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Let Us Help You See The World Better: Lessons Learned From Vision Partnership In Houston, Texas
                                 Sheila Savannah, MA, Vishnu Nepal, MSc, MPH, Arnulfo Rosario Jr., MD, MPH, Jennifer Graves, BA, and Deborah Banerjee, PhD, MS
                                                        Houston Department of Health and Human Services
                   Background                                                                                         Results ...                                                                Results ...

                                                            ..




    Literature suggests that vision related problems
                                                                                                                                                                        ..


                                                                         Vision Partnership in Summary
    among children may affect their performance.                                  2010     2010       2009            2008   2007   Program
                                                                                                                                                                        This program is and has been very beneficial to the students
                                                                  Clinic Site
                                                                                 (Oct )
                                                                                 Third
                                                                                          (Feb )
                                                                                           Fifth    Fellowship     Denver    Acres
                                                                                                                                     Totals
                                                                                                                                                                        at our school. It has given them the opportunity to be
   Houston Department of Health and Human                    # of School
                                                                                 Ward     Ward     of Fountains    Harbor    Homes Total
                                                                                                                                                                        productive in class and to receive eye glasses that may not
                                                                                   6        6           5              5       3      25
    Services (HDHHS) fostered and implemented a             District Served
                                                                 # of Schools
                                                                                                                                                                        have been possible without this program. Thank you for all
                                                                                  43       97          48              77     26      291
    collaborative project - Vision Partnership (VP) -            Participating
                                                                  # Children
                                                                                                                                                                        your support towards the community.
                                                                                 1479     2901        2426            1838   1452    10,096
    to address the need, utilizing public-private                   Served
                                                                  # Children
                                                                                                                                                                                                   -Teacher of a participating school
                                                                   Needing       1299     2547        2124            1452   1327    8,749
    partnership model.                                             Eyewear




                                                                  % of Need      88%      88%         88%             79%    76%     87%
    Key goal of the program was to provide free                                                                                                                         Very convenient for the parents. Flexibility with Medicaid
    vision care services & eyewear to the school           In recent years, frequency of Vision Partnership                                                             and CHIP students.
    children (6-18 yrs) who have unresolved                events have increased. For eg., we already conducted                                                          -Parent of a student who received the eye exam and eyewear
                                                           3 such events in 2011.
    referral for eye care.
                                                            ..



                     Method                                                                                                                                                                 Lessons Learned
   HDHHS built the program utilizing incident                                                                                                                          Interdisciplinary collaboration is key to success.
    command system (ICS) to manage and                                                                                                                                  Pre screening by the school nurse helps identify the students
    implement the activities. We cultivated                                                                                                                              with need and helps in planning the resources accordingly.
    partnership with various local school districts,                                                                                                                    Capacity to produce needed eyewear on-site adds to efficiency
    communities and the One-sight Foundation.                                                                                                                            and timely services.
                                                                                                                                                                        Schools without nurses are unable to complete the necessary
   This collaborative uses a site based client flow
                                                                                                                                                                         pre-screening.
    model to provide high volume walk through
                                                                                                                                                                        ICS can be used to effectively manage the high volume walk
    services.                                                                                                                                                            through type events to provide health care services.
                      Results                                                                                                                                           Effective training of the volunteers is needed to ensure
                                                                                                                                                                         efficiency of the program.
   In the last four years, the collaborative
    conducted 5 events, with each being two-week                                                                                                                                             Moving forward
    long. We provided extensive vision care                                                                  A snap shot of 2010 October event (N=1224)
                                                                                                                                                                        We plan to continue to provide this service targeting the low
    services to a total of 10,096 children from 291
                                                                                                                                                                        income areas of the City. We are also exploring ways to
    schools, representing 10 school districts.                                                                Sex            Asian      Black Hispanic White    Other
                                                                                                                                                                        transform this service model into population based approach
   Of those served, 87 % were provided with                                                                  Male            19            231    320    13     16
                                                                                                                                                                        while focusing on prevention of eye-related problems.
                                                                                                             Female           31            267    299    10     18
    needed eyewear. Many students received                                                                   Total            50            498    619    23     34
    eyewear shortly after their eye exam produced                                                                 %           4.1           40.7   50.6   1.9    2.8                       Acknowledgement
    on-site.
                                                                                                                                                                        We convey our sincere thanks to the HDHHS leadership, One-
   Children identified with a need of further                                                                    Majority service recipients were Hispanic students    Sight Foundation, the community, the schools involved in this
    services were referred to the ophthalmologist.                                                                followed by Blacks.
                                                                                                                                                                        project, and colleagues at HDHHS for their support.

