Student Services Program Planning Yearly Update Department: Student Health Services Date: June 2013 Goals and Recommendations from Program Plan List the top five goals and recommendations from the last Program Plan and indicate whether they have been met Goals / Recommendations from six-year plan In progress (in clude projected timeline) Reinstate management level director position when economically feasible. X Funding for This position was eliminated for budgetary position will reasons in June of 2012. A faculty director be evaluated in was appointed from existing faculty. 2013-2014 Reinstating the managing director position will increase student access to direct services, for potential and give SHS a dedicated voice at the 2014-2015 management table. hire. Goal Met (identify source of funding) Comments (include any modifications to goals due to feedback, discussion and/or evaluation – refer to data when possible) The Student Health Services budget is tied to enrollment headcount. The total headcount fell from 16,467 in fall 2009 to 14,842 in fall 2011. The headcount numbers are now stabilizing and predicted by the Planning and Research Office to stay above 14,000. Policy for an automatic increase of student health fee to maximum allowed by chancellor’s office was approved by the SHS Advisory Committee and the Student Services Council, and submitted to the board in June 2013. Cabrillo currently charges the maximum allowed fee of $19 per semester. The new policy will streamline fee adjustments and minimize delays that could jeopardize mandated service reimbursements. SHS became a Family PACT provider in Fall 2012. In addition to increasing student access to reproductive health services, this program has become a new revenue source for SHS. SHS received $9,625 from Family PACT during the first year pilot of the program, and expects to generate $40,000 per year moving forward. Revised October 22, 2012 Address SHS space needs. The current SHS space is of inadequate size and configuration for providing medical and counseling services. The lobby and front counter space is small, and not conducive to preserving privacy. The counseling offices are adjacent to, but do not communicate with, the clinic space. There is only one true exam room, and no proper lab for processing specimens. It is difficult for clients with disabilities to navigate the health center. A larger and more accessible space in the 1000 building has been identified for SHS. SHS has one time funds available to match facilities funding for a remodel of this new space. X Cabrillo students are supportive of SHS moving to a larger space. The students on the SHS Ad Hoc Advisory Committee recommended against an alternative plan to stay in the current space and expand into the Fireside Lounge, and found the space in the 1000 building more appropriate for SHS. SHS needs to move to larger space as soon as possible. A plan to start remodel process will be made upon completion of the 800 building project in Fall 2013. The Student Senate awarded a $1,300 grant to SHS in fall 2012 to support a space repurposing project. Exam tables, portable sinks, and other exam room equipment was purchased and placed in two former offices. The resulting hybrid exam/office/meeting spaces are cramped and awkward, but allow SHS to serve more students while we wait for more appropriate space. The equipment purchased for the space repurposing project will be used in the future space. One additional room for counseling was identified on the bottom floor of the 900 building. It was furnished and put into use fall 2012. SHS’s need for more space is documented in Facilities Master Plan. Participate in CCC SMHP suicide prevention initiative. The Chancellor’s office was awarded $6.9 million by the California Mental Health Service Authority in October 2011. This funding serves to support the Student Mental Health Program (SMHP) for California Community colleges focusing on prevention and early intervention as well as suicide prevention. Revised October 22, 2012 X Early and enthusiastic participation in all training and technical assistance offered to CCCs via SMHP including: - Kognito – online training for students, faculty, and staff to identify and help students in psychological stress. Linked on SHS web page, promoted in Flex activities with Dean of Student Services. Cabrillo has highest completion rate among CCCs as of SP 13. - Mental Health First Aid – SHS NP and PC trained as MHFA instructors 1/13. MHFA offered at Cabrillo twice SP13, will be offered Fall Flex week (and ongoing). Supports early identification mental health issues on - - - Administer NCHA survey to Cabrillo students. X The National College Health Assessment is a nationally recognized research survey that collects precise data about college students’ health habits, behaviors, and perceptions. Having current, relevant data about Cabrillo students’ health helps steer SHS efforts to enhance campuswide health promotion and prevention services. This survey was administered to Cabrillo students in 2007. Expand SHS social media outreach. Revised October 22, 2012 campus and teaches referral skills and stigma reduction. Campus Threat Assessment - Regional training hosted by Cabrillo SP 13. Rich discussion of Behavioral Intervention Teams, resources supporting Cabrillo’s new Student Success Conference Team identified. SHS director and counselor attend weekly SSCT meetings. Peer Counseling – regional training hosted at Cabrillo SP 13. Cabrillo Peer Counseling planning team identified. Meetings to plan implementation scheduled SU 13. Welcome Home: Veteran’s on Campus regional training scheduled at Cabrillo Fall 13 Flex Week. In reach to key campus