Transcript Document

Health
Compliance
for School
Based Staff
Integrated Service
Centers
Presented by:
Janice Blake
and
Carine Jean-Pierre
Health Directors, QISC
September 2008
What does the Health Director Do?
HD Responsibilities….
There are 2 Health Directors assigned to each ISC.
•Immunization compliance
•Immunization Exemption requests
•Tuberculosis
•Communicable Diseases
•Section 504 Accommodations
•Health Programs and Presentations
•Link to Resources
•Safety and Health
•CPR/AED
•Condom Availability
•Inquiries from parents/ staff/ administration
•ATS Health screens technical assistance
•Training and or training coordination
•Questions and Crisis Management
•Oral Health
•City-wide standardization of health
programs and mandates
•Various Other Health Programs
•Liaise with STAKEHOLDERS
•Collaborate and Coordinate
•Vision Screening
•School Based Health Centers
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Who’s Who in School Health?
NYCDOE
ISC Health Director
ISC Health Director
School Health Aide
O
Borough Nursing Director
S
School Nurse
NYCDOHMH
NYCDOHMH
New York City Department of Health
and Mental Hygiene
Supervising Physician
Field Physician
H
NYCDOE
New York City
Department of Education
Integrated Service Center
Office of School Health
District Supervising Nurse
Supervising Public Health Nurse, PHN III
Senior Public Health Nurse, PHN II
Public Health Assistant
Public Health Advisor (MS and High Schools)
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Immunization

The goal for SY 08-09 is to ensure that at least 98.5%
of students on your school’s roster are “complete” with
immunizations. Due date: 98.5% by the end of
December and 98.5% by the end of June

Tdap – 1 dose is required for all students born on or
after January 1, 1994 and entering the 6th or 7th grade

Hepatitis B – if administered before age 11, this is
considered a pediatric vaccination, 3 doses are
required
Or
Hepatitis B – if administered after age 15, this is
considered an adult vaccination, 2 doses are required
– the documentation provided as proof should specify
which was administered and entered into ATS
accordingly

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Immunization

Each year the DOHMH releases a “Medical Requirements
For New School Entrants” flyer which provides information
as to what vaccines are needed and the required number
of doses. The double-sided one page sheet is provided to
all schools and/or is available on the NYCDOE website on
the OSH webpage

Students not in compliance with the required immunization
may be labeled “Excludable” or “Provisional” on ATS

Students with an “Excludable” notation should receive a
DOHMH “Warning” letter and 2 weeks later, an “Exclusion”
letter
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Immunization

Excludable – means the student should not be allowed
to attend until the vaccination requirements are
satisfied

Please be sure to keep records of which students
receive “Warning” letters and dates and the same for
“Exclusion” letters. Please inform your health
coordinator/ principal of the students on the list

Principals who allow “excludable” students to attend
are out of compliance with the laws of the NYSDOE –
Public Health Law – Title VI--Section 2164 (7).

