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Health Compliance Slides Health Compliance Slides Presentation Transcript

  • Health Compliance Carine Jean-Pierre Health Director, QISC October 26, 2009 Integrated Service Center Presented by:
  • Table of Contents
    • Introduction
    • Health Programs Compliance
    • Navigation Health Screens on ATS
    • Q and A
  • Office of School Health (OSH)
    • Office of School Health (OSH) Website- http://schools.nyc.gov/Offices/Health/
    • The Office of School Health (OSH) is a joint program of the New York City Department of Education and the New York City Department of Health and Mental Hygiene (DOHMH).
    • OSH provides health services and preventive services to DOE students:   Medical Requirements 2009-10 : New School Entrants requirements for 2009-2010 School Year 
    • Child & Adolescent Health Examination Form (CH-205) - Record students’ physical Examination. Immunizations dates, tuberculosis and vision screening results from this form must be entered ATS upon received.
    • Immunization Compliance : OSH works closely with the ISC Health Directors to monitor compliance with State immunization requirements.  
    • Tuberculosis : To this day, Tuberculosis remains a public health concern in New York City school system. OSH works closely also with the ISC Health Directors to monitor compliance with TB testing.
    View slide
  • Office of School Health (OSH)
    • School or Student Specific Services :
    •   Assistive technology  is used to increase, maintain, or improve functional capabilities of a person with a disability.
    • Asthma : By ensuring that students have an appropriate plan for treating asthma
    • Condom Availability Program : As part of the mandated New York City DOE HIV/AIDS Prevention Program, all high schools are required to have a Health Resource Room where free condoms, health information, and health referrals are available to students
    • Dental Health: Many schools host dental clinics operated by the New York City Department of Health and Mental Hygiene or by other providers. Services available at these clinics range from dental screenings to orthodontics.
    • Health Services/Section 504 Accommodation: OSH manages the processes surrounding students needing medication administration, medically-prescribed treatment, glucose monitoring, insulin pump maintenance, and other Section 504 and Individualized Education Program (IEP) services
    View slide
  • Office of School Health (OSH)
    • School or Student Specific Services :
    • Mental Health : School-based mental health services play a vital role in addressing behavioral and emotional difficulties that threaten to interfere with a child’s ability to perform academically. When left untreated, children’s mental health problems may interfere with their readiness and motivation to learn. OSH facilitates partnerships with mental health providers by enhancing the accessibility of mental health resources and programs in our schools
    • Occupational and Physical Therapy : The Individuals with Disabilities Education Act (IDEA) identifies occupational and physical therapy as related services for eligible children ages 3-21 years who require assistance to benefit from a free and appropriate public education (FAPE) in the least restrictive environment (LRE).
    • School-Based Health Centers: There 122 School-Based Health Centers (SBHC) serving 252 schools. SBHCs bring the services of a doctor's office to the school so students avoid health-related absences and get support to succeed in the classroom. When a child is healthy they are more likely to perform better and learn more. Poor health has a direct impact on a student’s ability to learn and succeed in school.
  • Office of School Health (OSH)
    • School or Student Specific Services:
    • School Nurses: OSH places nurses in approximately 60% of NYCDOE schools each year. School nurses provide first aid services to all students, and also provide skilled nursing services to those students with a documented need
    • Vision Screening: OSH is improving its vision programs to ensure that all children are screened, and that those with serious vision or hearing problems receive the evaluation and treatment they need. National data indicate that about 25% of students need glasses by the time they reach high school.
    • AED/CPR Program: New York State law requires that schools participate in an Automated External Defibrillator program. Each of our over 1400 schools is a Public Access Defibrillation site. OSH works with a vendor to provide service to the AED’s, and to provide CPR and AED training to our staff.
    • Automated Student Health Record (ASHR): This tool is available to school nurses in all elementary and intermediate schools. It has greatly expanded the ability of school nurses to care for students. It also assures that records are immediately available when a student transfers from one school to another
    • General Programs/Services and Other Information
    • Fitness: OSH is working closely with the Office of Fitness and Health Education to implement a new fitness program. Components include the Physical Best curriculum, the NYC FITNESSGRAM Fitness Assessment program and the C.H.A.M.P.S. Middle School Sports and Fitness league.
    • Health Education: OSH supports the efforts of the Office of Fitness and Health Education to implement comprehensive health education, including HIV/AIDS instruction; to collaborate with the NYC DOHMH on the Youth Risk Behavior Survey (YRBS) and other initiatives; and to provide professional development and technical assistance to the field.
