Welcome To Program Review - Merritt

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0c-5c6c-4897-bd2a-2cd1c9c8aa05.htmlWelcome to Program ReviewMerri College - 2019Student Health Center - Service Area or Special ProgramAnnual Program UpdateProgram OverviewPlease verify the mission statement for your program. If your program has not created a mission statement, provide details on how your program supports and contributes to the College mission.The mission of Health Services in the Peralta Community College District is to further the equality of the educa onal opportunity and success for all students by providing access to health services which promote the physical, emo onal,social, and spiritual well-being of its students. This well-being contributes to the educa onal aim of our community colleges by promo ng student reten on and academic success (AP5200). Peralta Student Health Services enhance studentsuccess by addressing the physical, psychological, spiritual, and social needs of Peralta students in a holis c and culturally-sensi ve manner.The Merri College Student Health Services Center (SHS) is located in Building R, Room 106. The SHS is open on Mondays through Thursdays from 9 AM un l 5 PM. The Phone Number for the Clinic Recep onist is 510-436-2533. Ourwebsite is: h p://www.merri .edu/wp/health/. We offered only 16 hours per week of Mental Health Counseling Services in Fall 2018 but we have resumed offering 32 hours per week of Counseling Services again in Spring 2019. We havereduced the workload of the Campus RN by 50% due to changing needs. The greatest need remains: 1.0 FTE Mental Health Counselor to be hired to replace two part me MH Counselors.Program Total Faculty and/or StaffFull TimePart TimeNoneMedical Health Providers/RN's & NP's: 1) Jon Murphy, FNP (Student Health Services (SHS) Coordinator) (15 hrs./wk in fall2019 through spring 2021) 510-434-3827 or jmurphy@peralta.edu 2) Maurice Judge, RN from Roots Med Center-4 hrs/wk3) Tori Torbin, NP from Roots Med Ctr 4 hrs/wk; 4) Marta Viola, Acupuncturist 510-280-4801 martaviola@hotmail.com 4hrs/wk; Mental Health Counselors (2 part-timer) 5) Judy Noddin, LMFT, Counselor 510-434-3823; jnoddin@peralta.edu (16hrs./wk); 6) Jennifer Maghsoudi Golden, Psy.D. Counselor 510-434-3826 or Email: jmgolden@peralta.edu (16 hrs./wk) Parttime Receptionists: 7) Student Worker at Front Desk: Linda Asante Brenya 510-436-2533; Student Volunteer: Yilda M. PabloLorenzo and others --Requesting a 20 hr front desk admin AssistantThe Program Goals below are from your most recent Program Review or APU. If none are listed, please add your most recent program goals. Then, indicate the status of this goal, and which College and District goal yourprogram goal aligns to. If your goal has been completed, please answer the follow up ques on regarding how you measured the achievement of this goal.1) To Hire a Full Time Mental Health Counselor 1.0 Tenured Track Posi c-4897-bd2a-2cd1c9c8aa05.html1/15

0c-5c6c-4897-bd2a-2cd1c9c8aa05.htmlStatusIf Completed, What evidence supports comple on of this goal? How did you measure the achievement of this goal?In-ProgressCollege GoalEquity: Reduce the achievement gaps for African-American, multiethnic and male students.District GoalAdvance Student Access, Equity, and Success2) To u lize 360,000 Facili es Funding for reloca on and upgrade of Student Health ServicesStatusIf Completed, What evidence supports comple on of this goal? How did you measure the achievement of this goal?In-ProgressCollege GoalEquity: Reduce the achievement gaps for African-American, multiethnic and male students.District GoalBuild Programs of Distinction3) To hire a Part me Front Desk Medical Assistant to cover the front desk to be able to:answer phone callstake messagescheck Vital Signs:access our EMR Systemto room clients andto make appointmentsgenerally facilitate work flowStatusIf Completed, What evidence supports comple on of this goal? How did you measure the achievement of this goal?In-ProgressCollege GoalEquity: Reduce the achievement gaps for African-American, multiethnic and male students.District GoalDevelop and Manage Resources to Advance Our Mission4) To a ain a contract with an MD who provides Oversight for Nurses with a more relevant and Comprehensive Set of Standing Orders to eliminate the concerns about liability issues.Then RN's and NP's can more significantly address the most common Medical / Nursing needs of our students. My 4-pronged proposals/sugges ons are below to best meet Peralta student needs for Student healthServices.RE our oversight Merri SHS requested oversight for the 00c-5c6c-4897-bd2a-2cd1c9c8aa05.html2/15

