While school nurses are challenged with time management and the need to provide more health promotion education and preventive services, school personnel vaccination campaigns and clinics are a readily available solution. School nurses who partner with local communities while focusing on a well workforce to deliver and support education to each student provide a tremendous support to the academic achievements of their school system. Together, we can make a difference in the health and wellness of not only the students we serve but the staff who serve these students.

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It is time to focus on the linkage to community for preventive care, case-managed care, and follow-up on referrals and resources. As health care reform continues to inch closer every day, schools have to work smarter, not harder, to make a difference in the lives of every child in each and every classroom. Together we can make a difference. I close with this quote from Edward Schor (2007), author of EPSDT and School Readiness: Well-child care seeks to optimize children's health and development, preparing them for school and life beyond. The child health component of Medicaid, EPSDT, was designed with a similar objective, which is reflected in the EPSDT program's comprehensive benefit package, its preventive standard of care, and its case management functions. Given the vulnerability of young children from low-income families to poor health, poor educational attainment, and low-income lifelong productivity or social dependence, comprehensive well-child care represents a good investment for society. EPSDT plays an essential role helping low-income children be ready for school and life beyond. (p. 427).