News

October 26, 2018

By Andree EntezariOctober 26th, 2018in SHIELD Updates

Dear Colleagues,

It has been a busy week and there are a few additional updates for this week that may be both of interest to you and other school health staff in your community and time sensitive!  Please forward! We hope to see as many of you as possible at the upcoming Regional Consultation meetings! Please stay dry and warm during the impending nor’-easter this weekend….and Go Sox!!

Thank you for all you do – every day!
Mary Ann and the entire School Health Services Team

“The quality of strength lined with tenderness is an unbeatable combination.” — Maya Angelou, writer and civil rights activist


A REMINDER:  CSHS RFR BIDDER CONFERENCES

First location:   Monday October 29th 2018 Time: 1:00PM-3:00PM, UMASS Medical School, 55 N Lake Ave, Worcester, MA 01655
Second location:  Friday, November 2nd, 2018 Time: 1:00PM-3:00PM, Transportation Building, 10 Park Plaza, Boston, MA 02116


Webinar Information: 

Webinar Information for Oct. 29th, 2018, from 1:00PM-3:00PM (No pre-registration required)
1-669-900-6833 or 1-646-876-9923
Enter Meeting ID: 217-915-377
Web Link: https://umassmed.zoom.us/j/217915377
Webinar Information for November 2nd, 2018, from 1:00PM-3:00PM
(*Pre-registration required)
https://register.gotowebinar.com/register/7373172537986214915 
After registering, you will receive a confirmation email containing information about joining the webinar.
For system requirements click on link:
https://support.logmeininc.com/gotowebinar/help/system-requirements-for-attendees-g2w010003?c_prod=g2w&c_name=iph
Please note:  Pre-registration is required to attend the webinar ONLY scheduled for Friday, November 2nd.


SCHOOL-BASED HEALTH CENTER PROGRAM RFR

The School-Based Health Center Program RFR has been posted on COMMBUYS and can be accessed at: https://www.commbuys.com/bso/external/bidDetail.sdo?docId=BD-19-1031-BCHAP-BCH01-32508&external=true&parentUrl=bid.  The deadline for responses is November 20, 2018 at 4:00pm.  The deadline to submit questions regarding this RFR is November 13, 2018 at 4:00pm.  Only written questions will be accepted and must be submitted following the instructions in the RFR.  Direct them to:  renee.aird@state.ma.us
Funding priorities:

  • Full-time models (i.e., the SBHC has a medical provider onsite to provide primary care services during all hours that school is in session)
  • Onsite mental health service model type
  • Equitable geographic distribution across the Commonwealth, which prioritizes:
    • Schools with higher rates of low income students, student absenteeism, and dropout before graduation
    • Communities with documented limited access to primary health care (access may be defined by geography, cultural and language capacity, provider shortage, or other widely accepted criteria)
    • SBHCs located in East Boston, Fitchburg, or EOHHS Region 5 (SOUTHEAST).

RESEARCH STUDY OPPORTUNITY RELATED TO LST PROGRAM

National Health Promotion Associates (NHPA), the research firm for the Botvin LifeSkills Training (LST) program, is seeking middle schools that are interested in implementing an extension of the LST program designed to provide students with the knowledge and skills to prevent bullying and cyberbullying.    We are looking for middle/junior high schools (Grades 6 and 7) to participate in the spring of 2019. Schools currently using LST are welcome to participate. Schools will receive online teacher trainings and program materials at no cost. Students must have access to computers in a classroom or computer lab setting in order to complete the program.

Please see below for a full description of the program and our study, including a breakdown of learning objectives by online module and classroom session.

Learn More If you are interested or have questions, please respond to this email or call Krishna Horrigan at 914-421-2525 ext. 221. We look forward to hearing from you. Feel free to share this opportunity with any other schools that may be interested in applying.


ENHANCING SCHOOL WELLNESS POLICIES TO PROTECT STUDENTS WITH ASTHMA

The American Lung Association has several new resources available to improve asthma management among school-aged children as a result of a five-year CDC-funded project. Join the American Lung Association and the Alliance for a Healthier Generation on Tuesday, October 30 at 3:00 p.m. ET to learn strategies to enhance your school wellness policy to protect students with asthma. Improving the health and well-being of children living with asthma can reduce student absenteeism and improve health outcomes. Register today


GUIDELINES TO IMPROVE CARE OF CHILDREN WITH MILD TRAUMATIC BRAIN INJURY (MTBI)

Thursday, November 1, 2018
4:00pm – 5:00pm EST

Mild traumatic brain injury (mTBI), also called concussion, affects millions of children each year. CDC’s Pediatric mTBI Guideline seeks to improve the care of this injury. Please join us for a webinar to provide an overview of the guidelines and to learn about low to no cost recommendations that your state can implement to assist in addressing mTBI.
Webinar Information:
Adobe Connects:  https://ondieh.adobeconnect.com/mtbi/
Call in number: 1-855-644-0229
Conference ID 1330372


CDC:  PREVENTING ADVERSE CHILDHOOD EXPERIENCES (ACES)

Get Strategies to Improve Health, Well-Being, and Opportunities for Children and Adults
CDC invites you to explore Preventing Adverse Childhood Experiences, a new online training to help understand, recognize, and prevent ACEs.
ACEs affect children and families across all communities. They can have long-term effects on health, wellness, and life opportunities for adults. The good news is ACEs are preventable.

Develop knowledge and insights to prevent ACEs. Training topics include:

  • Adverse Childhood Experiences, Brain Development, and Toxic Stress
  • The ACE Study
  • Prevalence and Consequences of ACEs
  • Risk and Protective Factors for ACEs
  • Essentials for Childhood: Assuring Safe, Stable, Nurturing Relationships and Environments

Learn more about how to create healthier lives for all children in this accredited training. Continuing Education Units are available.


CDC UPDATED THEIR “VIRTUAL HEALTHY SCHOOL” WEBSITE!

Check it out! Great information, links, downloads, resources and more! Click on the image below to go to website
HTML tutorial


REGIONAL CONSULTANT CONTACT INFORMATION:

EOHHS Region Name Office Phone Cell Phone Email
State Epidemiologist 617-983-6800    
Central Kate Maher 978-875-2009   kcmaher@hudson.k12.ma.us
Metrowest Jill Connolly 781-848-4000, ext. 7841  781-603-7697 jill.connolly@braintreeschools.org
Northeast Shanyn Toulouse 978-420-1919 978-761-2307 shanyn.toulouse@haverhill-ps.org
Southeast Ann Linehan 508-580-7363   annmarielinehan@bpsma.org
West Diane Colucci 413-750-2511   colucci-hechtd@springfieldpublicschools.com
Therese Blain 413-750-2007   blaint@springfieldpublicschools.com

 

Mary Ann Gapinski, MSN, RN, NCSN
Director of School Health Services/ School SBIRT Coordinator
MA Department of Public Health
250 Washington Street – 5th Floor
Boston, MA  02108
mary.gapinski@state.ma.us

Website: http://www.mass.gov/eohhs/gov/departments/dph/programs/community-health/primarycare-healthaccess/school-health/

SBIRT information:  www.masbirt.org/schools

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October 22, 2018

By Andree EntezariOctober 22nd, 2018in SHIELD Updates

Dear Colleagues,

I am pleased to welcome, Caitlin Pettengill, DNP, RN, to our School Health Services Team!!  Dr. Pettengill is beginning her new role as the Assistant Director of School Health Services this week and will be assuming responsibilities for many of the programs we oversee in School Health as she becomes more oriented to her role.  Caitlin’s previous experience includes clinical roles in community health centers, hospitals, home-care agencies, dialysis clinics and instructing nursing students in long-term care settings.  Caitlin earned her BSN from Northeastern University, and has completed graduate coursework in Molecular Immunology at Harvard University.  She obtained her DNP in Public Health at the University of Massachusetts in Amherst, and is currently enrolled in the Genetics/Genomics graduate certificate program at Stanford University.  She is passionate about public health, education, epidemiology and the welfare of children, which will help serve the School Health Services Unit here at MDPH.  Caitlin is looking forward to being a strong support and advocate for Massachusetts school nurses and the children of the Commonwealth.   Please join us in welcoming Caitlin to her new position!  She can be reached at: caitlin.pettengill@state.ma.us   Also joining our team is Sneha Durgapal,  an MPH Candidate in Epidemiology & Biostatistics at the Boston University School of Public Health.  Sneha will be working with us to collect and analyze SBIRT screening outcomes and can be reached at sneha.durgapal@state.ma.us .

Please note the updated information in the email below concerning the upcoming Comprehensive School Health Services (CSHS) RFR Bidder Conferences.  No registration is required to attend the live (in-person) conferences at either site; however preregistration is required if you’re choosing to live stream the webinar for the second bidders conference only on Friday, November 2nd.

Thank you for all you do – every day – to keep our students healthy and safe…and in school!
Mary Ann and the School Health Team (including Alison, Bob, Janet and Wanda, too!)

“The show goes on at 11:30 not because we’re ready, but because it’s 11:30 and the show is starting!” – quote from Saturday Night Live


SCHOOL NURSES IN THE NEWS!

Billerica School Nurses provided staff training in Stop the Bleed for school staff: 
http://www.lowellsun.com/news/ci_32217728/trauma-training-head-class
Debra McGovern, DNP, the Director of Nursing Services in Worcester Public Schools, is cited in this article that describes the districts attempt to ensure compliance with state required vaccines: https://www.telegram.com/news/20181016/
The Boston University School of Public Health has recently featured SHIELD and its Director, Beverly Heinze-Lacey!  This article focuses on the work SHIELD does with School Health across the state!   http://www.bu.edu/sph/2018/10/16/school-nursing


UPDATES ON COMPREHENSIVE SCHOOL HEALTH SERVICES (CSHS) BIDDER’S CONFERENCE INFORMATION

To attend in person (No registration necessary):
First location:   Monday October 29th 2018 UMASS Medical School 55 N Lake Ave, Worcester, MA 01655 from 1:00PM-3:00PMSecond location:  Friday, November 2nd, 2018 Time: 1:00-3:00pm, Transportation Building, 10 Park Plaza, Boston, MA 02116

Webinar Information:
Webinar Information for Oct. 29th, 2018, from 1:00PM-3:00PM (No pre-registration required)
1-669-900-6833 or 1-646-876-9923
Enter Meeting ID: 217-915-377
Web Link: https://umassmed.zoom.us/j/217915377
Webinar Information for November 2nd, 2018, from 1:00PM-3:00PM (*Pre-registration required) https://register.gotowebinar.com/register/7373172537986214915
After registering, you will receive a confirmation email containing information about joining the webinar.
For system requirements click on link:
https://support.logmeininc.com/gotowebinar/help/system-requirements-for-attendees-g2w010003?c_prod=g2w&c_name=iph

Please note:  Pre-registration is required to attend the webinar ONLY scheduled for Friday, November 2nd.


FINAL REMINDER EMAIL FOR QUALTRICS QUESTIONNAIRE:

My name is Maria Anidi and I am a Doctor of Nursing Practice (DNP) student at Northeastern University. I invite you to take part in my DNP scholarly project. The purpose of this scholarly research project is to evaluate School Nurses’ Knowledge of Individual School-Aged Homeless Children Grades K-8 through an online survey. The aims are to improve school nurses’ knowledge of the diverse needs of school-aged homeless children; to explore avenues, and available resources to assist them.

If you have already completed the survey, then please disregard this message. This is just a gentle final reminder, if you would like to participate in the on-line homeless Questionnaire, that the questionnaire will be available for one more day.  Please see link below. https://neu.co1.qualtrics.com/jfe/form/SV_03eJjQlNcxoFbAV

This study has been approved by the Northeastern University Institutional Review Board (#18-08-08).

Thank you in advance,
Maria Anidi, MSN, MBA, RN
DNP student, Northeastern University


REVISED “3TS FOR REDUCING LEAD IN DRINKING WATER IN SCHOOLS AND CHILD CARE FACILITIES”

The United States Environmental Protection Agency (EPA) has released a revised “3Ts for Reducing Lead in Drinking Water in Schools and Child Care Facilities” guidance. EPA’s 3Ts (Training, Testing ,Taking Action) is the major guidance for the USEPA Lead Contamination Control Act (LCCA) program. The 3Ts provides tools for schools, child care facilities, states, and water systems to implement voluntary lead in drinking water testing and follow–up action programs.  The revised 3Ts guidance and tool kit is located at https://www.epa.gov/ground-water-and-drinking-water/3ts-reducing-lead-drinking-water-toolkit .