    • Health Insurance: Almost all children in New York City public schools are eligible for public health insurance at minimal or no cost. School records show that approximately 10% of our school children are uninsured. OSH collaborates with the Human Resources Administration to provide access to public health insurance to our students and their families through the schools.
    Office of School Health (OSH)
    • General Programs/Services and Other Information
    • Home Instruction: OSH reviews inquiries regarding home instruction based on medical needs.
    • Transportation Requests: OSH doctors review transportation requests based on health issues for students with Individualized Education Programs in specific areas.
    • Wellness Policy: In response to a new federal requirement DOE has adopted a Wellness Policy. This policy seeks to promote the health and well-being of our students, while taking into account competing priorities and the availability of funds. DOE engaged students, parents, teachers, food service professionals, health professionals and other interested community members in policy development and review.
    • Communicable Disease/ Environmental & Food-Borne Illnesses: In suspected cases of communicable disease, environmental illness, or food-borne illness, schools will immediately notify OSH, which will conduct an investigation. If the investigation results indicate that notification of the school community is warranted, OSH will provide principals with letters to be distributed in classrooms and through the regular mail
    Office of School Health (OSH)
    • General Programs/Services and Other Information
    • Obesity: Almost half of elementary school children are overweight and obese. Many are not physically fit. DOE has developed several initiatives to deal with these issues. OSH is developing and overseeing the implementation of a new fitness program for NYC schools. In addition to the fitness initiatives, OSH works with the School Food program to improve the quality of student meals and encourage participation in the universal free breakfast program.
    • Drink Low-Fat Milk: In an effort to help reduce childhood obesity, the Health Department and the Department of Education strongly encourage everyone ages 2 and older to drink 1% or fat-free milk rather than whole milk. Please distribute a letter from Chancellor Klein and Mental Hygiene Commissioner Frieden to families at your school. 
    • Pediculosis- Head Lice : There is now a “no head lice” policy for all NYC public schools, but no longer a “no nit” policy. Students found to have live head lice will be excluded from school and not allowed to return until they are lice-free.
    • Students will be reexamined in 14 days to confirm that they have remained lice-free.  Students with nits and no evidence of live head lice will not be excluded from school.
    •  
    Office of School Health (OSH)
    • General Programs/Services and Other Information
    • Bed bugs: They are small insects that feed on human blood. They are usually active at night when people are sleeping. For additional information regarding bed bugs view the Bed Bug Fact Sheet . This fact sheet is also available in different languages. This fact sheet is also available in Arabic | Bengali | Chinese | Haitian-Creole | Korean  |  Russian |  Spanish  | Urdu .
    • If a bed bug is found in a classroom, a specimen will be collected. Instructions on collecting a specimen can be found in the Bed Bug Kit . A letter will also go out to parents. This letter is also available in Arabic | Bengali | Chinese | Haitian-Creole | Korean  |  Russian |  Spanish  | Urdu .
    • Intimate Partner Violence : Affects tens of thousands of NYC teens and adults every year. Family members and friends are also impacted. To learn more about intimate partner violence and teen dating violence, and access available resources, please visit: http://www.nyc.gov/html/doh/html/tcny/tcny09.shtml Prevent Window Falls:  Open windows offer relief from the summer heat, but they can pose hazards for small children. To protect children from falls, the Health Department urges New Yorkers to make sure window guards are in place.
    • STAPH / MRSA:   Guidelines for Schools on Preventing Staph/MRSA Infections 
    Office of School Health (OSH)
  • Who’s Who in School Health? ISC Health Director NYCDOHMH NYCDOE O S H Office of School Health
    • NYCDOE
    • ISC Health Director
    • School Health Aide
    • Borough Nursing Director
    • School Nurse
    • NYCDOHMH
    • Supervising Physician
    • Field Physician
    • District Supervising Nurse
    • Supervising Public Health Nurse, PHN III
    • Senior Public Health Nurse, PHN II
    • Public Health Assistant
    • Public Health Advisor (MS and High Schools)
    New York City Department of Education Integrated Service Center New York City Department of Health and Mental Hygiene
  • What does the Health Director Do? HD Responsibilities….
    • Immunization compliance
    • Immunization Exemption requests
    • Tuberculosis
    • Communicable Diseases
    • Section 504 Accommodations
    • Health Programs and Presentations
    • Link to Resources
    • Safety and Health
    • CPR/AED
    • Condom Availability
    • Vision Screening
    • School Based Health Centers
    • Inquiries from parents/ staff/ administration
    • ATS Health screens technical assistance
    • Training and or training coordination
    • Questions and Crisis Management
    • Oral Health
    • City-wide standardization of health programs and mandates
    • Various Other Health Programs
    • Liaise with STAKEHOLDERS
    • Collaborate and Coordinate
  • Immunization
        • The goal for SY 09-10 is to ensure that at least 98.5% of students on your school’s roster are “complete” with immunizations.
