2018-19 Unit Plan
Student Health Center

Mission Statement

The Student Health Center (SHC) supports the mission of the college by prioritizing goals such as resolving health, life and safety issues and promoting wellness for students. These priorities support the college standards of retention, completion and transfer. The SHC provides medical and mental health services for eligible students of all cultural backgrounds, learning abilities and socioeconomic 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 person-centered 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 and wellness 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 within the community.
   
The SHC will continue to integrate student learning outcomes into our teaching while providing medical and mental health care needs. The SHC will also continue to contribute to the campus culture of sustainability provided by a solid, consistent,well respected, competent health care team 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 SHC achieves this goal with daily professional patient education on health, illness, treatment, and disease prevention. We focus on personal responsibility by fostering accountability for one’s own health. The SHC is proactive regarding a safe and confidential campus environment and seeks collaborative resolutions. SHC is budgeted through categorical funds that are supported by the Health fee (AB982) with the District funding costs not met by that fee.

Program Description

The SHC is located in a rural area. Our philosophy to provide health care services to all of our students, and including students without resources and transportation, makes our center, our successes, and our challenges unique.

The SHC consists of providers who work well together and collaborate effectively with the Campus and community.The SHC is open during the summer allowing us to see more students. Our overall patient census continues to climb each year in spite of reduced college student numbers. 
   
The SHC, per the Butte College Health Service Plan, operates as a healthcare facility available to students enrolled in credit classes offered by Butte College.  Medical and mental health services are available during the fall, winter, spring and summer semesters. The center is open Monday through Friday and is staffed by Nurse Practitioners and a Mental Health Specialist. Our Medical Director/Physician is available on site, as needed, and by phone or email.    

Medical conditions are assessed, diagnosed and treated by the Nurse Practitioners or the Physician.  Problems for which students are commonly seen include dermatology, upper respiratory infections, allergies, reproductive health, respiratory problems, campus injuries, Tuberculosis testing, preventative care, physical examinations, immunizations, and medication consultation or prescription.  

Our Mental Health Specialist is a licensed Marriage and Family Therapist.  The therapist provides brief individual and couple therapy to registered students.  Common issues include depression, anxiety, alcohol and drug issues, relationship problems, grieving, and attention problems.  The therapist provides presentations on mental health topics to the campus community. Mental Health services not only aid the health of many of our students, but promotes the safety of the campus.  

Currently, patient census for both medical and mental health services has exceeded our expectations and resources. The phenomenal growth and popularity of the Student Health Center is a direct reflection of our students' trust and dependence on these critical health care services. Triage is a reality and some students with non emergent health care complaints may be redirected to other facilities.  A third part-time mid level provider and additional medical staff is needed to assist those students with restricted access.  


Accountability for Previously Funded Items


Accountability Item 1

Funding towards salary of part-time Mental Health Therapist.  Funded by SSSP.

 


Amount: 25000.00
Used For Intended Purpose: Yes
Benefit

Allows our students to receive mental health services. 

Provides guidance for campus community related to student behaviors and safety.

Provides consultation to Vice President of Student Services related to disciplinary issues.



Student Learning/Administrative Unit Outcomes

The Student Health Center will focus on assessing the Tuberculosis process in collaboration with County Public Health Department.  The focus is on disease prevention and treatment of students and staff within the campus community.


Standards/Goals for Student Achievement (OSLED Departments)

N/A


Standards/Goals for Student Achievement (All Other Departments)

The Student Health Center supports the College in meeting its student achievement standards by maintaining the health and wellness of our students and campus community. 

The Student Health Center plays a vital role in supporting Butte College's efforts to support student retention and achievement. The SHC staff are dedicated and focused on helping students maintain their health. Other areas of support include:

Provide health and wellness services/resources to students.

Educate students about maintaining mental health through classroom PowerPoint lectures.

Collaborate with County and State Public Health agencies.

Advocate for students, as needed and appropriate.

Collaborate with Sports Medicine and the Athletic Department to provide physical exams and emergent care for our athletes.

Provide educational PowerPoint lectures to faculty and staff regarding safety and dealing with difficult students.

Collaborate with community medical and mental health providers for referral and medical/mental health follow-up.

Promote equity and ensuring culturally competentence.


Strategic Direction

The SHC supports the college in meeting it's Strategic Direction and Priorities.

