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Executive Summary

In 2017-18, Hawaii Keiki expanded access to school-based health services for students enrolled with the Hawaii Department of Education (DOE). Today, the program reaches four times the number of schools than during its launch in 2014. Hawaii Keiki:

1) Expanded the Reach of School Nurses in DOE Complex Areas (CA) and Schools:

  • Launched 5 new school-based health centers staffed with an APRN to provide assessment and medical treatment for health conditions
  • 15 Hawaii Keiki nurses delivered direct school-based health care to students at DOE assigned schools
  • Provided school health support to 12 out of 15 Complex Areas
  • Increased the rate of parental consents for keiki to receive services from 32% to 50%
  • Conducted 8,026 health room visits
    • Health room visit reasons: 49% illness, 33% injury, 18% health guidance
    • 85% of all health room visits resulted in students returning to class
  • Prepared for the launch of 4 more school-based health centers in 2018-19

2) Supported DOE School Health Section/OCISS:

  • Implemented an e-school health records system providing 256 schools the training and capacity to manage and report data
  • Collaborated with DOE for the orientation and implementation of School Health Assistants (SHAs) to the updated SHA Manual
  • Provided health content expertise in areas of health and nursing to students, families, and teachers
  • Developed standardized Hawaii Keiki data and activity reporting schedules, processes, and feedback loops for DOE, Complex Areas, and schools

3) Leveraged partnerships and support to benefit school health at DOE:

  • Partnered with UH Health Sciences to launch an interprofessional team approach for school-based health care at Dole Middle School (grant funded to UH Manoa Nursing)
  • Facilitated donations to provide direct support to DOE school health rooms and students

2018-19 Planned Activities

Hawaii Keiki Core Program will:

  • Support implementation of the e-school health record system
  • Support SHAs and other staff
  • Provide direct services at assigned schools
  • Collaborate with Complex Area Superintendents to address their identified needs
  • Pilot a weekly after-school clinic for teachers and staff at one school
  • Participate in a grant-funded telehealth program connecting school-based health care providers with pediatric specialists
  • Continue the Hawaii Interprofessional Education & Collaborative Alliance at Dole

New Individual School/CA Contracts will:

  • Launch a new APRN school-based clinic at Farrington High School
  • Provide full-time RN for Kau-Keeau-Pahoa CA

To obtain a copy of the full report, please contact the Hawaii Keiki Program at

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