web ready hrl presentation 2012
TRANSCRIPT
It’s All Elementary: Strategies to Connect K-5 Students to Health Care
Healthy and Ready to Learn Webinar Training
November 29, 2011
Webinar AgendaHealthy and Ready to Learn Project
It’s All Elementary: Strategies to Connect K-5 Students to Health Care
1:30 pm – 1:40 pm: Welcome and introduction to Healthy and Ready to Learn project in 2012
Steve Shore, Executive Director, NC Pediatric Society; Ania Boer, HRL Project Director
1:40 pm – 1:55 pm: Health Check (Medicaid) and NC Health Choice (SCHIP) – children’s health insurance programs in North Carolina
Norma Martí, Public Health Minority Outreach Coordinator, NC DPH
1:55 pm - 2:10 pm: School outreach strategies and HRL Action Steps for 2012 Betty Macon, India Foy, Laura Brewer
2:10 pm – 2:20 pm: School nurses and School Health Advisory Councils Clementine Buford, Immediate Past President, School Nurse
Association of NC Jessica Gerdes, State School Nurse Consultant, NC DPH
2:20 pm – 2:30 pm: Q&A
N.C. Healthy and Ready to Learn Project: • Funded by CHIPRA in 2009
Children’s Health Insurance Program Reauthorization Act
• 16 high-need pilot counties outreach in 2010• 32 counties added in 2011• Continuation funded by NC Office of Rural Health
and Community Care from Oct. 2011 until Sept. 2012– Expansion from kindergarten students to all
elementary school students– 60 LEAs in 46 counties
Healthy and Ready to Learn InitiativeChild Health Insurance Outreach Schools
Harnett 12
Pitt20
Alamance21
Alexander
Alleghany
Anson6
Ashe
Avery
Beaufort
Bertie
Bladen7
Brunswick9
Buncombe 26
Burke17
Cabarrus24
Caldwell
Camden
Carteret
Caswell
Catawba25
Cherokee7
Chowan
Clay
Cleveland 18
Columbus 10
Cumberland 48
Currituck
DareDavidson 22
Davie
Duplin8
Durham29 Edgecombe
5
Forsyth42 Franklin
Gaston 29
Gates
Graham
Granville
Greene
Guilford69
Halifax 11
Haywood
Henderson
Hertford
Hyde
Jackson
Jones
Lenoir8
Lincoln
McDowell
Macon
MadisonMartin
5
Mecklenburg
Mitchell
Montgomery5 Moore
Nash17
New Hanover24
Northampton
Onslow19
Orange
Pamlico
Pasquotank
Pender
Perquimans
Person
Polk
Randolph23
Richmond9
Robeson 23
Rockingham17
Rowan20
Rutherford 1o
Scotland9
Stanly16
StokesSurry11
Swain
Transylvania
Tyrrell
Union29
Vance 10
Warren
Washington
Watauga
Wayne 15
Wilkes13
Wilson
Yadkin
Yancey
Lee8
ChathamWake
HokeSampson
9
Johnston22
Craven15
Iredell21
Includes Lexington City & Thomasville City Includes Weldon City & Roanoke Rapids
Includes Whiteville City
Includes Asheboro City
CONTACT:Ania Boer, Project Director, ([email protected], 919-839-1156)
Local Community Coordinators: Laura Brewer ([email protected], 910-865-5507) Anson, Bladen, Brunswick, Buncombe, Cherokee, Cleveland, Columbus, Cumberland, Davidson, Gaston, Montgomery, New Hanover, Randolph, Robeson, Rutherford, Scotland, Richmond, Union.
Betty Macon ([email protected], 252-822-3340) Craven, Duplin, Durham, Edgecombe, Halifax, Harnett, Johnston, Lee, Lenoir, Martin, Nash, Onslow, Pitt, Sampson, Vance, Wayne.
India Foy ([email protected], 336-617-6628)Alamance, Burke, Cabarrus, Catawba, Forsyth, Guilford, Iredell, Rockingham, Rowan, Stanly, Surry, Wilkes.
