School Success An Opportunity for Population Health: Proceedings of a Workshop—in Brief (2019) / Chapter Skim
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School Success: An Opportunity for Population Health: Proceedings of a Workshop - in Brief
School Success: An Opportunity for Population Health: Proceedings of a Workshop - in Brief
Pages 1-9
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Joshua Sharfstein from the Johns Hopkins Bloomberg School of Public Health welcomed the participants and conveyed his and other roundtable members' sense of optimism about promising opportunities for the health and education systems to learn from each other. The day began with two keynote presentations reflecting on how educational attainment influences health outcomes and how health status affects educational performance.
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oral health problems. By themselves or in combination, these health concerns negatively influenced educational outcomes by impeding sensory perception (visual acuity)
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The 3-year program entails vision screenings performed by the health department and over the next 3 years will serve 150 schools in Baltimore City. Children who fail the vision screening are referred to a well-equipped mobile clinic where licensed optometrists perform eye exams, and the child gets to choose the Warby Parker frames he or she wants to wear at the mobile clinic.
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The health information exchange is a system by which providers have access to health data collected from hospitals, laboratories, and other entities. Schumacher explained that the DC public schools have linked their information system to the health information exchange, where first there is a matching process between the patient and student records, and then the system pushes bi-weekly reports to primary care doctors based on patient panels to identify how many of their patients missed school.
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The next session of the workshop featured the state of Oregon as a case example of health and education sector collaboration to improve specific educational outcomes. Phyllis Meadows from the Kresge Foundation introduced the three speakers: Lillian Shirley of the Oregon Health Authority, Janet Meyer of HealthShare of Oregon (a coordinated care organization [CCO]
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By sharing resources, she explained, the wellness hubs at schools provide preventive services and health care access and improve health care delivery and equity across the county. She described Morrow county schools as afflicted by high absenteeism rates and high teacher turnover, with declining metrics and resource constraints.
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Through in-depth interviews asking how the health sector used education metrics, the most common metrics were attendance, high school graduation, kindergarten readiness, third-grade reading level, and measures of teacher wellness and turnover. However, their use is complicated by a set of barriers that include data sharing, messaging, and training, as well as needs assessments and evaluation.
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The first was to distinguish that there are metrics that pertain to "in-school" factors like academic and cognitive skills that are predictors of academic success that are the focus of policy makers (literacy, early childhood education) and "non-school" factors that contribute to or inhibit educational attainment (parenting, home learning, and social environments like neighborhood safety and security)
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PLANNING COMMITTEE FOR USING EDUCATION METRICS TO IMPROVE POPULATION HEALTH OUTCOMES: A WORKSHOP* Alex Billioux, Centers for Medicare & Medicaid Services; Marc Gourevitch, NYU Langone Health; Robert Kahn, Cincinnati Children's Hospital Medical Center; Robert Kaplan, Stanford University; Phyllis Meadows, The Kresge Foundation; Elena Rivera, Children's Institute, Oregon; Heidi Schumacher, District of Columbia Office of the State Superintendent of Education; and Joshua Sharfstein, Johns Hopkins University.
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