# data[].attributes.body
Complete your Padlet assignment by clicking here (opens in a new window). SHIELD will post your response to Padlet.

# data[].attributes.body
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.

# data[].attributes.body
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

# data[].attributes.body
West (Berkshire, Franklin)

West (Hampden, Hampshire)

Northeast

Metrowest

Boston

Central

Southeast

# data[].attributes.body
Complete your Padlet assignment by clicking here (opens in a new window). SHIELD will post your response to Padlet.

# data[].attributes.headline
From: Therese Blain  --  District/School: Springfield Public Schools

# data[].attributes.subject
From: Therese Blain  --  District/School: Springfield Public Schools

# data[].attributes.body
CQI Project Topic: Chronic absenteeism

Universal & Tier 1 Strategies:

Updated attendance policy

Open up clear communications within the school community and with local providers

Collaborating with local providers

# data[].attributes.attachment_link.title
CSHS - Demographic Monitoring Fillable Form 10-11-2024_TB

# data[].attributes.headline
From: Cynthia Carbone  --  District/School: Holyoke Public Schools

# data[].attributes.subject
From: Cynthia Carbone  --  District/School: Holyoke Public Schools

# data[].attributes.body
CQI Project Topic: Chronic absenteeism

Universal & Tier 1 Strategies:

Districtwide Guidelines for School Attendance

# data[].attributes.attachment_link.title
CSHS Grant Absenteeism Demographics 24-25 - CC

# data[].attributes.headline
From: Sonia Jaworski  --  District/School: Amherst-Pelham Regional School District

# data[].attributes.subject
From: Sonia Jaworski  --  District/School: Amherst-Pelham Regional School District

# data[].attributes.body
CQI Project Topic: Screening referrals

Universal & Tier 1 Strategies:

Educating students on when to stay home

# data[].attributes.attachment_link.title
CSHS - Demographic Monitoring Fillable Form_SJ

# data[].attributes.headline
From: Jennifer Puhalski  --  District/School: Hampden Wilbraham Regional School District

# data[].attributes.subject
From: Jennifer Puhalski  --  District/School: Hampden Wilbraham Regional School District

# data[].attributes.body
CQI Project Topic: Chronic absenteeism

Universal & Tier 1 Strategies:

Continued work to get consistent attendance messages across all schools

Aligning attendance messaging in Student Handbook and School Committee Policies

Consistent monthly or weekly attendance meetings at each school

# data[].attributes.attachment_link.title
LEADING FOR EQUITY 2024- Demographic Monitoring Fillable Form_JP

# data[].attributes.headline
From: Nancy Jenks  --  District/School: Granby

# data[].attributes.subject
From: Nancy Jenks  --  District/School: Granby

# data[].attributes.body
CQI Project Topic: Individual healthcare plan development for students with special healthcare needs

Universal & Tier 1 Strategies:

Nursing staff is working collaboratively with school staff, families, and stakeholders to identify individualized needs to help with chronic student attendance.

# data[].attributes.attachment_link.title
2024-2025 Granby Public Schools LEADING FOR EQUITY- Demographics Form_NJ

# data[].attributes.headline
From: Debra Anne Keefe  --  District/School: Belchertown Public Schools

# data[].attributes.subject
From: Debra Anne Keefe  --  District/School: Belchertown Public Schools

# data[].attributes.body
CQI Project Topic: Chronic absenteeism

Universal & Tier 1 Strategies:

The School Nurses attend weekly meetings with their School Administrators, School Counselors, SRO and other student support staff regarding students at risk for academic failure and attendance concerns.

School Nurses reach out to families and students when out of school three consecutive days; The Districts Care Coordinator Attendance Nurse reaches out to families and students if out three non-consecutive days in a week.

# data[].attributes.attachment_link.title
Leading for Equity Demographics 2-Dec-2024 CQI_DAK

# data[].attributes.headline
From: Christine Beaumont  --  District/School: West Springfield Public Schools

# data[].attributes.subject
From: Christine Beaumont  --  District/School: West Springfield Public Schools

# data[].attributes.body
CQI Project Topic: Screening referrals

Universal & Tier 1 Strategies:

Screen data to identify students with complex health concerns and chronic absenteeism

Clear communications about when and how to use health office services

Social emotional assessment within health office

Provide "need to know” health data to educators on conditions that could affect student performance

