142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Successes from a Practice-Based Health Information Exchange (HIE) Integrating Schools and Health Clinics in an Urban Neighborhood

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Wednesday, November 19, 2014 : 1:10 PM - 1:30 PM

Dorothy Zirkle, RN, PHN, PhD , School of Nursing, San Diego State University/ Price Charities, San Diego, CA
Kyle Della Rocca, MBA , San Diego State University Research Foundation, San Diego, CA
Roger Haenke, MDiv, MSN(c), RN, NEA-BC , San Diego State University, San Diego, CA
Leslie Ray, MPH, MPPA, MA , Emergency Medical Services, County of San Diego Health and Human Services Agency, San Diego, CA
Ryan Smith, MPH , Emergency Medical Services, County of San Diego, San Diego, CA
Alicia Sampson, MPH, CPH , Health & Human Services Agency, Public Health Services, County of San Diego, San Diego, CA
Bonnie Copland, RN, PHN, MSN , School of Nursng, University of Phoenix, San Diego, CA
Cindy Marten, MA
Aaron Zaheer, MD
Introduction: In 2010, a health information exchange (HIE) was established to assist school-based health centers (SBHC) in an urban community to provide needed health care services. The SBHCs primarily serve uninsured/underinsured and/or newly arrived immigrant/refugee residents. The system monitors the health and well-being of those served by the SBHCs.

Methods: The HIE is an intuitive interface utilizing Microsoft Access, allowing for surveillance of visits including chief complaints, diagnoses, treatments and education offered or referrals made. In addition, geographic data of the school and student is used to identify higher than expected cases of various health outcomes. The HIE records various health screens such as vision, hearing, dental, BMI and blood pressure results for each student and generates monthly reports to the school district and other community partners. Data collected over the last 3 years was analyzed to provide an overall assessment of the health status of those served by the SBHCs.

Results: Between 2010 and 2013, there were 88,000 total visits among 12,000 visitors at the SBHCs, of which 82% were of school-age. Preliminary analysis shows the most common diagnoses were minor injuries and headaches. Of school-age children seen, 33.7% received social referrals, and 64.9% received medical referrals, of which 12.4% received dental referrals and 18% received vision-related referrals.

Conclusions: Implementing an HIE introduces the school nurse as a case manager; enhancing care and improving students’ ability to learn and thrive. HIE data can inform policy changes and create opportunities that positively impact both students and the community.

Learning Areas:

Assessment of individual and community needs for health education
Chronic disease management and prevention
Conduct evaluation related to programs, research, and other areas of practice
Other professions or practice related to public health
Provision of health care to the public
Public health or related education

Learning Objectives:
Discuss the process for assessing the health status of students and the surrounding community. Identify the potential measures needed to assess the health and well-being of students and community members. Describe how to incorporate elements of a health information exchange (HIE) in a school-based setting.

Keyword(s): School-Based Health, Community Health Centers

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a nurse PhD involved in community based access to health care and school based health clinic creation and administration.
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.