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Education SceneSchool Nursing: Providing Value to Students and the Communityment increased nursing level services within the care management model in the schools burdened with the highest pover- ty and chronic absenteeism levels?Critical Link... A critical link between health, wellness, and academic success. Im- proving school nurse-to-student ratios can decrease absenteeism, increase graduation rates, and remove health-related barriers to learning (Michigan School Nurse Task Force Summary Report).Leading Opportunity... The SWP has an opportunity to be a Michigan and Nation- al leader on the delivery of school health services based on acuity and associated models of care. School nursing and mental health services are a vital component to a school’s safety and well-being.• providing services that treat and prevent illnessSchool Nurses... Provide physical, mental, emotional, and social health support to Calhoun County students.• Case management model provides direct care services; however, the nurse con- tinues to be utilized at the highest level of functioning thus allowing time for extensive case management.School Wellness Program (SWP)...• A comprehensive school nursing program to advance students’ academic and life-long achievement by providing community-based, family-centered, prevention-oriented services promoting the health and well-being of school-aged children.- Case management is a collaborative process of assessment, planning, facil- itation, care coordination, evaluation, and advocacy for services to meet an individual’s and family’s comprehen- sive health needs.• Michigan has historically ranked last in the nation for the ratio of school nurses to students due to lack of dedicated funding.- Targeted case management services are needed to improve health and effective self-management of health conditions and increase student atten- dance, in turn improving academic achievement.• Healthy school nurse-to-student ratios ensure that each student is afforded ap- propriate preventative, health promotion, early identification, and intervention services.Sustainability...BY KATHY GLOMSKI, Community Health Manager2016 Millennia Consulting SWP Eval- uation... researched national models and emerging best practices to provide a founda- tion for the Calhoun County SWP to trans- form the delivery of school nurse services.• The question becomes how are these two models sustained and funded to imple-• students staying healthy and in school • improved attendance• higher graduation rates.• To meet student needs, an acuity model was developed based on the Social De- terminants of Health (SDOH) to provide nursing services based on need and to transition the SWP to more effective case management.Evaluation Outcome... To address the SDOH by coordinating care, educating and empowering families, connecting students to health care and health insurance, and con- necting families to community resources,• An acuity method based on a 100-point scale was developed to rank each Cal- houn County school individually based on the following indicators; poverty, race, English language learner, and chronic absenteeism• Schools were given an acuity ranking of 1 (lowest need), 2, or 3 (highest need) which provided for CCPHD develop- ment of two different models of care: consultative and care managementTwo Care Models Offered... To meet the needs of various student populations, two care models are offered• Consultative model aims to utilize thenurse at the highest level with direct care for students being provided by school staff trained by the school nurse. The school nurse provides: training and supervision of school staff, chronic disease education specific to the school population, consul- tation, triage, and support via phone.• Current participating school districts (Battle Creek Public, Harper Creek Community, and Lakeview), in collab- oration with the CCPHD, can provide a sustainable consultative level of service.School Nurses...EDUCATION ISSUE I SCENE 4403 13

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