        • Due date : December 31, 2009 and June 30, 2010
        • Tdap – 1 dose is required for all students born on or after January 1, 1994 and entering the 6 th , 7 th or 8 th grade
        • All students from Pre K- 10 th grade are required to have one dose of chicken pox (varicella). Although one does is required, two doses are recommended.
        • Hepatitis B – if administered before age 11, this is considered a pediatric vaccination, 3 doses are required
        • Or
        • Hepatitis B – if administered after age 15, this is considered an adult vaccination, 2 doses are required – the documentation provided as proof should specify which was administered and entered into ATS accordingly
    New !
  • Immunization Mandates-- CR-A701
      • Each year the DOHMH releases a “Medical Requirements For New School Entrants” flyer which provides information as to what vaccines are needed and the required number of doses. The double-sided one page sheet is provided to all schools and/or is available on the NYCDOE website on the OSH webpage
      • Students not in compliance with the required immunization may be labeled “Excludable” or “Provisional” on ATS
      • Students with an “Excludable” notation should receive a DOHMH “Warning” letter and 2 weeks later , an “Exclusion” letter
        • Warning letter to parents regarding immunization requirements  
        • Exclusion letter to parents regarding immunization requirements  
  • Immunization Mandates -- CR-A701
        • Excludable – means the student should not be allowed to attend until the vaccination requirements are satisfied
        • Please be sure to keep records of which students receive “Warning” letters and dates and the same for “Exclusion” letters. Please inform your health coordinator/ principal of the students on the list
        • Principals who allow “excludable” students to attend are out of compliance with the laws of the NYSDOE – Public Health Law – Title VI--Section 2164 (7).
        • Principals who allow “excludable” students to attend are subject to fines by the NYSDOH. These fines are levied against the principal , not the school
  • Immunization Compliance
    • Immunization Walk-In Clinics
    • To keep track of your child's Immunization Records, please refer to the Department of Health and Mental Hygiene's Citywide Immunization Registry (CIR), available online at http://www.nyc.gov/html/doh/html/cir/b0a.html .
    •   Letter to Principals/Directors regarding 2009-2010 immunization compliance rate    Citywide Immunization Registry (CIR) information for schools: students records available online Warning letter to parents regarding immunization requirements   This letter is also available in Arabic  | Bengali  | Chinese  | Haitian-Creole  | Korean  | Russian  | Spanish  | Urdu Exclusion letter to parents regarding immunization requirements    This letter is also available in Arabic  | Bengali  | Chinese  | Haitian-Creole  | Korean  | Russian  | Spanish  | Urdu Letter to parents regarding varicella vaccine requirements     This letter is also available in Arabic  | Bengali | Chinese  | Haitian-Creole  | Korean  | Russian  | Spanish  | Urdu      
  • Immunization Compliance
    • Letter to parents regarding Tdap vaccine    This letter is also available in Arabic  | Bengali | Chinese | Hatian-Creole | Korean | Russian | Spanish | Urdu   Letter to parents regarding the following vaccines: (1) Meningococcal vaccine, (2) HPV (Human Papillomavirus) vaccine, and (3) Tetaunus, Diphtheria, Pertusis (Tdap) vaccine   ( English ) This letter is also available in Arabic  | Bengali  | Chinese  | Haitian-Creole  | Korean  | Russian  | Spanish  | Urdu Information about HPV (Human Papillomavirus) vaccine. What you need to know ( English ) This information is also available in Arabic  | Bengali  | Chinese  | Haitian-Creole  | Korean  | Russian  | Spanish  | Urdu
    • Information about Meningococcal vaccine. What you need to know  ( English ) This information is also available in Arabic  | Bengali | Chinese  | Haitian-Creole  | Korean  | Russian  | Spanish  | Urdu Information about Tetanus, Diphtheria, Pertusis (Tdap) vaccine. What you need to know ( English ). This information is also available in Arabic  | Bengali  | Chinese  | Haitian-Creole  | Korean  | Russian  | Spanish  | Urdu
    • Information about Varicella. What you need to know (English) This information is also available in Chinese | Spanish
  • Immunization – Medical Exemptions
    • Medical Exemptions – based on a documented medical reason from a NYS licensed physician, a parent requests that a student not take the required vaccination as the vaccination is detrimental to the student’s health
    • In such cases:
      • The parent must submit a completed Medical Exemption request Form to the school
      • The school forwards the request to the ISC Health Director
      • The ISC Health Director forwards and confers with the DOHMH Supervising Physician
      • The student is able to attend during the review process
    • Medical Request for Immunization Exemption Form -- NEW!!
