SCHOOLBASED HEALTH CENTERS STRATEGIC PLANNING INFRASTRUCTURE POLICY AND
SCHOOL-BASED HEALTH CENTERS STRATEGIC PLANNING INFRASTRUCTURE, POLICY, AND OPERATIONS WORKGROUP Virtual Zoom Meeting Thursday, October 1, 2020 1: 00 PM – 2: 00 PM
Agenda Welcome & Recap of Previous Weeks Guiding Questions & Structure Initial Thoughts/Reactions (Breakout Groups) Share out Research Questions & Draft Recommendations (Breakout Groups) Share out Group Discussion on Priorities & Implications Adjournment & Next Steps
Review of Previous Discussions: (Operating Model decisions will Impact Budget and Financing Strategy) Menu of Services: Physicals? Minor acute care? Immunization Reproductive Health Behavioral Health Psychiatry Nutritionist Vision and Hearing Services Oral Health Education Social Services in Elementary and Middle Schools – whole family wrap around approach needed Hours of Operation: Extend beyond school hours (evenings) Yes – Need to think about summer hours & weekends Transportation challenges for hours of operation that extend beyond school day – Need to decide how to address Possibilities of telehealth to expand accessibility and services offered – Needs further clarification Model Design: Still being debated – access to community and creation of a medical home versus integration into standing pediatric practices – need flexible model – need to define parameters Hub and Spokes for elementary and middle schools within a certain geographical radius – need to determine radius and finalize menu/formula for hub and spoke clinics – Is Eisenberg the right model? Can students/siblings receive services at a different SBWC than their school? (accessibility How is menu of services determined? – highneed/low resource Adjacent to or inside the school building? – how to impact new SBWC construction
Guiding Questions & Structure Guiding Questions: What is goal of SBWCs in Delaware? How can SBWCs enhance health equity? How can SBWCs and community providers collaborate more efficiently? Topics to Discuss: Menu of Services Hours of Operations Enrollment Model Design
Draft Recommendations Research Questions: What How services should be included in SBWCs? do services differ by school level? How and by whom should the menu of services for SBWCs be determined? What should be the daily, weekly, and yearly hours of operation for SBWCs? How should SBWC operations relate to school operations? How should SBWCs enroll students? Should SBWCs enroll families (caregivers and siblings), staff, community members? How should SBWCs engage students in services?
Draft Recommendations SBWCs be determined? What services should be included in SBWCs? Use certain criteria for SBWC siting (free and reduced lunch data, special ed needs (IEP volumes) Do an analysis of community provider. Create a network for 11 -month clinic (not July) Community assessment for services needed No evening hours Hub and spoke model, especially for elementary school (2 Flexible model determined by school district connecting students to providers. miles in urban setting, 5 -7 miles in rural setting) Need to improve teacher-clinic-provider connectivity for BH How should SBWC operations relate to school operations? How should SBWCs enroll students? services Basic menu (mental health is important value added – 70 -30 role vs. physical health) Dental, optometry, hearing is collaboration with DPH and school nurse Social services (particularly at elementary and middle school How do services differ by school level? Classroom teacher assistance and wraparound services should be emphasized in elementary and middle schools. Reproductive services (though not out of picture, need to think about the legislation that governs service provision Enrollment campaign for parents (defined period of time for enrollment) Should SBWCs enroll families (caregivers and siblings), staff, community members? How should SBWCs engage students in services? level), sometimes penalized for doing wraparound services What should be the daily, weekly, and yearly hours of operation for SBWCs?
Next Steps and Adjournment • Next week discussion: Operating Model Cont. • Read Literature Review • Explore materials & supplementary materials • Send supplementary materials to dhawkinson@healthmanagement. com • Review materials on Virtual Binder • Next Meeting: October 8, 1: 00 PM – 2: 00 PM
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