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From: Carol Krall  --  District/School: Hanover

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From: Carol Krall  --  District/School: Hanover

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CQI Project Topic: Screening referrals

Universal & Tier 1 Strategies:

Monitoring absentee data.

Creating an inclusive and welcoming school environment.

Encouraging and developing meaningful relationships with students.

Tier 2 Strategies:

Identify students at risk.

Discuss individual needs of students and barriers to better school attendance.

Tier 3 Strategies:

Involve individual families and look for wrap around and community services to help assist individual needs.

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Fillable Challenge Model and Hanover Public Schools CQI Project Results_CK

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Complete your Padlet assignment by clicking here (opens in a new window). SHIELD will post your response to Padlet.

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From: Clare L. Grenon  --  District/School: Bridgewater Raynham Regional School District

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From: Clare L. Grenon  --  District/School: Bridgewater Raynham Regional School District

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CQI Project Topic: Chronic absenteeism

Universal & Tier 1 Strategies:

share info with guidance and teacher.

Tier 2 Strategies:

contacting PCP if parents failed to respond.

Tier 3 Strategies:

SRO proved effective in visiting hard core chronically absent students at home

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From: Danielle Gallan  --  District/School: Stoughton Public Schools

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From: Danielle Gallan  --  District/School: Stoughton Public Schools

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CQI Project Topic: Chronic absenteeism

Tier 2 Strategies:

Working with PCP and specialists to decrease chronic absenteeism for our students with chronic conditions

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From: Danielle Gallan  --  District/School: Stoughton Public Schools

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From: Danielle Gallan  --  District/School: Stoughton Public Schools

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CQI Project Topic: Chronic absenteeism

Universal & Tier 1 Strategies:

District-wide collaboration to decrease chronic absenteeism.

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CSHS - Demographic Monitoring Fillable Form SPS Initial_DG

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From: Clare L. Grenon  --  District/School: Bridgewater Raynham Regional School District

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From: Clare L. Grenon  --  District/School: Bridgewater Raynham Regional School District

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CQI Project Topic: Chronic absenteeism

Universal & Tier 1 Strategies:

Following attendance tracking and presence at building based student assistance meetings the nurse is reaching out via phone and email to the parent.

In grades 5-12, the nurse is checking in with the individual student regarding their absences.

Ongoing tier 1 interventions with already identified population as well as newly added students with >10% absenteeism

Tier 2 Strategies:

Tier 2 interventions to address chronic absenteeism include a formal letter home to the parent/guardian and then contacting the PCP with an informative status update.

Creation of relevant IHCPs

Review relevant 504 and IEPs in identified chronic absenteeism population

Individual behavioral/ So Emotional/ Health in-person check-in with student in nurse's office

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From: Alicia Bryant  --  District/School: Barnstable

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From: Alicia Bryant  --  District/School: Barnstable

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CQI Project Topic: Healthcare needs for homeless or marginally housed students

Tier 2 Strategies:

Building nurses are sending informational outreach letters to parents of students with 10% or more days absent two times per year (in addition to district letters)

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From: Karen Doyle  --  District/School: Duxbury

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From: Karen Doyle  --  District/School: Duxbury

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CQI Project Topic: Chronic absenteeism

Tier 2 Strategies:

review of processes with admin

revisit previous process that involved SRO and school nurse

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From: Jessica M. Stanney  --  District/School: Cape Cod Academy

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From: Jessica M. Stanney  --  District/School: Cape Cod Academy

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CQI Project Topic: Overweight and obesity

Universal & Tier 1 Strategies:

working with IT to have better systems in place to run reports to track students

health and wellness committee meets once a month to discuss multi integration approach to better suit the students' needs and keep them in school

self-advocate

sending home letters in our weekly seahawk news about better communication when absent

we need dr proof if they are out for more than 3 days

open door policy for students to come to health clinic

Tier 2 Strategies:

small group counseling happening with counselor and advisors

meetings with parents and students about expectations

communicating updates on chronic health issues/concerns that may affect attendance and develop team approach

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From: Linda J. Cahill  --  District/School: Brockton Public Schools

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From: Linda J. Cahill  --  District/School: Brockton Public Schools

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CQI Project Topic: Improving our immunization rates by 10 percent focusing in on homeless/ELL students

Universal & Tier 1 Strategies:

Nursing staff to call home and providers for students heading toward chronic absenteeism.

Referrals to providers or establishing a health care provider for new students.

Screening incoming new students with complex medical needs to address needs and provide resources.

Tier 2 Strategies:

Collaborate on IEP and 504 development to ensure that all student's needs are addressed.

Encourage an open-door policy in the nurses' office to foster positive relationships.

