Health Services Association California Community
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Health Services COVID-19 Association California Impact Survey Community Colleges Results Prepared May 2020 About HSACCC The mission of Health Services Association California Community Mission Colleges is to support and foster Statement student access to quality health service programs within the California Community Colleges HSACCC Research Committee . Nicole Johnson, Cuesta College . Deanna McFadden, Oxnard College . Nancy Tamarisk, Napa Valley College . Alex de Jounge, Hancock College . Gerry Hinayon, San Joaquin Delta College . Becky Perelli, HSACCC Consultant . Sang Leng Trieu, Ohlone College Survey purpose and instrument . Purpose: Focus on the impact "here and now" of COVID-19 on college student health services and programs . Survey comprised of 33 items, focusing on: . Staff composition and responsibilities . Current provision of services and methods of delivery . Identified needs of students . Health fee and other financial related items . Involvement with COVID-specific responses and planning . Survey took approximately 22 minutes to complete Methodology . Purposive sampling based on the following criteria: . HSACCC listserv representing 63 colleges Organization membership list College health programs list by region . Web-based survey . Survey conducted over a 9 day period during spring semester (April 28 - May 8, 2020) Sample size & response rate • Number of colleges in the California Community College system 114 • Number of colleges with Student Health Services 80 • Number of Student Health Services on HSACCC listserv 68 2007 • Number of colleges that responded to survey2015 2019 51 • Response rate 75% • Results represent this proportion of all Student Health Services in the CCC system 64% Why disseminate findings? 1. Identify challenges & opportunities in pandemic response & planning as reference for future 2. Provide timely measurement of effect and response of the pandemic on CCC Student Health Services Programs Q3 & Q4: Staff Composition Full-time Part-time • Average: 3.35 • Average: 6.7 • Range: 0-11 • 48% colleges have between 10-19 staff • 52% colleges have 0-5 staff Q5: How has COVID-19 altered your staffing this semester? The majority of health centers (55%) replied that they had experienced changes in staffing Student workers - widely affected; laid off or reduced hours Part-time staff, contract employees, mental health interns - released from work One college - as of 5/20/2020 “all my help will be laid off” Two colleges - will increase mental health providers Q6: Anticipation of staff changes 60% 50% 48% 44% 40% 30% 20% 10% 8% 0% Yes, I anticipate a decrease Yes, I anticipate an increase No, I anticipate staffing to stay the same Q7: Anticipation of Providing Services during Summer Session Just over 76% of respondents indicated that their health center would provide services for Summer 2020. The majority of these indicated they would provide some type of remote services (internet based, telehealth, or Zoom); two colleges will be contracting with an outside party to provide telehealth services. Two will be open for limited services such as Allied Health physicals, TB screening, and well person visits. Only one college indicated “business as usual”. Given the dynamic nature of guidance since this survey was completed, and the time period until Summer session(s) begin, the number of colleges providing services, both remote and limited on-site, may change. Q8: What activities/tasks are your classified staff doing while working remotely? Online training 5% Tech support 8% Creating webinars 8% Updating polices & procedures 8% Purchasing & budgeting 12% Outreach 12% Creating new online materials 20% Scheduling appointments 31% Answering phones & emails 49% 0% 10% 20% 30% 40% 50% 60% Q9: What activities/tasks are your student workers doing while working remotely? Maintaining social media 2% Working on outreach activities 4% Attending virtual staff meetings 4% Assisting with creation of webinars 8% Working on online wellness activities 14% No student workers 55% 0% 10% 20% 30% 40% 50% 60% Q10: How are communications with your program staff different than before? 80% 71% 70% 60% 50% 45% 40% 31% 30% 20% 14% 10% 2% 0% More frequent Connect as needed, in Hold virtual mtgs in Connect as needed Same as before add'l to regular mtgs same pattern as only COVID-19 before Q11: What best describes your use of telehealth/Telemental health? 100% 88% 90% 80% 70% 60% 50% 40% 30% 20% 10% 10% 2% 0% We continue to use We newly established We do not use telehealth/telemental telehealth/telemental health since telehealth/telemental health in health (Is this due to lack of we were already using response to Covid-19 resources support?) Q11: What best describes your use of Telehealth/Telemental health? Q12 Telehealth/Telemental health platform(s) health centers are using to provide services 90% 82% 80% 70% 60% 50% 40%2007 2010 2015 2019 30% 27% 20% 20% 16% 11% 12% 10% 6% 0% Zoom Cranium Cafe Doxy.me ConexED SimplePractice Chat Function of Use another the Electronic platform not Health Record listed Q13 How are health centers obtaining consent and sharing confidential health information securely? 