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Welcome to the Voices

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in School health series.

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This series is designed

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to help Virginia schools

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and community partners

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learn from successful, school

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based health programs

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and practices.

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I'm Ericca Facetti,

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the executive director

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and co-founder of the school

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based Health

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Alliance of Virginia.

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And today,

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I will discuss

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what a school based

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telehealth program is.

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School

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based telehealth

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can enhance students access

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to health care providers.

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This type of telehealth

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can include annual exams

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monitoring chronic conditions

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such as diabetes or asthma,

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providing behavioral health

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services or

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oral health care for emergent

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or urgent needs.

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By utilizing

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telehealth in schools,

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students may experience

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reduced class

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time away,

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lower travel

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costs, and increased

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appointment availability.

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A well-structured

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implementation plan

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is crucial

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for the success

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of a telehealth program.

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When designing your approach,

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consider hiring practices,

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staff training,

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workflows, infrastructure

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and IT needs,

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and most importantly,

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patient communication.

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Key steps could include

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assessing the funding

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required and available

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to cover both short

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term and long term costs.

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Identifying the healthcare

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providers necessary

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for your telehealth program

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and the specialties

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that will best serve

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your student population.

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Identifying a HIPAA

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compliant platform.

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Creating and implementing

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a clear

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workflow between

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school administration

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and the health

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care providers office,

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and engaging the community

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and generating interest

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in your school

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based telehealth program

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by developing

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a marketing strategy

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to share information

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about your initiative.

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Common telehealth services

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include primary care,

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behavioral health,

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and diabetes management.

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Consider the various

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types of providers

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you may need to

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form your telehealth team,

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such as for primary care

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general practitioners,

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physician assistants

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for behavioral health

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psychiatrists, counselors,

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or social workers.

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For diabetes care,

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you may need

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an Endocrinologist,

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for Oral health -

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Dentists and dental hygienists.

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Involving the school staff

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in the telehealth

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services is crucial.

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It's vital

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that school administration

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understands

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your telehealth program

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and its benefits

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for the students,

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along with their role in it.

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If a school nurse is available,

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this individual

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will play a crucial role

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in the team.

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Determine

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which members

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of the administration,

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teachers, guidance counselors,

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and IT staff should join

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in your implementation team

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to ensure the program's success

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and sustainability.

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For example,

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a school nurse

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could have intraoral camera

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and through

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relationship building

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with a dentist office,

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had the capability

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for asynchronous

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and synchronous connections

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with a student

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who presents with an issue

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taking the time to build trust,

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provide education,

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and establish workflows

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will benefit students

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who may not

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otherwise have access to care,

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and you could be able to triage

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emergency issues.

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Telehealth appointments

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need a dedicated space

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within the school,

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so be sure to identify a quiet

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and private location

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within the school setting.

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School based

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telehealth programs are created

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through

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collaborative partnerships

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between the community,

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the school,

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and an entity

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that operates and administers

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the telehealth program.

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Students and families

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are central

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to this partnership.

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A telehealth administrator

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can be a federally qualified

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health center,

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a community health center,

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or a look alike.

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A hospital,

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public health

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department, nonprofit,

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health or human

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services agency,

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or any other qualified entity

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capable of operating health

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care services.

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Before you start your program

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be sure to

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outline the responsibilities

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for the school,

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patients, parents

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or guardians, and health

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care providers

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for the following tasks.

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What do the appointment

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referrals look like?

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It will be very important

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to identify

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what these referrals look like

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and when they should be made.

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Obtaining

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and documenting consent.

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We know that one of the most

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difficult things in any school

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based or school-linked

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program is obtaining parental

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and guardian consent.

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So make sure you have a way

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to capture

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that information

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and ensure

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that the parents and guardians

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are receiving

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the consent form in a way

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that is going to be easy

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for them to understand.

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Registration, including health

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insurance information

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if it's available.

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What does the

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workflow look like

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for conducting the appointment?

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Again,

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are these programs

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specifically set up for urgent

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or emergent needs

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that needs to be outlined

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within that workflow,

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so the school staff understands

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when they should be

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referring a student

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for telehealth services.

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What does the follow up

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look like

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after the appointment?

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Many telehealth services

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may require

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additional appointments

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or even in-person appointments,

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so be sure to again

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outline that workflow

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and have those decision points

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made.

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Technology is vital for school

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based telehealth program.

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Equipment may include

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computers, cameras

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and microphones,

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remote patient monitoring

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tools, and broadband internet.

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It may even be that

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the school nurse

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has her own laptop

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just for these

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telehealth programs.

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School based health

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centers are already widespread,

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which provides

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a solid model for developing

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telehealth programs.

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Rather than introducing

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an untested concept.

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Onsite care

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positively affects

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both health

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and school performance

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by eliminating barriers

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that might prevent children

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from receiving

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medical attention

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and attending class.

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When students can receive

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care on campus,

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routine checkups or sick

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visits can happen

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without the need

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to leave school.

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This approach helps children

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be healthy and present

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within the classroom.

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Thank you for watching.

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I encourage you to explore

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other sessions in the voices

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for school health series

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to support school

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based health

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efforts in Virginia.