you want a school based health center, now what?
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You want a school based health center, now what?. Marshall Logo. Why have a School-Based Health Center? . Many children do not receive adequate health care- often due to lack of access or financial means; - PowerPoint PPT PresentationTRANSCRIPT
You want a school based health center, now what?
Marshall Logo
Why have a School-Based Health Center?
• Many children do not receive adequate health care- often due to lack of access or financial means;
• 23% of WV public school children require regular and ongoing health care services during the school day;
• 55,000 students have Individualized Education Programs (IEPs);
• WV students have high rates of asthma, diabetes, and obesity;
• SBHCs can provide a safety net to reach the kids falling through the cracks.
Why have a School-Based Health Center?
• Many children do not receive adequate health care- often due to lack of access or financial means;
• 23% of WV public school children require regular and ongoing health care services during the school day;
• 55,000 students have Individualized Education Programs (IEPs);
• WV students have high rates of asthma, diabetes, and obesity;
• SBHCs can provide a safety net to reach the kids falling through the cracks.
What is a School-Based Health Center?
• SBHCs are health clinics located in schools or on school grounds that provide preventive and primary care to students.
• They provide a comprehensive range of services that meet the health needs of the young people and staff who attend the school.
• SBHCs have an advisory board consisting of community representatives, parents, youth, and family organization to provide planning and oversight.
What is a School-Based Health Center?
• They employ a multidisciplinary team of providers to care for students: physician assistants/ nurse practitioners, registered nurses, counselors, social workers, psychologists and other health professionals.
• They can work with, but aren’t meant to replace, the child’s physician/medical home or school nurse.
• They can serve as a child’s primary care provider if he/she doesn’t have one, ensuring that all students receive health care, regardless of their families’ ability to pay.
What is a School-Based Health Center?
• Most SBHCS consist of a waiting/reception area, lab area, exam room(s) and offices.
• Are typically staffed by a receptionist/data entry clerk, nurse, and a nurse practitioner or physician assistant with supervision/consultation from a physician
Pictures
Simple exam room at Eastern
Greenbrier Middle School SBHC
Pictures
Exam Room at Lincoln County
High School
Pictures
Wayne County High School
SBHC
Pictures
Clerical area- ACT’s SBHC in
Raleigh County
Pictures
Jefferson Elementary
Wellness Center in
Parkersburg
Pictures
SBHC built into the school- River View
SBHC in McDowell
County
What is a School-Based Health Center?
• Respond to the community
• Support the school
• Promote collaborative relationships
• Focus on the student
• Advance health promotion
• Provide leadership for adolescent and children’s health
What is a School-Based Health Center?
• Some SBHCs offer Behavioral Health Services– Currently, 30 out of 88 SBHCs report either staffing or contracting for mental health services.
• Some SBHCs offer Oral Health Services- Of the 88 SBHCs, 22 report providing dental services.
Benefits- for students
• Provides all children with easier access to comprehensive health care;
• Promotes prevention and early intervention;
• Decreases absenteeism and tardiness;
• Helps keep all student healthy, and healthy children make better learners.
Benefits-for families
• Since parents or caregivers do not have to take time off to take their children to see their provider, it reduces parental time off from work.
• Ensures that all children receive medical attention, regardless of the family’s ability to pay;
• Assists families in participating in beneficial social programs, as needed.
Benefits- for schools
• Research shows an increase in the number of students returning to class versus being sent home.
• Reduces school discipline and behavior problems;
• Can keep staff healthy and foster an environment that promotes “wellness;”
• They give all children an equal chance to succeed in school!
Benefits- for communities
• Reduces unnecessary emergency room visits and hospitalizations- Research shows that schools with a SBHC have a significant decrease in absenteeism as well as fewer hospitalizations and trips to the emergency room. - Journal of Adolescent Health, 2010;
• Teaches students and families to be better health care consumers;
• Strengthens the connection between the community and the school.
National Overview of SBHCs
National Overview of SBHCs
National Overview of SBHCs
State Overview of SBHCsToday, there are 88 SBHCs serving 107 schools in 32 counties. More are anticipated to
open by the end of 2013.
Twenty community health centers: Access Health/Community Health Systems
Belington Medical CenterCommunity Care of West Virginia, Inc.
Cabin Creek Health SystemCamden-on-Gauley Medical Center, Inc.
E.A. Hawse Health CenterFamilyCare HealthCenter
Hygeia Facilities FoundationLincoln Primary Care Center
Minnie Hamilton Health SystemMonongahela Valley Association of Health Centers, Inc.
Monroe County Health CenterNew River Health Association, Inc.
Pendleton Community CareRainelle Medical Center, Inc.Ritchie Regional Health CareTri-County Health Clinic, Inc.
Tug River Health Association, Inc. Valley Health Systems, Inc.
Wirt County Health Services Association
One hospital- Roane General Hospital
There are 21 sponsoring agencies of SBHCs in our state and comprise the majority of our leadership.
School-Based Health Centers are at the Intersection of Health and Education.
Specifically in our state, between
The Bureau for Public Health and the West Virginia
Department of Education.
First Steps• Engage school administrators
• Ensure that the county board of education is informed and approve
• Engage school nurses
• Identify “champions”
• Check basic logistics• Is there room?• Access to a restroom?• Access to water? • Etc.
First Steps• Identify potential medical sponsors
• Ensure to be transparent in your communication to all potential sponsors
• Remember that the SBHC sponsor needs to ensure that the center is financially sustainable, so be prepared to negotiate what services will be provided, and when.
