247921 Creating a sustainable and replicable SBHC with multiple community partners

Tuesday, November 1, 2011: 5:30 PM

Dorothy Zirkle, RN, PHN, PhD , Price Charities, San Diego, CA
Aaron Zaheer, MD , Mid City Community Clinic Pediatrics, San Diego, CA
Objective: In a San Diego urban neighborhood, two existing SBHC models were reviewed. The purpose was to create an updated model for the construction of a new SBHC housed at a 100 year old elementary school in the vicinity. Methods: The initial gathering of the key stakeholders included representatives from the existing SBHCs, the school district, a local philanthropic organization and two local community based federally qualified health clinics (FQHC). A new broader based partnership emerged with a budget to establish a fully sustainable SBHC in three years. The two FQHCs agreed to provide personnel, medical equipment, supplies, software and IT equipment. The school district agreed to provide space, telephone lines and a school nurse. The philanthropic organization covered the initial start up gap costs with decreasing involvement to exit in Year 3. Results: A survey was conducted to determine community support for the new SBHC. Ninety-six percent reported their child would use the new clinic for healthcare, and anticipated that illness, injury, immunizations, physical exams and dental services would be the most prevalent visits. Conclusion: All aspects of building a new sustainable SBHC from conception to construction to opening day will be presented. Survey design, implementation and analyses will be shared. We will describe, explain, and identify a unique community based partnership that led to the construction of a new SBHC and is predicted to achieve complete sustainability in three years. Partnerships, budgets, contracts, community and staff survey methods and sustainability will be discussed.

Learning Areas:
Administration, management, leadership
Assessment of individual and community needs for health education
Other professions or practice related to public health
Provision of health care to the public
Public health or related nursing

Learning Objectives:
1. Identify the steps in creating a new School Based Health Center. 2. Explain the process of building of a new School Based Health Center. 3. Discuss the elements needed to conduct a parent and school staff survey for anticipated buy-in. 3. The participant will be able to describe how to create an appropriate local model for sustainability of an SHBC.

Keywords: Access to Health Care, School Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am PhD nurse who has worked in the community managing several school based health clinics and advocating and creating new school based health clinics.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.