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School-Based Health CentersSBHC State Program Officewww.healthoregon.org/sbhc
Orientation topics: Adolescent & School Health UnitOregon’s School-Based Health CentersState SBHC fundingStandards for CertificationData requirementsYouth centered SBHCsYouth InvolvementResourcesOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Adolescent andSchool Health UnitOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Adolescent and School Health School-Based Health Center ProgramSchool Nurse ConsultantSchool Nursing Pilot ProgramYouth Sexual Health ProgramPolicy and AssessmentHouse Bill 2591– School Health Service PlanningGrants– Mobile School-linked Health CenterProgram– School-linked Telehealth PilotProgram– COVID-19 School-Based RecoveryProgramOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit4
Adolescent and School Health Unit Our Vision: Oregon is thevery best place for all youth tolearn, grow, and thrive. Our Mission: To support thehealth of all youth in Oregonthrough evidence-based anddata driven policies, practices,and programs.OREGON PUBLIC HEALTH DIVISIONAdolescent and School Health UnitLEARNGROWTHRIVE
SBHC State Program Office (SPO)Our roles: Certification Technical assistance9 employees1 Health Systems ProgramCoordinator Team Lead1 Epidemiologist/Health Economist Policy and program development2 Public Health Nurses Data collection and analysis1 School Mental Health Specialist Funding2 Research Analyst1 School Health Program Specialist1 Administrative SupportOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Oregon SBHCsOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
SBHCs are Integrated in the schoolBuilt on partnershipsYouth-centeredConvenient for parentsConvenient for studentsAccessible – no one shall bedenied access due to insurancestatus or ability to pay Effective and lead to betterhealth and educationaloutcomesOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
National School-Based Health ncies/OREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
SBHCs improvehealth outcomes increased use of vaccination andpreventive services reduced asthma morbidity improved prenatal care andhigher birth weights fewer emergency departmentvisits and hospital admissions lower illegal substance use andalcohol consumption higher contraceptive use among reduced c.pdfOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
SBHCs improveeducational outcomes Reduction in rates of schoolsuspension Higher high school completion Increases in grade point averages Increases in grade EGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Certified SBHCs in OregonAs of July 1, 2021:78 certified SBHCsin 25 counties 47 high schools 6 middle schools 11 elementary schools 14 combined-gradecampusesOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Certified SBHCs in Oregon 76% sponsored by Federally Qualified Health Centers 47% are state recognized as patient-centered primary care homes.www.primarycarehome.Oregon.gov 67% are in primary care health professional shortage areas. 11 SBHCs have a dental provider onsite. 97% of SBHCs have a mental health provider onsiteOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Certified SBHCs in OregonDuring 2019-2020 service year:OREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Behavioral Health in SBHCs Oregon SBHC model builtaround primary care. Some behavioral healthservices required onsite, butmental health therapy notcurrently required onsite. SPO continuing to developSBHC BH model andexpectations97% of SBHCs now have a MH provider onsiteOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
State SBHC fundingOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
State SBHC funding SBHC Base Funds Mental Health Expansion Grant Additional opportunitiesOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
SBHC Base Funds SBHC Base funding:– Certified SBHCs receive 60,000/year Base funding must be used to support SBHCoperations, for example:––––StaffingService deliveryMaintenanceEtc.OREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Mental Health Expansion Grant Capacity grants fund staff time and MH services 65 SBHCs Youth-led project grants 25 SBHCs Award Amounts VaryOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Additional opportunities Varies depending on SPO’s budget Occasional, one-time grants:– Supplies– Outreach & engagement– Youth-centered clinical environmentsOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
State SBHC Program FundingOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
QUESTIONS?OREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Standards forCertificationOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
SBHC Standards In Oregon Administrative RulesClearly defined modelStandardizes SBHCs in OregonIncreases evidenced-based bestpractice and qualityimprovement Voluntary process Only certified sites are eligiblefor SPO RS/Pages/certification.aspxOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Standards for Certification Section A:Section B:Section C:Section D:Section E:Section F:Section G:Section H:Certification processSponsoring agencyFacilityOperations/staffingComprehensive pediatric health careData collection/reportingBillingTerminologyOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Role: Sponsoring Agency A sponsoring agency is an entity that provides an SBHC or contractswith another entity to provide one or more of the following:––––––FundingStaffingMedical oversightLiability insuranceBilling support andSpace Medical sponsorship requirements shall include:– Medical liability coverage– Ownership of medical records and– Medical oversightOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Role: SBHC Site CoordinatorPrimary contact between SBHC & SPO Help keep SBHC in complianceNotify SPO when out of compliancePrepare for and attend SPO site visitsSubmit required information to SPOKeep Operational Profile up to dateAttend meetings with SPOForward communications to others within the SBHCOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Standards for Certification:Operations/staffing SBHCs must be open and offering clinical services (medical,behavioral and/or oral health) a minimum of three days/weekwhen school is in session. SBHCs must be open for services at least 15 hours/week,with availability for same-day and scheduled appointments At least one licensed medical professional must be available on-siteeach day the SBHC is open. (e.g., MD, DO, NP, ND, PA, DMD,EFDA, RDH, RN, LPN and/or QMHP)OREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Standards for Certification:Operations/staffingOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Standards for Certification :Eligibility for services All students in the school are eligible for services.