0c-5c6c-4897-bd2a-2cd1c9c8aa05.htmla) First Aid Treatment â “ The Peralta RNâ s/NPâ s should have MD approval/oversight/standing order to administer standardized First Aid to his/her students as wri en by American College EmergencyPhysiciansâ First Aid Manual. (5th Edi on 2014) ISBN-10: 1465419500b)Administering the OTC's (Over the Counter Meds) sent by Peralta Risk management including the list in table below**c) Use of Clia Waived Screening Instruments or tes ng kits for the office. Then if these tests are abnormal we refer out to MD for follow-up:Glucometer for Measuring Blood sugar levels (from finger s cks)on diabe c or suspected clientsHemoglobin meter for clients with history of or suspected anemia (from finger s cks)Strep Throat in-house test kitsPulse OximetryUA Test Strips on Urine specimensd) Standing Orders for most commonly seen condi ons of the clients we serve here at Merri , at Peralta Colleges, and/or CA State wide. Please note the following are the most common condi ons we see here atMerri Student health Services. We need to contract with an MD to provide Nurses and Student health Services Coordinators with standing orders for most of these commonly seen condi ons-then we call the MDand/or refer out for follow-up with MD or NP as indicated in standing orders:URI's (in winter months--including: sore throat, cough, cold signs & symptoms vs Flu s/sx)Headaches (all year round) (mostly tension and stress vs anxiety related s/sx)Nausea & Vomi ngAcid indiges onAnxiety (covered by MH Counselors on sight)And depression (covered by MH Counselors on sight)Menstrual Cramps andirregular periodsSTI ConsultsFrequent Pregnancy tes ngSimple in-house Urinalysis screeningdehydra on s/sxsprained twisted ankles and wristsknee painarthri s condi onsHigh Blood pressure Rou ne Maintenance BP checks esp. for those with Dx of HTNOccasional Low BP or dizzinessAnemia concernsDiabetes ConcernScreening Physical Exams by NPâ sObesity concernsAsthma with Nebulized Albuterol if wheezy on lung assessment (including call to MD)Low Flow Oxygen administra on when indicated in emergenciesOccasional Lab Draws per exis ng Protocols approved for Roots(adding Peralta RNs too) Nurses to be cont' please (thanks)Flu Shots protocols to con nue ThanksPlan B protocols to apply to all Peralta nurses to be con nued (Thanks)TB Shots protocols to apply to all Peralta nurses to be con nued (Thanks)Lab draws** OTCâ s 34 Over the Counter medica ons are proposed for approval for Jon Murphy, RN NP to administer if indicated for the listed condi ons or signs and Symptoms those medica ons are rou nely e75f600c-5c6c-4897-bd2a-2cd1c9c8aa05.html3/15

0c-5c6c-4897-bd2a-2cd1c9c8aa05.htmlOTC Medica on NamePills and Tablets:Aspirin 325 mgOrasol gel 0.75gmDayquil 325mgAntacid 420mgCepacolLoratadine 10mgPseudoephedrine-free 650mg (2 tabs)Benadryl 25mg - Allergy/an histamine for more severe allergic reac on Per Label Recommenda ons and Precau onsChlorphen 4mgSimethicone 125mgTylenol 8hr 650mgTums Antacid ultra-strength 1000mgPhenylephrine HCL 10mgLow dose aspirin 81mgExcedrin 250mgAller-fex 180mgLo ons, topicals and Ointments:Triple an bio c ointment 1.0gmHydrocor sone cream 1% 1.0gmTriple an bio c original ointmentAn fungal cream 1% Athleteâ s foot, jock itch, ringwormOcuso lid scrub plus7 day vaginal creamCalamine Lo onCetaphil moisturizing lo onSolarcaineInstant cold packInstant heat packEye DropsVisineEye washAr ficial Advance eye dropsVisine-A mul -ac on eye allergySystane lubricaneNasal SpraysSaline nasal sprayAfrin Nasal SprayLiquid Meds:Guaifenesin USP 200mgNausea ReliefPepto-BismolProposed and to be asigned by:SiiPh i 4897-bd2a-2cd1c9c8aa05.html4/15

0c-5c6c-4897-bd2a-2cd1c9c8aa05.htmlSupervising Physician:StatusIf Completed, What evidence supports comple on of this goal? How did you measure the achievement of this goal?In-ProgressCollege GoalEquity: Reduce the achievement gaps for African-American, multiethnic and male students.District GoalStrengthen Accountability, Innovation and CollaborationDescribe your current u liza on of facili es, including labs and other spaceCurrent Resources:The Health Center in the Student Services building (R building) or R-106 suite) has the following dimensions (approximately)a) a wai ng/recep on area (11â X10â or 110 2)b) a first aid alcove (10â X9â or 90 2)c) hallway (4â X18â or 72 2)d) a bathroom (8â X8â or 64 2)e) an office combined with Exam Room (10â X9â or 90 2), and.f) The counselorâ s office where counseling sessions are scheduled (12â X12â or 144 sq )The total space for the Current Health Services is: 570 square feetProgram UpdateSemester End Enrollment/Usage Pa ernReview your Semester End Enrollment by se ng the filter to your college and -5c6c-4897-bd2a-2cd1c9c8aa05.html5/15

