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SCOPE OF SERVICES - STUDENT HEALTH SERVICES *

Effective Date: 
Mon, 06/04/2018
Policy: 

The UCSC Student Health Services provides primary care medical services, behavioral health services and the ancillary, auxiliary and support services which support us to meet our mission to keep students healthy and support academic success.

The primary care services provided at the Student Health Center include preventive care, wellness care, health risk appraisal and assessment, acute illness and injury care, chronic disease management, and counseling regarding end-of-life or palliative care as appropriate.  Primary care medical services are directed by a physician, nurse practitioner or physician assistant.

Some clinical providers perform minor surgical procedures using only local anesthesia.  No conscious sedation is used.  Privileging to perform surgical procedures and a clear delineation of approved procedures is described in our credentialing policy and available for each individual provider.

Examples of procedures performed at the SHS include skin biopsy, I&Ds, destruction of benign lesions, colposcopy, IUD and Implantable contraceptive care and the repair of simple lacerations.

The UCSC Student Health Center does not provide urgent or immediate care.  The SHS is located on a campus where paramedics are available 24/7 and less than a mile away.

Patients in need of specialty care are referred into the larger health care community.  Referrals can be tracked.  Access to specialty care is monitored and strategies for addressing access insufficiencies are active.

Auxillary services provided include case management, health education, and a behavioral health specialist embedded in primary care.  The Health Center has a full service pharmacy, a laboratory and x-ray.   Primary Care has a shared record with behavioral health services including the psychiatry service.  Behavioral Health Services provide short term solution focused therapy and a variety of psycho-educational and support groups.

PRIVILEGING *

Effective Date: 
Mon, 04/30/2018
Reviewed: 
Mon, 04/30/2018
Policy: 

The objective of privileging is to determine the specific procedures and treatments that a health care professional may perform. All clinical services provided at Student Health Services are limited to those approved by the governing body as stipulated in each clinical staff member's privileging form. The governing body determines the clinical procedures and treatments that are offered to students and the qualifications related to training and experience that are required to authorize an applicant to obtain each privilege. The governing body also establishes a process for evaluating the applicant’s qualifications using appropriate criteria and approving, modifying, or denying any or all requested privileges in a non-arbitrary manner.

Procedure: 

Privileging forms have been established for each discipline (attached) and are submitted by each applicant indicating their requested privileges.  Initial privileges are granted by the clinical supervisor during which time clinical activities are closely monitored and a specified number of charts are reviewed as part of the proctoring process as delineated in each of the individual privileging standards. After successful completion of the proctoring process, applicants are recommended for privileges by their direct clinical supervisor.  The application is reviewed by the governing body and approved, modified or denied.

Privileges are granted based on:

  • The applicant’s written request for privileges.
  • Qualifications for the services provided by the organization.
  • Recommendations from qualified medical or mental health personnel.

Initial criteria, renewal criteria, and proctoring requirements are specified on the privileging forms. Privileges are granted to the health care professional to practice for a three year period of time but can be amended, as indicated, during that time.

Clinical Groups requiring Privileging:

  • Licensed Clinical Social Workers/Licensed Marriage and Family Therapists
  • Psychologists
  • Psychiatrists
  • Psychiatric Nurse Practitioner
  • Dermatology Physicians
  • Gynecology Physicians
  • Nurse Practitioners
  • Physician Assistants
  • Primary Care Physicians
  • Optometry Physicians
  • Pharmacists

SHOP EVALUATION & ASSESSMENT *

Effective Date: 
Wed, 04/25/2018
Reviewed: 
Tue, 05/08/2018
Revised: 
Tue, 05/08/2018
Policy: 

Student Health Outreach & Promotion (SHOP) strives to use a comprehensive, best practices and data-driven approach to all education, prevention and outreach efforts. The American College Health Association's Standards of Practice for Health Promotion in Higher Education serves as a guiding document. SHOP meets this goal by the meeting the following standards of practice:

  • Review published research on health promotion initiatives with demonstrated efficacy.
  • Conduct population-based assessments of health status, needs, and assets.
  • Conduct environmental assessments of campus and community health needs and resources.
  • Develop measurable goals and objectives for health promotion initiatives.
  • Implement evidence-based health promotion initiatives with fidelity to maximize effectiveness.
  • Use accepted quantitative and qualitative methods for assessment and program evaluation.
  • Disseminate program evaluation results to campus and community stakeholders.
Procedure: 

Data Sources to assist in population needs assessment:

1. Data should be standardized, valid, reliable, measures what you want, etc: ACHA National College Health Assessment; Alcohol Edu; Haven; UCUES, etc.