– Students shall not be denied access to services based oninsurance status or ability to pay.– Students shall not be denied access to services based onrace, color, national origin, religion, sex, gender identityand/or gender expression/presentation, immigration status,sexual orientation, disability or marital statusOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Standards for Certification:Comprehensive pediatric health care SBHCs provide pediatric health care in line with nationallyrecognized standards of care, including recommendations from theAmerican Academy of Pediatrics Bright Futures guidelines. SBHCproviders should refer to Bright Futures to determine ageappropriate levels of service. https://brightfutures.aap.orgOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Standards for Certification:Comprehensive pediatric health careOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Standards for Certification: Billing All providers whose provider type is eligible to enroll with the OregonHealth Plan (OHP) must enroll with and bill OHP. Providers must be credentialed with and bill private insurancecompanies for reimbursement whenever possible. SBHCs must determine whether their coordinated careorganization(s) (CCOs) have mechanisms for maintainingconfidentiality when billing for services (e.g., ability to suppressEOBs for confidential visits). If a procedure does not exist, theSBHCs shall work with the CCO to determine the best method forthe SBHC to bill for services while preventing inadvertent disclosureof personal health information.OREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Standards for Certification: Waivers– SBHCs must notify the programwithin 20 calendar days ofany change that brings theSBHC out of compliance– Waiver must include: an explanation of the noncompliance a plan for corrective action date for meeting compliance.– SPO will approve or deny thewaiver within two weeks ofsubmission.OREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Standards for Certification:Verification Site Visit– SBHCs attest they meetOregon’s Standards forCertification Initial certification application Operational Profile– SPO conducts a verificationsite visit of each SBHC within one year of applicationapproval every two years for arepresentative sample ofcertified SBHCs in each SBHCsystem.OREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Verification Review Pages/certification.aspxOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Site Visit Report Who attended site visitWho we met with during visitWho attended debriefStrengths of staffImpression of SBHC modelItems corrected at visitWaivers in placeKey findingsAreas for improvementOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Site Visit Report Action Item Plan Deadline Date CompletedOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Certification Plaque
Standards for Certification: Other New Site Coordinator Medical sponsor change Transfer of location on school grounds Transfer of location off school grounds (to another school) Closure of a SBHC Opening a new SBHCOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
SBHC Data & ReportingRequirementsOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
SBHC Data Related Requirements Operational Profile: Annual Operating Revenue Information Key Performance Measures (KPMs) Visit/Encounter Data Student Satisfaction Survey Mental Health Expansion Grant ReportOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Operational Profile
Operational Profile When is the information required to be updated and confirmed? Initial site certification Submitted by October 1st of each year This year’s due date has been changed to December 1st Prior to your certification site visit As changes occur during the yearEmail sbhc.program@dhsoha.state.or.us with questions onthe Operational Profile.OREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Operational Profile User’s /Pages/certification.aspxOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Annual Operating Revenue Information Submitted by October 1st of each year This year’s due date has been changed to December 1st Retrospective operating revenue data for the previousservice year of July 1st through June 30thOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Key Performance Measures Well visit Comprehensive Health Assessment Optional Measures for 2021-2023––––Adolescent ImmunizationChlamydia ScreeningFlu ImmunizationNutrition ScreeningOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health UnitAdolescent Teen Immunization SeriesDepression ScreeningHPV ImmunizationSubstance Use Screening
