Implementing A School Based Health
Clinic (SBHC)
for Low Income Children
Sonja Fontana, MSN, FNP-C
Poor Access and Delivery of Healthcare Services
Increases Socioeconomic Health Disparities
Introduction
Patient Centered Healthcare Model
Microsystem
SBHC
.
Mesosystem
OCES
Macrosystem
Referrals
&
Resources
Halloween @ OMG, 2012
Batalden, Nelson, Gardent, & Godfrey. (2005)
Literature Review
This project is designed to deliver a complete plan
for implementation of a school-based health clinic
for rural low-income elementary children.
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Evidence Based Practice using the PDSA
Model
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SWOT Analyses
Strength
Weakness
Opportunities
Threats
Collaboration Between Professionals
HIPPA Consent
Scheduling
Project Outcomes
.
Fire Drills
Bell System
Sprinklers
*
*
Clinical Environment
Objectives
Summary of Advanced Practice Leadership
Quality Improvement Committee
Performance
Training
Summary of Process
Project Results
*
Dissemination Plans
Recruitment of Nursing Work Force
Nursing, Credentialing, and Medical Students
Replication
References
Allison, A. M., Crane, A. L., Beaty, L. B., Davidson, J. A., Melinkovich, P., & Kempe, A. (2007). School based health
centers: Improving access and quality care for low income adolescents. American Academy of Pediatrics,
120(4), 887-894.
Durlak, A. J., Weissberg, P. R., Dymnicki, B. A., Taylor, D. R., & Schellinger, B. K. (2011). The impact of enhancing
students social and emotional learning: a meta-analysis of school based universal interventions.
Child Development, 82(1), 405-432.
Geierstanger, P. S., Amaral, G., Mansour, M., & Walters, R. S. (2004). School based health centers and
performance: Research, challenges, and recommendations. Journal of School Health, 74(9), 347-352.
Goltzman-Strolin, J. (2010). The relationship between school based health centers and the learning environment.
Journal of School Health, 80(3), 153-159.
*
Guo, J. J., Wade, J. T., Pan, W., & Keller, N. K. (2010). School based health centers: Cost benefit analysis and impact on
health care disparities. American Journal of Public Health, 100(9), 1617-1623.
Guo, J. J., Wade, J. T., & Keller, N. K. (2008). Impact of school based health centers on students with mental health
problems. Public Health Reports, 123, 768-780.
Joint Center for Political and Economic Studies. (2012). Place matters for health in the San Joaquin Valley. Retrieved from
http://www.humanneeds.ven.edu
Kong, S. A., Sussman, L. A., Negrete, S., Patterson, N., Mittleman, R., & Hough, R. (2009). Implementation of a walking
school bus: Lessons learned. Journal of School Health, 79(7), 319-325.
McNail, A. M., Lichty, F. L., & Mavis, B. (2010). The impact of school based health centers on the health outcomes of
middle school and high school students. American Journal of Public Health, 100(9),1604-1610.
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Nordin, D. J., Solberg, I. L., & Parker, D. E. (2010). Adolescent primary care visit patterns. Annals of Family Medicine,
8(6), 511-516.
Utter, J., Scragg, R., Robinson, E., Warbrick, J., Faeamani, G., Foroughian, S., et al. (2011). Evaluation of the living
four life project: A youth-led, school based obesity prevention study. Obesity Reviews, 12, 51-60.
Van Cura, M. (2010). The relationship between school based health centers, rates of early dismissal from school, and loss of
seat time. Journal of School Health, 80(8), 371-377.
Walker, C. S., Kerns, E. U. S., Lyon, R. A., Burns, J. E., & Cosgrove, T. J. (2009). Impact of school based health center
use on academic outcomes. Journal of Adolescent Health, 46(3), 251-257.