Planning for an

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Planning for an Oregon School-Based Health Center
School-Based Health Center Program Adolescent
Health Section Office of Family Health Oregon
State Public Health Division, DHS
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SBHCs provide accessible health care to youth

• Access Model
• Providing health care services where the kids
  are,
• For youth regardless of insurance status
• Supports youth being in class
• Supports families
• Who are uninsured, with limited transportation,
  less days off from work
• Prevention messages delivered

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A School-Based Health Center.

• Delivers core set of primary health care services
  (physical, mental, preventive)
• To children and youth in an identifiable school
  space
• During regular scheduled times- school hours
• By qualified health professionals (ex. PAs, NPs,
  RNs, QMHPs)
• In a collaborative relationship with the local
  educational and healthcare community
• For more information about certification
  standards visit http//www.oregon.gov/DHS/ph/ah/s
  bhc/certreqs.shtml

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SBHC Addresses . . .

• Barriers to access
• Underserved populations
• High proportions of high risk youth

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School Nurse vs. SBHC

• SBHC
• Employed by medical organization
• Administers immunizations
• Conducts screenings, physical exams
• Care of both acute and chronic needs
• Administer and prescribe medications
• Counseling, prevention and wellness promotion
• HIPPA regulated
• Certified by the State

• SCHOOL NURSE
• Employed by school/school district/ESD
• Manages student immunizations program
• Coordinates screenings
• Chronic school health case management
• Manage chronic medication delivery during school
• Oversees school health programs
• FERPA regulated

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What do Oregonians say about SBHCs?

• 2005 Public Opinion Telephone Survey
• Importance of various types of health care
  services provided in school-based setting.
• 90 or more of Oregonians named the following
  health services as important
• Alcohol and drug prevention
• Treatment for minor injuries
• Mental health counseling
• Sports exams
• Family planning counseling
• Vaccinations.
• Combined responses of very important and
  somewhat important.

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Percent of Oregonians Rating SBHC Services as
Important
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Impact Access to Care
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Impact Fewer Classes Missed
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Statewide SBHCs

• 2009 55 Certified SBHCs in 21 Counties
• 32 High Schools
• 4 Middle Schools
• 12 Elementary Schools
• 7 Combined Grade Schools
• 2007-2008 Oregon SBHCs served
• 20,971 clients
• 66,087 visits

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Funding of Oregon SBHCs

• Additional funding sources found on local level
• County funds
• School districts
• Hospitals
• Community health providers
• Grants
• Local fundraising

• Cost of running an SBHC can range from 90K to
  400K
• Each county with a state-certified SBHC is
  eligible for state dollars through their local
  public health authority (LPHA).
• Each of the state dollars is used to leverage
  about 3-4 local dollars.
• State funding is based on a formula
• 1 SBHC ? LPHA receives 60K per year
• gt1 SBHC? LPHA receives 41K per year for each
  center (including the first)

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Political Climate

• OR Legislature has supported the of SBHCs
  doubling each decade
• 1985-86 Initial Legislative dollars
• 2004 Expansion dollars for SBHCs into 5 new
  counties
• 2007 Expansion dollars for SBHCs into 5 new
  counties and 7 existing counties
• 2009 Expansion dollars for SBHCs into 5 new
  counties and 7 existing counties

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2009 Request for Proposals (RFP)

• Announcements for RFPs were sent to all local
  public health authorities, schools and any
  partners in July 2009 with a due date of Sept 18,
  2009
• RFP required partnership with local public health
  authorities, medical community, and schools.
• RFP and additional planning resources can be
  found at http//www.oregon.gov/DHS/ph/ah/sbhc/pla
  nning.shtml

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Option 1 2-Year Planning Process

• Previously awarded state planning grantees are
  ineligible for this option.
• Phase I (2009-2010) Each grantee will receive up
  to 30,000 per site
• Award runs from Nov 1, 2009 to June 30, 2010
• Planning Year development of community
  partnerships, site, and local model.
• End of year report will determine advancement
  into Phase II.
• Phase II (2010-2011) Depending on the of site
  moving forward, each grantee will receive up to
  60,000 per site.
• Award runs from July 1, 2010 to June 30, 2011
• Continue planning and development, culminating in
  the certification of the SBHC during spring of
  2011.

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Option 2 1- Year Planning Process

• This option is available to all interested sites.
• Advance Phase (2009-2010) Grantee will receive
  up to 60,000 per site.
• Awards will run from Nov 1, 2009 to June 30, 2010
• Designed to cover the duration of planning and
  development, culminating in the certification of
  the SBHC during the spring of 2010.
• Entry into Funding Formula (2010-2011) Upon
  successful completion of certification in the
  first year of planning, LPHA will receive funding
  based on the State SBHC funding formula.
• Award will run from July 1, 2010 to June 30, 2011
• Once SBHC is certified, annual awards will
  continue based on each bienniums legislatively
  adopted budget and compliance with State
  Certification Standards.

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RFP Technical Assistance Calls

• The State Program Office has set up
  teleconference calls for those parties interested
  in submitting an RFP.
• Open format to ask any questions concerning the
  RFP or SBHC planning process.
• Call number [phone]
• Participant Code 124975
• Dates and times
• 8/13/09 9-10am
• 8/25/09 10-11am
• 9/10/09 1-2pm.

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SBHC State Program Website

• http//oregon.gov/DHS/ph/ah/sbhc/sbhc.shtml

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For more information

• Rosalyn Liu
• SBHC Systems Development Specialist
• PH 971.673.0248
• Fax [phone]
• rosalyn.liu_at_state.or.us