2.26.00 Release Notes

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Changes made in this release of the software are detailed below.

ENH-515

The USDA regulations for some risk factors changed. A federal mandate requires changes to risk factor assignments to be implemented in all WIC MIS systems by 10/01/2016. The changes to the USDA regulations for risk factor assignment are as follows as follows:

As a result, the SPIRIT WIC system was modified to accommodate the new USDA regulations for the correct assignment of the risk factors. However, some of the USDA regulations did not require a code change.

For some of the USDA regulation changes to risk factors, the users must manually update the risk factors in the Reference Utility application module.

Refer to the documentation below for detailed information regarding the code changes made and the user changes required for the new USDA regulations.

Enhancements

Enhancement#

Primary Function

Enhancement Detail

ENH-515

 Database Changes

Risk Factors

R1: The threshold for the system assignment of risk factor 211 must be changed from "Lead level >= 10" to "Lead level >= 5" for all participant categories.

To accommodate the R1 requirement for this enhancement, line 19916 in ParticipantManager was changed from "10" to "5".

R2: To accommodate the R2 requirement for this enhancement, the name of risk factor 332 must be changed from "Closely Spaced Pregnancies" to "Short Interpregnancy Interval".

This change must be done manually by the user.

To make this change in the SPIRIT WIC system, complete the following steps:

1.        Open the Reference Utility application module. The Reference Utility screen displays.

2.        Double-click on the Risk Factors list item in the Functions data grid. The Risk Factors screen displays.

3.        Double-click on the first Risk Factor ID "332" row in the Risk Factors data grid. The Risk Factor screen displays in Edit mode.

4.        In the Description text box, change the description of the risk factor to "Short Interpregnancy Interval".

5.        Click the OK button. The Risk Factors screen displays and the Description column in the Risk Factors data grid for the selected row refreshes and displays the updated description.

6.        Repeat steps 3-5 for each additional Risk Factor ID "332" row in the Risk Factors data grid.

R3: The threshold for the system assignment of risk factor 332 must be changed from "16 months between pregnancies" to "18 months between pregnancies" for women.

To accommodate the R3 requirement for this enhancement, line 16831 in ParticipantManager was changed from "16" to "18".

R4: Risk factor 601 must allow system-assignment to pregnant women when the Currently Breastfeeding Infant check box is checked on the Pregnancy Information screen in the Clinic application module.

To accommodate the R4 requirement for this enhancement, the code was modified to automatically assign risk factor 601 to pregnant women whenever the Currently Breastfeeding Infant check box is checked on the Pregnancy Information screen in the Clinic application module. Whenever the Currently Breastfeeding Infant check box is not checked on the Pregnancy Information screen, risk factor 601 is CPA-assigned.

R5: Risk factor 601 must continue to be system-assigned to breastfeeding women.

To accommodate the R5 requirement for this enhancement, CDP's QA staff ensured that risk factor 601 continued to be system-assigned to breastfeeding women.

Additionally, risk factor 601 must allow CPA-assignment to pregnant women when either the Currently Breastfeeding Infant check box or the Currently Breastfeeding Child Over One check box is checked on the Pregnancy Information screen in the Clinic application module.

A new SQL script was created to automatically pre-populate new 601 records for pregnant women in the Risk Factors data grid on the Risk Factor screen in the Reference Utility application module. However, not all of the required information was pre-populated for each new record via the SQL script.

As a result, users must open each new 601 row that was created via the SQL script and complete the remaining required information for each newly-created 601 row in the Risk Factors data grid on the Risk Factor screen in the Reference Utility application module.

This change must be done manually by the user.

To make this change in the SPIRIT WIC system, complete the following steps:

1.        Open the Reference Utility application module. The Reference Utility screen displays.

2.        Double-click on the Risk Factors list item in the Functions data grid. The Risk Factors screen displays.

3.        Double-click on the first Risk Factor ID "601" row in the Risk Factors data grid. The Risk Factor screen displays in Edit mode.

4.        In the Description text box, change the description of the risk factor to "Breastfeeding Mother of Infant at Nutritional Risk".

5.        Select or enter the date on which the item becomes active in the Active Date calendar control.

6.        Select or enter the date on which the record (or item) becomes inactive in the Inactive Date calendar control.

7.        Select the default food package for the risk factor in the Default Food Package ID drop-down list box.

8.        Enter the default food prescription (DFP) priority for the risk factor in the DFP Priority text box.

9.        Click the OK button. The Risk Factors screen displays and the Description column in the Risk Factors data grid for the selected row refreshes and displays the updated description.

10.    Repeat steps 3-10 for each additional Breastfeeding Amount necessary.

R6: Risk factor 602 must allow CPA-assignment to pregnant women when either the Currently Breastfeeding Infant check box or the Currently Breastfeeding Child Over One check box is checked on the Pregnancy Information screen in the Clinic application module.

This change must be done manually by the user.

To make this change in the SPIRIT WIC system, complete the following steps:

1.        Open the Reference Utility application module. The Reference Utility screen displays.

2.        Double-click on the Risk Factors list item in the Functions data grid. The Risk Factors screen displays.

3.        Click Add. The Risk Factor screen displays in Add mode.

4.        Enter "602" as the risk factor identification in the Risk Factor ID text box.

5.        Select "Pregnant" as the WIC category in the WIC Category drop-down list box

6.        Select "Pregnant 6 thru 65 years old" as the age category identification for the risk factor in the Age Category ID drop-down list box.