EPA will be hosting the following webinars about the new guidance. Please see registration information and details below:
Thursday October 25th, 2018 from 2:00-3:30pm: https://register.gotowebinar.com/register/1166509662760773122
Wednesday, October 31st, 2018 from 2:00-3:30pm: https://register.gotowebinar.com/register/6243012023184540418

Following these webinars, MassDEP will provide further guidance to Massachusetts schools and child care facilities on how the revised EPA guidance will impact the Massachusetts Lead Contamination Control Act program. If you have any questions on this information, please contact the MassDEP Drinking Water Program at program.director-dwp@mass.gov or 617-292-5770.

Yvette DePeiza
Program Director
Drinking Water Program
MassDEP/BWR


MIAA 22ND ANNUAL WELLNESS SUMMIT

Friday, October 26
Keynote – Vaping: The New Look of Nicotine Addiction

12 workshops
Over 30 exhibitors
Designed for students
Earn 5 PD hours
Click here to register.


NEW MENTAL HEALTH, TRAUMA, AND YOUTH FUNDING OPPORTUNITIES: BOSTON CHILDREN’S COLLABORATION FOR COMMUNITY HEALTH

I’m pleased to share with you the next request for proposals (RFP) for Boston Children’s Collaboration for Community Health. Click here for details and how to apply

This round of funding is focused on the following areas:

  • Mental Health and Youth Support Systems
  • Community Trauma Response

There is a two-step application process.

  • Interested applicants need to submit a letter of intent by November 16, and applicants will be notified by December 19 if their organization is invited to submit a full proposal.
  • Full proposals will be due by February 1, 2019. 

More information about the process, selection criteria and the types of projects that we plan to fund can be found on BostonChildrens.org/funding. There will be an optional information session on Wednesday, October 24, from 2 to 4 p.m., where you’ll have a chance to learn more and meet with Boston Children’s staff about this new funding opportunity. For details and to register, click here.
If you have any questions, email us at TalkToUs@childrens.harvard.edu.

Best,

Shari Nethersole, MD
Executive Director for Community Health
Office of Community Health​


FOSTERING SCHOOL ENVIRONMENTS THAT PREVENT TEEN DATING VIOLENCE AND SEXUAL HARASSMENT:

Wednesday, October 31, 2018
2:00 pm – 3:30 PM
(This web conference will be held only once)

If the above link does not work, copy and paste the following link into your browser:  https://wp.me/p2EdjW-5zU

With a growing evidence-base around interventions like Shifting Boundaries that focus on improving school environments to prevent teen dating violence and sexual violence, practitioners are implementing efforts that not only involve classroom lessons, but also focus on school-wide changes. Practitioners are working at the individual, relationship and community levels to comprehensively improve school climate and build environments that support safety for students and school staff. Join us for this web conference where we will dive deeper into what infrastructure is needed to implement comprehensive school-based violence prevention and how practitioners are going about this.

OBJECTIVES:

  • Explore how to build the infrastructure needed to implement comprehensive school-based violence prevention (e.g. building school partnerships).
  • Describe real-world examples of how practitioners and advocates are changing school environments through policies and practices.
  • Engage in a dialogue about how to make change in school environments for violence prevention.

REGIONAL CONSULTATION CONTACT INFORMATION:  PLEASE NOTE CHANGES – IN RED!

EOHHS Region Name Office Phone Cell Phone Email
State Epidemiologist 617-983-6800
Central Kate Maher 978-875-2009 kcmaher@hudson.k12.ma.us
Metrowest Jill Connolly 781-848-4000, ext. 7841 781-603-7697 jill.connolly@braintreeschools.org
Northeast Shanyn Toulouse 978-420-1919 978-761-2307 shanyn.toulouse@haverhill-ps.org
Southeast Ann Marie Linehan 508-580-7363 annmarielinehan@bpsma.org
West Diane Colucci 413-750-2511 colucci-hechtd@springfieldpublicschools.com
Therese Blain 413-750-2007 blaint@springfieldpublicschools.com

 

Mary Ann Gapinski, MSN, RN, NCSN
Director of School Health Services/ School SBIRT Coordinator
MA Department of Public Health
250 Washington Street – 5th Floor
Boston, MA  02108
mary.gapinski@state.ma.us
Website: http://www.mass.gov/eohhs/gov/departments/dph/programs/community-health/primarycare-healthaccess/school-health/
SBIRT information:  www.masbirt.org/schools

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October 11, 2018

By Beverly Heinze-LaceyOctober 11th, 2018in SHIELD Updates

Dear Colleagues,

I am pleased to announce that the MDPH CSHS RFR has been released!  Hopefully, you have received the email sent recently with details of this procurement for Comprehensive School Health Service funding!  Details are available on the Compass website. Questions can be addressed to Alison Brill at Alison.brill@state.ma.us.  Per state procurement protocols, responses to all inquiries will be posted on the Commbuys website; no individual responses will be sent. All questions must be received by November 14th, 2019, for response.

Congratulations to the school nurses who have recently been nationally certified as a school nurse!  Many of these nurses have been listed in these emails (with their permission) but we now have over 800+ school nurses who have achieved NCSN status in Massachusetts!  Congratulations to all who have passed this rigorous exam and ongoing renewal of this certification.  Since 1991 a baccalaureate in nursing or a school health related area has been required for application for national certification:  https://www.nbcsn.org/ncsn/examination/ .  However, a BSN will be required starting January 1, 2020. School nurses without a baccalaureate degree in nursing and are not currently NCSN certified are encouraged to sit for the exam during one of the next three 2019 test windows.

A reminder of the upcoming programs from SHIELD:

We receive many inquiries concerning HIPAA versus FERPA in schools.  Attached is a graphic from the CDC that you might find useful when determining if disclosure is permitted.

Thank you for all you do for all of our students every day!
The School Health Team,
Mary Ann, Alison, Janet and Bob

It is not enough to have a good mind. The main thing is to use it well.” — Rene Descartes, mathematician and philosopher


SCHOOL NURSES IN THE NEWS!

Stacey Laro, BSN, RN, NCSN of the Peabody Public Schools recently achieved her national certification in school nursing and two other nurses have graduated from Cambridge College with Masters in Education Degrees, Mia Davekos, MEd, BSN, RN and Shayna Dana, MEd, RN.   Congratulation to these Peabody Public School Nurses!
Na​talie Petrucci BSN, RN, NCSN, a School Nurse in the Florence Roche Elementary School​ in Groton has also achieved national certification as a school nurse!  Congratulations to Natalie on this honor!


MDPH THE ADOLESCENT COMMUNITY REINFORCEMENT APPROACH (A-CRA):

The Adolescent Community Reinforcement Approach (A-CRA) is a developmentally-appropriate behavioral treatment for youth and young adults 12 to 24 years old with substance use disorders.  A-CRA seeks to increase the family, social, and educational/vocational reinforces to support recovery. This intervention has been implemented in outpatient, intensive outpatient, and residential treatment settings.

A-CRA includes guidelines for three types of sessions:

  • individuals alone,
  • parents/caregivers alone, and
  • individuals and parents/caregivers together.

According to the individual’s needs and self-assessment of happiness in multiple life areas, clinicians choose from a variety of A-CRA procedures that address, for example, problem-solving skills to cope with day-to-day stressors, communication skills, and active participation in positive social and recreational activities with the goal of improving life satisfaction and eliminating alcohol and substance use problems. Practicing new skills during sessions is a critical component of the skills training used in A-CRA. Every session ends with a mutually-agreed upon homework assignment to practice skills learned during sessions. Often these homework assignments include participation in pro-social activities. Likewise, each session begins with a review of the homework assignment from the previous session.  A-CRA has been implemented by more than 270 organizations in the United States and in several other countries. It is noted as one of the three interventions for adolescents described in Anne Fletcher’s book, Inside Rehab.

Our goal is that any school personnel that screens for SBIRT and finds a referral to treatment is necessary, would refer to their community based A-CRA provider.  This is an evidence based and developmentally appropriate SUD treatment model for 12 – 24 year olds.

All of the A-CRA providers are listed on the MA Substance Use Helpline  Please keep in mind some agencies offer services within the community and some are office based.  Feel free to share the Helpline with any assistance need to access an A-CRA trained provider or when making a referral following an SBIRT screening.


SECOND REMINDER EMAIL FOR QUALTRICS QUESTIONNAIRE:

My name is Maria Anidi and I am a Doctor of Nursing Practice (DNP) student at Northeastern University. I invite you to take part in my DNP scholarly project. The purpose of this scholarly research project is to evaluate School Nurses’ Knowledge of Individual School-Aged Homeless Children Grades K-8 through an online survey. The aims are to improve school nurses’ knowledge of the diverse needs of school-aged homeless children; to explore avenues, and available resources to assist them.

If you have already completed the survey, then please disregard this message. This is just a gentle reminder, if you would like to participate in the on-line homeless Questionnaire, that the questionnaire will be available for two more weeks.  Please see link:  https://neu.co1.qualtrics.com/jfe/form/SV_03eJjQlNcxoFbAV

This study has been approved by the Northeastern University Review Board (#18-08-08).

Thank you in advance,

Maria Anidi, MSN, MBA, RN
DNP student, Northeastern University


RACISM AND ITS HARMFUL EFFECTS ON NON-DOMINANT RACIAL ETHNIC YOUTH AND YOUTH-SERVING PROVIDERS:

The Society for Adolescent Health & Medicine released a position paper entitled, Racism And Its Harmful Effects On Nondominant Racial Ethnic Youth And Youth-Serving Providers:  A Call to Action for Organizational Change on racism in the July issue of the Journal of Adolescent Health.  Please read and distribute widely!


SHRINERS HOSPITAL BOSTON 

Shriners Hospital Boston is hosting a half day conference…free, including contact hours & lunch. Please see the attached flyer for more information.


FROM THE AMERICAN CANCER SOCIETY:

During the school year is the perfect time to educate parents about the importance of the HPV vaccine and when to have their children vaccinated.

The American Cancer Society has launched their Mission: HPV Cancer Free Campaign, which aims to partner with volunteers, parents and guardians, providers, school nurses, health care organizations, and community leaders to promote the use of the HPV vaccine. The goal of the campaign is to have 80 percent of 13-year-old boys and girls in the US fully vaccinated with the HPV vaccine by 2026. The HPV vaccine has been proven to help prevent six types of cancer – an opportunity to put a stop to 31,200 new cases of cancer each year! (HPV Vaccines: Vaccinating Your Preteen or Teen, CDC, Aug. 2018) (United States Cancer Statistics Data Brief, No. 4, CDC, Aug. 2018)

Below are some great flyers for school nurses to share with parents/guardians, providers, and other stakeholders at various parent events, health nights, health fairs, parent and family newsletters, school nurse bulletin boards, health lessons, etc.:

Need ideas for social media, emails, or school newsletters? Here is a link to the 2018 HPV Vaccine Awareness Toolkit with helpful promotional messages.
Additional information, resources, and education can be found from the HPV Vaccination RoundtableMA Department of Public HealthCDCNational Association of School Nurses & National AHEC Organization.
If you have any questions or ideas of how to promote and educate about the HPV vaccine, please contact Lisa Leydon (Lisa.Leydon@cancer.org) from the American Cancer Society.

Thank you for the amazing work you do every day and helping to protect our children from HPV-related cancers!


THE YELLOW ROSES:

Students from the Quincy Public Schools Middle School are working to pass and ratify the Equal Rights Amendment. While too young to vote themselves but concerned that women’s rights are left up to “interpretation” instead of being “officially spelled out in the U.S. Constitution” they have formed a group entitled The Yellow Roses: http://theyellowrosesera.org/
One of many articles that have been written recently concerning the work these young women are doing:  http://www.patriotledger.com/news/20160617/quincy-girls-in-middle-school-class-are-on-equal-rights-mission​  This work is gaining national attention from Teen Vogue and Women eNews as well!  Check it out!


