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Hospital School for the School Age Patient (2.3.22)

Hospital School for the School Age Patient (2.3.22) - Policies, Clinical, UW Health Clinical, General Care and Procedures, Procedures


Policy Title: Hospital School for the School Age Patient
Policy Number: 2.3.22
Category: UW Health
Type: Inpatient
Effective Date: April 14, 2017


To provide every school age patient receiving care and treatment at the American Family Children's Hospital
(AFCH) and/or University Hospital (UH), and who is enrolled in school, with educational services designed to
meet his/her special needs. The hospital school provides a daily routine for hospitalized 4K-12 patients and
an opportunity for students to keep pace with their classmates, without charge to parents.

Education, in its many forms, is an integral part of the life of every child. Acquiring academic and cognitive
skills, developing social skills, sharing experiences, and coping with problems and challenges are important
educational goals. The hospital school provides a supportive and nurturing climate where all students can
succeed. Being able to attend school connotes normalcy, familiarity and encourages hope for the future.
School attendance provides a welcome and reassuring routine in an otherwise unfamiliar environment.


A. The teachers, employed by the Madison Metropolitan School District (MMSD), in consultation with nursing,
medical staff and parents will determine when the child is well enough to receive educational services. The
instructional staff will then develop an appropriate individualized program for each student, regardless of
ability, skill level, social/emotional status or physical condition Students needing to stay in their rooms under
isolation precautions or for specific medical reasons may be seen at bedside as their condition and teacher
availability permits. Video conferencing may be used when available. Regular attendance by all patients
enrolled in school, 4K through high school, is expected. Nursing staff and teachers share the responsibility
to ensure attendance at school.
B. MMSD employees, as teachers at UW Health, agree to comply with all relevant requirements of The Joint
Commission. Questions about these requirements may be sent to the Child Life Services Manager, AFCH.
When notified, teachers will comply and complete mandatory annual safety and infection control instruction,
annual TB tests and other requirements identified by UW Health administration. Teachers will be provided
identification and security clearance consistent with employees of UW Health.
C. In order to facilitate the flow of information necessary to assure the coordination of teaching services, it is
agreed that the teachers will be considered a part of the work force of UW Health for purposes of the federal
Health Insurance Portability and Accountability Act of 1996 (HIPAA) and will follow the direction of the
organization with respect to the use and disclosure of protected health information as the term is defined by
the HIPAA privacy regulations, UW Health policies. As a result, it is understood that the teachers shall not
disclose protected health information to the MMSD or any other person or entity outside of UW Health
workforce or medical staff, unless either:
i. A written authorization form, approved by UW Health, has been signed by the parent or guardian of
a minor child or by the student (if adult) authorizing disclosure.
ii. Written approval has been obtained from the Vice President Business Integrity/Chief Compliance
Officer or, in his/her absence, an attorney in the UW Health Legal Department.
iii. Academic performance information generated by the child, parent, guardian or teacher may be
provided to the school district. However, academic performance information disclosed to the school
district shall not include information concerning the health care diagnosis or treatment of the child.


A. Monday through Friday the hospital school teachers will review the daily census to identify all school-age
children receiving care and treatment at UW Health. The teachers, in conjunction with the nursing staff
and/or family, evaluate the children to determine if they are well enough to attend school. All school-age
patients are encouraged to attend school regardless of their length of stay.
B. Teachers meet, as needed, to discuss which teacher will be responsible for the patient's educational
C. Nursing staff is encouraged to identify school concerns/issues as a component of their nursing interventions
and plan of care and consult with the teachers regarding their findings. Similarly, the teacher will
communicate relevant issues and concerns back to the hospital staff.

Policy Title: Hospital School for the School Age Patient
Policy Number: 2.3.22

D. A HIPAA release of information form must be signed before contact with the local school is made.
E. School is in session Monday through Friday, consistent with the MMSD calendar. The amount of time an
individual patient attends school each day is dependent on the patient's health, daily medical/therapy
schedule and availability of a teacher.
F. Hours of operation: The Hospital School follows the MMSD calendar and is open from 9:00 to 12:00 and
1:00 to 3:30. Individual classroom hours may vary due to bedside teaching responsibilities and teacher
G. Patients can attend school with whatever medical equipment/technology they are utilizing for their care,
whether ambulatory, in a wheel chair, or in bed.
H. Children with isolation precautions will receive school services in their room.
i. Children under Contact Precautions for asymptomatic carriage of organisms deemed to pose low
risk of transmission may attend the school room provided that adequate physical separation of
patients and environmental disinfection is performed when class ends.
ii. Children under Droplet Precautions are permitted to attend the school room provided that they are
the only student present, the teacher wears a yellow mask, and environmental disinfection is
performed when class ends.
iii. Children on the Hematology/Oncology Service are not subject to these exemptions for attending
iv. See UW Health policy #4.1.8, Standard Precautions and Isolation for further detail, or contact
Infection Control for guidance.
I. If it is known in advance that the student will be admitted to UW Health, it is helpful to have the student's
textbooks, worksheets and specific assignments brought at the time of admission. If the student is admitted
unexpectedly, the teacher will contact the local school for general assignments after signed school
permission and HIPAA forms are obtained from the parent/guardian. At that time, arrangements can be
made to secure books and assignments as soon as possible.
J. During hospitalization, ongoing communication with the patient's local school will be maintained as needed.
K. The teacher may do any or all of the following to facilitate a smooth re-entry to the local school:
i. Report student's progress to his/her local school.
ii. Forward a completed home bound instruction form, if prescribed by a physician.
iii. Be available for discharge conference.
iv. Be available for continued liaison after discharge.
L. Hospital school teachers may participate in patient discharge planning rounds, pulmonary, rehabilitation,
PICU, hematology-oncology rounds and individual patient care conferences, as needed.


Madison Metropolitan School District Permission Form, ISS-72
Authorization for Release of Medical Information UWH #490


Author: Director, Pediatric Nursing and Clinical Services
Senior Management Sponsor: SVP/Chief Nurse Executive
Reviewers: Child Life Services Manager, MMSD Hospital Teacher
Approval committees: UW Health Clinical Policy Committee
UW Health Clinical Policy Committee Approval: March 20, 2017

UW Health is a cohesive, united and integrated academic medical enterprise comprised of several entities.
This policy applies to facilities and programs operated by the University of Wisconsin Hospitals and Clinics
and the University of Wisconsin Medical Foundation, Inc., and to clinical facilities and programs
administered by the University of Wisconsin School of Medicine and Public Health. Each entity is
responsible for enforcement of this policy in relation to the facilities and programs that it operates.


Peter Newcomer, MD
Chief Clinical Officer

Policy Title: Hospital School for the School Age Patient
Policy Number: 2.3.22

J.Scott McMurray, MD
Chair, UW Health Clinical Policy Committee


UW Health policy #4.1.8, Standard Precautions and Isolation

Version: Revision
Last Reviewed: April 14, 2017
Next Revision Due: April 2020
Formerly Known as: Hospital Administrative policy #7.46