Enhancing a Culture of Completion and Academic Achievement (Strategic Initiative 1.a.5)

The SHC provides a nurturing and supportive staff to assist students who are experiencing adversity. The collaboration among providers, both medical and mentah health, provides the optimal treatment environment and is a considerable factor in student success. Just as important is the role of the instructors and academic counselors who also collaborate with us in addressing the student's issues. The Center works with the students to help them develop a more productive learning plan.

Enhancing a Culture of Inclusiveness (Strategic Initiative 6.3) - Improving access, success and completion of targeted student populations through the implementation for the Student Equity Plan.

The SHC has an effective outreach program. We work closely with Safe Place & Wellness Program when our students need specialized knowledge and resources to handle sexual, domestic or partner violence.

Overall, the SHC has reached out across the campus. We offer classroom involvement, taking the clinic to groups such as fire, law enforcement, nursing and athletics with physical exams and vaccinations.  It is widely understood and appreciated that if any instructor or academic counselor feels a student is in need of medical health assistance, the Early Alert referral process can streamline a student into our care.


Program Review

The top recommendation from the 2012 program review was to expand professional and administrative staff to meet the increasing student need. Implementing an additional Nurse Practitioner along with our two full-time positions has been in the Unit Plan for several years. This will allow for better coverage and hours for students to be seen. Some expansion of the clinical Assistant hours has been implemented, however we still need administrative staff to cover during the summer hours.  A request is currenly being done with one-time funding through the P-1 process. We need this to be established permanently.

 


Department Goals


 

 

 

 

 


Future Development Strategies

Strategy 1 - Health and Wellness Services to Assist Student Retention and Completion

 

Strategic Direction 1.a.2 

Providing the appropriate health and wellness services and resources.

 

Strategic Direction 1.c.4

Establishing structures that result in a culture of retention and completion that is reinforced through SHC services.


Initiatives
  • Enhancing a Culture of Completion and Academic Achievement
  • Supporting Student, Faculty and Staff Success
  • Maximizing Resources to Support Student Learning

Supporting Rationale

      In order for the SHC to operate at full capacity,  additional coverage is needed to relieve the work burden and stress to the current staff. The Center census has grown to the point that the current providers are unable to support the needs of all students. 

 


Supporting Rationale Alignment
Supports Previous Program Review Recommendations: Yes
Supports Changes from Student Learning Outcomes Assessment: No

Strategy 2 - Mental Health Services

Strategic Direction 1.c.3

 Expanding availability of mental health services.


Initiatives
  • Enhancing a Culture of Completion and Academic Achievement
  • Supporting Student, Faculty and Staff Success
  • Maximizing Resources to Support Student Learning

Supporting Rationale

To promote mental health wellness for the campus community.  Providing specialized trainings, continuing education and equipment is imperative to support diverse student needs and assist in campus safety. 


Supporting Rationale Alignment
Supports Previous Program Review Recommendations: Yes
Supports Changes from Student Learning Outcomes Assessment: Yes

Strategy 3 - Additional Office space

Strategic Direction 1.h.4

With the addition of Mental Health Specialists, including interns, that will be seeing patients for brief therapy, the SHC will need to expand. Our previous facilities director, Mike Miller envisioned this need and  in doing so he left a large parcel of land on the  east side of the SHC building, which is perfect for extending the Center out with several additional exam, therapy, and treatment rooms.


Initiatives
  • Supporting Student, Faculty and Staff Success
  • Maximizing Resources to Support Student Learning
  • Enhancing a Culture of Inclusiveness

Supporting Rationale

SHC services and demands for services are continually growing. Additional office space provides the opportunity to extend adequate services to our students.  Our Mental Health and Medical staff can utilize additional space without compromising the daily operations and adhering to legal and ethical standards of confidentiality.  Separate space/new location is needed for vision exams.


Supporting Rationale Alignment
Supports Previous Program Review Recommendations: Yes
Supports Changes from Student Learning Outcomes Assessment: Yes

Strategy 4 - Update/Repair Current Facilities

The Student Health Center is comprised of several modular buildings contstructed as one.  Update/repairs are critically needed in order to maintain the building.


Initiatives
  • Modeling Sustainability

Supporting Rationale

There are current issues with the Student Health Center resulting in update/repairs that are critically needed:

 

  • floor gives away when walked on
  • rooms are not sound proof
  • wallpaper is falling down
  • no privacy
  • HIPPA Compliance issues (front check in windows)

Supporting Rationale Alignment
Supports Previous Program Review Recommendations: No
Supports Changes from Student Learning Outcomes Assessment: No

Requested Non-Financial Resources

Allocate classrom space on campus to provide group therapy.

Current Financial Resources

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.

