LAUSD Learning Collaborative Meeting. Thursday, December 12, 2013 The California Endowment Los Angeles, CA
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1 LAUSD Learning Collaborative Meeting Thursday, December 12, 2013 The California Endowment Los Angeles, CA
2 WELCOME ALL!
3 WHO S HERE TODAY? HEALTHY START COORDINATOR
4 WHO S HERE TODAY? WELLNESS CENTER COORDINATORS
5 WHO S HERE TODAY? COMMUNITY CLINIC STAFF
6 WHO S HERE TODAY? SCHOOL NURSES
7 WHO S HERE TODAY? MENTAL HEALTH PROFESSIONALS
8 WHO S HERE TODAY? SOCIAL WORKERS
9 WHO S HERE TODAY? SCHOOL ADMINISTRATORS
10 WHO S HERE TODAY? TEACHERS
11 WHO S HERE TODAY? POLICY ADVOCATES
12 WHO S HERE TODAY? NON-PROFIT ORGANIZATION STAFF
13 Wellness Logic Model Network Operations Issue: Diverse community partners from school and health clinics are in first time joint use partnerships and need to have unified vision in order to sustain and maximize services Inputs Strategies Short-term (1yr) Establish Services Outcomes Mid-term (2-3yrs) Enhance Services Long-term Impact (5-7yrs) Improve Outcomes Communications Access Training 1. Finalized operating agreements 2. Communication systems in place referrals overall operations Standing coordinating council meetings that are attended by all core stakeholders 3. Mutual understanding of policy and procedures consents community outreach staff trained Campus and clinic alignment 1. Active partnerships with shared funding 2. Collecting and monitoring data universally across sites 3. Provision of fully billable or fundable services 4. Viable and effective referral systems 1. Wellness Centers are maximized and include the network of schools 2. Centers are full service and full capacity 3. Policies align across the District additional Wellness Centers in progress
14 Maryjane Puffer, BSN, MPA Executive Director COLLECTIVE IMPACT WORK
15
16
17 Mission, not organization Trust, not control Humility, not brand Node, not hub
18 PATTERNS OF NETWORK EVOLUTION Scattered Clusters Hub-and-Spoke Multi-Hub Core Periphery Where Most Network-Building Begins Time Self-Sustaining Network
19 WELLNESS CENTERS REPORT CARD Kimberly Uyeda, MD, MPH Director Student Medical Services, Community Partnerships and Medi-Cal Programs Los Angeles Unified School District
20 20
21 TOTAL ENCOUNTERS ACROSS 12 SITES (JAN NOV 2013) Total # Encounters: 8,998
22 WELLNESS NETWORKS AGGREGATE SCORECARD (11 SITES, JANUARY NOVEMBER, 2013) (Sites shaded in blue have data represented in the aggregate scorecard) 1. Belmont 8. Hollywood 2. Carson 9. Jefferson 3. Crenshaw 10. Jordan 4. ELC 11. Locke 5. Fremont 12. Manual Arts 6. Gage 13. Monroe 7. Garfield 14. Washington Prep 22
23 # ENCOUNTERS BY PATIENT TYPE School patients Non school patients Total visits 4,049 4,949 Percentage 45% 55% Mean Mean/month Range
24 # ENCOUNTERS BY GENDER Females Males Total visits 5,497 3,501 Percentage 61% 39% Mean Mean/month Range
25 # ENCOUNTERS BY PATIENT TYPE & GENDER 70% 60% 55% 61% 50% 40% 45% 39% 30% 20% 10% 0% School patients Non school patients Females Males 25
26 # ENCOUNTERS BY AGE RANGE Total visits ,093 3,546 3,499 Percentage 5% 4% 12% 39% 39% Mean Mean/month Range
27 # ENCOUNTERS BY AGE RANGE 45% 40% 39% 39% 35% 30% 25% 20% 15% 10% 5% 5% 4% 12% 0% 0 to 5 6 to 9 10 to to
28 # ENCOUNTERS BY PRIMARY SERVICE Mental Medical Dental Other Total visits 1,001 7, Percentage 11% 85% 2% 2% Mean Mean/month Range
29 # ENCOUNTERS BY PRIMARY SERVICE 90% 85% 80% 70% 60% 50% 40% 30% 20% 10% 0% 11% 2% 2% Mental Medical Dental Other 29
30 WELLNESS NETWORKS REPORT CARD Clarification on what counts as an encounter How to count mental health encounters Do you think data categories should be broken out by students vs. non-students? 30