    • If the Medical Exemption is granted, a notation will be made in centrally ATS . The student is able to attend, the exemption expires in one year.
    • If the Medical Exemption is denied, the student becomes “Excludable” and should not be allowed to attend.
  • Immunization– Religious Exemptions
    • Religious Exemptions – parents submit a written requesting that the student be exempt from vaccinations due to religious beliefs which oppose vaccinations
    • In such cases:
    • The parent submits a request to the school
    • The school forwards the request to the ISC Health Director
    • The ISC Health Director forwards the letter to the Office of School Health for review
    • The student is allowed to attend during the review process
    • The school, the parent, and the ISC will receive a determination letter stating the status of the request
    • If the Religious Exemption is granted, a “R” notation will be made in ATS. The student is able to attend, the exemption is in place for the remainder of attendance in a NYCDOE public school. In some cases, the student is not allowed to attend during periods of a communicable disease.
    • If the Religious Exemption is denied, the parent may contact the ISC Health Director to resubmit the request.
    • If denied again, the student is “Excludable” and not able to attend until the required vaccinations have been obtained or has been successful in an appeal to the NYSDOE.
  • Immunization – ATS
    • These are helpful reports in ATS to keep track of things:
    • STAT --on the STAT screen you will see your compliance rate
    • RHIL – (Immunization Status List) will tell which students are “complete,” “excludable,” or “provisional”
    • May be organized via class, grade, alphabetical, or by ATS grouping
          • Complete
          • Excludable
          • Provisional
          • Date Error
    • At this time Warning and Exclusion letters are not available on ATS.
    • Please Log on to ATS
    • To update and display students ’ health records, type 2 to select SVCS-Supplemental Services Menu screen from the Automate the Schools Primary Menu and press Right Ctrl (Red Enter).
    • Type 4 to select HLTH-Health and Immunization screen from the Supplemental Services Menu and press Right Ctrl.
    • PROFILE 00-Q-000 New York City Public Schools 09-30-08 13:05:03
    • INIT0100 Automate the Schools Primary Menu
    • ==> 1 NEWS The Latest News 2 SVCS Supplemental Services*
    • 3 BIOG Biographical Information 4 HIST History
    • 5 ATTD Attendance 6 REPT ATS Reports**
    • 7 MNTN Maintenance 8 SBMS School Based Management
    • 9 PLAC Middle School Placement 10 MSPA Middle School SPA
    • 11 ESPA Elementary School SPA 12 PATD Period Attendances
    • F1/Help F2/ F3/ F4/Lookup F5/Print news F6/
    • F7/ F8/ F9/Refresh F10/ F11/ F12/Exit
    Immunization- ATS Health Update Screen Menu- HLTH
    • PROFILE 17-K-543 New York City Public Schools 03-24-08 12:34:39
    • HLTH0100 Health And Immunization Menu 00668-JSYKES
    • ==> 1 or 2
    • STUDENT ID: ___ ___ ___
    • LAST NAME: _______________ FIRST: _______________ BIRTH DTE: __ __ __ SEX: _
    • 1 HEIU Immunization Update 2 HEID Immunization Display
    • 3 HETU Tuberculosis Update 4 HETD Tuberculosis Display
    • 5 HLST Health Student Listing 6 S504 Section 504 Update
    • 7 HEHU Hearing Update 8 HEVU Vision Update
    • 9 HHVH Hearing and Vision History 10 HEHM Hearing Mass Entry
    • 11 HEVM Vision Mass Entry
    Immunization ATS Health Update Screen Menu- HLTH
    • PROFILE 28-Q-505 New York City Public Schools 03-24-08 12:58:45
    • RHLT0100 Health Reports Menu 01530-JSYKES
    • ==> 1, 2
    • ** 1 RHIL Immunization Status List
    • ** 2 RHIS N.Y.State Immunization Survey
    • 3 RHTF Immunization & TB Forms
    • 4 RHTL Tuberculosis Status List
    • 5 RHTS Tuberculosis Survey Form
    • 6 RHTR Tuberculosis Mandate Roster
    • 7 RSTP Positive TB Test List
    • 8 RHVL Hearing and Vision Class List
    • 9 RHVS Hearing and Vision Summary Report
    • 10 RHFL Hearing and Vision Follow Up Letters
    • 11 RHVX Vision Non Compliance Report
    • 12 R504 Section 504 Report
    • 13 RHIN Health Insurance Coverage report
    • Place cursor next to selection desired and press RIGHT CTRL/RED ENTER
    • F1/Help F2/ F3/Quit-return F4/Lookup F5/ F6/
    • F7/ F8/ F9/Refresh F10/ F11/ F12/Exit
    Immunization – ATS Health Report Menu- RHLT
  • Tuberculosis – Middle and High Schools Only
    • The goal for SY 09-10 is to ensure that at least 90% of new entrants (ATS Code 58) are “complete” for TB
    • Tuberculosis is only a requirement for students entering NYC schools for the first time at the secondary level.
