ESPDT School Health Nurse Grant Program: Clinical Evaluation Indicators Summary Report Kaye Bender,...
Transcript of ESPDT School Health Nurse Grant Program: Clinical Evaluation Indicators Summary Report Kaye Bender,...
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ESPDT School Health Nurse Grant Program: Clinical Evaluation Indicators Summary Report
Kaye Bender, PhD, RN, FAANBower Foundation Board Meeting
August 21, 2006
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Components of the EPSDT Visit
• Physical Assessment with appropriate lab
• Developmental Assessment
• Vision Testing
• Hearing Screening
• Oral Health Assessment
• Counseling and Education
• Referral and Followup
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Clinical Evaluation Indicators
Assessment According to Standards
?
Nursing Diagnosis Appropriate for
Assessment ?
Intervention Appropriate ?
Results of Intervention ?
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EPSDT Screenings2002-2006
Total = 13,747 Assessments
$1,037,167.80 Billed
$703,414.59 Paid (68%)
*Data from Screen-Plus
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Assessment According to Standards
• Age Appropriate
• Billable
• Intervention and Follow-up According to School Nurse Protocol and EPSDT Guidelines
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Assessment by ServiceVision Screening (4,290)Preliminary Data 2005
Normal82%
Abnormal18%
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Assessment by ServiceVision Screening (12,925)
2002-2006
Normal84%
Abnormal16%
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Assessment by Service: Vision Screening (12,925)
• Nursing Diagnoses– Sensory/perceptual alternations
• Intervention– Notification of parents or guardian– Referral to Physician
• Follow-up – 92%
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Assessment by Service: Dental Screening (4,261)Preliminary Data 2005
Normal65%
Abnormal35%
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Assessment by Service: Dental Screening (13,008)
2002-2006
Normal69%
Abnormal31%
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Assessment by Service: Dental Screening (1331)
• Nursing Diagnoses– Altered oral mucous membrane– Dental caries
• Intervention– Notification of parents or guardian– Referral to Dentist
• Follow-up – 38%
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Assessment by Service: Developmental Screening (4,248)
Preliminary Data 2005
Normal96%
Abnormal4%
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Assessment by Service: Developmental Screening (11,120)
2002-2006
Normal96%
Abnormal4%
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Assessment by Service: Developmental Screening (11,120)
• Nursing Diagnoses– Altered growth and development– Impaired social interaction– Impaired verbal communication– Self-esteem, alteration in
• Intervention– Notification of parents or guardian– Referral to Physician or other appropriate provider
• Follow-up – 86% (includes in-school referrals)
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Assessment by Service: Hearing Screening (4,290)
Preliminary Data 2005
Normal89%
Abnormal11%
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Assessment by Service: Hearing Screening (10,406)
2002-2006
Normal94%
Abnormal6%
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Assessment by Service: Hearing Screening
• Nursing Diagnoses– Sensory/perceptual alterations
• Intervention– Notification of parents or guardian– Referral to Physician or Nurse Practitioner
• Follow-up – 88%
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Assessment by Service: Hct/Hgb(4,677)
Preliminary Data 2005
Normal83%
Abnormal17%
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Assessment by Service: Hct/Hgb(12,673)
2002-2006
Normal91%
Abnormal9%
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Assessment by Service: Hgb/Hct Screening
• Nursing Diagnoses– Anemia– Potential for Anemia
• Intervention– Notification of parents or guardian– Referral to Physician or Nurse Practitioner– Standing Order for Iron
• Follow-up – 90%
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Assessment by Service: Urinalysis (11,913)
2002-2006
Normal94%
Abnormal6%
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Assessment by Service: Urinalysis
• Nursing Diagnoses– Altered urinary elimination– Diabetes related symptoms– Potential for urinary tract infection
• Intervention– Notification of parents or guardian– Referral to Physician or Nurse Practitioner
• Follow-up – 68%
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Random Findings From Initial Physical Assessment Data
5-11 Years• Activity intolerance• Altered health maintenance• Dressing/grooming self-care deficit• Impaired skin integrity• Potential for infection• Potential for trauma• Pain• Coping deficits
* 2002-2006 Data
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Random Findings From Initial Physical Assessment Data
12-17 Years• Activity intolerance• Altered health maintenance• Impaired skin integrity• Potential for infection• Pain• Rape/trauma syndrome
* 2002-2006 Data
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Implications of This Evaluation Strategy
• Validation of credibility and safety of the program
• Nursing training
• Referral gap identification
• Clinical lab and other quality assurance
• Baseline data for long-range tracking
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Complete Report on this Phase of the Clinical Evaluation Indicators will be available October 2006.
Next Clinical Evaluation Report Scheduled for December 2006.
For questions, contact Dr. Kaye Bender, 601-984-6220; [email protected]