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Wellness Improves Learning for Youth (WILY) - Chronic Illness Management

Wellness Improves Learning for Youth (WILY) - Chronic Illness Management

Brief Description

Wellness Improves Learning for Youth (WILY) is a project supported in part by a five-year Centers for Disease Control and Prevention (CDC) grant to the Wisconsin Department of Health Services (DHS). Overall, the funds support state health department efforts to promote health and prevent and control chronic diseases and their risk factors. The focus of the work that will be carried out by DPI includes:

  1. creating supportive nutrition environments in schools
  2. implementing quality physical education and physical activity in K-12
  3. implementing policies, processes, and protocols to meet the management and care needs of students with chronic health conditions (e.g. asthma, food allergies, diabetes, and obesity)

These slides provide information about all aspects of the project and how districts were selected. Slides 15 and 16 are specific to school nursing. (22 slides total)

The work of the DPI school nurse consultant for this project is to provide technical assistance and professional development to the participating school districts with a focus on assisting them to:

  1. identify and track students with chronic conditions that may require daily or emergency management, e.g. asthma and food allergies,
  2. develop protocols that ensure students identified with a chronic condition that may require daily or emergency management are enrolled into private, state or federally funded insurance programs if eligible, and
  3. provide assessment, counseling, and referrals to community-based medical care providers for students with chronic conditions, including those that are activity, diet, and weight related.

Participating School Districts

The project activities are targeted to 16 school districts but the resources and some of the activities are available to all school districts.

Appleton
Beloit
Crandon
Fond du Lac
Green Bay

Kiel
Lodi
Madison
Menomonie Area
Menominee Indian

Milwaukee Public
North Fond du Lac
Neenah
Superior
Wausau
Wisconsin Dells

Desired Project Outcomes

  1. Decrease in absences for students identified with chronic conditions
  2. Increase in percentage of students with chronic condition identified as having a medical home

Data Collection

Step Up Be Counted in 2016-2017
Grant school districts should plan to collect the data that is outlined in this year’s data collection tool on the DPI website. This data should be collected district-wide, with one lead nurse inputting the data into the DPI electronic system. For more information and the actual data collection format go to the school nurse data collection web page. All grant districts must complete this data collection tool by June 23, 2017.

Resources from Previous Events

School Nurse Summer Institute
View the PowerPoint presentations from the July 31, 2014, School Nurse Summer Institute
Dr Lucy Zawadzki: Overview of Seizures and Epilepsy
Megan Furstenberg-Knauff and Kami Hobbs: Epilepsy School Nurse Presentation
Teresa Du Chateau: Quality Improvement: The Why, What and How
Bette Carr: Identifying Potential Barriers to Implementation of Seizure Care in the School Setting

eSchoolCare webinar
View the PowerPoint introducing eSchoolCare from August 20, 2014, webinar

Primary Care and School Collaborations
To view the archived presentation, go to http://live.videos.med.wisc.edu and click on archive of live events. Scroll down to September 4, 2014, Healthy Learners: Primary Care and School Collaborations.

What We Know About Obesity and What We Are Doing webinar
View the archived presentation by Dr. David Allen and Dr. Aaron Carrel recorded on October 8, 2014.

Asthma, More Asthma and Health Insurance Workshop
View the PowerPoint presentations from the November 6, 2014, Asthma & Health Insurance Workshop
Kathleen Shanovich The ABC’s of Asthma
Jean Nothnagel Express Enrollment for School Nurses

View the PowerPoint presentations from the December 10, 2014,
Current Trends and Case Management for Students with ADHD
Jackie Tomberlin ADHD for School Nurses
Sara Parrell ADHD Care Coordination
Bibliography

View the recording from the WILY Data Collection and Data Sources meeting on February 10, 2015. View the PowerPoint from this session.

