SCSU Strategic Planning & Reporting
1998-99
Student Life & Development

DEPARTMENT: Student Health Services
DIRECTOR: Robert Bayne, Director and Lynda Gans, Associate Director
PHONE NUMBER: 255-3171 or 255-4848

MISSION:

See attachment

STRENGTHS:

  • A staff of college-health specialists, attentive to the needs and concerns of students.
  • Accessibility to students provides for quicker intervention and treatment. Facilitating the students' return to health improves retention and their ability to succeed academically.
  • Affordability
  • We provide an emphasis on teaching disease prevention/health promotion measures. In addition, we serve as a resource for students learning how to be consumers of health care and medical insurance.
  • National Accreditation (AAAHC)
  • Staff flexibility and adaptability.

WEAKNESSES:

  • Facility (*comments from consultant's report) "The current facility has significant shortcomings that cannot be overcome by remodeling because of structural requirements. Some short-term improvements could be made with internal reallocation of space. However, in order to gain significant operational efficiencies and improve patient confidentiality, a new facility designed to meet the SHS's clinical, administrative, and privacy needs should be obtained." In addition to the consultant's report, it should be noted that our accreditation reviewers in 1994 and again in 1998 recommended a facility designed for medical care rather than student housing.
  • Staffing (*comments from consultant's report) "Staffing shortages currently exist in the SHS's health promotion and administrative functions. A proposal to meet these needs when funding becomes available should be implemented."
  • Funding (*comments from consultant's report) "The SHS is in need of a stable funding base. Significant strides have been made in collecting payment from students' private insurance. However, planning and developing a program as complex as a university health service is severely hampered when the two primary funding sources are both unpredictable. (Note: July 1, 1996, SHS began charging each student a co-pay as recommended by the Student Fee Allocation Committee. This recommendation was made by SFC to minimize increases in student activity fees.)

*At the request of the Student Fee Allocation Committee and President Grube, two consultants were hired to review the services and practices at SCSU Student Health Service. William Waid and Joyce Meder were hired through the ACHA Consultant Service and visited our campus in April 1998. The comments printed above were taken directly from their final report.

OPPORTUNITIES:

With minimal increases in resources we can deliver an exceptional program of preventive health care to all students. The addition of a Health Promotion/Marketing Specialist would allow for additional services, i.e., a smoking prevention/cessation program and the ability to increase student awareness of SHS. With the addition of a clerical position and a new Medical Management Information System, we can increase our billing capabilities and expand our contracts with additional insurance companies. As we are seeing more evidence of consumer-focused changes being implemented into managed care plans, we need to reinforce the needs of college students in these discussions.

THREATS AND/OR CHANGES/TRENDS IN THE EXTERNAL ENVIRONMENT:

The health care industry has changed rapidly in the past eight years to include more restrictions and limitations of access and benefits. This phenomenon is likely to continue with students being affected in their ability to access care. Health care costs have returned to double-digit inflation even under the current managed care systems. SHS needs to be pro-active in meeting the challenge to provide the most accessible, high-quality, affordable health care for students, this includes the ability to file claims with more insurance companies.

University Themes

Academic Distinction

Student Life and Development will, through its programs, services and cooperative ventures with faculty, compliment the academic mission of the university. In addition, Student Life and Development will provide students with distinctive opportunities to develop cultural, sensitivity, leadership, social and career oriented skills necessary for future success.

Student Health Services Ongoing Initiatives

Student Health Services (SHS) provides three categories of leadership and career development opportunities.

  • Peer-educators have been a part of SHS for twenty years, they receive extensive training and provide numerous classes and services for students.
  • We currently employ two graduate assistants, one is the coordinator of the HIV/STD Prevention Grant and the second is an assistant to the coordinator of Alcohol/Drug Awareness and Prevention Team (ADAPT).
  • We provide mentorship for student nurses from St. Ben's and the University of MN nurse mid-wife program.

The combined disease prevention/risk reduction mission of the SHS emphasizes achieving optimal health so the individual student can attain their educational goals.

Professional staff members of SHS provide classroom presentations and advisory assistance to faculty and other departments. They also provide students with research materials and discussion of health-related topics for papers and presentations. Orientation classes invite speakers from ADAPT, the HIV/STD Prevention Program and Medical staff.

Outcome Measures: Track numbers of presentations and interviews

ADAPT advisory board includes faculty and staff who provide support and direction to the ADAPT staff.

ADAPT is involved in curriculum infusion activities with the Center for Teaching Excellence and they work closely with the College of Business to make available information from the CORE Survey. This provides students with an opportunity to do computer-based research.

SHS staff members are required to maintain appropriate licensure and participate in continuing education and professional development activities.

Student Health Services New Initiative

ADAPT recently purchased the CDRom, "Alcohol 101" which will be made available to Residence Hall Students, Athletes, Student Organizations, Alcohol Education Class and Academic Departments.

Student Health Services Future Initiative

Secure funding and approval for a Health Promotion/Marketing Position.

