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Healthcare + Education = Healthy Communities: Why Schools Fit the Equation

Healthcare + Education = Healthy Communities: Why Schools Fit the Equation. Kate Keller, MPA Senior Program Officer The Health Foundation of Greater Cincinnati. National Picture of SBHCs. Over 1700 SBHCs in 2005 87% located in the school building

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Healthcare + Education = Healthy Communities: Why Schools Fit the Equation

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  1. Healthcare + Education = Healthy Communities: Why Schools Fit the Equation Kate Keller, MPA Senior Program Officer The Health Foundation of Greater Cincinnati

  2. National Picture of SBHCs • Over 1700 SBHCs in 2005 • 87% located in the school building • 30% high schools; 80% serving at least one adolescent grade • 34% Hispanic; 30% Black; 30% White • 59% in urban areas • Midwest region: 275 SBHCs

  3. Who we serve • 12 School-Based Health Centers • 31 Schools Served • 8,050 students enrolled (76% of student population) • 52% Medicaid; 16% uninsured • 16,791 encounters

  4. What we learned Improved Health Status

  5. Child-Reported Total HRQL (N=588)

  6. What we learned Improved mental health status

  7. Child-Reported Psychosocial HRQL (N=588)

  8. What we learned Attendance success varied

  9. SBHC Visit Outcome N=3707 N=5080 N=6354

  10. Yearly Absences among Those Reporting ADHD across SBHC Users, Nonusers and Comparison Note: Statistical 3-way interaction

  11. What we learned Improved access to healthcare

  12. Percent of Parents Reporting Perceived Problems getting Health Care (N=581)

  13. What we learned Medicaid costs did not increase

  14. Trend of Total Medicaid Costs by SBHC per 100 Students for 22 quarters(N=2153) SBHC

  15. What we learned Medicaid savings for a rural SBHC

  16. Total Quarterly Medicaid Costs for Rural Schools per 100 Students (N=725) SBHC

  17. What we learned Closed the gap of healthcare services for African-American students

  18. Total Cost by Race 436.7 Other RACE = 0 black = 1 393.1 349.4 T 305.7 o t 262.0 a l 218.4 C 174.7 o s 131.0 t 87.3 43.7 0.0 -12.00 -7.80 -3.60 0.60 4.80 9.00 Quarter (Sept 1997 - Feb 2003) Growth Trend of Quarterly Total Costs by Race (N=5056) Racial Disparity: African Americans with low costs at the initial point, then, overcame the difference with SBHC.

  19. What we learned Significant Medicaid savings for students with asthma

  20. Numbers of Hospitalization and ER Visits for Children with Asthma in SBHC Schools (N=196) and Non-SBHC Schools (N=77) With SBHC, hospitalizations decreased 3-fold.

  21. Hospitalization Costs Before and After SBHC for Students with Asthma (N=273) SBHC Hospitalization costs decreased $970 per student.

  22. What we learned Increased use of mental health services

  23. Medicaid Mental Health Service Costs before and after the SBHC Program for Students with Mental Health Problems (N=551) SBHC Students with mental health illnesses had more mental service costs.

  24. For full study results see: http://www.healthfoundation.org/sbhcstudy.html Contact: Kate Keller kkeller@healthfoundation.org

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