ESPDT School Health Nurse Grant Program: Clinical Evaluation Indicators Summary Report
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ESPDT School Health Nurse Grant Program: Clinical Evaluation Indicators Summary Report Kaye Bender, PhD, RN, FAAN Bower Foundation Board Meeting August 21, 2006. Components of the EPSDT Visit. Physical Assessment with appropriate lab Developmental Assessment Vision Testing

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ESPDT School Health Nurse Grant Program: Clinical Evaluation Indicators Summary Report

Kaye Bender, PhD, RN, FAAN

Bower Foundation Board Meeting

August 21, 2006


Components of the epsdt visit l.jpg
Components of the EPSDT Visit Indicators Summary Report

  • Physical Assessment with appropriate lab

  • Developmental Assessment

  • Vision Testing

  • Hearing Screening

  • Oral Health Assessment

  • Counseling and Education

  • Referral and Followup


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Clinical Evaluation Indicators Indicators Summary Report

Assessment According to Standards ?

Nursing Diagnosis Appropriate for Assessment ?

Intervention Appropriate ?

Results of Intervention ?


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EPSDT Screenings Indicators Summary Report2002-2006

Total = 13,747 Assessments

$1,037,167.80 Billed

$703,414.59 Paid (68%)

*Data from Screen-Plus


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Assessment According to Standards Indicators Summary Report

  • Age Appropriate

  • Billable

  • Intervention and Follow-up According to School Nurse Protocol and EPSDT Guidelines


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Assessment by Service Indicators Summary ReportVision Screening (4,290)Preliminary Data 2005


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Assessment by Service Indicators Summary ReportVision Screening (12,925)2002-2006


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Assessment by Service: Indicators Summary ReportVision Screening (12,925)

  • Nursing Diagnoses

    • Sensory/perceptual alternations

  • Intervention

    • Notification of parents or guardian

    • Referral to Physician

  • Follow-up – 92%


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Assessment by Service: Indicators Summary ReportDental Screening (4,261)Preliminary Data 2005


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Assessment by Service: Indicators Summary ReportDental Screening (13,008)2002-2006


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Assessment by Service: Indicators Summary ReportDental Screening (1331)

  • Nursing Diagnoses

    • Altered oral mucous membrane

    • Dental caries

  • Intervention

    • Notification of parents or guardian

    • Referral to Dentist

  • Follow-up – 38%


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Assessment by Service: Indicators Summary ReportDevelopmental Screening (4,248)Preliminary Data 2005


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Assessment by Service: Indicators Summary ReportDevelopmental Screening (11,120)2002-2006


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Assessment by Service: Indicators Summary ReportDevelopmental Screening (11,120)

  • Nursing Diagnoses

    • Altered growth and development

    • Impaired social interaction

    • Impaired verbal communication

    • Self-esteem, alteration in

  • Intervention

    • Notification of parents or guardian

    • Referral to Physician or other appropriate provider

  • Follow-up – 86% (includes in-school referrals)


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Assessment by Service: Indicators Summary ReportHearing Screening (4,290)Preliminary Data 2005


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Assessment by Service: Indicators Summary ReportHearing Screening (10,406)2002-2006


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Assessment by Service: Indicators Summary ReportHearing Screening

  • Nursing Diagnoses

    • Sensory/perceptual alterations

  • Intervention

    • Notification of parents or guardian

    • Referral to Physician or Nurse Practitioner

  • Follow-up – 88%


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Assessment by Service: Hct/Hgb Indicators Summary Report(4,677)Preliminary Data 2005


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Assessment by Service: Hct/Hgb Indicators Summary Report(12,673)2002-2006


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Assessment by Service: Indicators Summary ReportHgb/Hct Screening

  • Nursing Diagnoses

    • Anemia

    • Potential for Anemia

  • Intervention

    • Notification of parents or guardian

    • Referral to Physician or Nurse Practitioner

    • Standing Order for Iron

  • Follow-up – 90%


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Assessment by Service: Urinalysis Indicators Summary Report(11,913)2002-2006


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Assessment by Service: Indicators Summary ReportUrinalysis

  • Nursing Diagnoses

    • Altered urinary elimination

    • Diabetes related symptoms

    • Potential for urinary tract infection

  • Intervention

    • Notification of parents or guardian

    • Referral to Physician or Nurse Practitioner

  • Follow-up – 68%


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Random Findings From Initial Physical Assessment Data Indicators Summary Report5-11 Years

  • Activity intolerance

  • Altered health maintenance

  • Dressing/grooming self-care deficit

  • Impaired skin integrity

  • Potential for infection

  • Potential for trauma

  • Pain

  • Coping deficits

    * 2002-2006 Data


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Random Findings From Initial Physical Assessment Data Indicators Summary Report12-17 Years

  • Activity intolerance

  • Altered health maintenance

  • Impaired skin integrity

  • Potential for infection

  • Pain

  • Rape/trauma syndrome

    * 2002-2006 Data


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Implications of This Evaluation Strategy Indicators Summary Report

  • Validation of credibility and safety of the program

  • Nursing training

  • Referral gap identification

  • Clinical lab and other quality assurance

  • Baseline data for long-range tracking


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Complete Report on this Phase of the Clinical Evaluation Indicators will be available October 2006.

Next Clinical Evaluation Report Scheduled for December 2006.

For questions, contact Dr. Kaye Bender, 601-984-6220; [email protected]


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