Module 1: Articulating the Need for a School-Based Health Center

This module articulates the need for school-based health centers and provides the necessary resources to help you decide if starting a school-based health center is right for your school district. If you are ready to start a school-based health center, the tools in this module will help you articulate the need to potential key partners.

NASN Position Statement
Position statement on the role school nurses in collaboration with SBHCs. - National Association of School Nurses

Assessing the need for SBHC Services (CHI)
An assessment from the Colorado Health Institute identifies schools and school districts that could most benefit from the addition of a school-based health center. The project was a partnership between CHI, the Colorado Association for School-Based Health Care (CASBHC) and the Colorado Department of Public Health and Environment. - Colorado Health Institute

Differences Between School Nurse & SBHC
SBHCs and school nurses know that healthy students learn better. This 2 page document shares a quick overview of the similarities and differences between SBHCs and school nurses. - School Based Health Alliance

Factsheet on the Benefits of School-Based Health Centers
It is well accepted that healthy children make better learners and research supports a connection between health status and academic performance. Students and teachers alike say that School-Based Health Centers make a difference because they take health issues out of the classroom and into the hands of qualified medical professionals. - Colorado Association of School Based Health Care

The Evolving Role of SBHCs in Colorado
With legislative approval of $5.3 million in funding for fiscal year 2013-14, an increase of $4.3 million from the prior year, it is expected that Colorado will see the creation of new SBHCs in areas of high need and the expansion of some existing SBHCs.This report is based on a survey taken in October 2013 in which 51 of the 54 SBHCs in operation during the 2012-13 school year responded. - The Colorado Health Foundation

Benefits of SBHCs FAQ
This tool provides a list of frequently asked questions regarding school based health centers.

Benefit of SBHCs (Community Guide Factsheet)
This factsheet outlines the findings of The Community Preventive Services Task Force's systematic review of 46 SBHCs. The Task Force recommends the implementation and maintenance of school-based health centers (SBHCs) in low-income communities, based on sufficient evidence of effectiveness in improving educational and health outcomes.

School Based Health Centers and Academic Success
SBHCs - the convergence of public health, primary care, and mental health - provide an optimal setting to foster learning readiness and academic achievement while giving children the resources they need to improve their health. This one page document highlights the facts about SBHCs and academic success. - School Based Health Alliance

The Impact of School-Connected Behavioral and Emotional Health Interventions on Student Academic Performance
Over the past decade, interest in behavioral health promotion and early intervention programs has increased and support to include schools as settings for behavioral and emotional health activities has expanded. This annotated bibliography identifies recent empirical studies and reviews linking behavioral health promotion and prevention interventions with student academic outcomes. - The Center for Health and Health Care in Schools

School Based Health Centers and Pediatric Practice Policy Statement
Some pediatricians have concerns that SBHCs are in conflict with the primary care provider’s medical home. This policy provides an overview of SBHCs and some of their documented benefits, addresses the issue of potential conflict with the medical home, and provides recommendations that support the integration and coordination of SBHCs and the pediatric medical home practice. - Pediatrics

School Based Health Centers: Cost-Benefit Analysis and the Impact on Health Care Disparities
This cost-benefit analysis highlights why SBHCs should be seen as a health service delivery model to help address a lack of accessing timely care for disadvantaged students. SBHCs address problems regarding transportation, lack of nearby providers, lack of providers accepting public insurance, and parental difficulties getting time away from work to take a child to the doctor, which in turn helps parents retain employment and helps employers increase worker productivity. - American Journal of Public Health

Durango SBHC Video- Kaleidoscope Project
A 3 minute video highlighting one student's experience with Durango High School's SBHC. - The Colorado Health Foundation

CASBHC General Video 
An overview video of the services and benefits of school based health centers in Colorado. - The Colorado Health Foundation

Student Health Impact on Academics
A 5 minute video discussing what it really takes to help kids succeed in school and in life. The social, physical, mental, and emotional health of students affects their behavior and their academics. - The Colorado Education Initiative

The BluePrint for SBHCs
The Blueprint is a member resource to help guide you as you design, operationalize, and expand your SBHC to meet the needs of your students and community. A paid membership provides full access to the BluePrint. - School Based Health Alliance

Module 3: School-Based Health Center Operations

This module reviews the initial implementation of a new school-based health center program and provides the necessary resources to begin the process of opening a new school-based health center. The tools in this module provide samples of parental forms, job descriptions, marketing, and other initial steps to opening a new health center.

