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 affects 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.
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. 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 Physicians, Nurse Practitioners or Physician Assistants and a Mental Health Specialist(s). Medical conditions are assessed, diagnosed and treated by the Nurse Practitioners or the Physician. Problems for which students are commonly seen include but not limited to dermatology, upper respiratory infections, allergies, reproductive health, respiratory problems, depression, anxiety, campus injuries, Tuberculosis testing, preventative care, physical examinations, immunizations, and medication consultation or prescription. Our Mental Health Specialist is currently a licensed clinical social worker. 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, our clinic is understaffed and there is an immediate need to fill the full time Director/Practitioner position. Triage is a reality and some students with non emergent health care complaints may be redirected to other facilities. Adding additional part-time mid level providers and additional medical staff is needed to assist those students with restricted access.
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.
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The top recommendation from the 2012 program review was to expand professional and administrative staff to meet the increasing student need. Implementing Implementing a per-diem model of mid-level practitioners will allow for better coverage and hours for students to be seen. Expansion of the clinical Assistant hours has been implemented interim, however we still need this finalized and 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.
To serve the health and wellness needs of our students.
To successfully hire a Director of the Student Health Center to lead the area.
To develop a pool of practitioners at the Student Health Center to cover all hours.
To expand mental health services.
To seek additional funding for expansion of clinic.
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.
In order for the SHC to operate at full capacity, additional mid-level practitioners need to be hired in a per-diem model. This will assure the SHC is supporting student success.
Th The Director/Nurse Practitioner, Physicians Assistant position needs to be filled to provide leadership and ability to work on administrative directive of SHC.
T
Strategy 2 - Mental Health Services
Strategic Direction 1.c.3
Expanding availability of mental health services.
To promote mental health wellness for the campus community. A flull time Mental Health Specialist is needed to take part in the specialized trainings, continuing education and equipment to support diverse student needs and assist in campus safety. And a part-time Mental Health Specialist will then be available to support the full time therapist with patient load.
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.
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.
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.
There are current issues with the Student Health Center resulting in update/repairs that are critically needed:
Allocate space on campus to provide small, brief group therapy or support groups.
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: $510,133
Psychological Services: $68,400
| 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 | 52110 | $0.00 | $110,000.00 |
| Director/ Nurse Practitioner 12 month position | Due to resignation and reorganization of the clinic. A Director/ Nurse Practitioner is needed to work on Administrative needs of SHC. In order for the SHC to operate at full capacity, at least one full-time Nurse Practitioner is needed. The clinic is currently unable to support the needs of all students coming to the clinic. |
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| 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. |
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| 3 | Student Health Center | Personnel | 12-342-710-1-644000 | 52390 | $0.00 | $70,000.00 |
| Develop Per-Diem Practitioner Hiring Pool | A pool of part-time practitioners are needed for coverage. Critical for continuity of care for our students. |
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| 4 | 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. |
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| 5 | 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. |
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| 6 | Student Health Center | Operating Expenses | 12-000 | 55630/6411 | $0.00 | $15,000.00 |
| 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. |
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