2013-14 Unit Plan
Health Services

Mission Statement

The Student Health Clinic supports the mission of the college by prioritizing goals  such as resolving health, life and safety issues for students. These priorites support the college standards of retention, completion and transfer. The Student Health Clinic (SHC) provides medical and mental health services for eligible students of all cultural backgounds, learning abilities and socio-econiomic levels. The SHC promotes self responsibility, knowledge and skills necessary, for students to  work at their optimal level of mental, physical, and emotional wellness. This in turn aids them in achieving their academic and personal goals
   
This responsibility includes being responsible for one’s own health. We use a humanistic approach that promotes self-care and self-actualization. An individual’s health status is greatly influenced by knowledge and personal choice. The emphasis of control is shifted from health care provider to the individual. This positive action effects health, life and safety issues for the student while at Butte College and for years to come.
   
We will continue to integrate student learning outcomes into our teaching. The SHC will continue to contribute to the campus culture of sustainability by providing a solid, well respected, competent health care staff that provides excellent quality medical and mental health care. The SHC will continue to assess the scheduling needs of students and provide as much flexibility as possible.
   
The strategic direction plan emphasizes the value of a learning culture. The Student Health Clinic achieves this goal with daily professional patient education on health, illness and disease prevention. We focus on instilling personal responsibility by focusing on responsibility for one’s own health. This goal indirectly assists coordination and integration of general education across the life span.  The SHC is proactive regarding a safe campus environment and seeks collaborative resolutions. SHC is budgeted through categorical-like funds that are supported by the Health fee (AB982) with the District bearing the costs not met by that fee.

Program Description

We have a wonderful team of health care providers who work well together. We were open all summer  2012. This summer we saw approximately 550 students as patients out of a possible 650 openings. Our Assistant Director, Nip Boyes, worked out of contract for the month of July, allowing us to see 245 more students. Our acquisition of a Health Clinic Assistant has given the Nurse Practitioners and the Doctor help in rooming patients, obtaining medical history, giving shots and assisting with procedures. Our patient census continues to climb each year. SHC saw a total of approximately 6,500 patients for the fall and spring semesters 2011-12. 
   
The Student Health Clinic per the Butte College Health Service Plan operates as an immediate care facility and as a primary care facility available to students enrolled in credit classes offered by the Butte-Glenn Community College District.  Medical services are available during the fall, winter session, spring and summer semesters. The office is open Monday through Friday and is staffed by Nurse Practitioners and a Physician. Our Medical Director, Dr. Fraters, is on site during the fall and spring semesters, every Tuesday. He is available to us by phone during holiday and summer hours.  Mental health services and therapy are provided to students during fall and spring sessions.  A minimal number of appointments are available during the winter and summer semesters.  Maureen Hernandez, LMFT provides these services. Maureen is a precious resource. Her mental health specialist capacity was utilized by 577 students over the past year. Almost every day her already impacted schedule is interrupted with mental health crises often more than once daily. Her services not only aid the health of many of our students but also aid the safety of the campus by identifying individuals that may not be mentally healthy enough to participate in college life at this time.
    
We are quite rural in our location and our philosophy to provide primary care services to all of our students, and especially students without resources and transportation, makes our clinic and our challenges unique.
    
Students are commonly seen for problems concerning dermatology, upper respiratory infections, allergies, reproductive health, campus injuries, Tuberculosis testing, anxiety/depression, preventative care, physical exams, immunizations and ADD/HD testing by our Therapist. We are isolated out here on the main campus and the SHC is prepared to provide advanced emergency care to students until emergency service personnel arrive. Because of the wide variety of health care services offered, and the need for additional emergency care training for staff and specialized equipment, our equipment and education costs are significant. The Nurse Practitioners obtain Advanced Cardiac Life Support (ACLS) training every two years. Our Therapist obtains ongoing education and training to meet the needs of students with ADD/HD, anxiety, depression and other mental health issues.

