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Planning for an Planning for an Oregon School-Based Health Oregon School-Based Health

CenterCenter

School-Based Health Center ProgramAdolescent Health Section

Office of Family HealthOregon State Public Health Division,

DHS

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Access Model:• Providing health care services

where the kids are,• For youth regardless of insurance

status

Supports youth being in class

Supports families• Who are uninsured, with limited

transportation, less days off from work

Prevention messages delivered

SBHCs provide accessibleSBHCs provide accessible health care to youth health care to youth

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AA School-Based School-Based Health Center….Health Center….

Delivers core set of primary health care services (physical, mental, preventive)

To children and youth in an identifiable school space

During regular scheduled times- school hours

By qualified health professionals (ex. PAs, NPs, RNs, QMHPs)

In a collaborative relationship with the local educational and healthcare community

For more information about certification standards visit: http://www.oregon.gov/DHS/ph/ah/sbhc/certreqs.shtml

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SBHC Addresses . . .SBHC Addresses . . .

• Barriers to access

• Underserved populations

• High proportions of high risk youth

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School Nurse vs. SBHCSchool Nurse vs. SBHC SCHOOL NURSE

• Employed by school/school district/ESD

• Manages student immunizations program

• Coordinates screenings• Chronic school health

case management• Manage chronic

medication delivery during school

• Oversees school health programs

• FERPA regulated

SBHC • Employed by medical

organization

• Administers immunizations

• Conducts screenings, physical exams

• Care of both acute and chronic needs

• Administer and prescribe medications

• Counseling, prevention and wellness promotion

• HIPPA regulated

• Certified by the State

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What do Oregonians say What do Oregonians say about SBHCs?about SBHCs?

2005 Public Opinion Telephone Survey Importance of various types of health care services provided in school-based setting.

•90% or more of Oregonians named the following health services as important**:

•Alcohol and drug prevention;

•Treatment for minor injuries;

•Mental health counseling;

•Sports exams;

•Family planning counseling;

•Vaccinations. **Combined responses of “very important” and “somewhat important”.

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98 95 93 92 90 90 8984 83

78 7671

0

25

50

75

100

Percent of Oregonians Rating Percent of Oregonians Rating SBHC Services as ImportantSBHC Services as Important

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Impact: Access to CareImpact: Access to Care

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Impact: Fewer Classes MissedImpact: Fewer Classes Missed

14%

26%

25%

24%

11%

3%

0%

1%

42%

53%

0 10 20 30 40 50 60

Don't know

All day

3-5 classes

1-2 classes

0 classes

Classes missedaccessing care atSBHC (2008)

Estimated classesmissed if accessingother care

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Statewide SBHCsStatewide SBHCs

2009: 55 Certified SBHCs in 21 Counties• 32 High Schools

• 4 Middle Schools

• 12 Elementary Schools

• 7 Combined Grade Schools

2007-2008 Oregon SBHCs served:• 20,971 clients

• 66,087 visits

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 OREGON SCHOOL-BASED HEALTH CENTERS 2009

As of June 2009

UNION COUNTYLa Grande HS

BAKER COUNTYBaker HS

WHEELER COUNTYMitchell K-12

Certified SBHCs = 55

WASHINGTON COUNTYForest Grove HSMerlo Station HSTigard HS

YAMHILL COUNTYWillamina HS

LINCOLN COUNTYNewport HSTaft MS/HSToledo HSWaldport HS

BENTON COUNTYLincoln ESMonroe ES/MS

LANE COUNTYNorth Eugene HSSheldon HSSouth Eugene HSSpringfield HSWinston Churchill HS

DOUGLAS COUNTYDouglas HSRoseburg HS

JOSEPHINE COUNTYEvergreen ESIllinois Valley HSLorna Byrne MS

JACKSON COUNTY Ashland HS Oak Grove ESCrater HS Phoenix ESJewett ES Washington ES

