1 Planning for an Oregon School-Based Health Center School-Based Health Center Program Adolescent Health Section Office of Family Health Oregon State Public Health Division, DHS

2 Access Model: Providing health care services where the kids are, For youth regardless of insurance status  Supports youth being in class  Supports families Who are uninsured, with limited transportation, less days off from work  Prevention messages delivered SBHCs provide accessible health care to youth

3 ASchool-Based Health Center…. A School-Based Health Center….  Delivers core set of primary health care services (physical, mental, preventive)  To children and youth in an identifiable school space  During regular scheduled times- school hours  By qualified health professionals (ex. PAs, NPs, RNs, QMHPs)  In a collaborative relationship with the local educational and healthcare community  For more information about certification standards visit:

4 SBHC Addresses... Barriers to access Underserved populations High proportions of high risk youth

5 School Nurse vs. SBHC  SCHOOL NURSE Employed by school/school district/ESD Manages student immunizations program Coordinates screenings Chronic school health case management Manage chronic medication delivery during school Oversees school health programs FERPA regulated  SBHC Employed by medical organization Administers immunizations Conducts screenings, physical exams Care of both acute and chronic needs Administer and prescribe medications Counseling, prevention and wellness promotion HIPPA regulated Certified by the State

6 What do Oregonians say about SBHCs? 2005 Public Opinion Telephone Survey Importance of various types of health care services provided in school-based setting. 90% or more of Oregonians named the following health services as important**: Alcohol and drug prevention; Treatment for minor injuries; Mental health counseling; Sports exams; Family planning counseling; Vaccinations. **Combined responses of “very important” and “somewhat important”.

7 Percent of Oregonians Rating SBHC Services as Important

8 Impact: Access to Care

9 Impact: Fewer Classes Missed

10 Statewide SBHCs  2009: 55 Certified SBHCs in 21 Counties 32 High Schools 4 Middle Schools 12 Elementary Schools 7 Combined Grade Schools  Oregon SBHCs served: 20,971 clients 66,087 visits

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12 Funding of Oregon SBHCs  Cost of running an SBHC can range from $90K to $400K  Each county with a state-certified SBHC is eligible for state dollars through their local public health authority (LPHA).  Each of the state dollars is used to leverage about $3-4 local dollars.  State funding is based on a formula:  1 SBHC  LPHA receives $60K per year  >1 SBHC  LPHA receives $41K per year for each center (including the first)  Additional funding sources found on local level: County funds School districts Hospitals Community health providers Grants Local fundraising

13 Political Climate  OR Legislature has supported the # of SBHCs doubling each decade  Initial Legislative dollars  2004 Expansion dollars for SBHCs into 5 new counties  2007 Expansion dollars for SBHCs into 5 new counties and 7 existing counties  2009 Expansion dollars for SBHCs into 5 new counties and 7 existing counties

Request for Proposals (RFP)  Announcements for RFPs were sent to all local public health authorities, schools and any partners in July 2009 with a due date of Sept 18, 2009 RFP required partnership with local public health authorities, medical community, and schools. RFP and additional planning resources can be found at:

15 Option 1: 2-Year Planning Process  Previously awarded state planning grantees are ineligible for this option.  Phase I ( ): Each grantee will receive up to $30,000 per site Award runs from Nov 1, 2009 to June 30, 2010 Planning Year: development of community partnerships, site, and local model. End of year report will determine advancement into Phase II.  Phase II ( ): Depending on the # of site moving forward, each grantee will receive up to $60,000 per site. Award runs from July 1, 2010 to June 30, 2011 Continue planning and development, culminating in the certification of the SBHC during spring of 2011.

16 Option 2: 1- Year Planning Process  This option is available to all interested sites.  Advance Phase ( ): Grantee will receive up to $60,000 per site. Awards will run from Nov 1, 2009 to June 30, 2010 Designed to cover the duration of planning and development, culminating in the certification of the SBHC during the spring of  Entry into Funding Formula: ( ): Upon successful completion of certification in the first year of planning, LPHA will receive funding based on the State SBHC funding formula. Award will run from July 1, 2010 to June 30, 2011 Once SBHC is certified, annual awards will continue based on each biennium’s legislatively adopted budget and compliance with State Certification Standards.

17 RFP Technical Assistance Calls  The State Program Office has set up teleconference calls for those parties interested in submitting an RFP. –Open format to ask any questions concerning the RFP or SBHC planning process. Call number: (888) Participant Code: Dates and times: –8/13/ am –8/25/ am –9/10/09 1-2pm.

18 SBHC State Program Website

19 For more information: Rosalyn Liu SBHC Systems Development Specialist PH: Fax: