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Insert SBHC/Sponsoring Agency Name and Logo. Mission. Insert sponsoring agency mission statement. SBHC mission statement/goals/values. … … …. Background History. Insert a brief blurb about the history of your agency’s SBHCs: How did they come about? Who were the key partners?
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Mission • Insert sponsoring agency mission statement SBHC mission statement/goals/values • … • … • …
Background History Insert a brief blurb about the history of your agency’s SBHCs: How did they come about? Who were the key partners? What was the community response? Other notable early experiences?
Community Partners We partner with: • Insert list of partners We receive funding from: • Illinois Department of Public Health • …
Program Overview Insert a brief blurb about your program goals and model. What are you focused on achieving? What are your core programs? How do you staff your sites?
Demographics Grades/Ages Served: Insert grades or ages served Census Information :Insert racial demographics % of Medicaid Eligibility :Insert Medicaid eligibility rate English Proficiency Rates :Insert English proficiency rates / languages spoken Free/Reduced School Lunch Program participants :Insert rate of participation in free/reduced school lunch program
Locations Insert site list with contact information for each and photos if available
Services Provided • Insert list of all services provided (i.e. medical, behavioral health, nutrition, health education, etc.)
Patient Consent and Eligibility • Briefly describe your processes for obtaining patient consent and verifying eligibility.
Staff • Insert list of your staff and photos if available
Encounter Data Insert list of encounter data you currently track
Noted Accomplishments • Insert list of accomplishments and awards (e.g. from your agency, from external partners, from school, from accrediting bodies, from government entities, or foundations).
Clinical Accomplishments • Insert list of major accomplishments you’ve identified through clinical data monitoring (i.e. chronic disease management, immunizations, well-child visits, risk assessments, etc.)
Clinical Accomplishments • Insert tables or graphs to illustrate the previous list
The Future • Moving forward, what are you hoping to accomplish.