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  • 1. Let Us Help You See The World Better: Lessons Learned From Vision Partnership In Houston, Texas Sheila Savannah, MA, Vishnu Nepal, MSc, MPH, Arnulfo Rosario Jr., MD, MPH, Jennifer Graves, BA, and Deborah Banerjee, PhD, MS Houston Department of Health and Human Services Background Results ... Results ... .. Literature suggests that vision related problems .. Vision Partnership in Summary among children may affect their performance. 2010 2010 2009 2008 2007 Program This program is and has been very beneficial to the students Clinic Site (Oct ) Third (Feb ) Fifth Fellowship Denver Acres Totals at our school. It has given them the opportunity to be Houston Department of Health and Human # of School Ward Ward of Fountains Harbor Homes Total productive in class and to receive eye glasses that may not 6 6 5 5 3 25 Services (HDHHS) fostered and implemented a District Served # of Schools have been possible without this program. Thank you for all 43 97 48 77 26 291 collaborative project - Vision Partnership (VP) - Participating # Children your support towards the community. 1479 2901 2426 1838 1452 10,096 to address the need, utilizing public-private Served # Children -Teacher of a participating school Needing 1299 2547 2124 1452 1327 8,749 partnership model. Eyewear % of Need 88% 88% 88% 79% 76% 87% Key goal of the program was to provide free Very convenient for the parents. Flexibility with Medicaid vision care services & eyewear to the school In recent years, frequency of Vision Partnership and CHIP students. children (6-18 yrs) who have unresolved events have increased. For eg., we already conducted -Parent of a student who received the eye exam and eyewear 3 such events in 2011. referral for eye care. .. Method Lessons Learned HDHHS built the program utilizing incident Interdisciplinary collaboration is key to success. command system (ICS) to manage and Pre screening by the school nurse helps identify the students implement the activities. We cultivated with need and helps in planning the resources accordingly. partnership with various local school districts, Capacity to produce needed eyewear on-site adds to efficiency communities and the One-sight Foundation. and timely services. Schools without nurses are unable to complete the necessary This collaborative uses a site based client flow pre-screening. model to provide high volume walk through ICS can be used to effectively manage the high volume walk services. through type events to provide health care services. Results Effective training of the volunteers is needed to ensure efficiency of the program. In the last four years, the collaborative conducted 5 events, with each being two-week Moving forward long. We provided extensive vision care A snap shot of 2010 October event (N=1224) We plan to continue to provide this service targeting the low services to a total of 10,096 children from 291 income areas of the City. We are also exploring ways to schools, representing 10 school districts. Sex Asian Black Hispanic White Other transform this service model into population based approach Of those served, 87 % were provided with Male 19 231 320 13 16 while focusing on prevention of eye-related problems. Female 31 267 299 10 18 needed eyewear. Many students received Total 50 498 619 23 34 eyewear shortly after their eye exam produced % 4.1 40.7 50.6 1.9 2.8 Acknowledgement on-site. We convey our sincere thanks to the HDHHS leadership, One- Children identified with a need of further Majority service recipients were Hispanic students Sight Foundation, the community, the schools involved in this services were referred to the ophthalmologist. followed by Blacks. project, and colleagues at HDHHS for their support.