Student Health Center:  $488,513

Psychological Services:  $71,642

 

Augmentation Requests

Original Priority Program, Unit, Area Resource Type Account Number Object Code One Time Augment Ongoing Augment
Description Supporting Rationale Potential Alternative Funding Sources Prioritization Criteria
1 Student Health Center Personnel 12-342-710-1-644000 52390 $0.00 $72,902.00
70% Nurse Practitioner 10 month position Due to resignation and reorganization of the clinic. A second Nurse Practitioner is desperately needed to reduce the overload of the current Nurse Practitioner and Director so that he may work on Administrative needs of SHC. The NP/Director currently sees on average 130 students per week. And the wait time to see him is two weeks. In order for the SHC to operate at full capacity, at least one full-time Nurse Practitioner is needed. 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.
  • Student Support Services Program (SSSP)
  • Addressing Health/Life/Safety issues
  • Maintaining ongoing operations at current levels (excludes grants)
  • Meeting standards and working to achieve goals for course success, retention, degree achievement, certificate completion, transfer, and credentialing
  • Recruiting, hiring and retaining a diverse workforce
2 Student Health Center Personnel 123427101644000 52120 $0.00 $6,500.00
Expand Back Office Medical Assistant Position, 10 month to 12 month. Critical need to expand Back Office Medical Assistant from 10 month to 12 month due to increase of students accessing clinic for health and wellness needs. Increase in academies and Allied Health programs, as well as the addition of the Child Development classes requirements result in physicals and immunizations needed for program participation. Continuity of care critical.
  • Student Support Services Program (SSSP)
  • Addressing Health/Life/Safety issues
  • Maintaining ongoing operations at current levels (excludes grants)
  • Meeting Standards and Goals for Student Achievement
  • Meeting standards and working to achieve goals for course success, retention, degree achievement, certificate completion, transfer, and credentialing
  • Recruiting, hiring and retaining a diverse workforce
3 Student Health Center Personnel 12-342-710-1-644000 52120 $0.00 $21,000.00
Part-time Clerk II- Medical Records Clerk Currently there are only 2 permanent staff members in the front office area while our patient census has increased over 350%. 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.
  • Student Support Services Program (SSSP)
  • Addressing Health/Life/Safety issues
  • Maintaining ongoing operations at current levels (excludes grants)
  • Meeting standards and working to achieve goals for course success, retention, degree achievement, certificate completion, transfer, and credentialing
  • Recruiting, hiring and retaining a diverse workforce
4 Student Health Center Facilities $0.00 $0.00
Additional or new office space Additional or new office space is needed to coordinate new providers and mental health interns that will be seeing patients for brief therapy. Our previous facilities director, Mike Miller envisioned this need and in doing so he left a large parcel of land on the east side of the SHC building, which is perfect for extending the clinic out with several additional exam, therapy, and treatment rooms.
  • Student Support Services Program (SSSP)
  • Addressing Health/Life/Safety issues
  • Maintaining ongoing operations at current levels (excludes grants)
  • Implementing the 2018-2019 Strategic Direction Priorities
  • Meeting Standards and Goals for Student Achievement
5 Student Health Center Personnel 12-342-710-1-644000 52390 $0.00 $40,000.00
Develop Part-Time Practitioner Hiring Pool A pool of part-time practitioners are needed for coverage when other practitioners are out of the office. Critical for continuity of care for our students.
  • Student Equity
  • Addressing Health/Life/Safety issues
  • Maintaining ongoing operations at current levels (excludes grants)
  • Implementing the 2018-2019 Strategic Direction Priorities
  • Meeting Standards and Goals for Student Achievement
  • Recruiting, hiring and retaining a diverse workforce
6 Student Health Center Operating Expenses 12-000 55630/6411 $0.00 $11,500.00
Medicat Hosted Electronic Medical Records Medicat’s hosted system avoids the cost of purchasing the software, the servers and the IT staff . It provides support required to maintain the servers, provide redundant backups, coordinate software updates and upgrades and monitor database security. Our Student Learning outcomes are based on the data received from students on specific health care topics. We gauge how effective we are in educating students. Our Medicat system is a critical component of data collection and analysis, as well as the providing quality medical charting and documentation.
  • Student Support Services Program (SSSP)
  • Maintaining life-cycle replacement for computer labs, smart classrooms, and faculty and staff computers
  • Addressing Health/Life/Safety issues
  • Maintaining ongoing operations at current levels (excludes grants)
  • Meeting Standards and Goals for Student Achievement
  • Implementing the 2018-2019 Strategic Direction Priorities