0c-5c6c-4897-bd2a-2cd1c9c8aa05.htmlOverall Course Completion and Retention Rates by CollegeSelect yourCollege using thefilter and thenselect yourSubjectCollege of Alameda71%71%77%2016-1777%2017-18Course Completion Rate79%73%82%College of Alameda SubjectANTHR 2018-19Course Retention RateDisaggregationOn Next PageCourse Completion and Retention Rates by Subject83%College89%81%89%70%ANTHR 2017-18Course Completion Rate Microsoft Power BIANTHR 2018-19Course Retention Rate1 of 5 ANTHR 2016-17Using the dashboard, review and reflect upon the data for your program. Describe any significant changes and discuss what the changes mean to your program. Consider whether performance gaps exist fordispropor onality impacted students. Focus upon the most recent year and/or the years since your last comprehensive program review. Cite data points from the dashboard to support your answer.Overall Merri Students con nue to improve in both comple on and reten on rates by college, and by subject (in most subjects (See Tables in pg 1 of 5 above). There is also reported improvements for Student Services contribu ng toimproved comple on and reten on rates (See Tables on page 4 of 5 above). The Reten on and Comple on Rates are consistently at least 8% each year from 2016 through 2019 (See 1st Table on Page 1 of 5 above). On Page 2-The dataabove reflects improvements in reten on for both males and females, for all ages, and for all ethnici y. On page page 3 and 4 the tables reflects Merri College Student Services is also consistently 1-2 percentage points be er incomple on rates and reten on rates than overall comple on rates in Service areas. This is consistent with measureable Student Sa sfac on levels par cularly for the feedback from students served in SHS at over 90% agree or stronglyagree that Merri 's SHS helps keep students in school. (Item 5 on Student Sa sfac on Surveys conducted in SHS every semester past 4 years).Thus improvements comple on rates and reten on rates may par ally be a ributed to the excellent Student Health Services provided to many students. Merri Health Services serve over 1,500 students per year for minor injuries to moreserious illnesses and for anxiety and depression with the goals of helping students improve performance levels in school, whenever possible. Further qualita ve research may need to be conducted to provide more specific data as to howeffec ve SHS's mental health and medical services contributes to keeping students in school.Describe the department's progress on Student Learning Outcomes (SLOs) and/or Administra ve Unit Outcomes (AUOs) since the last Program Review/APU. If your discipline offers a degree or cer ficate, please describethe department progress on Program Learning Outcomes -5c6c-4897-bd2a-2cd1c9c8aa05.html6/15

0c-5c6c-4897-bd2a-2cd1c9c8aa05.htmlSLO's are up-to-date and reflected in the PR from last year and consistently throughout the past 5 years Jon Murphy has been in this role as Student Health Coordinator for Merri College.The mission of the Merri College Health Center is to meet the physical and mental health needs of Merri College students to the greatest degree possible within the Health Center staff's legal scope of prac ce.N 2,010 Student seen in the Clinic for fiscal year 2017/2018 Conclusions: 85% of students u lized the services before 3 PM and only 2% u lized the services from 5 PM - 6 30 PM. Thus we would serve 8% more students if we eliminate thelate coverage beyond 5 PM. This conclusion is supported by the last 3 years of similar data gathering. 2) Overall averages for the ethnici es served are about the same for both semesters with 27% African Americans, 21% Hispanics %,13% Asian and 13% Whites, and about 25% Other or not indicated. Roughly 73% of our students who u lize our services con nue to be Famales and 25% iden fying as Males. 83% of the students we serve were 40 years old and younger.12% indicated they are over forty in. Spring whereas in Fall 28% indicated they were older than 40 years old.The two subsequent years of data have slight variance in results in demographics aligned with the college demographics (see annual SHS reports over past 3 years). Consistently, over the past 4 years the Sa sfac on Surveys reflect veryhigh levels of sa sfac on in all areas.Describe the outcomes and accomplishments from previous yearâ s funded resource alloca on request.Brief descrip on of funded requestSource (any addi onal award outside your basealloca on)Total AwardAmountOutcome/AccomplishmentMental Health Counselors - 2 part meFund #2071 and #1000 with Obj Codes #1456-MentalHealth Budget and Student Health Fee Budget 62,162Provided 32 hrs per week of MH ServicesMental Health Counselor S pends for ClassPresenta onsFund 1000 Obj Code 14560Not ApprovedCollege Nurse 0.1 Contract Increase 13,012 -inclbenefitsFund 0000 Obj Code 1206 13,012General Funds approved for summer coverage of Student Health ServicesStudent Worker- 15,000 Recommended to be Providedfrom Health Fee BudgetFund 1000 Obj Code 23530Work-study from FAFSAOffice Supplies 3,100Fund 1000 Obj Code 43040Requested since July for 2018/2019 but not provided as of January 23 2020Health Fee BudgetEvents & Program 480Fund 1000 Obj Code 5106325Health Fee BudgetConference/Seminar Reg-1500Fund 1000 Obj Code 51050Professional Development Budget Need-Not Approved (unable to completelypay for prior year's conference year's expenses despite approval)/par allypaid by Professional DevelopmentTravel Non-Local- 2000 for Campus RNFund 1000 Obj Code 52020Professional Development Budget 6c-4897-bd2a-2cd1c9c8aa05.html7/15