SEIZURE MANAGEMENT IN THE SCHOOL SETTING:

Boston Children’s Hospital Community Education Initiative Evening Lecture Series: Seizure Management in the School Setting
Wednesday November 14th, 2018
Programs are held at the Children’s Hospital Waltham, 9 Hope Ave. Waltham, MA – DEVEBER conference room
Light dinner is provided from 4pm to 4:30pm
Lecture runs 4:30pm to 6:30pm
All handouts are sent electronically
$65 per session

Questions about programs can be directed to Stephanie.porter@childrens.Harvard.edu

Come learn about:

  • Etiology & Diagnosis
  • Review various seizure types
  • Syndromes & disabilities associated with
  • seizures
  • Sudden unexpected death in seizures
  • Learn newest trends in seizure management
  • New VNS being used
  • General activity recommendations
  • Keto Diets
  • Medications
  • Types of surgery
  • Cannabis
  • Midazolam and how to administer

To Register: https://www.paypal.com/webapps/shoppingcart?flowlogging_id=a4b72196b41ae&mfid=1539282051489_a4b72196b41ae#/checkout/openButton
Pay with PayPal account or credit/debit card by clicking on the links above.
Purchase orders are accepted. They must be received at least 7 days prior to program date. Please fax to 617-730-0591 OR email to judi.naar@childrens.harvard.edu

Checks are accepted and can be made payable to Boston Children’s Hospital and Mailed to:

Judi Naar/Main 9East,
Boston Children’s Hospital,
300 Longwood Ave., Boston, MA 02115


REGIONAL CONSULTANT CONTACT INFORMATION:

EOHHS Region Name Office Phone Cell Phone Email
State Epidemiologist 617-983-6800    
Central Kate Maher 978-567-6190, ext. 21122 kcmaher@hudson.k12.ma.us
Metrowest Jill Connolly 781-848-4000, ext. 7841 781-603-7697 jill.connolly@braintreeschools.org
Northeast Shanyn Toulouse 978-420-1919 978-761-2307 shanyn.toulouse@haverhill-ps.org
Southeast Ann Linehan 508-580-7363 annmarieklaver@bpsma.org
West Diane Colucci 413-750-2511 colucci-hechtd@springfieldpublicschools.com
Therese Blain 413-750-2007 blaint@springfieldpublicschools.com

 

Mary Ann Gapinski, MSN, RN, NCSN
Director of School Health Services/ School SBIRT Coordinator
MA Department of Public Health
250 Washington Street – 5th Floor
Boston, MA  02108
mary.gapinski@state.ma.us

Website: http://www.mass.gov/eohhs/gov/departments/dph/programs/community-health/primarycare-healthaccess/school-health/

SBIRT information:  www.masbirt.org/schools

 

 

 

 

 

 

 

 

 

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October 10, 2018 CSHS RFR Released

By Beverly Heinze-LaceyOctober 10th, 2018in SHIELD Updates

The Massachusetts Department of Public Health (DPH) Bureau of Community Health and Prevention’s School Health Services (SHS) Unit is seeking applications from local public school districts, regional school districts, or local boards of health that provide school health services for the Comprehensive School Health Service Model Programs and Regional Consultant Programs. The proposed Comprehensive School Health Services (CSHS) Programs (formerly Essential School Health Services) are intended to provide additional support to the existing required baseline of school health services through a multi-disciplinary approach that supports the delivery of quality, comprehensive health services in all school districts.

The goal of the CSHS Program is to build on existing infrastructure to provide all school-age children access to a school health service program that is managed by a qualified school nurse manager. This program will strengthen the capacity of schools to provide case management and support to students with more significant health needs, continuous quality improvement through data collection and analysis, and programs that provide access to care to address health disparities and racial inequities in the community in order to support student academic achievement and reduce chronic absenteeism.

This procurement offers two distinct opportunities for local public school districts, regional school districts, or local boards of health:

  1. Model CSHS Programs will be awarded to public school districts who will implement a comprehensive program that responds to demonstrated need among priority populations and that commit to conducting community health assessments that address health inequities in the student population.
  • DPH intends to award approximately 50 – 75 Model CSHS Program contracts at approximately $50K – $250K annually, dependent on student enrollment and rates of economically disadvantaged students.
  1. CSHS Regional Consultant Programs will be awarded to public school districts that operate Model CSHS Programs and host a regional consultant who is both an expert in school health services in the region as well as the coordinator of sharing best practices among the CSHS granted programs and all other public and non-public school districts within the region. They will also represent school nursing and school health services at relevant meetings and coalitions addressing the health of children and youth in their regions. In addition, regional consultants will serve as school nurse representatives to regional initiatives of DPH and other state agencies, such as pandemic planning and school safety initiatives.
  • DPH intends to award six Regional Consultant Programs (one in each of the six Executive Office of Health and Human Services (EOHHS) Regions). Approximate funding for these Programs is $150,000 per year.

Applicants may apply for only Model programs or for both Model programs and a Regional Consultant.

NOTE:  DPH plans to conduct a second procurement open to all schools, including local public school districts, regional school districts, local boards of health, charter schools, vocational schools, collaborative schools, and non-public (non-profit) schools. This upcoming procurement will award 150-200 Affiliated CSHS Programs for up to $5,000 per year. Applicants that apply to this Model/Regional Consultant CSHS procurement will also be eligible to apply for the Affiliated CSHS procurement, but will only be awarded either as a Model/Regional Program or an Affiliated Program. More information related to the Affiliated CSHS Program will be provided in the near future.

Click on the link below to view RFR 191929 Comprehensive School Health Services (CSHS) on Commbuys:

https://www.commbuys.com/bso/external/bidDetail.sdo?docId=BD-19-1031-BCHAP-BCH01-31856&external=true&parentUrl=bid

 

EVENT DATE

RFR Release Date October 9, 2018
Bidders’ Conference Monday October 29th 2018 University of Massachusetts Medical School 55 N Lake Ave, Worcester, MA 01655 1:00PM-3:00PM Umass Medical Room Amphitheater; Amphitheater II S4-102

Driving Directions: https://www.umassmed.edu/about/directions/

Room:  https://www.umassmed.edu/about/directions/frequentlyusedrooms/

Second Bidder’s Conference TBD (Location to be in the Boston area).

Deadline for Letter of Intent November 12, 2018 at 4:00PM

Send letters via email to Alison Brill at Alison.Brill@State.MA.US with the subject line “CSHS Letter of Intent”

Deadline for Questions and Answers

All Questions must be received in writing.  Questions can be sent by email no later than the date and time indicated in the Procurement Calendar.  The issuing department reserves the right not to respond to questions submitted after this date.  All Questions with answers will be posted on the COMMBUYS Attachment section for this procurement.

November 16, 2018 at 4:00PM

Send questions via email to Alison Brill at Alison.Brill@State.MA.US with the subject line “CSHS Procurement”

The BID opening date

(Deadline for Submission of Response)

December 5, 2018 at 4:00PM
Deadline for Forms that require Ink Signatures.

(See below for Submission of Responses instructions.) MUST upload copies with Application For Response for attachments 1, 6,7,8,11,12 & 14

December 12th 2018 by 5 pm

Mail Originals to :

Alison Brill
Department of Public Health
250 Washington Street
5th Floor
Boston MA 02108

Mary Ann Gapinski, MSN, RN, NCSN
Director of School Health Services
MA Department of Public Health
250 Washington Street – 5th Floor
Boston, MA  02108

mary.gapinski@state.ma.us<mailto:mary.gapinski@state.ma.us>

Website: http://www.mass.gov/eohhs/gov/departments/dph/programs/community-health/primarycare-healthaccess/school-health/

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October 3, 2018 CSHS RFR Update

All,

The first news I have to share is the CSHS RFR is to be released soon….right on schedule!  I apologize that I have not been as available as I attempt to be but this has consumed all of my time for the past several weeks including days, evenings and nights!  But it will be worth it if we get a good response!

Once it is released ALL DPH staff – including myself – must be mum on the topic.  We will not be able to respond to ANY inquiries.  All questions must be directed to the online site that will be posted and they will be answered for all to see on this same site.  We are also planning two Bidder Conferences – one in the Boston area that will be live streamed (hopefully, we can get the technology in place) and another in more central location.  Time and place TBD.

A quick summary:  there will be two postings.  The first will be for applications from local public school districts, regional school districts, or local boards of health that provide school health services for the Comprehensive School Health Service Model Programs and Regional Consultant Programs. The goal of the CSHS Program is to build on existing infrastructure to provide all school-age children access to a school health service program that is managed by a qualified school nurse manager. This program will strengthen the capacity of schools to provide case management and support to students with more significant health needs, continuous quality improvement through data collection and analysis, and programs that provide access to care to address health disparities and racial inequities in the community in order to support student academic achievement and reduce chronic absenteeism.

This procurement offers two distinct opportunities for local public school districts, regional school districts, or local boards of health:

    1. Model CSHS Programs will be awarded to public school districts who will implement a comprehensive program that responds to demonstrated need among priority populations and that commit to conducting community health assessments that address health inequities in the student population as described above.DPH intends to award approximately 50 – 75 Model CSHS Program contracts at approximately $50K – $250K annually, dependent on student enrollment and rates of economically disadvantaged students.
    2. CSHS Regional Consultant Programs will be awarded to public school districts that operate Model CSHS Programs and host a regional consultant who is both an expert in school health services in the region as well as the coordinator of sharing best practices among the CSHS granted programs and all other public and non-public school districts within the region. They will also represent school nursing and school health services at relevant meetings and coalitions addressing the health of children and youth in their regions. In addition, regional consultants will serve as school nurse representatives to regional initiatives of DPH and other state agencies, such as pandemic planning and school safety initiatives.

DPH intends to award six Regional Consultant Programs (one in each of the six Executive Office of Health and Human Services (EOHHS) Regions). Approximate funding for these Programs is $150,000 per year.

Applicants may apply for only Model programs or for both Model programs and a Regional Consultant.

Please NOTE: DPH plans to conduct a second procurement open to all schools, including local public school districts, regional school districts, local boards of health, charter schools, vocational schools, collaborative schools, and non-public (non-profit) schools. This upcoming procurement will award 150-200 Affiliated CSHS Programs for up to $5,000 per year. Applicants that apply to this Model/Regional Consultant CSHS procurement will also be eligible to apply for the Affiliated CSHS procurement, but will only be awarded either as a Model/Regional Program or an Affiliated Program. More information related to the Affiliated CSHS Program will be provided in the near future. Plans are to release this prior to the deadline for application to the CSHS Model program – most likely near the end of November.

I can respond to questions re: the RFR for the next few days….that will be it.  Unfortunately, I am going to be away in PA – leaving tomorrow and not returning until next Wednesday.  I need to check in on my mother who is not doing well.  Timing is not good, but never is….

But if you have any immediate concerns, I will be on email during this time….and available to respond to your concerns about the RFR until it is released.  I will send an email (from PA) as soon as it is released.  My hope is that during this time you will be sure your distribution lists are current with up-to-date emails.  We don’t want anyone to say that they didn’t receive the notice.  I will also ask DESE to post it in their Commissione’s Updates.

Sorry this is so long….just wanted you to be as updated as possible.
Thank you for all you do!

Mary Ann
PS….I noticed that Jill’s email address is not the same as Jean’s was in Braintree.  Appears Jean’s has changed as well!  Please update your lists!!

Mary Ann Gapinski, MSN, RN, NCSN
Director of School Health Services/ School SBIRT Coordinator
MA Department of Public Health
250 Washington Street – 5th Floor
Boston, MA  02108
mary.gapinski@state.ma.us<mailto:mary.gapinski@state.ma.us>
Website: http://www.mass.gov/eohhs/gov/departments/dph/programs/community-health/primarycare-healthaccess/school-health/

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October 3, 2018

​Dear Colleagues,

A recent nursing blog written by a school nurse entitled “The Challenges of Being a School Nurse and How to Resolve Them” by Tessa Curry (found at https://nursegrid.com/blog/the-challenges-of-being-a-school-nurse-and-how-to-resolve-them/ ) highlighted the challenges of “working as the school nurse at a learning institution” and discussed how practicing nursing outside of a healthcare environment comes with its own unique challenges. We all know how this  can lead to competing interests, ethical issues, and concerns related to practicing safe nursing care.