Total of 46 counties (60 LEAs)
Includes Hickory City & Newton Conover City
Includes Asheville City
Includes Mooresville City
Includes Elkin City & Mount Airy City
Includes Clinton City
Includes Kannapolis City
N.C. Healthy and Ready to Learn project:
• School-targeted outreach and enrollment effort to register all “eligible and uninsured” children in elementary school into child health insurance programs Health Check or NC Health Choice
• Partnership of Local Education Agencies, School Nurses, SHACs, State Agencies (DPI, DPH, DMA), Physicians and community-based organizations, supported by the Office of Governor and State Superintendent
• HRL Steering Committee has 44 members • Identifies uninsured students through school outreach
and the Kindergarten Health Assessment form
Why is Healthy and Ready to Learn important?
• It complements one of the State Board of Education goals: “Healthy and responsible students”
• Students need to be healthy to learn and graduate from high school• Students’ health status is linked to absenteeism and performance• Children learn about healthcare system by experiencing it• All children need healthcare coverage and medical home to stay
healthy• More children need health insurance in economic recession
Healthy children learn better!
HRL Grant Agreement 2012
HRL Grant AgreementA. The XXX Schools will receive a $1,000 grant per county for LEA use at
discretion to offset modest expenses and: 1. Designate a school representative, such as school nurse or school office/administrative staff, to be a contact person to assist the NC Pediatric Society Foundation’s outreach efforts to find uninsured elementary school students, and to participate in the training Webinar to be held at 1:30 pm on November 29, 2011 (details will follow);2. Use the HRL grant for: staff time to assist with tasks like distributing Health Check/ NC Health Choice outreach materials, paying for school nurses to participate in professional development, organize SHAC meetings or to support activities that promote assistance to families who may be eligible for NC’s health insurance;3. Provide a brief report on lessons learned and/or suggestions to improve the project, report quarterly an estimate of the number of families assisted, and invite HRL staff to at least one of your SHAC meetings.
HRL Grant Agreement – Cont.B. The North Carolina Pediatric Society Foundation will:
1. Provide a $1,000 grant per county for LEA(s) to use at your discretion as described above between Nov. 16, 2011 and September 30, 2012 to support HRL goals;
2. Host the Healthy and Ready to Learn Steering Committee and provide regular updates to all agencies and organizations represented plus LEA partners, and present at the SHAC meeting;
3. Inform the elementary school principals in your LEA about the HRL participation after November 16, 2011, unless your system prefers to do so directly. NOTE: Please inform your principals by Nov. 16, 2011.
HRL Data Collection Form
Please enter the number of children/families who were provided information through brochure, envelope stuffer, application, personal assistance or at school events about Health Check/NC Health Choice children’s insurance. Email completed forms to your HRL Local Community Coordinator each quarter.October - December 2011 Total # of families/children assisted this quarter:Other/Notes:January - March 2012
April – June 2012
July - September 2012
Preliminary Evaluation of Healthy and Ready to Learn
• HC/NCHC enrollment change in 16 pilot counties in 2009- 2010 through March of the current school year, 2010-2011, compared to 2008-2009
• HRL counties continued to increase enrollment for kindergarten-aged children by over 3 percentage points more than non-HRL counties
• These data provide preliminary descriptive evidence suggesting that the HRL initiative is effective
• Focus group results suggest HRL “energized” the community to do the outreach
• Final evaluation in Jan. 2012 (~9,000 KHA forms evaluated)
Preliminary Evaluation of Healthy and Ready to Learn
Distribution of outreach materials:Year 1 (Jan. 2010-Sept. 2010), 16 pilot counties: 61,983Year 2 (Oct. 2010 – Sept. 2011), 48 counties: 202,912Total for both years: 264,895
Number of children/families assisted by school nurses or school staff:
Year 1 – approximately 1,000 between July 2011-Sept. 2011 for 16 pilot counties (no data collected prior to)
Year 2 – approximately 56,300Total – approximately 57,300
How to find uninsured children? - Kindergarten Health Assessment Form(It includes a check box for the parent to indicate the child’s insurance status)
- Other forms and health assessments used at your schools such as School Registration, Sports Physicals, Field Trip forms. Add a questions about insurance
- Follow up with outreach materials or in-person information, as appropriate
Kindergarten Health Assessment Form
• Form is often NOT filled out completely when it arrives at schools
• Frequently, parents do not fill their part due to low literacy levels or not realizing it is their responsibility
• Important to fill out form completely so the school staff has an entire record on child's health
• Back side - under “Parent Complete”- identifies children who do not have health coverage
Why is a complete Kindergarten Assessment Form important?