Using the Individual Health Plan Effectively for Student Chronic Condition Management
presented by Wisconsin Association of School Nurses District 6 and DPI Wellness Improves Learning for Youth on February 11, 2015 in Madison and March 12, 2015 in Milwaukee.
Lynne Svetnicka How to Create and Use Meaningful IHPs for Students with Chronic Condition: The IHP as the Foundation for Planning Care
Teresa DuChateau How to Create and Use Meaningful IHPs for Students with Chronic Conditions: Why Outcomes Matter

Presentation at CESA 6 Nurse Network in Oshkosh on March 11, 2015.
Freddi Adelson Obesity: What Can We Do?
Kathleen Shanovich Asthma in Schools

Data, Data, and More Data Workshop on June 16, 2015
View the PowerPoint presentations
          Nic Dibble Health Care Records in School
          Freddi Adelson National, State, and Local Data Reporting for School Nurses
Afternoon Breakout Sessions
     Infinite Campus
          Topics Covered
          Absence Rates for Students with Chronic Conditions
     Power School
          Topics Covered
          Absence Rates for Students with Chronic Conditions
     Skyward
          Topics Covered
          Absence Rates for Students with Chronic Conditions

Presentations from WASN Districts 7 and 8 on October 14, 2015
Freddi Adelson School Nurses and Plans
Kathleen Shanovich Managing Asthma in the School Setting

eSchoolCare webinar
View the webinar demonstrating the new and improved eSchoolCare, recorded December 9, 2015.

View the National Association of Chronic Disease Directors (NACDD) webinar from February 18, 2016, Managing Care for Students with Chronic Conditions: Examples of Shared Use of Electronic Health Records by Health Systems and Schools. The webinar includes an introduction from Amanda Martinez followed by segments on a partnership in Wisconsin (Freddi Adelson), a case management project from the Multnomah Education Service District (Margo Lalich) and the Delaware School Student Health Collaboration (Claudia Kane).

View the recording from the WILY Data Collection and Data Sources meeting on February 25, 2016. View the PowerPoint from this session.

School Nurse Summer Institute
If you missed the School Nurse Summer Institute—Managing Diabetes in the School Setting: A framework for collaborative care, the recording is available. The Institute was very successful as collaborative partners had the opportunity to work together to identify priorities for keeping children with diabetes safe in the school setting. An FAQ document as well as the White Paper outlining roles and responsibilities are now available.

Resources

General

  • New Publication Highlights Opportunities to Incorporate Health and Wellness into School Improvement Plans
        The National Association of Chronic Disease Directors (NACDD) has released a new resource: A Guide to Incorporating Health and Wellness into School Improvement Plans. School improvement plans provide a systematic opportunity to address the needs of the whole child, incorporating physical, social, emotional and/or behavioral health priorities into schools. The guide is designed to provide public health agencies and other education partners an understanding of improvement plans and their purpose and role in schools and districts. It outlines opportunities to incorporate health and wellness-related goals and aligned activities into the improvement planning process, and highlights useful examples from a state, district and schools that have done it.
  • See Wisconsin Department of Public Instruction’s information on chronic health conditions and management.
  • eSchoolCare, an evidence-based online resource for school nurses is available by subscription. Content on chronic illnesses including asthma, allergies, and diabetes is presented by experts.
  • Wisconsin Department of Public Instruction’s webcasts on medication administration by various routes.
  • Wisconsin Public Health Association’s Wisconsin Improving School Health Services Project (WISHeS) page provides access to sample policies including those for asthma, diabetes, concussion, medication administration, medication disposal, and medication error.
  • WISHeS sample procedures including those related to urinary, respiratory, digestive, endocrine, and cardiovascular conditions.
  • Health insurance is an important factor in accessing health care for students with chronic health conditions. Covering Wisconsin connects residents with appropriate insurance coverage and other programs that support health, and promote effective use of these programs. Visit their web page for consumer resources: http://coveringwi.org/resources-and-links/materials.
  • Wisconsin has five Regional Centers dedicated to supporting families with children and youth with special health care needs and the providers who serve them. The Centers are staffed by specialists who can help get answers, find services, and connect you to community resources. Their services are free and private.

