School Nurse Case Management - Charlotte
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Transcript School Nurse Case Management - Charlotte
School Nurse Case
Management:
The Importance of
Process and Outcomes
Maria M. Bonaiuto,
RN,MSN,NCSN
Mecklenburg County Health Department
249 Billingsley Road
Charlotte, NC 28211
[email protected]
704-336-4707
School Nurse Panel
Mary Cappleman, RN, MPH, NCSN
Glenna Cook, RN, MPH
Dixie Furr RN, BSN, NCSN
Denise McIlwain, RN, BSN
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Lillian Wald
1867-1940
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Mecklenburg County School
Nurses:
Our Place in History
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Who Should be Case Managed?
Students who have:
Multiple complex interactions with the nurse
Chronic health conditions (poorly controlled)
Academic concerns, with a health component
Health or behavior issues that impede
learning
Multiple absences
A goal for improving health or other related
criteria that effect learning
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Improved Quality of Life….what is it ?
Increased
participation in activities, sports
Improved nutrition, healthy weight
Improved relationships, acceptance by
others
Decreased anxiety, depression
Decreased tobacco use, substance use
Decreased risk taking behaviors
Self report of increased well being
Improved score on a formal Q of L Tool
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Steps to Case Management
Select
students, using established
criteria
Set goals with student, family, school,
provider (SMART goals)
Document baseline
Identify strengths, needs, stakeholders,
and resources
Implement strategies
Monitor, evaluate, repeat
Document outcomes
Celebrate!!!
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SMART Goals
Specific
Measurable
Attainable
Realistic
Time
related
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Documentation of Outcomes
Part of the Individual Student Health Record
Outcomes
Before CM
After CM
Improved
Yes / No
Attendance
Behavior
Grades
Health Compliance
Quality of Life
Goal in one or more areas:
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Outcomes of Nursing Case Management
School Year
‘02-03
‘03-04
’04-05
‘05-’06
‘06-’07
# of Students Case Managed
240
320
685
1,625
1,554
Improved Attendance
34%
29%
31%
26%
33%
Improved Behavior
27%
21%
21%
26%
31%
Improved Academic
Performance
29%
19%
29%
27%
28%
Improved Quality of Life
59%
54%
60%
64%
81%
Improved in health/health
Compliance
63%
No data
69%
66%
79%
Improved
In one or more areas
92%
74%
84%
84%
94%
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School Nurse Case Management
and YOU
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