REGISTRATION/PARENTAL CONSENT FORMS

SBHC Registration SBHC Packet (English and Spanish)

SBHC registration material in English and Spanish that discusses services are offered, services not offered, who provides services, parental involvement, confidentiality, costs, and insurance information. - Denver Health and Hospital

Student Enrollment and Registration Form (English)

Registration and consent form that enrolls a student in the SBHC physical, mental, and oral health programs. The form also includes information about enrollment and HIPPA privacy practices. - Kids Clinic in Avon

Student Enrollment and Registration Form (Spanish)Registration and consent form in Spanish that enrolls a student in the SBHC physical, mental, and oral health programs. The form also includes information about enrollment and HIPPA privacy practices. - Kids Clinic in Avon

Enrollment and Consent Form

Forms in English and Spanish to enroll students into care and authorize parental consent. Includes benefits of SBHCs, hours, cost of services, and enrollment information. - Kids First Health Care

Enrollment Form

A sample enrollment form to enroll new patients in their SBHCs. The sample includes information for patient information, other family members in the household, child's medical history, health care insurance, emergency contact, and insurance payment authorization and release. - Metro Community Provider Network

Registration and Consent Form
Registration and consent forms that collect patient information, family contacts, insurance information, and emergency contact. The tool also includes a statement of HIPAA privacy practices. - Kids' Clinic at Crawford and Laredo

FACILITIES

Sample Equipment, Furniture and Supply List
Excel document that displays equipment and supplies often needed in a SBHC program. Estimates of costs and quantities are also included. - Tulane Section of Adolescent Medicine 

SBHC Floor Plan (4 Exam Rooms)

Sample floor plan that includes four exam rooms, lab, intake/office, a multipurpose room, waiting area, and bathroom. The sample floor plan includes sample furniture or supplies in for each room, along with dimensions of each room. - Aurora Public Schools

SBHC Floor Plans (Various Sizes)

Mock-up of floor plans of various SBHC configurations. The floor plans also include a more detailed construction plan. - Denver Health and Hospital

SBHC Floor Plans (2 Exam Rooms)

Floor plan that a new program can review and use when creating a new SBHC. - Kids Clinic in Avon

JOB DESCRIPTIONS

SBHC Planning Coordinator Job Description

Sample job description for a SBHC planning coordinator that includes a position summary, primary responsibilities, and desired skills, knowledge, and abilities. SBHC programs can use this sample to develop their own job description for a planning coordinator position.

Overview of SBHC Jobs and Roles

A summary of each staff members' job tasks detailing the roles and responsibilities of each team member, individually and as a member of the clinic team. - Kids Clinic in Avon

Clinic Manager Job Description

Job description for a clinic manager position that includes who the position supervises, a job summary, responsibilities, qualifications, and physical requirements.

Director of Practice Management Job Description 

A sample job for a director of practice management that includes who the position reports to, who the position supervises, a job summary, responsibilities, qualifications, and physical requirements.

Administrative Assistant Job Description

Administrative assistant job description includes an overall statement of responsibility, essential duties and responsibilities, minimum qualifications, preferred qualifications, personal characteristics, physical demands, and working environment, among others.

Medical Director Job Description

A sample job description for a medical director that includes a statement of responsibility, outlines specific responsibilities, who the position reports to, who the position supervises, the classification of the position, and skills, values, and talents.

Family Nurse Practitioner Job Description

Job description for family nurse practitioner at a SBHC. The sample includes salary information, available positions, and descriptions of the job that new SBHC programs can guide in developing their own job description for a family nurse practitioner. - Kids Care Clinic in Avon

Pediatric Nurse Practitioner Job Description

A sample job description for a pediatric nurse practitioner that new SBHC programs can adapt when creating their own job descriptions. Components of the job description include title of job, overall statement of responsibility, responsibilities, who the position reports to, who the position supervises, the job classification, and skills, values, and talents desired.

