69传媒

When parents in Colorado check state-mandated reports to see how their child鈥檚 school is faring academically, they can also quickly learn if that school has a nurse, if it offers 30 minutes of daily physical activity for students, and if it has a school-based health center.

Though school-level report cards typically feature information about standardized-test scores and student demographics, the Rocky Mountain State also requires schools to report a variety of other factors that affect students鈥� health and wellness.

In a trend that children鈥檚 health advocates are seeking to promote, a growing number of states and school systems are taking similar actions, integrating health metrics into their school improvement goals and, consequently, into the information they share with the public to boost accountability.

The connections between student health and well-being and academic success are well-understood and supported by a growing body of research, said officials at the Healthy 69传媒 Campaign, an organization that supports increased use of health data in education.

But school programs too often focus largely on proficiency in a narrow set of academic skills, overlooking other efforts that could both boost student health and increase the likelihood of success in the classroom, said Rochelle Davis, the president and chief executive officer of the Chicago-based organization.

鈥淚 don鈥檛 think I鈥檝e ever met a school administrator who did not understand the importance of health and wellness to academic achievement,鈥� Ms. Davis said. 鈥淏ut they are working under accountability structures that are sometimes fairly narrow in terms of scope, and they are not able to make room for and support other elements that are important for a child鈥檚 health and learning.鈥�

Identifying Best Practices

Requiring public reporting of such nonacademic factors will help make them a greater priority for schools and inform parents of efforts that are already in place, proponents said. The National Collaborative of Education and Health鈥攁 coalition of organizations led by the Healthy 69传媒 Campaign and the Washington-based Trust for America鈥檚 Health鈥攑lans to meet throughout the fall to identify best practices for what information should be collected and how to best align it with school goals.

鈥淏y holding schools accountable for creating environments that are conducive to learning and by providing educators and administrators with a comprehensive understanding of student performance鈥攊ncluding how health conditions may directly affect learning鈥攔esources could be better deployed to schools and students at greatest risk,鈥� says a paper distributed to coalition members in August.

Supporters urge that states and districts ensure that they have the resources to help schools meet health goals before requiring new accountability measures related to them.

The coalition includes educators, public officials, and representatives from a range of educational and public-health organizations, including the U.S. Department of Education, the Data Quality Campaign, the National Education Association, Attendance Works, the National Association of School Nurses, and AASA, the School Superintendents Association. The push to report school health factors dovetails with other recent national efforts to collect and report information about school climate and safety. It鈥檚 also a first step toward a larger vision of infusing education with health information.

While many states track individual student health and well-being factors鈥攍ike asthma and body mass index鈥攆ew track those measures alongside academic indicators in longitudinal data systems. Such coordination could improve research and help identify successful interventions, the Healthy 69传媒 Campaign says.

But privacy advocates, who have questioned the security of state data systems before, urge caution when states opt to add student health information to their collections. States should justify gathering potentially sensitive health information, limit who can access it, and make plans to destroy it after a given period of time, said Khaliah Barnes, the director of the Student Privacy Project at the Electronic Privacy Information Center in Washington.

鈥淩ight now, we鈥檙e in an environment where everything is overcollect, overcollect, and we鈥檒l worry about the limitations later,鈥� she said.

Existing Efforts

School health-reporting initiatives have already taken root at the state and local level around the country. Since 2003, for example, California schools have surveyed students on a variety of health and school climate issues.

The Chicago school system created a requirement in 2011 that schools report whether they鈥檝e achieved 鈥淗ealthy 69传媒 Certification,鈥� a designation based on components of the federal HealthierUS School Challenge.

In 2012, Oregon added rates of chronic absenteeism to its model school report card. (Chronic absenteeism is defined as the percentage of students who miss 10 percent or more of school days, whether or not their absences are excused.) The national working group has suggested chronic absenteeism may function well as a 鈥減roxy indicator鈥� for health and wellness, because missing school is often related to such issues.

In Nebraska鈥檚 Lincoln and Kearney districts, educators use health information in 鈥渕ultiple dimensions and multiple ways鈥� to improve schools, said Bob Rauner, a medical doctor and the director of Partnership for Healthy Lincoln, a nonprofit organization that worked with Lincoln schools to develop the approach.

For about five years, Lincoln鈥檚 district wellness facilitator has tracked students鈥� body-mass-index measurements and scores on the Pacer Test, which measures aerobic fitness levels through endurance in a running exercise.

By tracking correlations between those factors and academic data, Lincoln has found that students鈥� fitness levels have a greater effect on students鈥� test scores than their weight, said Michelle Welch, the district鈥檚 wellness facilitator.

Local Successes

The data have also helped the district identify successful school strategies to replicate elsewhere, such as building walking trails and requiring daily physical education.

Ms. Welch would like to add a data point to the district鈥檚 efforts鈥攕tudent scores on Gallup鈥檚 Hope Index, which uses survey items to measure students鈥� perceptions about the future.

Lincoln schools are also required to report on their own efforts鈥攊ncluding how long the last student in line has to eat lunch and recess length, information that is later shared with the public.

After seeing the success of the local efforts, state education leaders began pushing for similar data tracking and reporting statewide, Dr. Rauner said. Proposed legislation failed, in part because of opposition to ending sales tax exemptions for soda, which would have funded the effort. Supporters of data tracking instead organized a voluntary, interlocal organization that will track BMI and fitness data and eventually add other data, such as social-emotional factors. Sixty-two school districts and education service providers have joined.

鈥淚t all ties together,鈥� said Ms. Welch, the wellness facilitator. 鈥淥ur big approach is a whole-child approach. We鈥檙e not raising a bunch of test scores, we鈥檙e raising a bunch of kids.鈥