McKinney-VentoHomelessConference

2016

SchoolHealthInforma.onMa0ersOfficeofSchoolHealthServicesprovidesdistrictswithresourcestoensureeduca7onallyrelevanthealthdispari7esareaddressedsothatallstudentsinKindergartenthrough12thGradecanachieve!

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…..

2015CountyHealthRankings

•  Barriersthatpoten7allynega7velyimpactstudentacademicsuccess:•  Asof2012,1inevery3childreninArkansasareiden7fiedasoverweightorobese.

•  149schoolsinArkansaswhocompletedthe2012-2013ArkansasSchoolNurseSurveyreported21%ofthestudentstheyservesufferfromsometypeofChronicdisease.

•  26.8%%(2012)ofArkansaschildrenliveatorbelowthepovertylevel.(U.S.CensusBureau)

•  Na7onally,onlyabout7%ofyouthwhoareinneedofmentalhealthservicesactuallyreceivedtheneededservices.

SchoolHealthServicesSupplementalProgramming

Purpose:Toaidschoolsinremovingcertainhealthbarrierswhichnega7velyimpactstudentacademicperformancesandmeettheneedsoftheWHOLECHILD.

SchoolHealthServicesOurMission How:

•  Assistschoolsinimplemen7nginnova7vehealthstrategiesinaK-12se\ng

•  Provideschoolstaffwithhighqualityprofessionaldevelopmentopportuni7esinHealthandWellnessEduca7on

•  Provideguidanceonuseofstudenthealthdatatoguideprogrammingandpolicyimplementa7on

•  Aidschoolsinbuildingmeaningfulpartnershipswithfamiliesandlocalresourcesandservices

•  Aidschoolsinmee7ngStateandFederalWellnessMandates

10TargetedHealthAreas

•  HealthEduca7on•  CommunityInvolvement•  FamilyEngagement•  EmployeeWellness•  PhysicalEnvironment•  Social&Emo7onalClimate•  HealthcareServices•  Nutri7onEnvironment&Services•  PhysicalEduca7on&PhysicalAc7vity•  Counseling&PsychologicalandSocialServices

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

•  ArkansasDepartmentofHealth(ADH)•  ArkansasDepartmentofHumanServices

•  DivisionofBehavioralHealthServices(DBHS)•  ArkansasCoali7onforObesityPreven7on(ArCOP)•  School-BasedHealthAllianceofArkansas(SBHAA)•  ArkansasAdvocatesforChildrenandYouth•  AmericanHeartAssocia7on•  ArkansasCenterforHealthImprovement•  Associa7onfor(APHERD)

SchoolHealthServicesOurStatePartnersareYOURPartners

•  ArkansasChildren'sHospital•  ArkansasStateUniversity•  ArkansasHungerRelieveAlliance•  ArkansasMunicipalLeague•  ArkansasEduca7onTelevisionNetwork

SchoolHealthServicesOurStatePartnersareYOURPartners

•  Educa0onCoopera0veResources•  CommunityHealthNurseSpecialists(CHNs)•  CommunityHealthPromo7onSpecialists(CHPs)•  BehaviorInterven7onConsultants(BICs)

•  HometownHealthCoali0on•  CountyHealthCoali7ons

•  UofACountyExtensionService•  LocalProviders/CountyHealthUnit

SchoolHealthServicesYourLocalPartners/Resources

Significant Changes in K-12 Education

StateEducationUpdate•  RulesGoverningNutri7onandPhysicalAc7vityinSchools

•  Commissioner'sMemoCOM-16-088•  PEMinutes•  DeclaredSchoolDay•  Aiernoonsnack,smartsnackcompliant•  Accountability

•  GlucagonandInsulinAdministra7oninSchools•  Act833of2015–Commissioner’sMemoCOM-16-067(DRAFT)•  FinalRuleswillbeeffec7veJune27,2016

•  Designatedlaypersontoadministerinsulin•  Trainingwillbedevelopedforschoolnurses

3BasicsofHealthInformationü StudentHealthInforma7onü HealthcareStaff/Employeesü FinancialCoding

Objectivesü What-HealthInforma7oniscollected/usedü Why-Legalrequirements;theintendeduseofthedataü Who-whoisresponsibleforcollec7ngtheinforma7on;whoisresponsibleforenteringtheinforma7onintoAPSCN

ü When-CycleInforma7on

1.  StudentHealthInformation• HEARINGSCREENINGS

ü A.C.A.§6-18-701;SISPage89ü PersonResponsibleforscreening–SchoolNurseü PersonResponsibleforenteringdata–SchoolNurseü Cycle7–June15th

*Intent:Earlyinterven7ontohearingissuesstudentsmaybeexperiencingcausingadirectnega7veimpactonlearning.

HearingScreening

1.  StudentHealthInformation• Immuniza7ons

ü  ADERulesGoverningKindergartenthrough12thGradeImmuniza7on

RequirementsforArkansasPublicSchools;SISPage90ü PersonResponsibleforscreening–SchoolNurseü PersonResponsibleforenteringdata–SchoolNurseü Cycle3–Nov.15th

WARNING!No7fytheschoolnursewhenstudentrecordsarebeingtransferredtoanotherdistrict,ashe/shemayhaveaddi7onalhealthrecordsthatneedtobetransferred.

*Intent:Monitorallminorsinthestatemee7ng“immi”requirements,andlessenspreadofinfec7ousdisease.

Immunizations

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.

VisionScreening

1.  StudentHealthInformation• ScoliosisScreening

ü Act95of1989;SISPage91ü PersonResponsibleforscreening–SchoolNurseü PersonResponsibleforenteringdata–SchoolNurseü Cycle7–June15th

*Intent:Earlydetec7onofspinalgrowthissuesstudentsmaybeexperiencingcausingotherdebilita7ngphysicalissuesifnottreated.

ScoliosisScreening

1.  StudentHealthInformation• AutomatedExternalDefibrillator(AED)

ü ADERulesGoverningSchool-basedAutomatedExternalDefibrillatorDevices(AED);SISPage104

ü PersonResponsible–DistrictDesigneeü PersonResponsible–DistrictDesigneeü Cycle5–Feb15th

*Intent:Toensurelifesavingdevicesandtrainedpersonnelareavailableineachschoolbuildingintheeventemergencymedicalservicesareneeded.

AutomatedExternalDeNibrillator(AED)

LookfortheItems

“Itisnotthestrongestofthespeciesthatsurvive,northemostintelligent,buttheonemostresponsivetochange.”

CharlesDarwin

1.  StudentHealthInformation• School-basedHealthCenterIden7fier(SBHC)

ü Indicatesastudenthasbeenformallyenrolledtoreceivedhealthservicesthroughthecenter.

ü SISPage129ü PersonResponsibleforcollec7ngenrollment–DistrictSBHCCoordinator

ü PersonResponsibleenteringdata–APSCNDataEntryPersonü Cycle2through7;con7nuousrunningtotalthroughouttheyear;Enrollmentstatusforastudentremainsfortherestoftheschoolyear.

ü Cycle7Deadline-June15th*Intent:TomonitortheimpactofanSBHConstudentsuccessandtheeffec7venessofstatemoniesusedfortheprogram.StateIndicators:EPSDTandAvendanceRate.

SBHCIdentiNier

1.  StudentHealthInformation• StudentNursingAcuityLevel

ü Act935of2015ü Summarizedinforma7onentered–totalnumberofstudentsperacuitylevelperLEA/Campus.

ü Personresponsibleforcollec7ng#ofStudentsperacuitylevel–SchoolNurse

ü Personresponsibleforenteringdata-SchoolNurseorAPSCNCycleCoordinator(StateRepor7ng)

ü Cycle7–June15th*Intent:Monitorthestudenthealthcareneeds/professionalsonanindividualcampus.

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.

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.

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

SchoolNurseJobCode=NursingLicense

2.Staff/HealthcareEmployees

ü SchoolNurse–HighestDegree•  AAS–AssociateofAppliedScience•  ASN–AssociateofScienceinNursing•  DPL–DiplomaofNursing•  BSN–BachelorofScienceinNursing•  MSN–MasterofScienceinNursing•  DNP–DoctorofNursingPrac7ce

WARNING!Adegreemustiden7fiedforALLNursingstaffemployedand/orcontractedbythedistrict

3.FinancialCoding• PersonnelFinancialCodestoUseü SchoolNurse–

•  Func7on–2134–THISISREQUIRED!Thiscodeindicates“NurseExpense”

•  Object–61120–THISISREQUIRED!THISCODEindicates“NurseSalary”

ü School-basedMentalHealth–wehavenottrulyrefinedthisyet,whatdoyouuse?

