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Boynton Health Service - Student Services Fees - University of ...

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2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Narrative“When health is absent, wisdom cannot reveal itself, art cannot become manifest, strengthcannot fight, wealth becomes useless, and intelligence cannot be applied.”Herophilus <strong>of</strong> Chalcedon, (Physician to Alexander the Great) 335-280 BC,History and Overview:On March 15, 1918, the <strong>University</strong> <strong>of</strong> Minnesota Board <strong>of</strong> Regents approved the establishment<strong>of</strong> a health service to address the personal and public health needs <strong>of</strong> the people on the<strong>University</strong> campus. Initially, only medical and nursing services were available, but dentalservices were added in 1922 and mental health services were added in 1924. <strong>Boynton</strong>’sobjective since its inception has been to provide high quality, accessible, and affordable healthcare so that the members <strong>of</strong> the <strong>University</strong> community can maintain and improve their physicaland emotional health and achieve their personal, pr<strong>of</strong>essional, and academic goals. For asignificant number <strong>of</strong> students who attend this <strong>University</strong>, <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> (BHS) is theironly source <strong>of</strong> health care. The <strong>University</strong>, the student body, and <strong>Boynton</strong> Staff are committedto assuring that the care is <strong>of</strong> high quality and cost-effective. As the public health agency for thecampus, BHS also helps to provide an environment in which students can work toward theiracademic goals while remaining free <strong>of</strong> disease. This public health approach recognizes thevalue <strong>of</strong> preventive and curative health care and promotes both clinical services and informal andformal health education. Increasingly, BHS has become an integral part <strong>of</strong> the public health andpersonal health services system <strong>of</strong> the broader community. As an autonomous service unit,<strong>Boynton</strong> is part <strong>of</strong> <strong>Student</strong> Affairs within the <strong>University</strong>’s Office for <strong>Student</strong> Affairs under theVice Provost and Dean <strong>of</strong> <strong>Student</strong>s.MissionGood health is essential for long term academic, occupational, and personal success. Creating ahealthy community by working with students, faculty, and staff <strong>of</strong> the <strong>University</strong> <strong>of</strong> Minnesota toachieve physical, emotional, and social well being is the mission <strong>of</strong> <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>.Vision<strong>Health</strong>y People, <strong>Health</strong>y <strong>University</strong>, <strong>Health</strong>y Community.PurposeWhat• We believe that physical, emotional and social well being are all essential for academic,occupational, and personal success.Whom• Our purpose is to effectively and respectfully serve the <strong>University</strong> <strong>of</strong> Minnesotacommunity. While our services are primarily directed toward students, we also servefaculty, staff, alumni, retirees, and the broader community.How• We develop, implement, and maintain programs and services that support the mission <strong>of</strong>the Office for <strong>Student</strong> Affairs and the <strong>University</strong> <strong>of</strong> Minnesota. The emphasis <strong>of</strong> ouractivities is placed on health promotion, health education, health care, and communityhealth services.2


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>• Because we believe in an expansive and inclusive definition <strong>of</strong> health, <strong>Boynton</strong> willemploy a diverse workforce with a wide array <strong>of</strong> talents, skills, and interests; model andsupport a healthy and respectful work environment; and collaborate with other programsand departments within and outside the <strong>University</strong> to address a wide spectrum <strong>of</strong> healthneeds.ORGANIZATION DESCRIPTION:<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> is a public health agency and primary care clinic that is committed toproviding high quality, accessible, and affordable health care to the <strong>University</strong> community andother populations as appropriate. In collaboration with other on-campus units, <strong>Boynton</strong> alsohelps to maintain a healthy physical and social environment for the <strong>University</strong> and community.As an autonomous service unit within the Office for <strong>Student</strong> Affairs, <strong>Boynton</strong> operates withinthe framework <strong>of</strong> the <strong>University</strong> <strong>of</strong> Minnesota and the Office <strong>of</strong> the Vice President for <strong>Student</strong>Affairs. <strong>Boynton</strong> provides expertise and consultation regarding health care issues, includingpreventive care, health education, and health care policy for the <strong>University</strong>. <strong>Boynton</strong> alsoprovides consultation and services related to preparedness for public health emergencies.<strong>Boynton</strong> supports and participates in the <strong>University</strong>’s mission to teach and conduct researchwhile retaining its primary commitment to service. <strong>Boynton</strong> is accredited by the AccreditationAssociation for Ambulatory <strong>Health</strong> Care (AAAHC) and maintains a high quality, efficient andeffective staff. <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> is recognized as a leader in college health activities.PROGRAMMATIC AREAS:As the primary care clinic and the public health agency for the <strong>University</strong>, <strong>Boynton</strong> <strong>Health</strong><strong>Service</strong> has organized its services around these two major roles. These services are brieflydescribed here but will be described in more detail later in this <strong>Fees</strong> Request.Medical/Dental <strong>Service</strong>sMedical services are essential to maintaining and restoring the health <strong>of</strong> members <strong>of</strong> the<strong>University</strong> community. These services provide direct care and improvement <strong>of</strong> health to patients,which help to improve the overall health <strong>of</strong> the community and further contain the spread <strong>of</strong>communicable diseases. These services are provided through clinics on both the Minneapolis andSt. Paul Campuses. <strong>Service</strong>s in this area include:Medical (including women’s<strong>Health</strong> and primary care)DentalMental <strong>Health</strong>NutritionX-rayPhysical TherapyEyeMassageNursingLabPharmacyIn direct support <strong>of</strong> these clinical services, <strong>Boynton</strong> also provides:Information Management <strong>Service</strong>s(includes billing and accountsreceivable, medical records andcomputerized information services)Patient Information and AssistanceManaged CareQuality AssuranceCompliance<strong>Student</strong> InsuranceInternational <strong>Student</strong> Insurance/SI–Duluth, Crookston3


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Public <strong>Health</strong> <strong>Service</strong>s:<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> (BHS) has responsibility for the overall health <strong>of</strong> all members <strong>of</strong> the<strong>University</strong> community, whether or not they receive medical services from <strong>Boynton</strong>. To do this,<strong>Boynton</strong> provides a variety <strong>of</strong> population-based services that focus on the following approaches:Administrative <strong>Service</strong>s:<strong>Health</strong> PromotionPreventive <strong>Health</strong> <strong>Service</strong>s<strong>Health</strong> ProtectionEmergency Preparedness and ResponseSurveillance, which includes Quality Assurance and MonitoringThe central administrative unit <strong>of</strong> <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> provides support for and oversight <strong>of</strong>all <strong>of</strong> the clinical and public health services <strong>of</strong>fered by <strong>Boynton</strong>. These services include:Financial Management <strong>Service</strong>sBuilding <strong>Service</strong>sPersonnel & Staff DevelopmentProgram DevelopmentPublic InformationMarketingORGANIZATION OBJECTIVES: Provide high quality, accessible, and affordable health care services. Help to maintain a healthy physical and social environment for the <strong>University</strong> community. Remain responsive to consumer needs and wants. Provide disease prevention and health promotion services to the <strong>University</strong> community. Be prepared to respond to any public health emergency affecting the <strong>University</strong> community. Work within the framework <strong>of</strong> the <strong>University</strong>’s research and education mission whilemaintaining a commitment to service. Provide leadership and expertise on health issues pertinent to the <strong>University</strong>’s unique patientpopulation. Anticipate and plan for changes in the health care marketplace and health care reform. Remain financially sound, allocating and utilizing resources effectively. Maintain commitment to the quality, diversity, and competence <strong>of</strong> staff. Regularly assess the health needs <strong>of</strong> the <strong>University</strong> community. Coordinate campus activities to address priority health problems. Maintain and improve BHS facilities. Maintain expertise in management information technology. Collaborate with local health agencies on health issues affecting the <strong>University</strong> community. Work with other post-secondary education institutions and pr<strong>of</strong>essional organizations toadvance college health.Goals:The primary goal <strong>of</strong> <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> is to protect and improve the health status <strong>of</strong> the<strong>University</strong> community through the provision <strong>of</strong> high quality, accessible, and affordable primaryand public health care services. BHS seeks to maintain a healthy <strong>University</strong> environment andprovide primary care, specialty care, and disease prevention and health promotion services. BHSprovides leadership and expertise on health issues pertinent to the unique <strong>University</strong> <strong>of</strong>4


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Minnesota population by gathering data on their health status and needs as well as advocating fortheir health interests with government agencies, community groups, and other <strong>University</strong>departments. To anticipate and plan for changes in the health care marketplace and health carereform, BHS works with other colleges and universities and provider organizations to developplans and strengthen relationships to provide comprehensive services to the U <strong>of</strong> MN population.In all <strong>of</strong> these endeavors, BHS seeks to remain financially sound, allocating and utilizingresources effectively.Highlights 2010-2012:Completed leadership transition related to the following key positionso <strong>Health</strong> <strong>Service</strong> Director and Chief <strong>Health</strong> Officer – completed in Nov 2011o Medical Director – completed search for Chief Medical Officer in February2012o Associate Medical Director – completed search for Director <strong>of</strong> Primary Care inApril 2012 and Director <strong>of</strong> Women’s Clinic in June 2012o Director <strong>of</strong> Nursing and Preventive <strong>Health</strong> – completed search in June 2011o Director <strong>of</strong> Clinical Operations – completed search in July 2011o Director <strong>of</strong> Mental <strong>Health</strong>- completed April 2012o Director <strong>of</strong> Allied <strong>Health</strong> Pr<strong>of</strong>essionals- assigned May 2012Carried out a plan to replace other providers and clinical staff who took advantage <strong>of</strong> the<strong>University</strong>’s Retirement Incentive Option in 2011. We have replaced 4 retiredpractitioners with new providers and the Director <strong>of</strong> Clinical Operations.Closed fiscal year end FY11 and FY12 with a positive financial balance in operations.Contributed $1 million to operational reserves to be used for future capital projects.<strong>Boynton</strong> is projected to contribute approximately $150,000 to reserves in FY13.Continued to develop the structure and effectiveness <strong>of</strong> the new Information TechnologySteering Committeeo Create a process for evaluating, prioritizing, implementing, and monitoring ITprojects. – The IT Steering Committee was formed to begin a formal process <strong>of</strong>prioritizing, selecting, monitoring, and evaluating technology project outcomes.A major effort was directed at establishing an RFP Committee as a subgroup <strong>of</strong>ITSC to initiate a Request for Proposals for a new electronic record and practicemanagement system.Made substantial progress toward resolution <strong>of</strong> all 13 findings in the 2010-11 InternalAudit <strong>of</strong> <strong>Boynton</strong>. Target resolution <strong>of</strong> all findings by the end <strong>of</strong> FY13. BHSsuccessfully resolved 11 <strong>of</strong> its 13 Internal Audit findings. Completion <strong>of</strong> the remaining 2findings is anticipated by summer <strong>of</strong> 2013.• Completed RFP process to replace GE practice management system including assessment<strong>of</strong> integrated options for electronic medical record functionality and health benefitmanagement module to meet <strong>Boynton</strong> self-funded student insurance business model.• Finish testing and implement NextGen Patient Portal to improve EMR workflows andcommutations with patients.• Implemented third party contract changes to bill <strong>Boynton</strong> Urgent Care services ascontractual urgent care claims (these were being filed as primary care place <strong>of</strong> service).We are currently evaluating claims reimbursement prior to full external communicationto the <strong>University</strong> community.5


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>• <strong>Student</strong> <strong>Health</strong> Insuranceo Continued to monitor and prepare the <strong>Student</strong> <strong>Health</strong> Benefit Plan forrequirements under the Patient Protection and Affordable Care Act(PPACA/<strong>Health</strong>care Reform), which is in progress. We are participating inconferences to finalize <strong>Health</strong> and Human <strong>Service</strong>s rules for student healthinsurance plans under the PPACA.o Finalized administrative approvals and operational procedures related to thedecision to implement a comprehensive, restrictive health insurance waiver on allU <strong>of</strong> M campuses. This has been done and the implementation plan is underway.We are making revisions to the plan based on State Legislature enactment <strong>of</strong> alaw that will require BHS to accept any health plan without benefit level criteria.o Led and completed a collaborative work group charged by Vice Provost Rinehartto adopt changes in the <strong>Student</strong> <strong>Health</strong> Benefit Plan coverage <strong>of</strong> trans-inclusiveservices for members. A communication plan is developed for benefits effectivein August 2012. The workgroup contained several members from the<strong>University</strong>’s GLBT community and Transgender Committee.• Renewed MCTC Clinic service agreement including expansion <strong>of</strong> services and purchase<strong>of</strong> equipment for new clinic space planned for January 2012. This was done and BHSprovided significant input into the construction plans and equipment purchases to openthe expanded clinic in January 2012. An RFP was completed and awarded to BHS for a5 year contract.• Implementation <strong>of</strong> new voluntary tuberculosis screening policy for non-AHCInternational <strong>Student</strong>s. This was implemented with no negative health consequenceexperienced and with a substantial savings in cost.• Continued to provide services under Joint Powers Agreement with MnSCU related to<strong>Health</strong>y Campus Survey. 10 more schools have been surveyed under the agreement in2011-12.• Seventeen two-year and four-year postsecondary schools participated in the spring 2011College <strong>Student</strong> <strong>Health</strong> Survey.o Surveys were sent to 31,899 undergraduate and graduate students.o Of the 31,899 students who received a survey, 12,263 students completed thesurvey, for an overall response rate <strong>of</strong> 38.4%.o The College <strong>Student</strong> <strong>Health</strong> Survey collects data related to student experiencesand behaviors in the areas <strong>of</strong> health insurance and health care utilization, mentalhealth, tobacco use, alcohol and other drug use, personal safety and financialhealth, nutrition and physical activity, and sexual health.• Eleven two-year and four-year postsecondary schools participated in the spring 2012College <strong>Student</strong> <strong>Health</strong> Survey.o Of the 19,992 students who received a survey, 6,170 students completed thesurvey, for an overall response rate <strong>of</strong> 30.9%.• Over the past six years (2007-2012), 40 different postsecondary institutions haveparticipated in the College <strong>Student</strong> <strong>Health</strong> Survey. Over 155,000 students have received asurvey over those years• Reestablish process for evaluating and making a decision relative to an Electronic DentalRecord. The RFP process for EMR/PMS for the rest <strong>of</strong> the clinic will drive a decision toselect and integrate an electronic dental record by the summer <strong>of</strong> 2013. We may be ableto integrate these projects within the same implementation timeline.• Continue leadership role at U <strong>of</strong> M and in national college health venues related to keyhealth issues, including prevention <strong>of</strong> alcohol abuse by college students.6


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>• Effective transition <strong>of</strong> “The Other Hangover Campaign” agreement with the CenturyCouncil from the U <strong>of</strong> M School <strong>of</strong> Journalism.• Continue to support SHAC in their efforts to make the Twin Cities campus smoke-free.• Reorganization <strong>of</strong> <strong>Boynton</strong> Policies and Procedures to improve ease <strong>of</strong> use for allemployees. This work has been ongoing and policies were recently moved to an internetpolicy library. Policies may now be searched for keywords anywhere in the document.• Implement revision <strong>of</strong> Peer Review Committee purpose to monitor provider performanceoutcomes and make recommendations for privileging and Medical Director followthrough. The committee was charged and is developing a system to monitor providerperformance.• Worked with <strong>University</strong> Occupational <strong>Health</strong> <strong>Service</strong>s to establish utilization <strong>of</strong> the newOccupational <strong>Health</strong> Medical Record system (Medgate). BHS was selected to participateas the first <strong>University</strong> unit to utilize Medgate.• <strong>Boynton</strong> HR participation in Bargaining Unit contract negotiations. Contractnegotiations were completed in July 2012 with <strong>Boynton</strong> representation.• Requested and were approved to add space to the existing C<strong>of</strong>fey Hall BHS St. PaulClinic. The St. Paul Bursar’s Office has permanently relocated, and BHS has acquiredapproximately 1,000 additional square feet, for an estimated $10,000 in annual rent. BHShas earmarked this space for the expansion <strong>of</strong> mental health services on the St. Paulcampus.Other Accomplishments BHS Clinic served 19,996 unique students in the health service in calendar year 2012,which is 54% <strong>of</strong> total student service fee paying students on the Twin Cities campus.These students had 75,657 visits to the health service for a specific health care need. Maintained administration <strong>of</strong> health plan benefits for the residents and fellows in theMedical School Graduate Medical Education Department, School <strong>of</strong> Dentistry andCollege <strong>of</strong> Veterinary Medicine. This is a fully insured health plan administered by BlueCross and Blue Shield to a self-funded health insurance program through <strong>Health</strong> Partners.Benefits administration also includes dental coverage, disability coverage and lifeinsurance coverage. This new area <strong>of</strong> benefits administration was initiated at the request<strong>of</strong> the Medical School Graduate Medical Education. Completed approximately 3.000 employee biometric health screenings for U <strong>of</strong> M facultyand staff as part <strong>of</strong> Employee Benefits Wellness Program. BHS continues to work incollaboration with Employee Benefits and their wellness vendor, StayWell, to providescreenings and <strong>Health</strong> Coaching for employees. Organized mass flu shot clinics and administered 9,835 flu shots to students and 6,273 flushots to U <strong>of</strong> M employees in FY2011-12. This number has been exceeded in FY2012-13. Completed market compensation analysis on 70 staff in 14 different job classificationsand received approval to adjust salaries to retain qualified pr<strong>of</strong>essional staff. Theseadjustments will also serve the purpose <strong>of</strong> allowing us to more effectively engage staff inhigher job performance expectations. Art Donations: eight painted ceiling tiles by U <strong>of</strong> MN alumni Karolyn Stirewalt.Paintings by U <strong>of</strong> MN alumni Sharrell Benson, Michelle Combs, and Ruta Vetra, as wellas staff member Sue Gibson. Art Exhibitso Sue Gibson (BHS Staff). A Dose <strong>of</strong> Color. May 9-June 30.7


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>o Brakob, Hanlon, Litman, Odessa, Peterson, Porter and Siebehschuh (U <strong>of</strong> MNalumni). With the Touch <strong>of</strong> the Hand. June 25-August 31.o Ron Duffy. Intuitive Painting, Chronic Illness, and Healing. October 3-November18.o Ruta Vetra (U <strong>of</strong> MN alumni). Artistic Reflections on Nourishment, Connection,and Fulfillment. January 27-March 23.o Vetris Pate (BHS Staff). Paintings. March 3- April 7.o Don Breneman (U <strong>of</strong> MN alumni). Voyageur Skies. April 9-June 8.Presentationso Arts and <strong>Health</strong>: a Global View. Panel presentation at the 23 rd annualinternational conference <strong>of</strong> the Society for the Arts in <strong>Health</strong>care.o Five Reasons Why We Need the Arts in <strong>Health</strong>care. Plenary presentation at theArts and <strong>Health</strong> Australia conference. Canberra, Australia, November 16 th , 2011.Community <strong>Service</strong>o Ferd Schlapper, Director and Chief <strong>Health</strong> Officer, is the <strong>Health</strong> <strong>Service</strong>Representative on the <strong>Health</strong> in Higher Education Knowledge Communitythrough NASPA.o Dr. Gary Christenson is President <strong>of</strong> the Society for the Arts in <strong>Health</strong>care frombeginning April 2011.o Dave Golden, Director <strong>of</strong> Public <strong>Health</strong>, Marketing and Communications, wasnamed President-Elect <strong>of</strong> the Minnesota Public <strong>Health</strong> Association.o Dr. Pearl Barner, PhD, serves on the Board <strong>of</strong> Directors <strong>of</strong> the nationalorganization, The Association <strong>of</strong> Black Psychologists, as the MidwesternRegional Representative. Dr Barner is also a member <strong>of</strong> the Governing Council<strong>of</strong> the Minnesota Psychologist; and one <strong>of</strong> the reviewers <strong>of</strong> articles submitted forpublication in the Journal <strong>of</strong> Black Psychologists. Dr. Barner also teaches acourse in the <strong>University</strong> <strong>of</strong> Minnesota Department <strong>of</strong> African American andAfrican Studies, and he is currently serving on the dissertation committee for aUM Ph.D. student who is investigating the relationship between urban andsuburban students’ ethnicities and their foreign language experiences.2012-13 Goals and ObjectivesCompletion <strong>of</strong> electronic medical record and practice management RFP, with an awardcompleted in August 2012. Implementation is projected for the summer <strong>of</strong> 2013.An RFP process was completed in January 2013 to renew or replace the third partyadministrator for the <strong>Student</strong> <strong>Health</strong> Benefit Plan. The new contract will be in place byFebruary 2013 for the plan year beginning in August 2013.Preparation and presentation <strong>of</strong> the 2013-14 and 2014-15 <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> requestwith involvement by SHAC representatives. For the coming two year request, <strong>Boynton</strong>and SHAC analyzed the added cost for mental health resources to meet the growingdemand for services on campus, and will propose an appropriate cost sharing model tothe <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Committee in January and February 2013.Initiation <strong>of</strong> a building improvement project to expand Dental Clinic operations followingthe relocation <strong>of</strong> the Aurora Center. With the Aurora move completed in Fall 2012, thebuilding project will be scheduled for summer 2013. In the meantime, the newlyacquired space will be utilized for Mental <strong>Health</strong> Clinic patient care growth and DentalClinic expansion without any construction.8