31 DATA SYSTEM NAMING CONTEST Help us think of a name for our data system Submit entries on notecard Prize for winning submission: $100 Target Gift Card
32 PRINCIPLES OF SCHOOL-BASED HEALTH CARE Ezequiel De La Torre, M.Ed. Organization Facilitator Los Angeles Unified School District Student Health and Human Services PRINCIPLES OF SCHOOL-BASED HEALTH CARE (GROUP WORK & DISCUSSION)
33 WELLNESS NETWORKS PRINCIPLES The L.A. Trust believes that there are five critical and distinguishing aspects of Wellness Networks, which will guide the recommendations that follow, as well as the priorities proposed for the L.A. Trust. These aspects are: A. A place-based and population-based approach that strives to positively impact health in large groups of students B. An emphasis on shared outcomes and indicators C. A dedication to consistent information collection, sharing and collaborative learning D. A commitment to a robust coordination and referral capacity E. A focus on affecting systems change through public and private partnerships, public policy and resource allocation within the District 33
34 PRINCIPLES OF SCHOOL-BASED HEALTH CARE Improved Access to all Students and Community The school-based health model is designed to offer enhanced access to services by virtue of location, referral systems, personal relationships, and patient-friendly care. Focus on Prevention- School-based health care does not stop at the door of the exam room. Group and classroom education, school wide prevention, and community outreach are integral to the model. Integrated and Individualized Support is provided When students have health, social or behavioral challenges, they and their families will get the services and support they need including youth development, leadership and career pathway opportunities. A Model of True Collaboration between Health and Education Partners Achieving success in school-based health care depends on a true partnership between school staff and health/mental/oral health providers. 34
35 Where Are We?...An Honest Assessment
36 DISCUSSION QUESTIONS What are your impressions of the principles for schoolbased health care? What are the unique aspects of SBHCs/wellness centers that we want to advance? Do the items on the checklist capture important elements of what you think should your sites should look like/operate? 36
37 EVALUATION RESULTS FROM SEPTEMBER 2013 MTG 37
38 WHAT ATTENDEES FOUND MOST USEFUL Networking Brainstorming with other wellness center sites Input from students reminds us of our reason for our work Career pathways information Progress update by wellness centers encouraging, motivating Revisiting the logic models
39 Perfect attendance awards 1. Xxx 2. Adriana Xxx De La Torre 3. Aydee Xxx Valle-Amescua 4. Xxx Daniel Johnson Dellis Frank Jackie Provost Jennifer Schott Lourdes Olivares Maribel Rodriguez Miriam Villasenor Tracey Washington
40 STUDENT ENGAGEMENT WORK Jeanne Aguinaldo Student Engagement Program Manager L.A. Trust for Children s Health
41 STD AWARENESS CAMPAIGN HIGHLIGHTS Fremont Wellness Center s Student Health Leaders Organized a Haunted House event after school on October 30 focusing on STD prevention 200 attendees Abstinence Man Powerpoint on the consequences of untreated STDs Partnered with City Starts to host a Mo-vember awareness event on November 30 Promoted men s health and encouraged annual physical and STD testing Reached 50 students Collaborating with Mark Ridley Thomas office for HIV/AIDS awareness fair on December 19 41
42 STD AWARENESS CAMPAIGN HIGHLIGHTS 42
43 STD AWARENESS CAMPAIGN HIGHLIGHTS 43
