MCHbest. NPM 10: Adolescent Well-Visit
Strategy. School-Based Health Centers
Approach. Support partnerships between primary care clinics and local school-based health centers.
Overview. Thoughtful and intentional implementation of an expanded medical home partnership between primary care physicians and school-based health centers increases the number of shared high-risk adolescent patients. Shared patients have improved compliance with quality measures, which may lead to long-term improved health equity.1
Evidence. Emerging. There is emerging, recent evidence on the effectiveness of partnerships between primary care clinics and local school-based health centers. This strategy has been tested more than once and results trend positive overall. More research is needed for conclusive results. Access the peer-reviewed evidence through the MCH Digital Library. (Read more about understanding evidence ratings).
Target Audience. Patient/Consumer.
Outcome. Percent of adolescents, ages 12 through 17, with a preventive medical visit in the past year. For detailed outcomes related to each study supporting this strategy, click on the peer-reviewed evidence link above and read the "Intervention Results" for each study.
Examples from the Field. There are currently 6 ESMs across all states/jurisdictions that use this strategy directly or intervention components that align with this strategy. Access descriptions of these ESMs through the MCH Digital Library. You can use these ESMs to see how other Title V agencies are addressing the NPM.
Sample ESMs. Using the approach “Support partnerships between primary care clinics and local school-based health centers,” here are sample ESMs you can use as a model for your own measures using the Results-Based Accountability framework (for suggestions on how to develop programs to support this strategy, see The Role of Title V in Adapting Strategies):
Note. ESMs become stronger as they move from measuring quantity to measuring quality (moving from Quadrants 1 and 3, respectively, to Quadrants 2 and 4) and from measuring effort to measuring effect (moving from Quadrants 1 and 2, respectively, to Quadrants 3 and 4).
1 Riley M, Laurie AR, Plegue MA, Richarson CR. The adolescent "expanded medical home": schoolbased health centers partner with a primary care clinic to improve population health and mitigate social determinants of health. J Am Board Fam Med. 2016;29(3):339-347.