Schools and Hospital Partnerships: Where to Begin? Margo Quiriconi, RN, MPH Director, Community Health Initiatives Strategic and Innovation Development

Ahead of Their Time… Alice Berry Graham Katharine Berry Richardson Alice Berry Graham and Katherine Berry Richardson were sisters separated by eight years in age. Left motherless in 1861 when Katherine was three, they were raised by their father, Stephen, who educated his daughters and taught them that principles were more important than public opinion.  He instilled in them that, "The truly charitable woman is big enough to help children other than her own."  Alice, the older sister, worked as a teacher to put Katherine through school at Pennsylvania Women's Medical College.  Katherine returned the favor for Alice's dental schooling.  The sisters moved to Kansas City in 1895.       Getting Started: The medical societies of Kansas City excluded women.  Undaunted, the sisters opened a practice but lacked success. Then, one evening Alice found an abandoned, crippled 5 year old girl on the street. The sisters restored her to health in a rented hospital bed.  With this simple act, they learned the need for medical care for ill, abandoned and poor children.  In 1897, they founded The Free Bed Association for Crippled, Deformed and Ruptured Children; by 1904 the name changed to Mercy Hospital and in 1916 Children's Mercy Hospital. 

THE EDUCATION PIPELINE ATTENDANCE, ACHIEVEMENT, ENGAGEMENT From initiative-wide goals to a system of care… Community-wide goals…Not isolated projects Thinking beyond performance measures

Educationally Relevant Health Factors and their Connection to Academic Indicators Vision Asthma Teen Pregnancy Aggression and Violence Physical Activity Breakfast Inattention and Hyperactivity Discipline Grades Absenteeism Truancy Drop-out School Climate Graduation Rates Charles Basch, Healthier Students are Better Learners: A Missing Link in School Reforms to Close the Achievement Gap, 2010, http://files.eric.ed.gov/fulltext/ED523998.pdf

Framework for School Health Services Education Parent focused Student focused; health programs and workforce development Staff Training and Support Consultation Environmental Health School Nurse Student Support Healthy Lifestyles Classroom-based Support Policies and Procedures Clinical Services School Nurse Management Social Work Services Telemedicine Service Line: Sports Medicine; Developmental & Behavioral Health Assessment/Screening School-based Health Center Health Fairs In-Kind Services and Supports

Community Health Needs Assessment and Identification of Priorities Access to Health Care Mental/Behavioral Health Infant Mortality Parent Support Obesity/Food Insecurity Early Education Poverty Violence Employment Housing Priority Health Needs Significant Health Needs Children’s Mercy

What Matters? Geography- funding, resources, organization of services Program focus Opportunity Partners Target Population Learning Timing

Where to begin?

Where to Begin? Identify the hospital or health system department or personnel involved in community engagement Let the data lead you: Who is responsible for the CHNA?

See our Community Health Needs Assessment at: Contact Information Margo Quiriconi mlquiriconi@cmh.edu See our Community Health Needs Assessment at: https://www.childrensmercy.org/About_Us/Community_Benefit/Community_Health_Needs_Assessment/