    • Mantoux (PPD) Tuberculosis Skin Test or Quantiferon Blood test results are required.
    • All positive (+) results require follow up chest x-ray
    • Periodically review ATS RHTL report-- may be organized via class, grade, alphabetical, or by ATS grouping (excludable, complete, provisional, etc.)
    • There are “Warning” and “Exclusion” letters specifically for TB
    • Tuberculosis (Mantoux) Testing Requirement Warning Letter for Parents   (English
    • Tuberculosis (Mantoux) Testing Requirement Exclusion Letter for Parents   (English)
    • PROFILE 17-K-543 New York City Public Schools 03-24-08 12:34:39
    • HLTH0100 Health And Immunization Menu 00668-JSYKES
    • ==> 3 & 4
    • STUDENT ID: ___ ___ ___
    • LAST NAME: _______________ FIRST: _______________ BIRTH DTE: __ __ __ SEX: _
    • 1 HEIU Immunization Update 2 HEID Immunization Display
    • 3 HETU Tuberculosis Update** 4 HETD Tuberculosis Display **
    • 5 HLST Health Student Listing 6 S504 Section 504 Update
    • 7 HEHU Hearing Update 8 HEVU Vision Update
    • 9 HHVH Hearing and Vision History 10 HEHM Hearing Mass Entry
    • 11 HEVM Vision Mass Entry
    Tuberculosis ATS Update ATS Health Update Screen Menu- HLTH
    • PROFILE 28-Q-505 New York City Public Schools 03-24-08 12:58:45
    • RHLT0100 Health Reports Menu 01530-JSYKES
    • ==> 4, 5, 6, 7
    • 1 RHIL Immunization Status List
    • 2 RHIS N.Y.State Immunization Survey
    • 3 RHTF Immunization & TB Forms
    • 4 RHTL Tuberculosis Status List
    • 5 RHTS Tuberculosis Survey Form
    • 6 RHTR Tuberculosis Mandate Roster
    • 7 RSTP Positive TB Test List
    • 8 RHVL Hearing and Vision Class List
    • 9 RHVS Hearing and Vision Summary Report
    • 10 RHFL Hearing and Vision Follow Up Letters
    • 11 RHVX Vision Non Compliance Report
    • 12 R504 Section 504 Report
    • 13 RHIN Health Insurance Coverage report
    • Place cursor next to selection desired and press RIGHT CTRL/RED ENTER
    • F1/Help F2/ F3/Quit-return F4/Lookup F5/ F6/
    • F7/ F8/ F9/Refresh F10/ F11/ F12/Exit
    Tuberculosis– ATS Reports Health Report Menu- RHLT
    • 504 -- Request For Educational Accommodations
    • Some students require accommodations in school that they are able to participate in DOE programs. As set forth in §504 of the Rehabilitation Act of 1973, Chancellor’s Regulation A-710 outlines the process and procedures
    • A § 504 accommodation is often requested when a student has a disability , requires some accommodation, and does not qualify for an IEP
    • Accommodations vary and may include:
      • Testing Accommodations
      • Medical Accommodations
      • Classroom Accommodations
      • Paraprofessional
  • § 504 -- Request For Educational Accommodations
    • Requests must be made annually
    • School-based 504 team should have a §504 Coordinator
    • §504 Coordinator should be a pedagogue
    • §504 Coordinator determines the composition of the team
    • A good team should consist of:
      • A principal appointed §504 Coordinator
      • at least 2-3 persons other than the student’s parents
      • at least one person familiar with the student’s abilities (current or last year’s teacher)
      • at least one person able to interpret reports or evaluations
      • at least one person able and knowledgeable of the accommodations available to meet the student’s needs
  • § 504 -- Request For Educational Accommodations
    • Chancellor’s Regulation A-710
    • School Based §504 Team should:
      • Meet and make determination within 30 days of receipt of written request
      • Inform parents of meeting
      • Determine student’s eligibility and appropriateness of requested accommodations
      • Forward Notice of Determination Eligibility and Accommodation Plan to parent
      • Enter data into ATS – all requests and all actions should be entered
      • Maintain records in student file
      • Inform parents of the appeal process
      • Review R504 ATS report
      • Confer with ISC Health Director as needed
  • Other Accommodations
      • Health Paraprofessionals – only approved after review by your ISC Health Director and Supervising Phisician
      • ** Medication Authorization Form – allows a student to take medication in school. A form should be on file for students with Asthma, Diabetes, or Allergies in the nurses office.
