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School Contracts 2013

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... change in their nursing scope of practice to allow delegation of insulin to unlicensed school personnel in the school setting ... CPR & First Aid, OSHA, ... – PowerPoint PPT presentation

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Title: School Contracts 2013


1
School Contracts 2013
  • Sandi Clark
  • School Health Nurse Consultant

2
Contract Development
  • Clearly define specific roles and
    responsibilities of each agency
  • Dependent upon local resources and policies
  • Provides understanding and gives direction
  • Meet with key agency personnel to assess needs
    and services that may be provided
  • Review, update and renegotiate annually

3
  • Correct contract language school satellite
    clinic site
  • School-based health services are described in
    907 KAR 1175 are the FEDERAL Medicaid
    Services, under the Disabilities Education Act,
    required by schools.
  • The services provided at satellite clinic sites
    are billed through Medicaid coverage under an MCO
  • Do not use the term School Health Coordinator in
    the contract language. This is a mandated
    position by the state for school districts.

4
Considerations
  • School districts responsible for writing own
    health policies and procedures
  • FERPA governs student education records,
    including health records
  • Key stakeholders School Superintendent, School
    Health Coordinator, 504 IEP Coordinator and
    Special Education Director/Coordinator
  • KDE is the lead agency of school health services
    working in conjunction with LHDs to fulfill
    requirements

5
Required Health Records 702 KAR 1160
  • Immunization Certificate
  • New physical examination form (one for both
    initial entry 6th grade, BMI added)
  • Sports physical form
  • Vision and Dental exam/screening forms
  • Screening programs vision hearing
  • Cumulative Health Records ( all health records)
  • Medication clinical procedures
  • Health room documentation
  • Parent/Guardian communication
  • Health exams and screening information

6
Specific LHD Considerations
  • Nurse/clerk salaries, fringes, travel and
    training costs
  • Schedules, hours and supervision by LHD
  • Requirement of nursing substitutes
  • Office equipment, maintenance repair
  • Job responsibilities/services to be provided
  • Attendance of field trips and home visits
  • Training requirements for nurses
  • Signed release form by parents to share student
    information

7
  • Key school personnel contacts
  • Individual school health policies
  • FERPA/HIPPA regulation
  • Maintaining school health records and IC data
    entry
  • Adequate facilities
  • Services provided for faculty staff
  • Responsibility for providing sending out
    consent form for School Health Services

8
  • Training, delegation and supervision of
    unlicensed school personnel
  • April 23rd KY Board of Nursing will meet for
    final approval of the change in their nursing
    scope of practice to allow delegation of insulin
    to unlicensed school personnel in the school
    setting (Please clarify in the contract if your
    nurses will be allowed to delegate this or not
    delegate insulin administration, including carb
    counting) if this passes
  • Professional liability insurance for nurses
    provided by LHD

9
FERPA-HIPAA Guidance Document
  • Joint Guidance on the Application of the Family
    Educational Rights and Privacy Act (FERPA) and
    the Health Insurance Portability and
    Accountability Act of 1996 (HIPAA) to Student
    Health Records
  • (November 2008)
  • http//www2.ed.gov/policy/gen/guid/fpco/doc/ferpa-
    hipaa-guidance.pdf

10
Individual Education Plan Guidance
  • ALL IEP services are to be billed through schools
    (provider type 21)
  • LHD role in IEP services to be specifically
    written
  • Will the nurse provide or not provide these
    services
  • Sharing student IEP list/names
  • Add LHD school nurse as part of the IEP team- not
    always necessary depending on the service needed
  • If LHD provides IEP services for school,
    reimbursement mechanism for LHD

11
IEP Documents
  • Located on the AFM Local Health Operations Branch
    webpage at http //chfs/ky.gov/dph/info/lhd/lhob.h
    tm
  • To access the KDE School Based Medicaid Services
    Webpage, please click the following URL.  KDE
    Medicaid Services Webpage

12
Contract Questions
  • Related to billing coding, contact
  • Local Help Desk
  • (502) 564-6663, option 5
  • LocalHealth.Helpdesk_at_ky.gov
  • Related to School Health Services
  • Sandi Clark RN
  • School Health Nurse Consultant
  • (502) 564-2154, ext. 4409
  • sandik.clark_at_ky.gov
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