UNIVERSITY OF NORTHERN IOWA
STUDENT HEALTH CLINIC
ANNUAL REPORT 2011
Executive Summary:
The Student Health Clinic offers services for today's college student. Our goal is to help students to understand the
responsibility for their health choices today to ensure a healthy future. We strive to achieve this goal by providing health
education to students during patient focused office visits. Health education increases student knowledge and awareness of
health behaviors and how these may impact their ability to return to classes and their long-term well-being.
In the fall of 2010, the Student Health Clinic again focused efforts on keeping the campus healthy. We promoted the
importance of flu vaccinations, and students, faculty and staff responded by participating in our campus wide flu shot
clinics. We were able to administer 2,223 flu vaccines during the 2010-2011 academic year. We also conducted a
University-wide tabletop exercise scenario for meningitis outbreak. The tabletop exercise was a low-stress event that
facilitated better preparedness for a Public Health disaster by evaluating plans and systems without suffering the
consequences of a real event. The tabletop exercise allowed participants the ability to provide constructive discussion.
Sixty-one attendees examined and resolved problems and developed a coordinated response to the fictional scenario
provided in the exercise.
The SHC responded to an increased need for services for students by adding a new provider and health care and laboratory
services. The first area we addressed was to meet the increased need for mental health services by hiring a part-time
psychiatric nurse practitioner. Secondly, we began to offer a non-invasive procedure, spinal reflex analysis, for students
who were experiencing muscle and joint pain. Lastly, we purchased new equipment to provide in-house laboratory services.
This provides a quick-turn around on lab testing for the students and health care providers and allowed the SHC to partner
with the University Employee Wellness to provide annual blood chemistry screenings for employees.
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: 2010-2011
1) Orient new Student Health Clinic staff by providing access to University wide orientation both formally and
informally.
2) Conduct a table top drill for a campus meningitis outbreak scenario involving staff from the University, local
Public Health Department, State Public Health officials, and local emergency services.
3) Collaborate with Allen College of Nursing to provide a public health rotation for nursing students.
4) Conduct a patient satisfaction survey in the fall 2010.
5) Accomplish two health care provider peer review studies.
6) Revise/create nursing templates for standardization of assessment/documentation.
7) Develop front desk guidelines for utilization of psychiatric nurse practitioner.
8) Gain an in-depth understanding of the SHC Information Technology services and responsibilities.
Accomplishments and Changes:
Conducted patient satisfaction survey and received a 96% overall satisfaction with the SHC, Administered over 2,000
seasonal influenza vaccinations to students, faculty and staff, Provided flu kits and health education materials for students,
and implemented new on-site laboratory services for students.
Staff:
Director, Physicians (3), Physician Assistants (2), Psychiatrist (One at six hours per week), Psychiatric Nurse Practitioner,
Nurses (6), Pharmacist, Lab Technologist, Medical Receptionist (3), Patient Account Representative, Administrative
Specialist, Accountant, Information Technology Specialist, Pharmacy Technician, Student Staff (6).
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 Student Health Advisory Committee (SHAC) is a dedicated group of students voicing the needs & concerns of the UNI
student body. The fifteen members are comprised of students and Health Center staff. 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. SHAC hosted several events in 2010-2011 including: New student organization
recruitment fairs, Women’s Services promotion, Don’t let STD’s creep up on YOU!, Hand washing and flu prevention, Threw
with Chew, What happens on spring break doesn’t always stay on spring break, Melanoma awareness, and Wake up UNI!