This has been highlighted recently by the challenges of school nurses in managing students with Type 1 Diabetes in our schools in collaboration with parents, primary care providers, and specialists in endocrinology.  Each of these groups has a very different understanding of what the practice of nursing should be in determining “self-administration” for students with Diabetes.  The DPH and DESE Guidelines state definitively that there is no “independent” care but that care in school should be provided using an “interdependency” model.  While a student may be self-sufficient in care, the school nurse remains responsible for the assessment, planning and evaluation of care as needed.  This includes ongoing documentation of the students outcomes of this care plan.  In addition, it is essential that school nurses recognize that they must have medical directives (orders) from an authorized, licensed prescriber.  Please see the attached BORN Advisory Ruling revised in April 2018 that continues to reinforce the need for proper medical orders.

Another issue that has recently come to our attention is the dilution of insulin for administration to newly-diagnosed young children with Diabetes.   Licensed nurses cannot administer this diluted insulin unless the medication vial is properly labeled according to BORN protocols with all the required elements of a properly dispensed medication by a pharmacist.  No school nurse should administer any substance to a student unless it is prepared and dispensed by a licensed pharmacist or the nurse themselves has prepared the medication or other substance for administration.  And also please note that diluted Humalog expires within 14 days if kept at room temperature and 28 days if refrigerated.

I hope that everyone has something planned for the coming holiday weekend that will provide a much needed break from the frenzy of the first few weeks of school! Take the time to relax and renew! And thank you for all you do!

Your School Health Team,
Mary Ann, Allison and Janet

Your energy is a valuable resource; distribute it wisely.” –Jay Samit, digital media innovator


SCHOOL NURSES IN THE NEWS!

Marianne Dewing, BSN,RN, NCSN, an esteemed school nurse at Driscoll School in Brookline for 17 year has recently been nationally certified in school nursing! Congratulations, Marianne!

Jill Connolly MEd, BSN, RN has begun her journey as the Metro-West Regional School Nurse Consultant as of October 1st.  She comes to the position with many years’ experience in nursing, the last 11 years in school nursing at both the high school and elementary level.   Welcome, Jill!  (See the contact information listed at the end of the email for how to reach Jill in her new position).


MDPH PUBLIC HEALTH NURSING I POSITION:

Public Health Nursing Advisor I, Sexual and Reproductive Health Clinical Advisor (Part Time) – Bureau of Community Health & Prevention  https://massanf.taleo.net/careersection/ex/jobdetail.ftl?job=180006ID


NEW ENGLAND PUBLIC HEALTH TRAINING CENTER:

Free Webinar: Personal Presence When Making the Case for a Program

This webinar explores first impressions and how they generate and sustain your professional brand. The perceptions others have of us impact our ability to influence decisions, opinions and outcomes. The struggle is often about the need to be authentic, while presenting a professional persona. We will bring those two concepts together through awareness and techniques for honest presentations using a fine tuned delivery system.

Tuesday, October 16, 9:15-10:15am EST. Register hereFree!!


FROM THE SCHOOL-BASED MEDICAID PROGRAM:
Thank you for your enthusiastic participation in last week’s Back to School Trainings for the School-Based Medicaid Program! Over 500 of you attended or live streamed the training.

Attached  are final copies of the various training materials and handouts. We hope that you will share with anyone else at your LEA who is interested and works on the SBMP currently or should be involved in the preparations for the program’s expansion.

Please find the following materials:

  1. Final copy of the MassHealth / UMMS presentation slides (attached)
  2. The following materials may be accessed on the recently updated School-Based Medicaid Program website at: www.mass.gov/masshealth/schools in the resource center (https://www.mass.gov/info-details/sbmp-resource-center)
  3. SBMP Dates and Deadlines for SFY 2019
  4. School District Contact information  Form
  5. SBMP Authorized Designee information Form
  6. School Based Medicaid Program Guide for Local Education Agencies
  7. Local Education Agencies Covered Services and Qualified Practitioners
  8. SBMP Billable Procedure Codes
  9. Please review the attached DESE slides even if you attended in person/via webinar. They have been updated and clarified since they were originally distributed.
  10. To access the DESE parental consent instructions/advisory and the required form, please go to the DESE website at: http://www.doe.mass.edu/sped/advisories/13_1.html.

Finally, we’d appreciate your feedback on your experience attending the training or information about why you did not attend.  Please take a few minutes to respond to our brief online training evaluation which can be accessed here: https://www.surveymonkey.com/r/2MMXDYJ by Wednesday, October 10th.  If you have any questions about the School-Based Medicaid program, please contact the UMMS help desk at 1-800-535-6741 or SchoolBasedClaiming@umassmed.edu.  If you have any questions about the updated guidance related to parental consent, please contact DESE’s Office of Student and Family Support at 781-338-3010 or achievement@doe.mass.edu. DESE is in the process of developing a FAQ document in response to questions that arose during the training.


OPTIONS FOR THE PREVENTION OF SUBSTANCE MISUSE AND PROMOTION OF SOCIAL AND EMOTIONAL LEARNING:

DESE is continuing its partnership with the Massachusetts Department of Public Health to offer free evidence-based prevention of substance misuse and promotion of Social and Emotional Learning (SEL) trainings.

Grades 3-9

These free opportunities include ½ day, as well as day-long trainings, CEUs, PDPs, and complete curriculum supplies for teachers and/or health personnel.

  1. A brief informational session and lunch will be held for Administrators, Curriculum Specialists, and other leaders of elementary and middle schools, October 17 at 12:30-2:30
  2. Integrating “A Circle Tied to Mother Earth” with LifeSkills Training, Oct. 17, 9:30 AM-12:30 (including Lunch) Integrating the book our dedicated Native American Team developed, “A Circle Tied to Mother Earth” with LifeSkills Training can be an effective way to support diversity, Native culture, and help prevent Prescription Drug Misuse & Other Drug Use.
  3. LifeSkills Training One-Day Certification Trainings, October 16, 18, or 19, 8:30-4:30

The most comprehensive opportunity is a full-day LifeSkills Training at locations across the state. Any one of these training days certifies people to offer the LifeSkills Training program to youth at any level, grades 3-9. Many have already taken this training and really enjoyed it.  The Description below explains a bit about this training.

Life Skills Training Program (LST) is an interactive program based on the science of promoting positive behavioral skills and preventing substance use. Over 30 years of research have documented the powerful impact it has had on students. When it is offered to middle school youth, their rates of substance misuse are lower, and this tends to persist as they become young adults. Recent literature has documented decreases in prescription drug misuse rates when it is implemented with fidelity.

Please visit http://www.cvent.com/d/74q78p/6T for the required registration and/or forward this to other health, educational, and community leaders as soon as it is convenient.

Thanks for helping to keep our youth healthy!

 

REGIONAL CONSULTANT CONTACT INFORMATION:

EOHHS Region Name Office Phone Cell Phone Email
State Epidemiologist 617-983-6800    
Central Kate Maher 978-567-6190, ext. 21122 kcmaher@hudson.k12.ma.us
Metrowest Jill Connelly 781-848-4000, ext. 7841  781-724-4018   Jill.connelly@braintreema.gov
Northeast Shanyn Toulouse 978-420-1919 978-761-2307 shanyn.toulouse@haverhill-ps.org
Southeast Ann Linehan 508-580-7363 annmarieklaver@bpsma.org
West Diane Colucci 413-750-2511 colucci-hechtd@springfieldpublicschools.com
Therese Blain 413-750-2007 blaint@springfieldpublicschools.com

Mary Ann Gapinski, MSN, RN, NCSN
Director of School Health Services/ School SBIRT Coordinator
MA Department of Public Health
250 Washington Street – 5th Floor
Boston, MA  02108
mary.gapinski@state.ma.us

Website: http://www.mass.gov/eohhs/gov/departments/dph/programs/community-health/primarycare-healthaccess/school-health/

SBIRT information:  www.masbirt.org/schools

 

 

 

 

 

 

 

 

 

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September 26, 2018

Dear Colleagues,

Fall has begun and the school year is in full swing!  I’m sure your office is humming with activity and lots of programming occurring!  This Email UPDATE for School Health Faculty is full of programs and resources to help you stay current in your practice!

Regional meetings will be starting again soon, and we hope to see many of you there!  And please mark Wednesday, December 5th, on your calendar for our next statewide meeting.  We will be including all mental health providers, including school psychologists at this meeting to discuss such topics as DBT and Mindfulness, Challenges of Managing Crisis in Schools, and looking at Chronic Absenteeism in our schools.   Invite your colleagues to save the date!

Lots more to read below!

Thank you for all you do every day to ensure the health and safety of our students!
Mary Ann, Alison and Janet

School Health Team

“After you’ve done a thing the same way for two years, look it over carefully. After five years, look at it with suspicion. And after ten years, throw it away and start all over.” – – Alfred Perlman, railroad executive


SCHOOL NURSES IN THE NEWS!

Congratulations to Denise Moore, BSN, RN, NCSN, a school nurse in the Billerica Public Schools, for becoming nationally certified in school nursing!

Nashoba Regional School District School Nurse faculty, under the leadership of Lesa Breault-Gulbicki, RN, recently held their first meeting last week and started the year off right – with some fun! Included in this agenda was  nursing staff training in “Stop the Bleed” with kits provided to  every school.


SHIELD NOVEMBER 6TH CONFERENCE FOR ALL SCHOOL AND COMMUNITY MEMBERS:

For information see: https://www.bucme.org/node/1198
To register please visit: https://bucme.org/activity/7240


MA TOBACCO CONTROL PROGRAM (MTCP) VAPING CAMPAIGN:

The MTCP Toolkit for schools and community based organizations is now posted at GetOutraged.org – Click on “For Schools”  The Toolkit includes a presentation that can be directed to parents or staff, guidance for giving this presentation, a flyer to promote a meeting or presentation about vaping, a sample newsletter article, and various other resources and materials to address youth use of e-cigarettes.


MASSHEALTH SCHOOL-BASED MEDICAID EXPANSION PROGRAM UPDATE:

MassHealth resources for School-based Medicaid Expansion program updates are now posted on their website at:  https://www.mass.gov/masshealth-school-based-medicaid-program

For those who want more detailed information on the upcoming expansion of MassHealth reimbursement for school-based providers, please see the MassHealth School-Based Medicaid Program: Program Guide for Local Education Agencies can be located on the web at: https://www.mass.gov/files/documents/2018/09/24/PG-LEA-SBMP-0918.pdf


LIFESKILLS TRAINING FOR THE PREVENTION OF OPIOID AND OTHER SUBSTANCE MISUSE, AND PROMOTION OF SOCIAL AND EMOTIONAL LEARNING COMING IN OCTOBER

The Massachusetts Department of Public Health (MDPH) Bureau of Substance Addiction Services (BSAS) and School Health Services (SHS) are offering free daylong combined Elementary and Middle School level Certification Trainings on the well-received LifeSkills Training© (LST) program (for grades 3-5 or 6, and/or grades 6-8 or 9). All of the Teacher and Student Materials will be supplied.

You also can invite Administrators, Community Leaders, Public Health, and School Nurses to a ½ day session in order to explore the programs’ outcomes and get tips on how to support the program’s implementation.  We will also hold a ½ day session on a beautifully illustrated Native American supplement to LST. It can be used with Native American youth, or as a means to expose all Middle School youth to diverse Native cultures through stories and poems.

The October dates, CEUs, PDPs, required registration link, and other details about these free trainings can be found here http://www.cvent.com/d/74q78p/6T    All are encouraged to register right away and to forward these opportunities to other educational, health, and community leaders as soon as it is convenient. The deadlines are quickly approaching, and we will really appreciate your enthusiastic support. Please see the attached flyer for more information related to these programs.


MCAAP IMMUNIZATION INITIATIVE WEBINAR SERIES:
Thursday, October 4, 2018, 12:00-1:00 p.m.
Using Digital Media to Engage Parents Around Childhood Immunization

 Wendy Sue Swanson, MD, MBE, FAAP
Pediatrician and Chief of Digital Innovation at Seattle Children’s Hospital
“Seattle Mama Doc”

Learning Objectives: As a result of participating in this activity, learners should be able to:

  • Identify how to use digital media (text, graphics, audio and video) to engage parents around the topic of infant immunization;
  • Explain how social media can be used to amplify digital media efforts;
  • Describe digital tactics used by Seattle Mama Doc to engage parents.

Click here to register for the webinar on October 4, 2018.