Open-door policy for students, families, and staff to seek health services

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

# data[].attributes.attachment_link.title
12-10-24 WSPS CSHS - Demographic Monitoring Fillable Form_CB

# data[].attributes.headline
From: Heather Holmquist  --  District/School: Collaboration for Educational Services

# data[].attributes.subject
From: Heather Holmquist  --  District/School: Collaboration for Educational Services

# data[].attributes.body
CQI Project Topic: Overweight and obesity

Universal & Tier 1 Strategies:

Routines, rituals and celebrations related to attendance and engagement

Connection to a caring adult in the school

Every child and their family encouraged to develop a success plan that includes attention to attendance

# data[].attributes.headline
From: Joyce O'Neil  --  District/School: Chicopee Public Schools

# data[].attributes.subject
From: Joyce O'Neil  --  District/School: Chicopee Public Schools

# data[].attributes.body
CQI Project Topic: Health needs for English Language Learner (ELL) students

Universal & Tier 1 Strategies:

Screen data to identify students with chronic health conditions and chronic absenteeism

Provide "need to know" health information to teachers that could affect student performance

# data[].attributes.attachment_link.title
CSHS - Demographic Monitoring Fillable Form_JO

# data[].attributes.body
Complete your Padlet assignment by clicking here (opens in a new window). SHIELD will post your response to Padlet.

# data[].attributes.headline
From: Brooke Chisholm  --  District/School: Pioneer Valley Performing Arts Charter Public School

# data[].attributes.subject
From: Brooke Chisholm  --  District/School: Pioneer Valley Performing Arts Charter Public School

# data[].attributes.body
CQI Project Topic: Chronic absenteeism

Universal & Tier 1 Strategies:

I plan on taking this data collected to inform administration and find a way to encourage better attendance.

# data[].attributes.attachment_link.title
CSHS - Demographic Monitoring Fillable Form_BC

# data[].attributes.headline
From: Kristen Bunten  --  District/School: Ludlow Public Schools

# data[].attributes.subject
From: Kristen Bunten  --  District/School: Ludlow Public Schools

# data[].attributes.body
CQI Project Topic: Chronic absenteeism

Universal & Tier 1 Strategies:

Clear communications about attendance expectations; trying to re-educate parents that missing school for appointments is discouraged and not considered "excused medically"

# data[].attributes.headline
From: Therese Blain  --  District/School: Springfield Public Schools

# data[].attributes.subject
From: Therese Blain  --  District/School: Springfield Public Schools

# data[].attributes.body
CQI Project Topic: Chronic absenteeism

Universal & Tier 1 Strategies:

Attendance policy update

Community outreach/education on attendance policy

Tier 2 Strategies:

Nursing involvement in attendance team meetings

Nurse-led interventions to support students with potential or diagnosed health concerns

# data[].attributes.headline
From: Debra Anne Keefe  --  District/School: Belchertown Public Schools

# data[].attributes.subject
From: Debra Anne Keefe  --  District/School: Belchertown Public Schools

# data[].attributes.body
CQI Project Topic: Chronic absenteeism

Universal & Tier 1 Strategies:

Identifying students who are absent, monitoring daily attendance, reaching out to families and students if absent 3 consecutive days.

Build trusting relationships with student and family.

Weekly team meetings to discuss high-risk students for attendance issues.

Identify obstacles and barriers keeping students from attending school regularly.

Tier 2 Strategies:

Continuous communication with students and families via text, phone calls, emails, home visits.

Develop collaborative interventions with student support team to address obstacles/barriers that are keeping them from attending school regularly.

Outreach and referrals to PCP or Mental Health Providers, Family Resource Center.

Schedule in-person meetings with student and their caregiver to discuss attendance concerns.

# data[].attributes.headline
From: Nancy Jenks  --  District/School: Granby

# data[].attributes.subject
From: Nancy Jenks  --  District/School: Granby

# data[].attributes.body
CQI Project Topic: Individual healthcare plan development for students with special healthcare needs

Universal, Tier 1, & Tier 2 Strategies:

Working with administration in identifying needed health supports for students experiencing chronic absenteeism and nursing staff case managing students who are chronically absent who are absent r/t their chronic or acute health condition.

# data[].attributes.attachment_link.title
SY 25 Granby Public Schools Fillable Challenge Model_NJ

# data[].attributes.headline
From: Brooke Chisholm  --  District/School: Pioneer Valley Performing Arts Charter Public School

# data[].attributes.subject
From: Brooke Chisholm  --  District/School: Pioneer Valley Performing Arts Charter Public School

# data[].attributes.body
CQI Project Topic: Chronic absenteeism

Universal, Tier 1, & Tier 2 Strategies:

Addressing specific students and reaching out to family to offer support.

