School-Based Health Centers: Seven Fundamental Principles Laura C. - PowerPoint PPT Presentation

School-Based Health Centers: Seven Fundamental Principles Laura C. Brey, MS Director of Training and Technical Assistance National Assembly on School-Based Health Care

Objectives Identify the seven fundamental 1. principles for successful school- based health centers Describe how the principles can be 2. used for planning and needs assessment, implementation, evaluation, and continuous quality improvement Identify strategies for implementing 3. the principles in their own community

SBHC Fundamental Principles

The School-Based Health Center: Supports the school 1. Focuses on the community 2. Focuses on the student 3. Provides comprehensive care 4. Advances health promotion activities 5. Implements effective systems 6. Provides leadership in adolescent and 7. child health

SBHC Program Evaluation Tool

Tool Components: Goals for each principle 1. Structures needed to implement the goals - 2. the physical and organizational properties of the environment Processes to support the goals - what is 3. done to achieve the desired outcome Outcomes that can be attributed to a 4. desirable performance

Examples of Goals Serves as a resource in times Serves as a resource to of school crises and school administration on community disasters the selection, development and delivery of health Assesses child and adolescent education curricula. health care needs and available resources in the Develops all necessary community through formal policies and procedures, evaluation method training manuals, and memoranda of agreement Provides services and or understanding. materials that are culturally sensitive and respectful of  Participates in national and family values and diversity local organizations that focus on adolescent and Adopts generally accepted child health guidelines for clinical practice.

Examples of Structures Partnership between the  Delineated role within the school’s health education school’s crisis intervention plan faculty and SBHC staff . System for gathering data on Administrative policy and  key indicators procedure manual Patient education materials in National, State and Local languages other than English, Conferences where appropriate Clinical protocols or practice guidelines consistent with nationally recognized best practices

Examples of Processes Training of SBHC staff on the  Delivery of classroom health school’s crisis intervention plan education segments and community’s emergency preparedness plan and the Licensing, Certification and/or SBHCs expected response Accreditation Program development based on  Medical professional training periodic review of data Provision of culturally sensitive  anticipatory guidance and health and safety education  Delivery of care consistent with best practices

Examples of Outcomes In the event of a school crisis or Increased student ability to community disaster, SBHC access valid health information performs effectively according to and health promoting products plan and services Improved access to primary care Staff knowledge of current laws as measured by increased and regulations affecting utilization of SBHC services delivery of services High satisfaction among users. Increased exposure of health professionals to the SBHC Increasing compliance rates as model measured by follow-up visits completed, prescriptions filled, therapy attended, referrals completed. Increased student ability to access valid health information and health promoting products and services

Supports the School The school-based health center is built upon mutual respect and collaboration between the school and the health provider to promote the health and educational success of school-aged children.

1. Supports the School Principles/ Goals Structures Processes Outcomes Understands and respects Mutually agreed upon Communication with Recognition by school accountability within the vision statement for School Administration, personnel of the value the educational system. the SBHC School Nurse, Guidance SBHC provides in meeting Counselor, Social Worker, educational mission Works with the school Mutually agreed upon School Psychologist and administration to develop and roles and Faculty High satisfaction of achieve a shared vision. responsibilities of school personnel with each party Attendance of SBHC SBHC services Communicates the vision to personnel at school staff all school constituencies Mutually agreed upon meetings Increased number of including teachers, support policies regarding appropriate referrals by staff, students and parents. appointment Presence of SBHC school personnel scheduling during personnel at appropriate Builds collaborative and school hours and school functions Reduced number of mutually respectful information sharing students who leave school relationships with school Partnership in identifying during the day due to personnel. Delineated role within students with issues illness the school’s crisis influencing educational Identifies community intervention plan performance In the event of a school resources that provide crisis or community support to students and Training of SBHC staff on disaster, SBHC performs the school’s crisis promote successful learning. effectively according to intervention plan and plan community’s emergency Serves as a resource in times of school crises and preparedness plan and the community disasters. SBHCs expected response

Responds to the Community The school-based health center is developed and operates based on continual assessment of local assets and needs .

2. Responds to the Community Principles/ Goals Structures Processes Outcomes Assesses child and Definition of geographic Program Improved access to adolescent health care service area development based primary care as needs and available on periodic review of measured by increased resources in the community Identification of population to data utilization of SBHC through formal evaluation be served including services methods. demographic and Advisory Committee socioeconomic characteristics meetings Recognition by Informs the community of community of the value of student health needs and Identification of key health Stakeholder SBHC services in trends. indicators meetings meeting the needs of students and responding Solicits community input Continuous needs Periodic to community values to address unmet health assessment communication with needs and support the the general public High parent satisfaction operations of the program. System for gathering data on key indicators Improved utilization of other community Resource manual resources through referrals and/or inter- Advisory Committee with program collaboration appropriate community representation Communications plan

Focuses on the Student Services involve students as responsible participants in their health care, encourage the role of parents and other family members, and are accessible, confidential, culturally sensitive, and developmentally appropriate.

3. Focuses on the Student Principles/Goals Structures Processes Outcomes Encourages the student’s Parental consent and Provision of services in a Increased active, age appropriate parental notification policies manner consistent with enrollment for and participation in decisions established policies utilization of SBHC regarding health care and Confidentiality and minor services prevention activities. consent policy Treatment of students with acute illness or injury High user and Involves the parents or other Emancipated minor policy parent awareness of adult caregivers as Counseling of students SBHC policy supportive participants in the Child abuse and neglect with behavioral issues regarding access to student’s health care policy confidential services whenever appropriate and Management of students possible. Non-discrimination policy with chronic conditions Improved user knowledge of how Ensures confidentiality of Patient rights and Provision of culturally and when to utilize information whether responsibilities sensitive anticipatory the health care transmitted through guidance and health and system conversation, billing activity, Patient education materials safety education telemedicine, or release of in languages other than Students with medical records. English, where appropriate Student-centered risk chronic disease or assessment and follow-up behavioral issues Provides services and Methodology for identifying can demonstrate materials that are culturally children with special health Family assessment and self-care skills sensitive and respectful of care needs follow-up family values and diversity. High satisfaction Methodology for identifying Outreach to non-users among users. non-users

Delivers Comprehensive Care An interdisciplinary team provides access to high quality comprehensive physical and mental health services emphasizing prevention and early intervention .