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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

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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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West (Berkshire, Franklin)

West (Hampden, Hampshire)

Northeast

Metrowest

Boston

Central

Southeast

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From: Ann Marie Reynolds Lynch  --  District/School: Worcester Public Schools

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From: Ann Marie Reynolds Lynch  --  District/School: Worcester Public Schools

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CQI Project Topic: Chronic absenteeism

Universal & Tier 1 Strategies:

Attendance team meeting in every WPS that include the school nurses

The teams will identify students and discuss if the reasons maybe related to health or social issues.

The teams will make referrals to Case Management, Home Hospital or WRAP coordinators to construct a plan that supports the students inclusion in academics.

The teams will evaluate the interventions and make plans for next steps.

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From: Pamela Rivers  --  District/School: Fitchburg

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From: Pamela Rivers  --  District/School: Fitchburg

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CQI Project Topic: Chronic absenteeism

Universal & Tier 1 Strategies:

Health education & health office supports / health care provided to prepare students for readiness to learning while having needs met.

Health care services offered via tele-health as well for whole child care coordination and attendance works resources.

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CSHS - Demographic Monitoring Fillable Form_PR

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From: Rebecca A. McCaffrey  --  District/School: Gardner Public Schools

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From: Rebecca A. McCaffrey  --  District/School: Gardner Public Schools

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CQI Project Topics: Chronic absenteeism, health needs for English Language Learner (ELL) students, healthcare needs for homeless or marginally housed students, & screening referrals

Universal & Tier 1 Strategies:

Our nurses are part of our District and Building MTSS teams that are focusing on family engagement and tier one interventions to reduce absenteeism.

Our nurses pulling data on our students identified with specialized healthcare needs that are on course for being chronically absent. These students will be brought to MTSS building Tier 2 meetings to see if interventions should be applied.

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2024-2025 CSHS - Demographic Monitoring Fillable Form_RAM

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From: Melissa Oshman  --  District/School: Narragansett Regional School District

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From: Melissa Oshman  --  District/School: Narragansett Regional School District

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CQI Project Topic: Chronic absenteeism

Universal & Tier 1 Strategies:

The Nursing Department is a part of the care team (Nurses, counselors, psychologists, BCBA, Administration, and Community Partners) that meets weekly to discuss students for different criteria, one of them being attendance.

Letters sent home to students who are missing more than 6 days of school if not for medical reasons.

Education provided to family and students for students with chronic conditions with accommodations made at school on an individual basis.

Tele-medicine is offered for all middle school and high school students.

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CQI Project 24-25 Monitoring Form December_MO

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From: Ally Law  --  District/School: Ashburnham Westminster Regional School District

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From: Ally Law  --  District/School: Ashburnham Westminster Regional School District

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CQI Project Topic: Screening referrals

Universal & Tier 1 Strategies:

SST Team Meetings w/bi-weekly review of chronic absenteeism rates.

Procedures for addressing individual students w/chronic absenteeism to determine what resources are needed to address the area of need.

Provide resources to the family/student.

Evaluate progress on a regular basis and make changes as necessary.

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From: Michelle Seremet  --  District/School: Tantasqua

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From: Michelle Seremet  --  District/School: Tantasqua

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CQI Project Topic: Screening referrals

Universal & Tier 1 Strategies:

Change in school wide absentee policy. Loss of credit after 9 unexcused absences in a semester. Notification/reach out to families after 3 unexcused absences. Referral to Student Support Team/Student of Concern (SST/SOC) if absences continue. This does not apply to medically excused absences or absences due to disability (504 Plan/IEP).

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Tantasqua December CSHS - Demographic Monitoring Fillable Form_MS

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From: Lisa Zick  --  District/School: Francis W. Parker Charter Essential School

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From: Lisa Zick  --  District/School: Francis W. Parker Charter Essential School

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CQI Project Topic: Chronic absenteeism

Universal & Tier 1 Strategies:

Every advisor speak to their advisories about attendance. During PLP Conferences, attendance is addressed with every parent and student.

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CSHS - Demographic Monitoring Form 12-12-24_LZ

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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: Jessica Capobianco  --  District/School: Harvard Public Schools

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From: Jessica Capobianco  --  District/School: Harvard Public Schools

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

Universal & Tier 1 Strategies:

Nurse will call families of students who have been absent from school three consecutive days.

Administration sends home letters to parents after five unexcused absences.

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From: Amy McGeary  --  District/School: Wachusett Regional School District

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From: Amy McGeary  --  District/School: Wachusett Regional School District

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CQI Project Topic: Screening referrals

Universal & Tier 1 Strategies:

I have created a plan to discuss in the spring with the nursing staff to be the goal for next year.

The nurses have been logging into panorama and looking at absentee data, calling parents when a student is absent.

Tier 2 Strategies:

Data review through Panorama and follow up through parent contact.