FROM THE JOHN STALKER INSTITUTE:  PROFESSIONAL DEVELOPMENT OPPORTUNITIES THIS 2018-2019 SCHOOL YEAR!
  • Check out our new and newly updated Workshops to Go, including new workshop options!
  • Register for the Nuts & Bolts of School Nutrition Programs Continuation Series.
  • Enroll in the NEW! Nuts & Bolts of School Nutrition Programs On Demand training series, a no cost state-developed online training on School Meals Program requirements.
  • Encourage staff and managers to attend the two workshops offered by JSI at your local SNA of MA Chapter Meeting.

To Register: https://www.framingham.edu/academics/continuing-education/professional-development/professional-development-for-educators/courses-and-registration/


GLSEN Fall Conference:

Registration is now open for GLSEN’s Fall Conference, which will occur on Saturday, November 3rd in Amherst. GLSEN is also accepting conference proposals. Learn more and register here.

GSA Day at Bridgewater State: “The GLBTA Pride Center invites all high school Gay and Straight Alliances (GSA) to visit BSU! Learn how to choose an LGBTQ-friendly college and successfully navigate higher education from current LGBTQ college students.” Registration is due October 1st for this November 28th event. Learn more here.


BOSTON CHILDRENS HOSPITAL COMMUNITY EDUCATION INITIATIVE:


MASSKIDS FALL CONFERENCE:

Creating a Culture of Safety:  Building Skills to Prevent and Respond to Sexual Misconduct in Schools and Youth Organizations

Tuesday, October 16, 2018
Sheraton Framingham Hotel & Conference Center
1657 Worcester Road, Framingham, MA 01701

Join us this October for a day of building confidence and practical skills for proactively preventing and responding to a range of boundary-violating behaviors on the continuum of employee misconduct. This event will feature interactive skill-building sessions led by top experts:

  • Learn about the continuum of misconduct and how to help employees avoid the slippery slope that can lead to reportable sexual misconduct and abuse
  • Develop a detailed code of conduct that sets clear behavioral boundaries
  • Confidently respond to staff who have been reported for boundary violations
  • Better screen prospective employees to discourage those with concerning behaviors
  • Engage youth in assessing/modifying the safety of physical spaces
  • Train school employees using evidence-based online training on sexual abuse prevention and resources

Who Should Attend:
State education leaders, public school superintendents and principals, heads of private independent schools, leaders of youth organizations, parents, school volunteers, members of Parent Teacher Organizations and local School Committees, child advocates and other strategic decision makers would all benefit from attending this conference.

For more information:

Visit the MassKids website to register and learn more: http://www.masskids.org/index.php/enough-abuse-campaign/national-conference-2018

Are you member of NAIS, NEASC, MASS, MASC, MAAPS, MSAA or a youth-serving organization leader?  Contact us for your special 15% registration discount.  info@masskids.org


MDPH SUICIDE PREVENTION PROGRAM – UNDERSTANDING TRAUMA AND TRAUMA-INFORMED CARE:  

http://www.cvent.com/events/suicide-prevention-257-understanding-trauma-and-trauma-informed-care/event-summary-ae9eebca681742648d5a3abb59c6c481.aspx


MDPH FLU RESOURCES NOW AVAILABLE:

Register Here for the MIAP Pediatric Immunization Skills Building Conference

Download the MIAP conference brochure 

Are you interested in learning more about vaccines? Go to the Immunization Program Website for more information.

The best way to prevent seasonal flu is to get vaccinated every year. Thank you for all of your hard work ensuring that Massachusetts citizens are fully protected against flu and flu-related complications.

Please visit our Flu Website for Healthcare Professionals for what’s new during the 2018-2019 flu season and additional MDPH resources.

Additional Massachusetts Department of Public Health resources found on www.mass.gov/flu website:

Sample Standing Orders*

  • Sample Standing Orders for IIV vaccine
  • Sample Standing Orders for LAIV vaccine

Screening/Consent Forms*

  • Screening/Consent form for IIV vaccine
  • Screening/Consent form for LAIV vaccine
  • Screening/Consent form for IIV and LAIV vaccine

Flu Highlights for 2018-2019, which is geared towards a general public audience that you can use in discussions with your patients

Control of Influenza and Pneumococcal Disease in Long-Term Care Facilities, which is on the Flu Website for Healthcare Professionals, discusses specific recommendations for long-term care residents and staff as well as other vaccines applicable to this population

*These resources are based on the recommendations of the Advisory Committee on Immunization Practices (ACIP).

For more information on this year’s flu recommendations:

American Academy of Pediatrics Influenza Recommendations and AAP News Article

Vaccine Information Statements

Reminder! The influenza VIS is no longer updated each year, unless needed. The current flu VIS posted on the CDC website is the one you can use for this upcoming flu season for both IIV and LAIV. If you need VISs in other languages, please visit the Immunization Action Coalition’s Vaccine Information Statement Website.

For questions about state supplied flu vaccine availability and ordering, please contact the Vaccine Management Unit at 617-983-6828.

For questions about flu vaccine recommendations, please call the Immunization Program at 617-983-6800 and ask to speak to an immunization epidemiologist.


REGIONAL CONSULTANT AND STATE EPIDEMIOLOGIST CONTACT INFORMATION:

EOHHS Region Name Office Phone Cell Phone Email
State Epidemiologist 617-983-6800    
Central Kate Maher 978-567-6190, ext. 21122 kcmaher@hudson.k12.ma.us
Metrowest Jean Afzali 781-848-4000, ext. 7841 781-724-4018 jafzali@braintreema.gov
Northeast Shanyn Toulouse 978-420-1919 978-761-2307 shanyn.toulouse@haverhill-ps.org
Southeast Ann Linehan 508-580-7363 annmarieklaver@bpsma.org
West Diane Colucci 413-750-2511 colucci-hechtd@springfieldpublicschools.com
Therese Blain 413-750-2007 blaint@springfieldpublicschools.com

 

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September 17, 2018

Dear Colleagues,

Thank you for participating in our statewide meeting last week.  It’s always a full agenda!  And wonderful to see so many in attendance and ready for a day packed full of information and resources!  Thank you for your presence.  And remember, the next one is scheduled for Wednesday, December 5th and we hope to see all of you (and those that weren’t able to attend this week) along with your School Mental Health Providers: school social workers, school  counselors (both guidance and adjustment), school  psychologists and any other interested staff members.  The agenda includes information related to mindfulness in schools, a grassroots School Mental Health organization, and a focus on evaluating chronic absenteeism among other topics.  We hope you plan to be there and to invite a mental health provider from your district to come along!

Just a reminder that the State Epidemiologist is available 24/7 to respond to your questions and concerns about immunization requirements and any infectious disease concerns you may have and can be reached at 617-983-6800.  Please contact them for the expert advice needed to address these concerns.

We have received a number of calls concerning CPR training for athletic coaches….the MDPH and MIAA recognize only the American Heart Association and the American Red Cross as providers of this training in schools.  See more information here:  https://www.mass.gov/service-details/school-health-regulations

I want to thank the school nursing leaders who responded so quickly, and so professional, to the gas explosions and related disaster in the Northeast last week.  Nursing Directors for Andover, Rita Casper, North Andover, Cheryl Barczak, and the consulting nurse for Lawrence Public Schools, Nancy Walsh, all responded to requests for needed assistance within the Red Cross shelters established across the Region.  And thank you to the Northeast Regional Consultant, Shanyn Toulouse, who kept us all apprised of needs, resources and ongoing efforts to resolve the situation.  Thank you for your time, professionalism and dedication to the children and families in the Northeast!

Once again, there are many announcements to include this email!  Thank you for all you do to maintain the standards of practice for the care of students in our schools!

Your School Health Team,

Mary Ann, Alison and Janet

Be silent, if you choose; but when necessary, speak — and speak in such a way that people will remember it.  — Wolfgang Amadeus Mozart, composer and musician


SCHOOL NURSES IN THE NEWS!

Congratulations to Jennie MacDonald and Liz Lopes from the Sandwich Public Schools for passing the National School Nurse Certification Exam!   Jennie and Liz join others on the team with the National School Nursing Certification including Kathy Grant, Beth Recker, and Jennifer Blackington.

Brockton Public School Nurse Tracy Politano intervened to a recent stabbing incident outside of her school.  The individual suffered a deep gash to his upper left arm.  Brockton Public Schools now has Stop the Bleed kits in every school in the main AED cabinets along with tourniquets.  We commend Tracy for her quick action and clear thinking in this emergency.  It is the goal for the Brockton Public schools to teach tourniquet application and the use of stop the bleed kits at every CPR training this year. The use of these kits has proven to have more favorable out comes with severe bleeding injuries.


IMPORTANT UPDATE ON MASSHEALTH SCHOOL-BASED MEDICAID PROGRAM EXPANSION: ​ 
The Commonwealth is pleased to announce that it received federal approval to expand the School-Based Medicaid Program (SBMP) to cover additional provider types and health services. This expansion will take effect July 1, 2019. The additional health services must meet Medicaid Medical Necessity requirements and may include services pursuant to an individualized education program (IEP) (currently covered), as well as an individual health care plan (IHCP), an individualized family service plan (IFSP), or a Section 504 plan, or be otherwise medically necessary.
Preparation efforts for this expansion need to begin during the current (2018-19) school year. During this year, districts must execute amended provider contracts, participate in trainings that explain program implementation changes districts need to undertake, and obtain parental consent.
Regarding consent, in accordance with DESE’s student records regulations and federal law, school districts must first obtain parental consent for MassHealth-enrolled students in order to seek reimbursement via services claims or inclusion in eligibility statistics. An updated advisory (28M/13) is available along with updated model parental consent forms in five languages. Schools and districts are encouraged to communicate with MassHealth eligible parents about completing consent forms as early as possible in order to be ready for July 2019. Additional details about the School-Based Medicaid Program expansion can be found in a May 2018 bulletin from MassHealth.
School-Based Medicaid Program Back to School Trainings will take place on September 24, 25, and 28 (the same training on three different dates) in Shrewsbury. These trainings are for Random Moment Time Study coordinators, Medicaid billing staff, special education directors, health services directors, and business managers. Please email SchoolBasedClaiming@umassmed.edu to register or to learn more about the trainings or the School-Based Medicaid Program in general.
Anyone with questions about the consent process can contact DESE’s Office of Student and Family Support at (781) 338-3010 or achievement@doe.mass.edu


SHIELD CLINICAL UPDATE PROGRAM:  ELECTION DAY 2018 – POT SHOPS ARE COMING AND JUUL* IS HERE.  ARE YOU PREPARED?

Date: November 6, 2018
Location: DoubleTree by Hilton Hotel Leominster
Registration Fee: $115

This interactive, one-day workshop will deepen your understanding of products, risks, trends, and approaches to address adolescent vaping and cannabis use.

Workshop Topics Include:

  • Historical perspective and policy
  • Popular vape and cannabis products
  • How to talk to students
  • Assessment and referrals
  • Strategies for prevention of substance use
  • Successful school interventions

Target Audience:

All school education professionals, in particular, school nurses, counselors, PE/wellness educators and school administrators

Featured Speakers:

  • Jennifer Flanagan, Commissioner, Massachusetts Cannabis Control Commission
  • DJ Wilson, Tobacco Control Director, Massachusetts Municipal Association
  • Dr. Lester Hartman, Pediatrician, Westwood-Mansfield Pediatric Associates
  • Dr. Nicholas Chadi, Pediatrician, Adolescent Substance Use Program, Boston Children’s Hospital
  • Wanda Visnick, Former School Nurse Leader and Psychiatric Nurse Practitioner Candidate

Continuing Nursing Education Provider Unit, Boston University School of Medicine is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Contact Hours: 6.25

* JUUL e-cigarettes were introduced in 2015. They are a type of e-cigarette that utilizes nicotine salts that exist in leaf-based tobacco for its key ingredient.

To register please visit https://bucme.org/activity/7240  Please see the flyer for information that ALL school staff should have!


