STUDENT HEALTH CLINIC ANNUAL REPORT FISCAL YEAR 2016 University of Northern Iowa
WELCOME In support of the University of Northern Iowa and the Division of Student Affairs, the Student Health Clinic s goal is to provide the highest quality of health and preventative care to keep you healthy and in class. The Student Health Clinic staff understands the profound impact that health issues can have on all aspects of campus life. We offer a wide variety of services and programs to improve your health and an encouraging environment in which you can become engaged and learn. I encourage students to visit the University of Northern Iowa Student Health Clinic, use our services, ask questions, and to engage with the staff as you journey towards your academic successes. If you have a problem or question, please stop by the Student Health Clinic; we want to hear from you. Maintaining your health is the primary reason we are here. Good luck in your academic pursuits and always remember that we are here for a healthier you. OUR MISSION OUR VALUES WHO WE ARE Our mission is to serve the student community through education, prevention and treatment of illness, while promoting responsible habits and monitoring the overall health of the campus. Availability of quality health care services for students on campus Provide compassionate, respectful and confidential care to all students Encourage healthy choices and responsible behaviors Support a healthy campus community by public health initiatives and preparedness The University of Northern Iowa Student Health Clinic specializes in college health services. We have board-certified family practice physicians, physician assistants and psychiatric nurse practitioners who are dedicated to caring for college students. Additional staff include a pharmacist, pharmacy technician, laboratory technologist, nurses and support staff. We want to serve as our students on-campus health resource and assist them in meeting their healthcare needs. CARING PROFESSIONALS PARTNERING WITH STUDENTS ON HEALTH ADMINISTRATIVE AND SUPPORT TEAM The administrative and support staff of the Student Health Clinic work diligently to assure finances are managed responsibly, health insurance is made available and billed properly, and services are provided with quality, care, and communication. Shelley O Connell, MAE Executive Director, Health and Recreation Services Left to right: Angela Meeter, Debby Roth, and Shelley O'Connell. Front to back: Amy Escher, Paula Rose, Tammy Santee, and Connie Potter
OUR PROVIDERS We function as a general medical clinic and provide evaluation and treatment for a wide variety of health concerns. In the academic year 2015 2016, the family practice physicians and physicians assistants provided 18,655 visits to our students. Martha Ochoa, MD, Medical Director Education: Rosalind Franklin University/Chicago Medical School Board certification: Family Practice Practice interests: General medicine, women s health and eating disorders Sheryl Hansel, MD Education: University of Iowa Board certification: Family Practice Practice interests: General medicine and women s health Jennifer Jass, DNP, ARNP Education: Oregon Health and Science University and University of Wisconsin Madison Board certification: American Academy of Nurse Practitioners and American Nurses Credentialing Center Practice interests: General medicine, women s health, and behavioral health Bruce Forystek, MD Education: University of Minnesota Practice interests: General medicine and behavioral health Gina Ellingson, PA-C Education: University of Iowa Board certification: National Commission on Certification of Physician Assistants Practice interests: General medicine and women s health DeAnn Parsons, PA-C Education: University of Iowa Board certification: National Commission on Certification of Physician Assistants Practice interests: General medicine, women s health and pain management Abdur Rahim, MD Education: Nistar Medical College Board certification: American Board of Psychiatry and Neurology Practice interests: Behavioral health Andrew Batovsky, ARNP Education: State University of New York, Upstate Medical University Board certification: American Nurses Credentialing Center Practice interests: Behavioral health OUR NURSES The University of Northern Iowa Student Health Clinic registered nurses provide support and resources to our students. They give support both over the phone and through in person visits. They provide travel consultations, immunizations, and allergy shots. In fiscal year 2015 2016, our nurses conducted thousands of visits and administered hundreds of injections. FISCAL YEAR 2015 2016 VITAL STATS 5,725 nurse visits 1,800 flu shots provided to students, faculty, and staff 2,425 immunizations and vaccinations 270 travel consultations 547 allergy injections administered 78 other injections administered Left to right, back to front: Debby Ferguson, Salem Fauser, Michele Gerdes, Becky Corbin, Linda Gienau, Tina Jorgensen, and Jan Olsen.