# data[].attributes.headline
From: Kristen Bunten  --  District/School: Ludlow Public Schools

# data[].attributes.subject
From: Kristen Bunten  --  District/School: Ludlow Public Schools

# data[].attributes.body
CQI Project Topic: Chronic absenteeism

Universal & Tier 1 Strategies:

Clear communications about attendance expectations

Recognition of good and improved attendance

Clear communications about when and how to

use health office services

Tier 2 Strategies:

Educate teaching staff about chronic health conditions (e.g., symptoms, triggers, when to send the student to the nurse)

# data[].attributes.headline
From: Cynthia Carbone  --  District/School: Holyoke Public Schools

# data[].attributes.subject
From: Cynthia Carbone  --  District/School: Holyoke Public Schools

# data[].attributes.body
CQI Project Topic: Chronic absenteeism

Universal & Tier 1 Strategies:

Regular Communication between the Nurse and Families/Students

Foster Open Communication to talk about concerns and provide support

Education around when to keep students home/when to send them to school

Video for families who may prefer to listen to the nurse's message

Culturally responsive practices including "Quick Guide" provided in English and 8 other languages

Tier 2 Strategies:

Nurses regularly monitor attendance data to identify patterns of student absenteeism that may be concerning

Nurses Identify at-risk students and provide personalized outreach to the family/student

Provide positive reinforcement and identify barriers to the student getting to school and resources to help the family

# data[].attributes.attachment_link.title
Holyoke Public Schools Challenge Model and PDSA Worksheet_CC

# data[].attributes.headline
From: Christine Beaumont  --  District/School: West Springfield Public Schools

# data[].attributes.subject
From: Christine Beaumont  --  District/School: West Springfield Public Schools

# data[].attributes.body
CQI Project Topic: Screening referrals

Universal & Tier 1 Strategies:

Team Approach

Family outreach and communication home

Tier 2 Strategies:

Attendance Meetings

Work with family liaisons and community providers

# data[].attributes.attachment_link.title
CSHS Fillable Challenge Model Screening Referrals 24-25_CB

# data[].attributes.headline
From: Jennifer Puhalski  --  District/School: Hampden Wilbraham Regional School District

# data[].attributes.subject
From: Jennifer Puhalski  --  District/School: Hampden Wilbraham Regional School District

# data[].attributes.body
CQI Project Topic: Chronic absenteeism

Universal & Tier 1 Strategies:

Weekly attendance report run by Nurse Care Coordinator.

Involvement with the district Attendance Team. Monthly attendance meeting with superintendent.

Continued communication with families r/t attendance.

Tier 2 Strategies:

Targeted outreach to students/families who are struggling with attendance through a referral to Nurse Care Coordinator and district Family and Community Outreach Coordinator. This can include referrals for mental health services, primary care physicians and local Family Resource Center.

Education of teaching staff re: chronic health conditions and when to send student to nurse.

Weekly or biweekly meetings in each school to discuss students with attendance issues and high-risk students.

# data[].attributes.headline
From: Joyce O'Neil  --  District/School: Chicopee Public Schools

# data[].attributes.subject
From: Joyce O'Neil  --  District/School: Chicopee Public Schools

# data[].attributes.body
CQI Project Topic: Health needs for English Language Learners (ELL) students

Universal & Tier 1 Strategies:

Continue to screen new students who may have chronic health needs

Social emotional assessment of students who come to the nurse's office

Be positive and welcoming to all students

Provide information as needed to teachers

Tier 2 Strategies:

Collaborate on IEP and 504 plans to ensure proper health strategies are included, educate staff re chronic health conditions and when it is appropriate to send the student to the nurse

Work with family engagement liaisons to foster communication with families

Nurses participate in weekly attendance meetings and collaborate to discuss potential problems/solutions

# data[].attributes.headline
From: Jean Hobbie  --  District/School: Hatfield Public Schools

# data[].attributes.subject
From: Jean Hobbie  --  District/School: Hatfield Public Schools

# data[].attributes.body
CQI Project Topic: Individual healthcare plan development for students with special healthcare needs

Universal & Tier 1 Strategies:

Participate in ongoing parent newsletters to support having students present and ready to learn.

Tier 2 Strategies:

Actively monitor daily absentee reports, identify potential concerns with multi-disciplinary building support teams, and contact families as appropriate.