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From: Christine Cerrone  --  District/School: Attleboro

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From: Christine Cerrone  --  District/School: Attleboro

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CQI Project Topic: Health needs for English Language Learners (ELL) students

Universal & Tier 1 Strategies:

clear communication about attendance

newsletters about health-related topics and in-person sessions with students about health-related topics and self-care teaching

identifying partners to provide wraparound services

Tier 2 Strategies:

develop health care plans for students with chronic illnesses

targeted positive family education

teaching staff about chronic health conditions

link families with community resources

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From: Samantha Knisley  --  District/School: Pembroke/Pembroke High School

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From: Samantha Knisley  --  District/School: Pembroke/Pembroke High School

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CQI Project Topic: Screening referrals

Universal & Tier 1 Strategies:

Providing a supportive environment so students feel welcome in school

Providing a supportive environment so students feel they have a staff member they can reach out to when struggling

Encouraging daily breakfast through the free breakfast program

Tier 2 Strategies:

Identifying students who are chronically absent and working with their parents, doctors, and school staff to create and implement a plan to support the student

Regular communication with parents/guardians to identify the issue

Create a support team/plan to support the student and family

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From: Jessica M. Stanney  --  District/School: Cape Cod Academy

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From: Jessica M. Stanney  --  District/School: Cape Cod Academy

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CQI Project Topic: Chronic absenteeism

Universal & Tier 1 Strategies:

Monthly health committee meetings to discuss these students

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CCA Dec 2024 CSHS - Demographic Monitoring Fillable Form_JMS

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From: Carol Krall  --  District/School: Hanover

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From: Carol Krall  --  District/School: Hanover

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CQI Project Topic: Screening referrals

Universal & Tier 1 Strategies:

I have reached out to our IT department to see if race and ethnicity can be pulled from Aspen to FL. I have looked at the absentee rates of each building and started to investigate reasons and how each building handles chronic absences.

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Complete your Padlet assignment by clicking here (opens in a new window). SHIELD will post your response to Padlet.

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From: Samantha Knisley  --  District/School: Pembroke Public Schools

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From: Samantha Knisley  --  District/School: Pembroke Public Schools

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CQI Project Topic: Haven’t decided

Universal & Tier 1 Strategies:

The tier 1 school nurse strategy I am currently working on is assessment, identifying chronically absent students. I collaborate with the Principal, Assistant Principal, and guidance counselors to identify students who are chronically absent and to discuss potential reasons for this. We then formulate a plan on how to address the issue based on the information gathered. I am focusing on creating a system to accurately identify and track the chronically absent students.

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CSHS - Demographic Monitoring Fillable Form_SK

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From: Colleen Clark  --  District/School: Easton

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From: Colleen Clark  --  District/School: Easton

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CQI Project Topic: Individual healthcare plan development for students with special healthcare needs

Universal & Tier 1 Strategies:

Establishing expectations: Clearly communicate attendance expectations to students, parents, and staff

Coaching and support to attendance teams

Nurse serve on building based attendance team

Answer medical questions

Sick day guidance on Website

School Nurse Coordinator on District Attendance Team

Monthly newsletter with a health tip. Keep connected to the community

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Updated data CSHS - Demographic Monitoring Fillable Form_CC

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From: Doreen Browne  --  District/School: Norton

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From: Doreen Browne  --  District/School: Norton

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CQI Project Topic: Individual healthcare plan development for students with special healthcare needs

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CSHS - Demographic Monitoring Fillable Form_DB

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From: Clare L. Grenon  --  District/School: Bridgewater Raynham Regional School District

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From: Clare L. Grenon  --  District/School: Bridgewater Raynham Regional School District

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CQI Project Topic: Chronic absenteeism

Universal & Tier 1 Strategies:

Health Services' CQI at Bridgewater Raynham Regional is "Chronic Absenteeism will be reduced by 3% by May 2025"

Data Acquisition through PowerSchool

Aug 28- Introduction to Chronic Absenteeism Toolkit (created by Kim Fallon RN).

Sept 15th- run attendance

Oct 15th- Run attendance and create a spreadsheet with a list of students with > 10% absence, review list for medical conditions and alerts

Oct/Nov- Nursing attendance at Student Assist/Attendance meeting, reach out to parent/guardian via phone

Nov 15- Run attendance, review medical considerations/alerts/IHCPs/504s, contact Guidance and building admin, send out Letter form Health Services communicating number of absences and encouraging contact with school nurse and or PCP.

Next Step: Dec 15- Run attendance, Plug attendance data into Demographic Table

***Obtaining the demographic table as related to absenteeism is very challenging!

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CSHS - Demographic Monitoring Fillable Form- Clare G.

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From: Alicia Bryant  --  District/School: Barnstable

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From: Alicia Bryant  --  District/School: Barnstable

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CQI Project Topic: Healthcare needs for homeless or marginally housed students

Universal & Tier 1 Strategies:

Universal - free breakfast and lunch; when to/not to come to school guidance shared with families via website and newsletters

Tier 1 - letters home after 5 unexcused absences; handwashing lessons in elementary schools

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CSHS - Demographic Monitoring Fillable Form_AB

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From: Christine Cerrone  --  District/School: Attleboro

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From: Christine Cerrone  --  District/School: Attleboro

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CQI Project Topic: Health needs for English Language Learner (ELL) students

Universal & Tier 1 Strategies:

Teaching self-management strategies within the classroom

Newsletters about health-related topics

Clear communication about attendance

Nurse participation at each building for attendance team/committee

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CSHS - Demographic Monitoring Fillable Form 24-25_CC

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West (Berkshire, Franklin)

West (Hampden, Hampshire)

Northeast

Metrowest

Boston

Central

Southeast

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Complete your Padlet assignment by clicking here (opens in a new window). SHIELD will post your response to Padlet.

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Looking for ideas or have any CQI questions for other school nurse leaders?  Please share them here and SHIELD will post them to Padlet.

Do you have experience with a posted question? Please email your colleague in the corresponding post.

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Directions

1. Scroll to the next section to complete any activities due.

2. SHIELD will submit your responses and/or questions in batches on Wednesday and Fridays