unit end of year report unit: health center, hazen center for … · 2018. 2. 6. · 3. enter...
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Functional Goals and Division/College Mapping For the purpose of EMSA’s work, Functional Goals will be defined as the 2-3 broad goals that are necessary for your unit to maintain adequate service and provision of your functions and responsibilities as expected by the College
Unit Functional Goals
Division Goal Mapping
(This will be a number reference)
Collee Goal Mapping
(This will be a number reference)
HHCf1
The Hazen Health Center provides preventative and immediate medical care, assessments, interventions, and services to the students at The College at Brockport. Providing essential health care services to College at Brockport students.
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HHCf2
The Hazen Health Center coordinates referrals to local area resources, as needed.
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Unit End of Year Report
Report includes:
2016-2017 Annual Goals
2016-2017 Assessment Plan
Key Performance Indicators
2016-2017 Points of Pride
2017-2018 Annual Goals
2017-2018 Assessment Plan
Unit: Health Center, Hazen Center for Integrated Care Director: Libby Caruso Associate Director: Cheryl Van Lare
UNIT OVERVIEW This section corresponds with Administrative Unit Assessment Document 1
Unit Mission Providing quality outpatient health, psychological, and prevention services is the primary focus of the Hazen
Center for Integrated Care. The staff of the Health Center, Counseling Center, and Prevention and Outreach
Services desire to enable a diverse student population to pursue the primary goal of acquiring an education with
minimal lost time or distraction due to physical, emotional, or social issues. The collaborative nature of these
programs enhances the overall health and development of the College at Brockport student.
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SECTION ONE: 2016-2017 UNIT ANNUAL GOALS
Identify the overall annual goals for the unit
Unit Annual Goals Outcome/Status
Increase Hazen Health Center staff’s capability to use Medicat See below for action plan and timeline details.
Increase student satisfaction of Hazen Services See below for action plan and timeline details.
Student staff development On-going
More integrated staff meetings with HC, CC, POS On-going
Quality Improvement for staff development within staff meetings On-going
Evaluate implementation of the Student Portal and self –check-in On-going
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SECTION TWO, PART ONE: 2016-2017 Assessment Plan
Select 3-4 unit goals to comprehensively assess. Section corresponds with the Administrative Unit Assessment
Document 2.
Unit Goal
College Mission Alignment: how does this goal support the College’s Mission?
Increase Hazen Health Center staff’s capability to use Medicat
Strengthening services provided to students to contribute to student success.
Outcomes and Criteria: identify 2-3 specific outcomes related to goal and criteria for success (3)
Data Sources and Methods: resources and tools used to assess (1, 2)
Assessment Data: summarize the assessment results, indicating whether outcomes were exceeded, met or not met (4)
Hazen Health Center Staff will be able to successfully: 1. Document phone call for Rx refill in Medicat. 2. Send lab results via secure message. 3. Enter immunizations in Medicat.
Pre test to be taken in August
Post test to be taken in March
Outcomes for this goal were met. 100 % of Hazen Health Center staff were successful in better utilizing the features of the Medicat system, specifically to document phone calls for prescription refills, send lab results via secure messaging and enter immunizations into Medicat.
CLOSING THE LOOP
Resources Used: describe what resources (human, financial, etc.) were used to pursue this goal
Human capital was needed to achieve all steps in the action plan of this goal. Lynne Maier and Cheryl Van Lare
distributed and scored pre and posttest taken by all Hazen Health Center staff. Lynne and Cheryl conducted follow
up conversations with staff on strengths, areas of improvement, and strategies identified to increase proficiency with
Medicat.
Key Findings: list key findings related to unit goal and outcomes (5)
100% of staff were successful in reviewing record - ability to refill Rx, updating medication allergies,
changing pharmacy, updating medication in Manage meds, ordering Rx in Rcopia, coding, use of ICD-10,
reviewing patient summary including allergies, medication lists, and secure messaging.
Additional practice is needed for use of favorite note and summary section in note section of patient chart.
