UNIVERSITY OF NORTHERN IOWA STUDENT HEALTH CLINIC ANNUAL REPORT 2009 Executive Summary: The Student Health Clinic offers students one-stop health care services that are centrally located on campus. We strive to make a positive impact in the lives of students. We prepare students to be responsible for self-care, health awareness and education which are essential in building a healthy campus. We have been providing on campus health services to the students for the past 100 years. In 2009, the Student Health Clinic began a new chapter with staff and services. Five staff members were hired to replace vacant positions and the Student Health Advisory Committee (SHAC) was re-energized. Additionally, the Health Clinic website and brochure were redesigned to encompass the services and health education we provide to students. Lastly, we increased our efforts to educate students and parents during new student orientation sessions. This was an opportunity to educate how the Student Health Clinic works to treat but more importantly prevent illness and injuries. We saw high numbers of participation during the parent sessions at new student orientation as well as the orientation informational fair. In 2009, we had a record breaking year; 7,821 unique patients accessed our services for a total of 27,663 visits. The Student Health Clinic staff is committed to the essential role we play in the health and well-being of UNI students. We understand today's college students and want to assist them in meeting their needs today to ensure a healthy future. Student Health Clinic: At-A-Glance M I S S I O N : To serve the student community by preventing and treating illness, promoting responsible habits and monitoring the overall health of the campus. Goals: 2008-2009 1. Provide orientation for new Student Health Clinic staff. 2. Provide colposcopy services to UNI students. 3. Update Student Health Clinic website. 4. Develop space for Clinic Resource Nurse and Accountant offices. 5. Develop role of resource nurse. 6. Establish Quality Improvement education and process for SHC. 7. Solidify a budget process that emphasizes performance and accountability. 8. Revise SHC mission statement. Accomplishments and Changes: Redesign SHC website & services brochure, Patient Satisfaction Survey, Colposcopy Services, PCR-GC and Chlamydia Testing In-House, Utilization of Iowa Registry Information System. 1 Staff: Director, Physicians (3), Physicians Assistants (2), Psychiatrist (One at six hours per week), Nurses (6), Pharmacist, Lab Technologist, Medical Receptionist (3), Patient Account Representative, Administrative Specialist, Accountant, Pharmacy Technician, Student Staff (2). Services: Primary Care: General Medicine, Nursing Services, Preventative Medicine, Mental Health Services, Pharmacy, Laboratory, Immunization, Travel Medicine, Treatment and Procedures, Health Education. Medical Support Services: Appointments, Third Party Insurance Billing, Immunization Compliance, Health Information Management, Administration: Student Health Insurance, Student Satisfaction, Accounting & Fiscal Controls, Marketing, Website, Student/Parent Orientation, Information Technology, Quality Assurance, Accreditation, Staff Development. Oversight: Director of University Health Services, Vice-President of Student Affairs, Student Health Advisory Committee (SHAC), and Board of Regents State of Iowa. Accreditation: Accreditation Association for Ambulatory Health Care (AAAHC) FY09 Student Health Pharmacy Patien t Prescriptions: Prescription Category Total Antibiotic Other Prescriptions 3620 2353 1155 723 469 437 408 368 338 321 268 242 211 198 177 148 116 103 98 95 859 Total Prescriptions 12,707 Unique Pharmacy Patients 3,755 Contraceptive Antidepressant Pain Reliever Glucocorticoid Anti-Anxiety Antitussive ADHD Treatment Asthma Treatment Decongestant Antifungal Ophthalmic Antibiotic Topical Anti-Infective Topical Corticosteroid Sedative Intranasal Corticosteroid Proton Pump Inhibitor Muscle Relaxer Antihistamine/Decongestant Anti-Infective FY09 Student Health Cl inic Patien t Diagnosis: Patient Diagnosis by Group Preventative Health (Immunizations, Physicals, & Health Education) Disease or Disorder of Respiratory System Symptoms & Signs Mental Health (Psychiatry and Family Practice Diagnoses) Disease or Disorder of Female Genitourinary System Disease or Disorder of Skin Disease or Disorder of Nervous and Sense Systems Infectious Diseases Disease or Disorder of Musculoskeletal System Injuries Disease or Disorder of Digestive System Disease or Disorder of Male Genitourinary System Other Ungrouped Diagnosis Disease or Disorder of Endocrine, Immune, Metabolic Systems Disease or Disorder of Blood Neoplasm (Lesion or Growth) Disease or Disorder of Circulatory System Disease or Disorder of Breast Congenital Anomalies Count Grand Total 27,663 7,587 6,866 3,132 1,880 1,513 1,341 1,257 1,024 773 706 380 348 235 199 145 140 82 48 7 2 FY09 Student Health I nsurance Pl an (SHI P): SHIP Plan Type Participants SHIP-Domestic 545 SHIP-International 271 SHIP-Camp Adventure SHIP-Continuation (Graduated UNI Students) 165 Transaction Type Exam-Office Visit 136 SHIP-Athlete 71 Dental Only 53 Total Enrollment FY09 Student Health Cl inic Service Summary: Total Count 12,241 Lab 6,901 Immunizations/Vaccinations 5,092 Nurse Visit 3,807 Injection (Allergy, Antibiotic and Pain Medications) Treatment (Suturing, Colposcopy, Lesion Removal) Physical Preventative Exam 1,241 FY09 Student Health Cl inic Service Fees: 1,097 476 468 Medical Supplies (Splint, Crutches, etc.) 317 Mental Health (Psychiatry) 273 Total Transactions: 30,672 Service Fees Count Amount Total Charges Insurance Claims Filed Insurance Adjustments (Contractual Agreements) Insurance Payments and Non-Insurance Payments 6,788 $225,749 Total Visits 27,663 Unique Patients 7,821 2,680 ($24,351) 7,786 $392,421 $393,231 Financial Statement Fiscal Year ending June 30, 2009 Fee Rate Per Semester $ 81 Revenue Revenue Student Fees Clinic Service Fees 398,117 Pharmaceutical Charges 331,077 Counseling Center General Funds 261,438 Interest Income 68,130 Total Revenue Pharmacy Charges 10% 2,287,602 $3,346,363 Counseling Center GEF 8% Interest Income 2% Clinic Service Fees 12% Operating Expenses Student Health Clinic Salaries 1,233,467 Student Health Clinic Wages 289,639 Student Health Clinic Student Wages 12,290 Counseling Center Salaries 455,402 Counseling Center Wages 127,501 Health Education Salaries 55,689 Counseling Center Operating Cost 23,840 Pharmacy Items for Resale 227,258 Medical Supplies 104,160 Equipment 75,662 Duties, Licenses & Maintenance Fees 54,683 Professional Service 47,591 Utilities 40,183 Other Current Expenses 46,484 Total Operating Expenses $ 2,793,847 Mandatory Transfers To Debt Service 281,024 To Repair Replacement Reserves 271,492 Total Expenses $3,346,363 Expenses : Pharmacy Items 8% Medical Supplies & Equipment 6% Maintenance & Service 5% Other Expenses 3% 3