Nurse Practitioner Contract

A contract and memorandum of understanding for a family nurse practitioner at a SBHC. The sample tool includes terms of employment, termination, performance evaluation, leave policies, and other topics for a family nurse practitioner. - Kids Care Clinic in Avon

Role of RN/LPN/Nursing Assistant

This document defines the role of RN/LPN/Nursing Assistant. It is useful when working with a LPN or Nursing Assistant to understand their Scope of Practice.

SBHC Social Worker

A sample job description for a social worker in a SBHC. The sample includes qualifications, job goals, and performance responsibilities. New SBHCs can use this sample to develop a job description for a social worker.

SBHC Medical Receptionist

A sample job description for a medical receptionist at a SBHC that includes a summary, essential duties and responsibilities, qualifications, and others. New SBHCs can use this tool as a guide to develop their own sample job description for a medical receptionist. - Kids Care Clinic in Avon

SBHC Medical Assistant

A sample job description for a medical assistant that includes a summary of the position, job duties, and qualifications, education, and experience required. New SBHC programs can use this sample to develop a job description for a medical assistant. - Kids Care Clinic in Avon

MARKETING

Marketing Strategy Tips

SBHC marketing and communications technical assistance presentation highlighting supported provided to five SBHCs in 2013. Includes SBHC marketing examples and lessons learned. - Bawmann Group

Marketing Plan

A marketing plan developed to increase enrollment and service utilization, convey the value of affordable healthcare in the region, and improve relationships and support for clinic's sustainability. The plan also includes a detailed market analysis with strategies to grow utilization in the community. - Kids Care Clinic in Avon

SBHC Website

User-friendly website detailing information about the SBHC sites. - Kids First Health Care

SBHC Flyers- Various Audiences (English/Spanish)

Flyers advertising SBHC sites and the services available to students. The flyer also lists the different sites and provides information in Spanish as well. - Denver Health and Hospital

Tri-fold Pamphlet

A tri-fold Denver Health and Denver Public Schools advertising SBHCs in Denver with a list of their sites, program partners, services provided and not provided, parental involvement, confidentiality, and costs of services. New SBHCs can adapt this tri-fold to advertise their program in a new community. - Denver Health and Hospital and Denver Public Schools

Flyers for Parents (English/Spanish)

A two page information flyer in both English and Spanish. The flyer shows the types of services offered at a SBHC and provides insurance information for parents. - Kids First Health Care

Enrollment Flyer (English/Spanish)

A marketing flyer developed and used to advertise SBHC sites and adolescent health care services provided. The flyer is in English and Spanish. - Kids First Health Care

Detailed Informational Flyer (English and Spanish)
An informational flyer about the SBHC Kids First Health Care in English and Spanish. Information includes clinic locations, services, the benefits of using an SBHC, hours of operation, cost of services, and the impact on student academic achievement. - Kids First Health Care

SBHC Annual Report
A visualization an annual report detailing its school-based health center network of sites. - Denver Health and Hospital

MINOR CONSENT/CONFIDENTIALITY

Health Information Portability and Accountability Act (HIPAA) and Family Education Rights and Privacy Act (FERPA) Factsheet

Fact Sheet detailing the impact of federal laws on school-based health center programs. The factsheet reviews HIPAA and FERPA laws and how those laws relate to access to health information. The factsheet is a good starting resource for new SBHC programs to understand how federal laws affect care delivery. - Colorado Association for School-Based Health Care

Parental HIPAA Form

A sample notice of privacy practices in English and Spanish. The tool provides HIPAA-related information to parents about their rights, choices, how Denver Health uses and discloses information, and other relevant HIPAA information. - Denver Health and Hospital

HIPAA Consent Form

A sample consent form to use confidential information Metro Community Provider Network in compliance with HIPAA. The consent form reviews HIPAA privacy rules for MCPN patients which new SBHCs can adapt. - Metro Community Provider Network

Bill of Patient's Rights and Responsibilities

A sample bill of rights from MPCN outlining the rights patients have at MPCN and the responsibilities as a patient at MCPN.