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>A revision <strong>of</strong> the BHS management team structure to consolidate Senior Leadership staff,Directors, and Supervisors has been initiated. The goals are to improve strategicplanning, communication, decision making, and staff engagement within the healthservice.Successful completion <strong>of</strong> Accreditation Association for Ambulatory Care (AAAHC) sitevisit in the spring <strong>of</strong> 2013. Our primary objective would be another three yearaccreditation.Continue with goals to improve provider productivity and compliance with benchmarkcommunity practice standards, especially in the areas <strong>of</strong> attendance, timeliness, andcompletion <strong>of</strong> minimum electronic heath record components.Reduce the number <strong>of</strong> patient scheduling bumps, especially same day bumps and bumpswith short notice (less than 30 days).Complete implementation <strong>of</strong> the Medgate occupational health electronic record incollaboration with central Human Resources to track employee health and trainingrequirements in a fully compliant manner.Implementation has begun and will be maintained for e-mail based patient satisfactionsurveys for all clinic health service visits. Feedback will be provider specific andperformance will be acknowledged and managed accordingly.Creation <strong>of</strong> a multidisciplinary Appeals Committee to assist in the processing andfinalization <strong>of</strong> decisions related to SHBP student appeals.Renew contract with MCTC for clinic operations in 2012-13. BHS completed an RFPresponse at the invitation <strong>of</strong> MCTC. A competitive RFP process is required by MnSCUto establish an option for up to five years <strong>of</strong> annual contracting. BHS won the RFP award.BHS will be conducting a state-wide College <strong>Student</strong> <strong>Health</strong> Survey with approximately40-50 post secondary institutions. The survey will include all U <strong>of</strong> MN campuses. Due tothe large scale nature <strong>of</strong> the survey a data summit to share results was held in November<strong>of</strong> 2012.BHS has begun widespread screening for alcohol use among patients and is evaluatingthe results.The BHS Communications team will establish a platform for more information accessiblevia mobile devices.The BHS Communications team will enhance communications provided to internationalstudents and the general student population about student insurance and access to care.Biometric screening and other services provided for Employee Benefits will be enhancedthrough electronic verification at the point <strong>of</strong> sign up.The Public Heath and Communications Department will establish a larger video, andelectronic presence via the web to help create a larger caring community targeting thenlarger <strong>University</strong> community.BHS Marketing and Communications will work with BHS IT Department to make theBHS intranet an important vehicle for internal communications.Develop student community advocacy and support networks, leveraging technology andsocial media.BHS will provide leadership for the strategic Tobacco-Free Campus proposaldevelopment.Completed the hiring <strong>of</strong> a Gynecologist and Director <strong>of</strong> the Women’s <strong>Health</strong> Clinic toreplace Dr. Marilyn Joseph who retired in May 2012.Revise and improve BHS Job Descriptions and Performance Evaluation tools to establishexpectations for staff engagement in student development outcomes, building onstrengths and community service.9


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Develop a strategy to improve health literacy rates on campus through venues andmechanisms focused on both students and parents. This has evolved into participation inan RFP process to evaluate national vendors with a proven on-line educational programto reduce risks related to alcohol, decrease sexual violence, and improve financialliteracy.Continue BHS involvement and support in the campus collaborative Bystander EducationProgram.Continue discussions with the AHC regarding <strong>Boynton</strong>’s long-term space needs toreclaim some portion <strong>of</strong> the 5 th floor <strong>of</strong> BHS.Ongoing monitoring and communication <strong>of</strong> key performance measures related to BHSstaff efficiency, productivity, and compliance.Follow through on improvements related to clinical staff retreat focus group concernsconcerning 1) Urgent Care & triage workflow; 2) BHS hours and access; 3) Patientscheduling parameters; 4) facility navigation by patients and visitors; and 5) staffsatisfaction. <strong>Boynton</strong> is purposefully engaging, empowering, and inspiring staff tobecome an effective, interdisciplinary team, setting pr<strong>of</strong>essional expectations,establishing metrics <strong>of</strong> excellence and holding each other accountable for successfuloutcomes.Need for the Organization:College students represent a highly diverse population with a unique set <strong>of</strong> health service needs.These needs include: <strong>Health</strong> promotion & disease prevention services, including primary care, dental care andmental health services. Providers maintain expertise in sports medicine to respond to problems associated withhigher levels <strong>of</strong> physical activity in the student population. Ongoing treatment and case management <strong>of</strong> chronic disease to minimize the negativeimpact on academic life. Early treatment <strong>of</strong> acute illnesses and injuries. Special emphasis on decreasing risk <strong>of</strong> unplanned pregnancy, sexually transmitteddisease, alcohol and other chemical abuse, unintentional injury and nutritional disorders. Early intervention for situational crises. <strong>Health</strong> Education services to minimize high-risk behaviors and to foster health-enhancingbehaviors that have long-term health implications. Protection from vaccine preventable diseases. Campus wide programming to intervene effectively in infectious disease outbreaks. Population-specific programming, where needed, such as international students, women,students living in residence halls, international travelers, health science students, studentswith disabilities, and athletes. Special programming for sensitive health issues such as sexually transmitted diseases,eating disorders, and family planning. Knowledge <strong>of</strong> university and community resources to assist students in using otherprograms, as appropriate.<strong>Service</strong>s must be cost-effective, as many students have low to moderate incomes. To this end,services need to be tailored to the student community as much as possible. These services mustalso be delivered in a timely, cost-effective, and convenient manner to minimize the impact <strong>of</strong>illness on academic performance. A multidisciplinary team approach is most effective for10


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>providing health education and clinical services focused on the whole person. In addition, theservices provided should include teaching appropriate use <strong>of</strong> the health care system. For thisobjective, our future leaders will have increased knowledge and skill to model positive lifestylesand appropriate health seeking/health maintenance behavior to others.Within the past several years, <strong>Boynton</strong> has recognized a significant increase in the need forhealth care services on campus 12 months a year, beyond the standard 9 month academic yearcalendar that has traditionally been prioritized. Year Round <strong>Fees</strong> have been established toaccommodate a growing number <strong>of</strong> students that could take advantage <strong>of</strong> the benefits that YearRound <strong>Fees</strong> could <strong>of</strong>fer.How the Organization Meets Need:BHS is a public health agency, which includes a full service primary care clinic. <strong>Student</strong>sneeding health care can be seen in convenient locations on both the Minneapolis and St. Paulcampuses, thus alleviating the need for use <strong>of</strong> <strong>of</strong>f-campus facilities. This is very important forthe many students with limited access to other providers due to residence, income, cultural, ortransportation barriers. BHS provides walk-in urgent medical, dental and mental health care tostudents who live, work, attend classes, and study on campus. Staff at BHS has developedexpertise in caring for a unique <strong>University</strong> population.The care provided by BHS is readily accessible when a student’s illness or injury occurs andtimeliness <strong>of</strong> care is important. A 24-hour nurse line is also available. Crisis counseling is alsoavailable on a walk-in basis during clinic hours. <strong>Health</strong> Education and <strong>Health</strong> Promotion areincorporated into clinical services at BHS. Additionally, formal and informal health promotionprograms addressing priority health problems are <strong>of</strong>fered.BHS has significant outreach efforts in the area <strong>of</strong> sexual health, tobacco, alcohol and otherdrugs, and stress management. Peer education includes over 100 trained students and many <strong>of</strong>the peer educators receive credit for these activities.To better meet students’ health care needs, BHS staff conduct needs assessments using a variety<strong>of</strong> strategies, including surveys, focus groups, ongoing dialogue with the <strong>Student</strong> <strong>Health</strong>Advisory Committee, formal and informal patient feedback mechanisms, regular informationexchange with other Campus Life and academic units, and ongoing review <strong>of</strong> state, local, andnational health statistics. <strong>Student</strong>s are involved in the priority setting process and in the analysis<strong>of</strong> health needs data.BHS maintains compliance with the Centers for Disease Control, Occupational Safety and<strong>Health</strong> Administration (OSHA), and the American Medical and Dental Associations’recommendations to prevent the spread <strong>of</strong> communicable disease. BHS takes responsibility formaking policy recommendations to Administration regarding students’ health and public healthissues. BHS provides primary and specialty health care, including mental health and dentalservices, focused on the unique needs <strong>of</strong> the <strong>University</strong> student population.BHS continues to be one <strong>of</strong> the most utilized services funded by student fees. Approximately50% <strong>of</strong> all students use the clinical services <strong>of</strong> <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> each year. Over 80% <strong>of</strong>students paying the student service fee use BHS at least once in a three-year period. The amount<strong>of</strong> fees could easily be exceeded by one episode <strong>of</strong> illness, if a student had to pay on a fee-forservicebasis. For a fee <strong>of</strong> $117.92 per semester (FY 2012-13), students are provided with11


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>affordable, accessible, and appropriate primary health care on a year round basis. The healthservice fee allows for unlimited medical provider visits for diagnostic and therapeutic treatment.In addition, testing for all sexually transmitted disease and other communicable disease iscovered. Mental <strong>Health</strong> services are available with a small co-pay that was recommended bystudents. Preventive dental services are available at a special discount rate for students that paythe student services fee.How These Same Needs Are Met By Other Entities:1. There are private health care clinics and managed care plans outside the <strong>University</strong>. Mostare accessible through insurance plans provided by employers, parents, or throughindividual private purchase. Non-subsidized health plans are universally more expensivethan the BHS <strong>Student</strong> <strong>Health</strong> Benefit Plan. Publicly funded insurance plans (Medicare, MNCare) are also available for eligible individuals, although benefits are more restrictive.2. Many health care services are available through the <strong>University</strong> <strong>of</strong> Minnesota Medical Center–Fairview. This is a Graduate Medical Education (GME) teaching setting where servicesare more expensive and less efficient for patients.3. Dental services are available at the Dental School, but are primarily provided by DentalSchool students.4. Sliding scale or low cost mental health services are <strong>of</strong>fered in some neighborhoods or forcertain populations through county social services or community clinics.5. Community mental health services are under-resourced; however, crisis counseling isavailable at the Hennepin County Crisis Center.6. Occasional health promotion programs are <strong>of</strong>fered through employers or in certaingeographical areas. Eligible students could utilize some <strong>of</strong> these programs.No local organization provides the range <strong>of</strong> public health and medical care services provided by<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>. The on-campus location <strong>of</strong> <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> and a staff that istrained to address the specific needs <strong>of</strong> university students makes <strong>Boynton</strong> uniquely suited toserve <strong>University</strong> <strong>of</strong> Minnesota students.Business Model and <strong>Student</strong> <strong>Health</strong> InsuranceUntil 1985, most services provided by <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> to students paying the <strong>Student</strong><strong>Service</strong>s <strong>Fees</strong> (SSF) were paid by the <strong>Health</strong> <strong>Service</strong> portion <strong>of</strong> the SSF. The 1985-86 <strong>Fees</strong>Committee asked <strong>Boynton</strong> to shift some <strong>of</strong> the cost to the insurance plans carried by students. Inresponse, <strong>Boynton</strong> initiated billing insurance for mental health, x-ray and surgical procedures.The additional revenue moderated the overall SSF increase for fiscal year 1985-86. Since 1985-86, with the purpose <strong>of</strong> limiting increases in the <strong>Student</strong> <strong>Service</strong>s Fee, <strong>Boynton</strong> has continuallyimplemented business decisions that increased non-SSF revenue.With <strong>Boynton</strong>’s <strong>Student</strong> <strong>Service</strong> Fee funding at a non-increasing level and operational expensesincreasing at a substantial rate, <strong>Boynton</strong> proposed to the 1999-2000 <strong>Fees</strong> Committee that a 27-month trial be initiated where all services would first be billed to insurance companies and thatremaining balances after insurance billing be covered by the health service fee. The primaryobjective <strong>of</strong> this trial was to determine if enough additional net revenue could be generated sothat future increases in the health service portion <strong>of</strong> the SSF could be kept to a minimum. The<strong>Fees</strong> Committee approved this proposal, and the trial was successful in demonstrating that billingfor medical services by <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> is an approach that will help maintain an12


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>adequate and appropriate level <strong>of</strong> health services for students, without major increases in thehealth service portion <strong>of</strong> the SSF.Even though medical expenses have increased dramatically over the last 15 years, <strong>Boynton</strong> hasreduced the portion <strong>of</strong> its revenue that comes from student services fees from 84% to 27.1% forthe 2011-12 fiscal year. <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> is one <strong>of</strong> 20 major student health servicesnationally that derives 40% or less <strong>of</strong> its funding from pre-paid student health fees orinstitutional funding allocations. This means 60% or more <strong>of</strong> the funding for <strong>Boynton</strong> <strong>Health</strong><strong>Service</strong> is derived from fee-for-service charges or insurance capitations/insurancereimbursements. A study by <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> demonstrates that the income from SHBPcapitation monies is comparable to the income <strong>Boynton</strong> receives from students’ private healthinsurance plans. Thus, there is no subsidy for the cost <strong>of</strong> the SHBP from health fees or otherfunds.<strong>Student</strong> <strong>Health</strong> InsuranceThe <strong>University</strong> <strong>of</strong> Minnesota provides one <strong>of</strong> the nation’s highest quality and lowest cost studenthealth insurance programs among major public research universities. Among the nation’s majorpublic universities, there are almost no student health insurance programs that providecomparable benefits and premium/fund costs. This is particularly impressive considering therelatively low annual academic year health fee for the <strong>University</strong> <strong>of</strong> Minnesota in comparison tomany other major public universities. The <strong>University</strong> has two health insurance programs forstudents that are administered through <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>.The <strong>University</strong> <strong>of</strong> Minnesota requires that all students with 6 credits or more carryhospitalization insurance. To facilitate compliance with this policy, the <strong>University</strong> sponsors aninsurance plan for students who are not covered by an existing policy and need hospitalizationinsurance. This sponsored plan is known as the <strong>Student</strong> <strong>Health</strong> Benefit Plan (SHBP) and is apartially self-funded program. The cost <strong>of</strong> the plan is borne entirely by the students purchasingthe plan. Under the SHBP program, the claims administration and stop-loss coverage is providedby Blue Cross and Blue Shield <strong>of</strong> Minnesota (BCBSM). The stop-loss coverage protects the<strong>University</strong> against the risk if an individual participant incurs medical expenses greater than$225,000 in a plan year. The <strong>University</strong> also has aggregate stop-loss coverage that pays claimsthat exceed 115% <strong>of</strong> expected claims. The program has reserves sufficient based on an actuarialestimate to cover potential losses for the next two years. The <strong>University</strong> pays the claims andmanages the reserves balance to account for claims liability, growth in enrollment and benefitenhancement.The development <strong>of</strong> reserves for the SHBP, through a combination <strong>of</strong> favorable risk sharingarrangements and positive claims experience, allowed the SHBP to develop a partial self-fundingarrangement effective for the 2001-02 plan year. The partial self-funding arrangementsignificantly improves the fiscal efficiency <strong>of</strong> the program, allowing for both greater benefits andlower cost than a fully insured alternative. Through the purchase <strong>of</strong> stop-loss coverage andestablishment <strong>of</strong> fully funded reserves, the <strong>University</strong> has assumed no greater risk for operation<strong>of</strong> the SHBP under a partial self-funding arrangement than compared to a fully insured program.After an extensive request for proposal process, which included consideration <strong>of</strong> continuing afully insured arrangement, Blue Cross and Blue Shield <strong>of</strong> Minnesota was selected to provide apartial self-funding program. From 2001-02 to present, Blue Cross and Blue Shield <strong>of</strong>Minnesota has provided stop-loss coverage, claims administration services, and the provider13


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>network. The provider network is extensive in Minnesota and includes access to Blue Crossand/or Blue Shield participating providers on a national and world-wide basis. Most important,the Blue Cross and Blue Shield provider network in Minnesota reduces claims expenditures forthe SHBP by at least 10 percent over any other comparable network. The <strong>University</strong> adjustedbenefit design and plan management practices to comply fully with the standards for studenthealth insurance/benefit programs adopted by the American College <strong>Health</strong> Association in June<strong>of</strong> 2001. Fewer than 15% <strong>of</strong> colleges and universities nationally are able to fully comply withACHA standards. The specific standards address each <strong>of</strong> the following concerns:ACHA Insurance/BenefitStandardCatastrophic CoverageMinimize Pre-ExistingCondition ExclusionMental <strong>Health</strong> Care CoveragePrescription Drug C overageDependent Coverage andDomestic Partner CoverageAvailableIndustry Standard CoveredExpenses and ExclusionFiduciary Responsibility andFormal Purchasing Processes<strong>University</strong> <strong>of</strong> Minnesota <strong>Student</strong><strong>Health</strong> Benefit Plan Compliance$3,000,000 lifetime maximumNo pre-existing condition exclusionNo deductible – 80% coverage.In-network coverage.Low copayments -- $3,000 annualbenefit at <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Dependent coverage is available forboth dependent and domesticpartner coverage under SHBP.SHBP provides coverage on thesame basis as most employersponsoredhealth plans inMinnesota.SHBP is operated solely for benefit<strong>of</strong> covered students. Reserve fundsare maintained exclusively for useby SHBP. Scheduled RFP processesare managed under the auspices <strong>of</strong>Purchasing <strong>Service</strong>s.The SHBP is well positioned for long-term stability because <strong>of</strong> both fiscal reserves as well ascareful consideration <strong>of</strong> plan management and benefit design alternatives. Most important, theestablishment <strong>of</strong> reserves for the SHBP has facilitated innovative programs for meeting theunique needs <strong>of</strong> international students, Academic <strong>Health</strong> Center students, and extending theSHBP to other <strong>University</strong> <strong>of</strong> Minnesota campuses.The Graduate Assistant <strong>Health</strong> Benefit Plan (GA Plan) is a partially self funded plancontracted with Blue Cross and Blue Shield <strong>of</strong> Minnesota to provide claims administration andstop-loss coverage. This program is managed by the <strong>University</strong> <strong>of</strong> Minnesota BenefitsDepartment in partnership with <strong>Boynton</strong>.<strong>Boynton</strong> utilizes a capitation contract with the <strong>University</strong> to provide medical services to thestudents enrolled on the GA Plan. <strong>Boynton</strong> is also contracted to provide administrative supportservices for this program.14


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Benefit to <strong>Student</strong> BodyBenefit(s) received by those students who pay the <strong>Student</strong> Fee but who do not use theUnit’s services:To fulfill its mission, BHS engages in a number <strong>of</strong> activities that are designed to address theneeds <strong>of</strong> all students, whether or not they are users <strong>of</strong> BHS’s clinical services. The presence <strong>of</strong><strong>Boynton</strong> helps to make the campus a safer and healthier place to pursue an education. The healtheducation programs, outreach activities, and BHS sponsored events help to create a campusenvironment that enhances both the educational and social missions <strong>of</strong> the <strong>University</strong>.Many <strong>of</strong> these community-wide functions are described more explicitly in the program sections<strong>of</strong> this report. Some <strong>of</strong> the major campus-wide activities include:<strong>Health</strong> Needs Assessment ActivitiesData collection, surveillance, monitoring outcomes; identification <strong>of</strong> health problems andestablishment <strong>of</strong> goals and priorities; ensuring proper handling <strong>of</strong> epidemics; identifying patterns<strong>of</strong> disease and injury; and measuring prevalence <strong>of</strong> health risks in this population.<strong>Health</strong> Policy Development and Planning ActivitiesDevelopment <strong>of</strong> goals, standards, and policies; defining campus health issues and developinginterventions; building coalitions to address campus health issues; and advocating for the needs<strong>of</strong> college students at the local, state, and national levels.Assurance ActivitiesAssurance activities <strong>of</strong>fered at <strong>Boynton</strong> include community health promotion; targeted outreach;health protection services; service coordination; and quality assurance.Examples <strong>of</strong> the above activities include: Protecting the community from epidemic disease through a program <strong>of</strong> preventive medicineand public health. This was particularly evident in 2009 with the prevalence <strong>of</strong> Swine Flu.With efficient and proper response, many students, staff, and faculty received timelyassessment and advice. Preparing for possible cases <strong>of</strong> SARS was a benefit to all students, faculty, and staff <strong>of</strong> the<strong>University</strong>. Taking responsibility for communicable disease reporting and surveillance on campus andmaintaining information channels between BHS, Environmental <strong>Health</strong> and Safety, andappropriate governmental health authorities. When a group <strong>of</strong> students contracted a foodborneillness <strong>of</strong>f campus, BHS staff facilitated treatment at BHS for affected students,working with the Minnesota Department <strong>of</strong> <strong>Health</strong>. Conducting bi-annual surveys on chemical use and abuse on campus. This information isthen used to implement campus-wide education programs, influence policies and tailorservices such as chemical dependency counseling. The entire campus benefits from thoseservices. Providing campus-wide sexual health education programs and awareness campaigns. Theentire campus will potentially experience benefits from these services through a reduction <strong>of</strong>sexually transmitted diseases and pregnancy. Training and monitoring student health educators who live in residence halls and Greekhouses. These <strong>Health</strong> Advocates are trained to handle emergency situations, provide healthrelatedinformation sources for students with questions or problems and provide healtheducation programming for their living units.15