PHARMACY The University of Northern Iowa Pharmacy is located on the first floor of the Student Health Center. It is staffed by a registered pharmacist who is available to fill prescriptions, provide drug information, and answer health-related questions. In addition, a variety of over-the-counter (OTC) items are available for purchase by students, faculty, and staff at competitive prices. Payment on any pharmacy purchases can be made by credit card, check, cash, or charged to a student university account. I was pleasantly surprised by the Student Health Clinic overall. Everyone has been very friendly, helpful, and caring each time I've had an appointment. The pharmacy is also very convenient and I feel free to ask any question about my prescriptions. Student patient response from the 2015-2016 SHC survey PHARMACY HIGHLIGHT Angela Steffen, PharmD Michele Dunbar, CPhT A MedSafe was installed in August 2015. This provides students and staff a safe way to dispose medications that are expired or that they are no longer taking. 33.4 pounds of medications were properly disposed and incinerated Prescriptions Filled by the UNI Pharmacy Prescription Category FY16 FY15 Antibiotic Contraceptive Antidepressant Corticosteroid Antihistamine/Allergy ADHD Treatment Pain Reliever Topical Corticosteriod Asthma Treatment Anti-Anxiety Anti-Fungal Opthalmic Antibiotic Cough Relief Antiviral Acne Diabetic Sedative Other Prescriptions Total Prescriptions Unique Pharmacy Patients 2,492 2,238 2,082 480 464 397 323 218 196 173 164 153 115 86 67 48 26 947 10,669 2,990 3,140 2,137 1,581 465 405 430 366 235 249 136 190 210 338 88 75 36 3 1,021 11,105 3,316
STUDENT SATISFACTION SURVEY RESULTS The Student Health Clinic conducted a satisfaction survey from October 2015 through December 2015 and received a total of 841 responses from students during this time. 98% satisfaction with the appearance and cleanliness of the facility 94% 91% 91% 88% satisfied with nursing staff satisfied with staff's concern for student questions and worries overall satisfaction with Student Health Clinic satisfied with physicians, physician assistants, or nurse practitioners ACCOMPLISHMENTS & CONTRIBUTIONS Successful reaccreditation by the Accreditation Association for Ambulatory Health Care (AAAHC). This year saw a focused effort to prepare the Student Health Clinic for the AAAHC triennial accreditation survey, which took place April 25-26, 2015. A two-year COLA/CLIA certification was awarded to the UNI Clinic Laboratory in December 2015. The Student Health Clinic became a sub-contractor with the Black Hawk County Health Department to provide free and confidential HIV testing and counseling for students meeting eligibility. An extensive Request for Proposal was developed and submitted to public vendors for a new electronic health record system to enhance the proficiency and efficiency of service delivery processes and documentation of medical/behavioral health records. Three vendors applied and the decision was made to contract with eclinical Works, a leading medical software system. The Student Health Clinic was responsible in closely communicating with Black Hawk County Health Department throughout the 2015-2016 fiscal year regarding positive cases of the Mumps on campus and surrounding communities to assist in treatment, education, prevention and support of monitoring the communicable disease to avoid further cases. It was evident throughout the survey that this organization focuses on the needs of the patients it serves, starting with an approach of respect, consideration and dignity. That staff is constantly aware of the unique challenges faced by young adults in an academic environment. This is reflected in the services provided. Reported by AAAHC Surveyor
FINANCES Enrolled students, taking five or more credits, are assessed the mandatory health fee and are eligible to use the Student Health Clinic. Students may voluntarily pay the health fee if taking less than 5 credit hours per semester. Office visit charges are not billed to eligible students who have paid the mandatory health fee. The Student Health Clinic provides free testing for chlamydia and gonorrhea. The mandatory health fee is the main source of revenue for the Student Health Clinic. SERVICE INDICATORS BUDGET 10.95% Clinic Service Fees 7.37% Counseling Center General Funds 8.78% Building Fee 8.12% Pharmaceutical Charges 0.20% Counseling Center Revenue SHC REVENUE 10.71% Counseling Center Student Fees 53.87% SHC Student Fees PATIENT DIAGNOSIS 52.31% SHC SWFB (Salaries, Wages, & Fringe Benefits) 8.50% Retirement of SHC Debt 1.57% SHC Temporary & Student Wages SHC EXPENSES 7.36% Pharmacy Items for Resale 