1. N.C. Division of Public Health Children & Youth Branch School Health Unit Christopher T. Bryant, M.Ed. School Health Center Clinical Coordinator Adolescent Health Coordinator NORTH CAROLINA SCHOOL HEALTH CENTERS SCHOOL HEALTH COLLABORATIVE PANEL PRESENTATION

2. “To increase access to primary and preventive health care to improve the health status and academic performance of older children and adolescents, ages 10 to 19 years old, living in underserved and high risk communities.“ NORTH CAROLINA SCHOOL HEALTH CENTERS PURPOSE

3. Funded school health centers are largely located on or near high schools and middle schools to increase access to physical and mental health services. There is a strong emphasis on preventive health services with the goal of improving children’s health and readiness to learn. Services are provided in collaboration with individual schools, school districts, health care providers and other agencies and community based organizations. Services include acute care; management of chronic illnesses; mental health services; and preventive services, such as health education, physical and dental exams, and nutrition services. Important Note: N.C. General Statutes 115C-81 “Contraceptives, including condoms and other devices, shall not be made available or distributed on school property.” OVERVIEW

4.  Any community-based public or private non-profit agency may apply for funding that would supplement local support for school health centers during the request for application (RFA) process.  All models of School Health Centers are eligible to apply for RFA funding. School Health Centers who are successful in winning funding will demonstrate appropriate primary and preventive medical services for adolescents. These services may include all or some of the following: ◦ Preventive Health services - Immunizations, risk assessments, physical exams, nursing services ◦ Medical services - Chronic disease and acute disease diagnosis and treatment, ◦ Nutrition services - Assessments, referral and counseling/treatment, ◦ Mental Health Services - Referral and counseling/treatment ◦ Referrals for specialized services  All centers must submit reports on services provided on a regularly scheduled basis throughout the contract year. ELIGIBILITY FOR FUNDING

5.  The N.C. School Health Center RFA (request for application) for a 3-year funding cycle was released on November 17, 2014 (pending availability of funds).  The 3-year cycle timeframe for the resulting contracts will include fiscal years 2015-16, 2016-17, and 2017-18.  Refer to the NC DHHS website for RFA opportunities @: http://www.ncdhhs.gov/grantopportunities/ http://www.ncdhhs.gov/grantopportunities/  Refer also to the School Health Center Program website @: http://www.ncdhhs.gov/childrenandyouth/ http://www.ncdhhs.gov/childrenandyouth/ ELIGIBILITY FOR FUNDING RFA RELEASE

6. Funded School Health Centers are currently located in the following counties: Ashe, Cherokee, Durham, Forsyth, Gates, Graham, Greene, Henderson, Madison, Mitchell, Montgomery, New Hanover, Rockingham, Wayne, Wilkes, and Yancey. GEOGRAPHIC DISTRIBUTION FY 2013-2014

7.  Gateway Community Health Center (HS; SHC=1)  Appalachian Health District (MS; SHC=1)  Blue Ridge Community Health (HS/MS; SHC=2)  Center for Rural Health Innovation (HS/MS; SHC=1)  Cherokee County Health Dept. (MS; SHC=2)  Duke University (HS; SHC=1)  First Health of the Carolinas (MS; SHC=2)  Graham County Health Dept. (HS/MS; SHC=1)  Greene County Health Care (HS; SHC=1)  Madison County Health Dept. (HS\MS; SHC=1)  Morehead Memorial Hospital (HS; SHC=4)  Toe River Health District (MS; SHC=2)  Wake Forest University (HS/MS; SHC=2)  Wayne Initiative School Health (HS/MS; SHC=6)  Wilkes County Health Dept. (HS/MS; SHC=1)  Wilmington Health Access for Teens (HS; SHC=4) FUNDED CENTERS FY 2014-2015

8.  For questions or technical assistance around establishing a new School Health Center, the N.C. School Health Center Program generally recommends working with the North Carolina School Community Health Alliance (N.C. SCHA).  The North Carolina School Community Health Alliance has it as their mission to provide technical assistance to schools and communities who wish to establish a School Health Center for students in their region. See: http://ncscha.org/index.phphttp://ncscha.org/index.php OR  Contact: Stephanie Daniels, N.C. SCHA President @ 336-253-3757 NC SCHOOL HEALTH CENTERS STARTING A NEW SCHOOL HEALTH CENTER

9. CONTRACTS ADMINISTRATION  The School Health Center Program (School Health Unit/Children & Youth Branch/Women’s & Children’s Health Section/N.C. DPH/N.C. DHHS) is responsible for contracts administration for all “funded” N.C. School Health Centers.  The following roles are implemented by the Clinical Coordinator for the N.C. School Health Center Program:  RFA Administration (every 3 years pending available funding)  Contracts Management  Contracts Monitoring  Required Annual Sub-recipient Monitoring  Required Annual Data Collection  Required Annual Medical Audit  Credentialing/Re-Credentialing WHAT IS THE STATE’S ROLE?

10. CREDENTIALING / RE-CREDENTIALING  The N.C. School Health Center Credentialing model is an agreement between N.C. Division of Medical Assistance and the N.C. Division of Public Health.  Credentialed status is not required for a School Health Center to be funded through the N.C. Division of Public Health.  Credentialing (and re-credentialing) involves program monitoring of the following:  Medical Record Audit Review  N.C. Quality Assurance Standards compliance Review  After the initial Credentialing status, Re-Credentialing is required every three years. WHAT IS THE STATE’S ROLE?

11. Chris Bryant, M.Ed. Adolescent Health Coordinator N.C. SHC Clinical Coordinator (919) 707-5662 christopher.bryant@dhhs.nc.gov N.C. Division of Public Health Women’s & Children’s Health Section Children & Youth Branch School Health Unit CONTACT: