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Review and provide a 2 page summary with in-text citations for this: Since 1998, and every 3 years after that, the SchoolBased Health Alliance (“the Alliance”) has administered the National School-Based Health Care Census (“the Census”), which collects descriptive information about SBHC locations, providers, populations served, and funding sources.2 The 2016-2017 Census is the primary data source for this article. Census data collected for school years 2007-2008, 2010-2011, and 2013-2014 were used to report trends. The Census questions related to telehealth have evolved to reflect how SBHCs are using the technology. In the 2007-2008 and the 2010-2011 Census surveys, respondents were asked about the use of a “telemedicine system (eg, telehealth, or telemental health)” to complement services being provided by onsite providers. In the 2013-2014 Census, questions were added about the specific types of providers using telehealth to deliver care and the frequency of services, though the focus remained on how telehealth was being used to complement onsite providers. By the 2016-2017 Census, the Alliance redefined SBHC delivery models given the growth of telehealth and increased awareness of SBHCs providing primary care exclusively through telehealth. Four SBHC delivery models were defined based on the location of the patient and the provider: traditional, school-linked, mobile, and telehealth exclusive. In traditional SBHCs, clients access care at a fixed site on a school campus and providers are physically onsite, although some services may be delivered remotely using telehealth. In telehealth exclusive SBHCs, clients access care at a fixed site on a school campus and providers are available remotely for primary care services (other services such as behavioral health, oral health care, nutrition, and vision providers and/or health educators may be available physically onsite or remotely). The location of the providers in telehealth exclusive SBHCs is frequently described as the distant site. The medical sponsoring organization that manages the distant site(s) is responsible for managing clinical staff, coordinating with partnering schools, purchasing and maintaining equipment (which is stored at the school site), identifying and training staff on proper use of equipment to facilitate telehealth encounters, complying with security regulations pertaining to transmission of health data, billing for services as appropriate and available, and ensuring continuity of care for patients seen at the school sites. Partnering schools serve as the originating site where the client is located at the time of the telehealth encounter
SCIENCE
HEALTH SCIENCE
NURSING

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