LAUSD Learning Collaborative Meeting. Thursday, December 12, 2013 The California Endowment Los Angeles, CA

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LAUSD Learning Collaborative

Meeting

Thursday, December 12, 2013 The California Endowment

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H

EALTHY

START

COORDINATOR

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W

ELLNESS

CENTER

COORDINATORS

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C

OMMUNITY

CLINIC

STAFF

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S

CHOOL

NURSES

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M

ENTAL

HEALTH

PROFESSIONALS

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S

OCIAL

WORKERS

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S

CHOOL

ADMINISTRATORS

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TEACHERS

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P

OLICY

ADVOCATES

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N

ON

-

PROFIT

ORGANIZATION

STAFF

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Issue: Diverse community partners from school and health clinics are in first time joint use partnerships and need to have unified vision in order to sustain and maximize services

Inputs Strategies _{Short-term (1yr)} Outcomes

Establish Services

Mid-term (2-3yrs) Enhance Services

Long-term Impact (5-7yrs) Improve Outcomes Communications Access Training 1. Finalized operating agreements 2. Communication systems in place • referrals • overall operations • Standing coordinating

council meetings that are attended by all core stakeholders 3. Mutual understanding of policy and procedures • consents • community outreach • staff trained

• Campus and clinic alignment

1. Active partnerships with shared funding 2. Collecting and

monitoring data

universally across sites 3. Provision of fully

billable or fundable services

4. Viable and effective referral systems

1. Wellness Centers are maximized and include the network of schools

2. Centers are full service and full capacity

3. Policies align across the District

4. 14 additional Wellness Centers in progress Wellness Logic Model

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C

OLLECTIVE

I

MPACT

W

ORK

Maryjane Puffer, BSN, MPA

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• Mission, not

organization

• Trust, not control • Humility, not brand • Node, not hub

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Scattered Clusters Hub-and-Spoke Multi-Hub Core Periphery

Time

Where Most Network-Building Begins Self-Sustaining Network

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W

ELLNESS

CENTERS

REPORT

CARD

Kimberly Uyeda, MD, MPH Director

Student Medical Services, Community Partnerships and Medi-Cal Programs

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T

OTAL

E

NCOUNTERS

A

CROSS

12 S

ITES

(J

AN

– N

OV

2013)

Total # Encounters:

8,998

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22

W

ELLNESS NETWORKS AGGREGATE SCORECARD

(11

SITES

, J

ANUARY

– N

OVEMBER

, 2013)

1. Belmont 8. Hollywood 2. Carson 9. Jefferson 3. Crenshaw 10. Jordan 4. ELC 11. Locke

5. Fremont 12. Manual Arts 6. Gage 13. Monroe

7. Garfield 14. Washington Prep

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# E

NCOUNTERS

BY

PATIENT

TYPE

School patients Non school patients

Total visits _4,049 _4,949

Percentage 45% 55%

Mean 368 449

Mean/month 33 41

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#

ENCOUNTERS

BY

GENDER

Females Males Total visits _5,497 _3,501 Percentage 61% 39% Mean 500 318 Mean/month 45 29 Range 98-907 97-524

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25 45% 55% 61% 39% 0% 10% 20% 30% 40% 50% 60% 70%

School patients Non school

patients Females Males

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#

ENCOUNTERS

BY

AGE

RANGE

0-5 6-9 10-14 15-19 20+ Total visits ₄₉₃ ₃₆₇ _1,093 _3,546 _3,499 Percentage 5% 4% 12% 39% 39% Mean 45 33 99 322 318 Mean/month 4 3 9 29 29 Range 0-78 0-49 0-227 190-547 5-688

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#

ENCOUNTERS

BY

AGE

RANGE

5% _4% 12% 39% 39% 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 0 to 5 6 to 9 10 to 14 15 to 19 20+

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#

ENCOUNTERS

BY

PRIMARY

SERVICE

Mental Medical Dental Other

Total visits _1,001 _7,644 ₂₁₀ ₁₄₃

Percentage _11% _85% _2% _2%

Mean ₉₁ ₆₉₅ ₁₉ ₁₃

Mean/month ₈ ₆₃ _1.7 _1.1

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#

ENCOUNTERS

BY

PRIMARY

SERVICE

11% 85% 2% 2% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90%

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

Clarification on what counts as an “encounter”



How to count mental health encounters



Do you think data categories should be broken out by

students vs. non-students?

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DATA S

YSTEM

N

AMING

C

ONTEST

 Help us think of a name for our data system  Submit entries on notecard

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P

RINCIPLES OF SCHOOL

-

BASED HEALTH CARE

(G

ROUP WORK

&

DISCUSSION

)

P

RINCIPLES

OF

S

CHOOL

-B

ASED

H

EALTH

C

ARE

Ezequiel De La Torre, M.Ed.

Organization Facilitator

Los Angeles Unified School District Student Health and Human Services

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W

ELLNESS

NETWORKS

PRINCIPLES

The L.A. Trust believes that there are five critical and distinguishing aspects of Wellness Networks, which will guide the recommendations that follow, as well as the priorities proposed for the L.A. Trust. These aspects are:

A. A place-based and population-based approach that strives to positively impact health in large groups of students

B. An emphasis on shared outcomes and indicators

C. A dedication to consistent information collection, sharing and collaborative learning D. A commitment to a robust coordination and referral capacity

E. A focus on affecting systems change through public and private partnerships, public policy and resource allocation within the District

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P

RINCIPLES

OF

SCHOOL

-

BASED

HEALTH

CARE

Improved Access to all Students and Community – The school-based health model is

designed to offer enhanced access to services by virtue of location, referral systems, personal relationships, and patient-friendly care.