2. Program offerings should be based on organizational development; standards; professional development standards, etc: ACHA Standards of Practice for Health Promotion in Higher Education; Okanagan Charter; Ottawa Charter, etc.

3. Strategic Planning for Aligning College Health with National Health Objectives: Healthy People 2010 and 2020

______________________________

Patient/client satisfaction with health education and health promotion at SHOP:

  • SHOP's Free & Anonymous HIV Testing Program offers each client an evaluattion form.
  • SHOP's drop-in Birth Control Patrol offers each client an evaluation form.
  • All SHOP trainings for program staff and volunteers include pre and post test to evaluate material comprehension.
  • All workshops offered to campus partners include an evaluation/feedback form.
  • Quarterly and yearly reports to Director of Student Health Services contain comprehensive data about unit highlights which include numbers of programs, workshops, social media contacts, outreach, etc.
Key Points: 

Why evaluate?

  • Provide direction for staff and programs
  • Identify training needs
  • Improve programs
  • Support long-range & annual planning
  • Guide budgets & justify resource allocations
  • Focus stakeholders' attention on programmatic issues
  • Recruit talented staff and volunteers
  • Promote the program to potential participants and referral sources
  • Identify partners for collaboration
  • Enhance the program's public image
  • Assess if your program is helping students achieve their personal and academic objectives

The Ecological Approach to Campus Health

  • Views the connections among health, learning, and the campus structure
  • Explores relationships between and among individuals and the learning communities that comprise the campus environment
  • Expand the focus beyond health information and programming
  • Integrate responsibility for health across student affairs and academic units
  • Provide supportive environments and reduce barriers to optimal outcomes
  • Promote leadership and involvement by multiple partners

Summary:

  • Health and learning are interdependent.
  • Health includes both individual and environmental influences.
  • Useful tools are available to lead change initiatives with our campuses.

Implications

PHARMACY REPACKAGING *

Effective Date: 
Mon, 04/23/2018
Reviewed: 
Mon, 04/23/2018
Policy: 

The Pharmacy periodically repackages medication for the clinic and for dispensing to patients (probiotics).

Repackaging is done by the pharmacy technician, documented on the log, and checked by a pharmacist.  The labels include the following: 

Date

Drug and Strength

Manufacturer

Lot  Number

Quantity/container

Total # repackaged

Exp date

Tech/RPh Initials

Attached File: 

TRAINING ON NEW PRODUCTS *

Effective Date: 
Thu, 04/05/2018
Policy: 

New products will be received and reviewed prior to introduction into use at UCSC Student Health Services. The appropriate unit or department will provide training for appropriate staff on any new products introduced to the facility and any documentation requirements will be met.

Examples include but are not limited to the following: immunizations, injectables, clinic supplies and equipment, devices, cleaning products, Safety Data Sheets, reagents, etc.

Procedure: 

When new products are introduced for use at UCSC Student Health Services, the product will be received and reviewed prior to use.  Any special treatment or handling will be reviewed by the appropriate unit or department, and designated trainers will share any requirements with the staff members who will have the responsibility for working with the products.

As necessary, documentation of the training will be kept according to official requirements.

CONTINUING EDUCATION FOR STAFF *

Effective Date: 
Wed, 03/21/2018
Policy: 

UCSC Student Health Services (SHS) supports professional development and continuing education (CE), internally with inservices, guest expert speakers and clinical meetings.

