School Health Research & Report
During the 2012-13 school year, the Orange County Public Schools (OCPS) Philanthropic Strategic Plan (PSP), developed by the Orange County School Board, Orange County Public Schools’ Superintendent and the Foundation for Orange County Public Schools (FOCPS), was released outlining eight priority initiatives which address known gaps in academic achievement, academic progress, college and career readiness, early childhood development, student wellness, and technology needs of OCPS students. Under the first goal of “Ensure All Children Are Ready to Learn” an initiative was established to “Provide a licensed practical nurse, registered nurse, or nurse practitioner in every OCPS school to reduce absenteeism, improve student performance, and support student health.” School nursing is a specialized practice of professional nursing that advances the wellbeing, academic success and life-long achievement and health of students. Licensed school nurses serve as case managers, facilitating children’s access to medical and dental homes, and coordinate the care essential to addressing and improving their health with the goal of keeping students in school and learning. They often work with the whole family to understand a student’s healthcare needs.
In January 2014, leaders from the Orange County School Board, OCPS, Orange County Health Department, Winter Park Health Foundation (WPHF), Florida Hospital (FH), Orlando Health, Nemours Children’s Hospital, and other healthcare providers convened to discuss the PSP priority related to school-based healthcare. During that meeting, these stakeholders agreed that further exploration of the issues and options for implementing and funding a district-wide, school-based healthcare program was an important step in moving forward. The WPHF and FH agreed to jointly commission a consultant to conduct the following activities:
- Analyze the level of need within OCPS schools;
- Inventory current school and community-based healthcare services for children;
- Conduct research on school-based healthcare services in peer school districts and statewide best practice models;
- Identify reimbursement and funding opportunities; and,
- Explore areas of opportunity including recommendations and next steps.
The report was finalized in early 2016, and presented to the Orange County School Board in November 2016 during a work session. The research findings and areas for opportunity were well-received by School Board members, who requested immediate action on several of the next steps outlined including:
- Engaging community partners to share the cost in hiring a high level point person to develop and implement a three-year pilot project around key recommendations;
- Implementing a telemedicine pilot project;
- Collaborating with area hospitals to determine how school health services can reduce non-emergency ER visits; and,
- Increasing opportunities for billing reimbursement through Medicaid and private insurance.
The Executive Summary can be found on page 1 of the report, and the eight areas of opportunity and recommended next steps begin on page 36.
Winter Park Health Foundation: Making the Case for Foundation Collaboration and Support—A Case Study by the National Association of Chronic Disease Directors
In 2013, the National Association of Chronic Disease Directors (NACDD) published a case study focused on the Winter Park Health Foundation’s efforts to support community health improvements in Central Florida using sustainable health strategies based on the Action Communities for Health, Innovation and EnVironmental changE (ACHIEVE) Healthy Communities model. The study was designed to inspire and empower other foundations to fund local communities so health improvements can be made throughout the country.
More Than Money: Making a Difference with Assistance Beyond the Grant
The Center for Effective Philanthropy (CEP) in 2008 decided to take a close look at how foundations provide assistance beyond grant funds to nonprofit organizations to improve the effectiveness of their work. The CEP surveyed thousands of grantees as well as nearly 200 foundation program staff members and ceos around the country. The resultant report featured case studies on three successful models of this type of work—the Hartford Foundation for Public Giving, The Wallace Foundation and the Winter Park Health Foundation (WPHF). The WPHF section of the report is titled “A Small Foundation Staffs Up to Achieve Big Goals.”
Roadmap for Action: Advancing the Adoption of Telehealth in Child Care Centers and Schools to Promote Children’s Health and Well-Being
The Children’s Partnership, the Winter Park Health Foundation, and Nemours Children’s Health System, in partnership with NORC at the University of Chicago, present this Roadmap for Action as a guide for interested stakeholders across the country—in schools, school districts, community health centers, hospitals, child care and early learning centers, counties, states, and the federal government—to move toward wider adoption of school- and child-care-based telehealth programs, which have shown promising results in numerous successful sites across the country.
On January 26, 2018, we held a convening entitled “Advancing the Adoption of Telehealth in Child Care Centers and Schools to Promote Children’s Health and Well-Being,” bringing together key experts from across the country to identify accelerators and systemic barriers to implementation of successful telehealth programs and to share best practices. Participants included leaders and experts forging the way in these innovative approaches to improve care access and quality for children.
These successful and innovative programs and the valuable lessons they provide are discussed in this Roadmap with the hopes that their impact on child health access, quality, and care can be replicated across the country. As such, the Roadmap is intended to serve as a guide to help promote the adoption of effective telehealth implementation strategies in school and child care settings across the country, including strategies for overcoming barriers and creating opportunities to help promote a supportive policy context for telehealth adoption. We highlight evidence-based outcomes for telehealth in schools and child care settings; describe factors that influence implementation and adoption of telehealth; and provide tools for next steps to support greater access to quality children’s health care.