UNIVERSITY OF NORTHERN IOWA STUDENT HEALTH CLINIC ANNUAL REPORT JULY 1, 2011- JUNE 30, 2012 STUDENT HEALTH CLINIC: AT-A-GLANCE MISSION: To serve the student community by preventing and treating illness, promoting responsible habits and monitoring the overall health of the campus. GOALS: 2011-2012 1) 2) 3) 4) 5) 6) 7) 8) Collaborate with Iowa Department of Public Health to serve as an influenza sentinel testing site. Establish an electronic prescribing system to prevent potential prescribing errors. Conduct a patient satisfaction survey in the fall 2011. Conduct quality improvement and benchmarking studies Accomplish peer review studies. Create an Infection Control Committee to implement policies, procedures and surveillance activities. Develop a communication manual for the front desk staff and students. Update the servers on the network, upgrade speed on network, and create a process for back-ups and upgrades during off peak hours. Accomplishments and Changes: Implemented laboratory information system, administered over 2,000 influenza vaccinations to students, faculty and staff, served as a sentinel site for influenza surveillance for the Centers for Disease Control and Prevention, implemented Eprescribing, and created an infection control committee. Staff: Director, Physicians (3), Physician Assistants (2), Psychiatrist (One at seven hours per week), Psychiatric Nurse Practitioner, Nurses (7), Pharmacist, Pharmacy Technician, Lab Technologist, Medical Receptionist (2), Patient Account Representative, Administrative Specialist, Accountant, Information Technology Specialist, Student Staff (10 ). Services: PR IM AR Y CAR E : General Medicine, Nursing Services, Preventative Medicine, Mental Health Services, Pharmacy, Laboratory, Immunization, Travel Medicine, Treatment and Procedures, and Health Education . MEDI CAL SU PP OR T SER VICE S: Appointments, Third Party Insurance Billing, Immunization Compliance, and Health Information Management. ADMIN IS TR AT ION : Student Health Insurance, Student Satisfaction, Accounting & Fiscal Controls, Marketing, Website, Student/Parent Orientation, Information Technology, Quality Assurance, Accreditation, and Staff Development. Student Organization: The role of the University of Northern Iowa Student Health Advisory Committee (SHAC) is to inform students about fees, services, and educate students about health issues and prevention. The twenty members are comprised of students and Health Center staff. In 2011-2012 over 1,300 students were impacted through outreach programming in a variety of locations on campus. Oversight: Vice-President for Student Affairs, Director of University Health Services, Student Health Advisory Committee (SHAC), Board of Regents State of Iowa, and Student Health Clinic Governing Board. Accreditation: The Accreditation Association for Ambulatory Health Care (AAAHC) and COLA Laboratory Accreditation Student Health Clinic Service Summary Total Charges: Student Health Clinic Transactions 11/12 10/11 $402,385 $426,569 Total visits 20,155 18,803 Unique patients: 8,401 8,213 Student Health Clinic Revenue 11/12 10/11 Exam-Office Visit 11,433 12,066 Lab Nurse Visit 7,091 5,674 7,790 5,027 Immunizations/Vaccinations 3,958 3,606 Injection (Allergy, Antibiotic and Pain Medications) 1,097 1,257 Mental Health (Psychiatry) 1,017 761 11/12 10/11 Treatment (Suturing, Colposcopy, Lesion Removal) 671 706 Immunizations /Vaccinations 28% 25% Physical Preventative Exam 356 400 Lab 22% 24% Medical Supplies (Splint, Crutches, etc.) 378 376 Injection 21% 20% Total Transactions: 31,675 31,989 Treatment 17% 18% Student Health Clinic Service Fees Physical Preventative Exam 11% 12% Medical Supplies 1% 1% 11/12 10/11 6,195 7,063 Total dollar amount of Insurance Claims Filed 402,385 426,569 Total Insurance Adjustments (Contractual Agreements) (22,791) (28,931) Patient Accounts Receivable 29,703 17,550 Total U-bill, Cash and Check Payments 55,653 57,337 Total Insurance Payments and Non-Insurance Payments 349,002 391,487 Total number of Insurance Claims Filed Student Health Insurance Plan (SHIP) 11/12 10/11 SHIP-Domestic 192 318 SHIP-International 100 156 SHIP-Camp Adventure 42 59 SHIP-Graduated UNI Students 77 178 SHIP-Athlete 35 49 Study Abroad 9 5 Dental Only 32 40 Total Enrollment 487 805 Prescription Category Patient Diagnosis by Group FY12 Count FY11 Count Preventative Health (Immunizations, Physicals, & Health Education) 9,437 9,108 Disease or Disorder of Respiratory System 4,907 5,842 Symptoms & Signs 2,525 2,907 Mental Health (Psychiatry and Family Practice Diagnoses) 2,093 2,342 FY12 Count FY11 Count Antibiotic 3,024 3,277 Disease or Disorder of Female Genitourinary System 1,322 1,289 Contraceptive 2,362 2,669 Disease or Disorder of Skin 1,279 1,258 Antidepressant 1,353 1,156 Disease or Disorder of Musculoskeletal System 1,265 1,075 Pain Reliever 695 701 Disease or Disorder of Nervous and Sense Systems 1,055 1,204 ADHD Treatment 573 489 Corticosteroid 503 570 Infectious Diseases 947 1,047 Anti-Anxiety 437 592 Injuries 748 766 Sedative 317 226 Disease or Disorder of Male Genitourinary System 319 323 Anti-Fungal 289 361 Disease or Disorder of Digestive System 240 247 Antihistamine/Allergy 271 163 Disease or Disorder of Endocrine, Immune, Metabolic Systems 226 194 Topical Corticosteroid 270 213 Disease or Disorder of Blood 143 160 Asthma Treatment 267 323 Disease or Disorder of Oral Salivary and Jaw 139 115 Cough Relief 266 403 Disease or Disorder of Circulatory System 134 150 Ophthalmic Antibiotic 218 240 Neoplasm (Lesion or Growth) 116 145 Antiviral 110 220 Other Prescriptions 1,186 1,790 Disease or Disorder of Breast 39 26 Congenital Anomalies 6 3 Total Prescriptions 12,141 13,393 Complications of Pregnancy - 1 Unique Pharmacy Patients 3,604 3,819 Grand Total 26,940 28,202