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From: Jacqueline Lessard  --  District/School: Fitchburg Public Schools

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From: Jacqueline Lessard  --  District/School: Fitchburg Public Schools

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CQI Project Topic: Chronic absenteeism

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CSHS - Demographic Monitoring Fillable Form_JL

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From: Jacqueline Lessard  --  District/School: Fitchburg Public Schools

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From: Jacqueline Lessard  --  District/School: Fitchburg Public Schools

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CQI Project Topic: Chronic absenteeism

Universal & Tier 1 Strategies:

Utilizing social media to announce district expectations on attendance and vaccination requirements.

Provide expectations for attendance and vaccination requirements in every registration packet.

Screen data to identify students who are non compliant with vaccinations.

Referrals to immunization clinics.

Identify partners and wrap around services.

General letter from the superintendent informing parents of immunization requirements and paths for exemption.

Build a positive, inclusive culture to support the behavioral and mental health needs of all students.

Tier 2 Strategies:

Individual check-in in health office to explore barriers to health care.

Targeted positive family visits and health education.

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From: Catherine Gaudet  --  District/School: Leominster Public Schools

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From: Catherine Gaudet  --  District/School: Leominster Public Schools

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CQI Project Topic: Chronic absenteeism

Universal & Tier 1 Strategies:

Identifying students and also looking at time spent in health office (school avoidance) and collaborating with parents, admin and staff to come up with a plan.

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From: Catherine Gaudet  --  District/School: Leominster Public Schools

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From: Catherine Gaudet  --  District/School: Leominster Public Schools

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CQI Project Topic: Chronic absenteeism

Universal & Tier 1 Strategies:

Reviewing data

Principals send out information weekly regarding importance of school attendance

Nurse contact parents if absence is health-related

Tier 2 Strategies:

Nurses send out "health report card" that includes nurse visits and minutes spent in health office (away from learning).

Attendance works letters sent home to reinforce attendance.

Collaboration between nurse, parent, admin and staff to create a plan to keep student in class.

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From: Ally Law  --  District/School: AWRSD

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From: Ally Law  --  District/School: AWRSD

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CQI Project Topic: Screening referrals

Universal & Tier 1 Strategies:

Contacting families for students identified w/chronic absenteeism.

Working with members of the SST Teams to determine what resources are needed to assist families w/helping students attend school on a regular basis.

Providing families with community resources.

Tier 2 Strategies:

Nursing are attending meetings w/students, families and interdisciplinary team members when chronic absenteeism is being discussed.

Students identified are being flagged on a regular basis at bi-weekly SST Meetings in order to determine steps needed to decrease their absenteeism rates.

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From: Jessica Capobianco  --  District/School: Harvard Public Schools

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From: Jessica Capobianco  --  District/School: Harvard Public Schools

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

Universal & Tier 1 Strategies:

Ensure health needs are properly met for students with special health needs through IHCPs so they can avoid absences.

Tier 2 Strategies:

Work with school administration and counselors to create Individualized attendance improvement plans that address specific health-related barriers.

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From: Rebecca A. McCaffrey  --  District/School: Gardner: Elm Street School

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From: Rebecca A. McCaffrey  --  District/School: Gardner: Elm Street School

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

Universal & Tier 1 Strategies:

I am on the District MTSS Team that is focusing on chronic absenteeism. The building nurses are on their Building MTSS teams that are focusing on chronic absenteeism. This is being done by teams of people that the nurses are part of. The District and Building MTSS teams are focusing on school climate and family engagement as well as PBIS incentives for school attendance.

Tier 2 Strategies:

We are having conversations and providing resources to our MLL families of students that may be at risk for being chronically absent while also providing support and resources to connect them with any gaps in healthcare access.

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From: Melissa Oshman  --  District/School: Narragansett Regional School District

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From: Melissa Oshman  --  District/School: Narragansett Regional School District

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CQI Project Topic: Chronic absenteeism

Universal & Tier 1 Strategies:

The Nursing Department is a part of the care team (Nurses, counselors, psychologists, BCBA, Administration, and Community Partners) that meets weekly to discuss students for different criteria, one of them being attendance.

Letters sent home to students who are missing more than 6 days of school if not for medical reasons.

Education provided to family and students for students with chronic conditions with accommodations made at school on an individual basis.

Tele-medicine is offered for all middle school and high school students.

Tier 2 Strategies:

Check In and Check out plans with wellness center.

Collaborate on IEP and 504 plans to ensure appropriate health-related strategies are included.

Link student and families with community resources and health programs.

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From: Michelle Seremet  --  District/School: Tantasqua

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From: Michelle Seremet  --  District/School: Tantasqua

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CQI Project Topic: Screening referrals

Universal & Tier 1 Strategies:

School implemented a new attendance policy that links absenteeism to loss of course credit.

Work with Student Support Team (SST) to identify students that are chronically absent due to medical reasons.

Work with Student Support Team (SST) to plan interventions to support students that are chronically absent due to medical reasons.

Follow up with families and outside providers to manage chronic absenteeism and modify support plan/504 Plans as necessary.