7.        Select the breastfeeding amount for the risk factor in the Breastfeeding Amount drop-down list box.

8.        Select the additional breastfeeding amount for the risk factor in the Second Infant BF Amount drop-down list box.

9.        Enter the priority of the risk factor in the Priority text box.

10.    Select the High Risk check box to indicate whether the risk factor is high risk, if necessary.

11.    Enter "Breastfeeding Complications (for Women)" as the description in the Description text box.

12.    Select or enter the date on which the item becomes active in the Active Date calendar control.

13.    Select or enter the date on which the record (or item) becomes inactive in the Inactive Date calendar control.

14.    Select the default food package for the risk factor in the Default Food Package ID drop-down list box.

15.    Enter the default food prescription (DFP) priority for the risk factor in the DFP Priority text box.

16.    Click the OK button. The Risk Factors screen displays and the Risk Factors data grid refreshes and displays the new risk factor.

17.    Repeat steps 3-13 for each additional Breastfeeding Amount necessary.

R7: Risk factor 602 must continue to be CPA-assigned to breastfeeding women. To accommodate the R7 requirement for this enhancement, CDP's QA staff ensured that risk factor 602 continued to be CPA-assigned to breastfeeding women.

R8: When creating a new risk factor on the Risk Factor screen in the Reference Utility application module, ensure that option selected in the Second Infant BF Amount drop-down list box saved and displayed correctly in the Risk Factors data grid on the Risk Factors screen.

To accommodate the R8 requirement for this enhancement, the code was modified to correctly display the option selected in the Second Infant BF Amount drop-down list box in the Risk Factors data grid on the Risk Factors screen when creating a new risk factor on the Risk Factor screen in the Reference Utility application module.

DFDD Updates

The table below documents changes made to the SPIRIT WIC Detailed Functional Design Document (DFDD) for this release of the software.

DFDD Updates

Issue#

DFDD Location

DFDD Resolution

ENH-515

Code Changes

Appendix

(busrule.chm)

The following changes were made to the Risk Factors Matrix in Appendix D of the DFDD:

  • Risk factor 211 was updated as follows:

  • The values in the Definition column for all rows were changed from "≥ 10" to "≥ 5".

  • The values in the Formula column for all rows were changed from "≥ 10" to "≥ 5".

  • Risk factor 332 was updated as follows:

  • The heading title was changed from "Closely Spaced Pregnancies" to "Short Interpregnancy Interval".

  • The values in the Definition column for all applicable rows were changed from "16 months" to "18 months".

  • The value in the Formula column for the "Pregnant" row was changed from "< 16" to "< 18".

  • Risk factor 601 was updated as follows:

  • The value in the Priority column for the "Pregnant" row was changed from {blank} to "1".

  • The value in the Definition column for the "Pregnant" row was changed from {blank} to "A pregnant woman whose breastfed infant has been determined to be at nutritional risk."

  • The value in the Assignment column for the "Pregnant" row was changed from {blank} to "Both System and CPA Assigned".

  • The value in the Formula column for the "Pregnant" row was changed from {blank} to "If the ASSIGNMENTMETHOD value is "S" in the RISKFACTORREFERENCE table for risk factor 601, the system will assign the risk factor according to the formula below. CHILD.CURRENTLYBREASTFED = "Y" for an infant linked to the woman. Linked = [The MOTHERSTATEWICID value of the infant's record in the CHILD table is equal to the woman's state WIC ID, and the STATEWICID value in the woman's record in the POSTPARTUMINFANT table is equal to the infant's state WIC ID.]".

  • Risk factor 602 was updated as follows:

  • The value in the Priority column for the "Pregnant" row was changed from {blank} to "1".

  • The value in the Definition column for the "Pregnant" row was changed from {blank} to "A pregnant woman who is also breastfeeding with any of the following complications or potential complications for breastfeeding: Severe breast engorgement; Recurrent plugged ducts; Mastitis (fever or flu-like symptoms with localized breast tenderness); Flat or inverted nipples; Cracked, bleeding, or severely sore nipples; Age = 40 years; Failure of milk to come in by 4 days postpartum, and/or; Tandem nursing (breastfeeding siblings who are not twins)."

  • The value in the Assignment column for the "Pregnant" row was changed from {blank} to "CPA Assigned Only".

DFDD EBT Gap Analysis

Entire DFDD

(wicdfdd.chm)

As State Agencies move toward EBT implementation, it became evident that the SPIRIT WIC DFDD was lacking in detail that is vital to clearly understand the EBT functionality within the SPIRIT WIC system and define future change orders and enhancements to the system.

A thorough gap analysis was performed on the SPIRIT WIC DFDD to analyze the current EBT functionality and to establish the current baseline of EBT functionality within the SPIRIT WIC system.

As a result of the EBT gap analysis, the SPIRIT WIC DFDD was updated to reflect the current behavior of EBT functionality within SPIRIT WIC system.

To thoroughly track the changes made during this effort, a revision-tracked document was created to allow easy identification of each change made to the SPIRIT WIC DFDD. Refer to the 2016-008 EBT Gap Analysis Documentation for detailed information.

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