Attendance

Attention Deficit Hyperactivity Disorder (ADHD)

Food Allergies/Anaphylaxis

Asthma

  • The following materials were developed at a National Asthma Summit in October, 2015:
        AAAAI Announces the School-based Asthma Management Program (SAMPRO™)
    Improving health and school-related outcomes for children with asthma requires integrated care coordination amongst families, clinicians and school nurses. To facilitate this, the AAAAI is now home to the School-based Asthma Management Program (SAMPRO™). SAMPRO™ standardizes recommendations for school-based asthma and provides useful resources for the care of asthmatic children in schools.
    Developed in collaboration with a variety of stakeholders, SAMPRO™ is detailed in the September issue of The Journal of Allergy and Clinical Immunology (JACI), and is endorsed by: Allergy and Asthma Network; American Academy of Pediatrics; American College of Allergy, Asthma & Immunology; American Thoracic Society; and National Association of School Nurses.
    The toolkit includes materials and resources for school nurses. It is free and easy to access once you register.
  • The National Asthma Education and Prevention Program Managing Asthma—A Guide for Schools is a 44 page guide intended to provide school personnel with practical ways to help students with asthma come to school each day healthy and ready to learn.
  • The Guidelines for the Diagnosis and Management of Asthma is the source for the most recent Expert Panel Report which establishes the best practice recommendations for asthma treatment.
  • Wisconsin Asthma Coalition is committed to improving asthma management for children and adults. Their website includes documents, tools, resources, and access to webinars.
  • Asthma Friendly Schools Initiative: School Nurse Asthma Toolkit. Download all or sections of this kit from the American Lung Association website.
  • School Nurse Asthma Care Checklist provides a summary of best practices for the care of students with asthma in school and is available at no cost on NASN's website.
  • See the Wisconsin Asthma Program: Guide to Asthma-Friendly Schools. Created by the Wisconsin Department of Health Services Asthma Program, the guide’s purpose is to provide guidance to Wisconsin schools on ways to help students better manage their asthma. It includes information about the impact of asthma in Wisconsin and sections on the 3 key steps to asthma friendly schools: (1) self-management and education, (2) asthma trigger reduction and (3) collaboration with families, students, staff, and health care providers. The guide includes various guides, handouts, sample letters, and posters.

Diabetes

Obesity

Seizures

  • The CDC Healthy Schools website has added new materials on their Epilepsy page. The four tabs provide an overview of epilepsy in schools, epilepsy facts, seizure first aid and training, and professional development resources.
  • The Epilepsy Foundation has affiliates in most states (including Wisconsin) that are great supports for schools and school districts dealing with issues around students with epilepsy. The national Epilepsy Foundation has funding from the CDC that also supports work in this area. The Epilepsy Foundation also funds a 24/7 helpline that can answer questions from professionals or the general public.
  • Epilepsy Foundation Managing Students with Seizures is a three module continuing education program to assist school nurses to effectively manage students with seizures in the school setting. Users set up an account (no cost) and can receive continuing education contact hours from the CDC.
  • View the procedures for Administration of Buccal Seizure Medication and Administration of Intranasal Seizure Medication on the DPI Medication Administration page.
  • See the Epilepsy Foundation’s Seizure Action Plan

Transition

  • Visit the Transition Improvement Grant website for information about effective, targeted, and low cost professional development to Wisconsin youth, parents, educators and all stakeholders in the area of postsecondary transition to improve strategies that will positively affect the post school outcomes of students with disabilities. Every 14-year-old child with an IEP has transition planning to smooth the move from the high school to postsecondary setting. Students with chronic health conditions may also be students with disabilities.
  • The national Got Transition website includes resources for health care professionals and families to assist in the transition from pediatric to adult health care.
  • The Wisconsin Transition Planning Guide includes a Transition Health Care Checklist called Preparing for Life as an Adult. See page 14 of the guide for the Transition Checklist form.
  • Children’s Hospital of Wisconsin has developed a six page Transition Checklist covering Health Care, Adult Services, Financial, Education, Employment, Transportation, and Recreation.
For questions about this information, contact Laura Marty (608) 264-6719