Outcome measure: Increased utilization

A Service Community

Student Life and development will put students first in everything that we do. Guided by periodic assessment, we will provide the highest quality student services possible, cognizant of the diverse needs of our students. Further, SLD will model and advance the values of civility and service to others in an effort to develop a safer and more effective living-learning community.

Student Health Services Ongoing Initiatives

The SHS provides convenient, high-quality, accessible health care services for students at SCSU. Provision of health care services facilitates the students' ability to attend classes and attain their academic goals. Current service related functions of SHS include:

  • Offering extended hours (4:30 - 6:00 p.m. Monday through Thursday) to accommodate students working during the day and students who attend evening classes only. Outcome measures: utilization of extended hours is documented, 1020 students were seen between 4:30 and 6:00 since March of 1997.
  • Accreditation: SCSU SHS was recently re-accredited by the Accreditation Association of Ambulatory Health Care for the maximum term of three years. Currently there are four college health services in MN with national accreditation.
  • Tuberculosis screening of International students was initiated in 1997 as a public health, disease prevention program. To date 391 International students have been screened.
  • SHS has become a source of information and advocacy for all students with health insurance questions, concerns or needs. Contracting with seven different insurance companies (managed care organizations) facilitates the ability of students to utilize SHS and have their charges paid by their insurance. Filing of insurance claims for students has increased by 300% in three years.
  • Health Promotion and ADAPT provide numerous events and services for students. Examples: National Alcohol Awareness Week activities, massages are offered to students near the week of finals, alcohol education classes are provided weekly (267 students attended in 1997-98), contraceptive education classes are offered weekly and there is an on-going HIV/STD prevention program.
  • In collaboration with other departments, SHS, ADAPT and Health Promotion co-sponsor speakers and events, for example, ADAPT was the lead sponsor for Marya Hornbacher's presentation "WASTED" on eating disorders.

Outcome measures: Student Satisfaction Survey's are completed biannually.

Student Health Services New Initiatives

SHS plans to increase the number of managed care contracts and billing capabilities with the addition of one staff person and the purchase and installation of a new medical management information system.

SHS is requesting the TB screening program for International students become a mandatory university policy.

SHS, ADAPT and Health Promotion co-sponsored a blood drive with the American Red Cross in September.

Student Health Services Future Initiative

Renovate or relocate to a facility more suitable for a medical practice. Relocation would be preferable, if a site were available, as this location is better suited for student housing than for medical services.

Diversity and Justice

Student Life and Development through staff contacts, programs and services will foster an understanding of human differences and promote a just community in which every student is free to learn and grow.

Departments within Student Life and Development will provide a supportive civil and welcoming environment for all members of the university community.

SLD will improve staff understanding of human differences and needs as they pertain to the delivery of services.

Student Health Services Ongoing Initiatives

SHS is committed to providing culturally sensitive student health services.

Information sharing meetings are held regularly with the faculty and staff of the English as a Second Language Department and the Intensive English Program. Staff members from the Center for International Studies are also included in these meetings.

Renovation of SHS was completed last year to make the facility more accessible for individuals with disabilities. Renovation projects included: widening of doorways, addition of a lever-type handle on the restroom door and lowering the paper towel dispenser in the restroom.

SHS continues to seek opportunities to hire staff and student peer educators of diverse backgrounds. The educational programs have consistently hired international students and/or students of color. In addition, we have recently added a person of color to our medical staff.

Cultural Considerations in Health Care has been selected as the topic for in-service training programs throughout this academic year. The Medical Director presented the first workshop in August " Cultural Considerations in the Provision of Health Care for Vietnamese Students".

Student Health Services New Initiative

SHS is planning to provide outreach programs targeting men's health issues as soon as a Health Promotion/Marketing Coordinator Position is approved.

Outcome measures: Currently, office visits at SHS indicate a two to one ratio of women's visits as compared to men's visits. A culturally appropriate message inviting men to seek services for their health care needs could diminish that ratio.

Information Technology

Student Life and Development will develop and utilize information technology ethically and appropriately to improve services and program access to students and other constituents, with the goals of enhancing academic success and learning in the context of global society.

Student Health Services Ongoing Initiatives

SHS currently utilizes a computerized database for the medical record and registration system. This system is over 10 years old and in need of replacement. It is not capable of filing insurance claims electronically or providing adequate accounts payable/receivable functions. Within the last three years the number of insurance claims filed has tripled. We believe that students with insurance benefits available should be able to access these benefits when service is provided at SHS. At the present time, we provide billing services to seven different insurance companies. This is done by a labor intensive, paper claims process.

The internet has become an invaluable resource for medical/health information. Sources like Centers for Disease Control, National Institute for Health and the National Library of Medicine's MEDLINE provide disease and treatment information that is accurate, current and complete.

The SHS Pharmacy is on-line with over 40 different insurance companies and can provide immediate billing for students with any of these insurance plans. Ordering for the pharmacy is also handled on-line which provides a much faster response for needed products.

E-mail provides an immediate link between college health services via the college health list serve. Having access to this list serve has greatly facilitated communication about common issues and concerns.

We purchase supplies and materials through the MNSCU PCS system.

Student Health Services New Initiatives

Purchase and install new medical management computer system. Receive training for the new system.

