Healthcare + Education = Healthy Communities: Why Schools Fit the Equation Kate Keller, MPA Senior Program Officer The Health Foundation of Greater Cincinnati

National Picture of SBHCs Over 1700 SBHCs in % located in the school building 30% high schools; 80% serving at least one adolescent grade 34% Hispanic; 30% Black; 30% White 59% in urban areas Midwest region: 275 SBHCs

Who we serve 12 School-Based Health Centers 31 Schools Served 8,050 students enrolled (76% of student population) 52% Medicaid; 16% uninsured 16,791 encounters

What we learned Improved Health Status

Child-Reported Total HRQL (N=588)

What we learned Improved mental health status

Child-Reported Psychosocial HRQL (N=588)

What we learned Attendance success varied

SBHC Visit Outcome N=3707N=5080N=6354

Yearly Absences among Those Reporting ADHD across SBHC Users, Nonusers and Comparison Note: Statistical 3-way interaction

What we learned Improved access to healthcare

Percent of Parents Reporting Perceived Problems getting Health Care (N=581)

What we learned Medicaid costs did not increase

Trend of Total Medicaid Costs by SBHC per 100 Students for 22 quarters(N=2153) SBHC

What we learned Medicaid savings for a rural SBHC

Total Quarterly Medicaid Costs for Rural Schools per 100 Students (N=725) SBHC

What we learned Closed the gap of healthcare services for African-American students

Growth Trend of Quarterly Total Costs by Race (N=5056) Racial Disparity: African Americans with low costs at the initial point, then, overcame the difference with SBHC.

What we learned Significant Medicaid savings for students with asthma

Numbers of Hospitalization and ER Visits for Children with Asthma in SBHC Schools (N=196) and Non-SBHC Schools (N=77) With SBHC, hospitalizations decreased 3-fold.

Hospitalization Costs Before and After SBHC for Students with Asthma (N=273) Hospitalizati on costs decreased $970 per student. SBHC

What we learned Increased use of mental health services

Medicaid Mental Health Service Costs before and after the SBHC Program for Students with Mental Health Problems (N=551) Students with mental health illnesses had more mental service costs. SBHC

For full study results see: Contact: Kate Keller