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The NASN School Nurse article Designing School Health Services to Provide Multi-Tiered Systems of Support (MTSS) for All Students offers valuable insights into how MTSS aligns with school health services and school nursing practice; and how you can garner a "seat at the table" with the school MTSS team to create a shared vision to plan, implement, and evaluate the three tiers of MTSS when applied to both education and health.