Principals who allow “excludable” students to attend
are subject to fines by the NYSDOH. These fines are
levied against the principal, not the school
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Immunization – Medical Exemptions
Medical Exemptions – based on a documented medical reason from a
NYS licensed physician, a parent requests that a student not take the
required vaccination as the vaccination is detrimental to the
student’s health
 In such cases:
1. The parent submits a request to the school
2. The school forwards the request to the ISC Health Director
3. The ISC Health Director confers with the DOHMH Supervising Physician
4. The student is able to attend during the review process
 If the Medical Exemption is granted, a notation will be made in ATS. The
student is able to attend, the exemption expires in one year.
 If the Medical Exemption is denied, the student becomes “Excludable” and
should not be allowed to attend.
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Immunization– Religious Exemptions
Religious Exemptions – parents submit a written requesting that the student be exempt from vaccinations
due to religious beliefs which oppose vaccinations
 In such cases:
1. The parent submits a request to the school
2. The school forwards the request to the ISC Health Director
3. The ISC Health Director forwards the letter to the Office of School Health for review
4. The student is allowed to attend during the review process
5. The school, the parent, and the ISC will receive a determination letter stating the status of the request
 If the Religious Exemption is granted, a “R” notation will be made in ATS. The student is able to attend, the
exemption is in place for the remainder of attendance in a NYCDOE public school. In some cases, the
student is not allowed to attend during periods of a communicable disease.
 If the Religious Exemption is denied, the parent may contact the ISC Health Director to resubmit the
request.
 If denied again, the student is “Excludable” and not able to attend until the required vaccinations have been
obtained or has been successful in an appeal to the NYSDOE.
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Immunization – ATS
There are helpful reports in ATS to keep track of things:
STAT --on the STAT screen you will see your compliance rate
RHIL – (Immunization Status List) will tell which students are
“complete,” “excludable,” or “provisional”
May be organized via class, grade, alphabetical, or by ATS
grouping (excludable, complete, provisional, etc.)
At this time Warning and Exclusion letters are not available on
ATS.
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Tuberculosis – Middle and High Schools Only
The goal for SY 08-09 is to ensure that at least 90% of new
entrants (ATS Code 58) are “complete” for TB
Tuberculosis is only a requirement for students entering NYC
schools for the first time at the secondary level.
Mantoux (PPD) Tuberculosis Skin Test or Quantiferon Blood test
results are required.
All positive (+) results require follow up chest x-ray
Periodically review ATS RHTL report-- may be organized via
class, grade, alphabetical, or by ATS grouping (excludable,
complete, provisional, etc.)
There are “Warning” and “Exclusion” letters specifically for TB
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§504 -- Request For Educational Accommodations
Some students require accommodations in school so that they are able to
participate in DOE programs. As set forth in §504 of the Rehabilitation Act of 1973,
Chancellor’s Regulation A-710 outlines the process and procedures
A § 504 accommodation is often requested when a student has a disability,
requires some accommodation, and does not qualify for an IEP
Accommodations vary and may include:




Testing Accommodations
Medical Accommodations
Classroom Accommodations
Paraprofessional
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§ 504 -- Request For Educational
Accommodations
Requests must be made annually
School-based 504 team should have a §504 Coordinator
§504 Coordinator should be a pedagogue
§504 Coordinator determines the composition of the team
A good team should consist of:
 A principal appointed §504 Coordinator
 at least 2-3 persons other than the student’s parents
 at least one person familiar with the student’s abilities (current or
last year’s teacher)
 at least one person able to interpret reports or evaluations
 at least one person able and knowledgeable of the
accommodations available to meet the student’s needs
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§504 -- Request For Educational Accommodations
Chancellor’s Regulation A-710
School Based §504 Team should:
 Meet and make determination within 30 days of receipt of written
request
 Inform parents of meeting
 Determine student’s eligibility and appropriateness of requested
accommodations
 Forward Notice of Determination Eligibility and Accommodation
Plan to parent
 Enter data into ATS – all requests and all actions should be
entered
 Maintain records in student file
 Inform parents of the appeal process
 Review R504 ATS report
 Confer with ISC Health Director as needed
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Other Accommodations
 Health Paraprofessionals – only approved after review by
your ISC Health Director
 **Medication Authorization Form – allows a student to
take medication in school. A form should be on file for
students with Asthma, Diabetes, or Allergies
 **School Diabetes Management form replaces the Glucose
Monitoring Form
 Medically Prescribed Treatment (Non-Medical)
** These forms should be turned into the school nurse
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Communicable Diseases
Defined: a disease that may be transmitted directly or indirectly
from one individual to another
Await communicable disease
response instructions
Informed of possible
communicable disease
Communicable
Disease Action Chart
Contact Principal
Contact School Nurse
Contact ISC Health Director
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Communicable Diseases Relevant to School Health
Not every communicable disease poses a public health threat
Not every communicable disease requires a letter home to
parents
Communicable Diseases Relevant to
School Health
Varicella
(Chicken Pox)
Scabies
Human Bites
MRSA
Meningitis
Parovirus
Molluscum
contagiosum
Food Borne
Illnesses
When in doubt, contact your school nurse and ISC Health Director
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Vision Screening
Chancellor’s Regulation A-701 informs us that vision screening should be
done by DOE staff for students in attendance as per the mandate.
The goal for the current year: 100% of students within the mandate are
screened.
Students required to be screened:







