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McKinney-VentoHomelessConference
2016
SchoolHealthInforma.onMa0ersOfficeofSchoolHealthServicesprovidesdistrictswithresourcestoensureeduca7onallyrelevanthealthdispari7esareaddressedsothatallstudentsinKindergartenthrough12thGradecanachieve!
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No Child Left Behind Every Student Succeeds “falling through the crack” Closing the Achievement Gap“Ihavelearnedonegreattruth.Theanswertoallour
na.onalproblems–theanswertoalloftheproblemsoftheworld–cometoasingleword.Thatwordis
EDUCATION.”LyndonB.Johnson
Dr.CharlesBaschsaysitbest…..
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2015CountyHealthRankings
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• Barriersthatpoten7allynega7velyimpactstudentacademicsuccess:• Asof2012,1inevery3childreninArkansasareiden7fiedasoverweightorobese.
• 149schoolsinArkansaswhocompletedthe2012-2013ArkansasSchoolNurseSurveyreported21%ofthestudentstheyservesufferfromsometypeofChronicdisease.
• 26.8%%(2012)ofArkansaschildrenliveatorbelowthepovertylevel.(U.S.CensusBureau)
• Na7onally,onlyabout7%ofyouthwhoareinneedofmentalhealthservicesactuallyreceivedtheneededservices.
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SchoolHealthServicesSupplementalProgramming
Purpose:Toaidschoolsinremovingcertainhealthbarrierswhichnega7velyimpactstudentacademicperformancesandmeettheneedsoftheWHOLECHILD.
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SchoolHealthServicesOurMission How:
• Assistschoolsinimplemen7nginnova7vehealthstrategiesinaK-12se\ng
• Provideschoolstaffwithhighqualityprofessionaldevelopmentopportuni7esinHealthandWellnessEduca7on
• Provideguidanceonuseofstudenthealthdatatoguideprogrammingandpolicyimplementa7on
• Aidschoolsinbuildingmeaningfulpartnershipswithfamiliesandlocalresourcesandservices
• Aidschoolsinmee7ngStateandFederalWellnessMandates
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10TargetedHealthAreas
• HealthEduca7on• CommunityInvolvement• FamilyEngagement• EmployeeWellness• PhysicalEnvironment• Social&Emo7onalClimate• HealthcareServices• Nutri7onEnvironment&Services• PhysicalEduca7on&PhysicalAc7vity• Counseling&PsychologicalandSocialServices
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StatePartners• ArkansasAllianceforPhysicalandHealthEduca7on,Recrea7onandDance(AAPHERD)
• ADH–HometownHealthIni7a7ve(HHI)• CHNsandCHPsineachCoopera7veintheState• TobaccoPreven7onandCessa7onProgram(TPCP)
• ArkansasHungerReliefAlliance• Alterna7veNutri7onprogramming(breakfastonthego)
• ArkansasChildrenHospitalResearchIns7tute• Injurypreven7on• GoNoodle• Farm-to-school• ArkansasCoali7onforObesityPreven7on
• UniversityofArkansasExtensionService• CountyOffices-SnapEd
• AmericanHeartAssocia7on• ArkansasCenterforHealthImprovement(ACHI-StateBMIReport)• ArkansasAdvocatesforChildrenandFamilies• School-basedHealthAllianceofArkansas
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• ArkansasDepartmentofHealth(ADH)• ArkansasDepartmentofHumanServices
• DivisionofBehavioralHealthServices(DBHS)• ArkansasCoali7onforObesityPreven7on(ArCOP)• School-BasedHealthAllianceofArkansas(SBHAA)• ArkansasAdvocatesforChildrenandYouth• AmericanHeartAssocia7on• ArkansasCenterforHealthImprovement• Associa7onfor(APHERD)
SchoolHealthServicesOurStatePartnersareYOURPartners
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• ArkansasChildren'sHospital• ArkansasStateUniversity• ArkansasHungerRelieveAlliance• ArkansasMunicipalLeague• ArkansasEduca7onTelevisionNetwork