UMATILLA COUNTYPendleton HSSunridge MS

COLUMBIA COUNTYLewis & Clark ESRainier K-12

DESCHUTES COUNTY Ensworth ES La Pine K-12 CampusLynch ES

JEFFERSON COUNTY Madras HS

CLACKAMAS COUNTYCanby HSOregon City HS

MalheurHarney

Lake

Morrow

Gilliam

Crook

Wallowa

Hood River

Clatsop

Tillamook

MARION COUNTYHoover ES

Linn

Wasco

COOS COUNTY Marshfield HS

CURRY COUNTY Brookings Harbor HS

KLAMATH COUNTYGilchrist K-12

MULTNOMAH COUNTY

Clarendon-Portsmouth K-8 Grant HS Madison HS Clark@Binnsmead K-8 Jefferson HS Marshall HS Cleveland HS Lane MS Parkrose HSGeorge MS Lincoln Park ES Roosevelt HS

GrantPolk

Sherman

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Funding of Oregon SBHCsFunding of Oregon SBHCsFunding of Oregon SBHCsFunding of Oregon SBHCs Cost of running an SBHC can

range from $90K to $400K

Each county with a state-certified SBHC is eligible for state dollars through their local public health authority (LPHA).

Each of the state dollars is used to leverage about $3-4 local dollars.

State funding is based on a formula: 1 SBHC LPHA receives $60K per

year >1 SBHC LPHA receives $41K per

year for each center (including the first)

Additional funding sources found on local level:

• County funds

• School districts

• Hospitals

• Community health providers

• Grants

• Local fundraising

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Political ClimatePolitical Climate

OR Legislature has supported the # of SBHCs doubling each decade

1985-86 Initial Legislative dollars

2004 Expansion dollars for SBHCs into 5 new counties

2007 Expansion dollars for SBHCs into 5 new counties and 7 existing counties

2009 Expansion dollars for SBHCs into 5 new counties and 7 existing counties

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2009 Request for Proposals 2009 Request for Proposals (RFP)(RFP)

Announcements for RFPs were sent to all local public health authorities, schools and any partners in July 2009 with a due date of Sept 18, 2009• RFP required partnership with local public health

authorities, medical community, and schools.

• RFP and additional planning resources can be found at: http://www.oregon.gov/DHS/ph/ah/sbhc/planning.shtml

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Option 1:Option 1: 2-Year Planning Process2-Year Planning Process

Previously awarded state planning grantees are ineligible for this option.

Phase I (2009-2010): Each grantee will receive up to $30,000 per site• Award runs from Nov 1, 2009 to June 30, 2010• Planning Year: development of community partnerships, site, and

local model. • End of year report will determine advancement into Phase II.

Phase II (2010-2011): Depending on the # of site moving forward, each grantee will receive up to $60,000 per site.• Award runs from July 1, 2010 to June 30, 2011• Continue planning and development, culminating in the

certification of the SBHC during spring of 2011.

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Option 2:Option 2: 1- Year Planning Process1- Year Planning Process

This option is available to all interested sites.

Advance Phase (2009-2010): Grantee will receive up to $60,000 per site. • Awards will run from Nov 1, 2009 to June 30, 2010• Designed to cover the duration of planning and development,

culminating in the certification of the SBHC during the spring of 2010.

Entry into Funding Formula: (2010-2011): Upon successful completion of certification in the first year of planning, LPHA will receive funding based on the State SBHC funding formula. • Award will run from July 1, 2010 to June 30, 2011• Once SBHC is certified, annual awards will continue based on each

biennium’s legislatively adopted budget and compliance with State Certification Standards.

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RFP Technical RFP Technical Assistance CallsAssistance Calls

The State Program Office has set up teleconference calls for those parties interested in submitting an RFP. – Open format to ask any questions concerning the

RFP or SBHC planning process. • Call number: (888) 285-4585

• Participant Code: 124975

• Dates and times:

– 8/13/09 9-10am

– 8/25/09 10-11am

– 9/10/09 1-2pm.

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http://oregon.gov/DHS/ph/ah/sbhc/sbhc.shtml

SBHC State Program Website

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For more information:For more information:

Rosalyn Liu

SBHC Systems Development Specialist

PH: 971.673.0248

Fax: 971.673.0240

rosalyn.liu@state.or.us