HIPAA Notice (English)

A sample notice of privacy practices Kids First Health Care that is in compliance with HIPAA. The notice of privacy practice includes understanding health information, how Kids First Health Care may use and disclose health information, other uses and disclosures allowed and/or required by law, and other topics to ensure compliance with HIPAA. - Kids First Health Care

HIPAA Notice (Spanish)
A sample notice of privacy practices Kids First Health that is in compliance with HIPAA in Spanish. The notice of privacy practices includes the same sections as in the English version. - Kids First Health Care

FINANCE & BUDGET

Budget Templates

A sample budget template with tabs for data input, staffing, other costs, in-kind, income statement, and instructions. New SBHCs can use this sample budget template when developing a budget for a new SBHC program. - The Colorado Health Foundation

Enrollment Fee Form (English/Spanish)

An enrollment fee form that families are required to complete and pay when they enroll their child(ren) in the SBHC. The enrollment fee is determined by family size and income. The sample form is in English and in Spanish. - Kids First Health Care

Sliding Fee Scale

Sliding fee scale from 100% of the Federal Poverty Level (FPL) through 300% FPL and above. - Crawford and Laredo Elementary Kids Clinics

Sliding Fee Scale

Sliding fee scale that displays twelve fee codes by different poverty levels, along with a 2015 - 2016 enrollment fee that is required of all families except for all Medicaid patients. - Kids First Health Care

EVALUATION TOOLS

Student Satisfaction Survey

A sample student survey to assess satisfaction of services provided by the SBHCs. - Southwest Open School

Patient Satisfaction Survey (English and Spanish)

A patient satisfaction survey in English and Spanish that asks patients to rate the ease of getting care, waiting, the clinic staff, financial screeners, cost and the facility. - Kids First Health Care

Parent Satisfaction Survey - Southwest Open School

A parent satisfaction survey to ensure parental input for health care services provided at the SBHC. - Southwest Open School

Student Survey

A sample student survey for school students to gauge their knowledge about a SBHC and the services they offer. - Kids First Health Care

Quality Measurement and Improvement Tools
Toolkit of resources to support high quality practice at SBHC. The toolkit includes a CQI tool, SBHC report card, SWOT template, implementation plan, and PDSA worksheet. - School-Based Health Alliance

Module 2: Planning School-Based Health Centers

This module provides resources to start planning the fundamental components necessary to open a SBHC. These include partnership development, needs assessments, and business model development.

WORK PLAN

SBHC Planning Grant Timeline/Tasks
A sample work plan of essential tasks to complete during the SBHC planning period. Major activities include planning grant application, needs assessment, community relations, location development, service delivery planning and budget development. - Colorado Association for School-Based Health Care

PLANNING CHECKLIST

Checklist for Starting A School-Based Health Center
Checklist of essential tasks for opening a new SBHC. The 22-step checklist includes high-level tasks such as stakeholder engagement, needs assessment, operational and business plans, and clinical protocol. - Colorado Association for School-Based Health Care

ORGANIZATIONAL CHARTS

General Organizational Chart Example

Sample organization chart demonstrating the relationship between key partners in an SBHC. - Colorado Association for School-Based Health Care

SBHC Organizational Chart
Northside Child Health Center SBHC organizational chart depicts partner relationships and roles/responsibilities. - Northside Child Health Center

PARTNERSHIP DEVELOPMENT

Sample Memorandum of Understanding (MOU) between a School and Medical Sponsor
Template for a Memorandum of Understanding (MOU) between a school district and medical sponsor. Includes responsibilities for each entity during the implementation and operation of the SBHC.

School District/SBHC Sponsor Memorandum of Understanding (multiple sites)
MOU detailing each entity's roles and responsibilities in the operation of multiple SBHCs. - Denver Health and Hospital and Denver Public Schools

School District/SBHC Sponsor Memorandum of Understanding (single site)
MOU detailing each entity's roles and responsibilities in the operation of the SBHC. - Eagle County School District 50J and Doctors Plus

Memorandum of Understanding with Multi-Partner Organizations
Operating agreement between Denver Health, Denver Public Schools, Mental Health Center of Denver and Jewish Family Services forming the membership in the Denver School Health Service Council. The mission of the council is to develop, test and disseminate approaches to health care delivery within schools in Denver Public Schools. - Denver Health and Hospital

Letter of Interest for Medical Sponsor
Letter of Interest Request for SBHC Medical Sponsor- Sample request for Letters of Interest from medical organizations interested in serving as a medical sponsor for a SBHC. Requests basic information from potential partners regarding their interest in serving as a medical sponsor, description of current services offered, anticipated services to be offered at SBHC and current location.

