1 2 Thinking about participants you spoke to in the last week what was the most important referral you made What made that referral important 3 How to take a good referral and make it great ID: 727296
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Slide1
Strengthening referrals in WIC
1Slide2
2
Thinking about participants you spoke to in the last week, what was the most important referral you made?
What made that referral important?Slide3
3
How to take a good referral and make it great
!Slide4
Discussion
How do referrals improve
health
outcomes for the families we serve?
What factors influence whether a participant takes advantage of the referral offered?4Slide5
Steps to offering a great referral
Use your
participant centered
skills
Identify and prioritize needsProvide specific referral informationHelp address barriersFollow up at the next visit
5Slide6
Use participant
centered skills
Ask permission to offer
May be helpful when discussing sensitive referrals. Consider
:Cultural beliefs - as these may greatly influence how a participant views asking for help
Feelings -
since asking
for help
may be difficult for some participants. They may have feelings of shame, fear, powerlessness, or distrust
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Identify and prioritize needs
A thorough assessment will help identify potential referrals.
Work with the participant to prioritize which referrals are most important to them. A
participant may not prioritize her/his needs the same way you would.
You can make suggestions and provide guidance and the participant will make the final decision.
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Provide a specific referral
Let the participant know how the agency can
help.
When possible, provide a contact name, address or map, phone number and the best time to
call.Let the participant know what paperwork to take to the referral organization.
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Help address Barriers
Ask
the participant how
they plan to use the
referral. Actively listen for any barriers that might prevent them from using the referral. Help the participant figure out how
they
can address
barriers
. You do not have to have the answers. Guide
the
participant so that
they find the solutions that work best for them.
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Follow up
At
the next visit, check in with the participant about the referrals. Ask a question such as “How did the referral for _____ go for you?”
If
the participant accessed the referral agency, affirm their efforts. If the participant did not follow up on the referral, explore if the need still exists and if any additional assistance is needed.
10Slide11
Everyone has a role
Referrals can be offered from any WIC staff.
Clerical staff – May make referrals to OHP, SNAP/food stamps, TANF
and/or immunizations
when enrolling participants.Certifier’s- May make unique referrals based on the need(s) that arise during the visit.
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How can TWIST help?Slide13
TWIST can help find a resource
Referral categories make it easy to find resources that fit the participant’s needs.
13Slide14
New fields have been added
Email and website now available
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What referral resources do we need in TWIST?
Discussion questions
15Slide16
Documenting your referrals
Enrollment button or Certification tab
Anyone can make and document referrals
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One referral record
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Referrals will automatically show in both places, regardless of where they are documented
.Slide18
Producing written referrals from TWIST
Click “More Info” and then click “Print” on the popup to generate a written referral that can be given to the participant.
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Which referrals are required
?Slide20
Three required referrals
Alcohol or Drug Use
Immunizations
Oregon Health Plan (Medicaid)
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1. Alcohol or Drug Use Referrals
Use
the normal assessment process to screen for alcohol, tobacco, or drug use
If a positive response for alcohol or drug use,
Refer to treatment and provide a written referralProvide written information on the dangers of alcohol and drug useRefer
to Policy 880 for more information
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Options for providing a written referral
Locally produced listing of treatment options
TWIST produced referral
22Slide23
Options for providing
information
Locally produced material
What You Eat Makes a Difference (57-701)
Noodle Soup pamphlet ordered from the state23Slide24
2. Immunization Referrals
Screen
ages 3 to 24 months
If immunizations are due, or if unable to review immunization record, must refer to health care provider
Optional to print referral letter from the TWIST Immunization Status buttonSee Policy 481 for more information
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Referral Letter
Shows date of info
Missing shots
Can print for PMDTWIST lesson
Ch. 3, 40425Slide26
3. Oregon Health Plan Referrals
Every participant must be referred to Oregon Health Plan at every certification if they are not currently enrolled.
A written referral must be provided
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Options for written referrals to OHP
Locally produced materials
TWIST produced referral
Safenet
card27Slide28
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Case StudiesSlide29
Case Study: Kim and Sara
Kim applies for WIC for her 18 month old daughter, Sara. While completing the enrollment screens at check in, you find out that she recently left her husband and is temporarily staying with a friend. She works part time and thinks she might be eligible for food stamps. She has no
immunization
record and no primary doctor for Sara. When you click on the
Immunization Status button, it says that since she is new, there is no information about her in TWIST yet.What referrals would you make?
How would you make the referrals meaningful?
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Case Study: Lauren and Elizabeth
Lauren is a 6 weeks postpartum woman bringing in her new baby, Elizabeth. During counseling she breaks into tears when you ask about alcohol use. You find out that since her husband was deployed overseas she has been really sad and has been drinking a lot to help her sleep. She wants to keep breastfeeding but is sure that the alcohol is bad for the baby. She is on OHP and has a OB-GYN.
What referrals would you make?
How would you make the referrals meaningful?
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Thank You
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