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I am humbled and honored to serve as the new Chairperson for New York State School-Based Health Alliance for 2015. Along with our dedicated board members and outstanding Executive Director we will work together as your advocates to expand school-based health cen-ters across NYS, maintain our funding, deliver educational programs and technical assistance and to help strengthen existing centers.

I expect 2015 will be very busy. We are well positioned to provide some new services to our members. Within the next month we will unveil our newly improved web site with lots of resources and tools to assist the school-based health centers. Within the next several months we will begin quarterly webinars focusing on clinical and operational topics to improve the health of children and adolescents. We will continue to work on the Patient Centered Medical School- Based Home project and the Learning Collaborative with our national School-Based Health Alliance.

Our goal is to highlight the amazing work that goes on in your school-based health centers; please send us your news and pictures!

Advocacy day is on Monday, February 9, 2015. We hope to have over 600 students, staff and family representing school health in Albany. It will be an exciting day visiting the state legislators and urging them to hold school-based health centers harmless through the managed care carve-in transition scheduled for July 2015. During advocacy day we will reveal our new School-Based Health Alliance logos, which we are very excited to finally share with you.

With warm regards,

Ellette Hirschorn, RN Chair of the Board, New York School-Based Health Alliance

Dear New York School-Based Health Friends, Supporters and Family,

2014Annual Report

2 New York School-Based Health Alliance

Almost half a century ago, an audacious attempt was begun to expand on the traditional role of the school nurse. A new model, the school-based health center, would bring clinical pediatric services into the school, especially when students in the school lacked ready access to health care in the community. Children would get their check-ups and shots, assessment and treatment of minor illnesses, and follow-up care for chronic conditions, all in the same place where they spent their days. Their care would likely be provided by a nurse with a new professional role which was being created at about the same time: the pediatric nurse practitioner, practicing under the supervision of a pediatrician.

In the early years, development of these centers was scattered and sporadic, but as an idea whose time had come, they gradually gained recognition and support from forward looking policy makers and funders, most notably the Robert Wood Johnson Foundation which in 1988 provided grants for centers in 24 communities throughout the United States. However, their ascent was not without controversy and problems. Their attention to reproductive health care for adolescents as well as the perception that SBHCs were in competition with local primary care practitioners were issues that aroused local opposition in some quarters. Most serious was the need for adequate and stable funding.

This need was partially met by 1999 when most states were allowing the centers to bill Medicaid for services, but the amounts generated were insufficient to fully cover the costs of operations, and the quest for reliable and sufficient support has been ongoing. It remains to this day.

In spite of these problems and controversy, progress was steady: the model broadened and the numbers grew. The array of services at many centers now included mental health and oral health along with prevention and health promotion. By 1995, with almost 1000 centers in operation, a critical mass had been reached that generated the creation of a national organization that became known as the National Assembly on School-Based Health Care. Now called the School-Based Health Alliance, its purpose is to “advocate for national policies, programs, and funding to expand and strengthen SBHCs, while also supporting the movement with training and technical assistance”. It currently represents over 2000 centers.

Today in New York State, some 228 SBHCs are represented by the New York School-Based Health Alliance whose local mission reflects that of the National organization. The centers are predominately urban (80%); most of the remainder are rural (15%). Among them they serve children at every grade level. Over half are sponsored by hospitals or medical centers, and 38% are sponsored by community health centers. The State government is their main source of funding (89%), with substantial federal (45%) and smaller amounts of local and private support. SBHCs are now being challenged to establish a meaningful position for their model in the rapidly shifting health care environment that is part of the contemporary scene.

SBHCs Serve Children at Every Grade Level

Our History

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2014Name changed to NY School-Based Health Alliance to

co-brand with the national School-Based Health Coalition.2010Kellogg Foundation School-Based Health Care Policy Program started in 2004, reached completion. nystatesbhc.org launched.

2009New York State Coalition for School-Based Health Centers

incorporated as a 501(c)(3).2008The Governor included Medicaid reimbursement for SW services in his proposed budget. The legislature enacted this into law.

2007The Coalition name was changed to the New York State

Coalition for School-Based Health Centers. 2004The Medicaid Carve-Out was made permanent.Advocacy Day: Attended by 700, 2/3 students. First organized student Speakout. First videotaping of the day.2003

The Coalition secured a budget amendment to allow use of TANF funds for “non-medical counseling and health education”.

2000First Advocacy Day Awards presented to Richard Gottfried, Arthur Eve, James Seward and Velmanette Montgomery. 1998-99

Coalition receives first Legislative grant from Richard Gottfried. First Advocacy Day with close to 100 SBHC providers,

parents, school staff and students. 1994Principles and Guidelines for School-Based Health Centers in New York State released.

1992The New York State Coalition for School-Based Primary Care

was established at the New York Academy of Medicine. 1978First SBHC opens in NY State.