Future Development Strategy

Strategy 1

Improving Availability of Critical Services

Initiatives
  • Inspiring passion through collaboration
  • Focusing on student success
  • Valuing a culture of learning
  • Enhancing an innovative, responsive, and accountable culture

  • Supporting Rationale
    Summer health services directly correlate with unit plan prioritization criteria by resolving heallth, life and safety issues. Medical care can be prohibitively expensive and one doctor visit can wipe out a student's financial reserves, thereby making continuing in school impossible. The clinic is instrumental to student success from this standpoint.

    Supporting Rationale Alignment
  • Supports Previous Program Review Recommendations
  • Resolving health, life, and safety issues
  • Maintaining core programs and services
  • Increasing student success
  • Strategy 2

    The addition of electronic health records(EHR) is a vital emerging technology that the SHC needs to implement in the near future. National Health Care is mandating electronic medical records (EMR) for all private clinics by the year 2014. It is a time saving device that provides clear legible records and streamlines the ability to provide continuity of care. It will increase proficiency and more efficient re-alignment of the clinic workflow. We will also eliminate all costs from dictation which can run from $3,000-$6,000 annually.

    Initiatives
  • Focusing on student success
  • Valuing a culture of learning
  • Enhancing an innovative, responsive, and accountable culture

  • Supporting Rationale
    EHR is the way of the future. We have been working with IT and Doug Cremer to find a suitable program that is cost efficient; Medicat’s hosted system avoids the up-front cost of purchasing the software, the servers and the IT staff support required to maintain the servers, provide redundant backups, coordinate software updates and upgrades and monitor database security. We will be asking the College to pay for the initial setup cost and the SHC will pay for annual operating costs out of our budget.

    Supporting Rationale Alignment
  • Supports Previous Program Review Recommendations
  • Resolving health, life, and safety issues
  • Maintaining core programs and services
  • Increasing student success
  • Establishing new initiatives that support the Strategic Direction
  • Strategy 3

    Increase Medical Assistant Hours to Permanent/Full-time: We propose to increase our Medical Assistant position to permanent/full-time. This position assists with both front and back office needs. Currently, this position is filled as a permanent/part-time position of 24 hours per week/10 month position. We need to expand this position to 30h/wk for the 10 month position, in order to have the clinic continue to run smoothly, as the growing number of students/patients increase. We have consistently expanded the Medical Assistant's hours two days a week during the drop-ins on Wednesday mornings and to assist our Doctor on Tuesday mornings. The extra help provided by this staff person is critical for the clinic.

    Initiatives
  • Focusing on student success
  • Enhancing an innovative, responsive, and accountable culture

  • Supporting Rationale
    The student use of the SHC has risen 300% over the past 4 years. In order to effectively manage this number of patients we need adequate staff. Our Medical Assistant helps in the front office with answering phones, answering student questions, assistance with charts and filing. In the back office she assists with procedures, rooming patients, obtaining vital signs and patient histories. We have consistently expanded the Medical Assistant's hours two days a week working a total of 27 hours to cover our expanded drop-in schedule and assisting the Doctor. We could not function at our current capacity without the help.

    Supporting Rationale Alignment
  • Supports Previous Program Review Recommendations
  • Resolving health, life, and safety issues
  • Maintaining core programs and services
  • Increasing student success
  • Establishing new initiatives that support the Strategic Direction
  • Strategy 4

    We strongly believe the college needs another full time Mental Health Therapist. Maureen is very busy and the student demand exceeds our ability to help the numbers of students seeking help. We would like the District to consider funding the hiring of a second therapist for the campus, because the need is so great. Maureen can only work twenty eight (28) hours per week as a Professional Expert,or 960 hours for the fiscal year. We propose that the District hire a second therapist full time to help fill the needs of our 14,000 students. The Chancellor’s office has established a commission to address this problem.

    Initiatives
  • Inspiring passion through collaboration
  • Focusing on student success
  • Enhancing an innovative, responsive, and accountable culture

  • Supporting Rationale
    "It is clear that mental health services in California’s colleges and universities need to be given a higher priority and focus in order to prevent crisis and tragedy and to assist young people towards healthy and productive lives. The greater numbers of students who need mental health services, along with the increased complexity of the issues they face, have overwhelmed the capacity of colleges and universities to respond appropriately. Much like the public mental health system, they must focus on crisis response rather than crisis prevention and promotion of well-being.” California Mental Health Services Oversight and Accountability Commission May 2010.

