1. IT’S ALL ABOUT IMPACT
A NEW EQUATION FOR HEALTH CARE

2. Gutenberg/Google
2

3. 3

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8. 8

9. THE PROBLEM

10. BUILDING A FOUNDATION FOR A MEDICAL HOME FOR CHILDREN
 VOLUME : VALUE
 OUTCOMES : QUALITY

11. THE PLACE
Berrien County

12. THE CASE
Counties With Best Health
Outcomes = Green
Greatest Health Needs = Red.
Berrien County
Georgia Health Disparities Report 2008

13. THE INV
Socioeconomic Summary
Grades
A
B
C
D
F = Berrien
Georgia Health Disparities
Report 2008

14. Social and Economic Indicators
F
Mortality
F
Illness Events (Hospital Admits & Emergency
Visits)
F
Prenatal Care & Birth Outcomes
F
Primary Care Access
F
Mental Health Access
C-

15. THE SQUARE

17. THE MODEL
INTEGRATED STUDENT SYSTEM OF CARE
ISSC
Services
Primary
Acute
Specialty
Service Integration
Care Coordination
Data Exchange
Telemedicine/On-Site Care
Early Intervention Services
Child/Family Centered Case Mngt
Primary Prevention Support
Academic/Counseling/Health Ed
Screening & Assessment
School Nurse/Guidance Counselor
Program Coordinator/Teacher/Parent
• GPT’s Integrated Student System of Care (ISSC) model is an integrated framework for clinic and non-clinical services. ISSC
promotes a healthcare ecosystem through the implementation of a telemedicine program(s).
• ISSC provides a broad array of service integration, continuity of care, and data exchange strategies that include, but are not
limited to: family-centered case management services; adult/child health and wellness education services; and clinical
health services.

18. Medical
Psychological
Therapeutic
Clinical Services
Continuity of Care
Data Exchange
Telemedicine
Service Integration
ISSC
Family-Centered Case Management
Early Intervention Services
Academic/Counseling/Health ED
Primary Prevention Support
School Nurse
Guidance Counselor
Human Services Specialist
Screenings &
Assessments

19. MOST EFFECTIVE DOSE

20. What is a School-Based Health Center?
Children's Health Insurance Reauthorization Act of 20091:
(A) IN GENERAL.—The term ‘school-based health center’ means a health clinic that—
(i) is located in or near a school facility of a school district or board or of an Indian
tribe or tribal organization;
(ii) is organized through school, community, and health provider relationships;
(iii) is administered by a sponsoring facility;
(iv) provides through health professionals primary health services to children in
accordance with State and local law, including laws relating to licensure and
certification; and
(v) satisfies such other requirements as a State may establish for the operation of such a
clinic.
(B) SPONSORING FACILITY:
(i) A hospital.
(ii) A public health department.
(iii) A community health center.
(iv) A nonprofit health care agency.
(v) A school or school system.
(vi) A program administered by the Indian Health Service or the Bureau of Indian Affairs
or operated by an Indian tribe or a tribal organization.’’

21. Why Start a SBTC?
 Health has a direct impact on student learning
 Education
 Absenteeism
 Learning Experience
 Increased access to:
 Healthcare (primary care & episodic care)
 Mental Healthcare
 Oral Healthcare
 Specialist
 Pharma

22. WHY Cont’d?
 Students like them
 SBHCs are 5 minutes or 50 feet from the student’s
world2
 Increase in yearly medical visits2
 3.4 hours saved from parents missing work (avg of
$43 in lost wages)3
 Reduced ED visits (avg savings per family $224)3
 Creates a true system of care for the student

23. How Do SBTCs work?
 Using an Open Access Telehealth model, schools can
connect to:
 Primary Care Physicians for chronic or episodic care
 Specialty Centers providing care such as:
 Psychiatry
 Nephrology
 Cardiology
 “Other”- ologies
 Other schools for:
 School to school consultations
 District meetings
 Conference sites for training and CMEs

24. Who Should be Involved?
The Entire
Community

25. Where In The US?

28. Where In Georgia?
School Based Telehealth Center
Data:
• 13 SBTCs already exist in 3
districts
• 9 Primary/Elementary
• 4 Middle/High
• HRSA funding is allowing 28
more to be funded
• 17 Primary/Elementary
• 13 Middle/High
• 3 Other
• GPT projects a total of 41
funded SBTCs by the end of
2013

29. Where In Georgia?
School Based Telehealth Center
Data:
• 13 SBTCs already exist in 3
districts
• 9 Primary/Elementary
• 4 Middle/High
• HRSA funding is allowing 28
more to be funded
• 17 Primary/Elementary
• 13 Middle/High
• 3 Other
• GPT projects a total of 41
funded SBTCs by the end of
2013

30. GEORGIA PARTNERSHIP FOR TELEHEALTH
Patient Centered Telehealth Model
Insurance
DATA
RN/Case
Manager
EMR/HIE/HM/GPT
Primary
Care
Other
Clinics
HM
DATA
EMR/HIE/HM/GPT
MONITORING
Employers
PATIENT
Schools
Nursing
Homes
SPECIALISTS
HIE
30

31. LEVERAGING PUBLIC - PRIVATE
PARTNERSHIPS
Accountable Care Organizational Structures
Public Health – Public Safety – Public Education
Federally Qualified Health Centers
State/Region/District Partnerships
Georgia Community Service Board
Service Integration Models
Primary Care – Mental Health
TeleHealth/Telemedicine Provider
Formula for IMPACT
Project D.A.V.I.D.
Data Analysis via Individual Dynamics

32. I AM YOUR FUTURE

33. References
1.
2.
3.
Children's Health Insurance Program Reauthorization Act 2009, 111 USC § 2110 (2009).
Ammerman, Adrienne. "School Based Healthcare: Why It Is Common Sense." South Eastern
Education Network Winter 14.3 (2012): Web.
Young, T. L., and C. Ireson. "Effectiveness of School-Based Telehealth Care in Urban and
Rural Elementary Schools." Pediatrics 112.5 (2003): 1088-094.
Matt Jansen, MPA
Georgia Partnership For Telehealth
Executive Director
Matt..jansen@gatelehealth.org