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Implementing A School Based Health Clinic (SBHC) for Low Income Children. Sonja Fontana, MSN, FNP-C. Poor Access and Delivery of Healthcare Services Increases Socioeconomic Health Disparities. Introduction. Patient Centered Healthcare Model. Halloween @ OMG, 2012.
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Implementing A School Based Health • Clinic (SBHC) • for Low Income Children • Sonja Fontana, MSN, FNP-C
Poor Access and Delivery of Healthcare Services Increases Socioeconomic Health Disparities Introduction
Patient Centered Healthcare Model . Halloween @ OMG, 2012 Batalden, Nelson, Gardent, & Godfrey. (2005)
Literature Review The contributions of studies support SBHC improving access and delivery of primary healthcare services. Academic achievement improved with increased seat time. Lifestyle changes in food and behavior were found Reduced emergency room visits lowering healthcare costs.
This project is designed to deliver a complete plan for implementation of a school-based health clinic for rural low-income elementary children. *
SWOT Analyses ***************** Strength Weakness Opportunities Threats
Collaboration Between Professionals HIPPA Consent Scheduling
Project Outcomes • . Fire Drills Bell System Sprinklers
* • Patient Outcomes • Objectives • QI Program • Nurse Practitioners • Educators
* • Objectives Clinical Environment
Summary of Advanced Practice Leadership Quality Improvement Committee Performance Training
Project Results • *
Dissemination Plans Recruitment of Nursing Work Force Nursing, Credentialing, and Medical Students Replication
References • Allison, A. M., Crane, A. L., Beaty, L. B., Davidson, J. A., Melinkovich, P., & Kempe, A. (2007). School based health centers: Improving access and quality care for low income adolescents. American Academy of Pediatrics, 120(4), 887-894. • Durlak, A. J., Weissberg, P. R., Dymnicki, B. A., Taylor, D. R., & Schellinger, B. K. (2011). The impact of enhancing students social and emotional learning: a meta-analysis of school based universal interventions. • Child Development, 82(1), 405-432. • Geierstanger, P. S., Amaral, G., Mansour, M., & Walters, R. S. (2004). School based health centers and • performance: Research, challenges, and recommendations. Journal of School Health, 74(9), 347-352. • Goltzman-Strolin, J. (2010). The relationship between school based health centers and the learning environment.Journal of School Health, 80(3), 153-159.
* • Guo, J. J., Wade, J. T., Pan, W., & Keller, N. K. (2010). School based health centers: Cost benefit analysis and impact on health care disparities. American Journal of Public Health, 100(9), 1617-1623. • Guo, J. J., Wade, J. T., & Keller, N. K. (2008). Impact of school based health centers on students with mental health problems. Public Health Reports, 123, 768-780. • Joint Center for Political and Economic Studies. (2012). Place matters for health in the SanJoaquin Valley. Retrieved from http://www.humanneeds.ven.edu • Kong, S. A., Sussman, L. A., Negrete, S., Patterson, N., Mittleman, R., & Hough, R. (2009). Implementation of a walking school bus: Lessons learned. Journal of School Health, 79(7), 319-325. • McNail, A. M., Lichty, F. L., & Mavis, B. (2010). The impact of school based health centers on the health outcomes of middle school and high school students. American Journal ofPublic Health, 100(9),1604-1610.
* • Nordin, D. J., Solberg, I. L., & Parker, D. E. (2010). Adolescent primary care visit patterns. Annals of Family Medicine, 8(6), 511-516. • Utter, J., Scragg, R., Robinson, E., Warbrick, J., Faeamani, G.,Foroughian, S., et al. (2011). Evaluation of the living four life project: A youth-led, school based obesity prevention study. Obesity Reviews, 12, 51-60. • Van Cura, M. (2010). The relationship between school based health centers, rates of earlydismissal from school, and loss of seat time. Journal of School Health, 80(8), 371-377. • Walker, C. S., Kerns, E. U. S., Lyon, R. A., Burns, J. E., & Cosgrove, T. J. (2009). Impact of school based health center use on academic outcomes. Journal of Adolescent Health,46(3), 251-257.