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> Providing general campus education programs in the areas <strong>of</strong> stress management and physicalactivity. Again the entire campus will benefit from these activities by a reduction <strong>of</strong> some <strong>of</strong>the negative consequences associated with excess stress and lack <strong>of</strong> physical activity. Developing strong relationships with other <strong>University</strong> organizations. Such a relationship withHousing and Food <strong>Service</strong>s led to improvements in the nutritional quality <strong>of</strong> the foods servedin the residence halls. BHS also works regularly with other organizations such as the studentunions and Recreational Sports. In 1992-93, BHS made a capital investment <strong>of</strong> $213,000 topurchase exercise equipment for Recreational Sports Fitness Center. In return, BHS haspriority use <strong>of</strong> select pieces <strong>of</strong> equipment to use in its physical therapy program. Providing educational opportunities for the students on and <strong>of</strong>f campus. There are over 100positions for students who wish to be part <strong>of</strong> health education efforts on campus. These arethe students who provide a large portion <strong>of</strong> the education efforts on campus. This is alsoanother avenue for people to take part in student life. Taking an active role in regularly providing special events featuring nationally-recognizedspeakers on health-related topics. Being well-known nationally as one <strong>of</strong> the top health services in the country. This too has animpact on the entire campus. This is one <strong>of</strong> a list <strong>of</strong> advantages to enrolling at the <strong>University</strong><strong>of</strong> Minnesota. Develop and manage a high quality student health insurance plan that benefits studentswherever they get their health care. Campus-wide student health assessment that helps determine our need for new services, newpriorities, or new approaches to address student health needs. The <strong>Health</strong> Promotion Resource Area (The Well) staffed by peer educators and pr<strong>of</strong>essionalstaff, provides numerous resources for students doing research on health-related topics as wellas answers to personal questions. The Well is also used as a place to relax by students. There are approximately 4,000 international students on campus. This important populationenhances the richness <strong>of</strong> the <strong>University</strong> community. BHS provides special orientationsessions to all international students covering general topics about BHS, sexual health,services <strong>of</strong>fered and hospitalization insurance. In addition, these students all must go throughBHS for Tuberculosis testing before they can register for classes.Description <strong>of</strong> <strong>Student</strong> InvolvementThe purpose <strong>of</strong> <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>, as stated in the mission, is to provide high quality,convenient, efficient and equitable health care for the students, staff and faculty <strong>of</strong> the <strong>University</strong><strong>of</strong> Minnesota.To that end, BHS asks students to provide input into the planning and delivery <strong>of</strong> services,including all phases <strong>of</strong> the budgeting and fees request process. The rationale for studentinvolvement is that 1) people support that which they help to create; 2) the quality <strong>of</strong> service willbe improved because only those services deemed necessary will be provided, and the delivery <strong>of</strong>care and services will be measured and monitored to ensure an improved product; 3) studentsinvolved in helping deliver and advising delivery will developmentally learn about health careadministration; and 4) services will be developed that better meet the needs <strong>of</strong> students.<strong>Student</strong>s are involved in the implementation <strong>of</strong> the <strong>Boynton</strong> mission in four ways: 1) studentadvisors; 2) student volunteers; 3) student employees; and 4) trainees.16


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong><strong>Student</strong> <strong>Health</strong> Advisory Committee (SHAC)1. The primary mechanism for soliciting student opinion regarding the delivery <strong>of</strong> services at<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> is the <strong>Student</strong> <strong>Health</strong> Advisory Committee (SHAC), which wasorganized in January 1990, with major constitutional revisions in April 1992 and April 1993.2. SHAC is being represented on all key administrative and planning committees; these include:Director’s Advisory Council, Quality Assurance Committee, and numerous standingcommittees <strong>of</strong> BHS.3. SHAC, at full membership, is a 20-21 person student board consisting <strong>of</strong> 1-2 student chairs,14 students representing on-campus student organizations, and 5 at-large students. Allstudent organizations are invited to delegate representatives; however, not all organizationsare able to do so.4. BHS sponsors an orientation for SHAC leaders each fall.5. SHAC members and managers meet to discuss proposed budgets and programs in detail.Information from these meetings is consolidated for review and discussion by the entireSHAC and Senate Committee for <strong>Student</strong> Affairs. It is then incorporated into the final feesrequest. This process is effective in gaining student input from SHAC, which isrepresentative <strong>of</strong> the student body.6. Each year, SHAC conducts forums with campus constituent groups.<strong>Student</strong>s as Peer Educators/Parapr<strong>of</strong>essionals<strong>Health</strong> Advocates<strong>Health</strong> Advocates are students appointed as health resources in their residence halls andapartment communities, fraternities, and sororities. They are trained to respond to commonhealth-related issues, share information and prevention strategies with students, and referstudents to health resources on campus. Approximately 40 <strong>Health</strong> Advocates live in the 11Housing and Residential Life facilities and serve a population <strong>of</strong> over 6000 students.Approximately 27 fraternity and sorority houses have <strong>Health</strong> Advocates.<strong>Health</strong> Advocates receive training from <strong>Boynton</strong> in CPR, first aid, nutrition, sexual health,mental health, physical activity, chemical health, social justice, financial health, and chemicalhealth.During the 2009-2010 school year, students in residence halls, fraternities, and sororities madeover 2000 visits to <strong>Health</strong> Advocates. Visits include:• 495 first aid encounters (wounds, injuries, infections, alcohol-related events);• 1715 illness encounters (throat, cold, congestion, allergy, flu, temperature, stomach ache,headache); and• 218 resource/referrals (sexual health, stress, mental health, nutrition, pregnancy tests).Sexual <strong>Health</strong> Awareness and Disease Education (SHADE)SHADE peer educators encourage <strong>University</strong> <strong>of</strong> Minnesota students to make healthy choicesrelated to sexual health by providing them with up-to-date sexual health information andresources. During the 2011-2012 school year, SHADE students delivered 16 programs for 557students, participated in 11 fairs and special events that reached 5,004 students, and staffedcontact tables at C<strong>of</strong>fman Union 27 times and reached 990 students.17


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>SNAP (<strong>Student</strong> Network for Abuse Prevention)Initiated in spring <strong>of</strong> 2004, the mission <strong>of</strong> SNAP (<strong>Student</strong> Network for Abuse Prevention) is toprevent abuse <strong>of</strong> alcohol, tobacco and other drugs among the <strong>University</strong> <strong>of</strong> Minnesota studentpopulation. SNAP provided 17 Educational Events/AOD Awareness Presentations toapproximately 240 students. SNAP provided 2,221encounters to students in 2011-2012. SNAPfurther provided information through 18 tabling events and awareness weeks at C<strong>of</strong>fmanincluding:National Alcohol Awareness Week/Homecoming Week• Tabling/Information in C<strong>of</strong>fman, Fatal Vision Goggles were used as teachingdevice/attention-grabber• MN Daily awareness advertisements were placed related to ‘responsible drinking’ and‘Homecoming Safety Tips’• Homecoming Survival Kits distributed to 500 studentsGreat American Smoke-out• Table Tents containing information/tips on quitting, <strong>Boynton</strong>’s services and the GreatAmerican Smoke-out were created and distributed to ALL Res. Life Dining halls• Tabling events and information booth in C<strong>of</strong>fman with special <strong>of</strong>fer for massage forpeople interested in quitting• MN Daily Ads (2) related to Great American Smoke-out and advertising <strong>Boynton</strong>’scessation <strong>Service</strong>sTwo Stress Awareness Week Tabling Events Held (Dec. and May Finals weeks)Alcohol Poisoning Marketing Campaign• “Don’t Stall, Call” alcohol poisoning awareness posters were created with thehelp/feedback <strong>of</strong> residential life, judicial affairs, marketing, health promo and distributedto residential life just before spring jam weekend.• Plan to distribute remainder <strong>of</strong> posters at the start <strong>of</strong> the fall semesterOther SNAP events included U Light Up the Night Block Party – Info. Table (Sept. 2),Como Neighborhood Cookout – Information Table (Sept. 18), Gophers After Dark – ShowcaseGroup <strong>of</strong> the night once in the fall (Oct. 8) and once in the spring (April 1) and a Bar Initiative. –SNAP plans to start a Designated Driver Card program with local bars. The initial letter was sentto 18 local bar owners.<strong>Student</strong>s Off Booze Enjoying Recovery (SOBER)SOBER is an organization <strong>of</strong> students recovering from drug and alcohol addiction and theirfriends who are allies to the recovery movement. Our purpose is to support students in recoveryin any manner possible, but especially through the planning <strong>of</strong> social activities so that recoveringpeople and their friends may find fellowship and solidarity on campus. SOBER exists to providesupport to students committed to sobriety. Working with the pr<strong>of</strong>essional staff at <strong>Boynton</strong> <strong>Health</strong><strong>Service</strong>, the student group has two primary goals:To assist in the integration <strong>of</strong> students new to recovery and or new to the <strong>University</strong> inadapting to and gaining maximum benefit from the college experience in general, and the<strong>University</strong> <strong>of</strong> Minnesota in particular.18


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>To plan, organize, execute, and administrate socialization and fellowship events (freefrom the influence <strong>of</strong> drugs and alcohol), both for those who have chosen a chemicallyfree lifestyle and those simply seeking sober fun.HIV Pre-Post Test CounselingSince 1985, the CDC has recommended including HIV prevention counseling as an integral part<strong>of</strong> HIV testing, to take advantage <strong>of</strong> this time by not only providing test results but also byallowing health providers to assess high risk behavior, provide information, and encourage newbehaviors. This focus on the client and not the test results is more <strong>of</strong> a preventative andeducation focused strategy as opposed to a test focused clinical experience. Based on successfuluse <strong>of</strong> students as Pre-Post Test Counselors at Stanford, Penn State, Southern California andother schools, <strong>Boynton</strong> began using students as Pre-Post Test Counselors on December 1, 2001.<strong>Health</strong> Promotion staff are available for anyone who does not want to see a studentparapr<strong>of</strong>essional. <strong>Student</strong> counselors provided test results and counseling to 95 students during2009-2010.Note: The overall number <strong>of</strong> students participating in <strong>Health</strong> Promotion programs for 2009-2010 was 26,647, including SNAP.<strong>Student</strong> Employees & TraineesBHS employs many students, both graduate and undergraduate, through paid and unpaidpositions and internships. These students affect the quality <strong>of</strong> service in obvious ways.1. The BHS all-student evening and early morning custodial crews take the lead in providingsuggestions to maximize efficiency and troubleshoot problems. The system works well inthat BHS has one <strong>of</strong> the cleanest, best maintained buildings on campus.2. Mental <strong>Health</strong> has three unpaid interns who have the opportunity to hone theirpsychotherapy skills.3. <strong>Student</strong>s are employed in areas such as medical records, support staff and technology.4. Flu Clinics – Since 2000, the School <strong>of</strong> Pharmacy and the School <strong>of</strong> Nursing faculty havetrained 40 students to provide flu shots on campus. <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> provides thestudents with vaccine and supplies, while the students do all the screening for theinjections.5. Graduate <strong>Student</strong>s are allowed to use anonymous survey data collected by <strong>Boynton</strong> <strong>Health</strong><strong>Service</strong>. Through a signed agreement between the student’s advisor and <strong>Boynton</strong> <strong>Health</strong><strong>Service</strong>, the graduate students use the data for Plan B’s, thesis or journal articles. Thesestudies monitor student health status, alcohol, tobacco and other drug use on campus.Other Involvement1. <strong>Student</strong>s represent the <strong>University</strong> <strong>of</strong> Minnesota at American College <strong>Health</strong> Association(ACHA) meetings and are invited to attend North Central College <strong>Health</strong> Associationmeetings.2. Individual students selected some area <strong>of</strong> <strong>Boynton</strong> for activity class projects.3. Staff members work with students from Senate Committee for <strong>Student</strong> Affairs (SCSA) onfee requests, budgets and other major requests for capital expenses.4. SHAC members occasionally serve on BHS Search Committees for selected positions.19


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong><strong>Student</strong> <strong>Health</strong> Advisory Committee (SHAC)Co-ChairCo-ChairAurora CenterBPFSIPCOGS (Council <strong>of</strong> Graduate <strong>Student</strong>s)GAPSA (Graduate & Pr<strong>of</strong>essional <strong>Student</strong>s Assoc)HA (<strong>Health</strong> Advocates)Intercollegiate AthleticsMISA (Minnesota International <strong>Student</strong> Association)MSA (Minnesota <strong>Student</strong> Association)QSCC (Queer <strong>Student</strong> Cultural Center)Transgender CommissionWSAC (Women’s <strong>Student</strong> Activist Collective)At-LargeAt-LargeAt-LargeAt-LargeDevyn GoetschRachel DrakeRobin ArruzaLauren BeachLance UdyPearl OmetanTim BellJamie PiepenburgXi YuHeidi RieckKathryn PawleyCharles LaikindKathryn PawleyKatherine KelseyLuqman LawalHallie EspelBruce MandelaPending:BSU (Black <strong>Student</strong> Union)CHIP (Center for <strong>Health</strong> Interpr<strong>of</strong>essional Programs)DSCC (Disability <strong>Student</strong> Cultural Center)AISCC (American Indian <strong>Student</strong> Cultural Center)IFC (Interfraternity Council)LaRAZA (The Race – <strong>Student</strong> Cultural Center)RHA (Residence Housing Association)Ex OfficioFerd Schlapper, Director<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>David Golden, Advisor<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Carl Anderson, Chief Operating Officer<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Sue Jackson, Director <strong>Student</strong> <strong>Health</strong> Benefits <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Tom Bilder, Fiscal Officer<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Carol Uchal, Secretary<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Julie Sanem, Assoc Program Director Public <strong>Health</strong> <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>SHAC representatives generally also serve on the following <strong>University</strong> committees:- Office for <strong>Student</strong> Affairs <strong>Student</strong> Senate Committee- <strong>Health</strong> Ambassadors- Requests for Proposals (RFP) Committees (EHR, <strong>Student</strong> Insurance)20


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong><strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> Effective 5-7-2012Ferdinand J SchlapperDirector andChief <strong>Health</strong> OfficerSHAC<strong>Student</strong> <strong>Health</strong> AdvisoryCommitteeKimberly SchudyExecutive Assistant to DirectorGary Christenson, MDDeborah Carlson, RNCarl AndersonDave GoldenChief Medical Officer andDirector <strong>of</strong> Clinical <strong>Service</strong>sDirector <strong>of</strong> Nursing andPreventive <strong>Service</strong>sChief Operating OfficerDirector <strong>of</strong> Public <strong>Health</strong>and CommunicationsPrimary CareWomen’s <strong>Health</strong>OptometryNutritionPhysical TherapyMassage TherapyGopher Quick ClinicUrgent CareMental <strong>Health</strong>DentalClinical NursingImmunizationTravelMedical Info LineOccupational <strong>Health</strong>Colleen Jahnel,Director <strong>of</strong> QualityAssurance,Compliance, and<strong>Health</strong> InformationQuality ImprovementComplianceCoding<strong>Health</strong> InformationTranscriptionAccreditationBudget & FinanceHuman ResourcesBuilding <strong>Service</strong>sInfo TechnologyClinical Operations<strong>Student</strong> <strong>Health</strong>Benefits PlanPublic <strong>Health</strong>Marketing &Communications<strong>Health</strong> Education &Program DevelopmentResearch21


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong><strong>Boynton</strong>’s Hours and Locationaddress:MINNEAPOLIS CLINIC410 Church Street SEMinneapolis, MN55455ST. PAUL CLINIC109 C<strong>of</strong>fey Hall1420 Eckles AvenueSt. Paul, MNphone number: (612) 625-8400 (612) 624-7700Monday 8:00 a.m. to 5:00 p.m. 9:00 a.m. to 5:00 p.m.Tuesday 8:00 a.m. to 5:00 p.m. 9:00 a.m. to 5:00 p.m.Wednesday 8:00 a.m. to 5:00 p.m. 9:00 a.m. to 5:00 p.m.Saturday(fall & spring terms)Thursday 9:00 a.m. to 5:00 p.m. 9:30 a.m. to 5:00 p.m.Friday 8:00 a.m. to 5:00 p.m. 9:00 a.m. to 5:00 p.m.closed:9:00 a.m. to 1:00 p.m. closedClosed Sundays & holidays**After-Hours Care**Closed weekends, holidays, termbreaks, summer sessions andinterim <strong>Boynton</strong> has a nurse call line available 24 hours per day, seven days per week.Unit Performance ReportPatient Satisfaction DataSurveys are being routinely conducted by email on an ongoing basis, as <strong>of</strong> mid-2012. Over4,700 responses have been collected since the new survey methodology was implemented.Approximately 50 questions are asked related to all aspects <strong>of</strong> service, including waitingtimes to schedule an appointment and be seen, courtesy, privacy, amount <strong>of</strong> time spent withand quality <strong>of</strong> care given by clinical staff, waiting time and quality <strong>of</strong> ancillary services,comfort and cleanliness <strong>of</strong> the physical environment, signage, etc. In addition, the quantity <strong>of</strong>survey responses is adequate in most cases to produce provider specific results. A sample <strong>of</strong>results is shown below.22


Percent <strong>of</strong> RespondentsPercent <strong>of</strong> Respondents2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Patient Satisfaction Survey – <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>7. Department:Response Rate: 97% (N=5123)60%50%51%PRIMARY CARE40%GOPHER QUICK CLINICURGENT CARE30%MENTAL HEALTH CLINICST PAUL GENERAL MEDICINE20%17%PREVENTIVE MEDICINE CLINICNUTRITION10%11%9%4% 3% 2% 2% 2%PHYSICAL THERAPYMASSAGE0%AnswersPatient Satisfaction Survey – <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>15. What is your university status?Response Rate: 93% (N=4946)40%30%33%20%10%0%12%9%13%11%3%16%3%1%Answers23


Percent <strong>of</strong> RespondentsPercent <strong>of</strong> Respondents2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Patient Satisfaction Survey – <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>18. How would you rate the convenience <strong>of</strong> the hours that the clinic is open?Response Rate: 96% (N=5080)60%50%49%40%37%30%20%13%10%0%4 - Excellent 3 2 1 - PoorAnswers1%Patient Satisfaction Survey – <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>21. The length <strong>of</strong> time I had to wait between scheduling the appointment and getting seenby a provider was: (Request for same day appointment only; all departments)Response Rate: 32% (N=1677)70%63%60%50%40%30%20%13%10%8%7%4%2% 4%0%0 - 30minutes31 - 59minutes1 - 2 hours 2 - 4 hours 4 - 8 hours More than 8hoursNotapplicableAnswers24


Percent <strong>of</strong> RespondentsPercent <strong>of</strong> Respondents2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Patient Satisfaction Survey – <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>22. How would you rate the length <strong>of</strong> time you had to wait between scheduling yourappointment and getting seen by a provider? (All appointments, all departments)Response Rate: 63% (N=3362)80%70%60%71%50%40%30%20%10%0%21%7%1%4 - Acceptable 3 2 1 - UnacceptableAnswersPatient Satisfaction Survey – <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>36. How would you rate the health care provider in regard to listening to your concerns?Response Rate: 93% (N=4905)90%80%78%70%60%50%40%30%20%10%0%17%4%1%4 - Excellent 3 2 1 - PoorAnswers25


Percent <strong>of</strong> RespondentsPercent <strong>of</strong> Respondents2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Patient Satisfaction Survey – <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>39. How would you rate the health care provider in regard to involving you in makingdecisions about your treatment?Response Rate: 93% (N=4923)80%74%70%60%50%40%30%20%10%0%19%5%2%4 - Excellent 3 2 1 - PoorAnswersPatient Satisfaction Survey – <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>49. If you chose to wait at <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> Pharmacy, how long did it take to haveyour prescription filled?Response Rate: 30% (N=1605)40%30%31%20%10%11%16%11% 12%3%4%13%0%0 - 5minutes6 - 10minutes11 - 15minutes16 - 20minutesAnswers21 - 25minutes26 - 30minutesMore than N/A (chose30 minutes to pick upmyprescriptionat a laterdate)26


Percent <strong>of</strong> RespondentsPercent <strong>of</strong> Respondents2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Patient Satisfaction Survey – <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>53. After you arrived in the lab area, how long did you wait before you were called to haveyour blood drawn?Response Rate: 17% (N=893)70%66%60%50%40%30%20%10%0%18%11%2% 2%0 - 5 minutes 6 - 10 minutes 11 - 15 minutes 16 - 20 minutes More than 20minutesAnswersPatient Satisfaction Survey – <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>62. How would you rate the overall care by the health care provider you saw?Response Rate: 91% (N=4845)80%75%70%60%50%40%30%20%10%0%20%4%1%4 - Excellent 3 2 1 - PoorAnswers27


Percent <strong>of</strong> Respondents2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Patient Satisfaction Survey – <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>64. Would you recommend the health care provider you saw to others?Response Rate: 91% (N=4824)100%90%93%80%70%60%50%40%30%20%10%7%0%YesAnswersNo28


