SBHC Clinical Quality Toolkits

ADOLESCENT REPRODUCTIVE HEALTH:

• 2009 WV Conference Agenda and Presenter Info (Adobe pdf)

• WV Family Planning Laws

• Health Content Standards Data

• Adolescent Sexually Transmitted Infections in WV

• Programs to Reduce Adolescent Risk-Taking

• School’s Role in Addressing Reproductive Health

• Strategies to Address Reproductive Health

ADOLESCENT Self-Management Online:

• ASM History and Content

• ASM Provider Instruction June 2016

• ASM Student Instructions June 2016

• ASM Scratch Pad

• ASM Handout

• Periodicity Schedule AMA

• SBHC Obesity Tx Recommendation Summary 2014

• Screening For Substance Abuse Bright Futures

• Self Management Framework

ASTHMA MANAGEMENT TOOLKIT:

• Asthma Toolkit Contents (Adobe pdf)

• Toolkit Section Face Sheets (Adobe pdf)

• Sample Asthma Initial and Maintenance Form (MS Word)

• Asthma Encounter Form (Adobe pdf)

• Sample Asthma Action Plan (MS Word)

• SBHC Chart Audit DATA COLLECTION FORM – Asthma Screening (Adobe pdf)

• SBHC Chart Audit DATA COLLECTION FORM – Asthma Care (Adobe pdf)

• Division of Health Promotion and Chronic Disease – Asthma

COMPREHENSIVE EXAM TOOLKIT:

• Adolescent Comprehensive Physical & Risk Assessment Toolkit Contents (Adobe pdf)

• Increasing Comprehensive Physical Exams (Adobe pdf)

• West Virginia Health Check (Website)

• WV Health Check Provider Manual

• Pediatric Symptom Checklist

• Adolescent Depression Screening

IMMUNIZATION TOOLKIT:

• Section 1 – WV Immunization Network

• Section 2 – Immunization Schedules & Recommendations
  

1. Vaccine Hesitancy and Addressing Parents’ concerns: 1 2 3
   

2. Vaccine Storage and Handling: 1 2
   

• Section 3 – Federal Law Vaccine Information Statements

  • Vaccine Information Statements

• Section 4 – Standing Orders & Protocols

  • WV Immunization Standing Orders

• Section 5 – HIPAA & FERPA

  • CDC HIPAA Factsheet (Adobe pdf)

  • FERPA and Immunizations (Adobe pdf)

• Section 6 – Vaccines for Children Program & WV Immunization Program

  • VFC Approved Vaccines

• Section 7 – Sample Letters

  • Sample Letter HPV Vaccine Consent (MS Word)

  • Sample HEP-B To Do List (MS Word)

  • Sample Hep B Parent Letter And Questions (MS Word)

  • Sample Hep B Consent Form (MS Word)

  • Sample Hep B Appointment Letter (MS Word)

WEIGHT MANAGEMENT TOOLKIT:

• Adolescent Self Management

• Obesity Notebook Contents (Adobe pdf)

• Section Face Sheets (Adobe pdf)

• Subsection Tab Pages (Adobe pdf)

• Section 1 – General Information

  • Healthy, Hunger Free Kids Act 2010 (Adobe pdf)

  • WV Feed to Achieve Act

  • WV Department of Education Office of Child Nutrition Feed to Achieve Website

• Section 2 – School Information

  • WV Checklist Changing the Scene (Rich Text)

  • Changing the Scene Support Materials (Adobe pdf)

  • SPAN 4th Grade Survey (Adobe pdf)

  • SPAN 8 to 11 Grade Survey (Adobe pdf)

• Section 3 – Teacher Information

  • Sample Nutrition & Activity Lesson Plans

  • Junior Master Gardner (Adobe pdf)

  • Choose My Plate Website

• Section 4 – SBHC Information on Weight Management

  • How to Monitor Action Plans June (Adobe pdf)

  • WV Action Plan Form June 2009 (Adobe pdf)

  • Self Management Documentation Form June 2009 (Adobe pdf)

  • Nemours 521 Prescription for Health (Adobe pdf)

  • WV Adolescent Self Man Survey (Adobe pdf)

  • WV CQI (Adobe pdf)

  • 5-2-1 Almost None Parent Survey (Adobe pdf)

  • Obesity-Related Forms (MS Excel)

  • Sample SBHC BMI Parent Report (MS Word)

  • Nutrition Questionnaire – Bright Futures (Adobe pdf)

  • Physical Activity Questionnaire (Adobe pdf)

  • NICHQ Recommendations (Adobe pdf)

ADDITIONAL CLINICAL QUALITY RESOURCES

• Chief Complaint Forms

  • BURNS (MS Word)

  • HEAD INJURY PARENT LETTER (MS Word)

  • LACERATION (MS Word)

  • SPRAIN-STRAIN (MS Word)

  • PATIENT HISTORY (MS Word)

  • MENSTRUAL CRAMPS (MS Word)

  • HEADACHE (MS Word)

  • MINOR HEAD INJURY ENCOUNTER (MS Word)

  • PATIENT ENCOUNTER FORM (MS Word)

  • UTI (MS Word)

  • DYSPEPSIA (MS Word)

  • HERPES (MS Word)

  • HEALTH PREVENTION & PROMOTION (MS Word)

  • UPPER RESPIRATORY INFECTION (MS Word)

• Confidentiality

  • Sample Confidentiality Policy & Procedure (MS Word)

  • Privacy and Security Walk-Through Checklist (MS Word)

  • Safeguarding Individual Health Privacy – A Review of HIPAA (Adobe pdf)

• Medication Distribution

  • OTCs Triage and Treatment of Minor Illness (MS Word)

  • Sample WV Medication Policy (MS Word)

• Parent Findings & Recommendations Letters

  • Note to Parent – Abdominal Pain (MS Word)

  • Note to Parent – Ear (MS Word)

  • Note to Parent – Stomach Virus (MS Word)

  • Note to Parent – Pharyngitis (MS Word)

  • Note to Parent – Pink Eye (MS Word)

  • Note to Parent – Sinus Problem (MS Word)

  • Note to Parent – URI (MS Word)