UPDATE FROM THE SCHOOL IMMUNIZATION SURVEY TEAM:

The school survey is a bit delayed this year due to a new release of the MIIS,  While this new release will not change any of the process steps to completing an immunization survey in the MIIS, it will affect the look and feel of the MIIS overall.  It was decided  to wait to send the surveys until this release was deployed to prevent any confusion caused by the change in the appearance of the MIIS. At this time the plan is to send an email to school nurses early next week with survey materials and instructions on accessing the kindergarten and grade 7 surveys.  It is requested  that any nurse registered with the MIIS complete their survey in the MIIS.  Anyone who has yet to register is encouraged to register as soon as possible, but will have the option of completing this year’s survey using Survey Monkey.  There are no changes to the survey questions from last year.  The deadline will again be a hard deadline in mid-December.   Please don’t hesitate to call 617-983-4330 with any school survey questions.


PATCH ALLIANCE (CONFIDENTIALITY PROTECTION)

The PATCH Act is an Act to protect access to confidential healthcare (Chapter 63 of the Acts of 2018), was signed by the Governor into law on March 30, 2018. This law fixes a crucial barrier to accessing health care by ensuring that when multiple people are on the same insurance plan, confidential health care information is not shared with anyone other than the patient.

Learn more about how to utilize these new confidentiality protections: https://www.hcfama.org/confidentiality


FROM SHIELD ONLINE COURSES FOR GRANT-WRITING:

Grant Writing Basics:   http://www.nephtc.org/course/view.php?id=30

Community Health Assessment: Using Health Models to Explore the Determinants of Health  http://www.nephtc.org/enrol/index.php?id=37


NASN:  IT’S THAT TIME OF THE YEAR AGAIN!!

It’s that time of year again!  Time FOR ALL SCHOOL NURSES FROM MASSACHUSETTS to consider submitting an abstract for the NASN Annual Conference.

NASN2019 is scheduled for June 28 – July 1, 2019 (preconference on June 27th) in Denver, Colorado.  Please consider sharing your experience with school nurses from around the country and world.  Your practice changes could positively impact other school nurses and school districts.

The deadline for submitting an oral abstract is Wednesday, October 10, 2018 at 11:59 p.m. Eastern.   Learn more or start submitting you abstract today.  If you have questions, please contact the NASN conference team at abstracts@nasn.org.


CONNECTING HEALTH AND LEARNING THROUGH ESSA: OPPORTUNITIES FOR SCHOOL NURSES:

https://healthyschoolscampaign.org/hsc-event/webinar-essa-school-nurses/

Make sure kids are in school, ready to learn.  Schools are back in session, but are all students back in school each day? School nurses know better than anyone about the social determinants and health barriers to daily school attendance. The majority of ESSA state plans include chronic absenteeism as a measure of school quality, and all new school report cards starting this fall must include chronic absenteeism rates. So, this will be an issue very much on the mind of parents and school administrators this fall.

Join the Alliance for a Healthier Generation, Healthy Schools Campaign, and the National Association of School Nurses to learn about the opportunities ESSA provides school nurses as they collaborate with school staff, students, families and community partners to take action to reduce chronic absenteeism.

Webinar Recording  Download Slides

Webinar Resource Links


PROFESSIONAL DEVELOPMENT FROM THE JOHN STALKER INSTITUTE:

Are you looking to expand your knowledge about and ability to implement the USDA National School Lunch and School Breakfast Programs? Join us in SY 2018-19 for one or all of the Nuts & Bolts of School Nutrition Programs Continuation Series and gain vital information and skills to improve program operations. Both online and in-person sessions are available throughout the school year.

Online Webinar Sessions

All online sessions will take place via webinar from 2:00pm to 3:30pm and provide 1.5 hours of professional development at no cost.

  • Back to School Basics on September 20, 2018
  • Engaging your Community in School Wellness on January 15, 2019
  • Three Bids and A Buy on February 12, 2019
  • Afterschool Meals on April 11, 2019

In-Person Sessions at FSU

All in-person sessions will take place at Framingham State University from 8:30am to 3:00pm and provide 5.5 hours of professional development. Cost: $40 per session includes continental breakfast starting at 8:00am and lunch.

  • Keeping it Local on October 23, 2018
  • USDA Foods Utilization Check Up on November 15, 2018
  • Hot Topics in Food Safety on December 4, 2018
  • Production Records, Recipes, CN Labels, and Product Formulation Statements on March 21, 2019

Please visit us online for more details, session descriptions, deadlines and registration.


FROM THE ALLIANCE OF NURSES FOR HEALTHY ENVIRONMENTS:

Two upcoming climate change events for nurses hosted by the MGH Institute in Boston.

  1. November 8th, 5-7 pm, Boston, MA: Climate Change, Climate Justice, and Environmental Health: An Introductory Workshop for Health Care Providers. View more details here: http://info.mghihp.edu/climate-change-and-the-role-of-health-care-providers
  2. April 6th, 2019, All day symposium, Boston, MA: Reducing the Impact of Climate Change: The Role of Health Care Professionals. View more details here:  http://info.mghihp.edu/healthimpactsofclimatechange

See flyers for more information:


SCHOOL PEANUT BANS DON’T APPEAR TO REDUCE ALLERGIC REACTIONS:

https://journalistsresource.org/studies/society/education/peanut-allergy-school-ban-research

Massachusetts school policies that ban students from bringing peanuts from home or require classrooms to be “peanut free” have no effect on the rate at which school nurses administer epinephrine to kids who are allergic to peanuts or tree nuts, according to a study published in the Journal of Allergy and Clinical Immunology. The study suggests one policy may be effective: Prohibiting peanut products at certain tables in the cafeteria.

As students start back to school each fall, campus administrators and individual teachers decide which foods kids can pack with their lunches or bring in as snacks. As more youth are diagnosed with peanut allergies and the nation faces a continued shortage of EpiPens, education officials are trying to limit students’ exposure to peanuts and peanut products. Peanuts are the most common food allergen among children in the United States, posing a serious health risk to almost 2.5 percent of all kids under age 18, according to research published in November 2017 in the Annals of Allergy, Asthma & Immunology. That represents an increase of 21 percent since 2010.  Nationwide, over the years, school officials have adopted a variety of policies to keep peanuts away from allergic kids — from bans that apply to everyone on an entire campus to restrictions within certain classrooms or parts of the cafeteria.

A team of nine researchers sought to determine which school policies may be best for reducing allergic reactions. Their study, “Impact of School Peanut-Free Policies on Epinephrine Administration,” was published in August 2017. It’s the first study to examine the topic, according to the authors. The main takeaway: While no policy was associated with a complete absence of allergic reactions, schools with peanut-free tables had lower rates of epinephrine administration than schools that didn’t. The researchers say peanut bans are probably difficult to enforce, which may explain why peanut-free schools and schools with peanut-free classrooms do not have lower rates of epinephrine administration. They note that families and school officials may have different interpretations of what a peanut-free food is. Also, parents might not read product labels carefully before sending food with their kids.

It might be easier to monitor what’s eaten at peanut-free tables, which serve a limited number of children. “Purely in terms of safety, the presence of peanut-free cafeteria tables may lead to reductions in allergic reactions,” two of the authors, Lisa Bartnikas and Wanda Phipatanakul, told Journalist’s Resource in an e-mail. Bartnikas, Phipatanakul and their colleagues analyzed records completed by school nurses at 2,223 public schools across the Bay State between 2006 and 2011. They matched rates of epinephrine administration to different school policies.

In Massachusetts, school nurses are required to report epinephrine administration to the Massachusetts Department of Public Health. Because some reports only cited “nut” as the likely trigger of an allergic reaction, the researchers included reports related to peanuts and tree nuts in their analysis.  Here are some of their other key findings:

  • Nurses administered epinephrine to treat an allergic reaction to peanuts or tree nuts 45 times during the 2010-11 academic year. Epinephrine administration increased by 23 percent each year between 2006 and 2011, on average.
  • Elementary schools were more likely than middle schools and high schools to adopt policies prohibiting or restricting peanuts. For example, 97.9 percent of middle schools and high schools allowed students to bring peanuts from home, compared to 85.5 percent of elementary schools. Meanwhile, 96.2 percent of elementary schools had peanut-free tables while only 81.6 percent of middle schools and high schools did.
  • “A unique finding of our study was the diversity of school policies restricting peanuts. From 2006 to 2011, 56.6 percent to 59.1 percent of schools banned peanuts from being served, 90.5 percent to 91.1 percent had peanut-free tables, 65.6 percent to 67.4 percent had peanut-free classrooms, and 6.3 percent to 10.3 percent banned peanuts from home. Importantly, there was considerable variability in how schools defined a self-designated peanut-free school, making the term misleading and open to misinterpretation,” the researchers write.

The authors note in their paper that regardless of what policies are in place, it’s important to “remain vigilant that food allergens may still make their way into schools despite such policies, and to always have ready access to epinephrine for timely treatment.”

Some other helpful resources for journalists:

  • A 2018 study published in Clinical Reviews in Allergy & Immunology, “Possible Role of Environmental Factors in the Development of Food Allergies,” looks at how breastfeeding, maternal diet, household dust and other factors might help explain why allergies develop.
  • A 2018 study in The Journal of Pediatrics, “Peanut Allergy: An Epidemiologic Analysis of a Large Database,” provides an analysis of children enrolled in the Riley Peanut Registry project, 67 percent of whom reported having a peanut allergy and 33 percent of whom reported having “peanut sensitization.” Of these 1,070 kids, 78 percent were white and 63 percent were male. More than half of the children reported allergic reactions involving the skin.
  • Several organizations are working to raise awareness about food allergies, including Red Sneakers for Oakley, Kids With Food Allergies and the Food Allergy & Anaphylaxis Connection Team.

Citation: Bartnikas, Lisa M.; et al. “Impact of School Peanut-Free Policies on Epinephrine Administration,” Journal of Allergy and Clinical Immunology, August 2017. DOI: 10.1016/j.jaci.2017.01.040.


BOSTON CHILDREN’S HOSPITAL COMMUNITY EDUCATION INITIATIVE:

See the attached BCH Fall Program Flyer for all programs listed

Tuesday November 6th Voting Day Conference
The Forefront Center for Meetings & Conference
Waltham, MA
8am to 3pm
Nursing Contact hours pending
$150
Register NOW

Children’s Hospital Waltham – DEVEBER conference room
2.0 Nursing Contact Hours
Light Dinner Provided
$65 per session
See flyer for program information

Wednesday October 10th
Let’s Declutter! Register NOW
Wednesday December 12th

Unleashing Your Creativity: Learning the Art of Meditation via Zentangle
Register NOW

If you would like to register for both, please click HERE.

Children’s Hospital Waltham – DEVEBER conference room
6.0 Nursing Contact Hours
Light Dinner Provided
$175 for all 3 sessions ($20 dollar savings!)
See flyer for dates/topics

RETELL Ready Courses
Register NOW

Children’s Hospital Waltham – DEVEBER conference room
2.0 Nursing Contact Hours
Light Dinner Provided
$65 per session

Monday October 22nd
Trachs, Vents & Oxygen
Didactic & Hands On
Register NOW

Tuesday October 23rd
Triggers, De-escalation Techniques and Coping Strategies for Children in the School Setting
Register NOW
Registering for both, click HERE

All flyers attached to see further information on programs or if you would rather register via regular mail/check. Also, feel free to pass along to anyone you think may be interested! If you have programming questions, please contact stephanie.porter@childrens.harvard.edu  All are welcome! Handouts for all programs are now sent electronically.  If you register and do not receive handouts before the lecture please reach out to judi.naar@childrens.harvard.edu to ensure you have everything you need for the programs.  Purchase orders are accepted and group discounts available with groups of 5 or more from a school district.  Please contact: judi.naar@childrens.harvard.edu for more information.


BACK TO SCHOOL FOR TRANSGENDER AND GENDER NON-CONFORMING:

It’s back to school time and we want to provide some resources for transgender and gender non-conforming students, families of these students, teachers and school administrators. There’s a lot in the news right now about trans rights in Massachusetts because of the Yes on 3 campaign, so we want to make sure that everyone is as prepared as they can be for this upcoming year!

Resources for students:
Bending the Mold: An Action Kit for Transgender Students (Lambda Legal)
Dealing with Hostility and Opposition (GSA Network)
Campus Pride (college students)
Boston Area Trans Support Group (late teens to mid-30s)

Resources for families:
GenderJabber : a resource for people who interact with young children and who want to think inclusively about gender.
Family Acceptance Project : a research and education initiative that works to prevent health and mental health risks for LGBT) children and youth in the context of their families, cultures and faith communities.
GLAD Answers : free & confidential information, assistance and referrals.

