Health Compliance for Principals September 2008 Integrated Service Centers Presented by: Janice Blake and Carine Jean-Pierre Health Directors, QISC
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Health Compliance for Principals
September 2008
Integrated Service Centers
Presented by:
Janice Blake
and
Carine Jean-Pierre
Health Directors, QISC
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There are 2 Health Directors assigned to each ISC.
What does the Health Director Do?HD Responsibilities….
•Immunization compliance
•Immunization Exemption requests
•Tuberculosis
•Communicable Diseases
•Section 504 Accommodations
•Health Programs and Presentations
•Link to Resources
•Safety and Health
•CPR/AED
•Condom Availability
•Vision Screening
•School Based Health Centers
•Inquiries from parents/ staff/ administration
•ATS Health screens technical assistance
•Training and or training coordination
•Questions and Crisis Management
•Oral Health
•City-wide standardization of health programs and mandates
•Various Other Health Programs
•Liaise with STAKEHOLDERS
•Collaborate and Coordinate
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Who’s Who in School Health?
New York City Department of Education Integrated Service Center
New York City Department of Health and Mental Hygiene
ISC Health Director
NYCDOHMH NYCDOE
O
S
H
Office of School Health
NYCDOE
ISC Health Director
School Health Aide
Borough Nursing Director
School Nurse
NYCDOHMH
Supervising Physician
Field Physician
District Supervising Nurse
Supervising Public Health Nurse, PHN III
Senior Public Health Nurse, PHN II
Public Health Assistant
Public Health Advisor (MS and High Schools)
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Immunization
The goal for SY 08-09 is to ensure that at least 98.5% of students on your school’s roster are “complete” with immunizations. Due date: 98.5% by the end of December and 98.5% by the end of June
Tdap – 1 dose is required for all students born on or after January 1, 1994 and entering the 6th or 7th grade
Hepatitis B – if administered before age 11, this is considered a pediatric vaccination, 3 doses are required
Or Hepatitis B – if administered after age 15, this is
considered an adult vaccination, 2 doses are required – the documentation provided as proof should specify which was administered and entered into ATS accordingly
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Immunization
Each year the DOHMH releases a “Medical Requirements For New School Entrants” flyer which provides information as to what vaccines are needed and the required number of doses. The double-sided one page sheet is provided to all schools and/or is available on the NYCDOE website on the OSH webpage
Designate a health coordinator
Students not in compliance with the required immunization may be labeled “Excludable” or “Provisional” on ATS
Students with an “Excludable” notation should receive a DOHMH “Warning” letter and 2 weeks later, an “Exclusion” letter
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Immunization
Excludable – means the student should not be allowed to attend until the vaccination requirements are satisfied
Principals who allow “excludable” students to attend are out of compliance with the laws of the NYSDOE – Public Health Law – Title VI--Section 2164 (7).
Principals who allow “excludable” students to attend are subject to fines by the NYSDOH. These fines are levied against the principal, not the school
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Immunization – Medical Exemptions
Medical Exemptions – based on a documented medical reason from a NYS licensed physician, a parent requests that a student not take the required vaccination as the vaccination is detrimental to the student’s health
In such cases:
1. The parent submits a request to the school
2. The school forwards the request to the ISC Health Director
3. The ISC Health Director confers with the DOHMH Supervising Physician
4. The student is able to attend during the review process
If the Medical Exemption is granted, a notation will be made in ATS. The student is able to attend, the exemption expires in one year.
If the Medical Exemption is denied, the student becomes “Excludable” and should not be allowed to attend.
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Immunization– Religious ExemptionsReligious Exemptions – parents submit a written requesting that the student be exempt from vaccinations
due to religious beliefs which oppose vaccinations
In such cases:
1. The parent submits a request to the school
2. The school forwards the request to the ISC Health Director
3. The ISC Health Director forwards the letter to the Office of School Health for review
4. The student is allowed to attend during the review process
5. The school, the parent, and the ISC will receive a determination letter stating the status of the request
If the Religious Exemption is granted, a “R” notation will be made in ATS. The student is able to attend, the exemption is in place for the remainder of attendance in a NYCDOE public school. In some cases, the student is not allowed to attend during periods of a communicable disease.
