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Risk Factors Assigned during Nutrition Assessment do Not Carry Forward in Pseudo-Certs Created by MCA
If risk factors are assigned during the Nutrition Assessment as part of the Certification Guided Script, and a Nutrition Assessment is completed as part of the Mid-certification Assessment (MCA) Guided Script, those risk factors will not carry forward if a pseudo-cert is created once the MCA has been completed. This is because the system only looks at the most recent Nutrition Assessment for risk factors when creating the pseudo-cert. Once a new Nutrition Assessment has been created, the system will only look to the new Nutrition Assessment for risk factors.
However, like all risk factors not carried forward by pseudo-certs, the original risk factors assigned at the cert's Nutrition Assessment will continue to display under the certification.
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:p>
If this occurs, you can either wait until the next day to change the WIC Category or call the Help Desk for assistance.
August 2011 HuBERT Hints #4