To track children’s health status and maintain a healthy lifestyle
To save school staff’s time and make medical referrals easier
To identify uninsured children and help them establish medical home
To help enroll uninsured and eligible patients into NC’s children’s health insurance programs
Health Check / NC Health Choice: Keeping Students
Healthy & Ready to Learn
Norma Marti, NCDPH
(as separate presentation placed at www.NCPedsFoundation.org, under Orientation/Outreach Tools: http://www.ncpedsfoundation.org/index.php?option=com_content&view=category&id=37&Itemid=63)
What can school staff and SHAC members do?
• Review school forms, such as the KHA form and others, to check if child has health insurance
• Remind families to complete all “Parent complete” parts on the KHA form
• Share promotional materials, an application form and address of the local DSS with families of uninsured children
• Parents are more likely to apply if they see income guidelines based on family size so keep outreach materials on hand
• Promote child health insurance at school events
• Implement at least three school-based outreach ideas provided by HRL at your school
Examples of school-based child health insurance (CHI) outreach strategies to implement at your school
Use existing health status assessments• Send HC/NCHC envelope stuffer home with every child, along with
a response form to be returned to the child’s teacher (available from the “School Partnership” link above)
• Ask parents to indicate the child’s current insurance status on school forms. Have them sign it, provide contact information, and ask if they want to receive a HC/NCHC application form
Existing communication infrastructures• Use school voice mail systems to communicate a message to all
parents or a targeted group of parents like those whose children qualify for F/RP School Meals, or who have newly enrolled kindergarteners
• Home-schooled children may have a list serve that can be utilized to reach that population of students
School-produced materials and forms • Use Parent/Student Handbooks as an opportunity to
educate about CHI. (Information has been scripted for use in such a resource, see ‘School Partnership” link). If the parent has to sign a document that they reviewed in the Handbook, then a check box could be added to the form for parents to indicate if they would like further information or to be contacted about CHI
• Ask about insurance status through School Registration, Sports Physicals, and other forms to promote CHI and follow up as appropriate. Include where to turn for more information: www.NCHealthyStart.org or go to local department of social services
Examples of school-based child health insurance (CHI) outreach strategies to implement at your school
Examples of school-based child health insurance (CHI) outreach strategies to implement at your school
Local PTAs/PTOs
• The NC PTA is already involved in child health insurance outreach in some local areas. Articles have been published in their statewide “NC Parent-Teacher Bulletin” and the “Parent Resource Handbook” for PTA Presidents. There are links from the NC-PTA web site to CHI web pages.
• Work with your local PTA to promote CHI
• All examples of school-based outreach strategies are available at: www.ncpedsfoundation.org, under Healthy and Ready to Learn, go to “Action Plan.”
What are other LEAs doing? Central region:
• Use existing communication channels and partnerships to promote children’s health insurance
• Link Healthy and Ready to Learn to existing school/ community priorities (e. g., as SHAC goal)
• Prepare direct mailings to parents with a letter about HC/NCHC• Send info and applications to parents when the school nurse is
providing referrals for vision or hearing screenings• Send HC/NCHC envelope stuffers home with report cards
You can make a difference!