Dissemination/Discussion of Key Findings: how and with whom were key findings shared and what were the
results of these discussions (6)
Results from the pre and posttest were shared shortly after they were graded. Lynne and Cheryl followed up with all
staff who took the pre and posttest to provide feedback and areas of growth. During these meetings it was
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identified what areas still needed to be improved upon and how they can support staff who needed additional
training or practice with the software.
Summary Sentence for EMSA Briefing Book:
The Hazen Health Center continues to increase their knowledge and skill set to utilize all of Medicat’s features.
Unit Goal
College Mission Alignment: how does this goal support the College’s Mission?
Increase student satisfaction of Hazen Services Improving student satisfaction of Hazen Services can aid in student success.
Outcomes and Criteria: identify 2-3 specific outcomes related to goal and criteria for success (3)
Data Sources and Methods: resources and tools used to assess (1, 2)
Assessment Data: summarize the assessment results, indicating whether outcomes were exceeded, met or not met (4)
85% of students will report being satisfied or highly satisfied with services provided by Hazen. 85% of students will report being satisfied or highly satisfied with pre-visit procedures, such as scheduling and paper work.
Patient satisfaction survey Goal not met. Information collected on overall satisfaction of visit, check-in process, and provider interaction was helpful in identifying areas of improvement.
CLOSING THE LOOP
Resources Used: describe what resources (human, financial, etc.) were used to pursue this goal
Human capital was used to pursue this goal. Libby Caruso’s intern during the spring semester 2017 distributed the
survey and collected responses. Sara Gleisle analyzed the data.
Key Findings: list key findings related to unit goal and outcomes (5)
77% of respondents felt satisfied or very satisfied with the care, services, and process
79% of respondents felt satisfied or very satisfied with the ease of scheduling an appointment
82% of respondents felt satisfied or very satisfied with the efficiency of the check-in/check-out process
91% of respondents felt satisfied or very satisfied that their confidentiality and privacy were carefully protected
88% of respondents felt satisfied or very satisfied with the friendliness, courtesy, and helpfulness show by the staff
assisting the provider
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74% of respondents felt satisfied or very satisfied with how attentive the provider was to concerns (listened
carefully)
73% of respondents felt satisfied or very satisfied with the amount of time spent with the provider
Dissemination/Discussion of Key Findings: how and with whom were key findings shared and what were the
results of these discussions (6)
Findings will be shared with the Hazen Center for Integrated Care staff and discussed at the retreat in August.
Individual provider feedback and insights were shared in one on one meetings and performance reviews.
Summary Sentence for EMSA Briefing Book:
The Hazen Center for Integrated Care continues to strive for excellence when providing patient care.
SECTION TWO, PART TWO: 2016-2017 Assessment Plan
The Qualitative Project
SUNY Student Opinion Survey Data Point: Please note the SOS data point identified for additional study.
The Hazen Center for Integrated Care provided students with a separate survey to gather input. Please see qualitative data collected below.
Question: 1. Please include any comments about your visit to the health service you would like us to know.
Date: Sent April 12th, reminder send May 14th Distributed online # of students in attendance: 91 competed entire survey; 23 provided comments
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Findings: Overall students were pleased with their interactions and time spent at the Health Center. The respondents provided important information for ways to improve and better our services. Themes: Please list 1-3 themes you identified which emerged from the focus group dialogue(s).
1. Students felt overall experience was positive, helpful, and efficient. 2. Students felt at times, staff could have been more patient and better listened to concerns.
Quote: Please provide a quote from a focus group participant which clearly identifies/supports each of your themes.
1. “Very nice people and will do everything they can to help” 1. “Organized, fast, friendly and efficient”
2. “The NP I saw seemed rushed and unsympathetic. I felt unimportant.” 2.“I've never had a bad experience at Hazen, the nurses are always very kind but I get anxiety when it comes to making an appointment because of how rude some of the women at the desk are.