44 STD AWARENESS CAMPAIGN HIGHLIGHTS Belmont Wellness Center Conducted Wellness Center tours with 8 classes, reaching 122 students 40 classroom presentations during advisory period 3 lunchtime tabling events, reaching 150 students 44
45 STD AWARENESS CAMPAIGN HIGHLIGHTS Washington Prep Wellness Center Student Advisory Board Wellness Festival planned for December 13 with SAB, HOSA, and Peer 2 Peer joining forces Info on STD prevention, reproductive health, and mental health The students will be conducting a game of BINGO, wherein the questions are based on education at various stations in the fair, as well as performing their own rendition of "What does the Condom Say?" (set to the tune of "What Does the Fox Say? ) 45
46 STD AWARENESS CAMPAIGN HIGHLIGHTS Manual Arts Wellness Center Health Justice Council representing the Peer2Peer Program at a student resource fair during lunch. Members had games which tested the knowledge of students on topics related to reproductive health, STDs, and services available at the wellness center. 46
47 STD AWARENESS CAMPAIGN HIGHLIGHTS Jefferson High Wellness Center Student Health Advocates Two successful lunchtime tabling events Posted STD posters in lunch area Played games like How fast can you put a condom on a banana? Gave out healthy treats, health ed brochures, and Wellness Center info 47
48 STD AWARENESS CAMPAIGN HIGHLIGHTS Jefferson High Wellness Center Student Health Advocates Student Health Advocates created an STD bulletin board outside the main office 48
49 REPORTING STUDENT ENGAGEMENT DATA New data elements to be collected effective January 2014 Part of report due February 25 To be included in Wellness Center Report Card on LA Trust website Example: SAB/Student Leadership teams? Yes or No Student Engagement # of members # of meetings # of outreach events/activities # student contacts January Y Outreach events and activities = lunch time tabling, clinic tours, classroom presentations, open house, newspaper ad, bulletins, etc. # student contacts reached through all the outreach events/activities Will add Student Career Pathways: work-based learning activities; # of students in academic programs linked to health career development
50 INSTANT RECESS FACILITATED BY BONNIE MIMS-GREENE Sparking in Motion v=z_ysggietxe 50
51 L.A. TRUST UPDATES 1. Covered CA teacher recruitment 2. CSHC Statewide Conference support (March 6-7, 2014) 3. CSHC Y2Y Conference (March 28, 2014) 4. Grant updates and announcements 5. Meeting evaluation please complete online 6. Learning Collaborative meeting schedule for
52 5 WAYS TO HELP US SUPPORT THE WORK 1) Make tax-deductible donation easily thru L.A. Trust website ( 1) Shop at Amazon.com with our charity designated (.5% donated on all purchases) (Student Health Svcs. Support Fund) 2) Like us on Facebook: 3) Follow us on Twitter: 4) Ask family & friends to do the same
53 Grant Updates Covered CA progress Blue Shield Data Progress LAUSD 5K First 5 Early Childhood Linkage to Wellness STD Prevention Campaigns
54 CSHC Annual Conference March 6, 7, 2014 L.A. Trust is able to support: Conference registration for up to 4 individuals per Wellness Coordinating Councils Registration instructions will be provided by your respective Organization Facilitators 54
55 CSHC Y2Y Conference Date: Friday, March 28, 2014 Time: 9:00 AM 4:00 PM Place: The California Endowment Transportation will be provided Wellness Centers represented at 2013 Y2Y 1. Belmont 2. Carson 3. Fremont 4. Jefferson 5. Jordan 6. Manual Arts
56 EVALUATION MEETING EVALUATION WILL BE ED TO YOU. PLEASE COMPLETE.
57 FUTURE MEETING DATES Season Date Time Place Winter Thursday, February 20, :00 AM 12:00 PM The California Endowment Spring Friday, May 23, :00 AM 12:00 PM The California Endowment
58
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