    Supporting Rationale Alignment
  • Resolving health, life, and safety issues
  • Maintaining core programs and services
  • Increasing student success
  • Strategy 5

     

    Initiatives
  • Focusing on student success
  • Valuing a culture of learning
  • Enhancing an innovative, responsive, and accountable culture
  • Modelling sustainability

  • Supporting Rationale
     

    Supporting Rationale Alignment
  • Supports Previous Program Review Recommendations
  • Resolving health, life, and safety issues
  • Maintaining core programs and services
  • Increasing student success
  • Strategy 6

    Permanent Clerk II- Medical Records Clerk: 24 hours per week for 10 months requires augmentation of approximately $14,000 for salary and $4,000 for benefits. The handling of confidential medical records is currently completed by a trained Student Assistant. It is important to maintain consistency and efficiency when working with confidential materials and should be held by a classified employee.

    Initiatives
  • Focusing on student success
  • Enhancing an innovative, responsive, and accountable culture

  • Supporting Rationale
    Currently there are only 2 permanent staff members in the front office area and our patient census has increased over 300%. The handling of confidential medical records is currently completed by a trained Student Assistant. The Union is aware of this, the board is aware of this and due to inadequate staff we are forced to use our Student Assistants in a non-authorized manner. Having this Medical Record Clerk will provide needed staff power in the front office and help us follow appropriate guidlines for using our Student Assistants within their job scope.

    Supporting Rationale Alignment
  • Supports Previous Program Review Recommendations
  • Resolving health, life, and safety issues
  • Maintaining core programs and services
  • Increasing student success
  • Required Resources

     Extension of Assistant Director to 11 month position: Summer health services directly correlate with unit plan prioritization. Summer Connection students , Academy cadets, welding students and early football training session students need access to medical care throughout the summer. Also, the Allied Health programs require physicals and immunizations prior to the start of the program. The SHC is instrumental in keeping costs down for all students and is instrumental in student success from this standpoint.

     The addition of Electronic Health Records (EHR): a vital emerging technology that the SHC needs to implement in the near future. National Health Care is mandating electronic medical records (EMR) for all private clinics by the year 2014. It is a time saving device that provides clear legible records and streamlines the ability to provide continuity of care.

    Increase Medical Assistant Hours to Permanent/Full-time:  Currently, this position is filled as a permanent/part-time position of 24 hours per week/10 month position. We need to expand this position to 30h/wk  for the 10 month position, in order to have the clinic continue to run smoothly, as the growing number of students/patients increase. We have consistently expanded the Medical Assistant's hours two days a week during the drop-ins on Wednesday mornings and to assist our Doctor on Tuesday mornings. The extra help provided by this staff person is critical for the clinic.

    Additional full time Mental Health Therapist: The student demand exceeds our ability to help the numbers of students seeking help. We would like the District to consider funding the hiring of a second therapist for the campus, because the need is so great. Maureen can only work twenty eight (28) hours per week as a Professional Expert,or 960 hours for the fiscal year. We propose that the District hire a second therapist full time to help fill the needs of our 14,000 students. The Chancellor’s office has established a commission to address this problem.

    Maintenance of Hand Sanitizers: Per our unit plan from 2008, we are responsible for the maintenance of the waterless hand sanitizers that have been put up around campus. The cost for this maintenance is estimated at $500 annually. We request that the District provide funds for this as providing adequate hygiene facilities should be a responsibility of the college itself and not solely the clinic’s responsibility.

    Our unit plan requests continuing funds for our Mental Health Specialist. The SHC contributes $64,300 to finance the cost of an annual salary to provide mental health services. We are asking the District to fund $20,000 to cover any other necessary hours and a proposed 3% raise. The Mental Health Specialist is one of our greatest resources on campus to assist students resolving life issues.

     

    Current Revenue Stream

    SHC is budgeted through categorical-like funds that are supported by the Health fee (AB982) with the District bearing the costs not met by that fee.