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SECTION THREE: UNIT KEY PERFORMANCE INDICATORS
Using charts from Baseline, display and analyze your key performance indicators
Key Performance Indicators and Benchmarks Analysis
In addition to accommodating multi-complaint visits, we have increased the number of higher acuity visits resulting in visits that require a longer appointment and reduce the number of available appointments each day. For example:
Visits for Initial MH and the ongoing management of MH patients have increased, especially following the loss of Psych NP
Screening lower acuity illness visits via telephone and therefore illness visits seen in the HC are more acute and require longer visits
Increase in women’s and sexual health visits
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SECTION FOUR: 2016-2017 POINTS OF PRIDE AND ACCOMPLISHMENTS
Identify up to 10 points of pride and accomplishments throughout the 2016-2017 year. Where
applicable, indicate how the accomplishment aligns with college mission and priorities.
Point of Pride/Accomplishment College Mission and Priorities Alignment
Successful implementation of telephone triage to handle a robust flu season
Supporting student success
Joined NYU Immunization Project – 600 flu vaccines administered
Supporting student success
Technology Grant for Electronic Medical Records Computer carts for patient care
Supporting student success
Successful hiring of a staff member who can cover administrative and clinical responsibilities
Supporting student success
Expanded roles and responsibilities of student workers Supporting student success
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SECTION FIVE: 2017-2018 UNIT STRATEGIC GOALS
For the purpose of EMSA’s work, Strategic Goals will be defined as the 2-4 goals that are determined for your unit to advance the strategic direction as defined by the College and supported through the Division’s goals.
*THIS WILL BE A NUMBER(S) FROM THE COLLEGE’S OPERATIONAL DOCUMENT
Strategic Goals
Divisional Goal
Mapping
College Goal
Mapping
Strategic Plan
Operational Objective(s)* Action Plan Timeline
HHC1: Increase Hazen Center for Integrated Care staff’s knowledge on LGBT+ care and best practices to better serve our students.
3 and 4 1, 2
2.1, 2.4, 1.1
Schedule SafeZone trainings for Hazen staff to participate in during Jan. retreat.
This goal will be met by January 2018.
HHC2: Train Hazen Health staff to distribute Narcan to support students who may be experiencing an opioid overdose.
3 and 4 4
4.1 Schedule a Narcan training with additional education sessions.
This goal will be met by Spring 2018.
HHC3: Establish a College Diabetes Network (national organization with a CDN chapter on Brockport’s campus) to support students with Diabetes care and management of disease.
2 and 3 1,2 1.1, 2.1
Reach out to CDN National and start the process of starting a chapter on Brockport’s campus.
This goal will be met by Spring 2018.
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SECTION SIX: 2017-2018 Assessment Plan
Identify 1-2 Functional Goals and 1-2 Strategic Goals and determine your proposed component and plan for
assessing. This section corresponds with the Administrative Assessment Documentation Document 2.
Unit Annual Goal: For the purpose of EMSA’s work, Unit Annual Goal will be each of the 2-4 Functional and Strategic Goals identified for unit focus and assessment in the current AY cycle. You are NOT expected to assess ALL Functional and Strategic Goals each year.
HHC1: Increase Hazen Center for Integrated Care staff’s knowledge on LGBT+ care and best practices to better serve our students.
Outcomes and Criteria: identify 2-3 specific outcomes related to goal and criteria for success (3)
Data Sources and Methods: resources and tools that will be used to assess (1, 2)
Resources Needed and Individual(s) Responsible: describe what resources (human, financial, etc.) are needed to pursue this goal
95% of Hazen Staff will demonstrate an increase in content knowledge regarding LGBTQIA+ community after the SafeZone training. As a result of participating in the SafeZone training, 95% of Hazen staff will feel more confident in their ability to support students who identify within the LGBTQIA+ community.
SafeZone training completion Survey to gauge insight on staff confidence in supporting students who identify within the LGBTQIA+ community.
Julie Pettit will schedule a SafeZone training for the January retreat. Lynne Maier, Cheryl Van Lare and Sara Gleisle will work together to create an internal survey to gage confidence levels of Hazen Staff.
Action Plan: describe strategies that will be used to reach the outcomes and goal, including timeline
Schedule SafeZone training for Janruary 2018 retreat.
Create and distribute post program survey.