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Visit & Procedure Data for 2011-13 <strong>Fees</strong> RequestUnique # <strong>of</strong> Patients<strong>Student</strong>sNon-Fee Paying<strong>Student</strong>s / StaffTotal2011-12 2012-13 2013-14 2014-15Actual Projected Projected Projected19,996 20,496 20,803 21,0119,386 9,527 9,622 9,67029,382 30,023 30,425 30,682Visits <strong>Service</strong>s Visits <strong>Service</strong>s Visits <strong>Service</strong>s Visits <strong>Service</strong>sPrimary Care - ST PAUL CLINIC<strong>Student</strong>s 2,074 2,869 2,095 2,898 2,111 2,921 2,128 2,944Non-Fee Paying <strong>Student</strong>s / Staff 438 560 442 566 446 570 449 575Total 2,512 3,429 2,537 3,463 2,557 3,491 2,578 3,519Primary Care - MPLS<strong>Student</strong>s 19,697 27,285 19,894 27,558 20,053 27,778 20,214 28,001Non-Fee Paying <strong>Student</strong>s / Staff 6,868 10,280 6,937 10,383 6,992 10,466 7,048 10,550Total 26,565 37,565 26,831 37,941 27,045 38,244 27,262 38,550Urgent Care - MPLS<strong>Student</strong>s 7,822 11,175 7,861 11,231 7,924 11,321 7,987 11,411Non-Fee Paying <strong>Student</strong>s / Staff 1,559 2,425 1,567 2,437 1,579 2,457 1,592 2,476Total 9,381 13,600 9,428 13,668 9,503 13,777 9,579 13,888Gopher Quick Clinic<strong>Student</strong>s 6,208 12,305 6,270 12,428 6,320 12,527 6,371 12,628Non-Fee Paying <strong>Student</strong>s / Staff 1,292 1,730 1,305 1,747 1,315 1,761 1,326 1,775Total 7,500 14,035 7,575 14,175 7,636 14,289 7,697 14,403Mental <strong>Health</strong><strong>Student</strong>s 12,970 13,005 13,619 13,655 18,249 18,298 18,431 18,481Non-Fee Paying <strong>Student</strong>s / Staff 385 397 386 398 413 426 417 430Total 13,355 13,402 14,004 14,053 18,662 18,724 18,848 18,911Dental Clinic<strong>Student</strong>s 9,360 28,420 9,641 29,273 9,930 30,151 10,079 30,603Non-Fee Paying <strong>Student</strong>s / Staff 6,790 13,665 6,994 14,075 7,204 14,497 7,312 14,715Total 16,150 42,085 16,635 43,348 17,134 44,648 17,391 45,318Eye Clinic<strong>Student</strong>s 8,593 11,051 8,679 11,162 8,748 11,251 8,818 11,341Non-Fee Paying <strong>Student</strong>s / Staff 3,423 5,958 3,457 6,018 3,485 6,066 3,513 6,114Total 12,016 17,009 12,136 17,179 12,233 17,317 12,331 17,455Preventive Medicine Clinic<strong>Student</strong>s 5,542 11,581 5,597 11,697 5,642 11,790 5,687 11,885Non-Fee Paying <strong>Student</strong>s / Staff 2,035 3,306 2,055 3,339 2,072 3,366 2,088 3,393Total 7,577 14,887 7,653 15,036 7,714 15,156 7,776 15,27729


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Visit & Procedure Data for 2011-13 <strong>Fees</strong> RequestContinued2011-12 2012-13 2013-14 2014-15Actual Projected Projected ProjectedPhysical Medicine<strong>Student</strong>s 2,077 5,322 2,098 5,375 2,115 5,418 2,131 5,462Non-Fee Paying <strong>Student</strong>s / Staff 826 915 834 924 841 932 848 939Total 2,903 6,237 2,932 6,299 2,955 6,350 2,979 6,401Nutrition<strong>Student</strong>s 559 656 565 663 569 668 574 673Non-Fee Paying <strong>Student</strong>s / Staff 517 540 522 545 526 550 531 554Total 1,076 1,196 1,087 1,208 1,095 1,218 1,104 1,227<strong>Health</strong> Education/<strong>Health</strong> Coaching<strong>Student</strong>s 301 301 304 304 307 307 310 310Non-Fee Paying <strong>Student</strong>s / Staff 255 255 293 293 337 337 388 388Total 556 556 597 597 644 644 698 698Massage Clinic<strong>Student</strong>s 454 454 456 456 460 460 464 464Non-Fee Paying <strong>Student</strong>s / Staff 360 360 362 362 365 365 368 368Total 814 814 818 818 825 825 831 831Laboratory<strong>Student</strong>s 0 67,721 0 68,398 0 68,945 0 69,497Non-Fee Paying <strong>Student</strong>s / Staff 0 29,508 0 29,803 0 30,042 0 30,282Total 0 97,229 0 98,201 0 98,987 0 99,779Radiology<strong>Student</strong>s 0 2,501 0 2,526 0 2,546 0 2,567Non-Fee Paying <strong>Student</strong>s / Staff 0 482 0 487 0 491 0 495Total 0 2,983 0 3,013 0 3,037 0 3,061Grand Total 90,468 250,871 92,207 254,734 97,856 262,284 98,796 264,732<strong>Student</strong>s onlyVisit and <strong>Service</strong>s 75,657 194,646 77,078 197,623 82,429 204,382 83,195 206,265Percent Medical only 81.8% 74.1% 81.8% 74.1% 82.8% 74.6% 82.8% 74.6%Percent Dental only 58.0% 67.5% 58.0% 67.5% 58.0% 67.5% 58.0% 67.5%Percent <strong>of</strong> Grand Total 83.6% 77.6% 83.6% 77.6% 84.2% 77.9% 84.2% 77.9%1. Visits are a face to face encounter with a provider.2. <strong>Service</strong>s are procedures and tests performed.30


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong><strong>Boynton</strong> Pharmacy DataActual Actual Actual Actual Projected2008-09 2009-10 2010-11 2011-12 2012-13Prescriptions filled 77,270 74,639 76,878 77,646 80,431Over-the-counter/Dept. orders 37,022 36,591 37,688 37,876 39,765Staff and <strong>Student</strong> Employees2007-08 2008-09 2009-10 2011-12Individuals FTE's Individuals FTE's Individuals FTE's Individuals FTE'sStaff 257 203.08 280 212.2 297 211 317 238<strong>Student</strong>s 41 0.4 61 0.6 70 0.7 88 2.22Total 298 203.48 341 212.8 367 212.5 405 240.22<strong>Health</strong> Education Data2006-07 2007-08 2008-09 2009-10 2010-11 2011-12Actual Actual Actual Actual Actual ActualSHADE <strong>Student</strong>s Trained 50 35 33 30 27 27SHADE Encounters 9,361 8,500 10,014 7,306 7,460 7,825<strong>Health</strong> Advocates Trained 51 52 62 67 67 69<strong>Health</strong> Advocate Encounters 3,664 3,098 2,464 2,252 1,882 2,278SNAP <strong>Student</strong>s Trained 5 10 12 12 19 19SNAP Encounters 790 601 1000 1,100 2369 2221SOBER Participants 12 10 10 11 12HIV Pre-Post <strong>Student</strong> Counselors 4 4 4 3 3 3HIV Counseling Encounters 40 29 90 95 88 100Condoms Provided By <strong>Health</strong> Advocates 9,000 12,694 8,879 8,441 5,810 7,288Total Condoms Distributed 100,000 100,000 100,000 100,000 100,000 100,000DWI Class Enrollment 60 60 60 60 60 60Gopher Chauffeur Rides 6,400 7,453 8,057 10,465Total <strong>Student</strong>s involved with <strong>Health</strong> Prom. Programs 170 161 171 172 176 178Total Encounters associated with <strong>Health</strong> Prom.Programs 22,855 24,922 28,847 26,647 25,666 30,17731


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong><strong>Boynton</strong>’s Comfort Zone Data2011-12 School YearClass <strong>Student</strong>s Staff/Others TotalTai Chi 277 22 299Pilates 97 168 265Yoga: 1,919 501 2,420Grand Total 441 691 2,984Quality Assurance and AssessmentActivity Actual Actual Actual Projected2009-10 2010-11 2011-12 2012-13Patient Communication Forms 52 50 99 92Peer Review Audit 2 4 2 2Patient Satisfaction Survey 1 2 0 All Patients*Employee Satisfaction Survey 0 1 0** 1Outside Audits 5 5 4 3National Accreditation Survey 1 0 0 1*All patients seen in 2012-13 will be invited to participate in a Patient Satisfaction Survey followingtheir visit.**A targeted Employee Satisfaction Survey Assessment was conducted evaluating IT, lab, HR andBuilding <strong>Service</strong>s.32


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Quality <strong>Service</strong> Assessment Efforts – <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>External Reviews and AccreditationAccreditation Association for Ambulatory <strong>Health</strong> Care (AAAHC)Occupations Safety and <strong>Health</strong> Administration (OSHA) complianceClinical Laboratory Improvement Act (CLIA)Clinical <strong>Service</strong> Quality Review Program audits conducted by Managed Care PlansClinical focus studies conducted by the Minnesota Department <strong>of</strong> Human <strong>Service</strong>sExternal Verification and Approval <strong>of</strong> Staff CredentialsPatient Satisfaction SurveyRadiation Compliance – MN Department <strong>of</strong> <strong>Health</strong>Pharmacy Compliance – MN Department <strong>of</strong> <strong>Health</strong><strong>Fees</strong> Committee Biannual SurveyFee Committee Request Process<strong>Student</strong> <strong>Health</strong> Advisory Committee (SHAC)Internal ReviewsAmbuqual – ambulatory health care quality assurance programCredentialing <strong>of</strong> StaffPatient Feedback cardsSurveys:<strong>Student</strong> <strong>Health</strong> SurveyFIPSE Core Alcohol Survey – expanded in 2005 surveying 17 schools<strong>Student</strong> Awareness SurveyStaff Satisfaction SurveyOne-time surveys for particular issues (gambling, credit card debt,wellness, Quit and Win one-month survey and six-month survey, etc.)Committees:Quality Assurance Management (QAM)Quality Assessment Committee (QAC)Peer ReviewComplianceMedical Records/Electronic Medical Record (EMR)Continuing EducationDisaster and Safety/ Infection ControlPharmacy and TherapeuticsResearchClinical IssuesPhoneCase ConferencesContinuing Medical Education sessionsIndividual Program Evaluation33


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Accreditations Association for Ambulatory <strong>Health</strong> Care (AAAHC)Assessment Areas1. Rights <strong>of</strong> patients2. Governance3. Administration4. Quality <strong>of</strong> Care Provided5. Quality Management and Improvement6. Clinical Records and <strong>Health</strong> Information7. Pr<strong>of</strong>essional Improvement8. Facilities and Environment9. Dental <strong>Service</strong>s10. Urgent Care11. Pharmaceutical <strong>Service</strong>s12. Pathology and Medical Laboratory <strong>Service</strong>s13. Diagnostic Imaging <strong>Service</strong>s14. Other Pr<strong>of</strong>essional and Technical <strong>Service</strong>s15. Teaching and Publication Activities16. Research Activities17. <strong>Health</strong> Education and WellnessAmbuqualEvaluation ParametersCredentialingCurrent CompetenceClinical PerformanceClinical EffectivenessProvider Staff PerformanceSupport Staff PerformanceQualificationsSupport Staff SystemsCurrent CompetenceClinical PerformanceContinuity <strong>of</strong> CareContinuity <strong>of</strong> Care SystemsTreatment Plan InterruptionsRecord TransferProvider ContinuityMedical Record SystemClinical Information AvailabilityProvider Staff Medical Record DocumentationSupport Staff Medical Record Documentation34


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Patient Risk MinimizationQuality ControlInfection ControlPatient SafetyMedical Risk ControlPatient SatisfactionSatisfaction Evaluation SystemSatisfaction with Ambulatory Care centerSatisfaction with StaffSatisfaction with Resulting <strong>Health</strong> StatusPatient ComplianceParticipation in <strong>Health</strong> Care PlanUnderstanding <strong>of</strong> <strong>Health</strong> Care PlanCompliance with <strong>Health</strong> Care PlanTrust in <strong>Health</strong> Care ProvidersAccess to CareAccess Information DisseminationAvailability <strong>of</strong> <strong>Health</strong> Care <strong>Service</strong>sEase and Timeliness <strong>of</strong> Access to AppointmentsEase and Timeliness <strong>of</strong> Access to AdviceAppropriateness <strong>of</strong> <strong>Service</strong>s<strong>Service</strong>s Provided by OrganizationDiagnostic and Treatment ProceduresUse <strong>of</strong> MedicationsReferrals and HospitalizationsOrganizational PerformanceContinuous Quality ImprovementMission, Vision, and ValuesCost EffectivenessOrganization Planning, Internal and External CustomersQuality Management Program Evaluation35


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Fiscal Page – Operations Only36


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Fiscal Page – Combined (with <strong>Student</strong> Insurance)37


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Reserve AccountsDebt & Internal LoansInventoryFacilitiesFY12 Ending BalanceISO/RestrictedFY12 Ending BalanceUnrestricted FundsTOTALISO/RESTRICTED& UNRESTRICTEDEquipmentRevenue Contingencies (operating reserve carryforward) $2,327,778 $2,327,778Revenue Contingencies (SHBP operating reservecarry forward) $3,495,392 $8,056,115Programmatic Reserves (SHBP short term liability) $4,560,723Emergencies (interest reserve)Cash FlowGroup Investment Pool (<strong>Boynton</strong> operations) FO84 $1,521,238 $1,521,238Group Investment Pool (SHBP) FO86 $2,334,000 $2,334,000Agency FundsOther - EndowmentsTOTAL $10,390,115 $3,853,957 $14,244,07238


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Operating Statement 2011-1239


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Indirect Cost Step-down FY1240


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Financial FootnotesREVENUE:Carry ForwardEndowmentsThis includes all <strong>of</strong> <strong>Boynton</strong>’s net assets. The following areas areincluded: Dental Reserves Medical Reserves <strong>Student</strong> <strong>Health</strong> Insurance Short & Ling Term Liability<strong>Boynton</strong> has seven endowments that are designated as restricted funds. The Ostrow Endowment – This endowment was set up by CarolOstrow in 1981. The purpose is for <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>’sContinuing Education Program. <strong>Boynton</strong> has access to the moneygenerated from the Temporary Investment Pool (TIP) <strong>of</strong> theendowment. The Dr. Rupprecht, and Dr. Funke Endowments – The Dr. Rupprechtand Dr. Funke endowments are held in the <strong>University</strong> Foundation, and<strong>Boynton</strong> has no access to them, due to the small size <strong>of</strong> theendowments. The Barb Lee Endowment – This endowment was set up by Barb Leein 1987. The purpose is to provide emergency funds to internationalstudents and their immediate families. <strong>Boynton</strong> has access to therevenues generated from the Temporary Investment Pool <strong>of</strong> theendowment. The Dr. Diehl, Dr. <strong>Boynton</strong>, and Dr. Bailie Endowments – The DiehlCopavin Endowment – this endowment was set up in the 1930’s froma license agreement with Eli Lilly & Co. on the sale <strong>of</strong> “Copavin”.<strong>Boynton</strong>’s portion <strong>of</strong> the funds from the Temporary Investment Pool(TIP) and is to be used by <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> for uses notprovided for in the regular budget. The Earle Conklin BailieEndowment – This endowment was set up in the early 1980’s tomaintain a room or rooms in the <strong>University</strong> Hospital for the benefit <strong>of</strong>as many students as possible. The Ruth <strong>Boynton</strong> Endowment - Thisendowment was set up in the early 1980-2 to be used for a learningresources center for in-service education <strong>of</strong> the pr<strong>of</strong>essional staff <strong>of</strong><strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>. <strong>Boynton</strong> has access to the interest revenuesgenerated from the Temporary Investment Pool for these endowments. Public <strong>Health</strong> – <strong>Boynton</strong> used to receive funds from the Office <strong>of</strong>Campus Life. The funds were to be used for maintaining the health <strong>of</strong>the campus. <strong>Boynton</strong> no longer receives these funds.41


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>MERC Fund (Medical Education and Research Costs) – The purpose<strong>of</strong> MERC is to fund a portion <strong>of</strong> the costs <strong>of</strong> the clinical training <strong>of</strong>health pr<strong>of</strong>essionals. Teaching institutions have historically coveredcosts by setting patient care charges above what they would be in anon-teaching environment. However, the rise <strong>of</strong> managed care and thecurrent emphasis on controlling costs means that health plans are lesswilling to pay for medical education via inflated patient care charges,forcing teaching institutions to compete with non-teaching institutionsthat have lower costs. Recognizing that medical education benefits all<strong>of</strong> Minnesota’s citizens, the Minnesota legislature created the MERCFund to partially <strong>of</strong>fset the clinical training costs <strong>of</strong> all teachinginstitutions in the state <strong>of</strong> Minnesota. <strong>Boynton</strong> participates in thisprogram.Contracts<strong>Student</strong> <strong>Fees</strong>(Contracts/Grants) – Revenues from contracts that do not reflectinsurance company payments for health care services provided at<strong>Boynton</strong>.(<strong>Student</strong> Fee Income) – This includes <strong>Boynton</strong>’s portion <strong>of</strong> the<strong>Student</strong> <strong>Service</strong>s Fee, plus other premiums paid to <strong>Boynton</strong> as part <strong>of</strong> theGraduate and <strong>Student</strong> <strong>Health</strong> Benefit Plans. The total dollars received varybased on the fee and the number <strong>of</strong> students paying the fee (enrollmentmultiplier). The <strong>Student</strong> Fee revenue code in the EFS finance reportincludes fees paid to <strong>Boynton</strong> for SHBP student insurance premiums.Unrestricted Revenue (Fee for <strong>Service</strong>) – (Insurance payments)Fee for <strong>Service</strong> revenue that is paid by external third party insurance andpatient self-payments. This does not include transferred revenue for<strong>Student</strong> <strong>Health</strong> Benefit Plan income paid to <strong>Boynton</strong>.Internal SalesInvestment IncomeO & MInternal sales – Payments from <strong>Boynton</strong> “renters” and for goods andservices sold to other <strong>University</strong> departments.Interest Income – Earned income on non-endowment investments in theGroup Income Pool (GIP).Operations and Maintenance Allocation – Redistribution <strong>of</strong> stateoperations and maintenance appropriation funding with a College or otherunit.TRANSFERS:Transfers In/OutNon-mandatory transfers are movements <strong>of</strong> resources made at thediscretion <strong>of</strong> management to fund a variety <strong>of</strong> objectives, including theneed to provide resources for programmatic or operational needs, noncapitalmovements, and budget deficits. Transfers may occur to eliminate42


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>deficit balances in department accounts. Beginning in Fiscal Year 2005-06, transfers codes are used to transfer revenue for internal servicesprovided under the Graduate Assistant and <strong>Student</strong> <strong>Health</strong> Benefit Plan.EXPENSES:SalariesFringe BenefitsCivil <strong>Service</strong>/Bargaining Unit salaries are based on contract terms. Ourbudget includes all positions needed, although not all positions are filledduring the year.Fringe Benefit costs assessed to departments including retirement, grouplife, disability, workers compensation, unemployment, social security,Medicare, tuition, health insurance, and vacation.Consultant/ <strong>Service</strong>s provided under contract. <strong>Student</strong> Insurance Plan consultant,Purchased Personnel and temporary employee services (e.g. Nurses).CommunicationsSupplies, Serv,& Misc. ExpensePrinting, mailing, postage, telecommunications and long distance/fax.Office supplies, laboratory supplies, medical supplies, chemicals, reagents,computer hardware, s<strong>of</strong>tware & licenses, claims processing fees,maintenance contracts, insurance claims for outside services under the<strong>Student</strong> <strong>Health</strong> Benefit Plan, etc.Materials for Resale Cost <strong>of</strong> supplies for resale, including the cost <strong>of</strong> drugs sold by thePharmacy and Retail Optical.Equip/Other Capital The threshold for Capital Equipment is $2,500 and expense code (MinorMachines & Furnishings) is used for items less than $2,500.Rents & LeasesDental is Fee for <strong>Service</strong> and pays <strong>Boynton</strong> rent for its space.<strong>Boynton</strong> also rents space to Environmental <strong>Health</strong> & Safety, School <strong>of</strong>Public <strong>Health</strong>, Aurora Center, Lutheran Social <strong>Service</strong>, AHC BiomedicalEthics, and Academic <strong>Health</strong> Center Facilities Office.Repair/Maint & Sup Cost for routine repairs and maintenance <strong>of</strong> <strong>Boynton</strong>’s facility. These arecosts BHS bears as the primary occupants and manager <strong>of</strong> the building,which have been paid through student fees since the building wasconstructed.OtherUniv Assessments<strong>Boynton</strong> is self-supporting and has to pay for all its utilities. This alsoincludes waste pick-up and shredding for all confidential materials. The<strong>University</strong> has substantially increased the fees it charges <strong>Boynton</strong> forsteam & electricity.These are the charges for the Enterprise System and Central CostAllocations. The Enterprise Tax, implemented in 1999-00, is a tax <strong>of</strong>43


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>1.25% on salaries to help pay for PeopleS<strong>of</strong>t and its upgrades. Beginningin 2006-07, the Institutional Revenue Sharing (IRS) plan was eliminatedby the <strong>University</strong> and replaced by direct allocations for services received(Central Cost Allocations). The purpose is to recognize that there arecertain costs at the institutional level that result in benefits throughout the<strong>University</strong>, and that each unit should share in the responsibility <strong>of</strong>covering these costs and the cost for the Academic Mission. Thisallocation applies to all external sales and services revenue.CARRY FORWARD1. Carry forward funds are dedicated to building renovation, equipment replacement, andpotential new programs. In prior years, the Carry Forward balance had increased primarily tocover anticipated claims experience from the <strong>Student</strong> <strong>Health</strong> Benefit Plan and plannedadditions to insurance reserves. These liability reserves are standard requirements in theinsurance industry.2. Reserves - BOYNTON HEALTH SERVICES CARRY FORWARD (EXCLUDINGSTUDENT INSURANCE)ENDING ENDINGENDING FY FY FY ENDING FY ENDING FY2009-10 2010-11 2011-12 2012-13 Proj 2013-14 Proj$858,276 $1,081,058 $2,327,778 $2,433,770 $2,617,150Operating reserves are those reserves that have not been designated for a future purposeother than covering potential operating deficits or unexpected capital expenditures.<strong>Boynton</strong>’s objective is to maintain approximately 15% or 60 days <strong>of</strong> operating expense inits carry forward reserve. This amount is close to $4 million.Building and deferred maintenance reserve was established a number <strong>of</strong> years ago in aneffort to follow the guidelines from the Board <strong>of</strong> Regents. These funds need to bededicated for major plant expenditures, such as heating, ventilation and air conditioning(HVAC), elevator repair, and substantive upgrades to the facility.Equipment reserves are established as a replacement fund for <strong>Boynton</strong>’s equipmentneeds.Long Range planning reserve was established for new programs within <strong>Boynton</strong>. Thisfund also has a history similar to the building and deferred maintenance reserve. Oneneed for long range planning reserves relates to the growth <strong>of</strong> <strong>Boynton</strong>’s self-fundedstudent insurance program to extend enhanced benefits to the Academic <strong>Health</strong> Centerstudents and the addition <strong>of</strong> Duluth, Crookston and Morris campuses to the <strong>Student</strong>44


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong><strong>Health</strong> Benefit Plan. Reserve growth for this purpose has been built exclusively frominsurance premiums and not from student fees.Managed care reserves were designated internally to cover any future deficit in managedcare agreements for which <strong>Boynton</strong> has a financial risk. Long Range planning forstudent insurance growth and enhancements basically serves the same purpose at thispoint.Dental reserve is the result <strong>of</strong> internal accounting <strong>of</strong> surpluses generated in the DentalClinic. The internal agreement is that only the Dental Clinic can use these surpluses forfuture capital expenditures and potential deficits.<strong>Student</strong> <strong>Health</strong> Insurance reserve is based upon the net claims results for the studenthealth benefits over the past five years. Effective management <strong>of</strong> the plan and somebuilt-in cost for plan enhancement and growth has allowed <strong>Boynton</strong> to implement apartially self-funded plan. These funds will cover losses that exceed 100% <strong>of</strong> projectedclaims with re-insurance covering loses that exceed 115% <strong>of</strong> projected claims.Some <strong>of</strong> the planned and restricted uses relate to items mentioned in the carry forward detail.Dental balance relates to the above-mentioned dental reserve. Per internal agreements,this amount is not available for the general operations <strong>of</strong> the <strong>Health</strong> <strong>Service</strong>.<strong>Student</strong> <strong>Health</strong> Insurance reserve is the prior year surplus that is designated for use infuture years for student health benefit plans.45


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Gopher Quick Clinic was implemented in FY08 to meet the demand for evaluation andtreatment <strong>of</strong> acute minor illnesses under a low cost model <strong>of</strong> operations. Similar to othercommunity convenience clinics that are expanding in the Twin Cities and nationally, GopherQuick Clinic is staffed with a mid-level provider, no nursing support, and point <strong>of</strong> care labtesting. Patients self-select into GQC, and as such, there is also minimal scheduling cost. Patientresponse has been extremely positive thus far.Gopher Quick Clinic <strong>Service</strong>sGopher Quick Clinic is limited to addressing one <strong>of</strong> the following concerns per patient visit.Common Illnesses: Bladder Infection, Bronchitis, Cold/Cough, Ear Infection, Laryngitis, Mononucleosis,Pink Eye, Respiratory Flu, Seasonal Allergies, Sinus Infection, Strep Throat, Swimmer's EarSkin Conditions: Athlete's Foot, Bug Bites, Cold Sores, Eczema, Impetigo, Minor Sunburn, Poison Ivy,Ringworm, Warts (three or fewer, does not include genital warts)Vaccines: Tetanus Vaccines (Td and Tdap), Flu VaccineAdditional <strong>Service</strong>s: Pregnancy TestAn assessment <strong>of</strong> the cost per visit differential between GQC and Primary Care reveals anaverage direct cost per visit <strong>of</strong> approximately $54 compared to $102. The difference is evengreater compared to Urgent Care where many <strong>of</strong> these visits have historically been managed. In2009, a decision was made to add GQC services in the St Paul C<strong>of</strong>fey Hall clinic. GQC alsoserves staff that have open access to convenience care as part <strong>of</strong> their health plan. GQC St Paulfollows the same calendar schedule as the St Paul Primary Care Clinic and is closed summersand other academic breaks.46


2007/092007/112008/012008/032008/052008/072008/092008/112009/012009/032009/052009/072009/092009/112010/012010/032010/052010/072010/092010/112011/012011/032011/052011/072011/092011/112012/012012/032012/052012/072012/092012/112012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>1,400GOPHER QUICK CLINIC VISITS1,2001,000800600400200047


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Gopher ChauffeurIn fall 2007, the Minnesota <strong>Student</strong> Association (MSA) established the MSA Express, a freetransportation service that promotes safety in the campus community by providing <strong>University</strong> <strong>of</strong>Minnesota-Twin Cities students with safe rides. In fall 2008, <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> beganoperating the MSA Express. In October 2009, <strong>University</strong> <strong>of</strong> Minnesota students, staff, andfaculty voted for a new name for the MSA Express. As <strong>of</strong> August 2010, <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>changed the name <strong>of</strong> the MSA Express to Gopher Chauffeur!We currently operate two twelve-passenger vans and one eight-passenger Tahoe from 10:00 p.m.to 2:00 a.m. on Friday and Saturday nights. The service is open to all <strong>University</strong> <strong>of</strong> Minnesota-Twin Cities students. Gopher Chauffeur drivers, navigators, and dispatchers are hired by<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>. All employees are <strong>University</strong> <strong>of</strong> Minnesota-Twin Cities students whoare CPR certified and trained in first aid.The Gopher Chauffeur will pick students up from and drop students <strong>of</strong>f at the followinglocations: West Bank, areas immediately surrounding West Bank (Grand Marc, Seven Corners),Dinkytown, Marcy Park, Como, East Bank, Stadium Village, St. Paul Campus, anything betweenEast Bank and St. Paul campuses, and Uptown Minneapolis. The Gopher Chauffeur will alsodrop students <strong>of</strong>f at residences in Uptown Minneapolis.Highlights• Fall 2007: MSA establishes the MSA Express• Fall 2008: <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> begins operating the MSA Express• Fall 2010: Name <strong>of</strong> service becomes Gopher Chauffeur• Fall 2011: Gopher Chauffeur begins operating three vehicles per night• Spring 2012: Gopher Chauffeur begins utilizing iPads to communicate ride informationbetween employees• Fall 2013 (anticipated): Gopher Chauffeur begins operating four vehicles per night48


Sept 2-3Sept 9-10Sept 16-17Sept 23-24Sept 30-Oct 1Oct 7-8Oct 14-15Oct 21-22Oct 28-29Nov 4-5Nov 11-12Nov 18-19Dec 2-3Dec 9-10Dec 17-18Jan 20-21Jan 27-28Feb 3-4Feb 10-11Feb 17-18Feb 24-25Mar 2-3Mar 9-10Mar 16-17Mar 23-24Mar 30-31Apr 6-7Apr 13-14Apr 20-21Apr 27-28May 4-5Riders2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Gopher Chauffeur Riders2011-2012Between September 2, 2011 and May 5, 2012, the Gopher Chauffeur provided 10,465 rides.600500400300303 321 276 266374 373 381 317456363Gopher Chauffeur Riders2011-2012458 461468422544 544512471 465Friday356Saturday483360 368 32420010014520413876100136049


Aug 31-Sept 1Sept 7-8Sept 14-15Sept 21-22Sept 28-29Oct 5-6Oct 12-13Oct 19-20Oct 26-27Nov 2-3Nov 9-10Nov 16-17Nov 30-Dec 1Dec 7-9Dec 15-16Jan 20-21Jan 27-28Feb 3-4Feb 10-11Feb 17-18Feb 24-25Mar 2-3Mar 9-10Mar 16-17Mar 23-24Mar 30-31Apr 6-7Apr 13-14Apr 20-21Apr 27-28May 4-5Riders2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Gopher Chauffeur Riders2012-2013Between August 31 and December 15, 2012, the Gopher Chauffeur provided 4,909 rides.600Gopher Chauffeur Riders2012-2013FridaySaturday500400300332376329264355 349260444298457420 431378133200100083Fall Semester2012- 2011- 2010- 2009- 2008-2012 Dates 2013 2012 2011 2010 2009Aug 31-Sept 1 83 145 163 161 11Sept 7-8 332 204 241 175 118Sept 14-15 376 303 269 294 170Sept 21-22 329 321 207 248 177Sept 28-29 264 276 282 307 190Oct 5-6 355 266 183 236 164Oct 12-13 349 374 234 292 238Oct 19-20 260 373 288 177 238Oct 26-27 444 381 436 281 250Nov 2-3 298 317 344 210 285Nov 9-10 378 456 301 281 278Nov 16-17 457 363 315 304 139Nov 30-Dec 1 420 458 309 381 183Dec 7-9 431 461 167 258 244Dec 15-16 133 138 115 105 154Total 4909 4836 3854 3710 2839Spring Semester2011- 2010- 2009- 2008-2013 Dates 2012 2011 2010 2009Jan 26-27 468 327 283 323Feb 2-3 422 329 268 336Feb 9-10 512 286 294 304Feb 16-17 544 333 308 276Feb 23-24 471 256 289 255Mar 1-2 544 411 321 333Mar 8-9 465 299 286 230Mar 22-23 76 67 69 51Mar 29-33 356 369 274 278Apr 5-6 483 290 108 302Apr 12-13 100 289 265 29Apr 19-20 360 385 251 206Apr 26-27 368 121 409 261May 3-4 324 336 189 208May 10-11 136 105 129 142Total 5629 4203 3743 353450


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>VehiclesThe Gopher Chauffeur currently operates two twelve-passenger vans (and a Tahoe). However,Fleet <strong>Service</strong>s is removing all twelve-passenger vans from its Fleet, and we will no longer beable to use them for the Gopher Chauffeur. So, we will need to start operating mini-vans.Switching from two 12-passenger vans to three minivans will decrease the total number <strong>of</strong> seatsavailable for passengers from 26 to 21 but will allow us to pick up more groups at a time.Operating five vehicles would give us the same number <strong>of</strong> seats. However, this would increaseour labor costs substantially.2 12-passengervans1 Tahoe3 minivans1 Tahoe4 minivans1 TahoeNumber <strong>of</strong> Vehicles 3 4 5Maximum Number <strong>of</strong>Passengers26 21 26Cost $87,491.54 $110,642.24In an effort to reduce wait times, we operated four Gopher Chauffeur vehicles (instead <strong>of</strong> three)on two nights in November. The shortest average wait times in November and December wereon November 9 and November 16, the two nights we operated four vehicles all night. OnNovember 16, we provided the largest number <strong>of</strong> rides <strong>of</strong> the semester while maintaining waittimes around 30 minutes.Date Vehicles RidersAverage WaitTimeLongest WaitTime11/2/2012 3 116 0:32:24 1:15:0011/3/2012 2 147 0:46:22 1:43:0011/9/2012 4 206 0:27:57 1:05:0011/10/2012 3 172 0:35:05 1:05:0011/16/2012 4 239 0:32:06 1:14:004 (flattire) 218 0:45:05 1:29:0011/17/201211/30/2012 3 214 0:44:48 1:43:0012/1/2012 3 206 0:38:31 1:17:00After considering operating four or five vehicles, we think it is best to request funding foroperating four vehicles.51


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Funding RequestGopher Chauffeur 2013-2014 BudgetVehicle Leases (4 vehicles) $20,328.00Insurance $1,488.00Accidents/Deductibles $2,000.00Mileage (Estimate) $1,740.00Vehicle Cleaning $1,436.16Parking Contract $6,132.00Subtotal Vehicles $33,124.16Phone Charges $4,301.40Personnel Training $1,500.00Marketing $7,500.00Subtotal Communication andTraining $13,301.40Monthly Labor Cost Shifts On-Call Shifts Monthly Total13-Aug 10 2 $661.9813-Sep 80 8 $5,116.3213-Oct 90 9 $5,755.8613-Nov 90 9 $5,755.8613-Dec 30 4 $1,941.0614-Jan 30 3 $1,918.6214-Feb 80 8 $5,116.3214-Mar 60 7 $3,859.6814-Apr 70 8 $4,499.2214-May 30 4 $1,941.0614-Jun 0 0 $0.0014-Jul 0 0 $0.0014-Aug 0 0 $0.00Subtotal FY14Annual Labor Cost$36,565.98Subtotal FY15Annual Labor Cost (2.5%increase) $37,480.13Subtotal FY14 OperationalCost $82,991.54Administrative ChargeBHS Staff Time $4,500.00Subtotal FY15 OperationalCost (1.7% increase) $84,369.95Administrative ChargeBHS Staff Time $4,500.00Grand Total FY14 $87,491.54 Grand Total FY15 $88,869.9552


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Budget Explanation - OperationsIn 2012-2013, the Gopher Chauffeur operated two 12-passenger vans and one eight-passengerTahoe. Fleet <strong>Service</strong>s has informed us that we cannot continue leasing the 12-passenger vans.So, we plan to operate three seven-passenger minivans and the one eight-passenger Tahoe. Thelease for the minivans is $411.00 per month per vehicle. The lease for the Tahoe is $461.00 permonth. For four vehicles, the annual cost is $20,328.00.The lease agreement provides all repairs and routine maintenance for the vehicles along with a$0.16 per mile charge for the Tahoe and $0.14 per mile charge for each minivan that covers fuelcost. Each vehicle travels approximately 3,000 miles per year. For four vehicles, the estimatedannual cost is $1,740.00.Insurance with a $500 deductable is $31 per vehicle per month and purchased through the<strong>University</strong>. For four vehicles, the annual cost is $1,488.00. The insurance requires a $500deductable per vehicle. For four vehicles, the annual cost is $2,000.00Cleaning <strong>of</strong> the van is provided through the lease. Two students spend approximately two hoursper week cleaning the vehicles. The estimated annual cost for their labor for the 32 weeks theGopher Chauffeur operates is $1,436.16.The four Gopher Chauffeur vehicles will be parked in the East River Road Parking Ramp. Theparking contracts cost $127.75 per month per vehicle. For four vehicles, the annual cost is$6,132.00.Communications are managed through the use <strong>of</strong> six cell phones and four iPads with mobile hotspots with service provided through AT&T for approximately $358.45 per month. This costincludes $50.65 per month per mobile hotspot and $91.65 per month for one phone and $12.84for each additional phone. For six cell phone and four mobile hot spots, the annual cost is$4,301.40.Staff members are trained by <strong>Boynton</strong> staff in first aid and CPR and how to respond to variousscenarios staff may encounter during their shifts and attend a Gopher Chauffeur meeting at leastonce per semester. The estimated annual cost is $1,500.00.Advertising is provided through business cards, temporary tattoos, posters, emailcommunication, website, Facebook, and Minnesota Daily ads. The three new minivans will haveto be wrapped with the Gopher Chauffeur logo. The cost <strong>of</strong> wrapping the vans will be $1,500 pervan and the estimated marketing cost is $3,000. The total estimated marketing cost is $7,500.Each van is operated by a driver and a navigator. The driver’s primary responsibility is tomaintain the safety <strong>of</strong> the van by focusing on driving responsibilities only. The navigator isresponsible for communicating with passengers, taking the calls for rides, and providingdirections to the driver when needed. Two dispatchers distribute calls. Riders are taken on a firstcome, first serve basis. Staff members are compensated at the rate <strong>of</strong> approximately $11.22 perhour and typically work approximately 5.5 hours per shift (9:30 pm-3:00 am). A total <strong>of</strong> 10Gopher Chauffeur employees will work on nights that four vehicles are operated. We also haveone employee on-call each night. The on-call employee is paid for two hours <strong>of</strong> work if they arenot needed to pick up a shift. They are paid for the time they work if they pick up a shift (and theemployee unable to work their shift is not paid).53


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>On weekends, it is anticipated to be less busy (last weekend <strong>of</strong> each semester and Easterweekend), the Gopher Chauffeur operates only two vehicles with one dispatcher. A total <strong>of</strong> fiveGopher Chauffeur employees work on nights when only two vehicles are operated. Theestimated annual labor cost is $36,565.98.One additional fee is staff cost for <strong>Boynton</strong> staff to manage the Gopher Chauffeur. With theunderstanding that this is an extremely important service to the safety <strong>of</strong> the student population,<strong>Boynton</strong> has determined a small administration fee <strong>of</strong> $4,500 per year is appropriate. One<strong>Boynton</strong> pr<strong>of</strong>essional staff person and one <strong>Boynton</strong> student employee will manage all GopherChauffeur administrative needs.2013-2014 Gopher Chauffeur Schedule2013-2014 Dates Vehicles per Shifts per Night On-CallNotesNightShiftsAugust 30-31 2 5 1 Start <strong>of</strong> semesterSept 6-7, 13-14, 20-21, 27-28 4 10 1Oct 4-5, 11-12, 18-19 4 10 1Oct 25-26 4 15 1.5 Homecoming (1.5 time)Nov 1-2 4 15 1.5 Halloween (1.5 time)Nov 8-9, 15-15 4 10 1Nov 22-23 0 0 0 ThanksgivingNov 29-30 4 10 1Dec 6-7 4 10 1Dec 13-14 2 5 1 End <strong>of</strong> SemesterJan 24-25, 31 4 10 1Feb 1, 7-8, 14-15, 21-22, 28 4 10 1March 1, 7-8 4 10 1Mar 14-15 2 5 1 Spring Break StartsMar 21-22 0 0 0 Spring BreakMar 28-29 4 10 1April 4-5, 11-12 4 10 1Apr 18-19 2 5 1 EasterApr 25-26 4 10 1May 2-3 4 10 1May 9-10 2 5 1 End <strong>of</strong> SemesterCommentaryThe Gopher Chauffeur has been a very popular service. The outside perception <strong>of</strong> the GopherChauffeur as a “drunk bus” has not proven to be the case. Some students have been intoxicatedwhile riding the van, but, in general, the ridership is appreciative <strong>of</strong> the service, and, by allaccounts, very well-behaved. During the 2011-2012 school year, the Gopher Chauffeur provided10,465 student rides between 10 p.m. and 2 a.m. on Friday and Saturday nights. During fall2012, the Gopher Chauffeur provided 4,909 student rides between 10 p.m. and 2 a.m. on Fridayand Saturday nights.54


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong><strong>Fees</strong> Request - <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>FY14FY152013-14 2014-15Name <strong>of</strong> Fee BHS Operations BHS OperationsCurrent Fee Allocation $8,450,775 $8,450,776Amount <strong>of</strong> <strong>Fees</strong> Request $8,517,713 $8,696,333Name <strong>of</strong> Fee Gopher Chauffeur Gopher ChauffeurCurrent Fee Allocation $60,002 $60,002Amount <strong>of</strong> <strong>Fees</strong> Request $87,491 $88,870Name <strong>of</strong> Fee Mental <strong>Health</strong> <strong>Service</strong>s Mental <strong>Health</strong> <strong>Service</strong>sCurrent Fee Allocation $0 $0Amount <strong>of</strong> <strong>Fees</strong> Request $383,412 $402,150Request:With approval by the <strong>Student</strong> <strong>Health</strong> Advisory Committee, <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> is requesting2013-14 <strong>Student</strong> <strong>Service</strong> Fee funding <strong>of</strong> $8,517,713 and 2014-15 <strong>Student</strong> <strong>Service</strong> Fee funding <strong>of</strong>$8,696,333.Gopher Chauffeur needs to expand services by adding a 4 th vehicle, primarily due the fact thatwe can longer continue to operate 12 passenger vehicles. Ridership continues to increase and<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> is requesting funding <strong>of</strong> $87,491 in FY14 and $88,870 in FY15. Adetailed budget and description <strong>of</strong> services is included in the <strong>Fees</strong> Request document.A special Mental <strong>Health</strong> <strong>Service</strong>s fees request is detailed separately in this document with anobjective to increase provider capacity in <strong>Boynton</strong>’s Mental <strong>Health</strong> Clinic to better meet therising demand for mental health services on the Twin Cities campuses. The amount requested forFY14 (recurring) is $383,412 and the amount requested for salary inflation in FY15 (recurring)is $18,738.Methodology:<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> currently obtains approximately 27.13% <strong>of</strong> its overall total revenue from<strong>Student</strong> <strong>Service</strong> <strong>Fees</strong> (see table below). The balance <strong>of</strong> the revenue needed to support operationscomes from third party insurance payments, internal capitation payments for the <strong>Student</strong> <strong>Health</strong>Benefit Plan and Graduate Assistant <strong>Health</strong> Plan, and $1,081,890 from the FY13 annualOperations and Maintenance allocation. The percentage <strong>of</strong> total revenue derived from fees hasbeen steadily decreasing over time and is the basis for requesting a proportionate increase in <strong>Fees</strong>to cover standard inflationary increases necessary to run <strong>Boynton</strong>’s operations. Most <strong>of</strong> theseincreases come from annual salary increases and changes in fringe benefit rates, as directed by55


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>the <strong>University</strong>, in addition to an average annual 2% inflationary increase in supplies and servicesfrom volume increases and the medical consumer price index.<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> has maintained minimal increases in its level <strong>of</strong> funding plus theappropriate percentage <strong>of</strong> salary and fringe benefit adjustments for the past 15 years.Salary and Fringe Benefit Increase / Non –Salary Cost Increase / Central O&M FundingDecrease:For 2013-14, <strong>Boynton</strong> will budget an across the board <strong>University</strong> proposed 2.5% salary increaseand a projected 2% increase in supplies and purchased services for an overall cost increase <strong>of</strong>$246,732. This includes a decrease in the Administrative <strong>Service</strong> cost allocation in addition to adecrease in fringe benefit expense. The SSF requested portion for 2013-14 is $66,938, which is27.13% <strong>of</strong> the total cost increase in the areas <strong>of</strong> the health service funded by fees. <strong>Boynton</strong> doesnot request fee increases to cover inflation in Dental Clinic, <strong>Student</strong> Insurance, or for externalcontracts such as MCTC. These areas <strong>of</strong> the operations cover their expenses separately.For 2014-15, <strong>Boynton</strong> will budget an across the board <strong>University</strong> proposed 2.5% salary increaseand a projected 2% increase in supplies and purchased services for an overall cost increase <strong>of</strong>$658,383. The assumption is that fringe benefit rates, central cost allocations, and Operationsand Maintenance funding remains the same as in FY14. The SSF requested portion for 2014-15is $178,619, which is 27.13% <strong>of</strong> the total cost increase in the areas <strong>of</strong> the health service fundedby fees.Salary increases typically take into account merit, cost-<strong>of</strong>-living increases, union step increases,and market adjustments. Non-salary expenses include fringe benefits, communications,equipment, purchased services, supplies, repairs, building and maintenance materials for resale,rents and leases, utilities, and central assessments. Non-salary expenses generally followinflation rates close to the Medical Consumer Price Index.The budget for FY14 will include a 2.9% reduction in Operations and Maintenance (O&M)funding from the <strong>University</strong>. The total decrease will be $31,000. <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> is notrequesting any additional funding from student service fees to manage this reduction <strong>of</strong> income.There will also be an increase in the Enterprise Assessment from 1.25% to 1.75% which willamount to approximately $84,000. <strong>Boynton</strong> will not request an increase in fees to cover thischange.Description <strong>of</strong> Impact at a 10 Percent Reduction in <strong>Fees</strong> Request:A 10 percent reduction in funding will require <strong>Boynton</strong> to reduce staffing levels approximatelyby 10 percent. A 10% reduction in <strong>Student</strong> <strong>Service</strong> <strong>Fees</strong> would be approximately $851,000.Staffing costs represent approximately 65% <strong>of</strong> our operating budget and are the primary variablecost to the health service. The impact <strong>of</strong> a funding decrease this size could result in a reduction<strong>of</strong> anywhere from 20 to 25 FTEs depending on the types <strong>of</strong> services or programs cut. This willresult in less timely service and the elimination <strong>of</strong> selected programs and possible added copayments.Specific program cuts would be determined by <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> inconsultation with the <strong>Student</strong> <strong>Health</strong> Advisory Committee and the Office for <strong>Student</strong> Affairs.56


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>57


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Historical Data on <strong>Student</strong> <strong>Service</strong> <strong>Fees</strong>Year Total <strong>Boynton</strong> Revenue SSF RevenueSSF as % <strong>of</strong> TotalRevenue1967-68 $2,400,000 $2,016,000 84.00%1983-84 $6,570,869 $4,377,400 66.60%1984-85 $6,552,644 $4,497,585 68.60%1985-86 $7,727,458 $4,964,185 64.20%1986-87 $8,239,311 $5,276,578 64.00%1987-88 $8,578,249 $5,475,087 63.80%1988-89 $8,751,248 $5,453,615 62.30%1989-90 $9,479,989 $5,861,431 61.80%1990-91 $8,462,732 $5,487,939 64.80%1991-92 $10,167,286 $5,693,820 56.00%1992-93 $11,112,988 $5,982,531 53.80%1993-94 $11,045,578 $5,700,497 51.60%1994-95 $11,941,070 $5,635,253 47.20%1995-96 $12,244,834 $5,957,463 48.70%1996-97 $12,485,460 $6,110,836 48.90%1997-98 $13,020,298 $6,212,058 47.70%1998-99 $14,868,436 $6,708,043 45.10%1999-00 $16,945,243 $6,312,569 37.30%2000-01 $16,977,573 $6,297,794 37.10%2001-02 $18,866,619 $7,177,891 38.00%2002-03 $18,542,168 $6,748,462 36.40%2003-04* $19,527,421 $6,026,605 30.90%2004-05 $20,338,524 $6,596,718 32.50%2005-06** $19,439,366 $6,555,344 33.70%2006-07** $21,750,213 $7,100,040 32.64%2007-08** $23,464,052 $7,681,119 32.74%2008-09** $24,809,563 $7,852,663 31.65%2009-10** $27,361,587 $8,564,338 31.30%2010-11** $29,777,639 $8,949,946 30.06%2011-12** $32,666,671 $8,862,504 27.13%2012-13** $34,116,744 $8,870,066 26.00%* one time rate reduction in SSF to students** excludes student insurance58


1967-681983-841984-851985-861986-871987-881988-891989-901990-911991-921992-931993-941994-951995-961996-971997-981998-991999-002000-012001-022002-032003-04*2004-052005-06**2006-07**2007-08**2008-09**2009-10**2010-11**2011-12**2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Total <strong>Boynton</strong> Revenue SSF Revenue SSF as % <strong>of</strong> Total Revenue$35,000,000$30,000,000$25,000,000$20,000,000$15,000,000$10,000,000$5,000,000$090.00%80.00%70.00%60.00%50.00%40.00%30.00%20.00%10.00%0.00%700.0%% Increase Since 1984 (Base CPI)600.0%596.5%500.0%485.5%400.0%300.0%288.4%289.2%300.3%317.8%Tuition AloneMedical Cost (CPI)<strong>Student</strong> <strong>Service</strong> <strong>Fees</strong> (w/o BHS)<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> Net Fee200.0%100.0%97.1% 96.9%0.0%2010-11 2011-1259


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>140.0%% Increase - 10 Years132.9%120.0%122.6%100.0%80.0%Tuition AloneMedical Cost (CPI)60.0%55.1%<strong>Student</strong> <strong>Service</strong> <strong>Fees</strong> (w/o BHS)40.0%42.4%32.2%40.1%42.7%26.5%<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> Net Fee20.0%0.0%2010-11 2011-1260


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong><strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Capital Improvement HistoryYear Item Cost1983 Chilled water crossover $39,0001984 Snowmelt replacement $37,0001984 W249 X-Ray room remodel $8,6001985 Mosler System installed $330,0001987 Computer room; no equipment $46,0001988 Asbestos removal $176,0001989 Energy management system $185,0001991 Fire safety system $127,0001993 Addition and air conditioning $2,100,0001993 Rec Sport Fitness Center equipment for physical therapy $213,0001995 Basic Science tunnel $250,0001996 Landscape $112,0001997 Front Entry canopy $134,5001998 Duct cleaning 414 supply $17,0002000 Duct cleaning West Wing $35,3002000 Asbestos removal $300,0002000 5th Floor tuck-pointing $87,0002002 5th floor air handler $38,0002002 New ro<strong>of</strong> $750,0002003 HVAC & Women's Clinic Remodel $2,200,0002003 Chilled water re-piping $200,0002003 Lab remodel $40,0002003 Mental <strong>Health</strong> $628,0002003 Carpet 2nd floor lab and north corridor $22,0002004 X-ray machine $100,0002004 Carpet 2nd floor west wing corridor and 5th floor bridge and suite $62,0002004 Sprinkler and fire door south stairway $14,5002005 Electronic medical records $460,0002005 HVAC/Power Conditioner W30 $91,0002006 HVAC & Primary Care Clinic remodel $3,700,0002006 Dental Clinic expansion for Graduate Assistant contract $370,00061


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>2011 Elevator code upgrades (2) $1,350,000TOTAL $14,222,900BHS 6 Year Capital Improvement PlanYear Item Cost2013 4th Floor remodel/first phase expansion for Dental Clinic and Mental <strong>Health</strong> $500,0002013 C<strong>of</strong>fey Hall/St Paul Clinic expansion for Mental <strong>Health</strong> services $500,0002014 Elevator code upgrade (1) $800,0002016 5th floor reclaim/remodel and expand/partial relocate Mental <strong>Health</strong> $1,500,0002017 4th Floor remodel/ second phase expansion for Dental Clinic $250,0002017 5th floor reclaim/remodel and relocate administrative services $1,500,0002018 3rd floor remodel for clincal services relocation & expansion <strong>of</strong> Eye Clinic $2,500,000Sprinkling, lighting, HVAC, remodel 3rd and 2nd floors, possible 1st floor code2018 upgrades and misc improvements $3,500,0002019 Windows west wing, 5 floors $2,500,000TOTAL $13,550,00062


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Programmatic Breakdown<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> Mission StatementGood health is essential for long term academic, occupational and personal success. Creating ahealthy community by working with students, faculty and staff <strong>of</strong> the <strong>University</strong> <strong>of</strong> Minnesota toachieve physical, emotional and social well-being is the mission <strong>of</strong> <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>.<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>: Public <strong>Health</strong> <strong>Service</strong> for the <strong>University</strong><strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> (BHS) - the public health service for the <strong>University</strong> <strong>of</strong> Minnesota -provides a wide variety <strong>of</strong> services and functions. As with other public health agencies, BHSdirects its focus on four main program areas:1. <strong>Health</strong> Promotion;2. Preventive <strong>Service</strong>s;3. <strong>Health</strong> Protection;4. Emergency Preparedness and Response; and5. Surveillance, which includes Quality Assurance and Monitoring.The following is a description <strong>of</strong> the main areas.<strong>Health</strong> Promotion and Preventive <strong>Service</strong>s<strong>Health</strong> Promotion and disease prevention use health education and specific interventions toaddress the major health issues facing <strong>University</strong> students in a manner that prevents short andlong term consequences and enhances short and long term health. Efforts in this area go farbeyond <strong>Boynton</strong>’s health promotion department to other areas within the health service. Most<strong>of</strong> the areas within BHS have some role in health promotion and disease prevention efforts.These efforts are directed behavior change and environmental factors that support individualsmaking choices about healthier lifestyles. They include disease prevention, health enhancementand medical care. All <strong>of</strong> these efforts reduce health risks in a population.Reduction <strong>of</strong> risks that cause cardiovascular diseases, cancers, sexually transmitted infections,suicide, other infections, etc. are part <strong>of</strong> preventing disease. The prevention <strong>of</strong> smoking,nutrition services, weight control, and condom use are all examples <strong>of</strong> how disease preventionis addressed through BHS.A majority <strong>of</strong> <strong>Boynton</strong>’s efforts are targeted at the issues that have the greatest impact on thestudents: Sexual health; Chemical health (Alcohol and tobacco use); Stress and mental health; Physical activity; and Immunizations.63


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Sexual <strong>Health</strong>Data show that 64% <strong>of</strong> <strong>University</strong> students were sexually active in the past 12 months. Because<strong>of</strong> this, members <strong>of</strong> the university community are at risk for numerous problems, includingsexually transmitted disease and unplanned pregnancies.To address this issue, BHS provides:Educational information;Testing and screening for sexually transmitted diseases;Pregnancy testing;Pregnancy counseling;Condom distribution;Coordination <strong>of</strong> special events and programs; andPap smearsThese efforts are coordinated throughout the clinic, with services provided through the urgentcare clinic, women’s clinic, pharmacy and the health promotion department. SHADE (Sexual<strong>Health</strong> Awareness and Disease Education) is comprised <strong>of</strong> specially trained students whoprovide programs, special events and education materials. <strong>Health</strong> Advocates provideeducational information and pregnancy testing outside <strong>of</strong> BHS.The BHS Pharmacy lists oral contraception medication as the most commonly sold medication.Chemical <strong>Health</strong>Approximately 35% <strong>of</strong> the student population has engaged in binge drinking in the past twoweeks. Some targeted groups have even higher rates. BHS provides educational information,special programs, general awareness campaigns, special events promotion, formal and informalchemical dependency assessments, and DWI classes. In addition, BHS staff takes a leadershiprole in the <strong>University</strong>’s Alcohol, Tobacco and Other Drug (ATOD) Task force. In 2010-11,<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> increased staff who could address chemical health issues with a briefintervention model that has been beneficial in reducing harm from chemical use.<strong>Student</strong>s Off Booze Enjoying Recovery (SOBER)SOBER is an organization <strong>of</strong> students recovering from drug and alcohol addiction and theirfriends who are allies to the recovery movement. Our purpose is to support students in recoveryin any manner possible, but especially through the planning <strong>of</strong> social activities so that recoveringpeople and their friends may find fellowship and solidarity on campus. SOBER exists to providesupport to students committed to sobriety.TobaccoBHS also provides help for those who wish to quit tobacco use. Nicotine replacement therapy(patches) along with other prescription medications is available through the BHS pharmacy.Research shows that primary care physicians are effective at reducing their patients’ smoking;because <strong>of</strong> this, <strong>Boynton</strong> providers <strong>of</strong>ten encourage smokers to begin the quitting process.64


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>StressUnmanaged stress can lead to depression. 12.8% <strong>of</strong> <strong>University</strong> students have been diagnosedwith depression. In addition, 4% <strong>of</strong> the student population currently takes medication fordepression. There are a wide variety <strong>of</strong> services for the management <strong>of</strong> stress. Providers will<strong>of</strong>ten recommend stress reduction techniques for patients with stress-related problems.Counselors in the Mental <strong>Health</strong> Clinic <strong>of</strong>ten see patient with problems related to stress. Massagetherapists, nutritionist and others <strong>of</strong>ten deal with patients experiencing excess stress.In addition to direct patient care, there are free stress management programs <strong>of</strong>fered in toga, taichi, meditation and stretching, pilates and toning. These popular sessions are available on awalk-in basis throughout the school year. In 2004-05, <strong>Boynton</strong>’s stress management workshopshad 1,742 attendees.CPR and First Aid ClassesIt has been well-established that there is a general community benefit to large numbers <strong>of</strong>individuals having been through CPR and first aid training. BHS <strong>of</strong>fers fee for service classes tostudents (discounted), staff and faculty who wish to take a class.Care for <strong>Student</strong>s in the Residence Halls and Greek HousesSpecial efforts are <strong>of</strong>ten directed to these areas <strong>of</strong> campus. The <strong>Health</strong> Advocate program hasbeen a popular program since 1989. These students are trained to serve as a liaison between BHSand residents in Greek houses and residence halls. They are trained in first aid and CPR, coldsand flu, and other minor illnesses. They are trained to determine the severity <strong>of</strong> a studentcondition and help them decide if they need to call 911, drive to the E.R., or see a <strong>Boynton</strong>provider. They also have health information on a wide variety <strong>of</strong> topics and they provide freecondoms and pregnancy testing. <strong>Health</strong> Advocates will have approximately 4,000 visits per year.Medical/Dental <strong>Service</strong>sMedical services are essential to the mission <strong>of</strong> health promotion and disease prevention. Theseservices provide direct care to patients, which help to improve the overall health <strong>of</strong> thecommunity by improving the health <strong>of</strong> the patient and containing the spread <strong>of</strong> communicablediseases. These services include:Primary Care ClinicsThese services are available through appointments to provide ongoing primary care for illness,trauma, physicals, etc. Included on the list <strong>of</strong> various services <strong>of</strong>fered are dermatology, internalmedicine, chest clinic, sports medicine and massage. Included in each primary care visit ishealth education information, when appropriate.Women’s ClinicThis clinic provides: routine annual pelvic exams, diagnosis and treatment for illness, testing forsexually transmitted diseases, pregnancy testing, pregnancy counseling, colposcopy exams forabnormal pap smears and gynecological procedures, minor gynecological surgery, nursetelephone counseling, diagnosis and management <strong>of</strong> breast lumps, including cyst aspiration, andpatient education and counseling.65


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Preventive Medicine ClinicThis clinic provides: allergy injections, vaccinations to preserve general health(diphtheria/tetanus, influenza, pneumococcal, yellow fever, cholera, measles, mumps, rubella,hepatitis A and B), pre-travel counseling, tuberculosis screening, and rabies prophylaxis forsusceptible workers at the <strong>University</strong>.Eye ClinicThis clinic provides: comprehensive eye exams, diagnosis and treatment <strong>of</strong> acute eye problems,sale <strong>of</strong> contacts, eyeglasses, protective eyewear, and sunglasses.Physical TherapyPatients are encouraged to stay physically active, and doing so after an injury may be difficult.Physical therapy may be required to help the patient rehabilitate.NutritionThis clinic provides patients with: nutrition counseling, food intake analysis, body fat analysis,patient education and referrals. The nutrition department plays an essential role in the healthpromotion disease prevention area because <strong>of</strong> the relationship between diseases (heart disease,cancer, diabetes, etc.) and food intake.Urgent CareIn addition to the general primary care, BHS operates an urgent care clinic to handle the patientsthat have an immediate need to be seen. Over the last year, the number <strong>of</strong> visits available inurgent care has increased by making more same-day appointments available. In addition to thewalk-in visits, BHS maintains an on-site emergency team to perform trauma care, CPR, cardiacmonitoring and defibrillation, intravenous access and infusion <strong>of</strong> medications.Mental <strong>Health</strong> ClinicMental <strong>Health</strong> Clinic is an outpatient clinic staffed by psychiatrists, psychologists, clinicalpsychiatric social workers and a nursing specialist. This department provides crisis intervention,evaluations, testing, relationship counseling, couples, group and individual therapy, medicationmanagement and outreach services to other campus programs. The Mental <strong>Health</strong> Clinic staffworked diligently to make sure that there are appointments available to patients in a timelymanner. Placing some limits on the type and length <strong>of</strong> therapy resulted in a better service modelfor university students.Dental<strong>Student</strong>s have a wide range <strong>of</strong> dental needs. The BHS Dental Clinic mission is to meet the oralhealth needs by <strong>of</strong>fering a comprehensive range <strong>of</strong> dental services on campus. This allows thestudents to maximize and maintain their oral health as a critical part <strong>of</strong> their total health.<strong>Service</strong>s provided include: General Dentistry, Hygiene, Endodontics, Oral Surgery andPeriodontics.Customer <strong>Service</strong>/24 Hour Nurse Call LineIn addition to these services, there is an on-site telephone information line staffed by nurses toanswer questions about patients’ conditions. This is an effective service for those patients whoare unsure what to do about a specific medical condition. BHS has also arranged for an afterhours telephone triage nurse to be available to help students while BHS is closed. <strong>Student</strong>s aregiven advice regarding their specific health concern and help figuring out what level <strong>of</strong> followupis needed and what to do next.66


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong><strong>Health</strong> ProtectionPolicies, regulatory measures and environmental factors can also affect health on campus. BHSplays an active role in many <strong>of</strong> these functions on campus.The immunization policy for the general population can help the entire community by preventingany new cases <strong>of</strong> measles, mumps, rubella, tetanus, and diphtheria.All Academic <strong>Health</strong> Center students are required to show documentation <strong>of</strong> compliance withthe AAC & CDC immunization titers guidelines. <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> maintains theimmunization registry and provides many services at no out <strong>of</strong> pocket charge. Immunizations,such as measles, mumps, rubella and Hep B are not covered by fees. TB testing, Tetanus andDiphtheria blood titers are covered by SSF.All new international students must be tested for tuberculosis, a disease that currently is a majorhealth concern around the world.Tobacco policies on campus have an impact on the overall campus environment.<strong>Boynton</strong> advocates for maintaining access for all students to easily enter healthcare facilities andother buildings on campus.By working to keep a mandatory insurance policy and keeping the cost <strong>of</strong> the <strong>University</strong>sponsored<strong>Student</strong> <strong>Health</strong> Insurance Plan low, <strong>Boynton</strong> will continue to allow university studentsto purchase hospitalization insurance.The student services fee is a form <strong>of</strong> health protection. Keeping the cost low and making servicesavailable to students helps to keep the overall campus healthier.Emergency Preparedness and ResponseThe <strong>University</strong> <strong>of</strong> Minnesota is a community <strong>of</strong> over 60,000 people who come from all over thecountry and all over the world to study, work, teach, and do research. Many students, faculty,and staff also travel throughout the world as part <strong>of</strong> their academic experience. This diversityand mobility makes members <strong>of</strong> the <strong>University</strong> community potentially vulnerable to infectiousdiseases from all parts <strong>of</strong> the world. Because <strong>of</strong> this, <strong>Boynton</strong> has been active in developingpolicies, procedures, and protocols for dealing with new and potentially dangerous infections.The 2003 threat <strong>of</strong> SARS was an example <strong>of</strong> this activity. <strong>Boynton</strong> staff worked with CentralAdministration to develop travel policies for students and faculty to minimize the risk <strong>of</strong>contracting SARS. <strong>Boynton</strong> also retr<strong>of</strong>itted an exam room into a negative pressure room thatcould be used to safely diagnose and treat a suspected case <strong>of</strong> SARS. Staff training in dealingwith SARS has also been an on-going activity. These efforts should be beneficial to any newinfectious agent that appears. Although the threat <strong>of</strong> SARS has subsided somewhat, Avian (birdflu) is posing to be another potential public health threat. <strong>Boynton</strong> staff is involved with the<strong>University</strong>’s Emergency Response programs.Besides preparing to deal with new and emerging infections, the mere size <strong>of</strong> the <strong>University</strong>community makes the more common public health problems more likely to occur. In thatregard, the <strong>University</strong> is comparable to a medium-sized city. Having a large number <strong>of</strong> studentsliving in close quarters, like residence halls, Greek houses, and apartments, enhances the risk <strong>of</strong>any infectious disease spreading rapidly. Because <strong>of</strong> this, <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> continually67


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>monitors the campus for the emergence <strong>of</strong> any health problems. This is done through <strong>Boynton</strong>’smedical clinics, <strong>Health</strong> Advocates in residence halls and Greek houses, student volunteers inother programs, and contacts with other <strong>University</strong> programs. If any public health problem isidentified, <strong>Boynton</strong>’s public health staff, in collaboration with the Minnesota Department <strong>of</strong><strong>Health</strong> and the appropriate county health department, rapidly and effectively addresses theproblem. Within the last three years, <strong>Boynton</strong> responded to two cases <strong>of</strong> meningococcal diseaseand one case <strong>of</strong> tuberculosis. In both <strong>of</strong> these cases, prophylactic antibiotics were provided topotentially exposed individuals and no spread <strong>of</strong> the diseases occurred.<strong>Boynton</strong> has also been proactive in preventing outbreaks <strong>of</strong> influenza which can havedevastating effects on a community. For the last two years, <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> has beenproviding “flu clinics” for faculty, staff, and students where individuals can get influenzavaccinations without charge. In preparation for the 2007– 08 flu season, approximately 15,000immunizations were given. This year, it is anticipated that over 18,000 individuals will beimmunized.Surveillance, Quality Assurance and MonitoringData collection and reporting helps to direct the <strong>Health</strong> Promotion, Diseases Prevention and<strong>Health</strong> Protection efforts. The information gathering and reporting processes helps to improve:how the clinic functions, priorities for the <strong>Health</strong> Promotion department, priorities for clinicalservices and recommendations for <strong>University</strong> policies.In addition, Quality Assurance activities provide the systematic structure to keep the quality <strong>of</strong>service at BHS high and to make certain that BHS is in compliance with all local and federalregulations. All areas <strong>of</strong> the health service are required to meet established standards. Thosestandards are reviewed on a regular basis. When a review indicates an area that has fallen belowstandard guidelines, an improvement plan is put in place and executed.Surveillance and monitoring activities include:Community wide assessments <strong>Student</strong> <strong>Health</strong> Survey (every three years); ACHA <strong>Student</strong> <strong>Health</strong> Survey (done once and no plans for the future); Customer Satisfaction Surveys (give to patients twice per year); Staff Satisfaction Survey (annual); Recording and Reporting State Communicable Disease Information; and Emergency Outbreaks.Once data has been collected and analyzed, the information is then put into a report format anddistributed to the appropriate university students or staff. As an example, the 1998-99 Annualreport was a report <strong>of</strong> the overall health <strong>of</strong> the <strong>University</strong> student population.68


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Request for <strong>Student</strong> <strong>Service</strong> Fee for Mental <strong>Health</strong> <strong>Service</strong>s IncreaseIntroduction<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> and the <strong>Student</strong> <strong>Health</strong> Advisory Committee are requesting recurring<strong>Student</strong> <strong>Service</strong> Fee funding beginning in FY14 to subsidize the uncompensated portion <strong>of</strong> costnecessary to add two additional Mental <strong>Health</strong> provider positions in FY13 and 4 additionalMental <strong>Health</strong> provider positions in FY14. The reason for the request is the growing demand formental health services on the Twin Cities campus and <strong>Boynton</strong>’s limited capacity to meet thatdemand. As has been publicized in several Minnesota Daily articles recently, many students areunable to access mental health resources due to limited resources, waiting lists for evaluations,and financial barriers. Mental disorders in college students cause significant impairment inacademic performance and students’ ability to achieve their educational objectives and thrive intheir college environment. <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> and the <strong>University</strong> are in a unique position atthis time to expand the capacity for mental health services. This is due to recent opportunities toacquire space for provider treatment rooms, which until now, has been a significant limitingvariable. Through evidence based rationales, <strong>Boynton</strong> and its health advisory students willpresent the basis for requesting an additional $383,412 in recurring <strong>Student</strong> <strong>Service</strong> Fee fundingbeginning in FY14 and $18,738 in recurring inflationary funding beginning in FY15 for addeddedicated and critical mental health provider expenses to the <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> budget.Demand for Mental <strong>Health</strong> <strong>Service</strong>s Has Grown DramaticallyOver the past ten years, the Mental <strong>Health</strong> Clinic at <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> has experienced aconsistent increase in the demand for services and growth in volume unlike any other area <strong>of</strong> thehealth service. The 5 year rolling average % increase for mental health visits increases since2004 has been 4.3% to 6.2%. The peak year was 14.2% in FY09 and low year was -1.4% inFY11, although, each year there was an increase in the unique number <strong>of</strong> students served. Thetotal visit volume has increased from about 9,500 visits in FY04 to over 13,000 visits in FY12.69


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>16,000Significant Increase in Growth <strong>of</strong> Mental <strong>Health</strong> Visits14,00012,00010,0008,0006,0004,0002,0000FY04 FY05 FY06 FY07 FY08 FY09 FY10 FY11 FY12Rolling 5 Year % Increase in MH - Visits: Consistent Growth7.0%6.0%5.0%4.0%3.0%2.0%1.0%0.0%FY04 - 08 FY05 - 09 FY06 - 10 FY07 - 11 FY08 - 12The comparative 5 year rolling average % increase for non-mental health visits (excluding dentalclinic) has been 1.5% to 3.4%, and as a percentage <strong>of</strong> total BHS visits, mental health has beentrending upward from 14% <strong>of</strong> total visits in FY04 to 17% <strong>of</strong> total visits in FY12. The chartbelow show: The Percentage Change <strong>of</strong> Total Visits and Enrollment, the annual percentagechange to Mental <strong>Health</strong> Clinic visits, and the unique number <strong>of</strong> patients visiting the Mental<strong>Health</strong> Clinic, the annual percentage <strong>of</strong> the total <strong>of</strong> BHS patients visits that were Mental <strong>Health</strong>Clinic visits, and the eligible student population who have access to <strong>Boynton</strong>’s services.70


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>15.0%MH Visits Have Grown Faster than Enrollment and BHS Visits as a WholeTotal MH Visits % Growth% Change in SSF Eligible EnrollmentTotal BHS Visits % Growth10.0%5.0%0.0%FY04 FY05 FY06 FY07 FY08 FY09 FY10 FY11 FY12 FY04- 5.0%16.0%14.0%12.0%10.0%8.0%6.0%4.0%2.0%0.0%-2.0%-4.0%Annual % Change - BHS Mental <strong>Health</strong> Clinic VisitsIncreases Every Year Except FY11FY04 FY05 FY06 FY07 FY08 FY09 FY10 FY11 FY1271


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>3,500Unique MH <strong>Student</strong>s Seen - BHS Mental <strong>Health</strong> ClinicBHS Efforts to Serve More <strong>Student</strong>s3,0002,5002,0001,5001,0005000FY04 FY05 FY06 FY07 FY08 FY09 FY10 FY11 FY1218.0%16.0%14.0%12.0%10.0%8.0%6.0%4.0%2.0%0.0%MH Visits as % <strong>of</strong> Total BHS VisitsMH Visits are Becoming a Greater Proportion <strong>of</strong> All VisitsFY04 FY05 FY06 FY07 FY08 FY09 FY10 FY11 FY1272


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>8%% <strong>of</strong> SSF Enrollment Served - BHS Mental <strong>Health</strong> ClinicBHS is Serving Higher Percentages <strong>of</strong> Total SSF Enrollment7%6%5%4%3%2%1%0%FY04 FY05 FY06 FY07 FY08 FY09 FY10 FY11 FY12The increased trend in mental health services is may be attributed to several factors: Increased % <strong>of</strong> students matriculating with mental disorders. Campaigns to reduce the stigma <strong>of</strong> mental disorders. The Provost’s Committee on Mental <strong>Health</strong> focused on increasing communication,collaboration and resources to meet campus and community mental health needs moreeffectively. The Provost’s Committee also focused on training <strong>of</strong> staff, faculty and students torecognize, approach, and refer students with mental health issues. Increased levels <strong>of</strong> stress to perform academically. Increased levels <strong>of</strong> stress due to financial pressures to pay for school as well as highernumbers <strong>of</strong> students taking on debt that will be difficult to repay (recession). Difficulty accessing service or limited insurance coverage for services <strong>of</strong>f campus. 2010 College <strong>Health</strong> <strong>Student</strong> Survey data shows that 63.1% <strong>of</strong> UMTC students report oneor more major stressors within the last 12 months (primary examples are failing a course,death <strong>of</strong> someone close, and credit card debt).Lifetime prevalence estimates are as follows: anxiety disorders, 28.8%; mood disorders, 20.8%;impulse-control disorders, 24.8%; substance use disorders, 14.6%; any disorder, 46.4%. Medianage <strong>of</strong> onset is much earlier for anxiety (11 years) and impulse-control (11 years) disorders thanfor substance use (20 years) and mood (30 years) disorders. Half <strong>of</strong> all lifetime cases start by age14 years and three fourths by age 24 years. Later onsets are mostly <strong>of</strong> comorbid conditions, withestimated lifetime risk <strong>of</strong> any disorder at age 75 years (50.8%) only slightly higher than observedlifetime prevalence (46.4%). Lifetime prevalence estimates are higher in recent cohorts than inearlier cohorts and have fairly stable intercohort differences across the life course that vary insubstantively plausible ways among sociodemographic subgroups. (Kessler & Berglund).The prevalence <strong>of</strong> mental health disorders among UMTC students is summarized by findingsfrom the <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> 2010 College <strong>Student</strong> <strong>Health</strong> Survey and the 2012 <strong>Health</strong>yMinds Study. The BHS Survey found that 27.1% <strong>of</strong> UMTC students report being diagnosed with73


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>at least one MH condition within their lifetime and 14.1 % <strong>of</strong> UMTC students report beingdiagnosed with at least one MH condition within the past 12 months. On the Twin Citiescampus, this can be extrapolated to mean that 10,500 fee paying students have been diagnosed intheir lifetime and 5,500 have been diagnosed within the past 12 months (14,000 lifetime and7,300 in the past 12 months, if non-fee paying students are included). In the <strong>Health</strong>y MindsStudy, 19% <strong>of</strong> UMTC students report having depression and/or anxiety. 0.51% (over 250students) report a suicide attempt within the past 12 months and about 6% (over 3000 students)have seriously contemplated suicide. Approximately 6 UMTC students commit suicide eachyear.In 2011-12, the <strong>Boynton</strong> Mental <strong>Health</strong> Clinic served about 3,000 individual students.10,000UNMET NEED –BHS MENTAL HEALTH - - STUDENTS SERVED AND STUDENTS WITH MH DIAGNOSISUnique MH <strong>Student</strong>s Served at BHS<strong>Student</strong>s with MH Diagnoses - Past 12 Months Est<strong>Student</strong>s with MH Diagnoses - Lifetime Est8,0006,0004,0002,0000FY04 FY05 FY06 FY07 FY08 FY09 FY10 FY11 FY12High Correlation <strong>of</strong> Mental <strong>Health</strong> Disorders and Academic Success2010 College <strong>Student</strong> <strong>Health</strong> Survey data clearly demonstrate that poor mental health statuscorresponds to decreased academic success. <strong>Student</strong>s with a lifetime or 12 month history <strong>of</strong> MHdiagnosis have significantly lower GPAs than students without a mental health history. Thispattern is also observed in students who report more days <strong>of</strong> poor mental health or a highernumber <strong>of</strong> stressors. BHS mental health services are designed to help students cope withpersonal stressors and access extended clinical care for persistent mental illness. When we canmeet the mental health needs <strong>of</strong> our students, we can improve overall academic success at UMN.74


Grade Point AverageGrade Point AverageGrade Point Average2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>3.4Have condition3.353.33.253.23.33 3.333.25 3.233.15Within LifetimeWithin Past 12 Months3.43.33.32 3.35 3.353.33.23.213.10 1-2 3-5 6-10 11-30Days <strong>of</strong> Poor Mental <strong>Health</strong>3.53.43.33.23.132.92.82.73.42 3.383.283.213.083.032.9 2.91 2.870 1 2 3 4 5 6 7 8+Number <strong>of</strong> Stressors-Past 12 Months75


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Turner and Berry (2000) found retention rates for students who sought counseling were superiorto the retention rates for the general student population during a six year period. Wilson et al(1997) studied 562 Iowa State <strong>University</strong> students who had requested counseling and found thatthose who received counseling had a 14% retention advantage after a two year interval over theircounterparts who did not receive counseling. Research shows that 5 percent <strong>of</strong> studentsprematurely end their education due to psychiatric disorders and that over 4 million people in theUnited States would have graduated from college if they had not experienced psychiatricdisorders (Kessler, 1995). Given the known dropout rate <strong>of</strong> 9% at the <strong>University</strong> <strong>of</strong> Minnesota,it follows that mental disorders are the single biggest reason students drop out <strong>of</strong> the <strong>University</strong>.Certain types <strong>of</strong> depression directly relate to lower grade point averages and higher dropoutrates. <strong>University</strong> <strong>of</strong> Michigan’s Daniel Eisenberg led a study, which surveyed 2,800 studentsonline. <strong>Student</strong>s answered questions about a variety <strong>of</strong> mental health issues, and completed afollow-up survey two years later. Many students could function fine in school, depending on thetype <strong>of</strong> depression that they had. However, depressed students with an accompanying loss <strong>of</strong>interest were twice as likely to drop out. In students who had depression with anxiety, academicperformance was even lower. College students may be even less likely to seek help because theybelieve the stress they experience is normal. Likewise, different students have different levels <strong>of</strong>stigma about mental health. The study found that males, students from lower-incomebackgrounds, and Asian students report higher levels <strong>of</strong> stigma. These students can experienceeven more pressure as a result.StaffingMental <strong>Health</strong> Clinic provider staffing levels have been increased to try to meet demand, from9.1 FTEs in FY04 to 12.2 FTEs in FY12. U <strong>of</strong> M Administration including the Vice Provost andProvost has been very supportive <strong>of</strong> requests to add MH provider staffing resources to meetdemand. Nonetheless, the budget has been a factor in the ability to increase staffing. The cost <strong>of</strong>a psychiatrist has increased by nearly 40% in the past decade. Despite parity laws, coverage formental health services is <strong>of</strong>ten more restricted than for other medical benefits, with the result thata significant number <strong>of</strong> students do not have adequate MH benefits. Overall, third partyreimbursement for mental health services averages 60% compared to 70% for medical services.The cost per visit for mental health is also higher than it is for medical services because <strong>of</strong> thelength <strong>of</strong> therapy visits and the higher salaries for psychiatrists.Space has been a limiting factor in the addition <strong>of</strong> staff. BHS has been land locked in terms <strong>of</strong>space, and some MH providers have been without permanent <strong>of</strong>fice space.Finally, recruitment can be difficult due to a less than adequate community supply <strong>of</strong> mentalhealth pr<strong>of</strong>essionals with prescribing authority (psychiatrists and Advanced Practice Nurses).<strong>Boynton</strong> has worked hard to overcome any community market compensation differentials.Unmet NeedAs a consequence <strong>of</strong> increased demand for services, students have encountered long wait timesfor first appointments in the MHC. <strong>Student</strong>s seeking therapy are placed on waiting list if thereare no intake times available within the next two weeks. This policy was instituted to ensureaccess for return visits for new and established patients. A daily email is sent to students on thewaitlist informing them <strong>of</strong> the intake appointments that have opened. <strong>Student</strong>s are deleted from76


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>waitlist if they have not called to schedule an appointment after one month (they are contacted byphone and can opt to remain on the waitlist). There is no wait list for medication evaluations butthese may be booked out 5 weeks during peak demand.Delays in first appointments usually peak in October and November and again in February andMarch. The therapy waitlist was activated early in the Fall 2012 semester and reached as high as50. It stands at 33 as <strong>of</strong> December 3 rd , 2012. <strong>Student</strong>s on the waitlist are provided informationabout community resources, including <strong>University</strong> Counseling and Consulting <strong>Service</strong> (therapyonly). They may see the <strong>Boynton</strong> MHC urgent counselor if they are in crisis. It is unknown howmany students who drop from the waiting list ever connect with therapy options in thecommunity. With respect to medication management, Primary Care providers at <strong>Boynton</strong> haveassumed care for a greater numbers <strong>of</strong> students with depression, anxiety, and ADHD. Despitethis collaboration, delays for medication intakes in the MHC have averaged 3-5 weeks this fall.UMTC students have been unhappy with the delays in access to mental health services. The 2012<strong>Health</strong>y Minds Study found 30% <strong>of</strong> students who sought care were dissatisfied with long delaysin scheduling appointments. The Minnesota Daily Article from May 2 nd , 2012 “At Capacity:Clinic Battles Limited Resources” by Taryn Wobbema(http://www.mndaily.com/2012/05/02/capacity-clinic-battles-limited-resources), addressedstudent concerns and the frustration that Mental <strong>Health</strong> Clinic staff experience as they work toconnect students to resources in a timely manner.UCCS Statement Supporting <strong>Boynton</strong> <strong>Service</strong> Fee Increase<strong>University</strong> Counseling & Consulting <strong>Service</strong>s (UCCS) strongly endorses <strong>Boynton</strong> <strong>Health</strong><strong>Service</strong>’s request for increased SSF funding for Mental <strong>Health</strong> <strong>Service</strong>s. UCCS has averaged2% annual growth in demand for mental health counseling over the last four years. UCCSreceived funding during the 2011-2012 academic year for two new positions and the counselingappointments assigned to these two positions filled to capacity during the Fall 2012 semester.The UCCS personal counseling program typically runs at 95-100% capacity during peak demandtimes. UCCS Utilization data over the past four years suggest that demand for personalcounseling will continue to increase. UCCS has modified its service delivery model to increasecapacity and decrease/eliminate wait lists. But due to funding limitations, UCCS does notanticipate funding for additional positions in the near future. Commitments to other UCCSprograms including academic skill and career counseling, graduate student training and campusconsultation, limits how many weekly mental health appointments UCCS can provide. At thistime, <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> is in the best position to expand mental health services to addressunmet campus demand for mental health services.--Glenn Hirsch, Ph.D., L.P., Director, UCCSEfficient Use <strong>of</strong> Resources: BHS Mental <strong>Health</strong> Clinic Therapy Visit Frequency LimitThe Mental <strong>Health</strong> Clinic has policies in place to maximize resources. <strong>Student</strong>s have an 11session limit on therapy visits in a 12 month cycle. <strong>Student</strong>s are allowed 10 therapy sessions, inaddition to an evaluation. There is no limit for medication management visits. Exceptions aremade for students with indicated need and must be cleared by the Director <strong>of</strong> Mental <strong>Health</strong>. InFY 12 only about 3% <strong>of</strong> students went over 11 visits and 4% <strong>of</strong> total visits (267 visits) were overthe 11 visit threshold. Many <strong>of</strong> these extra visits occurred during the summer when the visits77