36% of respondents are using EHR utilization appears to be the Additionally, consents obtained the Electronic Health Record most frequently utilized and verbally are recorded or portal with an additional 43% desired method for obtaining documented in the EHR (33%) stating they are working to do so secure consents 2010 2015 2019 Q14 How are health centers covering costs associated with ensuring above the security? (HIPAA compliance) Greater than half (57%) of the 47 percent reporting “Other” state they are accessing these platforms without charge to the 60% health services program through HIPAA 55% compliant zoom through the college 50% 41% 40% 30% Several others mentioned 2007 2010 2015 CARES/emergency2019 funds; 2 received 20% grants 20% 16% 10% 0% Utilizing health fee funds Utilizing mental health N/A as we are not Other (please specify) Colleges challenged with covering the cost one-time funds currently providing of securing consents might query their services needing this respective administration as to the security. systemwide HIPAA compliant zoom Q15 Current Level of Services and Programs Being Provided 60% 53% 50% 40% 33% 200730% 2010 2015 2019 22% 20% 18% 10% 6% 2% 0% Most Some Few Limited/targeted No services Other Q16 Changes in Volume of visits No change, 4% Marked increase, 2% 2% Only 1 campus experienced an increase 2007 2010 2015 2019 All other responding campuses Marked experienced decrease, 92% 92% decreases in visits Q17 Strategies on Marketing/Informing Students and College Community about Current Services and Availability Specific Other ways 86% 69% 29% 29% 10% platforms • Website • Email to • Outreach to • Social media • Text • Student • Creating students staff, faculty Facebook messaging electronic videos Instagram portal • Workshops Twitter • Canvas • Participating • Wellness in town halls Central Q&A • Starfish • Student Health 101 • Constant Contact Q18 Top 3 Requests/Needs that Students are Communicating 100% Mental health and basic needs findings are in 90% line with the recently conducted Chancellor’s 90% Office/Student Senate survey of student 80% challenges which reported mental health challenges as number one (67%). 70% 60% 50% 43% 40% 37% 30% 27% 22% 18% 20% 16% 16% 14% 10% 0% Mental health Basic needs Prescription Sexual & repro Other Academic Referral for COVID-19 TB screening (food, refill health program healthcare specific info, housing) health pre- coverage testing reqs Q19 Provision of Sexual and Reproductive Health Services 70% 60% 60% 52% 52% 50% 40% 36% 30% 26% 20% 20% 16% 16% 10% 0% Birth Control Pill Emergency Initial Birth STI Screening Lab Testing Education and Referral to Other (please Refills Contraception Control Visit (HCG, STI, etc.) Counseling outside agency specify) (Rx through ONLY FamilyPACT) Written Responses • It was noted the Health Center isn’t getting very many requests • Some are preparing for additional services-STI screens, Titers, and other labs as needed/appropriate • Initiation of BCPs only; one college noted Nexplanon only • Difficulty with ordering labs (through Quest) due to no online payment option for students • It was noted they send students to Quest with the Health Center account number. The college is charged and then they charge the student. The Health Center absorbs the $15 processing fee for now. • Partner with an outside clinic who is a FPACT provider, and they offer limited services at this time. The once a week clinics in the health center are suspended, but students can access limited services at their local clinic. • Refer lab tests to Quest • All labs are ordered in the EHR, patient is sent to Quest, all results populate in the EHR and the patient has a follow up appt • We would, but there have been no requests for it. Q20 Are you Sending 60% 57% Students to Area Labs 50% for Testing? 41% 40% 30% 20% 10% 0% Yes No A few noted they are One noted they did not Quest Lab was getting ready to offer labs prior to West Pacific (2) predominantly used provide labs; most plan COVID-19 either to use Quest One noted they plan to We send students to a One college noted they offer labs after they range of labs, Need a better process draw and collect the develop RN protocols depending on their to collect the lab fee labs in house and a better process insurance (1) with Quest Have not yet, but we have the ability with Planned Parenthood (1) FamPACT clients only Q21 How are Health Centers Charging Students for Labs/Other Fees Results 38% N/A Labs are not offered Waiving Fees 58% We are charging 4% Written Responses How Health Centers Charge Added Fees • Solutions for charging labs to students: • Bill through EMR linked to Banner or student account • Fillable consents for fees to use students’ credit cards • SHC pays for labs and post to student accounts and the school reimburses SHC.