Resources for teachers, administrators, and counselors:
MA Department of Education Safe Schools Program for LGBTQ Students
GLSEN : an organization that works to ensure that LGBTQ students are able to learn and grow in a school environment free from bullying and harassment.
Gender Spectrum : an organization that helps to create gender sensitive and inclusive environments for all children and teens.
MaeBright Group : Training and technical assistance on evaluating and improving climates for LGBTQ people.
GenderJabber : a resource for people who interact with young children and who want to think inclusively about gender.


REGIONAL CONSULTANT and IMMUNIZATION/ INFECTIOUS DISEASE PROGRAM CONTACT INFORMATION:

EOHHS Region Name Office Phone Cell Phone Email
State Epidemiologist 617-983-6800    
Central Kate Maher 978-567-6190, ext. 21122 kcmaher@hudson.k12.ma.us
Metrowest Jean Afzali 781-848-4000, ext. 7841 781-724-4018 jafzali@braintreema.gov
Northeast Shanyn Toulouse 978-420-1919 978-761-2307 shanyn.toulouse@haverhill-ps.org
Southeast Ann Linehan 508-580-7363 annmarieklaver@bpsma.org
West Diane Colucci 413-750-2511 colucci-hechtd@springfieldpublicschools.com
Therese Blain 413-750-2007 blaint@springfieldpublicschools.com

 

Mary Ann Gapinski, MSN, RN, NCSN
Director of School Health Services/ School SBIRT Coordinator
MA Department of Public Health
250 Washington Street – 5th Floor
Boston, MA  02108
mary.gapinski@state.ma.us
Website: http://www.mass.gov/eohhs/gov/departments/dph/programs/community-health/primarycare-healthaccess/school-health/

SBIRT information:  www.masbirt.org/schools

Tagged: , , , , , , , , , , , ,

August 28, 2018

All,

Thanks to Patty McCaffrey, Director of Nursing for the Waltham Public Schools, we have obtained the attached pharmacy memo pertaining to the Extended Expiration Dates for Select Lots of EpiPen® 0.3 mg Auto-Injectors and its Authorized Generic.

Thank you all,

Mary Ann

 

Mary Ann Gapinski, MSN, RN, NCSN
Director of School Health Services
MA Department of Public Health
250 Washington Street – 5th Floor
Boston, MA  02108
mary.gapinski@state.ma.us
Website: http://www.mass.gov/eohhs/gov/departments/dph/programs/community-health/primarycare-healthaccess/school-health/

SBIRT information:  www.masbirt.org/schools

 

 

 

 

 

 

 

 

 

 

Tagged:

August 24, 2018

Dear Colleagues,

Welcome to the beginning of a new school year!  Like the children and adolescents we serve, I hope you have come back refreshed, renewed and excited for the many opportunities to improve the health and safety of our students!  There is much happening across the state….the email below is filled with important updates, new guidance, valuable resources and available continuing professional development programs for all School Health personnel!  (There are also  five attachments included with this email.)  Please be sure to forward this to your colleagues in your school building, in your district and in your community!

A reminder to mark your calendar for the first statewide meeting for all School Nurse Managers to be held on Wednesday, September 12th, at our new location in Westborough.  An School Nurse Leadership orientation program for all nurses new to their role in a leadership capacity is scheduled for Friday, September 21st.  Registration for both of these programs is available soon on the SHIELD website and open to all school nurses in leadership roles.

Our best wishes for a wonderful and productive school year!

Mary Ann, Janet and Alison
MDPH School Health Team


SCHOOL NURSES IN THE NEWS:

Congratulations to Brenna Quinn, PhD, RN, NCSN, CNE,  and her co-authors, Jean C. Solodiuk, PhD, RN, Dominick Morrill, MPH, and Sangeeta Mauskar, MD, MPH for their publication in the American Journal of Nursing (AJN), August 2018, on their research related to, Pain in Nonverbal Children with Medical Complexity: A Two Year Retrospective Study.  The findings reveal the importance of including childhood ailments as potential pain sources.  Brenna has worked as a school nurse and is currently an assistant professor at the Solomont School of Nursing, University of Massachusetts Lowell. Jean C. Solodiuk is the clinical manager and Dominick Morrill is a project manager in the Pain Treatment Service, Department of Anesthesia, at Boston Children’s Hospital. Sangeeta Mauskar is director of the Complex Care Service Inpatient Program at Boston Children’s Hospital.   Brenna continues to work with school nurses to improve pain assessment skills of non-verbal students.  She also serves on the National Board for the Certification of School Nurses, representing school nurses in Massachusetts!

 Shanyn Toulouse, MEd, BSN, RN, NCSN, Northeast Regional Consultant and a Children’s Vision Massachusetts (CVMA) attended the 2018 Focus on Eye Health National Summit.  Prevent Blindness held its 13th annual “Eyes on Capitol Hill” program on Tuesday, July 17, 2018, in Washington, D.C. Members of CVMA and Prevent Blindness met with congressional and senate members and their staff to relate their personal stories and experience in vision and eye health, discuss the prevalence and prevention of vision conditions, and the impact of unnecessary vision loss in Massachusetts.


From right: Gayathri Srinivasan, OD, NECO; Clifford Scott, Past President, NECO; Paulette Tattersall, Director, Co-Chair of CVMA, and Priscilla Kelangi, Mgr of Comm and Dev., Prevent Blindness NE; Stacy Lyons, OD, NECO; Shanyn Toulouse, RN, NE School Nurse Consultant, Haverhill Public Schools; Marcia Feist-Moore, Educator; Bruce Moore, OD, Emeritus Professor, NECO, Co-Chair of CVMA; and Jack Huang, Volunteer.


DESE REQUIREMENTS FOR NEW SCHOOL NURSE LICENSURE:

The below information will be posted in ELAR and the License Requirements Tool on the DESE website with relation to the orientation requirement for licensure as a School Nurse in Massachusetts:

If you complete the school nurse orientation program through the Boston University School Health Institute for Education and Leadership Development (SHIELD) prior to 7/1/18, please submit a copy of your certificate of completion for each one of the three following mandated trainings:

  • Foundations of School Nursing Practice;
  • Medication Administration in a School Setting: School Nursing Practice in Massachusetts; and
  • Mandated Screening Training.

Individuals completing the school nurse orientation program on or after 7/1/18 will need to submit copies of the above noted certificates of completion and a copy of your certificate of completion for the SBIRT in Schools mandated training. Information regarding the orientation program mandated trainings may be found here.

  • Foundations of School Nursing Practice;
  • Medication Administration in a School Setting: School Nursing Practice in Massachusetts; and
  • Mandated Screening Training
  • SBIRT in Schools mandated training

OR

Northeastern University no longer offers the school nurse orientation program. However, if you completed the school nurse orientation program through Northeastern University on or after 7/1/12, please submit a copy of your certificate of completion for each one of the following three trainings: Introduction to School Nursing in Massachusetts, or Professional School Nursing Practice in Massachusetts; Medication Administration and Delegation in MA Schools; and Mandated Screening Training for School Nurses, or Mandated Screenings Competency Check for School Nurses. If you completed the school nurse orientation program through Northeastern University prior to 7/1/12, please submit a copy of your certificate of completion for either Introduction to School Nursing in Massachusetts or Professional School Nursing Practice in Massachusetts verifying the completion date. Information regarding obtaining a certificate of completion from the Northeastern University School Health Institute may be found here.

Please note that documents may be uploaded into your ELAR account or mailed to the Office of Educator Licensure. Information regarding the uploading and mailing of documents may be found here.  Basically, this means the following and how candidates will be transitioned:

  • If a candidate applied prior to 7/1/18 and completed the BU training/orientation prior to 7/1/18, have satisfied the orientation requirement.
  • If they applied after July 1, 2018 but they had completed all of the BU orientation prior to the SBIRT section implemented on 7/1/18, they have satisfied the orientation requirement.
  • If they apply on/after 7/1/18 and have not completed all of the orientation by 7/1/18, now need to complete SBIRT section of orientation in order to satisfy the requirement.

AED IN SCHOOLS GUIDANCE:

The Department of Elementary and Secondary Education  (DESE) recently released AED in Schools Guidance, related to An Act Requiring Automated External Defibrillators (AEDs) in Schools. This law takes effect July 1, 2018 and requires that each school district, vocational district, charter school, approved private day or residential school, and collaborative school shall provide and maintain at least one AED on site at each school facility. These guidelines can also be found on the Emergency Management Planning for Schools webpage.

Additionally, please note that updated Medical Emergency Response Plans are required to be submitted by Sept. 1, 2018 via the MERP DropBox. A model plan (download) and submission information are on the Medical Emergency Response Plans webpage.


FROM THE BUREAU OF INFECTIOUS DISEASES – RELIGIOUS EXEMPTIONS BEST PRACTICES:

We’ve heard about different ways that schools districts and nurses are planning to implement the new requirement in the fall for all religious exemptions for immunizations to be renewed annually.  While policies around enforcement of exclusion for unimmunized or partially immunized children are developed by individual schools/school districts, we’d like to share some best practices to consider when requesting annual renewal of religious exemptions.

We do not recommend a form be used for religious exemptions, rather that parents or guardians state in writing that a vaccine or vaccines are against their sincerely religious belief.  For obtaining annual renewal of these statements of religious exemptions, we’d suggest a targeted approach of reaching out to families of students with an exemption currently on file to request an updated statement. This is generally a small number of families—the state average is 1.4% of kindergarten students with an exemption.

Please share this information with your school administrators.  For more information on school immunizations, including our school immunization data, school requirements, and other resources, please visit our School Immunizations website and School Immunization Information for School Nurses website.   If you have questions or wish to share feedback on your experience with annual exemption renewals, please contact that Immunization Program’s Assessment Unit at 617-983-4330.


A REMINDER:  ONLINE CONCUSSION TRAINING VIDEOS:
DPH has worked with BU School of Public Health and SHIELD to develop another free online training program on concussion management and return to play and school.  This training is 90 minutes long. Here is a direct link to the course:  http://www.nephtc.org/enrol/index.php?id=36

You need to set up a one-time username and password to access the course.  A flyer about the course is attached so feel free to distribute wide and far.

Also just as a reminder we have another free online training on our website that we developed in partnership with Brain Injury Association and Mass. Medical Society and this can be accessed at:

http://www.massmed.org/ConcussionTreatmentManagementandPrevention/#.WxlORTQvyM8


NEW MDPH STATEWIDE PUBLIC INFORMATION CAMPAIGN ON VAPING:

On July 11, DPH launched a statewide public information campaign to educate parents of middle and high school aged children on the dangers of vape pens and e-cigarettes. The campaign, The New Look of Nicotine Addiction, seeks to spread the word that these high-tech products are not harmless – they contain nicotine which can damage a teenager’s developing brain, and lead to addiction. The campaign’s online destination is www.GetOutraged.org.  The site has general facts and information about vaping products as well as specific sections for parents and schools/community based organizations.  The schools/organization section will be populated with a toolkit and additional resources in August.  Campaign ads will be featured in online and social media channels.  Billboards and transit ads (buses and transit stations) will follow in August.  Collateral materials include a poster (English/Spanish), a flyer (English/Spanish), Frequently Asked Questions, and a tip sheet for parents on how to talk with their kids about vaping.  These materials are available for download or ordering on the Massachusetts Health Promotion Clearinghouse website.


MDPH LOCAL PUBLIC HEALTH UPDATE:

Please see the attached newsletter with news and information from the Office of Local and Regional Health at the MDPH.  Some of this information is of importance to school nurses!


UPDATES ON SBIRT TRAININGS (Also see attached information):

Introduction to Verbal Substance Use Screening

This 6 hour workshop provides information on conducting verbal substance use screenings according Massachusetts law and approved practice standards. Learners will be introduced to the Screening, Brief Intervention, and Referral to Treatment (SBIRT) in Schools program. This training is required for school nurses seeking DESE license and for all other school health personnel who will be involved in the screening process.  This workshop is for school professionals who have not yet attended an Introduction to SBIRT Workshop. There is no “Train the Trainer” model for SBIRT in Schools and all those participating in SBIRT screening should attend.

The training includes:

  • An administrative overview of the SBIRT mandated screening program,
  • An introduction to the CRAFFT II screening tool and instructions on how to use the tool,
  • Motivational Interviewing skills to use immediately by the screener while discussing verbal screening results with students.