What are other LEAs doing? Southwestern region:
• KINDERGARTEN REGISTRATION - parent cover letter • Kindergarten preparation folders to parents (Cumberland)• Parent liaison for migrants (Robeson)• Parents interview with SHN and as they assist in child’s health care needs
at Kindergarten RegistrationMost Successful Counties:
• Robeson - All Principals of Elementary Schools participated in HRL Awareness Superintendant Luncheon
• Cumberland - WEBINAR for all elementary school staff - PARENT NIGHT- HRL Local Community Coordinator and
Carolina Community Care HCC invited to emphasize NCHC/HC and to assist parents with applications
• Gaston - 30+ community professionals (dentist, local pediatrician, Fire Chief, Police Chief, etc) on SHAC for Community Awareness to promote HRL
What are other LEAs doing? Northeastern region:
• Emergency cards include insurance question• Locally produced forms sent to all students grade 1-12 and given to all new
students who enroll
Example: Onslow County Schools Health ServicesHEALTH CARE INFORMATIONStudent’s Name ______________________________________ Grade/Teacher ___________________ Where your student gets regular health care: Student has: 1 Health Department 1 Medicaid
3 No Insurance 2 Hospital Clinic 2 Private Insurance/HMO
4 Other: _____________ 3 Community Health Center Doctor/ Practice Name: 4 Private Doctor/HMO
_______________________________________________ 5 Other __________________ Dentist Name: 6 No regular place
_______________________________________________ I would like information on free/low cost health insurance for my student. Forward to School Nurse
“Working for a healthier and safer North Carolina”
SNANC and Public Health:
Supporting Healthy and Ready to Learn Project
Clementine Buford, Immediate Past President School Nurse Association of North Carolina Jessica Gerdes, State School Nurse Consultant, NC Division of Public Health
#1 Coordinated School Health Approach
Family &CommunityInvolvement
PhysicalEducation &
PhysicalActivity
Nutrition Services
Counseling, Psychological & Social Services
SchoolHealth
Education
HealthySchool
Environment
Staff Health
Promotion
School Health
Services
School Health Services + Family/Community Involvement
“Working for a healthier and safer North Carolina”
Division of Public Health• Long-term sustainability is critical• Assuring access to care as a forethought, not
afterthought• Institutionalizing the project
– Goal of State Division of Public Health– Goal of Children and Youth Branch of DPH– Goal of School Health Unit of DPH
School Nurses:
• Provide services to students and families daily• Play a vital role in both educating
and providing resources to families
• Can make a difference
School Nurses:
• Know the impact of being an uninsured student
• Look forward to assisting in this project• Know that healthy Children learn better
• Focus on kindergarten – elementary school students through School Nurse and Community
• Kindergarten Health Assessment
• There are steps in the kindergarten health assessment process that would accomplish the HRL objective
PhysiciansLocal health department clinicsSchool health centers
• Siblings of kindergarten students• Teacher referral• Student referral teams• School Nurse Point of Service
HRL Project Strategies
YOU can make a difference!10 HLR Actions Steps:
1. Share information about the Healthy and Ready to Learn and child health insurance programs, Health Check/ NC Health Choice, with school staff and all your SHAC members (This PowerPoint will be posted at: www.NCPedsFoundation.org under Orientation).
2. Order free (English/Spanish) outreach materials, i.e. fact sheets (D4, D4BR), envelope stuffers (D3), applications (D6E, D6S) and poster (D5) from www.NCHealthyStart.org , click on Order. For other languages, check: http://www.nchealthystart.org/outreach/index.html.Add “HRL” under Department on order form from NCHSF.
3. Make sure ALL information on the KHA form is complete and follow up on families who don’t fill out their part.
4. Hang a HC/NCHC poster so that families can see it.
YOU can make a difference!Actions Steps:
5. Give outreach materials to families with uninsured children and those who mark “no insurance” on the KHA form. Be sure to share: a flier with income guidelines (fact sheet or envelope stuffer), an application, and the address of local DSS.
