2012 school health services assessment results

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2012 School Health Services Assessment Results WISHeS: Wisconsin Improving Health Services Project

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2012 School Health Services Assessment Results. WISHeS: Wisconsin Improving Health Services Project. Assessment Results. The following powerpoint contains highlights of the 2012 School Health Services Assessment Results. - PowerPoint PPT Presentation

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Page 1: 2012 School Health Services Assessment Results

2012 School Health Services Assessment

ResultsWISHeS:

Wisconsin Improving Health Services Project

Page 2: 2012 School Health Services Assessment Results

The following powerpoint contains highlights of the 2012 School Health Services Assessment Results.

In the note section of the powerpoint you will find the assessment question and response options that correlate to the results presented.

Assessment Results

Page 3: 2012 School Health Services Assessment Results

Assessment completed in March-April 2012 As of April 24th, 2012: Assessment completed by 117 school districts

(27%) Results of assessment represents 44% of

Wisconsin school children 63% of assessments completed by school nurse 37% of assessments completed by

administrator

Preliminary Statewide ResultsOverall Statistics:

Page 4: 2012 School Health Services Assessment Results

Total student enrollment in the district: Districts who completed assessment:

<500

500-999

1000-2999

3000-4999

>5000

0 40

17%

23%

37%

12%

12%

# students enrolled

Assessment

State averages:

<500

500-999

1000-2999

3000-4999

>5000

0 50 100150

24%

27%

31%

15%

8%

# students enrolled

State

Responses=115

State data:2011-12

Page 5: 2012 School Health Services Assessment Results

Number of schools within the district:Districts that completed assessment:

1 to 5

6 to 10

11 to 15

16 to 20

>20

0 102030405060708090

72%

16%

4%

2%

6%

Assessment

State averages:

1 to 5

6 to 10

11 to 15

16 to 20

> 20

010

020

030

040

0

73%

16%

3%

1%

3%

State

State

Responses=115

Assessment

State data:2011-12

Page 6: 2012 School Health Services Assessment Results

Rural vs. Urban County Districts who completed assessment:

Rural

Urban

50 55 60 65

48%

52%

Assessment

Assessment

State averages:

Rural

Urban

190200210220230

52%

48%

State

State

Responses=117 State data:2011-12

Page 7: 2012 School Health Services Assessment Results

Percentage of Students Enrolled by Race/EthnicityDistricts that completed assessment:

White

Pacific Isle

Black

Amer Indian

010

086%

1%<1%5%4%2%3%

Assessment

Assessment

State averages:

WhiteTwo or More

Pacific IsleHispanic

BlackAsian

Amer Indian

0% 50%

100%

74%2%<1%10%10%

4%1%State

State

State data:2011-12Response=115

Page 8: 2012 School Health Services Assessment Results

The Number of RN FTEs

0 FTE

0.09-0.49

0.5-0.74

0.75-0.99

1.00

1.5-2.0

2.5-10

>10

0 5 10 15 20 25 30 35 408%

15%

11%

8%

36%

10%

1%

<1%

Assessment

Percentage of FTEs:

Responses=114 Average=2.2 FTEs

Page 9: 2012 School Health Services Assessment Results

Who employs the district RN(s):

Other

District does not have RN

Health care organization

Health department

School district

0 20 40 60 80 100

6%

<1%

4%

6%

81%

Assessment

Responses=115

Page 10: 2012 School Health Services Assessment Results

Overall Implementation

Quality Improvement

Evidence Based

Best Practice

Mandatory items

0% 10%

20%

30%

40%

50%

60%

70%

48%

42%

52%

64%

Assessment

Response=115*some best practice results not incorporated

Page 11: 2012 School Health Services Assessment Results

District has no RN

1:1624 or more

1:1000-1623

1:751-999

1:750 or less

0% 10% 20% 30% 40% 50%

6%

43%

26%

11%

14%

Assessment

RN to Student Ratio

Response: 113

Page 12: 2012 School Health Services Assessment Results

Policy & protocol manual for emergency nursing services provided during after school (extra curricular and sporting events) is in place

Policy & protocol manual for emergency nursing services provided during the school day is in place

0% 20%40%60%80%

40%

75%

Assessment

Emergency Nursing Protocol Manual

Responses=114

Page 13: 2012 School Health Services Assessment Results

Procedure manual is evaluated yearly and updated as appropriate by RN

School district does not have a nursing procedure manual

School district is in the process of developing nursing procedure manual

RN developed procedure manual is in place

0% 20% 40% 60%

31%

31%

21%

49%

Assessment

Nursing Procedure Manual

Responses=114

Page 14: 2012 School Health Services Assessment Results

RN completes Annual "Health Services Report" and sends to Wisconsin Department Public Instruction