Mission & TimelineThe Alliance’s mission is to create access to comprehensive, high-quality primary care, including medical, mental, oral, and community health services, for all children and youth statewide through school-based health centers by:

advocating for supporting policies; promoting high-quality service delivery; increasing understanding of the school-based model; and promoting growth and expansion of school-based health centers.

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Who We Serve Junior High

K-12

Junior High/ High School

Other

K-5

High School

Grade Configuration

25%

41%

13%8%

6%

7%

African American

White

Asian

Other

Unknown

Racial Breakdown

23%

34%23%

17%3%

80%

SBHC Distribution

Urban

Rural

15%

3%

Upstate Small City• Upstate Suburban 1%• Downstate Suburban 1%

228 School-Based Health Centers

Across New York State

68%

School-Based Health CentersLocated in Metro NY Area

Students Who Have No Health Care Coverage

163,938 Students Enrolled in

School-Based Health Centers

Statistics from NYS DOH as of December 2014

18%

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Why SBHCs?SBHC services are developed based on local assessment of needs and resources. Schools having students with the highest prevalence of unmet medical and psychosocial needs are targeted for the establishment of centers.

SBHC services are provided at no out of pocket cost to those students who enroll in the SBHC with parental consent.

The SBHC provides on-site access during the academic day when school is in session and 24-hour coverage through an on-call system and through its backup health providers to ensure access to services on a year round basis when the school or the SBHC is closed.

Grant News 2014For the 2nd year running, the Alliance is pleased to report being awarded a $39,000 grant through the Department of Health. Grant monies are being used specifically to further enhance the Alliance’s new website (phase II); completion of the development of a new member database; additional member resources and tools including a quarterly webinar series offered to NYSBHA members on pertinent health topics; and enhanced member communications. This grant has been and continues to be a critical component to strengthening our internal infrastructure which lays the foundation for a successful statewide member organization.

National Policy Learning Collaborative

with SBHANYSBHA has been selected to be among members of the first four-team cohort of the Policy Learning Collaborative, a multistate, 18-month granted collaborative spear-headed by the national School-Based Health Alliance (SBHA). The NYSBHA’s six-member team is comprised of staff and board members, NYS DOH collaborators and a philanthropy representative. Together, the team has proposed a two-tiered plan outlining NYSBHA’s goals regarding successful inclusion in the Medicaid redesign process in New York State. The goal of the collaborative is to advance policies that support and value the full integration of school health care within emerging organizational and financial models to achieve high-quality, cost-effective, population focused health improvements and outcomes.

PC-SBHC ProjectThe Patient-Centered School-Based Health Care (PC-SBHC) Proj-ect is a two-year, joint venture between the New York School-Based Health Alliance (NYSBHA), the Montefiore School Health Program (MSHP), and the Primary Care Development Corporation (PCDC) to transform and improve how school-based health cen-ters (SBHCs) organize and deliver primary health care. Funded by the Altman Foundation, the PC-SBHC project aims to create a three-tiered system of patient-centered quality standards to benchmark services provided by SBHCs.

The NYSBHA, MSHP, and PCDC in collaboration with represen-tatives from the New York State/New York City Departments of Health and experienced SBHC providers developed a draft set of quality standards adapted from NCQA’s 2014 Patient-Centered Medical Home (PCMH) model. The proposed standards define three levels of SBHC service, reflect the strengths of SBHC service delivery, and encourage a full service, comprehensive model of in-tegrated primary health care. The project is currently moving into its second and final year—the pilot phase. The principal aim of the pilot is to implement PC-SBHC standards at five SBHCs in New York City, analyze the feasibility of transformation, and produce a final draft of the standards. Post pilot, the NYSBHA will work with MSHP, PCDC, and other partners to advocate for the adoption and incorporation of PC-SBHC standards by school health funding and regulatory agencies.

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Membership & Resource

DevelopmentIn the 2014 year, the Membership and Resource Development Committee was able to get more than 60% of School Health sponsor sites to support the Coalition by paying their dues; this was a significant increase from previous years. This significant increase in membership was in great part to the efforts of committee and the Alliance’s new part-time Executive Director Sarah Murphy, who reached out personally to all the sponsoring agencies to update contact information, establish contacts with the finance departments and to ensure ongoing reminders of outstanding dues to member organizations.

The Membership and Resource Development Committee also has been working with the other committees to help establish the membership categories and member benefits of the new ©6 entity that will replace the coalition in 2015, so as to continue our co-branding with the national School- Based Health Alliance.

We hope to continue these efforts and work on additional ideas to ensure greater participation from the sponsoring agencies, new members as well as to work with our fellow committees of the Alliance to meet the needs of our membership. We look forward to an exciting and fruitful 2015.

