This document summarizes the mission and activities of a school-based health program. The program aims to deliver health services to children and adolescents, ensure their health needs are met, advocate for school health, educate future healthcare providers, and improve student academic performance through better health. It provides an overview of the populations served at various schools, health indicators of the student body such as poverty levels and asthma rates, insurance coverage rates, current on-site health services including telehealth, and estimated cost savings from telehealth services.

1. FloridaTelehealthSummit
December4th,2014
F Joycelyn Lawrence, MD

2. Mission
 Deliver high quality medical, social and mental health services to children and
adolescents;
 Participate as a community partner to ensure that the health care needs of youth
and their families are met;
 Serve as a national and local advocate for school health;
 Educate our service-learners to ensure the future of health care delivery for our
youth; and
 Increase the academic performance of the students in the target schools by
improving their health status, attendance, and ability to focus on academics.

3. Our Schools
School
Population
As of
July
2014
August Sept
Total
Enrollmen
t
%
Enrolled
NMB Sr. High 1827 1490 26 10 1526 84%
JFK Middle 1176 742 117 31 890 76%
Fulford 521 149 10 8 167 32%
Sabal Palm 710 546 147 17 710 100%
Greynolds Park 706 236 192 8 436 62%
N Miami Sr 2560 1541 54 40 1635 64%
N Miami Middle 998 229 33 44 306 31%
Arch Creek 530 177 20 5 202 38%
BTW Sr. 997 336 994 997 2327 23%
TOTAL 10009 5446 1593 1160 8199 82%

4. Our Students Indicators of poor health status:
 HPSA
 Minority status
 85% of students on free school lunch program.
 Federal poverty level
 20% of families in NMB
 24% North Miami
 30% Overtown
 A high prevalence of obesity or overweight (32%) exists among students in these areas due in
part to high consumption of fruit juices and decreased exercise.
 Of 638 second grade students seen for sealant placement, 225 (35%) had existing caries.
 Asthma surveillance conducted by the DOH revealed that our schools are in zip code areas
ranked 3rd highest for child ER visits due to asthma.
 Estimated 25% have serious mental health issues.

5. Insurance Status of Our Students
41%
12%
47%
Insurance Status
Medicaid Private Ins Uninsured

6. Current ServicServicees:
Services Offered
Physical examinations
Laboratory services
Acute and chronic care
Telehealth services
Dental sealants & varnishes
Mental health services
Community health workers
Nutrition services
Pulmonary function testing
EKG testing

7. Telehealth Services
25%
33%
25%
17%
Telehealth Services
School-School Nutrition Dermatology Mental Health

8. Telehealth Cost Savings
Monetary Conversion Factors (cost per outcome in 2013 dollars) = $163.00
Average savings per family per telehealth encounter in school-based telehealth
centers. Savings come from parents' work time and reduced ED and/or physician visits.
In Young and Ireson (2003).