: • Modern web technology- Windows features- drop down menus, etc • Standard WIC data elements • Open system architecture • Modular components • Compliance with federal policy and regulations

4. State Agency Models - SAM • There are three SAMs • Mountain Plains States’ Consortium- Colorado, Wyoming and Utah • Crossroads in the Mid-Atlantic and Southeast Regions- North Carolina, Alabama, Virginia and West Virginia • Successful Partners in Reaching innovative Technology (Spirit)- 13 Indian Tribal Organizations in Oklahoma and New Mexico

5. Missouri WIC SAM Grant Application Covansys came to Jefferson City on April 13, 2007 to show demonstration of SPIRIT for steering committee and other state WIC and ITSD staff Submitted grant on June 15, 2007 Grant was approved on September 13, 2007!!!

6. Missouri WIC Information Network System (MOWINS) Transfer of SPIRIT MOWINS is tentative name Pending approval of the Steering Committee

7. MOWINS Steering Committee • Oversees implementation of new data system • Members • LWPs- Jim Wheaton, Truman Medical Center, Jan Glaze, Jefferson- Franklin Community Action Corp., Connie Agler, Randolph County Health Dept., Rhonda Breitenbecher, Johnson County Community Health Services • DHSS- Lyn Konstant, Mark Davis, Larry Rutledge, Perry Mathes, Division of Community and Public Health, Linda Cade, Division of Administration, Paula Peters, ITSD • Missouri Grocers Association- Dan Shaul

8. MOWINS – IMPORTANT DATES • WIC UPDATES & TRIP TO OK OCTOBER 2007 • IMPLEMENTATION CONTRACTOR FEBRUARY 2008 • QA CONTRACTOR FEBRUARY 2008 • NEW EQUIPMENT INSTALLS LATE 2008 • POLICY CHANGES 2008-2009 • END USER TRAINING LATE 2008 • USER ACCEPTANCE TESTING SEPT-OCT 2008 • PILOT TESTING NOVEMBER 2008 • STATEWIDE IMPLEMENTATION MARCH 2009

9. Characteristics of SPIRIT System • Web- based with Windows features • Graphical User Interface • Tabs, drop down menus • Paperless • Included in application: • Scheduling software • Income determination • Growth charts

10. Included in Application (cont.) • Designated local agency staff can determine which screens staff have access to • System access log for local agencies • Specify up to 6 state-agency defined and 6 local agency-defined questions per participant for survey purposes • Microsoft Office is used to generate letters and other applications (e.g., could send letter to participants who missed appointments)

11. From Chickasaw Times August 2007 Article • The new SPIRIT system will benefit WIC participants by enabling WIC to adopt a paperless system that uses electronic signatures and scanning applications. This should mean less time on paperwork and more time with clients. The SPIRIT system will reduce client wait time. The new system also increases accuracy and reduces the risk of errors. SPIRIT has resulted in an overall streamlined operation of the WIC program. • The SPIRIT software is creating buzz among WIC agencies across the nation. According to Melinda Newport, the Chickasaw Nation has already been contacted by many states for additional information or on-site visits to experience this new software.

12. MOWINS • Participant Management • Enrollment

13. Prescreening Applicants Collection of Basic Demographic Information MOWINS – Participant Management - Enrollment

14. Prescreening Applicants Collection of Basic Demographic Information Verify Income Eligibility MOWINS– Participant Management - Enrollment

15. Prescreening Applicants Collection of Basic Demographic Information Verify Income Eligibility Check for Potential Dual Participation MOWINS– Participant Management - Enrollment

16. Prescreening Applicants Collection of Basic Demographic Information Verify Income Eligibility Check for Potential Dual Participation Schedule Appointments MOWINS– Participant Management - Enrollment

17. Certification – Gathering the Required Information Demographics MOWINS– Participant Management - Enrollment Verify Income Eligibility (collect one or more income sources) Verify Proof of ID and Residency

18. Certification – Gathering the Required Information Demographics Health Information MOWINS– Participant Management - Enrollment Auto determination of LMP or Expected delivery date (Pregnancy) CDC data collection (multi vitamin consumption/smoking/alcohol)

19. Certification – Gathering the Required Information Demographics Health Information HT/WT/Blood MOWINS– Participant Management - Enrollment Auto calculation of Body Mass Index

20. Certification – Gatheringthe Required Information Demographics Health Information HT/WT/Blood Growth Grid MOWINS – Participant Management - Enrollment