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.

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.

–SchoolImprovementHealthandWellnessPriority

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

IfyoucompletetheSHIonline,provideyourreferencenumberintheHealthandWellnessFormwithinIndistar.

•  ArkansasPreven0onNeedsAssessment(APNA)•  Visionandhearing•  School-basedHealthCenterdata•  School-basedMentalHealthServicesdata•  Anythinghealthrelatedthathasanaffectonastudent’s

abilitytolearn!

Optionalhealthandwellnessdataideas…

2017BiennialSchoolHealthConferenceJuly11th-13th,2017BentonEventsCenter

•  CoordinatedSchoolHealth•  (comprehensivetrainings/Networking)

•  School-BasedMentalHealth

•  Behavioral/MentalHealthServices

•  JointUseAgreements•  PhysicalAc7vity/PhysicalEduca7on

SchoolHealthServicesADEProgramOverview

•  ExemplarySexualHealthEduca7on/SaveSchoolEnvironment•  STD/TeenPregnancyPreven7onStrategies

•  School-BasedHealthCenters•  Healthcare/MentalHealthServices

•  ArkansasMedicaidintheSchools•  AssistwithMedicaidreimbursementsformandatedschoolscreening

SchoolHealthServicesADEProgramOverview

•  Lavaca/MagazineSBHC

SchoolHealthServicesLocalSpotlight

Dr.Bryanisconduc7nganannualcheckupanddentalcleaningfor4yearoldJosieOliver.Dr.BryanBishop,DDSprovidesdentalservicesoncampusforstudentseveryFridayatthecenteratMagazine.CourtesyofMagazineSchoolDistrictSchoolBasedHealthCenter.

MagazineWellness M-F8:00to3:30,Th:8to5 WellnessCenterinconjuc7onwiththeCounty Extensionofficesponsorsacookingclassand nutri7onlessonsforourAierSchoolProgram

School-basedHealthCentersü School-basedHealthCenterGrantProgramisaStatefundedprogramcreatedusingStateTobaccoExciseTax.ThegrantprogramisadministeredthroughtheArkansasDepartmentofEduca7onandisintendedtoaiddistrictsinformingamedicalhealthpartnershipwithlocalmedicalproviderstoprovidebasiccomprehensivemedicalandmentalhealthservicesonschoolcampus.Thepurposeofthieprogramistopromotehealth,wellness,andacademicachievementinArkansaspublicschools.

ü APSCNIden7fier–indicatesthenecessarypaperworktoenrollthestudenttoreceivemedicalservicesprovidedthroughtheschool-basedhealthcenterhasbeencompleted.

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

SchoolHealthServicesLocalSpotlight

SpringdaleSchoolDistrict:WalkaMileinMyShoesArkansasJointUseAgreement:GetintheGame

•  Knowtheneedsofyourstudentsandfamilies•  Dotheresearch–lookatdata•  Knowtheneedsofyourstudents

•  Needsthatareimpac7ngtheirperformanceintheclassroom•  Posi7velyimpactincorporateparentalinvolvementandcommunityinvolvement

SchoolHealthServicesWheredowestart?

•  SchoolHealthIndex(SHI)•  YouthRiskBehaviorSurvey(YRBS)•  SchoolHealthProfiles(SHPs)•  StatewideBMIReport•  ArkansasPreven7onNeedsAssessment(APNA)

SchoolHealthServicesStudentHealthDataResources

SHSStaff/Questions•  MedicaidintheSchools–TracyStarkstracy.starks@searkcoop.com•  School-BasedMentalHealth–ElizabethKindallelizabeth.kindall@arkansas.gov•  SafeSchools/HealthEd–KathleenCourtneyKathleen.Courtney@arkansas.gov•  YRBSSurveillanceCoordinator–BrivanyRogersbrivany.rogers@arkansas.gov•  CoordinatedSchoolHealth–AudraWaltersaudra.walters@arkansas.gov•  School-BasedHealthCenters–TamaraBakertamara.baker@arkansas.gov•  StateSchoolNurseConsultant–PaulaSmithpaula.smith@arkansas.gov•  SchoolHealthServicesDirector–JerriClarkjerri.clark@arkansas.gov

OfficeofSchoolHealthServicesArkansasDepartmentofEduca7onFourCapitolMall,MailSlot#14

LivleRock,AR72201501-683-3604