Vermont Department of Health - Maternal & Child Health Programs and 6 more...less...

Vermont Department of Health

Vermont Department of Health - AHS Goal 1

Vermont Department of Health - Maternal & Child Health (Diabetes)

Vermont Department of Health - Maternal & Child Health (Asthma)

OLH SHIP-related activities

Organizations

% of VT Public Schools indicating they use their EHR to identify, track, and maintain current individual health plans for students with asthma, diabetes, life threatening allergies, seizures

35%2018

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Story Behind the Curve

Last Update: April 2015

Author: Division of Maternal and Child Health, Vermont Department of Health

This is a new performance measure for the Division of Maternal and Child Health (MCH) at the Vermont Department of Health (VDH) though promotion of Electronic Health Records (EHR) and their usage to serve their student population has been an activity of the VDH School Liaisons (12 public health nurses and a nutritionist located in each of the Office of Local Health (OLH) district offices that work closely with schools) for some time now.An aggregate of those schools currently following this recommendation has not been done, and because this is a new performance measure, no baseline has been established at this time.

Partners

The Vermont Department of Health Divisions of Maternal and Child Health, Health Surveillance, and Office of Local Health (specifically the VDH School Liaisons located in each of the 12 district offices) , the Agency of Education, the Vermont Chapters of the American Academy of Pediatrics and the Vermont Academy of Family Physicians, Vermont school nurses, schools, supervisory unions, and school districts.

What Works

The VDH encourages coordination and case management for students with chronic diseases or other special health needs (i.e. diabetes, life threatening allergies, seizure disorders, and asthma).“Documentation of the nursing interventions provided to students with chronic disease who need more complex care and management at schools is crucial for efficient disease management and collaboration with all of the student’s team members”. (NASN position statement on, The School Nurse Role In Electronic School Health Records, retrieved on 4/13/15).Documenting timely and accurate communications with the student, family, school health personnel, and the student’s medical home (and specialists) is important, and can be done so using an EHR.School nurses can use their EHR to document the creation of individualized health plans and/or emergency care plans for a student, the training of school staff for delegated responsibilities, care or education discussed with student and or parents related to disease management and self-care skills, and referrals made to other health care professionals.The school’s EHR protects the student’s health information from being accessed by those that should not have access to it (i.e. Federal Family Education Rights and Privacy Act and the Health Insurance Portability and Accountability Act compliance). EHRs are designed to improve work flow in a school health office, improve information exchange, and support quality assurance and improvement efforts.Their reporting capacity supports these efforts, and assists the school nurse in completing other aggregate reporting requirements (i.e. the Vermont School Nurse Report and the Annual Immunization Status Report).

Action Plan

The VDH added the following two questions to the 2014/2015 Vermont School Nurse Report in order to establish a baseline number of schools that currently use their EHR to identify, track, and maintain current individual health plans for students with asthma, diabetes, life threatening allergies, and seizures.

  • Does this school have an electronic health record?
  • Does the school nurse at this school use the Electronic Health Record to identify, track and maintain current individual health care plans for students with asthma, diabetes, life-threatening allergies, or seizures?

The next step will be to determine a mechanism for continually monitoring the progress of this performance measure.

The VDH will continue to promote EHRs and their “meaningful use” in schools, during education and outreach opportunities, as well as through regular school interactions.

Scorecard Result Container Indicator Measure Action Actual Value Target Value Tag S R I P PM A m/d/yy m/d/yyyy