Mastering SBIRT

Mastering SBIRT Workshop is a newly developed 3 hour long skills training to increase confidence and skills in responding to the CRAFFT-II screening results using Motivational Interviewing (MI) techniques.  The training includes discussion and practice of the REACT model for healthy reinforcement of healthy decisions (negative CRAFFT screening) and the Brief Negotiated Interview model to be used for discussion with those students who screen positive for substance use. Discussion about referral, consent and confidentiality as well as a closer look about how to talk to teens about substances will be included.  NOTE: this training DOES NOT replace the requirement for all school health personnel involved in SBIRT screening to attend the required SBIRT in Schools Training:  Introduction to Verbal Substance Use Screening Using the CRAFFT-II training.

We are looking for Districts who would like to host the Mastering SBIRT Training Workshops.  Our goal is to offer this new workshop twice in each region throughout the school year.  Up to 3 classroom-like spaces needed for up to 25 participants per space should be available to host training in a school or other building in your district. If you are interested, please contact Wanda Visnick, MDPH SBIRT in Schools Coordinator as soon as possible.  wanda.visnick@state.ma.us

  • School Health Resources and Training opportunities, including SBIRT are available and will be posted on the SHIELD website.  www.shield-bu.org
  • Links to MGL, SBIRT materials, resources and the MDPH Data Collection Tool can be found on the MASBIRT website.     www.masbirt.org/schools

All SBIRT materials will be updated over the Summer.  Be sure to update your resources from in the Fall!


UPDATES FROM THE OFFICE OF SCHOOL-BASED MEDICAID PROGRAM

The Office of Medicaid is implementing changes in the Direct Service Claiming (DSC) Program and the Administrative Activity Claiming (AAC) Program effective July 1, 2019. Details regarding the program changes, including the addition of newly reimbursable services and provider types, were described in the MassHealth School-Based Medicaid Bulletin 31 in May 2018. (Found here: https://www.mass.gov/files/documents/2018/05/23/sbm_31_1.pdf )

MassHealth made several changes to the contract, including the following:

  • Adding newly covered services and newly covered provider types
  • Clarifying LEAs are responsible for ensuring that direct service RMTS staff meet all qualifications for reimbursement under the program
  • Clarifying interim billing requirements
  • Clarifying provider reporting requirements
  • Updating the privacy section and Appendix A
  • Additional technical edits and corrections

In order to allow for timely processing, lease return the original executed agreements by February 28, 2019. Additional guidance and a variety of trainings will be available for LEAs throughout the implementation process. For additional information or clarification on the contract or trainings, please email UMMS at SchoolBasedClaiming@umassmed.edu or call 1-508-856-7640.  Please see the attached flier with information for upcoming training programs!!


FREE LECTURE ON MANAGING CONCUSSIONS IN SCHOOLS FOR HEALTHCARE PROVIDERS:
The Mass Concussion Management Coalition is sponsoring a FREE lecture for healthcare providers (RNs, MDs, PAs, NPs) at St. Luke’s Hospital in New Bedford on September 13th from 5 -8PM.   Southcoast is an approved provider for nursing continuing education credits and the lecture has been approved for 2.25 – see attached flyer.


FREE RESOURCES FOR PARENTS AND OTHERS FOR SUPPORT OF CHILDREN STRUGGLING WITH SUBSTANCE USE:
Boston Medical Center’s (BMC) Grayken Center for Addiction has a new collaboration with the Partnership for Drug-Free Kids that will provide critical support for parents across the state who have a child struggling with substance use. Through this new partnership, the following free resources are available to anyone in Massachusetts who is concerned about their child or young adult:

  • A dedicated phone and text helpline – call 844-319-5999 or text HOPEMA to 55753 – answered by a trained specialist who will listen to parents’ challenges and connect them to appropriate resources.
  • A website portal – https://graykenaddictionsupport.org – with details on resources and tools for Massachusetts families.
  • Access to trained parent coaches who have had personal experience dealing with a child with a substance use disorder.

NEW ONLINE COURSE! UNDERSTANDING ADOLESCENT MARIJUANA USE:

Find answers to your questions about adolescent marijuana use

Who?
A collaboration between IRETA and the National Institute on Drug Abuse (NIDA).
What?
An online course exploring why some adolescents use marijuana and how to converse with youth about substance use and referral to treatment.
Why?
An hour of informative content for free, and you can start and stop whenever you want. PCD and NAADAC CEUs are available.
Where?
Online now at ireta.org.
How?
Click here! After a quick registration, you can get started immediately.


SAVE THE DATE(S):  FREE SUBSTANCE USE PREVENTION CURRICULUM TRAINING:

Tentative dates for Substance Use Prevention Curriculum training are:
Good Behavior (PAX) Game trainings on Tuesday, October 2nd – Friday October 5th; and
Life Skills Training (LST) on October 16-19th
A link to registration will be posted as soon as the dates and locations are finalized.


SAVE THE DATE: MIAP PEDIATRIC IMMUNIZATION CONFERENCE:

23rd Annual MIAP Pediatric Immunization Skills Building Conference
Thursday, October 18, 2018
9:00a.m. – 4:00p.m.
New Location!
Sheraton Hotel and Conference Center
Framingham, Massachusetts


SAVE THE DATE(S): MASSHEALTH

Please see the attached flyer with dates for upcoming informational sessions from MassHealth at the UMass Medical Center Campus in Shrewsbury.


MASSHEALTH BEHAVIORAL HEALTH SERVICES FOR CHILDREN AND YOUTH:

MassHealth and the Children’s Behavioral Health Initiative are pleased to announce the publication of our informative brochure MassHealth Services for Children and Youth, that describes home and community-based behavioral health services available to MassHealth enrolled children and youth under the age of 21.You can download or order the brochure on the CBHI Brochures and Companion Guide web page.

Resources for schools can be found here:  https://www.mass.gov/service-details/cbhi-for-educators   You can also call MassHealth Customer Service at (800) 841-2900 and request a brochure.


FDA TAKES ADDITIONAL ACTION TO MITIGATE SHORTAGES OF EPIPEN BY EXTENDING EXPIRATION DATE FOR SPECIFIC LOTS OF MEDICATION

https://www.fda.gov/NewsEvents/Newsroom/FDAInBrief/ucm617724.htm

The U.S. Food and Drug Administration today took additional action to mitigate shortages of EpiPen (epinephrine) auto-injector by extending the expiration date of specific lots of 0.3 milligram products marketed by Mylan by four months beyond the labeled expiration date. This change beyond the approved 20-month shelf life is based on stability data provided by Mylan and reviewed by the FDA. To help ensure patient safety, these products, which already have been dispensed to patients, should have been — and should continue to be — stored as labeled.

While product is currently available, multiple factors, including regional supply disruptions and manufacturer issues, have contributed to EpiPen’s limited availability in certain areas in the U.S. The FDA continues to work closely with Mylan on EpiPen production and supply, and also has been in contact with the other manufacturers of epinephrine auto-injectors, including Adrenaclick and Auvi-Q, regarding their supply as the school year begins since this is historically accompanied by increased product demand. The agency also recently approved the first generic version of EpiPen.  Mylan also has established a customer service number, which we have posted on the FDA’s website, to help pharmacies and patients locate EpiPens if necessary. Information on supply information of other approved epinephrine autoinjector products can also be found on the agency’s website.


FDA APPROVES FIRST DIRECT GENERIC COMPETITOR TO EPIPEN:
https://www.advisory.com/daily-briefing/2018/08/17/generic-epipen?wt.mc_id=email%7cdailybriefing+headline%7cdba%7cdb%7c2018aug17%7catestdb2018aug17%7c%7c%7c%7c

The FDA on Thursday approved a generic version of EpiPen and EpiPen Jr that is not manufactured by Mylan—two years after Mylan came under fire for raising the devices’ prices. According to the Washington Post‘s “To Your Health,” the new device “is the first to be deemed a therapeutic equivalent of the EpiPen, which means that it can be automatically substituted at the pharmacy counter for prescriptions for EpiPen or EpiPen Jr.  The FDA said it approved a generic version of EpiPen and EpiPen Jr made by Teva Pharmaceuticals for adults and children who weigh more than 33 pounds. FDA said the generic epinephrine auto-injector “is intended for immediate administration to patients” in the same manner as branded EpiPens.


FROM MENTAL HEALTH FIRST AID:  I NEED HELP: SAID NO TEEN EVER

Many of you are familiar with the statistic that one in five young people in the U.S. lives with a mental health or substance use challenge, yet few reach out for support. That’s why it’s so important that everyone knows how to recognize and respond when a young person may be in need.  Please share the newest PSA “Said No Teen Ever,” because we know there are signs that tell us when a young person might be suffering, but it’s up to us to know what to say and how to help. Youth Mental Health First Aid teaches adults how to reach out to a young person in need to get them the care they need.   You can also share these four PSAs to highlight mental health challenges that young people experience every day like anxiety, depression, eating disorders and self-harm.


ADVANCING EXCELLENCE IN TRANSGENDER HEALTH: A CORE COURSE FOR THE WHOLE CARE TEAM:

Friday – Sunday
September 21 – 23, 2018
Westin Boston Waterfront
Boston, Massachusetts

Registration Now Open!

This course sold out last year.
To ensure your spot in the 2018 program, we strongly recommend early registration.

Advancing Excellence in Transgender Health was developed in response to the high volume of queries from clinicians and health care staff seeking to learn about providing high-quality care for adults, adolescents, and children who are questioning their gender identity or who identify as transgender or gender non-binary.

This conference is designed to train the whole health care team in providing competent and confident gender-affirmative health care, grounded in research evidence and best clinical practices. Sessions are led by expert faculty specialized in transgender-focused research and patient care. The conference is appropriate for all members of health care teams, including physicians, behavioral health care providers, physician assistants, nurses, and other staff.

Conference topics will include:
·       Gender-Affirmative Health Care: Terminology, Demographics, and Epidemiology
·       Gender Identity Development in Children and Adolescents
·       Transgender Adults Community Panel
·       Family Systems of Transgender Children
·       Diagnosis, Treatment, and Prevention of Sexually Transmitted Infections for Transgender People
·       Behavioral Health Assessment and Referrals for Gender-Affirming Surgery
·       Primary Medical and Preventative Care Needs of Transgender Clients
·       Reproductive Options for Transgender Persons
·       Gender-Affirming Hormone Therapy
·       Behavioral Health Care for Gender Diverse Children and Adolescents
·       Transgender Youth Community Panel
·       Transgender People and HIV
·       PrEP and Transgender Communities: Evidence-Informed Practices
·       Gender-Affirming Surgeries
·       Collecting Sexual Orientation & Gender Identity Data in EHRs
·       Transgender and Gender Non-binary People of Color
·       Creating a Trans Youth Clinic
·       What Health Care Providers Need to Know about Transgender Legal Issues

In addition to didactic presentations, attendees will learn from panels of transgender community members and have the opportunity to engage in interactive case discussions that highlight medical and behavioral health approaches to gender-affirmative care, led by experienced clinicians specialized in transgender health.  Scholarship information is available here


REGIONAL CONSULTANT CONTACT INFORMATION (SUMMER HOURS VARY):

EOHHS Region Name Office Phone Cell Phone Email
Central Kate Maher 978-567-6190, ext. 21122 kcmaher@hudson.k12.ma.us
Metrowest Jean Afzali 781-848-4000, ext. 7841 781-724-4018 jafzali@braintreema.gov
Northeast Shanyn Toulouse 978-420-1919 978-761-2307 shanyn.toulouse@haverhill-ps.org
Southeast Ann Klaver 508-580-7363 annmarieklaver@bpsma.org
West Diane Colucci 413-750-2511 colucci-hechtd@springfieldpublicschools.com
Therese Blain 413-750-2007 blaint@springfieldpublicschools.com

Mary Ann Gapinski, MSN, RN, NCSN
Director of School Health Services/ School SBIRT Coordinator
MA Department of Public Health
250 Washington Street – 5th Floor
Boston, MA  02108
mary.gapinski@state.ma.us
Website: http://www.mass.gov/eohhs/gov/departments/dph/programs/community-health/primarycare-healthaccess/school-health/

SBIRT information:  www.masbirt.org/schools

 

 

 

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