• Contact us.
What is a FQHC? • Federally Qualified Health Centers are community-based organizations that provide
comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages.
• FQHCs operate under a consumer Board of Directors governance structure and function under the supervision of the Health Resources and Services Administration, which is part of the United States Department of Health and Human Services.
• FQHCs provide their services to all persons regardless of ability to pay, and charge for services on a community board approved sliding-fee scale that is based on patients' family income and size.
• In return for serving all patients regardless of ability to pay, FQHCs receive consideration from the Federal government in the form of a cash grant, cost-based reimbursement for their Medicaid patients, and free malpractice coverage under the Federal Tort Claims Act (FTCA).
• FQHCs are also called Community/Migrant Health Centers (C/MHC), Community Health Centers (CHC), and 330 Funded Clinics.
Why are FQHCs a good fit for SBHCs?
Similar in mission and goals
Serve all people regardless of the ability to pay
Sustainability: Cost-based reimbursement FTCA malpractice coverage Patient base can be followed when school is not in session Administrative structure that can easily add SBHCs Skilled in billing, sliding scale fee, grant writing and other resources Access to funds through HRSA and state uncompensated care funding
Payer Sources for all WV FQHCs from the WVPCA
Strategically located:26 FQHCs,
2 FQHC look a likes and over 160 total sites,
including SBHCs
Other Potential Sponsors
• Hospitals• Private practice providers• Health departments• Urgent care facilities• County School Systems
Sponsors will be expected to staff the center, provide the equipment, and provide liability insurance.
The Basics of Growing SBHCs and Services
The Ground
• Remember that where a SBHC “should” be isn’t always where the ground is most fertile for growth;
• Talk to WVSBHA and school administrators and potential medical sponsors before bringing other community members to the table;
• Get to know your Regional School Wellness Specialists. Public health and education contacts will have data on each county and school. Know “the lay of the land.”
The Basics of Growing SBHCs and ServicesThe Need
• Specific needs that a SBHC can address is important information to bring to the table. Examples: vaccination requirements for 7th and 12th graders, sports physicals, and teen pregnancy, risk assessment screening;
• Fostering collaboration between public health and education at the community level is an important way to ensure that the health and social needs of the child are met, and SBHCs are providing the necessary services;
• Coordination at the state level is an important way to ensure that barriers to providing these services are alleviated.
The Basics of Growing SBHCs and ServicesThe Light
• Communication is key;
• Be prepared to join health coalitions, networks, etc. Some regional staff are very receptive to collaboration. Some are not;
• In West Virginia, every county is different. Every sponsoring agency is different, and every board of education is different. Documentation is key;
• Make communicating with your organization as easy as possible for public employees.
Coordinated School-Public Health Structure
Coordinated School-Public Health Partnership
Public Policy
Community
District Team
School Team
Student
Regional Team
State Agencies Support
Coordinated School-Public Health Partnership
• Adolescent Health Initiative
• Adolescent Pregnancy Prevention
• Regional Tobacco Coalition Coordinators
Coordinated School-Public Health Partnership
• West Virginia Asthma Coalition
• West Virginia Teen Pregnancy Task Force
• West Virginia Immunization Network
• West Virginia Youth Tobacco Prevention Program
PartnershipsSBHCs in WV are funded and supported by a number of partners—many of whom sit on the
WVSBHA Board of Directors.
• WVDHHR- Office of Community Health Systems
• WVDE- Office of Healthy Schools
• Marshall University School Health Tech Assistance Center
• WV Primary Care Association
WVDHHR- Division Primary CareOffice of Community Health Systems
Nell Phillips, RN, MSM/HCA - [email protected]
Joan Skaggs, RN, MSN - [email protected]: 304-558-4007
The Division of Primary Care within the Office of Community Health Systems allocates funding to community-based comprehensive Primary Care Health Centers and Free Clinics (Health Rights) to improve the health status among
medically underserved (uninsured) populations.
Paula FieldsWVDE- Coordinator
Rebecca KingWVDE-Coordinator
[email protected] 304.558.8830
WVDE-Office of Healthy Schools
Our mission is to provide leadership, training and support for schools and their communities designed to improve collaboration and ensure the health and
educational achievement of children in a safe, nurturing and disciplined environment.
West Virginia Primary Care Association
Louise Reese- Executive [email protected]
304-346-0032
Mission StatementTo assure accessible, high quality, and cost effective health services for all West
Virginians, regardless of economic or social status, through the cultivation of financial, political, and philanthropic relationships.
School Health Technical Assistance Center
• The place to go for resources, assistance, and training related to SBHCs, school-based behavioral and oral health programs.
Visit www.wvshtac.org for more info
Linda Anderson, MPHMental [email protected]
Stephanie MontgomeryData Management [email protected]
Mary Grandon, PA-CClinical [email protected]
Bobbi Jo Muto, RDH, BSOral Health [email protected]
Richard Crespo, [email protected]
West Virginia School-Based Health Assembly
The mission of the West Virginia School-Based Health Assembly (WVSBHA) is to advance comprehensive health care in school settings. Formed in 1995,
WVSBHA serves as the lead membership organization and unified voice in the state for the advancement of school-based health care.
Kelli Caseman, Executive [email protected]
304.444.5917
Together we serve the WHOLE CHILD
Kelli Caseman, MAPO Box 11436Charleston, WV [email protected]
Marshal LogoMary’s contact Info
Mary Grandon, PA-CSBHC Clinical [email protected]