Hospital Bedside Services Procedures

What's Required

Any student who is served through the Gender Education Homebound program must meet the following three criteria:
• The student is expected to be confined at home or hospital bedside for a minimum of 4 weeks. The weeks need not be consecutive.
• The student is confined at home or hospital bedside for medical reasons only.
• The student’s medical condition is documented by a physician licensed to practice in the United States.

A student served through the GEH program at home or hospital bedside must be served by a certified general education teacher. Over the period of his or her confinement, the student must be provided instruction in all core academic subject area courses in which the student is enrolled. In addition, over the period of confinement, the student should be provided instruction in all other courses the student is enrolled in, if possible.

For a) student to earn CTE contact hours while also being provided CEHI, the student must continue to receive the same amount and type of CTE service that she was receiving before she began receiving CEHI. The CTE instruction that the student receives at home or hospital bedside must be in addition to the 4 hours necessary for CEHI. The CEHI teacher providing the additional hours for the CTE courses must maintain a log to verify all contact hours with students. (See 9.17.4 Example 4, 5.2.1 Eligibility of Students for Funding, and 5.2.4 Earning CTE Contact Hours in a Non-Campus-Based Setting.)

During the periods of confinement to the home or hospital bedside, special education services must be provided in the homebound instructional setting. A district must serve a special education student with special education homebound services and PRS during any periods of confinement regardless of the anticipated period of confinement (that is, the
student must be served even when the period of confinement is expected to be fewer than 4 consecutive weeks or fewer than 4 weeks total for the school year). Student Attendance Accounting Handbook

What We Do

Some students may be admitted to a hospital which lies within our district boundaries and at which they will be in residing for treatment in excess of 4 weeks. In these situations, the hospital's address becomes their established place of residence. Due to the student's hospital treatment plan, the student is unable to physically attend the zoned campus and the student may qualify for Hospital Bedside Instructional Services. The procedures below outline the admission process:

Based on the Student Attendance Accounting Handbook, these students often qualify and would be best served by Homebound / Hospital Bedside instruction (PEIMS instructional setting code 01). 
  1.  If it is a new hospital facility Spring ISD will enter into a Memorandum of Understanding (MOU) with the hospital. The Homebound /Hospital Bedside Coordinator and the Related Services Coordinator will reach out to the facility and identify instructional needs and service processes.
  2. When a school age child is enrolled in a hospital's program (where treatment exceeds 4 weeks) the facilities CPS Case Worker will  complete the online CPS Hospital Registration Form. Within 24 hours you will receive an email confirmation from Spring ISD ( confirming your submission. Please reply to that email and upload the required documents ( CPS -2085 Form and registration packets)
  3. The Spring ISD SHRS Secretary will ensure the packet is complete:
    • If, complete see step 4
    • If, not complete it is communicated back to the CPS Case Worker missing documents
  4. The Spring ISD SHRS Secretary will send the completed CPS consent forms and medical release form to the hospital psychologist to complete. 
  5. The hospital psychologist will email the documents to or fax them 281-891-6266
  6. The Spring ISD SHRS Secretary will send the registration forms to the  Spring ISD Campus Registrar (who will register the students). 
    1. For students identified as being served under special education the Campus Registrar will also notify the Campus DC/TL for IEP Documentation
      • The Campus DC/TL will contact the student's prior campus and request special education student records.
      • The Campus DC/TL complete the Surrogate Request Form
      • The Campus DC/TL will setup an IEP Meeting within 5 within school days and setup an IEP Meeting. (The Homebound/Hospital Bedside Coordinator must be invited)
    2. For students not identified as being served under special education, the campus 504 Coordinator will be notified by the campus Registrar
      1. The campus 504 Coordinator will contact the student's prior enrolled campus and request student records.
      2. The Campus DC/TL will complete the Surrogate Request Form
      3. The campus 504 Coordinator will setup an 504 Meeting / Hospital Bedside Meeting within 5 within school days. (The Homebound/Hospital Bedside Coordinator must be invited)
  7. Once the student is enrolled, the SHRS Secretary will send a copy of the completed Physician Statement for Hospital Services Physician Consent Consent Form,  and Hospital Consent Form to the Homeboud/Hospital Bedside Coordinator. 
  8. The Spring ISD Homebound/Hospital Bedside Coordinator will collaborate with the Homebound/Hospital Bedside/504/IEP Meeting Committee (as applicable) to match and/or setup services. 
  9. Service time will be based on individual student need (including but not limited to IEP, medical, physician advisement). A minimum of 4 hours weekly of direct hospital bedside instruction will occur for a full time student (per GEH funding chart).
  10. After the IEP/504/Hospital Bedside Committee Meeting, the campus Registrar/Counselor will provide a full campus schedule that best matches the courses they received at their prior school.
  11. The assigned campus teachers of record for each content area on the student's schedule will provide instructional materials for the week, grade assignments from the prior week, enter grades, and collaborate with the assigned Homebound/Hospital Bedside Teacher providing the instruction. 
  12. The Homebound/Hospital Bedside Teacher will provide direct instruction, take attendance, collaborate with the campus teachers, and the surrogate.  

Intent to Withdraw Procedures
  1. If a student has completed their hospital program or is discharged from the program, the hospital is to notify the district within 24 hours but advanced notice is requested at
  2. The CPS Case Manager is to complete the "Intent to Withdraw Form" and email it to
  3. The Spring ISD SHRS Secretary will review the request and reach out to the CPS Case manager to determine if the student will be transferring to a campus within the district or if the student will be unenrolling. 
    1.   If the student is being placed within the district, an in-district transfer will occur and the Spring ISD SHRS Secretary will contact the receiving campus registrar to notify of the imminent change. 
    2. If the student is being placed outside the district, the Spring ISD SHRS Secretary will contact the Spring ISD Campus Registrar with the Intent to Withdraw Form who will unenroll the student. 
  4. The Spring ISD SHRS Secretary will notify the Homebound/Hospital Bedside Coordinator regarding the discharge. 
Frequently Asked Questions

  1. Question: What TEA certification is required to join the Homebound/Hospital Bedside Teaching Team?
    • Answer: Homebound/Hospital Bedside Teachers will be dual certified in at least 1 general education area and special education (EC-12).
  2. Question: Do Homebound/Hospital Bedside Teacher require any additional training?
    • Answer: Yes, the following trainings will be provided at the district expense (CPR/First Aid/AUD; Restraint NCI & SAMA (SAMA training by hospital)
  3. Question: Who will handle STAAR Testing? 
    • Answer: Based on student numbers the Homebound/Hospital Coordinator will collaborate with the Director of State Testing to determine the most efficient testing environment
  4. Question: What curriculum will be utilized?
    • Answer: The student's curriculum will be aligned to the district curriculum and adapted based on individual student accommodation/modification. Assignments will be developed by the campus teacher of record and upload to the individual student's homebound google drive folder. 
  5. Question: Will RF students have to register in person?
  6.  Question: Who will conduct the ARDs/504 meeting for these students?
    • Answer: The campus SPED DC/TL or 504  coordinator will setup and conduct the meetings on the child's zoned campus (based on hospital address)
  7. Question: How will the student's course schedules be determined? Who will register the student into the classes?
    • Answer: During the IEP/504/hospital bedside meeting the committee will examine the student's previous schedule and match courses and services. Based on campus designee, the counselor or registrar will provide the students a full schedule and notify the teachers of record. 
  8. Question: Who will set the schedules for hospital bedside instruction? 
    • Answer: The Homebound Coordinator will assign staff and set schedules based on maximizing student groupings and in order to best utilize staff.