SACS Reaffirmation
Objective | Collaborative Outreach Activities | |
Collaborate with the campus and local communities to conduct at least 40 health-related outreach activities. Associated Goals: Healthy Lifestyles |
Indicator | Collaborative Outreach Activities The number of collaborative activities. |
Criteria | Collaborative Outreach Activities The criterion for achievement is participation in at least 40 collaborative health-related activities. |
Finding | Collaborative Outreach Activities The department participated in 22 collaborative outreach programs. The department fell short of its objective to conduct 40 collaborative outreach programs due to the vacancy of the Health Programming Coordinator position from 01/02/08 to 07/15/08. |
Action | Collaborative Outreach Activities 1. The department filled the Health Programming Coordinator position on 07/16/08. 2. The department will continue to conduct independent as well as collaborative outreach activities. The goals and objectives for independent and collaborative outreach activities will likely be combined for FY 2009. |
Objective | Independent Outreach Activities | |
Independently conduct at least 30 health-related outreach activities. Associated Goals: Healthy Lifestyles |
Indicator | Independent Outreach Activities The number of independent outreach activities conducted by the department. |
Criteria | Independent Outreach Activities The criterion for achievement is conducting at least 30 independent health-related outreach activities. |
Finding | Independent Outreach Activities The department conducted 36 independent outreach activities. |
Action | Independent Outreach Activities The department will continue to conduct independent as well as collaborative outreach activities. The goals and objectives for independent and collaborative outreach activities will likely be combined for FY 2009. |
Objective | Patient Education | |
At least 90% of patients will perceive that they educated regarding their condition during the course of their visit. Associated Goals: Healthy Lifestyles |
Indicator | Patient Education The percentage of patients that they were educated during their visit and understood about their illness or condition. |
Criteria | Patient Education The criteria for achievement are that at least 90% of the patients will indicate on the post-visit survey that "yes" they were educated during their visit and understand at least "some" about their illness or condition. |
Finding | Patient Education The combined results of the Post-Visit Satisfaction Surveys from the fall and spring semesters indicate that 98% of the patients received patient education during their visit and that 94% indicated that they at least knew some about their condition by the end of their visit. |
Action | Patient Education Continue to conduct the Post-Visit Patient Satisfaction Survey and include assessment of patient education during the clinical visit. |
Objective | Electronic Medical Records | |
Further assess the feasibility of EMR implementation through vendor presentations and user feedback. Associated Goals: Quality Of Services |
Indicator | Electronic Medical Record The receipt of vendor information and user feedback. |
Criteria | Electronic Medical Record Vendor information and user feedback that allows the department to make a decision whether or not to proceed with EMR implementation. |
Finding | Electronic Medical Record User and vendor information was obtained. Information provided from the primary vendor led the department to indefinitely defer the implementation of electronic medical records. |
Action | Electronic Medical Records In light of information received from the primary vendor under consideration, the Health Center is indefinitely deferring the transition to medical records. |
Objective | Emergency Generator | |
Complete installation of emergency power generator. Associated Goals: Quality Of Services |
Indicator | Emergency Power Generator Whether or not the generator is installed. |
Criteria | Emergency Power Generator The criterion for achievement is the actual presence of an operational emergency power generator by August 31, 2008. |
Finding | Emergency Generator The generator was installed and fully operational the week of August 24th. |
Action | Emergency Generator The installation of the generator is complete; There is no further action required at this time. The department will continue to evaluate its facility and make necessary enhancements to support its operations. |
Objective | Patient Satisfaction | |
Maintain at least a 90% patient satisfaction rate. Associated Goals: Quality Of Services |
Indicator | Patient Satisfaction The overall satisfaction rate indicated on the Post-Visit Patient Satisfaction Survey. |
Criteria | Patient Satisfaction At least 90% of the patients surveyed will rate the quality of their visit as "good" or "excellent". |