Expand and improve access to computers for all medical staff.

Develop and approve an e-mail policy with specific language to instruct that no confidential information is to be transferred by e-mail.

Student Health Services Future Initiatives

Include technology support staffing and software upgrades in budget requests.

University-External Relationships

Student Life and Development, through its programs and staff leadership, will contribute to the intellectual, cultural and economic development of the citizens of Central Minnesota.

Student Life and Development will promote and model positive involvement in the community by St. Cloud State University students and staff.

Student Health Services On-going Initiatives

Student Health Services, professional and support staff, demonstrate numerous campus and community relationships.

  • Inter-agency agreement with the St. Cloud Technical College to provide health care services for their students
  • Hospital staff memberships are maintained by both physicians
  • Frequent contact and consultation with the MN Dept. of Health
  • Relationships are established with the St. Cloud Medical Community for referral resources
  • The SHS has active memberships in the North Central College Association and the American College Health Association
  • The Medical Director provides consultative services to the Campus Child Care Center
  • A Nurse Practitioner is a member of the campus-community Sexual Assault Task Force
  • The coordinator of ADAPT provides consultation and is a referral resource for numerous campus departments and organizations
  • SHS coordinated an HIV/STD Prevention grant from the MN Dept. of Health. This grant encompassed seven state universities, it began in 1994 and will be completed in December 1998.
  • The Associate Director is a member of the MNSCU Student Insurance Committee
  • The ADAPT coordinator is a member and the host of the MNSCU alcohol/drug consortium

Student Health Services New Initiatives

SHS co-sponsored a blood drive with the American Red Cross in September. It was a successful first attempt with 71 units collected. We plan to co-sponsor blood drives once or twice each year.

ADAPT and MADD have established a more collaborative working relationship. They have worked together on special issues and in planning educational/promotional events.

Student Health Services Future Initiatives

SHS needs a more stabilized funding base. The acquisition of more contracts with third party payers is desirable. With the implementation of a new medical management computer system and the capability of filing claims electronically, we will actively seek three more contracts.

AMBUQUAL 11
GENERIC INDICATORS CHART

PARAMETER l: PROVIDER STAFF PERFORMANCE
(Parameter Weight: 1.80)

Provider's ability to use the best available knowledge, skill and judgment to produce a desired outcome in health.

ASPECT A: Credentials & Provider Staff Systems
(Aspect Weight: 0.55)

The health of the patient can be protected by documenting and verifying the provider's education, training experience, and required licensure and certification.

INDICATOR 1 (Basic): Credentials-Education, Training & Professional Experience

Performance Goal: Education, training and professional experience required by the job description must be verified for all members of provider staff.
QIP Level: 70 -
Data Source: (To be determined) Example - Documentation of written and phone verifications
Weight: 1.30
Scoring: Quantitative. Average individual scores within each category and then average each category to determine indicator score. (Management compiles score for QA Committee review.)
Responsibility: (To be assigned)

INDICATOR 2 (Basic): Credentials-Current Certification - Licensure

Performance Goal: Certification (required by the provider's professional organization or the policies of the ambulatory care center) and licensure (as required by the state) must be current and verified for all applicable provider staff.
QIP Level: 70
Data Source: (To be determined) Example - Documentation of written and phone verification
Weight: 1.30
Scoring: Quantitative. Average individual scores within each category and then average each category to determine Indicator score. (Management compiles score for QA Committee to review).
Responsibility: (To be assigned)

INDICATOR 3 (Basic): Job Descriptions

Performance Goal: Job descriptions which are current, accurate, and complete are available for all members of the provider staff.
QIP Level: 70
Data Source: (To be determined) Example - Job descriptions for physicians, RNs, nutritionists and social workers
Weight: 0.80
Scoring: Qualitative. (QA Committee Votes)
Responsibility: (To be assigned)

INDICATOR 4 (Intermediate): Personnel Performance Evaluation System

Performance Goal: An effective personnel performance evaluation system, which includes an annual evaluation of all providers, exists.
QIP Level: 70
Data Source: (To be determined) Example - written policy and procedure titles and/or numbers
Weight: 0.80
Scoring: Qualitative. (QA Committee votes) Consider evaluation system and its utilization.
Responsibility: (To be assigned)

INDICATOR 5 (Basic): Continuing Education - Policy

Performance Goal: There is a current, complete, and functional policy defining expectations for continuing education units to be earned annually for each provider type.
QIP Level: 70
Data Source: (To be determined) Example - Written policy title and/or number
Weight: 0.80
Scoring: Qualitative. (QA Committee votes)
Responsibility: (To be assigned)

INDICATOR 6 (Intermediate): Peer Review Systems

Performance Goal: There is a current, functional, accurate, and complete procedure describing how each provider staff group performs medical record peer review. (Referred to as "performance evaluation" in AmbuQual) The procedure includes a mechanism for feedback and review o1results. Medical record peer review is carried out as planned.
QIP Level: 70M
Data Source: (To be determined) Example - Written procedure title and/or number.
Weight: 1.00
Scoring: Qualitative. (QA Committee votes) Consider procedure and its utilization.
Responsibility: (To be assigned)
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