RN presents the nursing services report at board meeting

School board reviews emergency nursing services annually

0% 20% 40% 60%

44%

28%

39%

Assessment

Annual Review of Nursing Services

Responses=114

Page 15: 2012 School Health Services Assessment Results

Documents disposition

Documents in student record

Electronic record used

Policy reviewed yearly

Written policy in place

Process in place

Developing system to document

Does not document nursing services

0% 20%

40%

60%

80%

100%

63%79%

61%28%

38%80%

9%6%

Assessment

Documenting Nursing Services

Responses=115

Page 16: 2012 School Health Services Assessment Results

Uses standardized nursing languages in electronic health records

Uses standardized nursing languages

Does not use standardized nursing language

0% 20% 40% 60%

32%

43%

49%

Assessment

Standardized Nursing Language

Responses=113

Page 17: 2012 School Health Services Assessment Results

Does not track return to class rate

Tracks return to class rate for student seen by school nurse

Tracks return to class rate for student seen by school nurse

0% 20% 40% 60%

57%

42%

29%

Assessment

Return to Class Rates

Response=111

Page 18: 2012 School Health Services Assessment Results

Has written policy and pro-cedure for reimbursement

for nursing services

Has procedure for Categorical Aid reimbursement and seeks

payment

0% 20% 40% 60% 80%

18%

32%

51%

73%

Assessment

Reimbursement for Nursing Services

Response=114

Page 19: 2012 School Health Services Assessment Results

No job descriptions are in place

School district is in process of developing job descriptions

Job descriptions for: Advanced Practice Nurse Prescriber (APNP), Registered Nurse (RN), and Licensed Practice Nurse (LPN), (as appropriate) on file

0% 20%40%60%80%

13%

16%

71%

Assessment

Job Description

Response=114

Page 20: 2012 School Health Services Assessment Results

School district does not have a procedure for the training of

UAP(s)

School district is in the process of developing a procedure

Procedure for training UAPs is in place

0% 20% 40% 60%

17%

11%

54%

Assessment

Training UAPs

Respones:114

Page 21: 2012 School Health Services Assessment Results

Does not provide formal training of UAP(s)

No formal system for documentation

Training occurs at least annually

File containing documentation of competency

Training is completed but not annually

0% 20%40%60%80%

4%

18%

59%

49%

29%

Assessment

Training of Unlicensed Staff

Responses=112

Page 22: 2012 School Health Services Assessment Results

Does not complete continuing ed

Attends NASN conference

Attends WASN district meetings

Attends WASN conference

RN member of NASN/WASN

Yearly continuing ed

0% 20% 40% 60% 80%

9%

7%

39%

61%

61%

73%

Assessment

Continuing Education

Responses: 114

Page 23: 2012 School Health Services Assessment Results

Does not participate

Not consistent

Every 2 years

Yearly continuing education regarding the management of life threatening emergencies

3%

58%

35%

30%

Assessment

Continuing Education Life Threatening Emergencies

Responses=113

Page 24: 2012 School Health Services Assessment Results

Policy requires RN to review medication log on monthly basis

Policy requires RN to review all new medication orders

Policy is evaluated and updated annually by the school board

Has policy regarding medication administration

0% 50% 100%

31%

59%

48%

95%

Assessment

Medication Administration Policy

Responses=115

Page 25: 2012 School Health Services Assessment Results

Does not provide training on medication administration

Evaulates med admin competency annually

School personnel are trained every 2 years by RN

School personnel are trained every 4 years by RN

Provides training of medication administration

0% 50% 100%

3%

66%

32%

18%

83%

Assessment

Medication Administration

Page 26: 2012 School Health Services Assessment Results

Advisory committee informs and updates public regarding wellness policy

Wellness policy establishes plan to measure implementation

School nurse is a member of the school health advisory council

Each school has a school health advisory council

0% 20%40%60%80%

40% (108)

51% (105)

64% (107)

51% (108)

Assessment

Wellness Policy

Page 27: 2012 School Health Services Assessment Results

Safety plan addresses how to manage the complex medical needs of the student

with disabilities or health concerns in the event of a larger community emergency

School district has a written plan for the evacuation of students with disabilities or

health concerns

School district has a school safety plan

0% 50% 100%

48%

66%

89%

Assessment

School Safety Plan

Responses: 110

Page 28: 2012 School Health Services Assessment Results

RN provides education to staff regarding prevention of communicable disease

RN provides education to pupils regarding prevention of communicable disease

Policy & Procedure for reporting & documentation of communicable disease to health department

