School- Based Telemedicine: Mul3- use Networks to Improve Academic Outcomes. Steve North, MD, MPH Center for Rural Health Innova3on

School-­‐Based   Telemedicine:   Mul3-­‐use  Networks  to   Improve  Academic  Outcomes   Steve  North,  MD,  MPH   Center  for  Rural  Health  Innov...
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School-­‐Based   Telemedicine:  

Mul3-­‐use  Networks  to   Improve  Academic  Outcomes   Steve  North,  MD,  MPH   Center  for  Rural  Health  Innova3on  

Panel  Members   Jimmy  McElligot,  MD,  MCSR   Department  of  Pediatrics   University  of  South  Carolina  School  of  Medicine  

Eve-­‐Lynn  Nelson,  PhD   Associate  Director   University  of  Kansas  Center  for  Telemedicine  &  Telehealth  

Michael  Campbell,  MS,  MBA  CCC/SLP   Telerehabilita3on  Program   University  of  North  Carolina  Greensboro  

Mitchell  and  Yancey  Coun3es  

School-­‐Based  Health  Centers   No  maQer  how   good  schools  are,   students  won't  be   able  to  learn  if   they're  not   healthy.     -­‐  Secretary  of  Educa3on   Arne  Duncan  

SBHCs  Health  Outcomes   Higher  quality  adolescent  care   Improved  adolescent  mental  health  access   Decreased  use  of  urgent  and  emergency  care   Increase  in  risk  assessments  and  health  care   maintenance     •  Reduc3on  in  Medicaid  expenditures  and  cost  of   hospitaliza3ons   •  Decrease  in  risk  behaviors  and  increase  in  health   promo3ng  behaviors   •  •  •  • 

SBHC  Academic  Outcomes   •  •  •  •  •  • 

Decrease  tardiness  and  absenteeism   Improved  aQendance   Increased  GPA   Decrease  drop-­‐out  rate   Increased  school  engagement   Increased  seat  3me  

Pilot  Network  Components   •  700  students  have   access   •  ~225  enrolled   •  45  Hispanic  students  

Implementa3on  Plan   School  Year   2011-­‐2012   2012-­‐2013   2013-­‐2014   2014-­‐2015  

Sites   3   10   16   ????  

Access   670  students   2600  students   4000  students   Expand  to  new   coun3es?  

2011  School-­‐Based  Telemedicine   Survey   •  Informal  distribu3on  via  Survey  Monkey   –  ATA  Pediatric  Special  Interest  Group   –  Na3onal  Assembly  on  School-­‐Based  Health  Care   –  Telehealth  Resource  Centers  newsleQers  

•  46  organiza3ons  completed  some  or  all  of  the   survey   •  Considering  becoming  an  annual  survey  

Types  School-­‐based  Care  (n=44)   Other  

31.8%  

Dental   Speech  

15.9%   2.3%   27.3%  

Health  Ed   Nutri3on  

15.9%  

Mental  Health   Well  Visits   Chronic  Disease   Acute  Care  

52.3%   20.5%   45.5%   43.2%  

Time  in  Opera3on  (n=39)   3%  

5%  

8%  

13%   59%   13%  

Planning   5  years  

Number  of  Visits  Provided  Last  Year   (n=36)   3%   3%  

6%  

5%  

8%  

75%  

0-­‐50   51-­‐100   1-­‐250   251-­‐500   501-­‐1000   1000+  

Loca3ons  of  Telemedicine  SBHCs  (n=30)  

Where  are  the  spoke  sites  (n=36)   60.0%  

52.8%  

52.8%  

50.0%   40.0%   30.0%   20.0%  

13.9%  

10.0%   0.0%   Rural  communi3es  

Urban  Communi3es  

Suburban  Communi3es  

Hub  site  loca3ons  (n=35)   57.1%  

60.0%   50.0%  

48.6%  

40.0%   30.0%   17.1%  

20.0%   10.0%   0.0%   Rural  communi3es  

Urban  Communi3es  

Suburban  Communi3es  

36.0%  

School  district  owned/ sponsored  

16.0%  

Community  Health   Center  

Local  health   department  

Hospital  

16.0%  

Independent   organiza3on  

40.0%   35.0%   30.0%   25.0%   20.0%   15.0%   10.0%   5.0%   0.0%   Regional  health-­‐care   organiza3on  

Sponsoring  Organiza3on   32.0%  

16.0%  

8.0%  

Student  Popula3on  (n=38)   >10000  

15.8%  

5001-­‐10000  

10.5%  

2501-­‐5000  

13.2%  

1001-­‐2500  

28.9%  

501-­‐1000  

7.9%  

251-­‐500   101-­‐250  

5.3%   0.0%  

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