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School Contracts 2014

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Delegation, training & supervision of unlicensed school personnel. Delegation of Insulin HB 98 passed which allows for unlicensed school personnel (referred to as ... – PowerPoint PPT presentation

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Title: School Contracts 2014


1
School Contracts 2014
  • Sandi Clark- Pediatric Section Supervisor/School
    Health Consultant

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

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

4
Considerations
  • School districts responsible for writing own
    health policies procedures
  • FERPA governs student education records,
    including health records
  • Key stakeholders- School Superintendent, School
    Health Coordinator, 504 IEP Coordinator
    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 form (combined for initial entry
    6th grade, BMI added)
  • Sports physical form
  • Vision Dental exam/screening forms
  • Screening programs vision hearing
  • Cumulative Health Records include medication
    clinical procedures, health room visits
    documentation, parent/guardian communication,
    health exams screening information

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

7
  • Individual school health policies
  • FERPA/HIPPA regulation (consent from signed by
    parents to share health information between
    agencies)
  • Maintaining school health records IC data entry
  • Adequate facilities
  • Services provided for faculty staff
  • Responsibility for providing sending out
    consent form for LHD school health services
  • Professional liability insurance for nurses
    provided by LHD

8
  • Delegation, training supervision of unlicensed
    school personnel
  • Delegation of Insulin HB 98 passed which allows
    for unlicensed school personnel (referred to as
    an non-licensed health technician) the delegation
    of administration of insulin, via vial/syringe,
    pen or pump, and carb counting
  • Kentucky Board of Nursing (KBN) proposed an
    amendment to 201 KAR 20405 Insulin
    Administration in School Setting by unlicensed
    assistive personnel to allow for delegation via
    pen pump

9
FERPA-HIPPA Guidance Document
  • Joint Guidance on the Application of the Family
    Educational Rights Privacy Act (FERPA) the
    Health Insurance Portability Accountability Act
    of 1996 (HIPPA) for student health records
    (November 2008)

10
Individual Education Plan Guidance (IEP)
  • All IEP service 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 services
  • Sharing student IEP list/names
  • Add LHD school nurse as part of the IEP team- not
    always necessary, depends on service needed
  • If LHD provides IEP services, reimbursement
    mechanism needed for the LHD

11
Contract Questions
  • Related to billing coding, contact
  • Local Help Operations (LHO)
  • (502) 564-6663, Option 1
  • LocalHealth.Helpdesk_at_ky.gov
  • Related to School Health Services
  • Sandi Clark
  • (502) 564- 2154, ext. 4409
  • sandik.clark_at_ky.gov
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