If the Religious Exemption is denied, the parent may contact the ISC Health Director to resubmit the request.
If denied again, the student is “Excludable” and not able to attend until the required vaccinations have been obtained or has been successful in an appeal to the NYSDOE.
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Immunization – ATS
There are helpful reports in ATS to keep track of things:
STAT --on the STAT screen you will see your compliance rate
RHIL – (Immunization Status List) will tell which students are “complete,” “excludable,” or “provisional”
May be organized via class, grade, alphabetical, or by ATS grouping (excludable, complete, provisional, etc.)
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Tuberculosis – Middle and High Schools Only
The goal for SY 08-09 is to ensure that at least 90% of new entrants (ATS Code 58) are “complete” for TB
Tuberculosis is only a requirement for students entering NYC schools for the first time at the secondary level.
Mantoux (PPD) Tuberculosis Skin Test or Quantiferon Blood test results are required.
All positive (+) results require follow up chest x-ray
Periodically review ATS RHTL report-- may be organized via class, grade, alphabetical, or by ATS grouping (excludable, complete, provisional, etc.)
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§504 -- Request For Educational Accommodations
Some students require accommodations in school so that they are able to participate in DOE programs. As set forth in §504 of the Rehabilitation Act of 1973, Chancellor’s Regulation A-710 outlines the process and procedures
A § 504 accommodation is often requested when a student has a disability, requires some accommodation, and does not qualify for an IEP
Accommodations vary and may include: Testing Accommodations Medical Accommodations Classroom Accommodations Paraprofessional
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§ 504 -- Request For Educational Accommodations
Requests must be made annually
School-based 504 team should have a §504 Coordinator
§504 Coordinator should be a pedagogue
§504 Coordinator determines the composition of the team
A good team should consist of: A principal appointed §504 Coordinator at least 2-3 persons other than the student’s parents at least one person familiar with the student’s abilities (current or
last year’s teacher) at least one person able to interpret reports or evaluations at least one person able and knowledgeable of the
accommodations available to meet the student’s needs
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§504 -- Request For Educational Accommodations
Chancellor’s Regulation A-710
School Based §504 Team should: Meet and make determination within 30 days of receipt of written
request Inform parents of meeting Determine student’s eligibility and appropriateness of requested
accommodations Forward Notice of Determination Eligibility and Accommodation
Plan to parent Enter data into ATS – all requests and all actions should be
entered Maintain records in student file Inform parents of the appeal process Review R504 ATS report Confer with ISC Health Director as needed
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Other Accommodations
Health Paraprofessionals – only approved after review by your ISC Health Director
**Medication Authorization Form – allows a student to take medication in school. A form should be on file for students with Asthma, Diabetes, or Allergies
**School Diabetes Management form replaces the Glucose Monitoring Form
Medically Prescribed Treatment (Non-Medical)
** These forms should be turned into the school nurse
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Communicable Diseases
Defined: a disease that may be transmitted directly or indirectly from one individual to another
Informed of possible communicable disease
Contact PrincipalContact School Nurse
Contact ISC Health Director
Await communicable disease response instructions
Communicable
Disease Action Chart
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Communicable Diseases Relevant to School Health
Not every communicable disease poses a public health threat
Not every communicable disease requires a letter home to parents
Communicable Diseases Relevant to School Health
Varicella (Chicken Pox)
Scabies
Human Bites MRSA
Meningitis Parovirus
Molluscum contagiosum
Food Borne Illnesses
When in doubt, contact your school nurse and ISC Health Director
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Vision Screening
Chancellor’s Regulation A-701 informs us that vision screening should be done by DOE staff for students in attendance as per the mandate.
The goal for the current year: 100% of students within the mandate are screened.
