DEPARTMENT OF HEALTH Division of School Health

1. DEPARTMENT OF HEALTHDivision of School Health 2005 SCHOOL HEALTH UPDATE

2. Presented by Beth Anne Bahn, CRNP State School Health Consultant December 13, 2005

3. DIVISION OF SCHOOL HEALTH Jon Dale, Director Beth Anne Bahn, State School Health Consultant Rosemary Moyer, State School Health Consultant (Jan 2006) Martha Drager, Administrative Officer Bill Barbour, Steps School Health Coordinator Richard Brown, Administrative Support Six District Located School Health Consultants

4. Legislative/Regulatory Initiatives of Interest Act 187 of November 2004 Asthma Inhaler Bill • School Districts must develop a policy • Policy must allow for the possession and self administration of medication via an asthma inhaler • Physician order and parental consent needed • Student must demonstrate competence and responsible behavior

5. DOH Communication to Schools • What: Letter to Superintendents/Pupil Services Directors and Certified School Nurses • When: Spring 2005 • To include: Notice of the passage of the law Copy of the law Example of an Asthma Action Plan

6. PA Chapter of the American Lung Association Developing Toolkit for Schools, School Districts and School Nurses ALA’s Asthma Friendly Schools Initiative, and other ALA resource tools, federal agencies and best practice based materials

7. Toolkit for Schools • Asthma Basics • Asthma Inhalers & School Template Materials • Asthma Management Plan • Asthma & Exercise • School Personnel Resources • General Asthma Resources

8. Proposed Timeline • One CD of Tool Kit has been sent to each School District. Can be downloaded from www.lungusa.org (asthma/school programs). • Planning for providing technical assistance to school nurses and school personnel on implementation

9. ASTHMA SCHOOL PROJECT

10. SCHOOL DISTRICTS • BRADFORD AREA SCHOOL DISTRICT – MCKEAN COUNTY • OLEY VALLEY SCHOOL DISTRICT – BERKS COUNTY • APOLLO RIDGE SCHOOL DISTRICT-ARMSTRONG COUNTY

11. Objectives/Activities • Review school health record to validate identified asthmatic student– baseline data • Tracking of asthma episodes during the school year • Parental home questionnaire • Primary Care Provider questionnaire • School environmental data questionnaire • DOH to provide analysis and feedback, information, education, findings and conclusions

12. PA ASTHMA PLAN 6 Priority Areas: 1. Surveillance 2. Environment and Workplace 3. Awareness and Education 4. Providers 5. Disparities 6. Public Policy

14. Varicella ReportingDOH Regulation Chpt. 27Communicable Diseases • Amended/required starting January 26, 2005 • Who Reports: • All healthcare providers • School nurses • Day care providers • Laboratories

15. Varicella Reporting (cont’d) • Required variables for reporting: • Age • History of vaccination • Severity of disease

16. DO………….. • School nurses call local health department when it becomes known or suspected that a student has varicella • Provide contact information for student to health department for further follow-up • Inform student’s parent/guardian health dept will be contacting them

17. Proposed Amendments to Chpt. 27Communicable Disease Regulations • Includes clarification of procedures related to communicable disease investigations in schools • PSBA provided comments/concerns • Meeting with PSBA March 9, 2005

18. Proposed Legislation • SB 676 (Conti) – Amendments to Health Services Chapter, Public School Code • SB 449 (Wonderling) – Epi pens • HB 185 (Stairs) – Competitive foods/beverage & advertisement contracts • HB 189 (Stairs) – Physical education & recess

19. Proposed Legislation (cont’d) • HB 191 (Stairs) – State & School Advisory Health Councils • SB234 (Vance)/ HB1010 (Creighton) – CPR certification for CSNs • HB 256 (Crahalla) – School screening for diabetes

20. To Access Proposed Legislation www.legis.state.pa.us

21. Proposed Immunization Changes 7th Grade-Booster of Tdap 7th Grade-Meningococcal vaccine ( 11 and 12 years of age)

22. School immunization requirements for a child transferring from another State into Pa school.

23. PA Optometric Association • Children’s Vision: A Guide for School Nurses and Teachers • Topics addressed: Development of Vision • Vision Skills Related to Learning • Vision Problems- S/S, Treatment • 2 hour presentation-FREE • Available Winter of 2005 • ACT 48 Credits available

24. English as a Second Language Medical Forms Requirement of “No Child Left Behind” Translated into 13 most common languages in PA Examples: Asthma Action Plan, PANA Growth Screening Letter, Screening Results, Health History

26. 7.5 M U.S. Dept. of Health & Human Services Cooperative Agreement • 5 year project to implement chronic disease prevention efforts • Directed to schools, health care delivery, communities & businesses • Targeted Communities Fayette, Luzerne & Tioga Counties

27. Chronic Diseases Asthma Diabetes Obesity Factors Tobacco Use Nutrition Phys Inactivity Focus Areas

29. TARGETED COUNTIES • Community Consortium • Community Lead Agency – Area Health Education Council (AHEC) • State & local coordinators to assist schools • Evidence based interventions • Evaluation at the local, state & national levels

30. New Electronic Reporting Via Web-based Application SHARRS School Health Annual Reimbursement Request System

31. SHARRS • Development in progress • Pilot testing – Winter 2006 • Revised report/data collection begins SY 05 – 06 (NOW) • Web reporting available end of SY 05 – 06 (Voluntary first year) • Ability to email School Health

32. SHARRS NOT a fully integrated system w/school computer systems • Data imports are not currently a viable solution because SHARRS is designed for manual data entry via the Internet • DOH may conduct a study to determine the need for dev. of an electronic data transfer system using a prescribed interchange format.

50. Spring Mailing/Next Steps • DOH will re-enter 2004-05 report info into the new web-based system • DOH sent a hard copy template of revised annual report in May (so schools can adjust data collection) • DOH will send revised Instruction Manual for the 05 – 06 web-based report