Wellness Improves Learning for Youth (WILY) - Chronic Illness Management
Brief Description
Wellness Improves Learning for Youth (WILY) was 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 grant/project ended June 2018. The focus of the work that was carried out by DPI included:
- creating supportive nutrition environments in schools
- implementing quality physical education and physical activity in K-12
- 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)
The work of the DPI school nurse consultant for this project was to provide technical assistance and professional development to the participating school districts with a focus on assisting them to:
- identify and track students with chronic conditions that may require daily or emergency management, e.g. asthma and food allergies,
- 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
- 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.
Desired Project Outcomes
- Decrease in absences for students identified with chronic conditions
- Increase in percentage of students with chronic conditions identified as having a medical home
Archived WILY Project Resources
The project activities were targeted to 16 school districts but the resources and some of the activities remain available to all school districts.
Data, Data, and More Data Workshop
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
View the recording from the WILY Data Collection and Data Sources meeting - February 10, 2015. View the PowerPoint from this session.
View the recording from the WILY Data Collection and Data Sources meeting - February 25, 2016. View the PowerPoint from this session.
Epilepsy, Seizures, and Continuous QualityImprovement - July 31, 2014
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
Managing Diabetes Safely in the School Setting
If you missed the July 14, 2016, 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 available.
Primary Care and School Collaborations
View the archived presentation, Healthy Learners: Primary Care and School Collaborations, recorded on September 4, 2014.
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. Closed caption available.
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
Current Trends and Case Management for Students with ADHD
View the PowerPoint presentations from the December 10, 2014, training:
Jackie Tomberlin ADHD for School Nurses
Sara Parrell ADHD Care Coordination
Bibliography
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
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
Shared Use of Electronic Health Records by Health Systems and Schools
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).
Current Resources
General School Nursing
- 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, containing comprehensive resources for managing students with food allergies/anaphylaxis, asthma, diabetes, and/or seizures.
- 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.
View the PowerPoint introducing eSchoolCare from August 20, 2014, webinar
View the webinar demonstrating the new and improved eSchoolCare, recorded December 9, 2015. - 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 administering medications, glucagon administration, concussions, emergency nursing services, food allergies management, medication disposal, medication errors, non-student specific epinephrine administration, and student self-administration of emergency medication.
- 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
- The Healthy Schools Campaign released Addressing the Health-Related Causes of Chronic Absenteeism: A Toolkit for Action in May 2016. The Toolkit contains an overview and background on chronic absenteeism and students health and four “Taking Action” sections including (1) understanding student health needs (2) addressing the health related reasons students are absent (3) building effective partnerships to support student health and (4) building capacity.
- The National Association of Chronic Disease Directors (NACDD) has released a new 2016 resource: School Attendance, Chronic Health Conditions and Leveraging Data for Improvement: Recommendations for State Education and Health Departments to Address Student Absenteeism that highlights how state education and health departments can help lead the way in reducing absenteeism through a comprehensive approach that is inclusive of addressing chronic health conditions. This document emphasizes school nursing and the role of school nurses in data collection and use. It describes connections between school attendance and chronic health conditions, discusses challenges and opportunities for data collection and use, and promotes the integration of school health services, specifically nursing, into efforts to improve school attendance. The document provides recommendations for action and highlights successes within various states and communities. See additional NACDD resources and publications related to school health.
Attention Deficit Hyperactivity Disorder (ADHD)
- Read Baltimore (MD) County’s ADHD Identification and Management Guide (2012 Edition) for schools.
Obesity
- Centers for Disease Control and Prevention (CDC) About BMI for Children and Teens includes a link to the BMI calculator.
- The American Academy of Pediatrics (AAP) Expert Committee Recommendations Regarding the Prevention, Assessment and Treatment of Child and Adolescent Overweight and Obesity; Summary Report includes a brief section on "The Roles of the School and the Community."
- The American Academy of Pediatrics (AAP) Childhood Obesity: How to Battle the Unrelenting Epidemic by Sandra Hassink, MD, FAAP February 26, 2018
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.