Collaboration with MCH Partners: Statewide School Asthma

TrainingUniversity of Florida

Pediatric Pulmonary Center

2007

EPA

PPC

ECOS

MCHB

CDCHUD

ASTHO FDIP

ALA

ATSDR

Surveillance

Advocacy

School AsthmaManagement

Indoor AirManagement

Outdoor AirManagement

Florida Summit Workgroups

DOH: Executive Director of School Health ServicesChair

DOH: Executive Director of School Health ServicesChair

Pediatric Pulmonary Center at University of FloridaPediatric Pulmonary Center at University of Florida

Title V

Public Health Nurse: School HealthPublic Health Nurse: School Health

EMS for ChildrenEMS for Children

Children’s Medical ServicesChildren’s Medical Services

Florida Academy of Family PhysiciansFlorida Academy of Family Physicians

Florida Society for Respiratory CareFlorida Society for Respiratory Care

American Lung AssociationAmerican Lung Association

Florida Academy of Physician AssistantsFlorida Academy of Physician Assistants

3,647

2,7872,635

2,4162,663

0

500

1,000

1,500

2,000

2,500

3,000

3,500

4,000

Number of Students Per RN

1997-98 1998-99 1999-00 2000-01 2001-02

School Year

1998 - 2002 State Average Number of Students Per Registered Nurse (RN)

Except…

They are not evenly distributed…

• As few as 2 workers per county

• As many as 700!

• Disproportionate by– Full service schools– Comprehensive health programs– Public/private partners

School Staff

Principal

Health aidesClassroom Teachers

Bus DriversOffice Staff

Counselors

Nurse

Environmental

Food services PE Teachers

Workgroup Goals

• Decrease asthma related school absences

• Provide asthma education for children, families ,educators and health care providers

• Improve asthma management in the school setting.

Process

• Goals established• Strategies identified at subsequent

meeting• Guidelines drafted• Edited by PPC group• Edited by workgroup• Edited by stakeholders in FL• Approved by State health officer• Disseminated to all schools & PHD• Available online

Guidelines for the Delegation of Care for Students with Asthma in Florida

Schools School Health Page (DOH School Health Page (DOH Internal Website):Internal Website):http://dohiws.doh.state.fl.us/http://dohiws.doh.state.fl.us/Divisions/Family_Health/Divisions/Family_Health/schoolhealth/index.htmlschoolhealth/index.html    INTERNET - School District INTERNET - School District Internet Folder Internet Folder http://www.doh.state.fl.us/http://www.doh.state.fl.us/Family/school/attachments/Family/school/attachments/sh_index.htmsh_index.htm  INTERNET - School Health Page INTERNET - School Health Page (DOH Public Website): (DOH Public Website): http://www.doh.state.fl.us/http://www.doh.state.fl.us/Family/school/index.htmlFamily/school/index.html

Asthma TrainingFor the Care of Students with

Asthma in Florida Schools

Developed through a partnership between:

The Florida Department of HealthThe Florida Department of Education

The Pediatric Pulmonary Center at the University of FloridaThe Gulfcoast North Area Health Education Center

Training in 2 parts

• All school personnel– Presentation– 15 minute q & a

• Nurses and other designated

caregivers for the schools– Presentation– 15 minute q & a

Question & Answer

• Live session with speakers• Email for followup questions

Broadcast

• Department of Education statewide network– Live– Archived in some counties– Repeated broadcast

• AHEC Network– Children’s medical services– Department of Health

Continuing education

• Archive on DOH website

• Update and repeat training annually

• Expand to new topics

Evaluation

DOH annual school health data– Numbers of asthmatics– Numbers of visits to clinic– Absences from school