LEA MEDICAL SCHOOLBASED HEALTH CARE Sheri Coburn Ed

LEA MEDI-CAL & SCHOOL-BASED HEALTH CARE Sheri Coburn, Ed. D, MS, RN California School Nurses Organization State President-Elect Sheri. Coburn@csno. org 209 -468 -4960

DEFINING DEMOGRAPHICS 6. 3 million children attend California public schools (CDE, 2015) 59% of children are on free and reduced lunches (CDE, 2015)-Under reported. High School students usually do not report. 10% of children special education services (CDE, 2015) CA-one of the highest Medi-Cal populations in the nation, yet one of the lowest LEA Medi-Cal reimbursement rates.

CHILDREN DO NOT LEAVE THEIR HEALTH CARE ISSUES AT THE SCHOOL’S FRONT DOOR

HEALTH CARE ISSUES IN SCHOOLS Asthma ADHD Blood Disord Bullying Concussions Case Mgt; CD Diabetes Eating Disorders Depression Encopresis Immunizatio Joint Pain First Aid Growth & Dev Hearing Gastr Intest Homelessness n Fifth’s (athletic injury) Influenza Ds Kyphosis Pediculosi s Prepardnes s Physical Act LGTBQ MRSA Life Threatening Allergies Mental Health Quitting Tobacco Rashes HEDIS Measures Up Resp Vision Healthy People 2020 Whooping Tract Inf e-Vaping Cough Nutrition Obesity Oral Health STD’s; Suicide; Substance Use; SVT Teen Pregnancy Tuberculosis XXY Yeast Infect (Klinefelter) Zika

RATIO OF SCHOOL NURSE TO STUDENT: 1: 3, 048; NASN 1: 750

CA SCHOOL BASED HEALTH CENTERS 243 School Based Health Centers 47 High School 26 Elementary 11 Middle School 16 Mobile clinics Largely Urban areas High impoverished communities

SB 276 BIRTHED Crafted legislation to codify the Free Care law- Wolk (D) SPA Developed using collaborative means

CA SPA Uncapped services for children’s medically necessary services (Physician’s orders) EPSDT Vision Hearing Expansion of health care providers CA SPA 15 -021 www. dhcs. ca. gov/formsandpubs/laws/. . . /15021 Package. pdf

PREPARING SCHOOLS Regional presentations on SB 276 and requirements Medical model in an Education world Parental Consent Third-Party Liability Initial Health Care Plans and Revaluation Medically necessary and EPSDT services Documentation/Response to services Record retention

THANK YOU CMS CA DHCS CA Legislators CA Governor And to all of you as you being to do the necessary work to promote optimal health and well-being of children.

QUESTIONS? Sheri Coburn, Ed. D, MS, RN Director, Comprehensive Health Programs San Joaquin County Office of Education scoburn@sjcoe. net Sheri. coburn@csno. org 209 -468 -4960