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Medically Fragile Services and Dental Screening Medically Fragile Services and Dental Screening

Medically Fragile Services and Dental Screening - PowerPoint Presentation

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Medically Fragile Services and Dental Screening - PPT Presentation

20212022 Oregon Department of Education 1 Oregon Department of Education 2 Collections covered Medically Fragile Data Collection Opens May 5 2022 Closes June 24 2022 Dental Data Collection ID: 1048565

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1. Medically Fragile Services and Dental Screening2021-2022Oregon Department of Education1

2. Oregon Department of Education2Collections coveredMedically Fragile Data CollectionOpens: May 5, 2022Closes: June 24, 2022Dental Data CollectionOpens: May 5, 2022Closes: June 24, 2022

3. Please submit once per school district!This would include all public schools in your district, including charter schoolsESDs cannot submit on their own!ESDs have to work with school districts, so that everyone is counted through the school district. Review your prior year’s submission as a referenceIf you don’t have access to the collection, please contact your District Security Administrator.Oregon Department of Education3Data collection basics

4. Medically Fragile/School Nursing Data Collection Oregon Department of Education4Opens: May 5, 2022Closes: June 24, 2022

5. We know that gathering information on student nursing care needs in your district may be challenging. Here are some tips:Connect with nurses in your district/region and OSNA to understand acuity strategies.Consider how COVID and its impacts will have changed and exacerbated student conditions. Start by looking at last year’s data.Oregon Department of Education5Tips for 2021-2022 collection

6. Oregon Department of Education6How to find last year’s dataLog on to the district home page site: https://district.ode.state.or.us/home/An applications list will appear on the next page. Click on Consolidated Collections.

7. 3. Select Reports tab, located next to Status Tracking tab.4. From the Collection menu, select “Medically Fragile Services: Nurses and Students (HB2693)Oregon Department of Education7How to find last year’s data

8. 5. In the Report Year menu that appears below or to the right, select the MedFrglStdnt Report from the collection year needed.6. In the report menu that appears below or to the right, select “Production Download Report.”7. A pop-up will appear with the appropriate report, identifying the year requested. You will receive an email with a secure link. This report can be opened in Excel.Oregon Department of Education8How to find last year’s data

9. ORS 336.201(6) The Department of Education shall submit to the State Board of Education and the interim legislative committees related to education an annual report … that provides information on:(a) The availability of licensed practical nurses, registered nurses and school nurses in each school district; and(b) The number of medically complex students, medically fragile students and nursing-dependent students in each school district. [2009 c.843 §2; 2009 c.843 §4]Oregon Department of Education9Legal Background

10. OAR 581-022-2220 Health Services: The school district shall maintain a prevention oriented health services program for all students which provides:ORS 336.2011 registered nurse for every 225 medically complex students (1:225) 1 registered nurse for every 125 medically fragile students (1:125)1 registered nurse for every 1 nursing-dependent student (1:1) Encouraged: 1 registered nurse per 750 enrolled students (1:750) Oregon Department of Education10Oregon Law

11. On the ODE District Webpage: https://district.ode.state.or.us/home/You’ll see a drop down option appear under “Institution Collections”Find the option for “Submission/Maintenance”Oregon Department of Education11Where is the data collection?

12. Data fields 1-3 require a health assessment by a nurseData fields 4-7 require a count of nurse FTE, including nurses employed by or contracted by your school districtOregon Department of Education12What does it look like?IMPORTANT: The ORDER of student data changed in 2020! It is ordered by acuity level.

