Mt. San Jacinto College Student Health Center Kay Peek, DBA, RN, MSHCM, PHN C. Grant Peek, MD, ABEM, CAEP
The Chancellor’s office and the Ed. Code have provided extensive guidance in reference to Student Health Services for California Community Colleges. By doing so, it demonstrates the level of importance in providing these student support services and the support to the district at the campus level.
Regulations Background • State Education Code Regulations Health Services are not mandated services, but regulated by the State’s Education Code. (ED. CODE 76355, 76401, 76403, 76407 ; TITLE 5: 53411, 54702, 54706, 54708, 53411 ). • Scope of Health Fee funded health services include: Clinical Services, Mental Health Services, Support Services, and Special Services. • If the Health Fee is charged, all health services must be under the supervision of a Master’s prepared Public Health Nurse.
STUDENT HEALTH SERVICES BACKGROUND REGULATIONS: • Provisions related to funding and allowable expenses can be found in § 76355 of the Education Code. This section provides local boards the discretion to determine if health fees will be established, who will be charged, and the amount to be charged. • Maximum fees are set by the state Chancellor’s office and are subject to change based on an inflation formula (currently it is $19.00 a semester fall/spring. Summer session (if at least 8 weeks) is a maximum fee of $16.00.
State Education Code Regulations • The scope of health services provided by the District should reflect an approved “Health Services Plan”. • Section 76355 subsection (c)states districts must exempt students who depend on prayer for healing, and students attending community college under an approved apprenticeship program. In addition, this must be clearly be communicated in college publications. • In the last 10 years I have only received 1 request for this exemption.
STUDENT HEALTH SERVICES BACKGROUND REGULATIONS: • The adoption of AB 982 (2005), which permits the health fee to be charged to all students, makes it possible to have stable funding for a Student Health Services and for the Student Health Services to be self-supported and revenue neutral to a college district.
Bare Bones Clinic Model: Menifee campus San Jacinto campus 1. Director: Master’s prepared 1. Full time classified RN Public Health RN, will direct 2. Full time Clerical Asst. II activities at all campus sites. 3. Psychological Interns(either (Desire a Nurse MFTs or Psychologists) Practitioner). 4. Visiting hourly NP or MD 2. Full time classified RN 3. Full time Clerical Asst. II As services expand at additional 4. Psychological Interns(either sites this same model can be MFTs or Psychologists) offered. 5. Visiting hourly NP or MD
START UP CLINIC COSTS OVERVIEW : 2016 cost estimates per site: Technology start up: Durable medical equipment: Disposable medical supplies: Human Talent
Technology start up 2016 estimated costs: • Startup office equipment, there may be additional costs as well: • 6 computers ……………………………………………… $5,040.78 • 6 mouse ……………………………………………………. $92.34 • 6 monitors………………………………………………… $834.00 • 6 card readers…………………………………………… $510.00 • 6 ergonomic keyboards ……………………………… $245.58 • 6 printers………………………………………………….. $4,956.00 • 1 color copier, scanner with fax ……….. approx . $1,388.98 • 6 phones/phone license ……….……………………... $2,790.00 • Waiting room TV ……………………………. approx. $1,000.00 • Network switch ………………………………………...... $3,500.00 • Image Now Scanner …………………………………..... $2,700.00 • SARS additional licensing………………….…………$ 3,000.00 • Image Now licensing…………………………………….. quote at time • ********************************************************************************* Approx... $34,736.38 • Possible additional costs: wiring, fire, security, building automation, and Wi-Fi. • Security button. • ADA electric door for front entrance. • Accurate quotes would be available once a location or building plans are identified.
Durable medical equipment Startup medical equipment: • Exam table, non-disposable equipment, etc. Total in 2016 costs: ……………………………………... $38,126.17 Startup casework: • Quotes will depend on space allocation and what already exists(desks, cabinets, and file cabinets)………………………. $? • Couch for psychological counseling, prices vary approx. $1,000.00
Disposable medical supplies Medical supplies first time order: • Start up and approximate annual costs of disposable supplies, vaccinations, and medications…………………… $60,000.00 This and the salaries will be covered by the Student Health Services fee in the future.
Human Talent Costs These guideline figures are for 2016 to staff MVC and SJC # of Title Level Campus % Salary H & W Benefits Total positions Program Director - FT IV 1 district-wide 100 $88,367.27 $8,500.00 $18,862.88 $115,730.15 Clerical Assistant II - FT 6 1 SJC 100 $28,019.29 $8,500.00 $5,981.00 $42,500.29 Clerical Assistant II - FT 6 1 MVC 100 $28,019.29 $8,500.00 $5,981.00 $42,500.29 Nurse FT (classified) 1 SJC 100 $57,642.48 $8,500.00 $12,304.36 $78,446.84 Nurse FT (classified) 1 MVC 100 $57,642.48 $8,500.00 $12,304.36 $78,446.84 Nurse PT (classified) 1 SJC 50 $28,821.24 $4.250.00 $6,152.18 $34,973.42 Health Educator 1 SJC 50 Interns 0 0 0 Consultant Contract Services - district-wide 20,000.00 0 0 $20,000.00 Mental Health Professional 1 SJC 50 $45,000.00 $4.250.00 $9,605.70 $45,000.00 Mental Health Professional 1 MVC 50 $45,000.00 $4.250.00 $9,605.70 $45,000.00 Nurse Practictioner 1 district-wide $70.00 (hr) $502,597.83
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