School-Based Telehealth Approaches May 16, 2017 John Schlitt School-Based Telehealth Approaches May 16, 2017

Why Schools as Health Care Access Sites? Not all children and teens are thriving Persistent gaps for children and teens in health care access, quality, and outcomes Distribution of health in our nation is inequitable and unjust Determinants of health and education are the same

School Health Care Models Behavioral Health Primary Care Triage and assessment Oral Health Vision Care

Benefits to School Settings Child - access is unprecedented in safe and familiar environment Parent - convenient: don’t have to take time off work Employers - ditto above Schools - fewer missed days and more seat time Health System - cost-effective setting; ED diversion

What technology makes possible for school health models Access to hard-to-reach provider and sub-specialists Consultants to enhance school health care provider capacity Greater provider efficiency Expand access to add’l school sites Increase visits/encounters

Model Examples Children’s Health of Dallas School-Based Telehealth Network University of New Mexico provider-to-provider consultation for behavioral health Bassett Health Care school health, rural New York Sacramento, Twin River School District tele-dentistry program

Conditions for Success Parent engagement/ consent Schools – willing partners School nurses – gatekeeper Community providers Payment policy Scope of practice Health information exchange High-speed broadband/ secure connection Space in school

Limitations of Technology for School Health Limited largely to acute/chronic conditions (medical – not dental) Complements, not replaces, in-person visits Challenging to establish long-term, continuous presence in school to effect culture of health

Federal Enabling Policies/Programs ACA School-Based Heath Center Capital and Construction program ($200 M, 2011-2012) HRSA Telehealth Network Grant Program ($6.3 M, 21 rural sites, 2016) Hallways to Health Act (S. 356/H.R. 1027)

My Contact Info John Schlitt 202-370-4378 jschlitt@sbh4all.org www.sbh4allorg

Program Contacts Children’s Health of North Texas School-Based Telehealth Scott Summerall O: 214-456-3746 E: scott.summerall@childrens.com Mary Imogene Bassett Hospital School-Based Health Centers Jane Hamilton O: 607-746-9332 E: jane.hamilton@bassett.org University of Pacific/Arthur A. Dugoni School of Dentistry Paul Glassman, DDS, MBA O: 415-929-6490 E: pglassman@pacific.edu University of New Mexico Department of Pediatrics Kirsten Bennett PhD, RD, LD O: 505-925-7604 E: kdbennett@salud.unm.edu