1. Pediatricians As Partners Exploring The Connection Between Health and School Readiness Ready At Five’s School Readiness Symposium Judith Romano, MD, FAAP May 10, 2006

3. Pediatricians As Partners Exploring the Connection Between Health and School Readiness Introduction Talking About School Readiness Brain Architecture Model Model of Early Child Development Indicators of Child Health Health Care Receipt Child Care Next Steps...

4. National Education Goals Panel (1990) In order to be ready for school, all children need to: Experience high quality early learning environments, whether at home or in an early care and education setting; Have enough to eat and the ability to live in safe, stable neighborhoods; Be able to see a doctor (and dentist) under any circumstance so they can stay healthy and strong; Have parents who are caring and attentive, equipped to be their children’s first teachers, armed with the support they need to be strong and capable caregivers; and Attend schools that are adequately prepared to receive young children into their fold when they reach school age.

5. School Readiness 2001/02 – 2005/06

6. School Readiness by English Proficiency 2001/02 – 2005/06

7. Words that harm Daycare School readiness Brain development

8. Words that help Stewardships Reciprocity and community exchange Society’s prosperity

9. Architecture Model Architecture Model When one builds a house the walls wiring and plumbing before the followed by the frame foundation is first

10. Using the Architecture Model walls – sequential development; contractual experiences affect structure wiring and plumbing – cognition early literacy frame – physical health foundation – responsive supportive relationships and social emotional development

11. Model of Early Childhood Development Pediatric Health Care Physical Health Social, Emotional and Intellectual Development Family Well-Being Family Supports Community/Neighborhood Child Care and Education

12. Indicators for Child Health Blood Lead Levels Very Low Birth Weight Iron Deficiency Children with Special Health Care Needs Breastfeeding

13. Developmental Screening and Well-Child Visits

14. Blood Lead Levels

15. Low-and Very-Low-Birth Weight Babies

16. Iron Deficiency

17. Children with Chronic Health Conditions

19. Breastfeeding

20. Health Care Receipt Well child visits Health Insurance coverage Immunizations Vision and Hearing Screening Dental Care

21. Health Insurance Coverage

22. Child Immunization

23. Screening for Hearing and Vision Problems

25. Dental Visits and Unmet Dental Needs

26. Child Care Type –Parent only care, care by a relative, non-relative care (in a family child care home or in the child’s own home) –Center-based care –“Early education and child care” is a preferred terms as it emphasizes that education occurs in all settings whether quality is excellent or poor Quality –AAP policy, “Quality Early Education and Child Care: From Birth to Kindergarten”

27. Type of Child Care

29. AAP Schedule for Preventive Care

30. 2006 Immunization Schedule

31. Next Steps Collaborations Partnerships

33. Healthy Child Care America Campaign Shared Vision Health Care Bureau Child Care Health Bureau

34. Goals Shared by Educators and Health Professionals Promote well-being Prevent harm Collaborate with – Families – Other sources of support for the child and family – Policymakers and advocates

35. Healthy Child Care America http://www. healthychild care.org

36. Managing Infectious Diseases Written for: Caregivers/teachers Health Professionals School Nurses Signs and Symptoms Chart Quick Reference Sheets for 44 common infections Sample letters and forms Available from AAP/NAEYC

37. 707 Standards and Recommendations Developed by Health and Safety experts from AAP, APHA Includes rationale for why standards are important Available on: NRC Website: nrc.uchsc.edu Print copies from: AAP, APHA, NAEYC

39. HEALTHY KIDS, HEALTHY CARE: Parents as Partners in Promoting Healthy and Safe Child Care http://www.healthykids.us Based on Caring For Our Children, 2nd Ed.

40. What Is a Medical Home? An approach to providing health care services in a high-quality, comprehensive, and cost-effective manner Provision of care through a primary care physician through partnership with other allied health care professionals and the family Acts in children’s best interest to achieve maximum family potential

41. Definition of MEDICAL HOME Accessible Family-Centered Comprehensive Continuous Coordinated Compassionate Culturally-effective Care that is: and for which the physician:  Shares Responsibility

43. http://nrc.uchsc.edu