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A baseline will be established using results reported in FY25 LAPs.

The State agency will facilitate collaboration among Program Nutritionists in the last quarter of FY23, and first quarter of FY24, to develop training, implementation, and evaluation process for the FY24 strategy.

The State agency will provide a presentation on the results of the FY23 TMM chart audits by December 2023 and identify areas for improvement in counseling and documentation for children at risk of overweight/obesity.

By the third quarter of FY24, the State agency will determine the need to update and convert the Child TMM tool to a fillable form.

Local agency liaisons will perform TMM QA chart audits in FY 2024.

A total of 15 chart audits (sample to include child participants with at risk for or with overweight or obesity risk) to determine completeness of nutrition education documentation. Certain agencies will be selected based on outcome indicators.

50% of local agencies continue to use WICSmart modules for obesity/overweight prevention. This will be assessed in routine monitoring. Range: 8.6% - 22.9%

2022 Target: ≤ 15.0%* Average: 14.4% Range: 10.0% - 18.6%

2023 Target: ≤ 15.0%* Average: 14.7% Range: 8.6% - 20.2%

b. OBESITY: BMI ≥ 95th%ile

FFY 2019 Target: ≤ 10.0% Average: 15.3% Range: 9.3% - 22.8%

FFY 2020 Target: ≤ 10.0% Average: 15.5% Range: 7.7% - 28.3%

FFY 2021 Target: ≤ 10.0% Average: 19.1% Range: 12.5% - 28.1%

2022 Target: ≤ 10.0%* Average: 16.7% Range: 8.8% - 23.1%

2023 Target: ≤ 10.0%* Average: 15.8% Range: 10.5% - 21.2%

2024 data pending.

FFY2019-2021: CT-WIC MIS (Management Information System).

*Beginning with 2022 State Plan submission, we will report available complete calendar year data. 28% of charts reviewed had documentation of TMM to start a conversation. 67% and 69% of charts audited assessed for snacks and sweetened beverages respectively. 70% of charts assessed for physical activity. 40% of charts assessed showed evidence of validating anthropometrics. 75% of charts audited had Care Plans that documented nutrition counseling. 36% and 16% of charts audited had specific nutrition or physical activity plans documented, respectively. The State agency provided a presentation on the FY 2023 chart audits for the Program Nutritionists. Another presentation will be provided in December 2024 with the results of current overweight/obesity chart audits.

To date in FY24 there was a 60% increase in WICSmart module completion over 2023 levels. Six of the nine local agencies have notable improvement in WICSmart