2.50
Hdl Handle:
http://hdl.handle.net/10755/158275
Type:
Presentation
Title:
Quality improvement in faculty practice in school-based health centers
Abstract:
Quality improvement in faculty practice in school-based health centers
Conference Sponsor:Western Institute of Nursing
Conference Year:2002
Author:Gance-Cleveland, Bonnie
P.I. Institution Name:University of Colorado Health Science Center
Contact Address:School of Nursing, 4200 East Ninth Avenue, Box C288, Denver, CO, 80262, USA
Contact Telephone:303.315.4637
Problem: School-based health centers (SBHCs) have been proposed as an effective delivery system for improving access to care for vulnerable youth. Colorado has 53 SBHCs, several of them are UCHSC faculty practice sites. A statewide collaborative effort to determine the outcomes of care provided at the SBHCs was initiated to define and assure an optimal level of services provided, foster a degree of consistency, and strengthen the ability to contract with managed care organizations and other third party payers, and provide documentation to meet accreditation standards. The Colorado Association of School-Based Health Care formed a quality improvement group to document the outcomes of care provided in the states SBHCs. Quality Care measures assessed in all SBHCs statewide included: certification standards, credentialing of providers, and outcomes of care. The outcomes of care evaluated were: immunization status, well child examinations, quality of medical record, evaluation of tobacco exposure, patient satisfaction. Theoretical Framework: Poverty has been linked with increased health risks and decreased access to care. The United Census Bureau reported in 1997 that 7% of the children in the United States had no usual source of health care. Furthermore, 13% of children had no health care visits, 21.6% had incomplete immunizations, and 25% did not have a dental visit. SBHC increase access to health care for children in poverty, improving the health disparities for this at risk group. Sample: During the 1998-1999 school year the centers provided over 50,000 visits to 18,600 children. All SBHCs in the state were invited to participate in the quality improvement study. Twenty centers agreed to participate. In addition, a sample of 476 SBHC users and parents were surveyed regarding their satisfaction with care provided at the SBHCs. Methods: A site visit was conducted to evaluate the level of services provided and the credentials of providers. A retrospective chart review was conducted on 25 randomly selected charts at 20 SBHC across the state during the fall of 1998 to evaluate for quality of medical record, well child care, immunization status, assessment for tobacco use and exposure. Findings: Students and parents were satisfied with the care, 93% of clients felt the care was above average. Immunization rates were in compliance with recommendations 87-98% of the time for DPT, polio and MMR. Due to the inability to store the varicella and lack of school requirements for Hepatitis, vaccine rates were 27% and 53% respectively. Half of the students had a well child examination and 49% of school age youth and 76% of adolescents were assessed for tobacco use and exposure. Conclusions: Outcome data were shared with individual health centers to help them identify areas of excellence and areas in need of improvement. Data were also compared to quality benchmarks. Overall data indicate the school-based health centers provide quality care to vulnerable youth.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleQuality improvement in faculty practice in school-based health centersen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158275-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Quality improvement in faculty practice in school-based health centers</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Gance-Cleveland, Bonnie</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Colorado Health Science Center</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">School of Nursing, 4200 East Ninth Avenue, Box C288, Denver, CO, 80262, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">303.315.4637</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">bonnie.gance-cleveland@uchsc.e</td></tr><tr><td colspan="2" class="item-abstract">Problem: School-based health centers (SBHCs) have been proposed as an effective delivery system for improving access to care for vulnerable youth. Colorado has 53 SBHCs, several of them are UCHSC faculty practice sites. A statewide collaborative effort to determine the outcomes of care provided at the SBHCs was initiated to define and assure an optimal level of services provided, foster a degree of consistency, and strengthen the ability to contract with managed care organizations and other third party payers, and provide documentation to meet accreditation standards. The Colorado Association of School-Based Health Care formed a quality improvement group to document the outcomes of care provided in the states SBHCs. Quality Care measures assessed in all SBHCs statewide included: certification standards, credentialing of providers, and outcomes of care. The outcomes of care evaluated were: immunization status, well child examinations, quality of medical record, evaluation of tobacco exposure, patient satisfaction. Theoretical Framework: Poverty has been linked with increased health risks and decreased access to care. The United Census Bureau reported in 1997 that 7% of the children in the United States had no usual source of health care. Furthermore, 13% of children had no health care visits, 21.6% had incomplete immunizations, and 25% did not have a dental visit. SBHC increase access to health care for children in poverty, improving the health disparities for this at risk group. Sample: During the 1998-1999 school year the centers provided over 50,000 visits to 18,600 children. All SBHCs in the state were invited to participate in the quality improvement study. Twenty centers agreed to participate. In addition, a sample of 476 SBHC users and parents were surveyed regarding their satisfaction with care provided at the SBHCs. Methods: A site visit was conducted to evaluate the level of services provided and the credentials of providers. A retrospective chart review was conducted on 25 randomly selected charts at 20 SBHC across the state during the fall of 1998 to evaluate for quality of medical record, well child care, immunization status, assessment for tobacco use and exposure. Findings: Students and parents were satisfied with the care, 93% of clients felt the care was above average. Immunization rates were in compliance with recommendations 87-98% of the time for DPT, polio and MMR. Due to the inability to store the varicella and lack of school requirements for Hepatitis, vaccine rates were 27% and 53% respectively. Half of the students had a well child examination and 49% of school age youth and 76% of adolescents were assessed for tobacco use and exposure. Conclusions: Outcome data were shared with individual health centers to help them identify areas of excellence and areas in need of improvement. Data were also compared to quality benchmarks. Overall data indicate the school-based health centers provide quality care to vulnerable youth.</td></tr></table>en_GB
dc.date.available2011-10-26T20:41:03Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:41:03Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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