Student Services Program Review Report

Chabot College

Student Services Program Review Report

Year One of

Program Review Cycle

Student Health & Wellness Center

Submitted on 3/6/13

Rosafel Adriano-Nogra, PHN, MSN, FNP-C

Final Forms, 1/19/13

Table of Contents

Section 1: Who We Are 1

Section 2: Where We Are Now 2

Section 3: The Difference We Hope to Make 3

Required Appendices:

A: Budget History 4

B: Student Learning and Service Area Outcomes Inventory 5

E: New Initiatives 6

F2 F1: New Faculty Requests 7

F2: Classified Staffing Requests 8

F3: FTEF Requests 9

F5: Supplies and Services Requests 10

F6: Conference/Travel Requests 11

F7: Technology and Other Equipment Requests 12

F8: Facilities Requests 13

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1. Who We Are

Describe your unit--your mission, vision, responsibilities and the goals of your area. How does your unit support other student services, administrative, and academic units? What impact do you have on student learning? Describe the number and types of staff in your office, both now and historically.

Mission

The mission of the Student Health & Wellness Center (SHWC) is to assist Chabot College to foster a safe learning environment and to keep students as healthy as possible so they can achieve their academic goals. The SHWC is committed to enhancing the educational process by monitoring, modifying or removing health related barriers to learning. This promotes optimal wellness and enables individuals to make informed decisions about health related concerns. Students are empowered to be self-directed and well-informed consumers of health care services.

Goals

The goal for the Student Health & Wellness Center (SHWC) is to empower our students and adequately provide the resources necessary to succeed in achieving their personal goals in the areas of health and overall wellness. By having on site health care for the students they are much more likely to seek medical care and maintain their health. Statistically, student who are healthy are more likely to have a better academic outcome, remain in school and follow through with their education.

Program Description

The SHWC was established in 2006 as a partnership between Chabot College and Valley Care Health System. At Valley Care Health System (VCHS) the SHWC is under the administrative supervision of the Director of Outpatient Services, and Valley Care’s Medical Director of Occupational Medicine.

At Chabot College the SHWC is under the supervision of the Dean of Counseling and Vice President of Student Services. The Director/Site administrator of the SHWC provides day to day direction and management of the SHC.

The Student Health Center is designed to serve only the student population. The exception to this is annual and new hire TB testing and review for faculty and staff and emergency response collaboration with Campus Safety to the whole campus. The current $17 student health fee is assessed at the beginning of spring and fall semester and $15 for summer semester. The student health fee provides the total funding for the student health center. As of January 1, 2006 all students pay this fee except those who use faith for healing or take off site classes or Sunday classes. Previously those students who qualified for Board of Governor fee waivers were exempt from the Student Health Fee but could utilize the services. We also provide emergency medical response to faculty, staff, and visitors, TB testing for faculty and staff and mental health crisis response.

Program Components

Medical Care Services

·  Non-emergency treatment of common acute /episodic illnesses and injuries

·  Work and transfer physicals

·  Occupational and Health science program health screenings

·  Immunizations

·  Lab tests

·  Over the counter medications and a minimal dispensary of prescription drugs

·  Communicable disease control

·  Referrals

Mental Health Care Services

·  Crisis management

·  Short-term psychological counseling

·  Screening

·  Referrals

·  Staff Training

Campus Emergency Response and Planning

·  Assist Campus Security with emergency care in health center facility

·  The SHC works closely with Campus Security, VCHS and the Alameda County Public Health Department to be prepared for possible disasters.

·  Automated External Defibrillator Program medical advisor and unit maintenance.

Health Promotion Activities

Health promotion activities were predominantly accomplished by Administrator and staff of SHWC. In addition to the campus activities, the administrator is the medical advisor of Medical Assistant Program and Co-Chair of Health and Safety Committee. The administrator also provided the oversight of clinical activities for Samuel Merritt University, Nurse Practitioner student in the SHC.