0c-5c6c-4897-bd2a-2cd1c9c8aa05.htmlTravel Non-Local-1500 for Campus Nurse AnnualConferenceFund 1000 Obj Code 52020Mental Health Budget NeedPC,SERV, Other Comput,Peripher- 2000Fund 2071 Obj Code 64070Not approvedLaptop Computers-for CounselorsFund 2071 Obj Code 64060Not ApprovedIn the boxes below, please add improvement ac ons and resource requests that are directly related to the ques ons answered in this sec on. If there are no improvement ac ons or resource requested in this area, leaveblank.Improvement Ac onsImprovement ActionImprovement Ac onAc on Item(1) Full Time Mental Health CounselorDescrip onFund 1 Proposed for 1.0 FTE CounselorMental Health BudgetTo be completed ByResponsible Person3/27/2020VPSS & District providing Student Health Fee Budget Lo Resource RequestPersonnel% Time56Part-time FacultyDescrip on/Jus fica onFund #2071 and #1000 with Obj Codes #1456-MentalHealth Budget and Student Health Fee Budget*Proposal for 1.0 FTE, but filled w. 2 Part me un lapprovedEs mated Annual Salary CostsEs mated Annual Benefits Costs2000011081Total Costs31081Improvement Ac -4897-bd2a-2cd1c9c8aa05.html8/15

4/20/2020Ac on Item2) Mental Health 0c-5c6c-4897-bd2a-2cd1c9c8aa05.htmlDescrip onProposal for 1.0 FTE, but filled w. 2 Part me un lapprovedTo be completed ByResponsible Person3/27/2020VPSS & District providing Student Health Fee Budget Lo Resource RequestPersonnel% Time56Part-time FacultyDescrip on/Jus fica onFund #2071 and #1000 with Obj Codes #1456-MentalHealth Budget and Student Health Fee Budget*Proposal for 1.0 FTE, but filled w. 2 Part me un lapprovedEs mated Annual Salary CostsEs mated Annual Benefits Costs2000011081Total Costs31081Improvement Ac onAc on Item3) Mental Health Counselor -Descrip ons pends for part me mental health counselor topresent in classes and flex day for the en re year.To be completed ByResponsible Person3/27/2020VPSS & District providing Student Health Fee Budget Lo Resource RequestPersonnel% TimePart-time FacultyDescrip on/Jus fica onFund 1000 Obj Code 1456part me mental health counselor to present in classesand flex day for the en re year.Es mated Annual Salary CostsEs mated Annual Benefits Costs10000Total Costs1000Improvement Ac -4897-bd2a-2cd1c9c8aa05.html9/15

4/20/2020Ac on Item4) College Nurse .1 Contract 5c6c-4897-bd2a-2cd1c9c8aa05.htmlDescrip onExtra 0.1 added for Campus RN to cover SummerTo be completed ByResponsible Person3/27/2020VPSS & District providing Student Health Fee Budget Lo Resource RequestPersonnel% Time10Full-time FacultyDescrip on/Jus fica onFund 0000 Obj Code 120611-Month Contract to be requested for Campus RN ToCover SummerEs mated Annual Salary CostsEs mated Annual Benefits Costs100003012Total Costs13012Improvement Ac onAc on Item5) Student WorkerDescrip onNeed funding for consistent Front Desk Student WorkerTo be completed ByResponsible Person3/27/2020VPSS & District providing Student Health Fee Budget Lo Resource RequestPersonnel% Time60Student WorkerDescrip on/Jus fica onFund 1000 Obj Code 235320 per weekEs mated Annual Salary CostsEs mated Annual Benefits Costs15000Total Costs15000Improvement Ac onAc on Item6

Student Health Cent er - Ser vice Area or Special Program Annual Program Updat e Full Time None Part Time Medical Health Providers/RN's & NP's: 1) Jon Murphy, FNP (S tudent Health Services (SHS) Coordinator) (15 hrs./wk in fall 2019 through spring 2021) 510-434-3827 or jmurphy@peralt