1.04% Utilities 0.92% Counseling Center Temporary Wages 0.96% Counseling Center Operating Cost 3.78% Medical Supplies 2.10% Overhead Allocation Fees 2.25% Other Current Expenses 1.77% Professional Services 1.66% Licenses and Maintenance Fees 15.78% Counseling Center SWFB (Salaries, Wages, and Fringe Benefits) Office Visits Labs Nurse Consultations Immunizations/Vaccinations Injections Mental Health Visits Treatments Preventative Exams Medical Supplies 9,750 9,090 5,725 2,425 625 1,886 506 517 284 8,736 5,128 2,884 1,839 1,433 1,135 1,136 893 764 Preventative (Immunizations, Physicals, Health Education) Disease or Disorder of Respiratory System Symptoms & Signs Mental Health Female Genitourinary System Disease or Disorder Skin Disease or Disorder Nervous & Sensory Systems Disease or Disorder Musculoskeletal System Disease or Disorder Infectious Diseases 228 196 199 140 94 129 80 45 7 Male Genitourinary System Disease or Disorder Digestive System Disease or Disorder Edocrine, Immune, or Metabolic Disease or Disorder Blood Disease or Disorder Oral, Salivary, & Jaw Disease or Disorder Circulatory System Disease or Disorder Neoplasm (Lesion or Growth) Breast Disease or Disorder Congenital Anomalies Total Transactions 30,808 654 Injuries 25,720 Grand Total
STUDENT HEALTH INSURANCE PLAN UNI offers health and dental insurance coverage to students through the Student Health Insurance Plan (SHIP), a group policy administered by Wellmark Blue Cross and Blue Shield of Iowa, and the Student Dental Insurance, a group policy administered by Delta Dental of Iowa through the University of Iowa Benefits Office. This insurance is in effect at school and during vacation periods, 24 hours a day, worldwide. 379 230 9 75 SHIP International SHIP Domestic SHIP Camp Adventure SHIP Athlete 46 2 30 771 SHIP Graduated UNI Students Dental Graduated UNI Students Dental Only Total Enrollment STUDENT HEALTH ADVISORY COMMITTEE (SHAC) The Student Health Advisory Committee is a dedicated group of students voicing the needs and concerns of the UNI student body. The committee is comprised of students who have an interest and concern about the health of UNI students. SHAC's role is to inform students about fees, services, and educate students about health issues and prevention. SHAC RESPONSIBILITIES Advocate for the health needs of students Advise the Director and University Student Body President on Student Health Clinic programs and scope of services Assess Student Health Center programs to ensure student needs are met Recommend policy changes to better meet student needs DID YOU KNOW? SHAC was awarded the President's Trophy at the 2015 Homecoming Parade. Educate students about Student Health Center resources Administer and collect information through patient or student surveys Conduct outreach to build Student Health Center visibility Promote healthy decision making with campus campaigns and programs NON-USER SURVEY RESULTS A non-user survey was distributed to UNI students by the Student Health Advisory Committee members to explore reasons why students may not use the clinic. Reported they "have not been sick" 40% Other reasons for not using the clinic: Chose to see their hometown or local physician 26% 1 not having health insurance 3 not open weekends and nights Did not know the SHC existed 2% 2 uncertain about the cost 4 worried others will find out
THE UNI STUDENT HEALTH CLINIC IS PROUD TO BE ACCREDITED. The Student Health Clinic is an AAAHC accredited facility. We go through a voluntary site survey to measure the quality of our services and performance against nationally recognized standards of the Accreditation Association for Ambulatory Health Care (AAAHC). The Student Health Clinic has also achieved COLA accreditation through a biennial survey since 1993. Our patients can be assured that we meet federal and state regulatory requirements. STUDENT HEALTH CLINIC HOURS FALL AND SPRING SEMESTERS Clinic hours: 8 a.m. to 5 p.m. M, T, Th, F 9:30 a.m. to 5 p.m. W Pharmacy hours: 8:30 a.m. to 12:30 p.m.; 1 to 5 p.m. M, T, Th, F 9:30 a.m. to 12:30 p.m.; 1 to 5 p.m. W SUMMER SEMESTER Clinic hours: 8 a.m. to 4:30 p.m. on days when classes are in session Pharmacy hours: 8 a.m. to 12:30 p.m.; 1 to 4:30 p.m. (available May & June only) CONTACT INFORMATION Appointments/General Info Resource Nurse Pharmacy Prescription Refill Line Insurance Billing Questions 319-273-2009 319-273-5161 319-273-2154 319-273-7997 319-273-7736 319-273-7962 The University of Northern Iowa does not discriminate in employment or education. Visit uni.edu/policies/1303 for additional information. This publication was designed by Megan Parisot, class of 2017, majoring in graphic design.