1. School Nurse Sensitive Critical Indicators
Martha Dewey Bergren, DNS RN; Erin Maughan, PhD RN; Nichole Bobo, MSN RN
Problem
School Nurses lags acute care nurses in development of measures sensitive to nursing interventions
Established measures
NDNQI : Falls, Decubitus, Central line infections, Failure to Rescue, Readmission, Pain assessment
AHRQ Pediatric Quality Indicators
Asthma admissions, Diabetes short-term complications, Perforated appendix,
Urinary tract infection admissions
Structure Measures (selected sample)
Free and Reduced Lunch
State school nurse consultant
Disabilities
Acute community, SBHC, providers
EMS response time
School Social Worker
Geography, Distance
Rural urban suburban
Transportation
Process Measures (selected sample)
Assessment
Care plans, Emergency Plans, IEPs
Care coordination / Communicate
Health Promotion
Staff and faculty training
UAP Supervision
Immunization practices
Medication practices
SCHIP enrollment
Vision Hearing Screening F/U
Outcome Measures
Quality of life
Behavior
Well-being
Health outcomes
Depression
Connectedness
911
Obesity / Nutrition – healthy food / Physical activity
Surveillance
Dental health
Failure to rescue
Insurance
Deaths
Serendipitous case finding
Education outcomes
Emergency room utilization / Hospitalizations
Health care costs
Inclusion / Exclusion
Immunization rate
Instruction time / Early dismissal /Attendance
Inclusion / exclusion
Test scores / Achievement
Health office visits / Medical Home
Graduation rates
Pregnancy
Injury
Specific health and education outcomes
Vision follow-up
Smoking
Seatbelts, etc
 Medications, missed dose, wrong dose
Consensus Panel
School Nurse Leaders Panel
10 states
Consensus reached on a large set of potential sensitive indicators
Feedback and clarification from school nurses at national conference
Next steps:
Identify measurement issues and relevant information
Establish feasibility, usability
Conduct pilot studies
Disseminate to research partners
National Association of School Nurses
Acknowledgements
Subheads = Arial Bold Italic 24 pt
Text = Arial 16, 18, or 20 point
Text Bullets = black