Compile data from program assessment and provide feedback from program assessment to identify what
information was retained
Goal Rationale: describe the reasons for selecting this goal including any relevant assessment data and key findings
Rationale description
Equity, diversity, and inclusion of our students continues to be one of the highest priority for our College. The
Hazen Center for Integrated Care supports that initiative and recognizes that we need to continue to expand our
content knowledge of the LGBTQIA+ community to offer the best care for our students.
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Section Six: 2017-2018 Assessment Plan
Identify 1-2 Functional Goals and 1-2 Strategic Goals and determine your proposed component and plan for
assessing. This section corresponds with the Administrative Assessment Documentation Document 2.
Unit Annual Goal: For the purpose of EMSA’s work, Unit Annual Goal will be each of the 2-4 Functional and Strategic
Goals identified for unit focus and assessment in the current AY cycle. You are NOT expected to assess ALL
Functional and Strategic Goals each year.
HHC2: Train Hazen Health staff to distribute Narcan to support students who may be experiencing an opioid
overdose.
Outcomes and Criteria:
identify 2-3 specific outcomes
related to goal and criteria for
success (3)
Data Sources and Methods:
resources and tools that will be used
to assess (1, 2)
Resources Needed and Individual(s)
Responsible: describe what resources
(human, financial, etc.) are needed to pursue
this goal
All Hazen Health staff will be
trained and certified to
distribute Narcan.
Attendance sheet during retreat to mark off all Hazen staff was present and received the training.
Lynne Maier will contact the University of Rochester’s, UR Medicine, Strong Recovery Unit to set up a training with Michelle Herrmann.
Action Plan: describe strategies that will be used to reach the outcomes and goal, including timeline
Research training for how to distribute Narcan
Select a training date and time
Train staff on Narcan distribution.
Goal Rationale: describe the reasons for selecting this goal including any relevant assessment data and key findings
Opioid usage continues to be a growing issue and concern. The Hazen Center for Integrated Care aspires to be
prepared in the event that an individual is suffering from an opioid overdose while also furthering the information
we currently have regarding usage trends among the college aged population and society at large.
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SECTION SIX: 2017-2018 Assessment Plan
Identify 1-2 Functional Goals and 1-2 Strategic Goals and determine your proposed component and plan for
assessing. This section corresponds with the Administrative Assessment Documentation Document 2.
Unit Annual Goal: For the purpose of EMSA’s work, Unit Annual Goal will be each of the 2-4 Functional and Strategic Goals identified for unit focus and assessment in the current AY cycle. You are NOT expected to assess ALL Functional and Strategic Goals each year.
HHC3: Establish a College Diabetes Network (CDN) (national organization with a CDN chapter on Brockport’s campus) to support students with Diabetes care and management of disease.
Outcomes and Criteria: identify 2-3 specific outcomes related to goal and criteria for success (3)
Data Sources and Methods: resources and tools that will be used to assess (1, 2)
Resources Needed and Individual(s) Responsible: describe what resources (human, financial, etc.) are needed to pursue this goal
Recruit students who are interested in establishing a College Diabetes Network Provide support and advisement for students in the College Diabetes Network
Tracking number of students interested and participating in CDN. Tracking of events to promote the College Diabetes Network
Human capital will be needed to pursue this goal. Lynne Maier and a graduate student from Prevention and Outreach Services will lead this initiative.
Action Plan: describe strategies that will be used to reach the outcomes and goal, including timeline
Review student records to identify students who have diabetes
Send e-mail to students explaining the College Diabetes Network
Continue to build relationship and work with National College Diabetes Network for support and resources
Based on student interest, work with interested students to support and grow efforts
Goal Rationale: describe the reasons for selecting this goal including any relevant assessment data and key findings
Rationale description
The College Diabetes Network (CDN) is a non-profit organization whose mission is to provide innovative
peer based programs which connect and empower students and young professionals to thrive with diabetes.
Students coming to college with diabetes have a significant health concern that may be better managed by
working with other students in similar situations.
At Brockport, we want to work with students wanting to provide a network that helps students adjust to
living on their own, manage their diabetes, and make a healthy adjustment to college life.