Focus on Prevention- School-based health care does not stop at the door of the exam

room. Group and classroom education, school wide prevention, and community outreach are integral to the model.

Integrated and Individualized Support is provided – When students have health, social

or behavioral challenges, they and their families will get the services and support they need including youth development, leadership and career pathway opportunities.

A Model of True Collaboration between Health and Education Partners – Achieving

success in school-based health care depends on a true partnership between school staff and health/mental/oral health providers.

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

What are your impressions of the principles for

school-based health care?



What are the unique aspects of SBHCs/wellness

centers that we want to advance?



Do the items on the checklist capture important

elements of what you think should your sites should

look like/operate?

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W

HAT

ATTENDEES

FOUND

MOST

USEFUL

 Networking

_{Brainstorming with other wellness center sites}

 Input from students  reminds us of our reason for our work _{Career pathways information}

_{Progress update by wellness centers – encouraging, motivating} _{Revisiting the logic models}

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Perfect attendance awards

1. Xxx 2. Xxx 3. Xxx 4. Xxx Adriana De La Torre Aydee Valle-Amescua Daniel Johnson Dellis Frank Jackie Provost Jennifer Schott Lourdes Olivares Maribel Rodriguez Miriam Villasenor Tracey Washington

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S

TUDENT

ENGAGEMENT

WORK

Jeanne Aguinaldo

Student Engagement Program Manager L.A. Trust for Children’s Health

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Fremont Wellness Center’s Student Health Leaders

 Organized a Haunted House event after school on October 30 focusing on

STD prevention

 200 attendees  “Abstinence Man”

 Powerpoint on the consequences of untreated STDs

 Partnered with City Starts to host a Mo-vember awareness event on

November 30

 Promoted men’s health and encouraged annual physical and STD testing  Reached 50 students

 Collaborating with Mark Ridley Thomas’ office for HIV/AIDS awareness fair

on December 19

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STD A

WARENESS

C

AMPAIGN

H

IGHLIGHTS

Belmont Wellness Center

 Conducted Wellness Center tours with 8 classes,

reaching 122 students

 40 classroom presentations during advisory period  3 lunchtime tabling events, reaching 150 students

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Washington Prep Wellness Center Student Advisory Board

 Wellness Festival planned for December 13 with SAB, HOSA, and

Peer 2 Peer joining forces

 Info on STD prevention, reproductive health, and mental health  The students will be conducting a game of BINGO, wherein the

questions are based on education at various stations in the fair, as well as performing their own rendition of "What does the Condom Say?" (set to the tune of "What Does the Fox Say?“)

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Manual Arts Wellness Center

Health Justice Council representing the Peer2Peer Program at a student resource fair during lunch. Members had games which tested the knowledge of students on topics related to reproductive health, STDs, and services available at the wellness center.

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Jefferson High Wellness Center Student Health Advocates

 Two successful lunchtime tabling events

 Posted STD posters in lunch area

 Played games like “How fast can you put a condom on a

banana?”

 Gave out healthy treats, health ed brochures, and Wellness

Center info

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Jefferson High Wellness Center Student Health Advocates

Student Health Advocates created an STD bulletin board outside the main office

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 New data elements to be collected effective January 2014  Part of report due February 25

 To be included in Wellness Center Report Card on LA Trust website

 Example:

 Outreach events and activities = lunch time tabling, clinic tours, classroom

presentations, open house, newspaper ad, bulletins, etc.

 # student contacts reached through all the outreach events/activities

 Will add Student Career Pathways: work-based learning activities; # of students in

academic programs linked to health career development

R

EPORTING

S

TUDENT

E

NGAGEMENT

D

ATA

Student Engagement

SAB/Student Leadership teams?

Yes or No

# of members # of meetings # of outreach

events/activities

# student contacts

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Sparking in Motion

http://www.youtube.com/watch?

v=z_ysGgietXE

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I

NSTANT

RECESS

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L.A. T

RUST

UPDATES

1. Covered CA teacher recruitment

2. CSHC Statewide Conference support (March 6-7, 2014)

3. CSHC Y2Y Conference (March 28, 2014)

4. Grant updates and announcements

5. Meeting evaluation—please complete online

6. Learning Collaborative meeting schedule for 2014

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5 W

AYS

TO

H

ELP

U

S

UPPORT

T

HE

W

ORK

1) Make tax-deductible donation easily thru L.A. Trust website (www.thelatrust.org) 1) Shop at Amazon.com with our charity

designated (.5% donated on all

purchases) (Student Health Svcs. Support Fund)

2) Like us on Facebook:

www.facebook.com/thelatrust 3) Follow us on Twitter:

www.twitter.com/thelatrust

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 Covered CA progress

 Blue Shield Data Progress  LAUSD 5K

 First 5 Early Childhood Linkage to Wellness  STD Prevention Campaigns

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CSHC Annual Conference March 6, 7, 2014

L.A. Trust is able to support:

 Conference registration

for up to 4 individuals per Wellness

Coordinating Councils

 Registration instructions

will be provided by your respective Organization Facilitators

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CSHC Y2Y Conference

 _{Date: Friday, March 28, 2014}  _{Time: 9:00 AM – 4:00 PM}

 _{Place: The California Endowment}  _{Transportation will be provided}

1. Belmont 2. Carson 3. Fremont 4. Jefferson 5. Jordan 6. Manual Arts Wellness Centers represented at 2013 Y2Y

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M

EETING EVALUATION WILL BE EMAILED TO YOU

.

P

LEASE COMPLETE

.

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F

UTURE

MEETING

DATES

Season Date Time Place

Winter _{February 20, 2014}Thursday, 8:00 AM – 12:00 PM The California _Endowment

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