Student Achievement Assessment Committee

Student Health Service

Introduction:

The assessment of learning outcomes, with respect to the Student Health Service (SHS), carries broad connotations.  At first glance, most health care providers believe that it would be difficult to ascertain what learning has occurred as a result of various activities of the SHS.  However, if one considers a disease prevention model, including primary, secondary, and tertiary prevention, the activities of the SHS are, naturally, of vital importance. 

The Wellness Connection coordinates our primary prevention efforts through health education programs, whereas the clinical aspect of the SHS provides secondary and tertiary prevention.  The role of the health educator, nurse, nurse practitioner, and physician is that of educator.  In fact the word “doctor” is derived from Latin and means teacher.  As such, we assert that positive patient outcomes, as a result of patient education, are indeed a measure of learning outcomes.  To a certain extent, these can be assessed via patient satisfaction surveys. 

Accordingly, the results of our most recent student satisfaction survey are attached.  We are particularly proud to report that 82% of the students surveyed reported that by coming to the Student Health Service, it helped keep them in classes and/or on campus.  When this is noted in light of the over 30,000 student contacts with the SHS per year, our impact on campus engagement is notable.

Structure of Assessment Activities in the Student Health Service:

The Director of the Student Health Service has charged a newly reorganized Quality Improvement / Risk Management (QI/RM) Committee with oversight of all assessment activities in the SHS.  The QI/RM committee has multiple functions of which assessment is but one.  Attached to this document, you will find charts that depict our Safety Programs (a component of Risk Management) and our Quality Improvement and Risk Management Continuum.  In addition, the QI/RM Committee’s Annual Effectiveness Evaluation is also attached.  The charts below summarize many of the surveys, studies and reports that have been accomplished in the SHS over the past year.  As a nationally accredited health care agency, we are required to perform numerous quality assurance studies, chart reviews, etc., all of which contribute to our assessment activities.  However, due to privacy issues, we are unable to share details of these finding.

Peer Review Reports

Date complete

Nurse Practitioner Charts

December 5, 2005

Contraception Injection Administration by RN

October 28, 2005

 

Quality Improvement Risk Management (QIRM)

Month completed

Vital Signs Compliance Re-Study

April 2006

Provider Evaluation and Management Coding Studies

April 2005 with coding compliance monitored Fall 2005 and Spring 2006

Students’ Perceptions and Views Survey

November 2005

Upper Respiratory Infection Study

November 2005

Cost for Labels Study

November 2005

Compliance in Changing Medication Study

August 2005

Vital Signs Compliance Study

November 2005

Non-user Survey

February through April 2006

RA utilization Survey

April 2006

Patient Satisfaction Survey

May 2006

Peer Educator Survey

April 2006

Health Fair Survey

April 2006

Streptococcus Study

October 2005

Learning Outcome Study:

For 2005 – 06, the SHS performed one learning outcome study.  The results of our Antibiotic Education study, performed at the BGSU Pharmacy, are attached.  The tools utilized include a learning rubric and pre- and post- intervention questionnaires.  We are particularly proud of this study, as we are confident that it represents the first medical learning outcome study at a university health service pharmacy and believe it is the first at a university health service.  A manuscript is being finalized for publication in a peer reviewed journal.  In addition, we have been asked to present on this topic at the NASPA Region 4-E Annual Meeting in November 2006.

For 2006 - 07, the SHS intends to use the same structure (rubric, pre- and post- intervention questionnaire) to evaluate a learning outcome in our medical clinic.  This clinical topic will be chosen by the QI/RM committee upon their return in Fall 2006.

STUDENT HEALTH SERVICE
ASSESSMENT PROJECT SUMMARY
2005-2006 Academic Year

Submitted by:  Richard Sipp, Senior Associate Director of Operations
                         Barbara Hoffman, Assistant Director Health Promotions Coordinator

Date:  May 1, 2006

Assessment Item:  Student Health Service (SHS) Patient Satisfaction Spring 2006 Survey

 Leaning Outcomes:

To provide better patient service and to become more informed with regard to patient utilization of services and student needs.  Specific focus will look at student use of the health service as an accessible and time saving benefit for their health care needs.

Student Health Service Assessment Annual Report

  • Learning/Service Outcome assessed Spring Semester 2006:
  • To receive feedback from patients regarding their evaluation of service and use of the Student Health Service.
  • To identify satisfaction ratings of quality, availability and staff interaction of service provided to the student.
  • To identify future student life needs that could be provided by the health service.
  • To evaluate student health care needs as a retention factor when provided on the main BGSU campus, allowing students to attend their daily classes as scheduled without leaving main campus.
  • Assessment Procedure and Survey Form:
  • Provided to 540 patients who utilized the SHS during the week of April 10-21, 2006.
  • 540 survey forms were distributed to patients at check-in.  There were 375 returned for a 69.4% response rate.
  • Each survey form asked for feedback on the type of visit to the SHS including service evaluation of check-in (front desk), nursing, healthcare provider, laboratory and pharmacy areas.
  • Inferences from Assessment:

The purpose of your visit to the Student Health Service:

267  Appointment         85  Walk-In     12  Injection

How would you rate the quality of service provided by the following Student Health Service staff?

        Did not meet expectations       Met expectations             Exceeded expectations
        1                            2                            3                            4                            5

Mean scores for the section on quality of service are below:

  • Check-In Front Desk                                                 4.11
  • Nursing Care                                                              4.22
  • Health Care Provider                                                4.22
  • Laboratory                                                                   4.14    
  • Pharmacy                                                                    4.15

Specific questions were as follows:

  1. Were you satisfied with your treatment at the SHS?

            98% Yes          2% No

  1. Did you understand the diagnosis that you received?

            98% Yes          2% No

  1. Was your medication fully explained to you?

            88% Yes          1% No             11% N/A

  1. Were you treated with respect?

            99% Yes          1% No

  1. Does StallTalk provide helpful information to you?

            77% Yes          6% No.            17% Unsure

  1. If you had not come to the Student Health Service today for health care, where would you have gone?

            Answers available upon request

  1. By coming to the Student Health Service today, did it prevent you from missing classes in order to get help for your health care needs and eliminate the need to leave campus?

            82% Yes          15% No           3% N/A

  1. Did you learn something at today’s visit? If yes, what did you learn?

            Answers available upon request

  1. How can the Student Health Service be more involved in your Student Life?

            Answers available upon request

Appendices and diagrams submitted with the report are available in the original document, which can be downloaded by clicking here.