Request for Proposals for Medical Sponsor
RFP to solicit lead agencies or medical sponsors for a school district's SBHC. RFP includes general terms and conditions, special condition, bid proposal form and statement of work.

Medical Director Services Agreement
Agreement between SBHC sponsor and Medical Director detailing roles and responsibilities of each entity. - Kids Care Clinic in Avon

Mental Health Partner and SBHC Memorandum of Understanding
Memorandum of Understanding (MOU) among Aurora Public Schools, Aurora Mental Health Center and Rocky Mountain Youth Clinic to establish and maintain their working relationships and implementation of the Aurora Central SBHC. - Aurora Public Schools

Oral Health Partner and SBHC Memorandum of Understanding
Comprehensive toolkit of resources for integrating oral health components into a SBHC's policy and practice. Key components of a Memorandum of Understanding (MOU) are provided on pages 10-11 and a sample MOU is on page 38. - Colorado Association for School-Based Health Care

Relationship between SBHC and School Nurse
The sample agreement delineates communication, coordination and key responsibilities.

Relationship between SBHC and School Social Worker
The sample agreement delineates communication, coordination and key responsibilities.

Assessing the need for SBHC Services (CHI)
Adolescent Reproductive Health Toolkit that describes several frameworks for youth engagement to facilitate youth advocacy for reproductive health services in SBHCs. Describes youth advocacy and its effectiveness and providers several tools and resources. - Colorado Association for School-Based Health Care

COMMUNITY ASSESSMENT

Needs Assessment Template

Comprehensive needs assessment template to be used by planning sites and updated every three years. Includes information on medical sponsor, school district, school community, larger community, perceived health needs of students, parents, school staff/faculty, community members and provider agencies. - Colorado Department of Public Health and Environment, 2015

General Survey Tools
Sample surveys to assess students' health service needs and guide development of SBHC programs and services. Various surveys for students (grades 5-12), parents, teachers/faculty, and community partners.

Kids Care Clinic Survey Tools
Parent, student, school staff and community survey to assess current and potential patients use of clinic, health needs and marketing messages. - Kids Care Clinic in Avon

Section 330 Health Center Mapping Tools
A interactive, web-based tool designed to help assess the geographic reach, penetration, and growth of U.S. federal (Section 330) Health Center Program (HCP) grantees and look-alikes. - Uniform Data System (UDS) Mapper

Community Mapping Tool
A variety of web-based interactive tool and maps with thousands of meaningful data layers that allow mapping and reporting capabilities so you can thoroughly explore community health. Allows users to review pre-developed maps or create their own. Includes a Vulnerable Populations Footprint tool helps identify areas of a community with specific levels of educational attainment and poverty. - Community Commons

BUSINESS MODEL

Engineering Sustainable SBHCs Graphic
Graphic depiction of the most important characteristics of strong and thriving SBHCs into three aspects of a sustainable program: strong partnerships: sound business model and high quality practice. - School-Based Health Alliance

Key Components of a Business Plan
PowerPoint presentation on key components in a business plan. Includes information on developing a business identify, market analysis, operational description, target population, marketing plan, and financial projections. - Colorado Association for School-Based Health Care

Business Plan Statement
A 4-year business plan template to help launch a new or expanded SBHC program. The template was used during the foundation 2009-2013 SBHC initiative, yet remains relevant to any organization planning a SBHC. Each business plan component is explained and additional resources are recommended. - The Colorado Health Foundation

Colorado Department of Public Health and Environment (CDPHE) Quality Standards for SBHCs (Revised February 2017)
Comprehensive list of SBHC standards, including core requirements, sponsorship requirements, program operations, and program core elements and levels. These standards are used by CDPHE to determine state SBHC program funding awards. - Colorado Department of Public Health and Environment

Health Insurance Outreach and Enrollment Toolkit
Publication to help design an outreach and enrollment strategy that meets the needs of the students, school and community. The toolkit includes essential outreach and enrollment components, three outreach and enrollment models, marketing efforts and potential revenue sources for outreach efforts. - Colorado Association for School-Based Health Care

 
 

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info@casbhc.org

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