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And as word started spreading about the work of VCHIP at various medical conferences, other states started approaching Vermont to build their own version.
School nurses received (1) the same educational sessions as the PCPs with the addition of coordinated school health as another framework for improving asthma care for school-aged children; (2) the same laminated posters the PCPs received; (3) a small supply of donated spacers; (4) baseline data collected by school, ie, number of students known to have asthma and number of asthma action plans from a PCP on file; (5) support to carry out asthma education at each school; and (6) reports on new asthma action plans received from participating PCPs, using tracking forms and monthly conference calls from the VCHIP team to identify and resolve communication problems.
Community meetings in each SU brought together VCHIP staff and school nurses, the VDH Environmental Health in Schools coordinator, 2 VDH public health nurses, primary care practice nurses, a primary care practice office manager, an ALA-VT representative, a respiratory therapist, and a school principal.
VCHIP has supported and led a string of quality improvement projects over the years, but "we realized we have no longitudinal database to look at what's transpiring across the state," she explained.
She has consistently backed government intrusions into communications devices, from content-filtering Vchips on television sets to anti-encryption back doors on iPhones.
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