The SRs were written in English and published between 2006 and 2018. School health services staff can help all students with preventive care such as flu shots and vision and hearing screening, as well as acute and emergency care. Finally, for 1519 year olds, the leading causes of death were road injury, self-harm, interpersonal violence, diarrheal diseases, and lower respiratory infections [47]. The Institute of Medicine (2003) has indicated that EHRs should support delivery of patient care, be key evidence-based data points, improve patient safety, improve efficiency, facilitate management of chronic health conditions, provide outcome analysis, and share data across settings. Most schools rely upon grant funding and other financial aid to cover the implementation costs, but this often involves stringent requirements. Table F. Answers to AMSTAR 2 checklist questions 116. The use of an assessment and action planning process provides a coordinated framework for school improvement and wellness efforts. Only three SRs [18,21,25] were scored as having moderate levels of confidence and just one [30] was given a high level of confidence. However, it is difficult to formulate an overarching answer about the effectiveness of school health services for improving the health of school-age children and adolescents due to the heterogeneity of SRs found and the evident gaps in the SR literature. The World Health Organization (WHO) launched the Global School Health Initiative in 1995 with the goal to improve child, adolescent and community health through health promotion and programming in schools [1]. Importance of maintaining school health records Electronic health records: An essential tool in keeping students healthy (Position Statement). Department of Maternal, Newborn, Child and Adolescent Health, World Health Organization, Geneva, Switzerland. Gifted Education in Rural Schools. For students with chronic health conditions, school nurses and other health care providers play a large role in the daily management of their conditions.