The following is a summarization of the health and promotion activities:

·  New student orientation to SHWC facilities and services

·  Participated at the American College Health Association National College Health Assessment II

·  HIV Awareness and World AIDS Day

·  Bone Marrow and Blood Drive

·  Flu vaccine promotion

·  Breast Cancer Awareness

·  Great American Smoke out Campaign

·  Handwashing Awareness

·  Involvement in Health & Safety Meetings and Pandemic Planning

·  Maintenance of health center/wellness website

·  Health Fairs and wellness screenings

·  HPV Vaccine promotions and STD screenings

·  Class Presentations on health related issues

·  TB screening for health science program and district employees

·  Continue collaboration with the Counseling office, Campus safety and Office of Student Services regarding Crisis Intervention Response Team Committee

Staffing

·  Medical Director, MD-on call-VCHS employee

·  Director/Site Administrator, Nurse Practitioner (FT) 1.0-VCHS employee

·  Nurse Practitioner (PT) 0.5-VCHS employee

·  Medical Assistant (FT) 1.0- VCHS employee

·  Medical Assistant (PT) 0.5-VCHS employee

·  Front Office Assistant (PT) 1.25-VCHS employee

·  Pharmacist-on call-VCHS employee

·  Student Assistants-two (2) 20 hours/week-CC employee (FWS)

·  Mental Health Services Supervisor for intern-CC employee

·  LMFT-CC employee

·  MFT Intern-CC employee (stipend $500/month)

Staffing Need:

Wellness coordinator- 0.4- CC employee

Relationship with other college units

The Student Health Center & Wellness Center collaborates with the members of the campus multidisciplinary teams to develop outreach programs that promote positive health behaviors and enhance academic performances. We work closely with Campus Security, health science programs and counseling department. We provide health education to each individual patient through workshops, referrals, special events and Health Fairs.

Unit Support for student Learning and Success

By having on site health care for the students they are much more likely to seek medical care and maintain their health. Statistically student who are healthy are more likely to have a better academic

outcome, remain in school and follow through with their education. We also set the stage for students to become responsible for their own health care after having had parents or guardians take care of this previously. Our vision it to continue providing an accessible, high quality medical care, public health prevention and educational programs that focus on basic healthy living.

2. Where We Are Now

Complete Appendix A (Budget History) and Appendix B (Student Learning Outcomes/Service Area Outcomes Inventory) prior to writing your narrative. Limit your narrative to no more than two pages.

As you enter a new Program Review cycle, reflect on your achievements over the last few years. What did you want to accomplish? What are your Student Learning Outcomes (SLOs) and Service Area Outcomes (SAOs), and what progress have you made toward achieving them? Describe how changes in resources provided to your office have impacted your achievements. What are you most proud of, and what do you want to continue to improve?

Discuss important trends that will have a significant impact on your unit over the next three years. Those could include technology, facilities, equipment, and student demand. What opportunities and challenges do your foresee in the next three years?

The providers and staff of SHWC strive to maintain a high level of professionalism and standard of care. They are committed to making the students feel comfortable in the setting, valued as an individual, and satisfied that their needs have been met. SHWC staff and providers meet regularly each semester with the staff from other campus departments to discuss activities, operations, and any current issues. The director is involved with the office of V.P Student Services, Dean of Counseling, Health Science Programs, and Campus Safety Director at Chabot College, and with the Nurse Manager and Supervising Physician under Valley Care Health System.

Accomplishments over the last few years:

1. Participated at the National College Health Assessment II (NCHA) Survey, Spring 2010- This survey address the priority health issues specifically identified for Chabot College population. The results have demonstrated that issues related to stress, sleep difficulties, internet use, depression, anxiety, nutrition and relationship difficulties rated the highest factors affecting their individual academic performance. The reports from the survey serve as a tool in developing a means to address these factors affecting the student’s academic performance. It also provides insight into issues affecting the Chabot college student population that are not often captured, although they may influence student’s health status. .
2. Patient satisfaction with medical services remains high. The SHWC received an Overall Satisfaction rating of 5.50 (1-6 scale) with 80% rating the service as Excellent. Research suggests that it is the Excellent score that most predicts customer loyalty which is reflective of the highest satisfaction. The results of the patient satisfaction survey suggest that students are very satisfied with health services. Nevertheless, efforts will continue to improve patient education, follow-up appointment, coordination of mental health care, and referrals to medical care for chronic illnesses
3. Continued compliance with Federal/State/Title V/District Board Policy Programs: HIPPA, Smoking Cessation-Smoke Out Campaign/Smoke Free Campus
4. Re-organizing SHWC website to enhance service delivery that will allow patients to schedule appointments, obtain forms and health education update.
5. Provided leadership and educational trainings for staff during Flex Day
6. Developed and executed health educational class presentations targeting the prevention of sexually transmitted disease, and birth control management.
7. Developed and executed monthly health education calendar for special events such as: Annual Health Fair events, October Breast Cancer Awareness Campaign- screened over 100 students and taught them how to perform monthly self breast-exam, The Great American Smoke-Out Campaign in November- hand out cessation information programs, December World AIDS Day Campaign, February’s American Heart Month and Diabetes Screening, Walk for Fitness Campaign, and April’s Denim Day Event in recognition of Sexual Assault Awareness Campaign.
8. Developed and executed a pandemic and emergency preparedness campaign in collaboration with Campus Safety, to re-emphasizing the importance of prevention and following public health recommendations from CDC and Alameda County Dept. of Public Health.

Student Learning Outcome (SLOs)

1.  To identify health care outreach program that will benefit healthier lifestyle for students.

1. To identify student’s “high risk” behaviors that created barriers to the treatment management or health outcomes of their diseases, and promote positive ways to reduce the risky behaviors.
2. To continue meeting the college health state & federal mandates for compliance and documentation

Service Area Outcomes (SAOs)

1.  Students will be able to identify the Student Health Center as a place for primary and women’s health services, STI prevention and treatment

2.  Students will identify the Student Health Center as a place to receive personal counseling and life coaching

3.  Students will recognize the correlation between their health and their academic and career success

4.  Students will demonstrate knowledge of the types o f services available at the Student Health Center.

In reviewing the SHWC progress within the last few years, the health center strives toward high visibility at Chabot College campus. Outreach efforts through health promotional events and the continued collaboration between the Dean of Counseling, the office of V.P of Student Services, the student body and other members of the campus disciplinary team helps increases compliance visit to the health center over the last years. The preventative health and wellness program developed for the student health center was based on the ACHA (American College Health Association) recommendations. This recommendation focuses on campus outreach programs in addressing identified health issues that affects the student’s academic performance. Part of the continuing goals of the Student Health & Wellness Center is to provide our student population a wellness coordinator in creating a more comprehensive educational preventive program base on ACHA recommendations.

Some of the challenges that we foresee in the next three years are: acquiring a full service clinic space to accommodate the growing needs of the student health center; to obtain Electronic Medical Record (EMR) software in meeting President’s Obama EMR Mandate in year 2014, implementing and accommodating the cost (including renewal fee) of Student Health 101 Online magazine.

3. The Difference We Hope to Make

Review the Strategic Plan goal and key strategies at http://www.chabotcollege.edu/prbc/StrategicPlan/SPforPR.pdf prior to completing your narrative. Please complete Appendices E (New Initiatives) and F1-3 and 5-8 (Resource Requests) as relevant to your needs to further detail your narrative. Limit your narrative to three pages, and be very specific about what you hope to achieve, why, and how.

What initiatives would you like to undertake to improve or strengthen your unit or to address demand for your services? What initiatives are underway in your area, or could you begin, that would support the achievement of our new Strategic Plan goal and strategies and/or improve student learning? Identify specific, measurable goals and the resources needed to achieve them.

New Initiatives /Plan Goal/Strategies/Resources

1.  New Facility

One of the biggest challenges is providing our students a full service clinic space that can accommodate the needed health services for our growing campus population. Patient’s privacy has been an issue due to limited space in the waiting room area, exam rooms and mental health counseling office. Issue of safety was also brought to our attention by students coming in complaining of upper respiratory symptoms that may be due to exposure to certain environmental materials in our current building.

To maintain a safe working environment for our staff and the students we're serving, clinic facility plays a big role. The current facility that houses the student health center is now outgrowing the needs of our students and the staff that limits the services we’re providing.