      • ** School Diabetes Management form replaces the Glucose Monitoring Form
      • Medically Prescribed Treatment ( Non-Medical)
    ** These forms should be turned into the school nurse
    • PROFILE 17-K-543 New York City Public Schools 03-24-08 12:34:39
    • HLTH0100 Health And Immunization Menu 00668-JSYKES
    • ==> 6
    • STUDENT ID: ___ ___ ___
    • LAST NAME: _______________ FIRST: _______________ BIRTH DTE: __ __ __ SEX: _
    • 1 HEIU Immunization Update 2 HEID Immunization Display
    • 3 HETU Tuberculosis Update 4 HETD Tuberculosis Display
    • 5 HLST Health Student Listing 6 S504 Section 504 Update ***
    • 7 HEHU Hearing Update 8 HEVU Vision Update
    • 9 HHVH Hearing and Vision History 10 HEHM Hearing Mass Entry
    • 11 HEVM Vision Mass Entry
    504 Accommodation- ATS Health Update Screen Menu- HLTH
    • PROFILE 28-Q-505 New York City Public Schools 03-24-08 12:58:45
    • RHLT0100 Health Reports Menu 01530-JSYKES
    • ==> 12
    • 1 RHIL Immunization Status List
    • 2 RHIS N.Y.State Immunization Survey
    • 3 RHTF Immunization & TB Forms
    • 4 RHTL Tuberculosis Status List
    • 5 RHTS Tuberculosis Survey Form
    • 6 RHTR Tuberculosis Mandate Roster
    • 7 RSTP Positive TB Test List
    • 8 RHVL Hearing and Vision Class List
    • 9 RHVS Hearing and Vision Summary Report (ATS 2- Type “xreg” to navigate from ATS)
    • 10 RHFL Hearing and Vision Follow Up Letters
    • 11 RHVX Vision Non Compliance Report
    • 12 R504 Section 504 Report ***
    • 13 RHIN Health Insurance Coverage report
    • Place cursor next to selection desired and press RIGHT CTRL/RED ENTER
    • F1/Help F2/ F3/Quit-return F4/Lookup F5/ F6/
    • F7/ F8/ F9/Refresh F10/ F11/ F12/Exit
    Section 504 Accommodation– ATS Reports Health Report Menu- RHLT
  • Communicable Diseases
    • Defined: a disease that may be transmitted directly or indirectly from one individual to another
    Communicable Disease Action Chart Informed of possible communicable disease Contact Principal Contact School Nurse Contact ISC Health Director Await communicable disease response instructions
  • Communicable Diseases Relevant to School Health
    • Not every communicable disease poses a public health threat
    • Not every communicable disease requires a letter home to parents
    When in doubt, contact your school nurse and ISC Health Director Communicable Diseases Relevant to School Health
    • Varicella (Chicken Pox)
    • Scabies
    • Human Bites
    • MRSA
    • Meningitis
    • Parovirus
    • H1N1*
    • Food Borne Illnesses
  • H1N1 (Novel H1N1)
    • There is a link to the DOE's  H1N1 information page including attendance data.
    • Locate a weekend H1N1 Vaccination  Points of Dispensing Site (PODs) in your borough.
    • There is also general flu information on nyc.gov/flu
    • What is the plan for the current year?
        • http://schools.nyc.gov/Home/Spotlight/jkh1n1.htm
  • Vision Screening
    • Campaign- Kids Eyes Counts
    • About 3% of children suffer from amblyopia, a condition that may result in blindness in one eye if not detected and treated before age seven. For more information
  • Vision Screening
    • Chancellor’s Regulation A-701 informs us that vision screening should be done by DOE staff for students in attendance as per the mandate.
    • The goal for the current year: 100% of students within the mandate are screened.