    Health Fee revenue                             Allocated $547,402 

    Supply and Services revenue               Allocated $ 10,000                

    Augmentation Requests

    Original Priority Funded Program, Unit, Area Resource Type Description Account Number Object Code One-Time Augment Ongoing Augment Supporting Rationale
    1 Yes Student Health Clinic Personnel Extension of Assistant Director to 11 month position 12-342-710-1-644000 52110 $10,000.00 $0.00 Summer health services directly correlate with unit plan prioritization. Summer Connection students, Academy cadets, welding students and early football training session students need access to medical care throughout the summer. Also, the Allied Health programs require physicals and immunizations prior to the start of the program. The SHC is instrumental in keeping costs down for all students and is instrumental in student success from this standpoint.
    2 Yes Student Health Clinic Operating Expenses Medicat Hosted Electronic Medical Records 12-000 55630/6411 $24,750.00 $0.00 National Health Care is mandating electronic medical records (EMR) for all private clinics by the year 2014. Medicat’s hosted system avoids the up-front cost of purchasing the software, the servers and the IT staff support required to maintain the servers, provide redundant backups, coordinate software updates and upgrades and monitor database security. This EHR is a software "service". It will increase proficiency and more efficient re-alignment of the clinic workflow. We will also eliminate all costs from dictation which can run from $3,000-$6,000 annually. The price includes inititial setup, tablets and electronic signature pads.
    3 Yes Student Health Clinic Personnel Full-time Medical Assistant, 30 hours/week 12-342-710-1-644000 52120 $0.00 $47,400.00 The student use of the SHC has risen 300% over the past 4 years. In order to effectively manage this number of patients we need adaquate staff. We have consistently expanded the Medical Assistant's hours two days a week working a total of 27 hours to cover our expanded drop-in schedule. We could not function at our current capacity without the help.
    4 Yes Student Health Clinic Personnel Salary support for Mental Health Specialist 52390 $20,000.00 $0.00 We are asking the District to fund $20,000 to cover any other necessary hours and a proposed 3% raise. The Mental Health Specialist is one of our greatest resources on campus to assist students resolving life issues.
    5 Yes Student Health Clinic Personnel Part-time Nurse Practitioner (Professional Expert) 12-342-710-1-644000 52390 $40,000.00 $0.00 In order for the SHC to operate at full capacity, a part-time Nurse Practitioner is needed to cover when a care provider needs time off for illness or vacation. One Nurse Practitioner is not capable of seeing the number of patients the clinic sees alone. Those times when additional coverage is needed creates an extra work burden and stress to the remaining staff, and significantly decreases the ability to see the number of students that need care. The clinic census has grown to the point that the current providers are unable to support the needs of all students coming to the clinic.
    6 Yes Student Health Clinic Personnel Full-time Mental Health Therapist 52100 $105,000.00 $0.00 The student demand exceeds our ability to help the numbers of students seeking help. We would like the District to consider funding the hiring of a second therapist for the campus, because the need is so great. Maureen can only work twenty eight (28) hours per week as a Professional Expert,or 960 hours for the fiscal year. We propose that the District hire a second therapist full time to help fill the needs of our 14,000 students. The Chancellor’s office has established a commission to address this problem.
    7 Yes Student Health Clinic Personnel Part-time Clerk II- Medical Records Clerk 12-342-710-1-644000 52120 $18,000.00 $0.00 Currently there are only 2 permanent staff members in the front office area and our patient census has increased over 300%. The handling of confidential medical records is currently completed by a trained Student Assistant. It is important to maintain consistency and efficiency when working with confidential materials and should be held by a classified employee.The Union is aware of this, the board is aware of this and due to inadequate staff we are forced to use our Student Assistants in a non-authorized manner. Having this Medical Record Clerk will provide needed staff power in the front office and maintain HIPAA regulations.
    8 Yes Campus Operating Expenses Maintenance of waterless hand sanitizers 54500 $500.00 $0.00 Per our unit plan from 2008, we are responsible for the maintenance of the waterless hand sanitizers that have been put up around campus. The cost for this maintenance is around $500 annually. We request that the District provide funds for this as providing adequate hygiene facilities should be a responsibility of the college itself and not solely the clinic’s responsibility.
    Total(s) $218,250.00 $47,400.00