All licensed professionals must maintain their current licensure and keep it in good standing.  Approved and reported continuing education is a requirement for most licenses and current licensure will be checked during credentialing and recredentialing.

Paid professional development and continuing education leave is dependent upon meeting the criteria within the licensed professional's labor agreement and may include successful passing of the probationary period, satisfactory performance evaluations etc. as well as applicability to the position/job/role.  Timing of the leave will be based on operational needs. 

When possible, UCSC SHS may financially support the acquisition of CE, including travel, up to a maximum amount determined by the executive director.  The support will also be determined according to the staff role, prorated based on FTE, which includes appointment percentage and furlough.

The continuing education and/or leave must be pre-approved in advance by the staff member's manager using the Education Leave Request, form HC 903.

All UCSC financial policies will be followed.

 

PRODUCTS FOR SALE AT UCSC STUDENT HEALTH SERVICES *

Effective Date: 
Mon, 03/19/2018
Policy: 

UCSC Student Health Services selects products for sale to patients.

Contracted vendors are used and all new contracts are filed with and approved by Financial Administrative Services and Transactions / Accounts Payable (FAST/AP).

The prime vendors are in Group Purchasing Organizations (GPO's) arranged with the University of California, Office of the President contracting office.

CLINIC

Supplies that are sold to patients are acquired from contracted providers and any new products are recommended by clinical staff and brought to clinical management for decisions to purchase.

PHARMACY

Pharmacy prescription products must be on the contracted UC SHIP Pharmacy Benefit Manager Formulary for items to be covered.  The UCSC Pharmacy and Therapeutics Committee approves Over-the-Counter (OTC) and natural products with involvement by clinicians with expertise in specific areas.  

The Pharmacy also purchases snacks and sundries through contracted providers.

OPTOMETRY

Optometry patients go through the University of California Berkeley School of Optometry list of approved suppliers and products.

 

PHARMACY FURNISHING EPINEPHRINE AUTO-INJECTORS *

Effective Date: 
Wed, 03/14/2018
Reviewed: 
Wed, 03/14/2018
Policy: 

The UCSC Pharmacists have privileges to furnish epinephrine auto-injectors without a prescription to first responders and trained lay rescuers for the purpose of rendering emergency care in accordance with Section 1797.197a of the Health and Safety Code per Regulation 4119.3.

Per protocol, the UCSC Pharmacists may prescribe and individually label auto-injectors if:

  • a campus community member presents a current certificate demonstrating that the person is trained and qualified under Section 1797.197a of the Health and Safety Code to administer an epinephrine auto-injector to another person in an emergency situation
  • the pharmacy follows the exact rules for labeling the auto-injectors and provides a log 

See the attached regulations and protocol

UCSC Protocol for UCSC Pharmacist Furnishing Epinephrine Auto-Injectors to First Responders or Lay Rescuers

The California State Board of Pharmacy has approved regulation 4119.3 for pharmacists to furnish, without a prescription, epinephrine to first responders and trained lay rescuers for the purpose of rendering emergency care in accordance with Section 1797.197a of the Health and Safety Code, if both of the following requirements are met.

PHARMACY INVENTORY MANAGEMENT *

Effective Date: 
Sat, 03/03/2018
Policy: 

The pharmacy will maintain inventory electronically through the pharmacy software.  All additions, subtractions and changes will be documented in the software.

Procedure: 

Staff will add inventory electronically into the pharmacy software to include current costs.  Dispensing, clinic distribution and sales will automatically remove inventory.

Any outdates, damaged items, give aways, gift certificates or other items removed from inventory will be adjusted in the software.

Any split fills (two different generics dispensed at one time) will need to be adjusted in the software.  This is paramount with controlled substances.

MONITORING OF EXPIRATION DATES FOR CLINICAL SUPPLIES *

Effective Date: 
Fri, 02/23/2018
Revised: 
Mon, 04/16/2018
Policy: 

All clinic supplies are monitored monthly ensuring that all supplies are within manufacturer (or other documented) expiration dates.

Expired supplies are removed and sequestered from use in the clinic and returned to suppliers or disposed of as appropriate.

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