During these promotion activities SHAC was able to reach over 1,300 students 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 Pharmacy
Patient Prescriptions:
Prescription Category
FY11
Count
Student Health Clinic
Patient Diagnosis:
FY10
Count
Patient Diagnosis by Group
FY11
Count
FY10
Count
Preventative Health (Immunizations, Physicals, & Health Education)
9,108
9,428
Disease or Disorder of Respiratory System
5,842
6,107
Symptoms & Signs
2,907
2,726
Mental Health (Psychiatry and Family Practice Diagnoses)
2,342
2,175
Disease or Disorder of Female Genitourinary System
1,289
1,244
Disease or Disorder of Skin
1,258
1,238
Antibiotic
3,277
3,409
Contraceptive
2,669
2,453
Antidepressant
1,156
1,233
Pain Reliever
701
637
Anti-Anxiety
592
516
Corticosteroid
570
511
ADHD Treatment
489
499
Disease or Disorder of Nervous and Sense Systems
1,204
1,142
Antitussive
403
434
Disease or Disorder of Musculoskeletal System
1075
761
Anti-Fungal
361
351
Infectious Diseases
1047
902
Asthma Treatment
323
380
Injuries
766
562
Opthalmic Antibiotic
240
213
Disease or Disorder of Male Genitourinary System
323
238
Topical Anti-Infective
227
203
Disease or Disorder of Digestive System
247
378
Sedative
226
197
Disease or Disorder of Endocrine, Immune, Metabolic Systems
194
188
Antiviral
220
202
Disease or Disorder of Blood
160
153
Topical Corticosteroid
213
221
Disease or Disorder of Circulatory System
150
130
Neoplasm (Lesion or Growth)
145
133
Disease or Disorder of Oral Salivary and Jaw
115
75
Disease or Disorder of Breast
26
45
Congenital Anomalies
3
5
Complications of Pregnancy
1
0
28,202
27,630
Gastrointestinal Agent
178
79
Intranasal Corticosteroid
166
141
Antihistamine
163
123
Other Prescriptions
1,219
1,214
Total Prescriptions
13,393
13,016
Unique Pharmacy Patients
3,819
Grand Total
3,704
Student Health Insurance Plan (SHIP):
SHIP Plan Type
FY11
Count
FY10
count
SHIP-Domestic
266
318
SHIP-International
94
156
SHIP-Camp Adventure
54
SHIP-Continuation (Graduated UNI Students)
Student Health Clinic Service Summary:
Transaction Type
FY11
Count
FY10
Count
Exam-Office Visit
12,066
11,594
Lab
7,790
8,011
59
Immunizations/Vaccinations
5,692
3,802
104
178
5,027
5,243
SHIP-Athlete
39
49
1,691
2,553
Study Abroad
16
5
Nurse Visit
Injection (Allergy, Antibiotic and Pain
Medications)
Treatment (Suturing, Colposcopy, Lesion
Removal)
Dental Only
38
40
Total Enrollment
611
805
706
457
Physical Preventative Exam
400
419
Medical Supplies (Splint, Crutches, etc.)
376
421
Mental Health (Psychiatry)
761
301
34,509
32,801
Total Transactions:
Student Health Clinic Service Fees :
Transaction Type
Total number of Insurance Claims Filed
Total dollar amount of Insurance Claims
Filed
Total Insurance Adjustments (Contractual
Agreements)
Total Insurance Payments and NonInsurance Payments
FY10
FY11
5,355
7,063
$225,749
$334,150
(24,351)
(28,931)
$392,421
$391,487
Fee Rate Per Semester
Revenue
Student Fees
Clinic Service Fees
Pharmaceutical Charges
Counseling Center General Funds
Interest Income
Total Revenue
Operating Expenses
Student Health Clinic Salaries
Student Health Clinic Wages
Student Health Clinic Student Wages
Counseling Center Salaries
Counseling Center Wages
Health Education Salaries
Counseling Center Operating Cost
Health Education Operating Cost
Pharmacy Items for Resale
Medical Supplies
Overhead Allocation Fee
Equipment
Duties, Licenses & Maintenance Fees
Professional Service
Utilities
Other Current Expenses
Total Operating Expenses
Mandatory Transfers
To Debt Service
To Repair Replacement Reserves
Total Expenses
Total Charges:
FY11-$86
$391,487
$371,237
Total Visits:
18,803
18,171
Unique Patients:
8,401
8,213
FY10-$83
FY11 Revenue:
$
2,483,768
405,976
354,152
188,213
32,471
3,464,581
$
$
$
1,256,266
271,564
31,749
526,929
62,862
42,611
28,509
16,223
246,202
204,928
70,574
47,441
53,925
28,928
126,768
3,015,477
$
281,574
167,530
3,464,581
$
$
$
2,323,336
329,014
346,150
183,905
42,082
3,224,487
$
1,178,584
280,676
25,582
448,962
56,745
6,271
17,912
251,735
147,608
95,746
42,326
68,002
26,967
57,645
2,704,763
$
281,374
238,350
3,224,487
Pharmcy
Charges
Clinic
Service Fees
11%
Counseling
Center
General
Funds
6%
Interest
Income
1%
10%
Student
Fees
72%
FY11 Expenses:
Pharmacy
Items 8%
Other
Operating
Cost 1%
Medical
Supplies &
Equipment
7%
Maintenance
& Service
6%
Other
Salaries &
Wages
21%
Other
Current
Expenses
5%
Health
Clinic
Salaries &
Wages
52%