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HealthinSchools Roundtable

How do we handle expenses associated with children’s complex medical care?
by jglear 06/08/2011 1:15 PM

Anyone who has spent time thinking about funding school health services will reach several conclusions:

1. The current system is jerry-rigged, frequently on the brink of collapse. Each state, each community and each school has its own unique approach that knits together too few resources to cover too many responsibilities. 
2. The unpredictability of these arrangements hurts all children but is particularly dangerous to the most vulnerable – the children with special health care needs.
3. Linking the knowledge and skills of the health care system with the school-located professionals who work daily to support seriously ill children attending class is a good place to start. And that partnership needs to be sustained by a carefully articulated, transparent funding structure.


Commenting in last month’s Pediatrics on the rapid increase of children with complex chronic conditions and children who require 1:1 care, Martha Dewey Bergren, Director of Research at the National Association of School Nurses, noted that the current system of shuffling costs between the health and education systems using a tag-you’re-it approach is not addressing the challenge “in a meaningful way".  

How is your school system and health system handling expenses associated with children’s complex medical care? Are there model programs to study?

 

 
 
 
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