Reports communicable disease to health department

84%

37%

81%

92%

Assessment

Communicable Diseases

Responses: 115

Page 29: 2012 School Health Services Assessment Results

District evaluates success of plan

District implements compliance plan

Submits plan to health services by Sept 1

District develops plan to encourage compliance

0% 20%40%60%80%

57%

72%

28%

60%

Assessment

Compliance with Immunizations

Responses: 116

Page 30: 2012 School Health Services Assessment Results

81 to 90%

91 to 98%

99% or above

0% 10% 20% 30% 40% 50% 60% 70%

2%

34%

64%

Assessment

Immunization Rates

Responses: 117

Page 31: 2012 School Health Services Assessment Results

District does not require ex-clusion

District requires exclusion for students in K5-5th who are not compliant (if district is not at

least 99%)

0% 20% 40% 60% 80%

26%

74%

Assessment

Exclusion of Non-Compliant Students

Responses: 114

Page 32: 2012 School Health Services Assessment Results

RN participates in community exercise that tests pandemic flu

plan

District has a written pandemic flu plan

District does not have written pandemic flu plan

0% 20%40%60%80%

39%

61%

34%

Assessment

Pandemic Flu

Responses: 116

Page 33: 2012 School Health Services Assessment Results

School Health Services

School Nurse Provides or Coordinates

74. RN provides or coordinates the provision of the following school health services: Administration of medication,Assistance with accessing benefits for students with disabilities,Assistance with enrolling in Medicaid or SCHIP,Case management for students with disabilities,Case management for pregnant or parenting students,Crisis intervention for personal problems,Family Planning,First aid,HIV counseling and/or testing and referral,Identification of emotional or behavioral disorders,Identification of and referral for oral health problems,Identification and/or school based management of acute illness,Identification and/or school based management of health conditions,Identification and/or treatment/referral for STDs,Instruction on self-management of chronic health conditions,Prenatal Care Coordination,Prenatal care referrals,Services for gay, lesbian, bisexual or trans gender students,Stress management,Tobacco use cessation,Tracking of students with chronic health conditions.

No services provided

6 or less services

6 or more services

12 or more services

18 or more services

0% 20% 40%

3%

9%

28%

34%

26%

Response: 116

Page 34: 2012 School Health Services Assessment Results

RN evaluates outcomes of interven-tions

RN develops & implements action plan based on priorities identified

School community

Administration

School personnel

Pupils

0% 5% 10%15%20%25%30%

10%

16%

12%

10%

14%

27%

Assessment

Yearly Needs Assessment

Responses: 112

Page 35: 2012 School Health Services Assessment Results

RN follows up on referrals

Re-screening for failures

Height/Weight screenings

Dental screenings

Audiometry screens

Yearly vision screens

0% 20% 40% 60% 80%100%

77%

90%

33%

30%

79%

87%

Assessment

Preventive Screenings

Responses: 116

Page 36: 2012 School Health Services Assessment Results

District provides or coordinates the application of dental sealants

District provides or coordinates application of flouride varnishes

District provides or coordinates application of flouride rinses

0% 10% 20% 30% 40% 50%

42%

33%

29%

Assessment

Dental Services

Responses: 113

Page 37: 2012 School Health Services Assessment Results

RN reports trends to health department

RN reports trends to administration

RN conducts surveillance on absentee reports

RN conducts surveillance on health complaints

55% 60% 65% 70%

65%

66%

59%

65%

Assessment

Surveillance

Responses: 116

Page 38: 2012 School Health Services Assessment Results

Tobacco Free Policy

Education on dangers of tobacco provided to pupils

Posted signs regarding policy

Enforces policy

Written policy regarding prohibition of tobacco

0% 50% 100%

91%

66%

90%

89%

Assessment

Response: 116

Page 39: 2012 School Health Services Assessment Results

OtherGuidance

DietaryEngineer

Health AideSecretary

TeacherBoard MemberSocial Worker

PsychologistDirector Pupil Services

School NurseAdministrator

0% 20% 40% 60% 80% 100%10%

17%28%

1%8%

29%21%

3%5%8%

28%90%

52%

Assessment

Assisted in Completion

Response=116

Page 40: 2012 School Health Services Assessment Results

If you have questions or would like more information on the results please contact:

Teresa DuChateauSchool Nurse Resource CoordinatorWisconsin Public Health Association

[email protected]

Questions