HEALTH SERVICES IN HAWAII PUBLIC SCHOOLS Student Achievement Committee Meeting |May 3, 2016

Committee Action on a proposed new Student Health Services Policy combining Board Policies 103.2 Student Health Services and 

103.4 School‐based Health Service Centers

“We know that healthy students are better learners who are more likely to thrive in school 

and in life.”In communities across the country, educators, 

health care providers & families are working each day to help children grow into healthy and well‐educated adults. They cannot do this alone. This 

work depends on strong & sustainable partnerships & commitments between local, 

state, and federal health & education agencies.”

HAWAII STATE DEPARTMENT OF EDUCATIONHawaiiPublicSchools.org

SBAHSA

Readiness(College and

Career)

AchievementGrowth

Achievement Gap

Achievement GapPerformance differential for high-needs students--Low income, special education, English Language Learners: Percent of students proficient (HSA) or met achievement standard (SBA)

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

2012-13 2013-14 2014-15

High Needs Not High Needs

50%

77%

48%

76%

SBA

59%

HSA

31%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2012-13 2013-14 2014-15

High Needs Not High Needs

62% 59%

37%

89% 87%

68%

Mathematics ELA/Literacy

GAP

27GAP

28GAP

28GAP

27GAP

29GAP

31

10

Https://www.hawaii.edu/filedrop/dl/zOEma‐iPFax‐gXzIP‐iLEFP/

“Gives schools choice yet keepsin mind the wellnessof our students.”

“… provide to schools menu of services … standardized means to implement the partnerships through formalized MOAs, consent forms, information to parents and students and support

in getting started.”

“ …step in the right direction…would prefer to see a bolder statement, with attached funding, requiring vision, hearing, dental, and other types of screenings at assigned check pointsalong a student's K‐12 journey.”

“ … I don't believe the policy as written would be actionable by the Department when many of the terms are not defined and it is unclear as to which schools would have to implement.”

…Nurses should be present on every campus to support all students, butparticularly for students who are medically fragile …

“Health centers should be comprehensive &partner with Health Academies on HS 

campuses and schools with high free and reduced lunch eligibility rates.”

Avoid Mandates

Identify Resources

Improve Communication & Collaboration

(1) Require the DOE to work with government agencies to create a framework for coordinated school health.

(2) Allow each school to utilize that framework to best serve the unique needs of their school community.

FRAMEWORK

• MOU• School Health Index• Data Sharing• HIPAA/FERPA• Consent Forms

DATABASE

• Hawaii Pacific Health• Lions Club• American Heart Association

• Project Vision

The Department of Education shall support partnerships at schools to provide health services to students. To that end, the Department of Education shall work with other state agencies and community partners to:

• Define a menu of coordinated school health services that facilitates efficacy in the continuum of supports provided to all students; 

• Support the use of culturally responsive, evidence based school health services  and practices; and

• Facilitate ongoing dialogue to enhance coordinated school health services.

Schools may partner with relevant government agencies and community organizations to support the provision of coordinated school health services whenever mutually agreeable to benefit students. Based on school community needs and available resources, school may implement a range of services including but not limited to primary and preventive health care; dental, vision, and hearing screenings and services; school counseling, school based behavioral health, mental health, social services, school nutrition, health literacy education, physical education, a healthy school environment, and staff health and wellness.

Rationale:  Schools play a critical role in promoting the health and safety of young people and helping them establish lifelong healthy behavior patterns.  Research shows a link between the health 

outcomes of young people and their academic success. To have the most positive impact on the health outcomes of young people, government agencies, community organizations, schools, and other community members must work together on 

a comprehensive approach.

Health Providers

Public Schools

Hawaii’s students are educated, healthy, joyful lifelong learners who contribute positively to our community & global 

society.