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

.

Microsystem

SBHC

Mesosystem

OCES

Macrosystem

Referrals &

Resources

Halloween @ OMG, 2012Batalden, Nelson, Gardent, & Godfrey. (2005)

Literature ReviewThe 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 foundReduced 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.

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Evidence Based Practice using the PDSA Model

SWOT Analyses*****************

Strength

Weakness

Opportunities

Threats

Collaboration Between Professionals

Scheduling

HIPPA Consent

Project Outcomes .

Fire Drills

Bell System

Sprinklers

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Patient Outcomes

Objectives

QI Program

Nurse Practitioners

Educators

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ObjectivesClinical Environment

Summary of Advanced Practice Leadership

Quality Improvement Committee

Performance Training

Summary of Process

Project Results*

Dissemination Plans

Nursing, Credentialing, and Medical Students

Replication

Recruitment of Nursing Work Force

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.

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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 San Joaquin 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 of Public Health, 100(9),1604-1610.

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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 early dismissal 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.