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9/30/2011New Mexico, Medicaidand the SchoolsJane W. McGrath MDDirector, Envision New MexicoProfessor of Pediatrics, University of New Mexico HealthSciences CenterUniversity of New Mexico * Department of Pediatrics * Envision New MexicoSchoolsWhere the kids areAnnie E. Casey State RankingNew Mexico ranks 46th for Child Well Being“Children are the world’s most valuable resource and itsbest hope for the future” John Fitzgerald KennedyUniversity of New Mexico * Department of Pediatrics * Envision New Mexico1
9/30/2011High School Graduation Rate (Percent)20082009201060.3%66.1%67.0%In NewMexicoUniversity of New Mexico * Department of Pediatrics * Envision New MexicoHigh School Graduation:On Time Graduates New Mexico2007-08 67% United States2007-08 75%University of New Mexico * Department of Pediatrics * Envision New MexicoTeen Birth Rate15-19 year olds New 200864%Mexico United States200841%University of New Mexico * Department of Pediatrics * Envision New Mexico2
9/30/2011Children living in single parentfamilies New Mexico United States 200941% 200934% University of New Mexico * Department of Pediatrics * Envision New MexicoChild Population by race: 2009 New Mexico United States Hispanic- 22% Hispanic- 55% Two or more races- 3% Two or more races- 2% Asian- 4% Asian- 1% Native American and Alaskannative 10%Native American and Alaskannative 1% Native Hawaiian and other PacificIslander- 0%Native Hawaiian and other PacificIslander- 0% Black or African American- 14% Black or African American- 3% White- 55% White- 28%University of New Mexico * Department of Pediatrics * Envision New MexicoACLU Sues New Mexico SchoolDistrictAccording to the lawsuit, students at XXX school wereconfined to their classrooms for several hours twice inMay while a German shepherd sniffed each student fordrugs. Students as young as five reportedly were told toput their hands on their desks, avoid looking at the dogand not make any sudden movements, or the dog wouldbite them. The complaint says the dog got loose in a kindergartenclassroom and chased students around the room. TheACLU calls the searches ludicrous and says they violatedthe students' constitutional rights against unreasonablesearches. University of New Mexico * Department of Pediatrics * Envision New Mexico3
9/30/2011Falling Siloshttp://www.youtube.com/watch?v tcigoSFQxns&feature relatedUniversity of New Mexico * Department of Pediatrics * Envision New MexicoWhat silos have you broken down?University of New Mexico * Department of Pediatrics * Envision New MexicoMy Job Health Reform – My Motherhttp://www.youtube.com/watch?v L2zqTYgcpfgUniversity of New Mexico * Department of Pediatrics * Envision New Mexico4
9/30/2011How do you describe what you do?University of New Mexico * Department of Pediatrics * Envision New MexicoThe New Mexico StoryNew Mexico Administrative claiming forMedicaid started in 1994 Joint Powers Agreement was developedbetween the state agencies Human Services DepartmentPublic Education DepartmentDepartment of HealthChildren,Youth and FamiliesUniversity of New Mexico * Department of Pediatrics * Envision New MexicoThe Key Ingredient Jack McCoy writes a memo Codifies how Medicaid reimbursement shouldbe used by school districts to: “Pay for health and health relatedservices for all students” PED oversight of how funds are used – noAstroturf, football helmets or coaching salariesUniversity of New Mexico * Department of Pediatrics * Envision New Mexico5
9/30/2011Medicaid in the Schools MeetingsBrought school districts together with stateagency representatives Gave schools a voice Made everyone accountable for appropriateuse of funds Kept the interest groups at bay – this isabout funding for all students University of New Mexico * Department of Pediatrics * Envision New MexicoWhere does the money go? Majority for healthcare personnel inschools School nurses ex: Albuquerque Public Schools,Head Nurse Cindy Greenberg – “my staff wentfrom 87- 130 nursing positions.” School-Based Health Centers, equipment,supplies and staffing Mental health counselors Medicaid funds provide stability for schoolhealth positions during the lean timesUniversity of New Mexico * Department of Pediatrics * Envision New MexicoPutting School Health on the AgendaParent and community input processesdeveloped for using funds Health has its own budget line Stable funding for positions that are oftenthe first to be cut Recognition by school administrators thathealth is a key ingredient for studentsuccess University of New Mexico * Department of Pediatrics * Envision New Mexico6
9/30/2011Albuquerque Journal, Sept, 2009University of New Mexico * Department of Pediatrics * Envision New MexicoUniversity of New Mexico * Department of Pediatrics * Envision New MexicoUniversity of New Mexico * Department of Pediatrics * Envision New Mexico7
9/30/2011University of New Mexico * Department of Pediatrics * Envision New MexicoUniversity of New Mexico * Department of Pediatrics * Envision New MexicoBegin with a visionary group of veterans from theSBHC field. Add in a generous helping of passion forhealthy kids and adolescents. Mix in providers,administrators, evaluators, and managers from fourstates and three time zones. Sprinkle in a spirit ofcollaboration and boundless energy. Finally, add infunding from a CHIPRA demonstration grantand .VOILA! You have the School-based HealthCenter Improvement Project!University of New Mexico * Department of Pediatrics * Envision New Mexico8
9/30/2011CHIPRA DemonstrationColorado and New Mexico Medicaid National Demonstration project Improve the quality of care Sort out how SBHCs are part of the patientcentered medical home On-line survey of a student’s experience ofcare On-line risk assessment University of New Mexico * Department of Pediatrics * Envision New MexicoSchool HealthMakes more sense than ever We bring the healthcare to where thepatients are Parents don’t take time away from work On-going relationship Boost school performance Teach students how to be an informedhealthcare consumer University of New Mexico * Department of Pediatrics * Envision New MexicoYou can make a differenceWhat can you learn in the next few daysthat can help you at home? How can you directly and personally makea difference? We build the world we live in one step at atime The work you do matters University of New Mexico * Department of Pediatrics * Envision New Mexico9
University of New Mexico * Department of Pediatrics * Envision New Mexico High School Graduation Rate (Percent) 2008 2009 2010 60.3% 66.1% 67.0% In New Mexico University of New Mexico * Department of Pediatrics * Envision New Mexico High School Graduation: On Time Graduates 2007-08 67% 2007-08 75% New Mexico United States