SchoolHealthServicesOurStatePartnersareYOURPartners
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• Educa0onCoopera0veResources• CommunityHealthNurseSpecialists(CHNs)• CommunityHealthPromo7onSpecialists(CHPs)• BehaviorInterven7onConsultants(BICs)
• HometownHealthCoali0on• CountyHealthCoali7ons
• UofACountyExtensionService• LocalProviders/CountyHealthUnit
SchoolHealthServicesYourLocalPartners/Resources
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Significant Changes in K-12 Education
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StateEducationUpdate• RulesGoverningNutri7onandPhysicalAc7vityinSchools
• Commissioner'sMemoCOM-16-088• PEMinutes• DeclaredSchoolDay• Aiernoonsnack,smartsnackcompliant• Accountability
• GlucagonandInsulinAdministra7oninSchools• Act833of2015–Commissioner’sMemoCOM-16-067(DRAFT)• FinalRuleswillbeeffec7veJune27,2016
• Designatedlaypersontoadministerinsulin• Trainingwillbedevelopedforschoolnurses
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3BasicsofHealthInformationü StudentHealthInforma7onü HealthcareStaff/Employeesü FinancialCoding
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Objectivesü What-HealthInforma7oniscollected/usedü Why-Legalrequirements;theintendeduseofthedataü Who-whoisresponsibleforcollec7ngtheinforma7on;whoisresponsibleforenteringtheinforma7onintoAPSCN
ü When-CycleInforma7on
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1. StudentHealthInformation• HEARINGSCREENINGS
ü A.C.A.§6-18-701;SISPage89ü PersonResponsibleforscreening–SchoolNurseü PersonResponsibleforenteringdata–SchoolNurseü Cycle7–June15th
*Intent:Earlyinterven7ontohearingissuesstudentsmaybeexperiencingcausingadirectnega7veimpactonlearning.
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1. StudentHealthInformation• Immuniza7ons
ü ADERulesGoverningKindergartenthrough12thGradeImmuniza7on
RequirementsforArkansasPublicSchools;SISPage90ü PersonResponsibleforscreening–SchoolNurseü PersonResponsibleforenteringdata–SchoolNurseü Cycle3–Nov.15th
WARNING!No7fytheschoolnursewhenstudentrecordsarebeingtransferredtoanotherdistrict,ashe/shemayhaveaddi7onalhealthrecordsthatneedtobetransferred.
*Intent:Monitorallminorsinthestatemee7ng“immi”requirements,andlessenspreadofinfec7ousdisease.
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1. StudentHealthInformation• VisionScreening
ü Act1438of2005;A.C.A.§6-18-1501;SISPage92ü PersonResponsibleforscreening–SchoolNurseü PersonResponsibleforenteringdata–SchoolNurseü Cycle3&6–Nov15&April15
*NOTE:Cycle3ispreliminary,however,Cycle6mustreflectallscreenings.*Intent:Earlyinterven7ontovisionissuesstudentsmaybeexperiencingcausingadirectnega7veimpactonlearning.
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1. StudentHealthInformation• ScoliosisScreening
ü Act95of1989;SISPage91ü PersonResponsibleforscreening–SchoolNurseü PersonResponsibleforenteringdata–SchoolNurseü Cycle7–June15th
*Intent:Earlydetec7onofspinalgrowthissuesstudentsmaybeexperiencingcausingotherdebilita7ngphysicalissuesifnottreated.
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ScoliosisScreening
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1. StudentHealthInformation• AutomatedExternalDefibrillator(AED)
ü ADERulesGoverningSchool-basedAutomatedExternalDefibrillatorDevices(AED);SISPage104
ü PersonResponsible–DistrictDesigneeü PersonResponsible–DistrictDesigneeü Cycle5–Feb15th
*Intent:Toensurelifesavingdevicesandtrainedpersonnelareavailableineachschoolbuildingintheeventemergencymedicalservicesareneeded.