13. Requires an assessment from a nurse ORS 336.201(b) "Medically complex students" means students who may have an unstable health condition and who may require daily professional nursing services.(c) "Medically fragile students" means students who may have a life-threatening health condition and who may require immediate professional nursing services.(d) "Nursing-dependent students" means students who may have an unstable or life-threatening health condition and who may require daily, direct and continuous professional nursing services.Oregon Department of Education13Student Health Assessment

14. 1 FTE RN for up to 225 students (per ORS 336.201)Definition: Medically complex students means students who may have an unstable health condition and who may require daily professional nursing services. (ORS 336.201)Registered Nurse Assessment: Needs more than a first aid response; a health plan may or may not be in place.Oregon Department of Education14Medically complex students

15. 1 FTE RN for up to 125 students (per ORS 336.201)Definition: Medically Fragile students means students who may have a life-threatening health condition and who may require immediate professional nursing services. (ORS 336.201)Nursing Assessment: Licensed nurse should be readily available for assessment and/or interventionOregon Department of Education15Medically fragile students

16. 1 RN or LPN for every 1 nursing dependent student (per ORS 336.201)Definition: Nursing-dependent students means students who may have an unstable or life-threatening health condition and who may require daily, direct, and continuous non-delegable professional nursing services. (ORS 336.201)Registered Nurse Assessment: Student requires direct and continuous care by a licensed nurse (1:1)Oregon Department of Education16Nursing dependent students

17. ORS 336.201(e) "Registered nurse" means an individual who is licensed as a registered nurse under ORS 678.010 (Definitions for ORS 678.010 to 678.410) to 678.410 (Fees).(a) "Licensed practical nurse" means an individual who is licensed as a licensed practical nurse under ORS 678.010 (Definitions for ORS 678.010 to 678.410) to 678.410 (Fees).Must work under the direction and supervision of an registered nurse.See ODE’s School Nurse staffing document for more information on the delivery of school nurse services in the school setting.Oregon Department of Education17School Nurse Definitions

18. Oregon Department of Education18School Nurse DefinitionsPlease include nurses employed or contracted by the school district to provide health services!

19. Dental ScreeningData Collection Oregon Department of Education19Opens: May 5, 2022Closes: June 24, 2022

20. OAR 581-21-0017(2) Each education provider must: (a) Require a student who is seven years of age or younger and who is beginning an educational program with the education provider for the first time to submit certification within 120 days of the student beginning school that the student received a dental screening within the previous 12 months; (b) File in the student’s dental health record any dental screening certifications and any results of a dental screening known by the education provider; (c) Provide the parent or guardian of each student with standardized information developed by the dental director appointed by the Oregon Health Authority regarding dental screenings, further examinations or necessary treatments, and preventative care including fluoride varnish, sealants and daily brushing and flossing; and (d) No later than October 1 each year, submit to the Department of Education a report that identifies the percentage of students who failed to submit the certification required under this rule for the previous school year. Oregon Department of Education20Legal Background

21. OAR 581-021-0017(3) A student is not required to submit a dental screening certification required under subsection (2) of this rule if the student provides a statement from the parent or guardian of the student that: (a) The student submitted certification to a prior education provider; (b) The dental screening is contrary to the religious beliefs of the student or the parent or guardian of the student; or (c) The dental screening is a burden for the student or the parent or guardian of the student in one of the following ways: (A) The cost of obtaining the dental screening is too high; (B) The student does not have access to an approved screener identified in (1)(a) of this rule; or (C) The student was unable to obtain an appointment with an approved screener identified in (1)(a) of this rule. Oregon Department of Education21Legal Background (continued)

22. On the ODE District Webpage: https://district.ode.state.or.us/home/You’ll see a drop down option appear under “Institution Collections”Find the option for “Submission/Maintenance”Oregon Department of Education22Where is the data collection?

23. Oregon Department of Education23What does it look like?

24. You can find more information, certificate forms, and training resources on the ODE webpage for Dental Screening Resources and Information:http://www.oregon.gov/ode/students-and-family/healthsafety/Pages/Dental-Screening---Resources-and-Information.aspxOregon Department of Education24Dental Screening Certificates

25. Ely Sandersely.sanders@ode.oregon.gov School Health SpecialistOregon Department of Education Office of Enhancing Student OpportunitiesOregon Department of Education25Questions?