Transcript DEPARTMENT OF HEALTH Division of School Health

DEPARTMENT OF HEALTH
Division of School Health
2005
SCHOOL HEALTH UPDATE
Presented by
Beth Anne Bahn, CRNP
State School Health Consultant
December 13, 2005
DIVISION OF SCHOOL HEALTH
Jon Dale, Director
Beth Anne Bahn, State School Health Consultant
Rosemary Moyer, State School Health Consultant (Jan 2006)
Martha Drager, Administrative Officer
Bill Barbour, Steps School Health Coordinator
Richard Brown, Administrative Support
Six District Located School Health Consultants
Legislative/Regulatory Initiatives
of Interest
Act 187 of November 2004
Asthma Inhaler Bill




School Districts must develop a policy
Policy must allow for the possession and self
administration of medication via an asthma inhaler
Physician order and parental consent needed
Student must demonstrate competence and
responsible behavior
DOH Communication to Schools

What:
Letter to Superintendents/Pupil
Services Directors and Certified
School Nurses

When: Spring 2005

To include:
Notice of the passage of the law
Copy of the law
Example of an Asthma Action
Plan
PA Chapter of the
American Lung Association
Developing Toolkit for Schools, School
Districts and School Nurses
ALA’s Asthma Friendly Schools Initiative,
and other ALA resource tools, federal
agencies and best practice based materials
Toolkit for Schools
 Asthma Basics
 Asthma Inhalers & School Template
Materials
 Asthma Management Plan
 Asthma & Exercise
 School Personnel Resources
 General Asthma Resources
Proposed Timeline

One CD of Tool Kit has been sent to each School
District. Can be downloaded from
www.lungusa.org (asthma/school programs).

Planning for providing technical assistance to
school nurses and school personnel on
implementation
ASTHMA SCHOOL
PROJECT
SCHOOL DISTRICTS
BRADFORD AREA SCHOOL DISTRICT –
MCKEAN COUNTY
OLEY VALLEY SCHOOL DISTRICT –
BERKS COUNTY
APOLLO RIDGE SCHOOL DISTRICT-
ARMSTRONG COUNTY
Objectives/Activities
Review school health record to validate
identified asthmatic student– baseline data
Tracking of asthma episodes during the school
year
Parental home questionnaire
Primary Care Provider questionnaire
School environmental data questionnaire
DOH to provide analysis and feedback,
information, education, findings and conclusions
PA ASTHMA PLAN
6 Priority Areas:
1. Surveillance
2. Environment and Workplace
3. Awareness and Education
4. Providers
5. Disparities
6. Public Policy
Varicella Reporting
DOH Regulation Chpt. 27
Communicable Diseases

Amended/required starting January 26, 2005

Who Reports:
 All healthcare providers
 School nurses
 Day care providers
 Laboratories
Varicella Reporting (cont’d)

Required variables for reporting:
• Age
• History of vaccination
• Severity of disease
DO…………..

School nurses call local health department
when it becomes known or suspected that a
student has varicella

Provide contact information for student to
health department for further follow-up

Inform student’s parent/guardian health dept
will be contacting them
Proposed Amendments to Chpt. 27
Communicable Disease Regulations

Includes clarification of procedures related
to communicable disease investigations in
schools

PSBA provided comments/concerns

Meeting with PSBA March 9, 2005
Proposed Legislation

SB 676 (Conti) – Amendments to Health
Services Chapter, Public School Code

SB 449 (Wonderling) – Epi pens

HB 185 (Stairs) – Competitive
foods/beverage & advertisement contracts

HB 189 (Stairs) – Physical education &
recess
Proposed Legislation (cont’d)

HB 191 (Stairs) – State & School Advisory
Health Councils

SB234 (Vance)/ HB1010 (Creighton) – CPR
certification for CSNs

HB 256 (Crahalla) – School screening for
diabetes
To Access Proposed Legislation
www.legis.state.pa.us
Proposed Immunization Changes
7th Grade-Booster of Tdap
7th Grade-Meningococcal
vaccine
( 11 and 12 years of age)
School immunization requirements for a child transferring from another State into Pa school.
School immunization requirements for a child transferring from another State into Pa school.
Is the child from another
state?
Yes
Is the child entering a Pa
school into K/1st or 7th
grade?
Yes
Does the child have these
immunization requirements?
4 doses of tetanus
4 doses of diphtheria
3 doses of polio
2 doses of measles
1 dose of mumps
1 dose of rubella
3 doses of hepatitis B
1 dose of varicella or
immunity
Yes
In compliance
No
Does the child have all
immunization requirements
to attend school?
3 doses of tetanus
3 doses of diphtheria
3 doses of polio
2 doses of measles
1 dose of mumps
1 dose of rubella
Yes
In compliance
No
Place on provisional status and
review every 60 days for 8
months. *Audit as noncompliant
& can exclude from school when
past provisional period.
PA Optometric Association
Children’s Vision: A Guide for School Nurses and
Teachers
Topics addressed: Development of Vision

Vision Skills Related to Learning

Vision Problems- S/S, Treatment
2 hour presentation-FREE
Available Winter of 2005
ACT 48 Credits available
English as a Second Language
Medical Forms
Requirement of “No Child Left Behind”
Translated into 13 most common languages in PA
Examples: Asthma Action Plan, PANA Growth
Screening Letter, Screening Results, Health History

