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USDA WIC Nutrition Services: Hiring & Training Competent Professional Authorities, Lecture notes of Nutrition

Jacksonville State University (JSU)Nutrition

The USDA WIC Nutrition Services Standards for hiring and training Competent Professional Authorities (CPAs) in nutrition and health assessments, determination of nutrition risk, and provision of individualized nutrition education and food packages. It includes definitions of CPAs, licensed dietitians (LDs), licensed nutritionists (LNs), and paraprofessional CPAs, as well as their respective education and training requirements. The document also covers procedures for hiring, training, and supervising CPAs, including nutrition modules and ongoing training.

Typology: Lecture notes

2021/2022

Uploaded on 09/12/2022

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4.3-1 9/18
SECTION 4.3
Subject: Competent Professional Authority (CPA) Qualifications and
Responsibilities
References:
246.2 Definition of competent professional authority
246.6(b)(2) Perform certification procedures
246.7(e) Determine nutritional risk
246.7(i)(7) Sign certification form
246.10(a)(2)(iii) Prescribe supplemental food
246.11(e)(5) Provide individual care plan
USDA WIC Nutrition Services Standards, Nutrition Services Staffing, Standard 3 (M, N,O).
Policy: Grantees are responsible for employing qualified CPAs in sufficient numbers to determine
nutrition risk eligibility, provide nutrition education, and prescribe an appropriate food package for each
participant.
Purpose: To ensure that qualified professionals are making decisions about eligibility and nutrition
risk, and providing appropriate, competent nutrition services.
Definitions:
• Competent Professional Authority (CPA): In the local agency (LA), a CPA is authorized to
conduct nutrition and health assessments, determine nutrition risk, provide individualized
nutrition education and prescribe supplemental foods. The specific role of an individual CPA will
depend on his/her education, experience and professional credentials.
• Registered Dietitian Nutritionist (RDN): An individual with a minimum of a bachelor’s degree in
an accredited nutrition program and registered with the Commission of Dietetic Registration
(CDR). RDNs have completed 1200 hours of supervised practice and passed a national exam.
• Licensed Dietitian (LD): An individual with a minmum of a bachelor’s degree in an accredited
nutrition program and licensed by the State of Minnesota Board of Dietetics and Nutrition
Practice; Minnesota Statutes, Section 148.621 to 148.633. LDs have completed 900 hours of
documented supervised practice in nutrition or have a doctoral degree from an accredited
college with a major course of study in nutrition. LDs may also have valid current registration
with the Commission of Dietetic Registration.
• Licensed Nutritionist (LN): An individual with a master’s or doctoral degree in an accredited
nutrition program and licensed by the State of Minnesota Board of Dietetics and Nutrition
Practice; Minnesota Statutes, Section 148.621 to 148.633. LNs have completed 1000 hours of
documented supervised practice in nutrition or have received certification from the Certfication
Board for Nutrition Specialists.
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SECTION 4.

Subject: Competent Professional Authority (CPA) Qualifications and

Responsibilities

References:

246.2 Definition of competent professional authority 246.6(b)(2) Perform certification procedures 246.7(e) Determine nutritional risk 246.7(i)(7) Sign certification form 246.10(a)(2)(iii) Prescribe supplemental food 246.11(e)(5) Provide individual care plan USDA WIC Nutrition Services Standards, Nutrition Services Staffing , Standard 3 (M, N,O).

Policy: Grantees are responsible for employing qualified CPAs in sufficient numbers to determine

nutrition risk eligibility, provide nutrition education, and prescribe an appropriate food package for each participant.

Purpose: To ensure that qualified professionals are making decisions about eligibility and nutrition

risk, and providing appropriate, competent nutrition services.