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AutomatedExternalDeNibrillator(AED)
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LookfortheItems
“Itisnotthestrongestofthespeciesthatsurvive,northemostintelligent,buttheonemostresponsivetochange.”
CharlesDarwin
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1. StudentHealthInformation• School-basedHealthCenterIden7fier(SBHC)
ü Indicatesastudenthasbeenformallyenrolledtoreceivedhealthservicesthroughthecenter.
ü SISPage129ü PersonResponsibleforcollec7ngenrollment–DistrictSBHCCoordinator
ü PersonResponsibleenteringdata–APSCNDataEntryPersonü Cycle2through7;con7nuousrunningtotalthroughouttheyear;Enrollmentstatusforastudentremainsfortherestoftheschoolyear.
ü Cycle7Deadline-June15th*Intent:TomonitortheimpactofanSBHConstudentsuccessandtheeffec7venessofstatemoniesusedfortheprogram.StateIndicators:EPSDTandAvendanceRate.
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1. StudentHealthInformation• StudentNursingAcuityLevel
ü Act935of2015ü Summarizedinforma7onentered–totalnumberofstudentsperacuitylevelperLEA/Campus.
ü Personresponsibleforcollec7ng#ofStudentsperacuitylevel–SchoolNurse
ü Personresponsibleforenteringdata-SchoolNurseorAPSCNCycleCoordinator(StateRepor7ng)
ü Cycle7–June15th*Intent:Monitorthestudenthealthcareneeds/professionalsonanindividualcampus.
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2.HealthcareStaff/Employeesü SchoolNurseEmploymentInforma7on
• FTEStatus• ActualnumberofNursesservingthedistrict• Nursinglicenseofeachnurseprac7cinginthedistrict• NursingDegreeofeachnurseprac7cinginthedistrict
ü StudentNursingAcuityLevelInforma7on• 5na7onalstandardsfornurseacuitylevel
• Level1–Nohealthcareconcernsiden7fied• Level2–HealthcareconcernsrequireanIHP(occasionalvisit)• Level3–MedicallyComplex–unstablephysicaland/orsocial-emo7onal
condi7onthatrequiresdailytreatmentsandclosemonitoringbyRN.• Level4–MedicallyFragile–dailypossibilityoflife-threatening
emergency• Level5–NursingDependent–Requires24hour/dayskillednursingcare
forsurvival.
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2.Staff/HealthcareEmployees• SchoolNurse
ü Act935of2015–Requiresschoolstoreportemploymentinforma7onforAllNurses:1. DistrictEmployedNurses
• Full–7me/Part–7mestatusforeachindividualnurse
2. Contracted(Nonemployee)Nurses• Full–7me/Part–7mestatusforeachindividual
nurse3. Nursinglicense=JobCode(forEmployeeand
Nonemployee)4. HighestDegree
WARNING!Thisinforma7onshouldbereportedperindividualnurse,notperindividualcampus.Timeservedprovidingnursingservicestostudents.
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2.Staff/HealthcareEmployeesü SchoolNurseJobCodes-(AllNurses–EmployeeorNonemployee)
• 454…LPN–LicensedPrac7calNurse• 463…LPTN–LicensedPsychiatricTechnicalNurse• 455…RN–RegisteredNurse• 457…RNP–RegisteredNursePrac77oner• 460…CNP–Cer7fiedNursePrac77oner• 465…CNM–Cer7fiedNurseMid-wife• 461…CRNA–Cer7fiedRegisteredNurseAnesthe7st• 462…CNS–ClinicalNurseSpecialist• 458…APN–AdvancedPrac7ceNurse• 459–APRN–AdvancedPrac7ceRegisteredNurse
WARNING!ThesejobcodesmustbeusedforALLNursingstaffemployedand/orcontractedbythedistrict,andmustreflectthenursinglicenseofwhichhe/sheisprac7cing.RefertoCommissioner’sMemoFIN-15-120
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SchoolNurseJobCode=NursingLicense
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2.Staff/HealthcareEmployees
ü SchoolNurse–HighestDegree• AAS–AssociateofAppliedScience• ASN–AssociateofScienceinNursing• DPL–DiplomaofNursing• BSN–BachelorofScienceinNursing• MSN–MasterofScienceinNursing• DNP–DoctorofNursingPrac7ce
WARNING!Adegreemustiden7fiedforALLNursingstaffemployedand/orcontractedbythedistrict
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3.FinancialCoding• PersonnelFinancialCodestoUseü SchoolNurse–
• Func7on–2134–THISISREQUIRED!Thiscodeindicates“NurseExpense”
• Object–61120–THISISREQUIRED!THISCODEindicates“NurseSalary”
ü School-basedMentalHealth–wehavenottrulyrefinedthisyet,whatdoyouuse?