players. Funds to be identified and survey administered before next program review. X Faculty Director and Administrative Assistant trained in basic web site maintenance skills. Student input on advertising and outreach actively sought via monthly SHS Advisory Committee Ad Hoc meetings. SHS is considering purchasing Student Health 101, a web based monthly wellness magazine for college students. Funds have yet to be identified. New Goals and Recommendations since Last Program Plan List any new goals and recommendations identified by the department Goal/Recommendation (include timeline) Use Medical Assistants (MA) in SHS. Cost $35,000/year Explanation/Evidence of Need (indicate how this need was assessed) Status (Comment on progress of new goals/recommendations listed in last annual update) Need identified via attendance of Health Improvement Partnership (HIP) of Santa Cruz board meeting and continuing education workshops summer and fall 2012. Santa Cruz County expects an enormous increase in demand for health services as 40,000 county residents become newly eligible for healthcare coverage in Jan 14 via the Affordable Care Act. Medi-Cal will cover more residents, and a health care insurance exchange will be available for uninsured Californian’s to purchase health insurance as required by the ACA. First MA extern student in SHS spring 2013 to pilot integration of MA role in SHS. Many skills usually performed by nurses and nurse practitioners were successfully performed by the MA extern, freeing the nurse and nurse practitioners up to attend to more complex duties. No matching surge of new primary care providers has been identified to meet this new demand for healthcare. The solution to this provider shortage supported by HIP (and many communities Revised October 22, 2012 New Family PACT revenue will cover the cost of a new MA position to be filled fall 2013. SHS has registered to become a certified enrollment assistance location for the California health insurance exchange. Training will take place summer and early fall 2013. Outreach to students will begin in fall 2013. This will be another new revenue source, as the state will reimburse SHS $58 nationwide) is the “share the care” model, in which support staff is trained to work at the top of their scope of practice freeing clinicians to provide more complex care and increasing overall access to care. for each individual we assist with the application process. It is not yet clear how complex and time consuming each application will be, so SHS capacity and potential revenue has yet to be determined. SHS will need to support students through the transition from uninsured to Medi-Cruz, or purchasing insurance on the open market. SHS will also need to continue to be active participants in the healthcare of Cabrillo students as there will not be enough primary care providers available in the community to care for newly covered healthcare seekers. Revise Front Office Manual Revised October 22, 2012 No direct cost. SHS specific institutional knowledge Director and Admin Assistant time was lost when our Admin Assistant identified in summer 2013. of 8 years retired in the fall of 2012. There was minimal overlap with the new Admin Assistant and therefore insufficient training time. The existing Front Office Manual is thorough and full of great information, but in need of updating and reorganizing in a way that makes the information more accessible to new staff. SSLO Assessment Progress In a sentence or two, describe where your department should be with ongoing assessment (what assessment you should have done in the last year) and what was actually done. If any task was not completed, explain why. SHS SSLOs are assessed annually via the Student Satisfaction Survey and the Wellness Fair Evaluation tool. The results are discussed at staff meetings, and used to plan outreach and education efforts. Fill out the Assessment Results section below. SSLO Assessment Results List SSLO assessments, dialogues, and priorities identified as a result of your assessment below. Attach Departmental Assessment Analysis Forms completed in the last two semesters. Core Competency, Program Date of meeting where Priorities identified for program as a result of assessment. SSLO Assessed analysis / dialogue took place. Example: Department Meeting on 00/00/2012 Students will be able to identify the location of SHS. Students attending the Fall Wellness Fair will demonstrate knowledge about self-care and health resources available to them on campus and in the community. Revised October 22, 2012 Assessed via SHS Student Satisfaction Survey annually in May, discussed in department meeting in annually in August. May 2011: 76% of students answering the student satisfaction survey reported knowing where SHS is located. Outreach events, curriculum infusion and regular on-campus tabling were used in an attempt to increase student awareness of SHS services and location. May 2011, August 2011 May 2012, August 2012 May 2013 May 2012: 79% of students completing the survey reported knowing the location of SHS. An ad hock student advisory committee was formed in September 2012 in an effort to get student input on program marketing, among other things. Assessed annually in September via Wellness Fair event evaluation tool. Results are discussed in November staff meetings and used on an ongoing basis to plan the following year’s event. May 2013: Survey administered. Data to be analyzed summer 13, discussed with SHS team, and considered in 13/14 outreach plan. Fall 2012: 91% of the students who completed the evaluation successfully demonstrated self-care and health resource knowledge after attending the Wellness Fair. Revised October 22, 2012