Tiered programming

The purpose of the National Association of School Nurses (NASN) data initiative National School Health Dataset: Every Student Count! is to allow school nurses and states to begin where they are.  Some school nurses have collected and used data for some time; others have not.  A tiered approach allows school nurses and states to begin where they are.  Checklists for school nurses, state data coordinators and affiliate leaders have been developed to help guide each group

Read this handout for a more complete explanation.

Data collection process for school nurses.

Data collection process for State Data Coordinator(s).

Data collection process for Affiliate leaders.


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  • School nurses (SN) already collecting data, will accept the challenge to be data literate and identify data education resources.
  • SNs will collect Every Student Counts! data for building/district use and share internally.

• The SN will start with workforce data points, add chronic conditions and, then health office disposition when ready.

  • SNs will use data to advocate for local student health needs.
  • SNs learn who is their district's data privacy officer.
  • Affiliate identifies state policies regarding data sharing (from district to state agency and/or affiliate).
  • Affiliate promotes Every Student Counts! to their members at conference.

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  • SN uses data to advocate for electronic health record.
  • Affiliates will develop an infastructure to identify public SNs in each state, pushes information and, educational opportunities out to them.
  • At least 25% of SNs in state submit uniform Every Student Counts! data.
  • Affiliates include a conference keynote or breakout specific to data collection and use.

• Affiliates promote data collection in at least 1 way not connected to conference.

  • Affiliates identify infrastructure of data collection from districts to state.
  • Affiliates strengthen state office of education and/or office of health relationships by working with state SN consultants, state epidemiologists, etc.
  • Affiliates identify partners to facilitate data collection and future combining of data such as Voices for [state] Children, university/researcher, etc.
  • Uniform data from Every Student Counts! that is used to influence state student health policies.

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  • Affiliates develop an infastructure to identify private SNs in each state, push information and, educational opportunities out to them.
  • Coordinator at least 50% of school nurses in your state to collect and submit Every Student Counts! uniform data points.
  • States submit aggregate data to a national database once they have obtained representative of student population in the state.
  • Use Every Student Counts! uniform data to influence state and national student health policies.