Implementing A School Based Health Clinic (SBHC) for Low Income Children Sonja Fontana, MSN, FNP-C

Poor Access and Delivery of Healthcare Services Increases Socioeconomic Health Disparities Introduction

Patient Centered Healthcare Model. Microsystem SBHC Mesosystem OCES Macrosystem Referrals & Resources OMG, 2012 Batalden, Nelson, Gardent, & Godfrey. (2005)

Literature Review

This project is designed to deliver a complete plan for implementation of a school-based health clinic for rural low-income elementary children. *

Evidence Based Practice using the PDSA Model

SWOT Analyses ***************** Strength Weakness Opportunities Threats

Collaboration Between Professionals Scheduling HIPPA Consent

Project Outcomes. Fire Drills Bell System Sprinklers

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* Clinical Environment

Summary of Advanced Practice Leadership Quality Improvement Committee Performance Training

Summary of Process

Project Results *

Dissemination Plans Nursing, Credentialing, and Medical Students Replication Recruitment of Nursing Work Force

References Allison, A. M., Crane, A. L., Beaty, L. B., Davidson, J. A., Melinkovich, P., & Kempe, A. (2007). School based health centers: Improving access and quality care for low income adolescents. American Academy of Pediatrics, 120(4), Durlak, A. J., Weissberg, P. R., Dymnicki, B. A., Taylor, D. R., & Schellinger, B. K. (2011). The impact of enhancing students social and emotional learning: a meta-analysis of school based universal interventions. Child Development, 82(1), Geierstanger, P. S., Amaral, G., Mansour, M., & Walters, R. S. (2004). School based health centers and performance: Research, challenges, and recommendations. Journal of School Health, 74(9), Goltzman-Strolin, J. (2010). The relationship between school based health centers and the learning environment. Journal of School Health, 80(3),

* Guo, J. J., Wade, J. T., Pan, W., & Keller, N. K. (2010). School based health centers: Cost benefit analysis and impact on health care disparities. American Journal of Public Health, 100(9), Guo, J. J., Wade, J. T., & Keller, N. K. (2008). Impact of school based health centers on students with mental health problems. Public Health Reports, 123, Joint Center for Political and Economic Studies. (2012). Place matters for health in the San Joaquin Valley. Retrieved from Kong, S. A., Sussman, L. A., Negrete, S., Patterson, N., Mittleman, R., & Hough, R. (2009). Implementation of a walking school bus: Lessons learned. Journal of School Health, 79(7), McNail, A. M., Lichty, F. L., & Mavis, B. (2010). The impact of school based health centers on the health outcomes of middle school and high school students. American Journal of Public Health, 100(9),

* Nordin, D. J., Solberg, I. L., & Parker, D. E. (2010). Adolescent primary care visit patterns. Annals of Family Medicine, 8(6), Utter, J., Scragg, R., Robinson, E., Warbrick, J., Faeamani, G., Foroughian, S., et al. (2011). Evaluation of the living four life project: A youth-led, school based obesity prevention study. Obesity Reviews, 12, Van Cura, M. (2010). The relationship between school based health centers, rates of early dismissal from school, and loss of seat time. Journal of School Health, 80(8), Walker, C. S., Kerns, E. U. S., Lyon, R. A., Burns, J. E., & Cosgrove, T. J. (2009). Impact of school based health center use on academic outcomes. Journal of Adolescent Health, 46(3),