    • Due: December 31, 2009 and March 31, 2010
    • Students required to be screened:
      • 3 rd graders
      • 5 th graders
      • Special Education students
      • New entrants (within 60 days) (code 58)
      • Those referred or with history of vision problems
      • Those on the RHVX ATS reports
      • Those not screened by DOHMH teams
      • NB:DOHMH conduct Vision screening for grades: Pre-K, K and 1.
  • Vision Screening: A To Do List
    • Schools Must:
    • Form a vision team (staff from the school)
    • Designate a school vision team leader
    • Order vision charts (FAMIS)
    • Review screening requirements/ set up schedule and location
    • Print class lists from ATS
    • Screen students
    • Record data into ATS – ATS is able to generate follow-up letters!!!!
    • Contact your ISC health director if training is required
    • Screening and data entry should be completed by March 31, 2009
    • PROFILE 17-K-543 New York City Public Schools 03-24-08 12:34:39
    • HLTH0100 Health And Immunization Menu 00668-JSYKES
    • ==> 8 & 11
    • STUDENT ID: ___ ___ ___
    • LAST NAME: _______________ FIRST: _______________ BIRTH DTE: __ __ __ SEX: _
    • 1 HEIU Immunization Update 2 HEID Immunization Display
    • 3 HETU Tuberculosis Update 4 HETD Tuberculosis Display
    • 5 HLST Health Student Listing 6 S504 Section 504 Update
    • 7 HEHU Hearing Update 8 HEVU Vision Update***
    • 9 HHVH Hearing and Vision History 10 HEHM Hearing Mass Entry
    • 11 HEVM Vision Mass Entry **
    Vision Screening ATS Update ATS Health Update Screen Menu- HLTH
    • PROFILE 28-Q-505 New York City Public Schools 03-24-08 12:58:45
    • RHLT0100 Health Reports Menu 01530-JSYKES
    • ==> 8, 9, 10, 11
    • 1 RHIL Immunization Status List
    • 2 RHIS N.Y.State Immunization Survey
    • 3 RHTF Immunization & TB Forms
    • 4 RHTL Tuberculosis Status List
    • 5 RHTS Tuberculosis Survey Form
    • 6 RHTR Tuberculosis Mandate Roster
    • 7 RSTP Positive TB Test List
    • * 8 RHVL Hearing and Vision Class List
    • *9 RHVS Hearing and Vision Summary Report (ATS 2- Type “xreg” to navigate from ATS)
    • *10 RHFL Hearing and Vision Follow Up Letters
    • * 11 RHVX Vision Non Compliance Report
    • 12 R504 Section 504 Report
    • 13 RHIN Health Insurance Coverage report
    • Place cursor next to selection desired and press RIGHT CTRL/RED ENTER
    • F1/Help F2/ F3/Quit-return F4/Lookup F5/ F6/
    • F7/ F8/ F9/Refresh F10/ F11/ F12/Exit
    Vision Screening – ATS Reports Health Report Menu- RHLT
  • Condom Availability Program
    • A program for high school students only, students in grades 9—12
    • Some new schools are exempt from participation, contact your ISC Health Director
    • Requires a Health Resource Room (HRR) – a space where students may access health information, including free condoms
    • Requires 1 male and 1 female staff member to make condoms available
    • HRR staff must be trained
    • Condoms should be available at least 10 periods per week
    • Students must be made aware of the program via posters, flyer, wallet cards, etc.