Finding | Patient Satisfaction The combined results from the fall and spring Post-visit Satisfaction Survey indicate that 97% of the patients rate the quality of their visit as "good" or "excellent". |
Action | Patient Satisfaction Continue to conduct the Post-visit Satisfaction Survey to support efforts to sustain a high level of satisfaction. |
Objective | Quality Improvement Studies | |
Complete at least four formal quality improvement studies. Associated Goals: Quality Of Services |
Indicator | Quality Improvement Studies The number of quality improvement studies completed in FY 2008. |
Criteria | Quality Improvement The criterion for achievement is the completion of four quality improvement studies by August 31, 2008. |
Finding | Quality Improvement Studies The department completed seven QI studies. |
Action | Quality Improvement Studies The department will continue to conduct QI studies as part of its formal QI program. |
Objective | Evening Hours | |
Institute evening hours for the fall and spring. Associated Goals: Service Utilization |
Indicator | Evening Hours The published materials listing the hours of operation. |
Criteria | Evening Hours The criterion for achievement is the department''s extension of its evening hours Monday - Thursday until 6:00 p.m. |
Finding | Evening Hours The Student Health Center successfully implemented evening hours in the fall semester and continued them through the spring semester. The department''s hours of operation in the fall and spring semester are now M-Th, 8:00 a.m. - 6:00 p.m. and Fri, 8:00 a.m. -5:00 p.m. |
Action | Evening Hours Continue operational hours from 8:00 a.m. - 6:00 p.m., Monday - Thursday, and 8:00 a.m. - 5:00 p.m., on Fridays. |
Objective | Pharmacy Marketing Activities | |
Conduct at least six marketing activities highlighting pharmacy actvities. Associated Goals: Service Utilization |
Indicator | Pharmacy Marketing Activities The number of marketing activities highlighting pharmacy services. |
Criteria | Market Pharmacy Services The criterion for achievement is that the department conducts at least six marketing activities highlighting pharmacy services. |
Finding | Pharmacy Marketing Activities The department conducted six marketing activities for the pharmacy. These activities included advertisements in The Houstonian, coupon promotions, website features, promotional items, and the information tables featuring pharmacy activities. |
Action | Pharmacy Marketing Activities The Pharmacist position is currently vacant. Upon the resumption of the pharmacy operations, the department will aggressively market the pharmacy. |
Objective | Practitioner FTEs | |
Increase medical practitioner FTEs by .20 for the fall and spring semesters. Associated Goals: Service Utilization |
Indicator | Increase Practitioner FTEs The number of medical practitioner FTEs for fall 2007 and spring 2008. |
Criteria | Increase Practitioner FTEs At least 2.80 practitioner FTEs for fall 2007 and spring 2008. |
Finding | Practitioner FTEs The Health Center had 2.83 FTEs during the fall and spring semesters. |
Action | Practitioner FTEs The Health Center will maintain at least 2.8 practitioner FTEs and seek to further increase them in upcoming years as part of the department''s strategic plan. |
Objective | Intradepartmental Development Activities | |
Conduct at least four intradepartmental development sessions. Associated Goals: Staff Development |
Indicator | Intradepartmental Staff Development The number of intradepartmental staff development sessions. |
Criteria | Intradepartmental Staff Development The criterion for achievement is that at least four intradepartmental development sessions will be conducted in FY 2008. |
Finding | Intradepartmental Staff Development Various staff members participated in five departmental staff development activities. |
Action | Staff Development The department will continue to facilitate staff development activities for individual staff members as well as the whole group. |
Objective | Staff Development | |
At least 80% of the staff will attend divisional staff development sessions. Associated Goals: Staff Development |
Indicator | Staff Development The percentage of staff members that attend divisional staff development sessions. |
Criteria | Staff Development The criterion for achievement is that at least 80% of the full-time staff members will attend divisional staff development sessions. |
Finding | Staff Development The department had an approximate 86% attendance rate at the divisional staff development sessions held during FY 2008. The only ones that did not attend either had already requested leave prior to the date being announced or had to serve as the sole staff member that remained behind to man the department. |
Action | Staff Development Continue to encourage/require attendance at divisional staff development sessions. |