Addressing Diabetes Risk Factors in Elementary School Children Through Community Partnerships

Accepting applications now.  Apply Here. Closing date November 30, 2018.

The American Diabetes Association cited diabetes as the 7th leading cause of death in the United States as of 2015. The best cure for diabetes is prevention, and health centers can play a crucial role in performing appropriate screening, prevention, and management of school-aged children with obesity and other pre- diabetic indicators. By harnessing a team-based approach to screening and treatment, in collaboration with schools and other community partners, health centers can empower patients and families with resources to combat the prevalence of diabetes nationwide.

The National Nurse-Led Care Consortium (NNCC) and the School Based Health Alliance (the Alliance) are convening a learning collaborative of health centers interested in enhancing efforts to prevent, screen for, and manage pre-diabetic indicators among elementary school-aged children through school partnerships. Participants will learn from experts as well as each other throughout the learning collaborative.

By the end of the learning collaborative, each health center will select an elementary school(s) and develop an action plan for addressing elementary-aged children’s obesity and other pre-diabetic indicators. Action plans will include goals, specific school partners, evidence-based strategies and programs, deliverables, timelines, responsible parties.

Participants will have access to a group communication platform for on-going sharing across sites and learning collaborative facilitators. Upon completion of session four, the platform will remain active for optional coaching and across site communication.


Community health centers and look-alikes who can identify a potential elementary school partner(s) but are not currently operating a school-based health center in the selected elementary school(s).


Participants will attend four 90- minute live GoToMeeting learning sessions. NNCC and the Alliance will host these learning sessions from February through April 2019. Homework will be assigned between some learning sessions.

This learning collaborative training is pending for up to 6.0 prescribed credit hours by the American Academy of Family Physicians. The American Nurses Credentialing Center (ANCC) accepts AAFP CME toward it member continuing education requirements. Participants are eligible to receive one (1) CME/CNE credit per module. Up to six (6) credits are available.

Learning Collaborative Outline:


FEBRUARY 13, 2019, 2pm – 3:30pm ET

Facilitators will lead discussions on national trends of pediatric obesity and pre-diabetes, as well as outline resources from schools and other community-based partners to identify pre-diabetic indicators and education data. Participants will prepare to gather patient-level and aggregate data for their health center to determine attainable benchmarks for six and twelve- month goals.

Homework: Data capture and reporting for community and health indicators (i.e., BMI, school attendance rates)


FEBRUARY 27, 2019, 2pm – 3:30pm ET

Participants will learn to utilize strategies and tools to engage community partners as part of the larger medical neighborhood. Facilitators will describe how the medical neighborhood reinforces care team infrastructure and practice in the clinical setting. Participants will build on the concepts from this session to conduct community mapping of potential partners for pre-diabetes interventions—such as school food vendor, community-based organizations, public housing, and local certified diabetes educators. Health centers will list partners in the final action plan at the culmination of the learning collaborative.

Homework: Community map and initial partner outreach (if feasible)


MARCH 13, 2019, 2pm – 3:30pm ET

Participants will learn about partnering with schools and other community organizations, including how to use key education language to launch relationships with education partners. Facilitators will introduce action planning utilizing assessment data from Session 1, partnership mapping from Session 2, and partner education language from Session 3.

Homework: Develop draft action plans to share in session 4


APRIL 10, 2019, 2pm – 3:30pm ET

Facilitators will introduce evidence-based guidelines for preventing, screening, and managing diabetes risk factors in elementary-aged children. These resources will assist participants with defining the details of their action plans.

The National Nurse-Led Care Consortium (NNCC) is a member organization dedicated to advancing the principles of nurse-led care through policy advocacy, innovative public health programming, and training and technical assistance. For more information, contact Emily Kane at

The School-Based Health Alliance works to improve the health of children and youth by advancing and advocating for school-based health care. Our vision is that all children and adolescents are healthy and achieving at their fullest potential. For more information, contact Andrea Shore at

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under cooperative agreement number U30CS09738-11-00, award title “Technical Assistance to Community and Migrant Health Centers and Homeless” for $450,000. Zero percent of this project is financed with non-federal sources. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS, or the U.S. Government.