Patsy Powerpoint for ROI
Transcript: Increasing Comprehensive Healthcare Access A Reciprocal Investment It provides a broad range of services that meet the specific physical, behavioral, and oral health needs of young people in the community. Strengths of the Model: Performance and Outcomes More Strengths of the Model: Performance and Outcomes Services Offered Primary Care - annual exams, sports physicals, well-child care, care for acute and chronic illnesses, immunizations, reproductive health services Behavioral Health Care – identification of at-risk students, individual, group, and family therapy, alcohol and substance abuse counseling, violence and bullying prevention, outreach and education. SBHCs are enrolled as Medicaid providers and bill Medicaid for services to Medicaid clients SBHCs are recognized in Centennial Care and the Affordable Care Act as viable healthcare delivery resources for children and youth SBHCs provide services regardless of ability to pay; many enrollees are uninsured/low income Some SBHC services cannot be billed; SBHCs cannot be sustained by billing alone SBHCs must always have additional public and private funding to support services that cannot be billed Increasing access to health care regardless of students ability to pay. Giving students medical attention when they need it, catching health problems early on, and preventing the occurrence of future negative health outcomes Reducing barriers to learning by keeping students healthy in school and teachers focused on educating Improving Attendance by reducing students’ time out of class and parents’ time away from work for health related appointments. Studies demonstrate that adolescents are far more likely to come to SBHCs for mental health services than to other community providers. A school-based health center brings the health care provider’s office into the school – where the kids are. Nursing Counseling Social Work Health education Oral Health Care - cleanings, fluoride treatments, exams, sealants, treatment for cavities, education, referrals Prevention and Education - health promotion and risk reduction programs, classroom-based health education, support for lifestyle related health issues such as physical activity, healthy eating, dropout prevention Operates as a “Youth Center”- summer programs, movie nights, field trips, youth empowerment groups, mentoring, a healthy place to “hang out” NASBHC Academic Outcomes Presentation SBHCs & School Nurses, Counselors, Social Workers RETURN ON INVESTMENT Mental health services substance abuse prevention bullying prevention School-Based Health Centers Positively Impacts Student Success by Educate students and families about healthy behaviors and nutrition Identify at-risk students Enroll students and families in public insurance programs Offer immunizations Enhance staff wellness More Services Offered Net Present Value for ONE child who graduates is $98,000 based on the lifetime income tax benefit Graduates are a workforce answer Improved grades and attendance Increased graduation rates Enhance students’ health, academic outcomes, and overall well-being Plan and implement health promotion and disease prevention programs Increase information sharing to protect student privacy and continuity of care Reduce emergency room visits and hospitalizations Detect health problems before onset of chronic conditions School Health Services SPECIAL Adolescents more likely to come to an SBHC than other settings for mental health services. Decreased use of urgent and emergency care Increase in risk assessments and health care maintenance Reduction in Medicaid expenditures and cost of hospitalizations Decrease in risk behaviors and increase in health promoting behaviors 2011-2012 OSAH Student Satisfaction Survey Reported... What is a School-Based Health Center? Centers reach ethnically diverse populations, adolescent males, the uninsured and those without a regular source of care. Evidence of student satisfaction with ability of the centers to meet their needs Evidence of strong parental support Evidence that centers complement and do not duplicate services being provided elsewhere SUSTAINABILITY 90% report missing 0-2 classes to access care at their SBHC. 1/3 report the SBHC is their primary source of care 90% report they are likely to follow SBHC advice and 79% report they have changed behavior after a SBHC visit 91% report there is an adult at their SBHC who listens to them School-Based Health Centers STANDARD Benefits of Working Together