1. WHAT MATTERS MOST: The Health of Children Presentation to WVASN November 2, 2006 Teri Harlan, President, WV School-Based Health Assembly Kathy Verzich, President, WV Association of School Nurses

2. Today we will… Describe the background and process used for the May 2006 retreat of school nurse and school-based health center reps Describe the background and process used for the May 2006 retreat of school nurse and school-based health center reps Explain the recommendations of the participants Explain the recommendations of the participants Answer questions Answer questions Ask for your endorsement Ask for your endorsement

3. What Matters Most Retreat May 18 and 19, 2006 May 18 and 19, 2006 Co-sponsored by WVASN, WVDOE Office of Healthy Schools and WVSBHA Co-sponsored by WVASN, WVDOE Office of Healthy Schools and WVSBHA Purposes: Purposes: To explore respective roles and responsibilities of school nurses and school-based health centers To explore respective roles and responsibilities of school nurses and school-based health centers Identify opportunities for increased collaboration to improve student health Identify opportunities for increased collaboration to improve student health

6. 13 Participants Dreama Burks, Mt View Wellness Center, Mingo co. Dreama Burks, Mt View Wellness Center, Mingo co. Jennifer Cox, Roane General SBHCs Jennifer Cox, Roane General SBHCs Mary Grandon, Clay Co. SBHCs Mary Grandon, Clay Co. SBHCs Teri Harlan, New River SBHCs, Fayette/Nicholas Co. (Pres. SBHA) Teri Harlan, New River SBHCs, Fayette/Nicholas Co. (Pres. SBHA) Lisa Hart, Brandon Wellness Center, Barbour Co. Lisa Hart, Brandon Wellness Center, Barbour Co. Jane Ishman, School Nurse, Berkeley County Jane Ishman, School Nurse, Berkeley County Pat Mays, School Nurse and SBHC, Pleasants County Pat Mays, School Nurse and SBHC, Pleasants County Ann Sammons, School Nurse, Raleigh Co. Ann Sammons, School Nurse, Raleigh Co. Rosemary Scott, School Nurse and SBHC, Wood Co. Rosemary Scott, School Nurse and SBHC, Wood Co. Dixie Showalter, Ritchie Co. Primary Care Dixie Showalter, Ritchie Co. Primary Care Kathy Verzich, School Nurse, Grant Co (Pres. WVASN) Kathy Verzich, School Nurse, Grant Co (Pres. WVASN) Heather Wood, School Nurse & SBHC, Cabell Co. Heather Wood, School Nurse & SBHC, Cabell Co. Robin Yearout, School Nurse & SBHC, Cabell Co. Robin Yearout, School Nurse & SBHC, Cabell Co.

8. PROCESS Kathy and Teri chaired the process Kathy and Teri chaired the process Rebecca King, Becky King and Eileen Barker served as resource persons & coordinated arrangements Rebecca King, Becky King and Eileen Barker served as resource persons & coordinated arrangements Julie Pratt provided neutral facilitation Julie Pratt provided neutral facilitation Financial support covered participants costs Financial support covered participants costs

10. The Groups Charge Identify current collaboration successes and barriers Identify current collaboration successes and barriers Identify unique and common roles of each Identify unique and common roles of each Develop a framework for coordination Develop a framework for coordination Propose adoption by WVASN & WVSBHA Propose adoption by WVASN & WVSBHA Develop MOU between the two entities Develop MOU between the two entities

11. Initial Retreat Discussions Commonalities and distinctions between SNs and SBHCs Commonalities and distinctions between SNs and SBHCs Understanding of purposes of WVASN and WVSBHA Understanding of purposes of WVASN and WVSBHA

13. In-Depth Exploration Shared vision for school health Shared vision for school health Assessment of the environment – positive factors and barriers Assessment of the environment – positive factors and barriers Recommendations for working together Recommendations for working together

14. Shared Vision Whatever, whenever and wherever Availability & accessibility Availability & accessibility Comprehensiveness Comprehensiveness Safe and welcoming Safe and welcoming Wellness & prevention oriented Wellness & prevention oriented Supported Supported Simplification Simplification Professional development Professional development

15. Shared Vision: Whats Positive Now ? Image and track record Image and track record Capable, dedicated professionals Capable, dedicated professionals Funding and other support Funding and other support Collaboration Collaboration Policy initiatives Policy initiatives

16. Shared Vision: Whats in the way? Insufficient people power Insufficient people power Insufficient funding Insufficient funding Limited physical facilities Limited physical facilities Misperceptions about school health Misperceptions about school health Policies and paperwork Policies and paperwork

17. Conclusion Issues faced by SNs and SBHCs are similar Issues faced by SNs and SBHCs are similar Problems are not unique to any county Problems are not unique to any county

18. Conclusion Participants agreed that many identified challenges could be addressed through a unified effort by school nurses, school-based health centers and other school health stakeholders.

19. Notice the smiles! Eating is more fun than working!!

20. Recommendations for Collaboration What are 6 things SNs and SBHCs could do during the next 2 years to improve school health?

21. The Top 6 WVASN / WVSBHA joint planning such as: WVASN / WVSBHA joint planning such as: Joint position statement on SN/SBHC partnership (beyond nationals) Joint position statement on SN/SBHC partnership (beyond nationals) Coordinate public policy advocacy Coordinate public policy advocacy 100 th anniversary of school nursing 100 th anniversary of school nursing

22. The Top 6 Co-sponsor joint training events Co-sponsor joint training events Work together on patient consent process to overcome HIPAA & FERPA barriers Work together on patient consent process to overcome HIPAA & FERPA barriers Joint advocacy for comprehensive SH services – health, medical, dental, vision, prevention, mental health, social, nutrition, access to medications,… Joint advocacy for comprehensive SH services – health, medical, dental, vision, prevention, mental health, social, nutrition, access to medications,…

23. The Top 6 Work together on wellness policy and wellness councils Work together on wellness policy and wellness councils Joint campaign on new adolescent vaccines – SNs identify students and work with SBHCs on administering (a one-day shoot) Joint campaign on new adolescent vaccines – SNs identify students and work with SBHCs on administering (a one-day shoot)

24. Other Recommendations See page 8 of report Possibilities for working together are endless!

25. Next Steps 1. Endorsement of the recommendations from WVASN & WVSBHA Members to work on joint strategic plan Members to work on joint strategic plan Inform incoming association presidents Inform incoming association presidents WVSBHA enthusiastically endorsed 8/06 WVSBHA enthusiastically endorsed 8/06 WVASN will consider today WVASN will consider today

26. Next Steps 2. Broaden support for collaboration by involving other key stakeholders 3. Integrate collaboration into existing goals and activities. (Use existing structures. Try to avoid creating new groups!) 4. Take advantage of collaboration opportunities as they occur

27. Todays Tasks for WVASN Q and A Q and A Discussion Discussion Endorsement Decision Endorsement Decision Thanks for your commitment to what matters most!