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3.FinancialCodingMedicaidSourceofFundsCodeswww.armits.orgü RESTRICTEDMedicaidCodes
ü SpecialEduca7onONLY(speech,occupa7onal,physicaltherapy)• 6750-MEDICAID
ü NONRESTRICTEDtoSpecialEduca7onMedicaidCodesü Fundscanbeusedtosupporthealthrelatedeffortsforthegeneralstudentpopula7on
• 6751–School-basedMentalHealthMedicaid(Employedbydistrict)• 6752–MedicaidGeneralHealthServices–MedicaidAdministra7veClaiming
(ARMAC)• 6752–MedicaidGeneralHealthServices–PersonalCare• 6752–MedicaidGeneralHealthServices–Vision&Hearing• 6752–Audiology
WARNING!Don’tpaysalariesfordistrictemployedSchoolNurseand/orcounselorfrom6751.RandomMomentsassess7mespentaddressinghealthintheschool.
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3.FinancialCoding
EXAMPLESofExpensescansupport:
ü DistrictHealthcareStaff ü HealthOutreach/Environ ü IndividualStudents
PDforNurse/MH SaladBarforCafeteria StudentEyeGlassesHealthRelatedDistrictPDStaffFitnessCenter *StudentCo-payforDocHSWSalary ClassroomResources–Health/PECSHCoordinatorSalary Askyourself:1. Whatisitfor?2. CanIrelatethistohealth?
WARNING!SchoolsthatbillanyareaofMedicaidmusthaveanRNservingthedistrict.
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–SchoolImprovementHealthandWellnessPriority
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District and School Level Forms 1. located at the specific log in 2. located under the Complete Forms Tab 3. templates that are options to meet requirements
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IfyoucompletetheSHIonline,provideyourreferencenumberintheHealthandWellnessFormwithinIndistar.
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• ArkansasPreven0onNeedsAssessment(APNA)• Visionandhearing• School-basedHealthCenterdata• School-basedMentalHealthServicesdata• Anythinghealthrelatedthathasanaffectonastudent’s
abilitytolearn!
Optionalhealthandwellnessdataideas…
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2017BiennialSchoolHealthConferenceJuly11th-13th,2017BentonEventsCenter
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• CoordinatedSchoolHealth• (comprehensivetrainings/Networking)
• School-BasedMentalHealth
• Behavioral/MentalHealthServices
• JointUseAgreements• PhysicalAc7vity/PhysicalEduca7on
SchoolHealthServicesADEProgramOverview
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• ExemplarySexualHealthEduca7on/SaveSchoolEnvironment• STD/TeenPregnancyPreven7onStrategies
• School-BasedHealthCenters• Healthcare/MentalHealthServices
• ArkansasMedicaidintheSchools• AssistwithMedicaidreimbursementsformandatedschoolscreening
SchoolHealthServicesADEProgramOverview
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• Lavaca/MagazineSBHC
SchoolHealthServicesLocalSpotlight
Dr.Bryanisconduc7nganannualcheckupanddentalcleaningfor4yearoldJosieOliver.Dr.BryanBishop,DDSprovidesdentalservicesoncampusforstudentseveryFridayatthecenteratMagazine.CourtesyofMagazineSchoolDistrictSchoolBasedHealthCenter.
MagazineWellness M-F8:00to3:30,Th:8to5 WellnessCenterinconjuc7onwiththeCounty Extensionofficesponsorsacookingclassand nutri7onlessonsforourAierSchoolProgram
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School-basedHealthCentersü School-basedHealthCenterGrantProgramisaStatefundedprogramcreatedusingStateTobaccoExciseTax.ThegrantprogramisadministeredthroughtheArkansasDepartmentofEduca7onandisintendedtoaiddistrictsinformingamedicalhealthpartnershipwithlocalmedicalproviderstoprovidebasiccomprehensivemedicalandmentalhealthservicesonschoolcampus.Thepurposeofthieprogramistopromotehealth,wellness,andacademicachievementinArkansaspublicschools.
ü APSCNIden7fier–indicatesthenecessarypaperworktoenrollthestudenttoreceivemedicalservicesprovidedthroughtheschool-basedhealthcenterhasbeencompleted.
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CurrentSBHCDistrictsü LincolnSchoolDistrict
Districtwideü SpringdaleSchools
JonesElementaryGeorgeElementary
ü FayevevilleSchoolsOwlCreekElementary
ü LavacaSchoolDistrictDistrictwide
ü ParisSchoolDistrictParisHighSchool
ü GurdonSchoolDistrictGurdonxxxx
ü MagazineSchoolDistrictDistrictWide
ü OuachitaRiverSchoolsAcornElementary
ü Smackover-NorphletSchoolsSmackoverElementary
ü SouthsideSchools-BatesvilleSouthsideElementary
ü CedarRidgeSchoolsCord-CharloveElementary
ü JasperSchoolDistrictJasperK-12Campus
ü WaldronSchoolDistrictWaldronElementary
ü EldoradoSchoolDistrictWashingtonMiddleSchool
ü CrossCountySchoolsDistrictwide
ü Yellville-SummitSchoolsDistrictwide
ü LivleRockSchoolDistrictFranklinElementary
ü SiloamSpringsSchoolDistrictSiloamSpringsElementary
ü LamarSchoolDistrictDistrictwide
ü BryantSchoolDistrictBryantElementarySchool
ü CharlestonSchoolsDistrictwide
ü BradfordSchoolDistrictDistrictwide
ü PrairieGroveSchoolsPrairieGroveElementary
ü CedarvilleSchoolsDistrictwide
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SchoolHealthServicesLocalSpotlight
SpringdaleSchoolDistrict:WalkaMileinMyShoesArkansasJointUseAgreement:GetintheGame
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• Knowtheneedsofyourstudentsandfamilies• Dotheresearch–lookatdata• Knowtheneedsofyourstudents
• Needsthatareimpac7ngtheirperformanceintheclassroom• Posi7velyimpactincorporateparentalinvolvementandcommunityinvolvement
SchoolHealthServicesWheredowestart?
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• SchoolHealthIndex(SHI)• YouthRiskBehaviorSurvey(YRBS)• SchoolHealthProfiles(SHPs)• StatewideBMIReport• ArkansasPreven7onNeedsAssessment(APNA)
SchoolHealthServicesStudentHealthDataResources
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SHSStaff/Questions• MedicaidintheSchools–[email protected] • School-BasedMentalHealth–[email protected] • SafeSchools/HealthEd–[email protected] • YRBSSurveillanceCoordinator–[email protected] • CoordinatedSchoolHealth–[email protected] • School-BasedHealthCenters–[email protected] • StateSchoolNurseConsultant–[email protected] • SchoolHealthServicesDirector–[email protected]
OfficeofSchoolHealthServicesArkansasDepartmentofEduca7onFourCapitolMall,MailSlot#14
LivleRock,AR72201501-683-3604