Health Services Advisory Committee Meeting March 13, 2013

Agenda TopicWhoWhat/HowTime Get some lunch!AllIndividual decision making10 minutes 12:00-12:10 Approval of Meeting NotesCatherine Williams Inform5 minutes 12:10-12:15 AnnouncementsAllInform15 minutes 12:15-12:20 Policy and Procedure Review 8.4/8.4PSusan Quinn Inform Clarify 10 minutes 12:20 – 12:30 Fiscal Update status Budget Development Susan Quinn Inform Clarify 15 minutes 12:30 – 12:45 PRPP item: Environmental ScanSusan Quinn All Present Analyze/Discuss 15 minutes 12:45- 1:00 PRPP item: Sustainability, Facilities, Technology Cheryl Higgins Susan Quinn All Present Analyze/Discuss 15 minutes 1:15-1:30 PRPP item: PersonnelSusan Quinn All Present Analyze/Discuss 5 minutes 1:30-1:45 Department Presentation: Health Promotion – PEERS Coalition- SMHP Grant Additional ideas/collaborations Becky Fein All Present Analyze/Discuss 20 minutes 1:30 – 1:50 10 minutes 1:50-2:00

Environmental Scan #1: The Student Experience Student Focus Group Findings Student Focus Group Findings

Environmental Scan #2: The Community Sonoma County’s Health Action Report

Environmental Scan #3: Impact of the Affordable Care Act

Community-Based Healthcare Providers Student accepting responsibility for meeting healthcare needs Insurance coverage options Student Health Services (Clinical SPS HP) Successful, Healthy STUDENT insured with a medical home SRJC Student Support Services Students will maintain and improve their health….

Potential Changes in the Demand & Delivery of SHS with the Affordable Care Act Brings Students into SHSMoves Students out of SHS Knowledge Gap: Students may not know where to go in the community for a healthcare service they need. Convenience: Students continue to have issues with transportation, time constraints, planning ahead. Confidentiality: SHS Reproductive Health Clinics continues to be a gateway to contraception for very young students concerned about confidentiality, SHS is “off the grid” to insurance companies. Fiscal: High copays for visits to their provider, trying to keep costs Access: Community clinic (MC), doctor’s office, and/or Kaiser? appointments may require a wait time that our students aren’t satisfied with (past, present, future) Health Insurance: Access: Greater and faster access to referral networks/specialty care Fiscal: no copays for appointments, devices or prescriptions related to reproductive health, access to expensive prescriptions (anti- depressants for example), major medical coverage, more. Mental health services parity with medical services, possibly greater access to mental health treatment in the community. Medical Home in the Community: Wrap around services with access 52 weeks/yr., evenings and weekend coverage, and continuity of care.

SPS visits up Repro – net even NP visits down MD visits down Athletics down Disproportionate to enrollment decreases

All Referrals from SHS:

Health Insurance coverage increasing in young adults Consumer Reports June 2012 Ratings of health insurance policies Estimating Insurance Costs in California

PRPP items Sustainability – Current practices – New ideas Facilities – Pending needs-Petaluma, Race, Plover Technology – Computer replacements (minimum 6 per year) – Software – implement EMR for SPS – Software – shift to web-hosted server/database – Integrate new technology, YouTube channel, PEERS Coalition webpage, FaceBook, etc with District support

PRPP item Personnel – Re-engineering update – MH Programs Professional Experts STNC Interns – Staffing requests Replacement College Nurse Practitioner –Reduce FTE? Student Employees STNC – backfill NPs Social Worker/Referral Case Manager Other?

SRJC’s SMHP Grant – PEERS Coalition Becky Fein, MPH

© 2010 Kognito Interactive. All Rights Reserved. Kognito Online Trainings

Suicide and SRJC Students Statistically speaking, it is highly likely that faculty and staff will interact with a student who is at-risk for psychological distress. Suicide is the 2 nd leading cause of death for college students Almost 80% of today’s students that commit suicide aren’t seen by a mental health counselor 1.1% [ SRJC 3% ] say they actually attempted suicide in the past 12 months Almost 7% [SRJC: 9%] seriously considered suicide in the past 12 months This means that 2,520 SRJC students have seriously considered suicide in the past year

© 2012 Kognito Interactive. All Rights Reserved. At-Risk for Faculty and Staff At-Risk for Student LeadersStudent Leaders Creating a Supportive Campus for Student VeteransStudent Kognito – short demos

Staff & Faculty: DCC/IM Meeting Flex Credit Staff development webpage CIRT webpage SHS webpage Student training: PEERS Coalition = Student Interns and participants SHS webpage Bear Facts SH 101 Veterans on Campus Flex Credit Staff development webpage Kognito Training Dissemination Plan Kognito – SRJC dissemination plan

At-Risk for Faculty & Staff: Enrollment key: ccc Flex Credit 1.0 Hour available At-Risk for Student Leaders: Enrollment key: ccc6445 Veterans on Campus: Enrollment key: ccc Kognito – Access Codes