7.5 M U.S. Dept. of Health & Human Services
Cooperative Agreement

5 year project to implement chronic disease
prevention efforts

Directed to schools, health care delivery,
communities & businesses

Targeted Communities
Fayette, Luzerne & Tioga Counties
Focus Areas
Chronic Diseases
Factors
Asthma
Tobacco Use
Diabetes
Nutrition
Obesity
Phys Inactivity
TARGETED COUNTIES
 Community
Consortium
 Community Lead Agency – Area
Health Education Council (AHEC)
 State & local coordinators to assist
schools
 Evidence based interventions
 Evaluation at the local, state & national
levels
New Electronic Reporting Via Webbased Application
SHARRS
School
Health
Annual
Reimbursement
Request
System
SHARRS
Development in progress
 Pilot testing – Winter 2006
 Revised report/data collection begins
SY 05 – 06 (NOW)
 Web reporting available end of SY 05 – 06
(Voluntary first year)
 Ability to email School Health

SHARRS
NOT a fully integrated system w/school
computer systems
 Data imports are not currently a viable
solution because SHARRS is designed
for manual data entry via the Internet
 DOH may conduct a study to determine
the need for dev. of an electronic data
transfer system using a prescribed
interchange format.
Spring Mailing/Next Steps
DOH will re-enter 2004-05 report info into
the new web-based system
 DOH sent a hard copy template of revised
annual report in May
(so schools can adjust data collection)
 DOH will send revised Instruction Manual
for the 05 – 06 web-based report

Growth Screening Program
Mandatory implementation and reporting for:
SY 05- 06
Grades K-4
SY 06- 07
Grades K-8
SY 07- 08
Grades K-12
Growth Screening Program
Epi-Info
A resource to support schools in
meeting new school health
requirements.
Support for the Implementation of the
PA Growth Screening Program
“Growth Screening
Communication Kit”
Growth Screening
Communication Kit

Online Resource for School Nurses,
Community Partners, and Health Care
Providers

Provides templates to support consistent
messages to families about the growth
screening program, healthy eating, and
physical activity
Communication Kit
Development

School Nurse Interviews

Focus Groups (School Nurses,
Community Organizations, and Health
Care)

PANA – State Leadership Partner
Review
Growth Screening
Communication Kit
Contents
Background Materials
 Growth
Screening Fact Sheet
 Recommendations
 School
from School Nurses
Implementation Stories
 Growth
Screening News Stories
Pre-Screening Planning
Templates
 Presentation
for School Boards &
Administrators
 Letter
to School Administrators
 Letter
to School Staff
 Pre-Screening
Letter
Post Screening Reporting
Templates

Post Screening Letter for Parents

Healthy, Active Kids Parent Education
2 page version
 4 page version

Parent
Education
Sample
Page
Web Resources
 Schools
 Parents
 Kids
 Healthcare
Providers
 Coming
Winter
2006
County-based
Inventory of Youth
Weight
Management
Programs
PANA Priorities for Healthy
Schools and Communities
1.
2.
3.
4.
5.
Healthy School Food and Beverage
Choices
Keystone Healthy Zones Schools
Quality and Quantity Physical Education
Physical Activity Opportunities (Safe
Routes to School & Close to Home
Recreation)-Keystone Active Zones
Support for Growth Screening Program
What’s in Store for
2005-06?
Support for School Health Councils
and Planning and Implementing
Wellness Policies
PANA 2005-06
State-wide Satellite Meetings

Tuesday, January 24, 2006
Professional Development
Tuesday,
March 7, 2006:
Implementation / Evaluation for
Wellness Plans and Basic Grant
Writing to support activities
PANA 2005-06 Events
Walk to School Day
10/5/05
 Great PA Apple Crunch
10/19/05
 Jump Rope/ Hoops for Heart 2/06
 Go for the Greens
(green veggies)
3/17/06
 Keystone Healthy Zone School
Celebration Day
5/3/06

PANA 2005-06
Third Annual
Keystone
Healthy Zone Schools
Recognition and Mini-grant
Program (March- April
2006)
www.panaonline.org
Email: [email protected]
Phone: 717-948-6315
Action for Healthy Kids
PENNSYLVANIA
CO-CHAIRS:
DIANA FOX – PA CHAPTER OF THE
AMERICAN CANCER SOCIETY
VONDA FEKETE –DEPT OF EDUCATION
Achievement Tied to Good Health
Physical
activity
Improves self esteem
Reduces anxiety and stress in teens
Documented
facts:
Good health and nourishment enhance
performance on cognitive testing

Improved test scores are a result of
participation in school breakfast
program

AFHK After School Program
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Major focus for PA AFHK

For after school programs participating in the
USDA After School Snack Program

Developed in Partnership between AFHK and the
NFL- Recharge Program

For students (athletes/non-athletes) in grades 3 – 6
AFHK/NFL
After School Program
Reinforces life skills
of:




Healthy eating
Physical activity
Teamwork
Goal setting
Turn-key kit:
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Up-out-of-your-seat
activities

After school
instructor’s guide
Three integrated
modules with 30
sequential yet standalone activities
Family resources
Special-edition
Football Cards
Visit the AFHK Website
www.ActionForHealthyKids.org
SCHOOL HEALTH WEB PAGE
Current
 Data/reports from
Annual Report Database


 Laws & Regulations
 Policies & Procedures
 Manuals, Guidelines &
Forms
 Links to Other Sites
Training opportunities
Grants & Funding
Future

Information on current
school health issues

What’s new
School Health Web Page
LIVE!!!!
www.health.state.pa.us/schoolhealth