School Nurse Sensitive Critical Indicators

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Presentation transcript:

School Nurse Sensitive Critical Indicators Martha Dewey Bergren, DNS RN; Erin Maughan, PhD RN; Nichole Bobo, MSN RN Problem School Nurses lags acute care nurses in development of measures sensitive to nursing interventions Established measures NDNQI : Falls, Decubitus, Central line infections, Failure to Rescue, Readmission, Pain assessment AHRQ Pediatric Quality Indicators Asthma admissions, Diabetes short-term complications, Perforated appendix, Urinary tract infection admissions Structure Measures (selected sample) Free and Reduced Lunch State school nurse consultant Disabilities Acute community, SBHC, providers EMS response time School Social Worker Geography, Distance Rural urban suburban Transportation Process Measures (selected sample) Assessment Care plans, Emergency Plans, IEPs Care coordination / Communicate Health Promotion Staff and faculty training UAP Supervision Immunization practices Medication practices SCHIP enrollment Vision Hearing Screening F/U Outcome Measures Quality of life Behavior Well-being Health outcomes Depression Connectedness 911 Obesity / Nutrition – healthy food / Physical activity Surveillance Dental health Failure to rescue Insurance Deaths Serendipitous case finding Education outcomes Emergency room utilization / Hospitalizations Health care costs Inclusion / Exclusion Immunization rate Instruction time / Early dismissal /Attendance Inclusion / exclusion Test scores / Achievement Health office visits / Medical Home Graduation rates Pregnancy Injury Specific health and education outcomes Vision follow-up Smoking Seatbelts, etc Medications, missed dose, wrong dose Consensus Panel School Nurse Leaders Panel 10 states Consensus reached on a large set of potential sensitive indicators Feedback and clarification from school nurses at national conference Next steps: Identify measurement issues and relevant information Establish feasibility, usability Conduct pilot studies Disseminate to research partners National Association of School Nurses www.nasn.org Acknowledgements Subheads = Arial Bold Italic 24 pt Text = Arial 16, 18, or 20 point Text Bullets = black