  • AED/CPR
    • AED stands for Automated External Defibrillators
    • There should be at least one in every building at the front security desk
    • Each school is required to have at least 2, but it is desired that there be 6 trained staff members
    • Training is free of charge for all DOE employees and available by contacting: Emergency Skills Inc., 212-564-6833 or http://doe.emergencyskills.com/mainpage.php
    • Certificates expire after two years, to recertify, the 6 hour class must be taken again
    • For more information, contact your ISC Health Director or your AED Program Manager
  • Other School Health/ Health Director Programs
    • Your ISC Health Director is able to assist you with and or provide more information on:
    • School Based Health Centers
    • Oral Health
    • Wellness Policy
    • Bed Bug Policy
    • Home Instruction
    • Health Insurance
    • Head Lice Policy
    • Presentations/ Speakers
    • Health Fairs
    • Technical Support (ATS)
    • Training
    • Mental Health/ Clinic Plus
  • Who’s Who in your school ? Please inform your Health Director
    • Health Coordinator – the person who regarding oversees student health matters / the health programs in the school/ coordinates and sends out notices
    • § 504 Coordinator – the person who heads up the school-based 504 team
    • Pupil Accounting Secretary – in schools where there is no school aide, enters health information into ATS
    • Vision Team Leader – heads up the school-based vision team/ ensures that the mandated students are screened and data recorded
    • AED/CPR Contact – person to serve as liaison between the school and other DOE agents regarding the program
    • Health Resource Room staff – heads up the school health resource room staff/ coordinates the program
  • School Health Contact List ISC Health Director ISC By Borough Health Director Email Phone Fax: Bronx ISC Alma Idehen [email_address] 718-741-5097 718-741-7602 Brooklyn ISC Neil Somerfeld [email_address] 718-935-3987 718-935-5941 Queens ISC Carine Jean-Pierre [email_address] 718-391-6839 718-391-6886 Manhattan ISC Norberto Perez [email_address] 917-339-1749 212-356-7535 Staten Island ISC Jody Stoll [email_address] 718-390-1596 718-556-8374
  • School Health Contact List Borough Nursing Director ISC Borough Nursing Director Brooklyn Dr. Patrick Duncan Districts: 13, 14, 15, 16, & 20 P:718-935-4136 F:718-935-4358 [email_address] [email_address] Sonia Miller Districts: 18, 19, 23, 32 P:718-240-3629 F:718-240-3759 [email_address] Paula Fragile 17, 21, 22 P: 718-758-7623 F: 718-758-7607 [email_address] Bronx Yawwamal Donefeld Districts: 7,9,10 P:718-741-7639 F:718-584-5082 [email_address] Eileen Cotter Districts: 8, 11, 12 P:718-828-2930 F:718-828-6678 [email_address]
  • School Health Contact List Borough Nursing Director ISC Borough Nursing Director Manhattan Y awwamal Donenfeld P: 212-280-9230, Ext. 12 Fax:  212-280-9297 [email_address] Queens Diane Triunfo P: 718-577-2749 F: 718-557-2751 [email_address] Staten Island Joan Rondon P: 718-420-5639 F: 718-420-5635 [email_address]
  • Resources
    • Chancellors Regulations
    • School Health Services: A-701 School Health Services
    • Section 504 Policy and Procedure for Students: A-710 Section 504
    • Administration of Epinephrine to students with severe allergies: A-715 Epi-Pen
    • Home Instruction Services: A-170 Home Instruction
    • Pregnant And Parenting Students And Reproductive Health Privacy: A-740
    • Administration and Accountability in the School Food Service Program: A-815
  • Queens ISC Health Director
    • Carine Jean-Pierre, MS
    • Queens ISC Health Director
    • New York City Department of Education
    • Queens Integrated Service Center
    • 28-11 Queens Plaza North
    • Long Island City, NY 11101
    • Phone: 718-391-6839
    • Fax: 718-391-6886
    • Email : [email_address]
  • School Health Contact List ISC Health Director ISC By Borough Health Director Email Phone Fax: Bronx ISC Alma Idehen [email_address] 718-741-5097 718-741-7602 Brooklyn ISC Neil Somerfeld [email_address] 718-935-3987 718-935-5941 Queens ISC Carine Jean-Pierre [email_address] 718-391-6839 718-391-6886 Manhattan ISC Norberto Perez [email_address] 917-339-1749 212-356-7535 Staten Island ISC Jody Stoll [email_address] 718-390-1596 718-556-8374
  • Additional Professional Developments
    •   Training Topic: Vision Screening Techniques: November 6, 2009
    • 28-11 Queens Plaza North, room 510, LIC, NY 11101
    • 9:00 am – 11:00 am & 1:00 pm – 3:00 pm
    •  
    • Training Topic: Vision Screening Techniques: November 10, 2009
    • 90-27 Sutphin Blvd, 2 nd Floor, Jamaica, NY 11435
    • 9:00 am – 11:00am & 1:00-3:00 pm
    •  
    • Topic : Navigating Health Screens on ATS: November 9, 2009
    • 28-11 Queens Plaza North, 4 th Computer Lab, LIC, NY 11101
    • 9:00 am – 11:30 am & 12:30pm – 3:00 pm
    •  
    • Training Topic: Health Programs Compliance: November 13, 2009
    • 90-27 Sutphin Blvd, 2 nd Floor Conference Room, Jamaica, NY 11435
    • 9:00 am – 11:00 am & 1:00 pm - 3:00 pm
    • Please Register on Protraxx by 11/03/09 https://protraxx.com/scripts/ezcatalogny/Login.aspx?CustomerID=77   
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