Definitions:

  • Competent Professional Authority (CPA) : In the local agency (LA), a CPA is authorized to conduct nutrition and health assessments, determine nutrition risk, provide individualized nutrition education and prescribe supplemental foods. The specific role of an individual CPA will depend on his/her education, experience and professional credentials.
  • Registered Dietitian Nutritionist (RDN): An individual with a minimum of a bachelor’s degree in an accredited nutrition program and registered with the Commission of Dietetic Registration (CDR). RDNs have completed 1200 hours of supervised practice and passed a national exam.
  • Licensed Dietitian (LD): An individual with a minmum of a bachelor’s degree in an accredited nutrition program and licensed by the State of Minnesota Board of Dietetics and Nutrition Practice; Minnesota Statutes, Section 148.621 to 148.633. LDs have completed 900 hours of documented supervised practice in nutrition or have a doctoral degree from an accredited college with a major course of study in nutrition. LDs may also have valid current registration with the Commission of Dietetic Registration.
  • Licensed Nutritionist (LN): An individual with a master’s or doctoral degree in an accredited nutrition program and licensed by the State of Minnesota Board of Dietetics and Nutrition Practice; Minnesota Statutes, Section 148.621 to 148.633. LNs have completed 1000 hours of documented supervised practice in nutrition or have received certification from the Certfication Board for Nutrition Specialists.
  • Nutrition and Dietetics Technician, Registered (NDTR): An individual educated and trained in nutrition and dietetics practice for the delivery of safe, culturally competent, quality food and nutrition services. NDTRs work under the supervision of an RDN. Successful completion of a Dietetic Technician accredited program includes 450 hours of supervised practice with at least a two year associate degree and successful completion of the Registration Examination for Dietetic Technicians.
  • Paraprofessional CPA : An individual who has not attained a college degree to otherwise qualify for hiring as a CPA, but who is of a culture and/or speaks a language needed to serve participants from that community. To work as a paraprofessional CPA, such an individual must receive extensive training and mentoring to assure they acquire and maintain the minimum competencies needed in WIC. This individual can serve low risk participants under continuous supervision, and with ongoing training and mentoring from a local agency’s nutrition professionals. See Section 4.3.1 below.
  • CPA Competencies: Skills and tasks necessary to certify and serve WIC applicants and participants. The competencies will be attained through training, and assured through initial and on-going monitoring of performance.
  • Cultural Competency: For the purpose of this policy, cultural competency is defined as having extensive knowledge and experience of the cultural patterns and practices of a specific community, especially related to the beliefs and practices affecting maternal and child health and nutrition.

Procedures:

WIC is a nutrition program in which individuals are assessed for nutrition risk, provided targeted nutrition education and referals, and a food package. While many participants are considered “low risk”, WIC serves many vulnerable individuals at high nutrition risk. The MN WIC Program is committed to assuring that Local Agencies have the staff to address these special nutrition needs.

  1. The goal of the MN WIC Program is for LAs to employ or contract with a credentialed nutrition professional (i.e., an RDN, Minnesota LD or LN) to plan and oversee the nutrition services for the agency. The credentialed nutrition professional should be designated to serve high risk participants and/or oversee high risk services provided by the agency’s other (non-nutrition credentialed) CPAs. See Guidance for other suggested roles and responsibilities for credentialed staff. - If the Grantee does not employ an RDN/LD/LN, when a staff opening occurs the grantee must attempt to recruit and hire one. See Guidance for suggestions. State WIC Consultants are available to assist.
  2. In addition to CPAs with nutrition credentials, LAs may hire individuals with other credentials and/or related post-secondary education to function as a CPA. Agencies must ensure these individuals receive appropriate training before functioning as a CPA. The following are acceptable credentials/education: - Bachelor’s or Master’s Degree in Nutrition such as Nutritional Sciences, Community Nutrition, Clinical Nutrition or Dietetics.

Guidance:

  1. If the number of credentialed nutrition professional(s) (RDN, LD or LN) and/or their hours are limited, Local Agencies should prioritize how their skills and time can best be utilized in the program. Below are a number of WIC program roles or functions, for which individuals with nutrition credentials would be uniquely qualified. - WIC Coordinator - Nutrition Education Coordinator - Breastfeeding Coordinator - Staff person designated to serve “high risk” participants and/or to oversee high risk services provided by the agency’s other (non-nutrition credentialed) CPAs. - Assist in assessing staff nutrition competencies and identifying training needs. - Resource to other staff in increasing their nutrition knowledge and understanding, and as a consultant to others on nutrition issues. - Participate in on-going staff development and nutrition training. See Staff Training Policy, MOM Section 4.5.
  • Develop (or participate in developing) and implementing the Nutrition Education Plan for the agency or grantee.
  • Be fully trained to function as a CPA, as needed by the LA.
  1. If a Grantee contracts with an RDN/LD/LN, the contracted hours should be adequate for accomplishing the nutrition-related responsibilities and training requirements.
  2. Recruiting credentialed nutrition professionals:
    • Consider contacting colleges with dietetics programs and advertising on the Minnesota Academy of Nutrition and Dietetics (MAND) website. Your State WIC Consultant can assist you with contact information.
    • Contact your State WIC Consultant if unable to find suitable applicants with the desired credentials.

4.3.1 Paraprofessional CPAs

Policy: To meet the cultural and/or language needs of participants served by a LA, the agency may be

approved to hire a para-professional CPA who speaks the language and/or is of the culture. Since these indivduals lack the specified post-secondary education and nutrition credentials, they require extensive training and on-going monitoring.

Purpose: To meet the language and/or cultural needs of participants in order to best serve them, and

to increase the diversity of the WIC workforce to better reflect the communities WIC serves.

Procedure:

A written plan must be developed and approved before a paraprofessional CPA is hired. Local agencies must work with their State WIC Consultant from the beginning of the process. Paraprofessional CPAs may be hired if the plan is approved and the LA assures that the following requirements will be met

throughout the paraprofessional CPA’s employment. See Exhibit 4-L for a written plan to complete before hiring a paraprofessional.

  1. Local agencies must demonstrate their need to hire a paraprofessional CPA:
    • The local agency must first attempt to hire a CPA with professional credentials who could meet the cultural and/or language needs of participants.
  • The local agency serves participants of a non-majority culture and/or participants who speak another language than English.
  1. Local agencies must demonstrate their ability to meet the requirements involved in employing a paraprofessional CPA: - The local agency must have demonstrated compliance with WIC policies and procedures and had minimal required actions at recent management evaluations before taking on the responsibility of training, supervising and mentoring a paraprofessional CPA. - Paraprofessional CPAs require extensive preparatory and on-going training and mentoring throughout their employment. o The local agency must have nutrition professionals (RDN, LD, or LN) on staff and available to provide the required training, mentoring and continuous supervision at all clinic sites. o Larger local agencies with multiple RDNs on staff would be better able to meet this requirement.

Paraprofessional qualifications:

  1. Candidates for serving a local agency’s non-English speaking participants, must be proficient in the community’s language and knowledgeable of their culture. - A high school diploma, or GED equivalent, and a year of employment that includes customer service is required. Consult your State WIC Consultant if it is not possible to find a candidate with these requirements to meet a language need. - Candidates with some post-secondary education are preferred. - Candidates must be willing and able to successfully complete the required training. See training requirements below.
  2. Candidates for serving a particular cultural group must be a member of that cultural community, with extensive knowledge of their culture and socioeconomic conditions. - Candidates must have completed an associate or bachelor’s degree, in any of the following disciplines: o Public health; Community health education; Health education; Health science; Exercise science or other health-related degrees. o Biology; Family consumer science; Psychology; Adult and/or early childhood education; Human services; Social work; Sociology; Family social science; Global development/global studies. o Strong consideration should be given to candidates with coursework in nutrition, biology and chemistry.

Approval of paraprofessional CPAs:

  • Approval of a paraprofessional CPA is provisional and may be revoked for the following reasons: o The local agency is not adequately training and/or supervising the individual. o The individual has not adequately attained skills and competencies necessary to function as a CPA. o The individual is working outside the approved scope of practice.
  • If state-approval for employing the paraprofessional CPA is revoked, that individual may no longer function as a CPA.

Guidance:

  • Local agency staff must work with their State WIC Consultant from the beginning of the process. A representative from the local agency should meet with their State WIC Consultant.
  • Documentation of all training, chart reviews and observations should be kept for review at the Management Evaluation.
  • Best practice is to test candidates on their language proficiency. Contact your State WIC Consultant for a list of test sites.