3rd graders
5th graders
Special Education students
New entrants (within 6 months)
Those referred or with history of vision problems
Those on the RHVX ATS reports
Those not screened by DOHMH teams
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Vision Screening: A To Do List
Schools Must:
-- form a vision team (staff from the school)
-- designate a School Vision Team leader
-- order vision charts (FAMIS)
-- review screening requirements/ set up schedule and location
-- print class lists from ATS
-- screen students
-- record data into ATS – ATS is able to generate follow-up letters!!!!
-- contact your ISC Health Director if training is required
Screening and data entry should be completed by March 31, 2009
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Condom Availability Program
A program for high school students only, students in grades 9—12
Some new schools are exempt from participation, contact your
ISC Health Director
Requires a Health Resource Room (HRR) – a space where
students may access health information, including free condoms
Requires 1 male and 1 female staff member to make condoms
available
HRR staff must be trained
Condoms should be available at least 10 periods per week
Students must be made aware of the program via posters, flyer,
wallet cards, etc.
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AED/CPR
AED stands for Automated External Defibrillators
There should be at least one in every building at the front security desk
Each school is required to have at least 2, but it is desired that there be 6
trained staff members
Training is free of charge for all DOE employees and available by
contacting: Emergency Skills Inc., 212-564-6833.
Certificates expire after two years, to recertify, the 6 hour class must be
taken again
For more information, contact your ISC Health Director or your AED
Program Manager
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Other School Health/ Health Director Programs
Your ISC Health Director is able to assist you with and or
provide more information on:
School Based
Health Centers
Oral Health
Wellness Policy
Bed Bug Policy
Home Instruction
Health Insurance
Head Lice Policy
Presentations/
Speakers
Health Fairs
Technical Support Training
(ATS)
Mental Health/
Clinic Plus
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Who’s Who in your school ?
Please inform your Health Director
Health Coordinator – the person in the know regarding student health matters /
oversees the health programs in the school/ coordinates and sends out notices
§504 Coordinator – the person who heads up the school-based 504 team
Pupil Accounting Secretary– in schools where there is no school aide, enters
health information into ATS
Vision Team Leader – heads up the school-based vision team/ ensures that the
mandated students are screened and data recorded
AED/CPR Contact – person to serve as liaison between the school and other DOE
agents regarding the program
Health Resource Room staff – heads up the school health resource room staff/
coordinates the program
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School Health Contact List
ISC By Borough
Bronx ISC
Brooklyn ISC
Queens ISC
Manhattan ISC
SI ISC
Health Director
Alma Idehen
Phone: 718-741-5097
Fax: 718- 741-7602
Dawn Carter
Phone: 718-741-8573
Fax: 718-741-7602
Neil Somerfeld
Phone: 718-935-3987
Fax: 718-935-5941
Delia Loney
Phone: 718-935-3315
Fax: 718-935-5941
Carine Jean-Pierre
Phone: 718-391-6868
Fax: 718-391-6886
Janice Blake
Phone: 718-391-6867
Fax: 718-391-6886
Fred Kaeser
Phone: 914-339-1701
Fax: 212-356-7635
Norberto Perez
Phone: 917-339-1749
Fax: 212-356-7535
Jody Stoll
Phone: 718-390-1596
Fax: 718-556-8374
Helena Bowens
Phone: 718-390-1588
Fax: 718-556-8374
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School Health Contact List
-- Borough Nursing Director
ISC
Borough Nursing Director
Brooklyn
Dr. Patrick Duncan
P: 718-495-8231
[email protected]
Districts: 13, 14, 15, 16, & 20
F: 718-495-8294
[email protected]
Sonia Miller
P: 718-240-36259
[email protected]
Districts: 18, 19, 23, 32
F: 718-240-3759
Yawwamal Donefeld
P: 718-741-7053
Districts: 7,9,10
F: 718-584-5082
Eileen Cotter
P: 718-828-3507
Districts: 8, 11, 12
F: 718-828-6678
Bronx
[email protected]
[email protected]
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School Health Contact List
-- Borough Nursing Director
ISC
Borough Nursing Director
Manhattan
Catherine Travers
Queens
Diane Triunfo
P: 917-521-3831
[email protected]
P: 212-442-1710
[email protected]
P: 718-577-2749
[email protected]
F: 718-557-2752
Staten Island
Paula Faggiole
P: 718-758-7624
[email protected]
F: 718-758-7607
Joan Rondon
P: 718-420-5639
[email protected]
F: 718-420-5635
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MORE INFORMATION….
Health Compliance for School Staff
There are two parts to this webcast. The webcast will cover in more
detail: immunizations, tuberculosis, and vision data entry – with an
emphasis on ATS
September 23 (Part I) 10 am or 3pm
and
September 29 (Part II) 10am or 3 pm
Register at: learningtimes.com
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