Students required to be screened: 3rd graders 5th graders Special Education students New entrants (within 6 months) Those referred or with history of vision problems Those on the RHVX ATS reports Those not screened by DOHMH teams
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Vision Screening: A To Do List
Schools Must:
-- form a vision team (staff from the school)
-- designate a School Vision Team leader
-- order vision charts (FAMIS)
-- review screening requirements/ set up schedule and location
-- print class lists from ATS
-- screen students
-- record data into ATS
-- contact your ISC Health Director if training is required
Screening and data entry should be completed by March 31, 2009
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Condom Availability Program
A program for high school students only, students in grades 9—12
Some new schools are exempt from participation, contact your ISC Health Director
Requires a Health Resource Room (HRR) – a space where students may access health information, including free condoms
Requires 1 male and 1 female staff member to make condoms available
HRR staff must be trained
Condoms should be available at least 10 periods per week
Students must be made aware of the program via posters, flyer, wallet cards, etc.
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AED/CPR
AED stands for Automated External Defibrillators
There should be at least one in every building at the front security desk
Each school is required to have at least 2, but it is desired that there be 6 trained staff members
Training is free of charge for all DOE employees and available by contacting: Emergency Skills Inc., 212-564-6833.
Certificates expire after two years, to recertify, the 6 hour class must be taken again
For more information, contact your ISC Health Director or your AED Program Manager
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Other School Health/ Health Director Programs
Your ISC Health Director is able to assist you with and or provide more information on:
School Based Health Centers
Oral Health Wellness Policy
Bed Bug Policy Home Instruction Health Insurance
Head Lice Policy Presentations/ Speakers
Health Fairs
Technical Support (ATS)
Training Mental Health/ Clinic Plus
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Who’s Who in your school ? Please inform your Health Director
Health Coordinator – the person in the know regarding student health matters / oversees the health programs in the school/ coordinates and sends out notices
§504 Coordinator – the person who heads up the school-based 504 team
Pupil Accounting Secretary– in schools where there is no school aide, enters health information into ATS
Vision Team Leader – heads up the school-based vision team/ ensures that the mandated students are screened and data recorded
AED/CPR Contact – person to serve as liaison between the school and other DOE agents regarding the program
Health Resource Room staff – heads up the school health resource room staff/ coordinates the program
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School Health Contact List ISC By Borough Health Director
Bronx ISC Alma Idehen Phone: 718-741-5097 Fax: 718- 741-7602
Dawn Carter Phone: 718-741-8573 Fax: 718-741-7602
Brooklyn ISC Neil Somerfeld Phone: 718-935-3987 Fax: 718-935-5941
Delia Loney Phone: 718-935-3315 Fax: 718-935-5941
Queens ISC Carine Jean-Pierre Phone: 718-391-6868 Fax: 718-391-6886
Janice Blake Phone: 718-391-6867 Fax: 718-391-6886
Manhattan ISC Fred Kaeser Phone: 914-339-1701 Fax: 212-356-7635
Norberto Perez Phone: 917-339-1749 Fax: 212-356-7535
SI ISC Jody Stoll Phone: 718-390-1596 Fax: 718-556-8374
Helena Bowens Phone: 718-390-1588 Fax: 718-556-8374
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ISC Borough Nursing Director
Brooklyn Dr. Patrick Duncan
Districts: 13, 14, 15, 16, & 20
P: 718-495-8231
F: 718-495-8294
Sonia Miller
Districts: 18, 19, 23, 32
P: 718-240-36259
F: 718-240-3759
Bronx Yawwamal Donefeld
Districts: 7,9,10
P: 718-741-7053
F: 718-584-5082
Eileen Cotter
Districts: 8, 11, 12
P: 718-828-3507
F: 718-828-6678
School Health Contact List-- Borough Nursing Director
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School Health Contact List-- Borough Nursing Director
ISC Borough Nursing Director
Manhattan Catherine Travers P: 917-521-3831
P: 212-442-1710
Queens Diane Triunfo P: 718-577-2749
F: 718-557-2752
Staten Island Paula Faggiole P: 718-758-7624
F: 718-758-7607
Joan Rondon P: 718-420-5639
F: 718-420-5635
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MORE INFORMATION….
Health Compliance for School Staff
There are two parts to this webcast. The webcast will cover in more detail: immunizations, tuberculosis, and vision data entry – with an
emphasis on ATS
September 23 (Part I) 10 am or 3pm
and
September 29 (Part II) 10am or 3 pm
Register at: learningtimes.com
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