Tier 2 Strategies:

Work with Student Support Team (SST) to plan interventions to support students that are chronically absent due to medical reasons.

Follow up with families and outside providers to manage chronic absenteeism and modify support plan/504 Plans as necessary.

Manage all "medical" 504 plans.

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From: Ann Marie Reynolds Lynch  --  District/School: Worcester Public Schools

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From: Ann Marie Reynolds Lynch  --  District/School: Worcester Public Schools

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CQI Project Topic: Chronic absenteeism

Universal & Tier 1 Strategies:

The nurses collaborate with the Culture and Climate department that focuses on building trusting relationships with students and families

Attendance teams that meet bi weekly that look at our Absentism data

Our Case Manager collaborates with the school nurses to address health needs that contributes to the students Absentism.

Nursing and the Home Hospital collaborated to construct changes to the Home Hospital offering for students who are expected to miss more than 14 days of school during this year.

Tier 2 Strategies:

Nurses are building relationships of trust with families that are intended to address the students who have healthcare needs.

Our Case Manager collaborates with the school nurses to identify health needs that contributes to the students Absentism.

Nursing and the Home Hospital collaborated to construct changes to the Home Hospital offering for students who are expected to miss more than 14 days of school during this year.

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From: Noelle Freeman  --  District/School: Shrewsbury Public Schools

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From: Noelle Freeman  --  District/School: Shrewsbury Public Schools

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

Universal & Tier 1 Strategies:

Create individualized health care plans for students with special healthcare needs that focus on what students require to attend school

Tier 2 Strategies:

Collaborate with school administration and outside providers if students with special health care needs are identified as being chronically absent, determine if root cause of absence is related to the SHCN and if supports can be added to the IHCP that allow the student to attend school more consistently.

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From: Noelle Freeman  --  District/School: Shrewsbury Public Schools

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From: Noelle Freeman  --  District/School: Shrewsbury Public Schools

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

Universal & Tier 1 Strategies:

Identify students with special health care needs that require an individualized healthcare plan

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Shrewsbury CSHS - Demographic Monitoring Fillable Form_NF

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From: E. Myriah Zwicker  --  District/School: Nashoba Regional School District

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From: E. Myriah Zwicker  --  District/School: Nashoba Regional School District

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CQI Project Topic: Chronic absenteeism

Universal & Tier 1 Strategies:

daily regular attendance taken with all students not called out by parents being called personally or by robocall

website has school health section in which reasons to stay home and when to come to school posted including graphic and translated in district's languages

working on having attendance added to student concerns meetings at least monthly grades K-12

This agenda item would require attendance data to be pulled and would allow students qualifying as chronically absent or at risk to become chronically absent to be identified with next steps on each student to be made and followed up on at the next meeting

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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: Noelle Freeman  --  District/School: Shrewsbury Public Schools

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From: Noelle Freeman  --  District/School: Shrewsbury Public Schools

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

Universal & Tier 1 Strategies:

Continue to increase the number of IHPs that are in place for students with special healthcare needs that require nursing intervention in order to be successful in school; make other members of the school team aware of any necessary accommodations.

Communicate with all families regarding the importance of school attendance and supports available.

When looking at attendance data, determine if students with SHCN are chronically absent; determine whether or not the SHCN is the reason for the absence. If yes, determine what supports might be available to increase attendance. If no, determine the root cause for absences and determine appropriate interventions.

Tier 2 Strategies:

Attend Student Wellbeing Team (SWT) meetings to advocate for needs of students with SHCN, ensure that appropriate accommodations are being followed if student is struggling at school or is chronically absent.

Communicate with families of students identified as being chronically absent early and often in a collaborative manner, involve outside providers and make adjustments to IHPs as needed.

Tier 3 Strategies:

Provide in school supports (bryt program, adjustment counselor, scheduled nursing supports) as needed to increase school attendance and maintain academic progress.

Collaborate with families and outside providers to determine if home/hospital tutoring is required due to SHCN.

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Shrewsbury CSHS - Demographic Monitoring Fillable Form_0_NF

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From: Melissa B. Oshman  --  District/School: Narragansett Regional School District

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From: Melissa B. Oshman  --  District/School: Narragansett Regional School District

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CQI Project Topic: Chronic absenteeism

Universal & Tier 1 Strategies:

The Nursing Department is a part of the care team (Nurses, counselors, psychologists, BCBA, Administration, and Community Partners) that meets weekly to discuss students for different criteria, one of them being attendance.

Letters sent home to students who are missing more than 6 days of school if not for medical reasons.

Education provided to family and students for students with chronic conditions with accommodations made at school on an individual basis.

Tele-medicine is offered for all middle school and high school students.

Tier 2 Strategies:

Check In and Check out plans with wellness center.

Collaborate on IEP and 504 plans to ensure appropriate health-related strategies are included.

Link student and families with community resources and health programs.

Tier 3 Strategies:

Housing Stability Supports

Truancy Court

Legal Intervention only if needed

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Demographic Monitoring Form and PDSA Worksheet_MBO