# data[].attributes.headline
From: Kirsten Kennedy-Alvarado  --  District/School: Northampton Public Schools

# data[].attributes.subject
From: Kirsten Kennedy-Alvarado  --  District/School: Northampton Public Schools

# data[].attributes.body
CQI Project Topic: Individual healthcare plan development for students with special healthcare needs

Universal & Tier 1 Strategies:

All students with asthma (current and active), life threatening allergies, diabetes, seizures or other medical health needs will have an IHCP created by the school nurse and kept in their paper records/EHR.

The district will continue to staff a nurse care coordinator to support building-based school nurses with IHCP development equitably across the district.

# data[].attributes.headline
From: Kirsten Kennedy-Alvarado  --  District/School: Northampton Public Schools

# data[].attributes.subject
From: Kirsten Kennedy-Alvarado  --  District/School: Northampton Public Schools

# data[].attributes.body
CQI Project Topic: Individual healthcare plan development for students with special healthcare needs

Tier 2 Strategies:

Staffing Nurse Care Coordinator and Attendance Case Manager/Social Worker.

# data[].attributes.headline
From: Therese Blain  --  District/School: Springfield Public Schools

# data[].attributes.subject
From: Therese Blain  --  District/School: Springfield Public Schools

# data[].attributes.body
CQI Project Topic: Chronic absenteeism

Tier 3 Strategies:

Scripts for nursing staff to use for phone communication

Nursing part of parent/guardian meeting for students with health concern barrier noted.

Obtaining Release of information for physician communication

# data[].attributes.headline
From: Karen Szlosek  --  District/School: Granby Public Schools

# data[].attributes.subject
From: Karen Szlosek  --  District/School: Granby Public Schools

# data[].attributes.body
CQI Project Topic: Individual healthcare plan development for students with special healthcare needs

Tier 3 Strategies:

Tracking students that are absent and why. Contact home with caregiver to see if they can obtain MD notes for absences. Getting the school nurses coverage for the busy clinics so that nurses can attend attendance meetings. Nurses will track effective versus ineffective nursing interventions that have been tried as to whether the interventions work or do not work and share with nursing team.

# data[].attributes.headline
From: Kirsten Kennedy-Alvarado  --  District/School: Northampton Public Schools

# data[].attributes.subject
From: Kirsten Kennedy-Alvarado  --  District/School: Northampton Public Schools

# data[].attributes.body
CQI Project Topic: Individual healthcare plan development for students with special healthcare needs

Tier 3 Strategies:

We have a NCC and a district social worker who are dedicated to addressing absenteeism in collaboration.

# data[].attributes.attachment_link.title
CQI Updated Challenge Model and Result Slide Show_KKA

# data[].attributes.headline
From: Brooke Chisholm  --  District/School: Pioneer Valley Performing Arts Charter Public School

# data[].attributes.subject
From: Brooke Chisholm  --  District/School: Pioneer Valley Performing Arts Charter Public School

# data[].attributes.body
CQI Project Topic: Chronic absenteeism

Tier 3 Strategies:

Meeting with the head of school and other administration to review data and create a strong attendance policy.

# data[].attributes.attachment_link.title
PVPA 1st Semester CSHS CQI Absenteeism Project_BC

# data[].attributes.headline
From: Sonia Jaworski  --  District/School: Amherst-Pelham Regional School District

# data[].attributes.subject
From: Sonia Jaworski  --  District/School: Amherst-Pelham Regional School District

# data[].attributes.body
CQI Project Topic: Screening referrals

Universal & Tier 1 Strategies:

We plan to send messages out to parents about the importance of attending school

Tier 2 Strategies:

We will monitor attendance trends and have follow up conversations with parents.

Tier 3 Strategies:

Meeting with families and discussing any issue or concern about attendance

# data[].attributes.attachment_link.title
PDSA Worksheet and Demographic Monitoring Form_SJ

# data[].attributes.headline
From: Jennifer Puhalski  --  District/School: Hampden Wilbraham Regional School District

# data[].attributes.subject
From: Jennifer Puhalski  --  District/School: Hampden Wilbraham Regional School District

# data[].attributes.body
CQI Project Topic: Chronic absenteeism

Universal & Tier 1 Strategies:

Nurse involvement in teaching self-management strategies in the classroom

Increased identification of services available for students/families

Increased work to connect students with a trusted adult in the school.

Tier 2 Strategies:

Work to better identify root causes of absenteeism

Work on improving collaboration with IEP/504 development and transition meetings when moving to a new school

Tier 3 Strategies:

Home visits to assess barriers to school attendance

Work to identify resources to assist families/students with mental health/school avoidance issues