6. Consider following up with families to see if they need help enrolling and offer them resources such as www.NCHealthyStart.org and local DSS.
7. Create or implement some outreach ideas in your school system from “School-based child health insurance outreach strategies.” For example, share materials during kindergarten registration events or parent orientations, or place a simple message to parents on your school’s voice system. If your school has a Pre-K program, please reach out to families of 4-year old children.
8. Please help us keep track of the number of families you assist. Every quarter we will ask for an approximate number of families you have reached.
YOU can make a difference!Actions Steps:
9. Call us if you need help with ordering materials, scripting a message, need a cover letter to send to families, or want us to mail you fliers with DSS addresses by county.
Local Community Coordinators for HRL are: Laura H. Brewer (south/west region, office in Robeson County), [email protected], 910-865-5507, Betty Macon (north/east region, office in Halifax County), [email protected], 252-822-3340, and India Foy (central/western region, office in Guilford County), [email protected], 336-617-6628.
Visit www.NCPedsFoundation.org for outreach tools and resources!
10. Share your success stories with us!
December 2010
C: Central RegionIndia Foy, MPHGreensboro, [email protected]
S & SW: Southern & Southwestern RegionLaura H. BrewerSt. Pauls/ [email protected]
NE: Northeast RegionBetty MaconRoanoke Rapids, [email protected]
Project Director Ania Boer, ME, MA1100 Wake Forest Road, Ste 200Raleigh, NC 27604919 839-1156FAX: [email protected]
Anson
Ashe
Avery
Beaufort
Bertie
Bladen
Brunswick
Burke
Caldwell
Carteret
Caswell
CatawbaChatham
Cherokee Clay
Columbus
DareDavidsonDavie
Duplin
Forsyth Franklin
Gaston
Gates
GrahamGreene
Guilford
Halifax
Harnett
Hertford
Hoke
Hyde
Iredell
Jackson
Johnston
Jones
Lee
Lenoir
McDowell
Macon
MadisonMartin
Mitchell
Moore
Nash
NewHanove
Northampton
Onslow
Orange
Pamlico
Pender
Person
Pitt
Polk
Randolph
Robeson
Rockingham
Rowan
Rutherford
Sampson
Scotland
Stanly
StokesSurry
Swain
Transylvania
Tyrrell
Union
Wake
Warren
Washington
Watauga
Wayne
Wilkes
Wilson
Yadkin
Yancey
Chowan
PasquotankPerquimans
Camden
Currituck
MontgomeryHenderson
GranvilleVance
Alamance
Durham
Mecklenburg
Lincoln Cabarrus
RichmondCumberland
Alexander Edgecombe
Craven
Haywood
Cleveland
Alleghany
Buncombe
Healthy and Ready to Learn InitiativeLocal Community Coordinators
North Carolina Pediatric Society FoundationHealthy and Ready to Learn initiative team:
Steve Shore, MSW, Executive Director, NCPS-FAnia Boer, ME, MA, Project Director, [email protected]
Laura Brewer, Local Community Coordinator for south/western region (office in Robeson County), [email protected], (910) 865-5507
India Foy, MPH, Local Community Coordinator for central/western region (office in Guilford County), [email protected], 336-617-6628
Betty Macon, Local Community Coordinator for northeastern region (office in Halifax County), [email protected], (252) 822-3340
1100 Wake Forest Road, Suite 200Raleigh, NC 27604
Phone: (919) 839-1156Fax: (919) 839-1158
www.NCPedsFoundation.org
North Carolina Pediatric Society FoundationHealthy and Ready to Learn initiative team:
Steve Shore, Executive Director
Ania Boer, Project Director
From Left:Betty Macon, Local Community Coordinator for northeastern region, Laura H. Brewer, Local Community Coordinator for south/western region, India Foy, Local Community Coordinator for central/western region
Thank you for your support of the Healthy and Ready to Learn
Initiative!Q&A