AISD/Children's Student Health Services Evidence Base for Quality n Student Outcomes n Productivity n Risk Management n Customer Satisfaction n Review of Program Model n Community Owners/Collaboration n Target Outcomes

AISD/Children's Student Health Services Student Outcomes n Immunization n Health Screenings and Outcomes n Dental Inspections and Outcomes n Health Education n Dropout Prevention Activities-IMPACT Teams n Attendance Study – (Students with Medical Condition) n Case Management of Students with Significant Health Conditions

AISD/Children's Student Health Services Immunization n Goal: AISD will achieve 95% immunization coverage across district (TDH). n Outcome: Goal achieved n TDH audit confirmed achievement. n AISD/SHS received TDH letter of commendation.

AISD/Children's Student Health Services Immunization Goal: Each Campus will achieve 95% coverage. n Key Findings: n 86 of 103 Campuses (83%) achieved 95% coverage in target areas. n Improvement over prior year, when immunization resource was lost. n Performance remains below School Year n Resources for mobile immunization team still being sought.

AISD/Children's Student Health Services Health Screen-Referrals Goal: Maintain service level. n High referral rate because students seen by SHS have already failed initial screen. n High case closure rate reflects good monitoring and follow- up. n Attempt to refine data tracking to capture types of closures in

AISD/Children's Student Health Services Health Education Goal: Maintain level of service. n Student health education contacts increased 265% in SY n This is a result of strategic plan for use of RN role. n Responsive to Principals’ identification of need for health education. n Also targeting parents, per Principals’ ID of need.

AISD/Children's Student Health Services Dropout Prevention Activities n SHS participated in IMPACT team development, and training manual design. n School RNs received Parts I and II of IMPACT training. n RNs served as Advocate for 97 students, and provided 222 referrals.

AISD/Children's Student Health Services Attendance Study Two year study of all students with identified health condition n N=1307 students with health condition. n Compared attendance to prior year for each student in study group. n FINDINGS: n 75% maintained or improved attendance. n Average improved attendance 2.04 days n 2671 more days attended, compared to prior year.

AISD/Children's Student Health Services Immunization, Screenings, Health Education Conclusions: n Level of service is high. n Quality of service is high as reflected in follow-up of referrals to completion. n Use of community resources is evident in referrals to community providers, and especially in the accomplishments of the Dental Collaboration. n Immunization resources are needed.

AISD/Children's Student Health Services Immunization, Screenings, Health Education Recommendations: n Maintain level of service. n Secure resources for mobile immunization team. n Consider extending immunization services to children 0-4 years of age. n Continue to develop health education for parents. Include immunization education. n Complete identification of MH services on campus. Seek MH resources for service.