21. Certification – Gathering the Required Information Demographics Health Information HT/WT/Blood Growth Grid Referrals MOWINS– Participant Management - Enrollment

22. Certification – Gathering the Required Information Demographics Health Information HT/WT/Blood Growth Grid Referrals VENA MOWINS– Participant Management - Enrollment

23. Certification – Gathering the Required Information Demographics Health Information HT/WT/Blood Growth Grid Referrals VENA Nutrition Education MOWINS– Participant Management - Enrollment Primary topics per WIC Category Must Discuss” topics are pre-selected“

24. Certification – Gathering the Required Information Demographics Health Information HT/WT/Blood Growth Grid Referrals VENA Nutrition Education Risk Factors MOWINS– Participant Management - Enrollment Automatically Assigned Risk Factors Auto indication of High Risk based on RF assigned

25. Certification – Gathering the Required Information Demographics Health Information HT/WT/Blood Growth Grid Referrals VENA Nutrition Education Risk Factors Determining Suggested Food Prescriptions MOWINS– Participant Management - Enrollment Multi Milk selection (indicated balance remaining) Default package assigned based on Risk/Priority Customize Food Prescriptions

26. Completing the Certification Auto assignment of Priority MOWINS– Participant Management - Enrollment

27. Completing the Certification Auto assignment of Priority Determination of Certification Period MOWINS– Participant Management - Enrollment

28. Completing the Certification Auto assignment of Priority Determination of Certification Period Electronic Signature for Rights and Responsibility MOWINS– Participant Management - Enrollment

29. Completing the Certification Auto assignment of Priority Determination of Certification Period Electronic Signature for Rights and Responsibility E-signature for FI issue MOWINS– Participant Management - Enrollment

30. MOWINS– Participant Management Enrollment Wrap-up • Prescreening Applicants • Collection of Basic Demographic Information • Verify Income Eligibility • Check for Potential Dual Participation • Schedule Appointments • Certification – Gathering the Required Information • Demographics • Health Information • HT/WT/Blood • Growth Grids • Referrals • VENA • Nutrition Education • Risk Factors • Determining Suggested Food Prescriptions • Completing the Certification • Auto assignment of Priority • Determination of Certification Period • Electronic Signature for Rights and Responsibility • Check Issuance (E-signature for check issuance)

31. MOWINS • Participant Management • Enrollment • Monitoring

32. Change Demographic information Modify Address and Telephone Information Participant Name Changes MOWINS– Participant Management Monitoring Participant Name Changes Modify Address and Telephone Information

33. Modify Food Prescriptions Replace Formula Modify package quantities MOWINS–Participant Management Monitoring Replace Formula Modify package quantities

34. Benefits Issuance Checks MOWINS– Participant Management Monitoring

35. Benefits Issuance Checks Configurable distribution rules for each food item MOWINS–Participant Management Monitoring

36. Benefits Issuance Checks Configurable distribution rules for each food item Electronic signature capture MOWINS–Participant Management Monitoring

37. Benefits Issuance Checks Configurable distribution rules for each food item Electronic signature capture Issue benefits for entire household MOWINS–Participant Management Monitoring

38. Benefits Issuance Checks Configurable distribution rules for each food item Electronic signature capture Issue benefits for entire household Cycle adjustment MOWINS– Participant Management Monitoring Cycle Adjust Household Members

39. Benefits Issuance Checks Configurable distribution rules for each food item Electronic signature capture Issue benefits for entire household Cycle adjustment Complete Issuance History MOWINS–Participant Management Monitoring

40. Benefits Issuance Checks Configurable distribution rules for each food item Electronic signature capture Issue benefits for entire household Cycle adjustment Complete Issuance History Display check details MOWINS–Participant Management Monitoring

41. Benefits Issuance Checks Configurable distribution rules for each food item Electronic signature capture Issue benefits for entire household Cycle adjustment Complete Issuance History Display check details Voids MOWINS–Participant Management Monitoring

42. View Appointment History MOWINS–Participant Management Monitoring

43. Provide Nutrition Education MOWINS–Participant Management Monitoring

44. Breast pump and Supplies Issuance MOWINS–Participant Management Monitoring

45. MICR PRINTERS MOWINS– Features/Technology

46. SIGNATURE PAD MOWINS– Features/Technology

47. SCANNER MOWINS– Features/Technology

48. MOWINS • DEMONSTRATION • Signature pad • Printer • Scanner

49. MOWINS • BREAK

50. MOWINS • QUESTIONS