Key Performance Measures SBHCs are required annually to perform a random chart audit on asubset of their charts for clients ages 5-21 Submitted by October 1st This year’s due date has been changed to December 1st On our website you’ll find Guidance documents that outline thedefinitions and requirements, including criteria for the eligiblepopulation for each Core and Optional measure. Any physical, mental or oral health visit should be included in thechart audit, unless stated otherwise.OREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Visit/Encounter data All visits – physical health, behavioral health, oral health All clients – clients of any age (not just school-age) Usefulness of visit data Types of visits, types of diagnoses, client demographicsCreate reports, brochures, marketing materialsApply for grantsPresent data to legislature, school board, communitypartners, potential fundersOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Visit/Encounter data deadlines Mid-year reporting January 15th of every year Include all visits from 7/1 through 12/31 Year-end reporting July 15th of every year Include all visits from 7/1 through 6/30Data must be submitted to the State Program Office in a securemanner to be HIPAA compliant.OREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Student Satisfaction Survey Administered on iPad Client ages 12 to 19 Administer it one time to a client The SPO gives each SBHC a minimumnumber of surveys to complete based on thenumber of clients served the previous yearOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Student Satisfaction Survey deadlines Mid-year reporting January 15th of every year Surveys completed since the beginningof school year Year-end reporting June 30th of every year Remainder of surveys completed sincemid-yearOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Student Satisfaction Survey –Parental/Guardian NotificationStudents between the ages of 12 and 19 who visit the SBHC may beasked to complete an anonymous survey after their visit. The survey asksabout the student’s satisfaction and experience at the SBHC, as well assome general questions about their physical and mental health status.Students can refuse to take the survey and this will not affect their ability toget care at the SBHC. A copy of the survey is available below. If you havequestions about the survey, please contact the SBHC State Program Officeat s.aspxOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Mental Health Expansion Grant Report Biannual narrative reports:––––January 2021July 2021January 2022July 2022OREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
QUESTIONS?OREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Youth CenteredSBHCsOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Standards of Certification: Access tohigh quality, comprehensive health tyVisibilityFlexibilityCoordinationOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Youth Centered SBHC
Youth Centered SBHCOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Youth Centered SBHCOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Youth Centered SBHC
Youth Centered SBHC
Youth Centered SBHC
Youth Centered SBHC
Youth Centered SBHC
Youth Centered SBHCOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Youth Centered SBHC
Youth Centered SBHC
Youth Centered SBHCOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Youth Centered SBHCOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Youth Centered SBHCOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Youth Centered SBHC
Youth Centered SBHC
Youth Centered SBHCOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Youth Centered SBHCOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
YACsOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Franklin SBHC Youth Engagement
Youth Advisory Councils (YACs) Youth-driven groups thatfocus on advising,supporting and advocatingfor SBHCs and theirservices. During the 2020-2021school year, 32 certifiedSBHCs had a YAC.OREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Adolescent Health Initiative Resource for Start up Plan–––––School integrationIntegrated Behavioral HealthPartnerships for Expanded Medical HomeCollecting Patient Satisfaction SurveysAssessment gcare/school-based-health/OREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
QUESTIONS?OREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
SPO ResourcesOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Email Lists Site Coordinators & Site Administrators Health Department Primary Contacts Mental Health Primary Contacts Mental Health Expansion Grant Youth-Led Grant School Health State Planning GrantOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
.or.usOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
OREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Re-Certification ationProcess.pdfOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Annual Status Report or S/Pages/publications.aspxOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
SBHC Fact Sheets Individual SBHC reports are createdannually and sent to the Coordinatorby the end of the calendar year. The fact sheet includes:o Statewide data on Oregon SBHCso Site-specific datao School indicatorsOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
TERS/Pages/index.aspxOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Coordinator Meetings & SBHC Trainings Coordinator Meetings––––October in-personWinter webinarSpring RS/Pages/coordinators.aspx Trainings and presentations– s/training.aspxOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Important DatesOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Contact UsSchool-Based Health Center ProgramOregon Public Health Division800 NE Oregon St., Ste. 805Portland, OR 97232P: 971-673-0871F: lthoregon.org/sbhcOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
QUESTIONS?OREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
Thank Youwww.healthoregon.org/ahLEARNGROWTHRIVEOREGON PUBLIC HEALTH DIVISIONAdolescent and School Health Unit
OREGON PUBLIC HEALTH DIVISION Adolescent and School Health Unit All providers whose provider type is eligible to enroll with the Oregon Health Plan (OHP) must enroll with and bill OHP. Providers must be credentialed with and bill private insurance companies for reimbursement whenever possible.
