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Healthy, in school and ready to learn: the public health impact of school-based health care

Healthy, in school and ready to learn: the public health impact of school-based health care. Pennsylvania Public Health Association. We strive to: Promote healthy life styles Prevent injury and disease Assure the safe delivery of quality health care

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Healthy, in school and ready to learn: the public health impact of school-based health care

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  1. Healthy, in school and ready to learn:the public health impact of school-based health care

  2. Pennsylvania Public Health Association We strive to: • Promote healthy life styles • Prevent injury and disease • Assure the safe delivery of quality health care for all Commonwealth citizens

  3. School-Based Health Care • Care provided in schools or on school grounds • A comprehensive range of services that meet the specific physical and behavioral health needs of the young people in the community •  A multidisciplinary team of providers to care for the students:  nurse practitioners, registered nurses, physician assistants, social workers, physicians, alcohol and drug counselors, and other health professionals • Require parents to sign written consents for their children to receive the full scope of services provided at the SBHC • Have an advisory board consisting of school and community representatives, parents, youth, and family organizations, to provide planning and oversight

  4. Comprehensive Services • Screenings (Vision, Hearing, Scoliosis, etc.) • Immunizations • Comprehensive Health Assessments • Treatment of Acute Illness • Treatment for Chronic Illness • Prescriptions for Medication • Medications Administered • Nutrition Counseling • Lab Tests • Standardized Behavior Risk Assessments • Sports Physicals

  5. A collaboration between: • Pan American Academy Charter School • Education-Plus Health • National Nursing Centers Consortium • Temple University, Department of Nursing PAN AMERICAN WELLNESS CENTER

  6. Pan American Academy Will provide: Thechildren Access to parents and community Support from the teachers The facility Access to Congreso’s Health and Wellness services

  7. Education-Plus Health Will provide: Coordination among partners : Quality assurance Evaluation and Monitoring

  8. National Nursing Centers Consortium Will provide: Fundraising EMRtraining Business model and program development

  9. Temple University, Department of Nursing: • Undergraduate and graduate programs • Fully accredited programs under CCNE – • the Credentialing Center for Nursing Education of the American Association of Colleges of Nursing Workforce Development Curricula are being modified to prepare nurses and nurse practitioners for community-based primary health care… the future of nursing

  10. 11 Pan American Wellness Center Objectives • Ensure 100% of students receive state mandated screenings • Identify, treat, and monitor students with chronic health issues • Develop programs that reduce unnecessary emergency room utilization • Promote health and prevent illness • Educate students and teachers on health and wellness topics provided through selected monthly themes • Increase attendance to support academic achievement 11

  11. Advantages of having a School-Based Wellness Center • 100% of the students will have accessto Wellness Center services • Improved and well managed health care, including preventive care, will reduce absences and increaseacademic performance • Parents receive support managing their children’s health, reducing the times that parents need to leave work • care is more cost-effective • Staff will help develop healthy habits within families and home environments and makehome visits as appropriate • referrals are made, as needed, for additional primary care and specialty care, including dental, vision, hearing, behavioral health 11

  12. School Based Health/Wellness Centers Promote healthy life styles Prevent injury and disease Assure the safe delivery of quality health

  13. Charting Nursing’s FutureA Publication of the Robert Wood Johnson Foundation August, 2010 School-Based Health Centers: A National Overview • 1,900 + in 45 states, Washington, D.C., and Puerto Rico • 84% led by Nurse Practitioners • 75% have mental health staff • Nearly 2 million students, most of whom are eligible for free and reduced lunch, have access to SBHCs • SBHCs provide services without regard to a student’s ability to pay, but they must obtain parental consent, as required by state law

  14. Documented Benefits of School-Based Health Centers • reduced inappropriate emergency room use among regular users of school-based health centers • significant increase in health care access by students who used school-based health centers • a reduction in Medicaid expenditures related to inpatient, drug and emergency department use to use of school-based health centers • reduction in hospitalization and an increase in school attendance among inner-city school children asthma; decreases in hospitalization rates of 75-85% and improvements in the use peak flow meters and inhalers

  15. Emergency Preparedness A majority of SBHCs have emergency preparedness plans in place with response strategies to address school-based events that include: ■ Medical/mental health emergencies (91%) ■ Natural disasters (87%) ■ School shootings (72%) SBHCs also participate on school-wide teams: ■ Crisis management team (45%) ■ Mandatory school/district wellness committee (35%) ■ Early intervention team (32%) NASBHC National Census published 2010

  16. California Dropout Research ProjectMarch, 2010 The Connection Between Health and High School Dropout • Poor health in childhood and adolescence is associated with high risk for high school dropout • Childhood illnesses, such as asthma and diabetes, impact education largely through disparities in access to medical care Freudenberg & Ruglis. Reframing school dropout as a public health issue. Prev Chronic Des 2007; 4 (4).

  17. American Journal of Public HealthThe Role and Value of School-Based Health CareJuly, 2010 • SBHCs increase access to care and improve mental health and resiliency in adolescence • Middle and high school students who used SBHCs experienced more satisfaction with their health and engaged in a greater number of health-promoting behaviors than did nonusers of SBHCs Reprints can be ordered at http://www.ajph.org

  18. Education-Plus Health • Policy: advocate for sustainability of school-based health care centers through reimbursement • Program Development: establish more SBHCs offering primary care in medically underserved communities • Workforce Development in partnership with Temple University, Department of Nursing: prepare nurses and nurse practitioners to deliver primary care to children in schools through curriculum development, education and practical experience • Organizational Development: lead the process to establish the Pennsylvania Association of School-Based Health Care to be an affiliate of the National Assembly of School-Based Health Care • Outreach: network with other organizations, individuals and funders to advance our mission….all of Pennsylvania’s children healthy, in school and ready to learn.

  19. Healthy, in school and ready to learn!

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