School- -Based Health Centers: Based Health Centers: School Seven - PowerPoint PPT Presentation

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

Objectives 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 SBHC Fundamental Principles

The School- -Based Health Center: Based Health Center: The School 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 SBHC Program Evaluation Tool

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

Examples of Goals 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 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 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 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 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 • High satisfaction of administration to develop and roles and Faculty achieve a shared vision. responsibilities of school personnel with • Attendance of SBHC each party SBHC services • Communicates the vision to personnel at school staff • Mutually agreed upon • Increased number of all school constituencies meetings including teachers, support policies regarding appropriate referrals by • Presence of SBHC staff, students and parents. appointment school personnel scheduling during personnel at appropriate • Builds collaborative and • Reduced number of school hours and school functions mutually respectful information sharing students who leave school • Partnership in identifying relationships with school during the day due to • Delineated role within personnel. students with issues illness the school’s crisis influencing educational • Identifies community • In the event of a school intervention plan performance resources that provide crisis or community • Training of SBHC staff on support to students and disaster, SBHC performs promote successful learning. the school’s crisis effectively according to intervention plan and plan • Serves as a resource in community’s emergency times of school crises and preparedness plan and the community disasters. SBHCs expected response

Responds to the Community 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 • Identification of population to resources in the community data utilization of SBHC through formal evaluation be served including services • Advisory Committee methods. demographic and • Recognition by socioeconomic characteristics meetings • Informs the community of community of the value of • Identification of key health • Stakeholder student health needs and 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 • High parent satisfaction needs and support the the general public • System for gathering data on operations of the program. • Improved utilization of key indicators other community • Resource manual resources through referrals and/or inter- • Advisory Committee with program collaboration appropriate community representation • Communications plan

Focuses on the Student 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.