Technical AssistanceNYSBHA’s Technical Assistance Workgroup completed its first year of work in 2014. Originating in response to discussion at New York statewide membership meetings, the TA Workgroup intends to facilitate better communication and collaboration in the school health field in our state. We hope to describe the work of SBHCs in New York to highlight our accomplishments, as well as identify areas for collaborative improvement at individual, regional, and statewide levels.

The first initiative of the TA Workgroup is the re-design of the NYSBHA website. The aim is for the website to become the hub of the school-based health community, and support all of NYSBHA’s other initiatives. It is intended to function as a gathering place for resources and information about SBHCs in New York State for sponsoring organizations, providers, partners, schools, parents, students and anyone interested in learning more.

In conjunction with the website release, the TA Workgroup has lined up a series of educational webinars. These webinars will be held on a quarterly basis, exploring timely topics relevant to our membership. We hope that the webinars will draw on the wealth of knowledge and experience of the NYSBHA members and partner organizations to assist SBHCs in continually functioning at the top of their capacity.

Long-term goals of the TA Workgroup include hosting a New York State School-Based Health Conference, and the continuous build of partnerships to support, diversify and strengthen our work together. The Technical Assistance Workgroup isn’t just for NYSBHA board members—we are always looking for more members of any professional background to join our Workgroup! To learn more, reach out to us at any time to nysbha@gmail.com.

Alliance Committees

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Policy CommitteeThe Policy Committee, under the skilled guidance of Legislative Policy Advisor, Shauneen McNally, continued its focus in 2014 on the Medicaid Carve-In for School-Based Health Centers (SBHCs). Initially scheduled to take effect on October 1, 2014, the carve-in has been extended to July 2015. The group successfully secured an extension of the Medicaid carve-out from October 2014 to July 1, 2015, with the NYS DOH maintaining current fee-for-service reimbursement levels for SHBCs for at least two years after implementation of the carve-in.

Throughout the year, the committee continued its participation in multiple SBHC Medicaid Carve-In Work Group meetings. Representatives at the meetings involved a broad alliance of organizations including SBHCs and sponsors, Medicaid Managed Care (MMC) plans, the NYC Health Department, Greater New York Hospital Association (GNYHA), Community Health Care Association of New York State (CHCANYS), Children’s Defense Fund, American Academy of Pediatrics, and the United Teachers Federation.

In addition, total non-Medicaid funding for SBHCs for the 2014-15 State fiscal year was successfully preserved at the same level as the previous year.

2015 Board of Directors

CHAIREllette Hirschorn, RN

POLICY COMMITTEEDavid Appel, MD

Wendy Stark, MBACharles Soulé, PhD

Lorraine Gonzalez-Camastra, LCSW

MEMBERSHIP & RESOURCE DEVELOPMENTViju Jacob, MD, FAAP

Catherine Hopkins, RN, FNP, MS. AE-CKatie Lobach, MD

David Rowley, MPA, SDA, CAS EA

TECHNICAL ASSISTANCE GROUPCaitlin Hansen, MA

Chris Kjolhede, MD, MPH, FAAP

FINANCE COMMITTEEAdria Cruz, MPA

Amy Pease, RN, MABarbara Kuppel, MS, RN

PAST CHAIRMargee E. Rogers, DNP, RN, FNP-BC

Letter from the Outgoing ChairAs my term as Chair comes to a close, I would like you to join me in welcoming two people who will help guide this organization into the future.

Ellette Hirschorn is the new Chair of the Board of the New York School-Based Health Alliance. She comes to us with many years of experience in advocacy and in school-based health administration in her role as Director of Clinical Services and Programs at the Open Door Family Medical Centers in Westchester County.

Sarah Murphy joined us as our new Executive Director in August 2014. She has many years of leadership and development experience in not-for profit organizations and has jumped head first into organizing and managing the Alliance, coordinating plans for Advocacy Day 2015, and supporting the Board and the membership.

The NYSBHA is a proud affiliate of our national School-Based Health Alliance and continues to represent, support and advocate for the interests of the school children, teens, families, and School-Based Health Centers of New York State. These are some of our accomplishments for 2014:

• New sites were opened across the state.

• We have worked steadily in Albany to maintain sustainable funding for SBHCs in the Medicaid redesign process.

• Advocacy Day 2014 was one of the largest ever, with over 500 students, staff and family representing school health in Albany.

• We worked closely with the state to produce reports from the data that SBHCs submit quarterly and with our membership to improve this data.

• We advocated with the SBHA for the Capital Funding Program in Washington, DC.

• We have updated and improved our website with new information for the public and enhanced services and support for our members.

We hope you find the material in this report useful and informative. We are your organization. Please let us know how we can serve you.

With warm regards,

Margee Rogers DNP Immediate Past-Chair of the Board New York School-Based Health Alliance

New York School-Based Health Alliance www.nysschoolbasedhealthalliance.org

nysbha@gmail.com518.694.3423