AISD/ Children's Student Health Services
Annual Continuous Quality Improvement Report
School Year 2000-2001
Executive Summary

Student Outcomes

• AISD achieved 95% immunization rate for district overall. 83% of campuses achieved 95% coverage in key immunization areas. This reflects improvement over prior year when immunization resources were lost.
• Expansion of RN Case Management for students with asthma appears to have had a positive impact on student attendance (remaining in school).
• Roughly 30% or more of students screened for vision, hearing or dental care by Student Health Teams are referred for follow-up.
• Student health education contacts increased 265% as a result of strategic planning, and in response to PrincipalÕs requests. Parents also targeted.
• An attendance study focusing on students with a health condition compared individual student attendance over two years. The study revealed 75% of students maintained or improved attendance. Attendance improved by more than 2 days per student, over 2600 increased days of attendance overall.

Productivity

• Direct student health contacts exceeded 1 million in 2000-2001.
• More than 500,000 medications were administered/managed, with a medication error rate of only .00014%.
• Market analysis, using conservative values, reflected that program economic benefit exceeded annual program budget by the end of its first quarter.

Customer Satisfaction

• Parents report good/excellent satisfaction at rates >90% across nearly all items surveyed.
• Students report good/excellent satisfaction at rates >90% across nearly all items surveyed.
• Student survey included questions important in understanding adolescent health needs, particularly regarding mental/behavioral health issues.
• Principals report good/outstanding satisfaction at rates >90% for RNs across all items surveyed.
• Principals report average/good/outstanding satisfaction at rates >85% for School Health Assistants, and good/outstanding satisfaction at rates >75% across all but one item.

Review of Program Model

• Model of care has been significantly enhanced with addition of RN Case Management for students in need.
• Data management is integral to service program model, and must be automated to sustain the program.
• Community support through collaboration is crucial to sustaining service to students effectively and with efficiency.
• Given national inquiries and external acknowledgements of program quality, if data management is automated and all components packaged and marketed effectively, this could provide a source of revenue for the health program.

Susan Millea, Ph. D. Human Service Technology Innovations 8/3/01