Health Care Transition in School-Based Health Centers: A Pilot Study

2020 ◽  
pp. 105984052097574
Author(s):  
Patience H. White ◽  
Samhita M. Ilango ◽  
Ana M. Caskin ◽  
Maria G. Aramburu de la Guardia ◽  
Margaret A. McManus
Keyword(s):  
Health Care ◽  
Pilot Study ◽  
Self Care ◽  
Health Centers ◽  
Care Transition ◽  
Care Providers ◽  
Health Care Transition ◽  
School Based ◽  
Core Elements ◽  
School Based Health Centers

Nationally, there are low rates of high school–age youth receiving health care transition (HCT) preparation from health care providers. This pilot study implemented and assessed the use of a structured HCT process, the Six Core Elements of HCT, in two school-based health centers (SBHCs) in Washington, DC. The pilot study examined the feasibility of incorporating the Six Core Elements into routine care and identified self-care skill gaps among students. Quality improvement methods were used to customize, implement, and measure the Six Core Elements and HCT supports. After the pilot, both SBHCs demonstrated improvement in their implementation of the structured HCT process. More than half of the pilot participants reported not knowing how to find their doctor’s phone number and not knowing what a referral is. These findings indicate the need for incorporating HCT supports into SBHCs to help students build self-care skills necessary for adulthood.

scholarly journals The Use of Telehealth in School-Based Health Centers

2019 ◽  
Vol 6 ◽  
pp. 2333794X1988419 ◽  
Author(s):  
Hayley Love ◽  
Nirmita Panchal ◽  
John Schlitt ◽  
Caroline Behr ◽  
Samira Soleimanpour
Keyword(s):  
United States ◽  
Health Care ◽  
Public Schools ◽  
Health Care Access ◽  
Access To Health Care ◽  
Care Delivery ◽  
The United States ◽  
Health Centers ◽  
School Based ◽  
School Based Health Centers

Telehealth is a growing model of delivering health care. School-based health centers (SBHCs) provide access to health care for youth in schools and increasingly use telehealth in care delivery. This article examines the recent growth of telehealth use in SBHCs, and characteristics of SBHCs using telehealth, including provider types, operational characteristics, and schools and students served. The percentage of SBHCs using telehealth grew from 7% in 2007-2008 to 19% in 2016-2017. Over 1 million students in over 1800 public schools have access to an SBHC using telehealth, which represents 2% of students and nearly 2% of public schools in the United States. These SBHCs are primarily in rural communities and sponsored by hospitals. This growing model presents an opportunity to expand health care access to youth, particularly in underserved areas in the United States and globally. Further research is needed to fully describe how telehealth programs are implemented in school settings and their potential impacts.

Teaching Adolescents to Manage Their Own Health Care

2019 ◽  
pp. 105984051986736
Author(s):  
Chelsea J. Aeschbach ◽  
William B. Burrough ◽  
Amy B. Olejniczak ◽  
Erica R. Koepsel
Keyword(s):  
Health Care ◽  
High School Students ◽  
Health Care Providers ◽  
Health Care Services ◽  
Transition Process ◽  
Care Transition ◽  
Care Providers ◽  
School Students ◽  
Health Care Transition ◽  
Care Services

Many factors impact an adolescent’s willingness to appropriately use health-care services and intent to begin the health-care transition process. Published literature continues to show that the way adolescents experience and utilize health-care services is ineffective and has long-term impacts on individuals and systems. Building upon the success of an existing peer-to-peer workshop, a Toolkit was created to provide school-based health professionals the information and resources needed to deliver pertinent information to high school students in one lesson. Of 416 students, over two thirds reported that they plan to be more involved in their health care (69.8%), advocate for themselves in health-care settings (68.0%), talk openly and honestly with health-care providers (71.9%), and learn more about managing their own health care (68.6%). Integrating this information into existing health curricula provided a broader reach with minimal work and promising results that could improve overall health-care transition efforts.

A Statewide Profile of Frequent Users of School-Based Health Centers: Implications for Adolescent Health Care

2016 ◽  
Vol 86 (4) ◽  
pp. 250-257 ◽  
Author(s):  
Kevin T. Koenig ◽  
Mary M. Ramos ◽  
Tara T. Fowler ◽  
Kristin Oreskovich ◽  
Jane McGrath ◽  
...  
Keyword(s):  
Health Care ◽  
Adolescent Health ◽  
Health Centers ◽  
Frequent Users ◽  
School Based ◽  
School Based Health Centers

Nurse Practitioner’s Ethical and Legal Dilemma: Caring for a Young Child Without a Parent in the School-Based Health Center Setting

2009 ◽  
Vol 2 (1) ◽  
pp. 19-22
Author(s):  
Mary Huang
Keyword(s):  
Health Care ◽  
Young Child ◽  
Nurse Practitioners ◽  
Access To Health Care ◽  
School Setting ◽  
Young Patients ◽  
The United States ◽  
Health Centers ◽  
School Based ◽  
School Based Health Centers

Since the 1980s, the number of school-based health centers has increased due to funding that lead to recognition by policy makers and health organizations. The mission was to provide comprehensive pediatric health care to children with limited access to health care and the uninsured. The goal was to decrease school absenteeism and missed work days by providing convenient primary and acute care while children are in school. For sponsoring organizations managing school-based clinics, allowing parents to be absent during clinic visits met its mission. However, the ease of young children receiving health care in the school setting without being accompanied by their parents has positioned nurse practitioners in an ethical and legal dilemma. Asking a young child significant health history during a physical examination or having them describe their chief complaints during an acute visit may not be the best way to provide good care to our young patients. Additionally, what are the legal responsibilities of a nurse practitioner when caring for a child without active participation of the parent? Little has been documented in the past about the dilemmas nurse practitioners face in school clinic settings. With increasing use and recognition of school-based health centers in the United States, the need for more discussion is required to explore solutions to provide quality comprehensive care for patients and their families.

Incorporating the Six Core Elements of Health Care Transition Into a Medicaid Managed Care Plan: Lessons Learned From a Pilot Project

2015 ◽  
Vol 30 (5) ◽  
pp. 700-713 ◽  
Author(s):  
Margaret McManus ◽  
Patience White ◽  
Robin Pirtle ◽  
Catina Hancock ◽  
Michael Ablan ◽  
...  
Keyword(s):  
Health Care ◽  
Managed Care ◽  
Pilot Project ◽  
Lessons Learned ◽  
Care Plan ◽  
Care Transition ◽  
Medicaid Managed Care ◽  
Health Care Transition ◽  
Core Elements

scholarly journals Oregon School-Based Health Centers

2004 ◽  
Vol 2 (SI) ◽  
pp. 11-21 ◽  
Author(s):  
Robert J. Nystrom ◽  
Kathy Lovrien ◽  
Loretta Gallant ◽  
Anne K. Johnston-Silverberg ◽  
Stacie Shelton
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Developmentally Appropriate ◽  
Behavioral Health Care ◽  
Health Centers ◽  
Care Services ◽  
School Based ◽  
Prevention Messages ◽  
School Based Health Centers ◽  
Satisfaction With Services

Oregon’s School Based Health Centers (SBHCs) have grown from five in 1986 to the 41 state certified centers currently in operation. The centers provide developmentally appropriate primary care and behavioral health care services to elementary, middle, and high school sites. SBHC program goals include increasing student access to care, and improving both health and educational outcomes. In the 2000-2001 service year, the Oregon SBHC program began the administration of a new patient satisfaction survey designed to measure satisfaction with services, access, receipt of prevention messages, and number of missed classes. A proportional random survey sample was achieved with a 98% response rate. Results indicate that SBHC patients had high levels of satisfaction and compliance, an increased likelihood of accessing care, high levels of compliance and satisfaction with services, decreased time from school for health care reasons, and were likely to have received one or more prevention messages. This experience demonstrates how public health surveillance can be incorporated into a SBHC clinical setting with minimal disruption to services and can inform SBHC program evaluation and improvement.

Differences in Health Care Transition Views, Practices, and Barriers Amongst North American Pediatric Rheumatology Clinicians from 2010 to 2018

2021 ◽  
pp. jrheum.200196 ◽  
Author(s):  
Kiana Johnson ◽  
Cuoghi Edens ◽  
Rebecca E. Sadun ◽  
Peter Chira ◽  
Aimee O. Hersh ◽  
...  
Keyword(s):  
Health Care ◽  
Pediatric Rheumatology ◽  
Primary Care Providers ◽  
Care Transition ◽  
Care Providers ◽  
Transition Processes ◽  
Health Care Transition ◽  
Healthcare Transition ◽  
Transition Clinic ◽  
Current Assessment

Objective Since 2010, the rheumatology community has developed guidelines and tools to improve healthcare transition . In this study we aimed to compare current transition practices and beliefs among Childhood Arthritis and Rheumatology Research Alliance (CARRA) rheumatology providers with transition practices from a 2010 provider survey published by Chira et al. Methods In 2018, CARRA members completed a 25-item online survey about healthcare transition. Got Transition’s™ Current Assessment of Health Care Transition Activities was used to measure clinical transition processes on a scale of 1 (basic) to 4 (comprehensive). Bivariate analyses were used to compare 2010 and 2018 survey findings. Results Over half of CARRA members completed the survey (217/396), including pediatric rheumatologists, adult- and pediatric-trained rheumatologists, pediatric rheumatology fellows, and advanced practice providers. The most common target age to begin transition planning was 15-17 (49%). Most providers transferred patients prior to age 21 or older (75%). Few providers used the American College of Rheumatology transition tools (31%) or have a dedicated transition clinic (23%). Only 17% had a transition policy in place, and 63% did not consistently address healthcare transition with patients. When compared to the 2010 survey, improvement was noted in three of twelve transition barriers: availability of adult primary care providers, availability of adult rheumatologists, and pediatric staff transition knowledge and skills (p<0.001 for each). Nevertheless, the mean Current Assessment score was less than 2 for each measurement. Conclusion This study demonstrates improvement in certain transition barriers and practices since 2010, although implementation of structured transition processes remains inconsistent.

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