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>limit was lifted. This policy has contributed to a mode visit frequency <strong>of</strong> 1 and a meanfrequency <strong>of</strong> 3.13 for FY 12.MHC staff are also exploring a restructuring <strong>of</strong> the clinic’s therapy model to reduce the wait timeto first clinical evaluation. If implemented, all students who request services would be seen by atherapist within 24-48 hours for a brief access consultation. Ideally, this model would lead tomore rapid referral <strong>of</strong> students to the appropriate resource. Since many <strong>of</strong> the students will stillrequire therapy at <strong>Boynton</strong>, the time savings would be minimal. However, this proposed modelmay have some benefit in terms <strong>of</strong> reducing the waiting list.SHAC Recommendation to Eliminate MH Therapy CopaymentThe original copayment <strong>of</strong> $10 dates back to a 1994-95 <strong>Fees</strong> Committee recommendation to adda copayment in MH Clinic as a way to generate revenue. A SHAC resolution passed in October2012 to eliminate the copayment for non-GA students due to recognition that a $10 copayment isa cost barrier to care. Over the last year, nearly one in three Americans have forgone medicalcare due to costs, according to a new report from Gallup (Huffington Post <strong>Health</strong> Living, 2012).The percentage, 32 percent, is higher than any previously recorded by Gallup. Last year, 30percent said they had forgone medical care for cost reasons. An excellent demonstration <strong>of</strong> thisis the impact on summer visits to <strong>Boynton</strong> <strong>Health</strong> service before and after implementation <strong>of</strong>Year Round <strong>Fees</strong>. After Year Round <strong>Fees</strong> were adopted in 2010, <strong>Boynton</strong> experienced a 20%increase in summer patient volumes and in particular this was observed most strongly in Mental<strong>Health</strong> Clinic.In addition, the current policy does not match with state Mental <strong>Health</strong> parity statute. Thischange resolves an equity issue within the health service because <strong>of</strong> that fact that copayment formedical services are not required. It is recognized that this change has the potential to increasevisit demand even with therapy session limit. One <strong>of</strong> the outcomes from this recommendation isthat approximately $72,000 in copayments was collected in FY12 from non-GA students.The recommendation does not affect Graduate Assistant students whose copayment isdetermined by U <strong>of</strong> M Employee Benefits and is a requirement in all medical areas <strong>of</strong> the healthservice as well as outside <strong>of</strong> the health service.Space OpportunitiesBHS learned <strong>of</strong> the Aurora Center relocation to Appleby Hall in April 2012. There are 7 roomson the 4 th floor <strong>of</strong> <strong>Boynton</strong> adjacent to Mental <strong>Health</strong> and Dental Clinics where minimalremodeling is necessary to accommodate Mental <strong>Health</strong> <strong>of</strong>fices which double as treatmentrooms. The space will need to be shared with Dental Clinic, which will fund a capital budgetproject to expand its capacity to meet demand, which has also grown significantly over the past 6years. Mental <strong>Health</strong> will acquire 4 rooms until additional space becomes available, most likelyon the 5 th floor <strong>of</strong> <strong>Boynton</strong>, which currently houses 3 departments within the Academic <strong>Health</strong>Center (AHC).BHS learned <strong>of</strong> a space opportunity on the St Paul campus in C<strong>of</strong>fey Hall adjacent to the BHS StPaul Clinic in May 2012 when the Bursar’s <strong>of</strong>fice permanently relocated to Minneapolis campusand left the space vacant. U <strong>of</strong> M Space Planning Office agreed with <strong>Boynton</strong>’s justification <strong>of</strong>the need for more space for mental health services on the St Paul campus and has permanentlyreassigned the space to <strong>Boynton</strong> with rent to be effective in FY14. Major remodeling is78


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>necessary to create 4 to 5 <strong>of</strong>fices for mental health. 1 or 2 rooms may be built out to improvemedical services at this location. The Budget has been estimated at $500,000, and the projecthas been submitted and approved by U <strong>of</strong> M Capital Planning and Project Management. Thecontractor vendor selection process has begun. BHS could add MH staff on an incrementalbasis, as approved, and as demand necessitates occupying space with MH provider staff.ProposalThe amount requested for added staffing in FY14 including 2.5% inflation is $310,711(recurring). The total requested for FY15 including inflation is $18,738 (recurring). In addition,<strong>Boynton</strong> is requesting funding to replace lost revenue from elimination <strong>of</strong> $10 Mental <strong>Health</strong>Clinic copayment for non-GA students equal to $72,700 for a total FY14 request <strong>of</strong> $383,412.This funding will enable BHS to better meet demand including a significant proportion <strong>of</strong> theunmet need. If we do not receive funding to subsidize the additional positions, <strong>Boynton</strong> willcontinue to have limited capacity to meet the growing demand for mental health services. Thepositions that <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> believe should be added are as follows.0.8 FTE Doctorate Nurse Practitioner (DNP) in FY13 (added in October)0.8 FTE Licensed Independent Clinical Social Worker (LICSW) (projected add in Jan2013)1.0 FTE Neuropsychologist in FY14(2) 0.8 FTE Licensed Independent Clinical Social Workers (LICSW) in FY140.8 FTE Advanced Practice Nurse (APRN) in FY14The addition <strong>of</strong> the Neuropsychologist position will enable <strong>Boynton</strong> to provide new servicesrelated to psychometric testing that will lead to faster and more accurate diagnosis, as well asmore effective treatment <strong>of</strong> select mental health conditions. BHS guidelines require that studentswho are seeking a new or updated diagnosis <strong>of</strong> ADHD undergo neuropsychometric testingbefore initiating treatment. This can be problematic from an insurance reimbursement standpoint.Providing these services at <strong>Boynton</strong> <strong>Health</strong> service will be more cost effective for students andwill lead to better treatment outcomes. This position is in response to a specific increase instudent demand. Attention Deficit Disorder appears twice in the top 20 diagnostic codes inmental health as well as in primary care clinic at <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>.The chart below shows the difference in the unique number <strong>of</strong> students that <strong>Boynton</strong> will beable to serve in Mental <strong>Health</strong> Clinic with and without the additional funding from <strong>Student</strong><strong>Service</strong> <strong>Fees</strong>.FY12 FY13 FY14 FY15 FY16 FY17 FY18 FY19 FY20<strong>Student</strong>s Served in MHC With Additional Funding 2,938 3,285 4,068 4,163 4,261 4,361 4,464 4,570 4,679<strong>Student</strong>s Served in MHC Without Additional Funding 2,938 3,285 3,274 3,373 3,474 3,578 3,685 3,796 3,910The formula for the proposal is based on a historic model for <strong>Student</strong> <strong>Service</strong> Fee funding <strong>of</strong> theuncompensated portion <strong>of</strong> health care inflationary costs for staffing, services and supplies. TheMedical portion <strong>of</strong> <strong>Student</strong> <strong>Service</strong> <strong>Fees</strong> has been reduced to 30.6% <strong>of</strong> <strong>Boynton</strong>’s overall budgetfor staffing and fringe benefit increases, supplies and services. It follows from the analysis thattotal external revenues meet approximately 70% <strong>of</strong> <strong>Boynton</strong>’s operating budget needs. Capitalbudget reserves are already being funded by <strong>Student</strong> <strong>Service</strong> <strong>Fees</strong> at a level to produceapproximately $1.2 million in average annual capital improvements. Mental <strong>Health</strong> externaland internal U <strong>of</strong> M capitation reimbursement has been running 58% and 60.7% for the last 279


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>years respectively. Our request would be for SSF to cover 40% <strong>of</strong> the additional Mental <strong>Health</strong>provider FTEs added in FY13 and requested in FY14 and FY15. The request is to seek arecurring <strong>Student</strong> <strong>Service</strong> Fee subsidy to fund 40% <strong>of</strong> 2 positions added in FY13 and 4 additionalpositions in FY14.The graphs below show the relationship between the Mental <strong>Health</strong> Clinic FTE potential and thenumber <strong>of</strong> students served in comparison to the number if students extrapolated to have a currentmental health disorder on the Twin Cities campuses.Proportion <strong>of</strong> students with mental disorders served – with and without funding.BHS MENTAL HEALTH - STUDENTS SERVED WITH ADDITIONAL FUNDINGSTUDENTS6,0005,000Unique MH <strong>Student</strong>s Served at BHS<strong>Student</strong>s with MH Diagnoses - Past 12 Months EstMH FTEs - Proposed after FY1325.0018.3 18.4 19.2 19.2 20.0 20.0 21.0 0.004,00020.003,0002,0001,00014.4412.8611.75 11.90 12.1910.80 4,068 4,163 4,261 4,361 4,464 4,570 4,6799.13 9.81 8.75 8.282,056 2,172 2,227 2,299 2,453 2,710 2,859 2,878 2,938 3,28510.005.000FY04 FY05 FY06 FY07 FY08 FY09 FY10 FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18 FY19 FY2080


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>BHS MENTAL HEALTH - STUDENTS SERVED WITHOUT ADDITIONAL FUNDINGSTUDENTS6,000Unique MH <strong>Student</strong>s Served at BHS<strong>Student</strong>s with MH Diagnoses - Past 12 Months EstMH FTEs - Without Augmented Funding25.005,0004,0003,0002,0001,00016.00 16.0014.44 14.50 15.00 15.00 15.50 15.5012.8611.7511.90 12.1910.809.819.138.758.282,056 2,172 2,227 2,299 2,453 2,710 2,859 2,878 3,179 3,274 3,373 3,474 3,578 3,685 3,796 3,9102,93820.0015.0010.005.000FY04 FY05 FY06 FY07 FY08 FY09 FY10 FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18 FY19 FY200.00SHAC SupportAt their December 6 th meeting, the <strong>Student</strong> <strong>Health</strong> Advisory Committee voted unanimously infavor <strong>of</strong> the proposal to increase student service fees to fund a dedicated increase in mentalhealth clinic positions.Support Letter – Provost’s Committee on <strong>Student</strong> Mental <strong>Health</strong>January 24, 2013To:From:Re:<strong>Student</strong> <strong>Service</strong>s Fee Review Committee MembersMembers <strong>of</strong> the Provost’s Committee on <strong>Student</strong> Mental <strong>Health</strong>Letter <strong>of</strong> Support for <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>’s Request for SSF IncreaseAs members <strong>of</strong> the <strong>University</strong> <strong>of</strong> Minnesota’s campus-wide Provost’s Committee on <strong>Student</strong> Mental <strong>Health</strong>, we<strong>of</strong>fer our strongest support <strong>of</strong> <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>’s compelling and well-articulated request for recurring<strong>Student</strong> <strong>Service</strong> Fee funding to subsidize the uncompensated portion <strong>of</strong> the cost to add additional Mental <strong>Health</strong>positions in FY13 and FY14.Emotional and cognitive health is essential for students to achieve their full academic potential. Yet surveys <strong>of</strong> U <strong>of</strong>M students reveal that many experience significant issues with unmanageable stress, and that one in four studentsreport having been diagnosed with a mental illness at some time in their lives. The most common <strong>of</strong> thesediagnoses—anxiety, depression, and disorders <strong>of</strong> inattention—are characterized by symptoms that interfere withacademic performance: low motivation, impaired concentration, poor sleep, decreased energy, suicidality anddifficulty coping with the multiple demands <strong>of</strong> daily life.Meeting the mental health needs <strong>of</strong> our students is currently the <strong>University</strong>’s primary public health challenge. Thedemand that mental health issues place on campus resources such as the Mental <strong>Health</strong> and Primary Care Clinics at<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>, <strong>University</strong> Counseling and Consulting <strong>Service</strong>s, and Disability <strong>Service</strong>s, has beenconsistently rising over the last decade and have exceeded capacity. Crisis interventions by the <strong>University</strong> Police arealso on the rise and the major reason for tuition appeals is withdrawal from school due to mental illness.Unmanageable stress and untreated mental illness correlates with lower GPAs and delayed graduation, directlychallenging the <strong>University</strong>’s mission to provide the best possible education to every student.81


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>The Provost’s Committee on <strong>Student</strong> Mental <strong>Health</strong> was established 8 years ago and has been charged by theProvost to: Raise awareness about issues related to student mental health Effect policy change Improve conditions on our campus for students with mental health conditions Serve as a model <strong>of</strong> collaboration for our campus and other universitiesThis committee has been very successful in addressing the Provost’s charge with both direct and indirect benefits tothe <strong>University</strong> community. As a result, the Committee has: Developed a coordinated system <strong>of</strong> delivering mental health services to students Created a unified mental health resource website for the campus community www.mentalhealth.umn.edu Developed a coordinated system <strong>of</strong> mental health resources that provides support for faculty and staffinvolved with students in distress Implemented campus-wide strategies to reduce stigma Developed and delivered an interactive training session that provides practical language and concrete stepsthat faculty and staff members can utilize to assist students experiencing mental health related issues Created a system to respond proactively to campus mental health issues Increased the number <strong>of</strong> campus allies concerned about student mental health through both online and inpersontraining to faculty, staff and students Demonstrated collaboration through sharing resources and pr<strong>of</strong>essional development opportunities Created resources for <strong>University</strong> administration to use in a crisisIt is with awareness and commitment that we strongly support <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>’s request for recurring<strong>Student</strong> <strong>Service</strong> Fee funding to subsidize the uncompensated portion <strong>of</strong> the cost necessary to add 2 additional Mental<strong>Health</strong> provider positions in FY13 and 4 additional Mental <strong>Health</strong> provider positions for FY14. These additionalpositions are essential to meet the increased need for student mental health services on campus.Barbara Blacklock, MA, LISW, Program Coordinator, Disability <strong>Service</strong>s *Sue Engleman, Associate to Director <strong>of</strong> eLearningCynthia Fuller, PhD, LP, Associate Director, Disability <strong>Service</strong>sMarti Gonzales, PhD, Associate Pr<strong>of</strong>essor, PsychologyMatthew Hanson, PhD, LP, Senior Psychologist, <strong>University</strong> Counseling and Consulting <strong>Service</strong>sGreg Hestness, Assistant Vice President and Chief <strong>of</strong> Police and Public SafetyDonna Johnson, MA, MS, Director, Disability <strong>Service</strong>sChristopher Luhmann, <strong>Student</strong>, Active Minds OfficerMeghan Mason, MPH, GAPSA, Representative to the Board <strong>of</strong> RegentsAdam Moen, <strong>Student</strong>, Active Minds OfficerMoira Novak, MS, ATC, Director <strong>of</strong> Athletic Medicine, Department <strong>of</strong> AthleticsBarbara Pilling, Advisor, International <strong>Student</strong> and Scholar <strong>Service</strong>sMarjorie Savage, Director, Parent ProgramLisa Schulte, MS, Assistant Director, Housing and Residential LifeKaren Starry, MA, Assistant to the Dean <strong>of</strong> Graduate EducationMichelle Trotter-Mathison, PhD, LP, Psychologist, <strong>Boynton</strong> Mental <strong>Health</strong> Clinic *Deb Wingert, PhD, Director <strong>of</strong> Educational Development, College <strong>of</strong> Veterinary Medicine and Center for Teachingand Learning* Committee Co-chairs82


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>List <strong>of</strong> Conditions Treated - Top DiagnosisThe tables below show the most commonly treated mental health conditions including thosetreated in the Primary Care Clinic area <strong>of</strong> <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>. There are now 2 mentalhealth diagnoses in the top 10 treated conditions and 3 mental health diagnoses in the top 20conditions treated in Primary Care.TOP 20 PRIMARY DIAGNOSISClinical Area Code DescriptionVisit DiagnosisCountMENTAL HEALTH 300.00 ANXIETY STATE NOS 1779MENTAL HEALTH 311 DEPRESSIVE DISORDER NEC 1386MENTAL HEALTH 300.02 GENERALIZED ANXIETY DIS 1181MENTAL HEALTH 309.28 ADJ REACT-MIXED EMOTION 1077MENTAL HEALTH 296.32 RECURR DEPR PSYCHOS-MOD 1064MENTAL HEALTH 296.22 DEPRESSIVE PSYCHOSIS-MOD 695MENTAL HEALTH 309.9 ADJUSTMENT REACTION NOS 547MENTAL HEALTH 296.31 RECURR DEPR PSYCHOS-MILD 524MENTAL HEALTH 296.35 RECUR DEPR PSYC-PART REM 470MENTAL HEALTH 300.4 NEUROTIC DEPRESSION 460MENTAL HEALTH 296.30 RECURR DEPR PSYCHOS-UNSP 386MENTAL HEALTH 300.23 SOCIAL PHOBIA 382MENTAL HEALTH 314.00 ATTN DEFIC NONHYPERACT 317MENTAL HEALTH 296.90 AFFECTIVE PSYCHOSIS NOS 310MENTAL HEALTH 296.21 DEPRESS PSYCHOSIS-MILD 284MENTAL HEALTH 296.25 DEPR PSYCHOS-PART REMISS 262MENTAL HEALTH 309.0 BRIEF DEPRESSIVE REACT 241MENTAL HEALTH 300.3 OBSESSIVE-COMPULSIVE DIS 207MENTAL HEALTH 309.81 PROLONG POSTTRAUM STRESS 196MENTAL HEALTH 314.01 ATTN DEFICIT W HYPERACT 194TOP 20 PRIMARY DIAGNOSISClinical Area Code Description83Visit DiagnosisCountPRIMARY CARE V72.31 ROUTINE GYN EXAM 2886PRIMARY CARE V70.0 ROUTINE MEDICAL EXAM 2043PRIMARY CARE V74.5 SCREEN FOR VENERAL DIS 939PRIMARY CARE 706.1 ACNE NEC 498PRIMARY CARE 782.1 NONSPECIF SKIN ERUPT NEC 481PRIMARY CARE 300.00 ANXIETY STATE NOS 424PRIMARY CARE 709.9 SKIN DISORDER NOS 389PRIMARY CARE 311 DEPRESSIVE DISORDER NEC 384


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>PRIMARY CARE 780.79 OTHER MALAISE AND FATIGUE 369PRIMARY CARE V70.3 MED EXAM NEC-ADMIN PURP 349PRIMARY CARE 724.5 BACKACHE NOS 336PRIMARY CARE 078.10 VIRAL WARTS NOS 315VAGINITIS AND VULVOVAGINITIS,PRIMARY CARE 616.10 UNSP 314PRIMARY CARE V25.02 INITIATE CONTRACEPT NEC 310PRIMARY CARE 462 ACUTE PHARYNGITIS 286PRIMARY CARE 719.46 JOINT PAIN-L-LEG 282PRIMARY CARE 786.2 COUGH 260PRIMARY CARE 729.5 PAIN IN LIMB 243PRIMARY CARE 314.00 ATTN DEFIC NONHYPERACT 236ALLERGIC RHINITIS CAUSEPRIMARY CARE 477.9 UNSPECIFIED 231ReferencesEisenberg, Daniel PhD. PowerPoint Presentation Major depression (PHQ-9)convention.myacpa.org/.../Eisenberg-ACPA-March%2028%202012....Huffington Post <strong>Health</strong>y Living (2012). Costs Pose Barrier To Medical Care For Nearly One InThree Americans: Report http://www.huffingtonpost.com/2012/12/20/costs-medical-care-gowithout-americans_n_2302376.htmlKessler, Ronald C. PhD; Berglund, Patricia MBA; Demler, Olga MA, MS; Robert Jin, MA;.Merikangas, Kathleen R PhD; Walters, Ellen E. MS Arch Gen Psychiatry. 2005;62(6):593-602.doi: 10.1001/archpsyc.62.6.593Kessler, R.; Foster, C.; Saunders, W.; Stang, C. Social Consequences <strong>of</strong> Psychiatric Disorders.American Journal <strong>of</strong> Psychiatry, 152:7 (1995): 1026-1032Turner, A.L. & Berry, T.R. (2000). Counseling center contributions to student retention andgraduation: a longitudinal assessment. Journal <strong>of</strong> College <strong>Student</strong> Development, 41, 627-636Wilson, S.B., Mason, T.W. & Ewing, M.J.M. (1997). Evaluating the impact <strong>of</strong> receivinguniversity-based counseling services on student retention. Journal <strong>of</strong> Counseling Psychology, 44,316-320Wang, Philip S. MD, DrPH; Lane, Michael MS; Olfson, Mark MD, MPH; Pincus, Harold A.MD; Wells, Kenneth B. MD, MPH; Twelve-Month Use <strong>of</strong> Mental <strong>Health</strong> <strong>Service</strong>s in the UnitedStates Results From the National Comorbidity Survey Replication. Arch Gen Psychiatry.2005;62(6):629-640. doi:10.1001/archpsyc.62.6.629.http://archpsyc.jamanetwork.com/article.aspx?articleid=208673<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> 2010 College <strong>Student</strong> <strong>Health</strong> Survey Report, <strong>Health</strong> and <strong>Health</strong>-RelatedBehaviors <strong>University</strong> <strong>of</strong> Minnesota–Twin Cities <strong>Student</strong>shttp://www.bhs.umn.edu/surveys/index.htm84


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong><strong>Health</strong>y Minds Studyhttp://www.healthymindsstudy.net/additionalresources/publishedresearch.htmlCampus mental health resources can be found at http://www.mentalhealth.umn.edu.Minnesota Daily ArticlesMidterms and Stress: http://www.mndaily.com/2011/10/27/midterms-crank-stress-levels-mentalhealth-concernsWaitlist for Mental <strong>Health</strong>: http://www.mndaily.com/2012/10/23/waitlist-mental-healthLGBT Disparities: http://www.mndaily.com/2012/11/08/lgbt-data-disparities-mental-healthSources <strong>of</strong> Mental <strong>Health</strong> Issues: http://www.mndaily.com/2012/10/29/evaluate-sources-mentalhealth-issueUMPD Responses: http://www.mndaily.com/2012/11/06/university-police-respond-four-mentalhealth-crises-one-weekActive Minds: http://www.mndaily.com/calendar/2012-12-04/fear-factor-mental-health-edition85


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>AppendicesSHAC ResolutionResolution by<strong>Student</strong> <strong>Health</strong> Advisory CommitteeRecommendation on the Mental <strong>Health</strong> Clinic <strong>Service</strong> FeeOctober 18, 2012WHEREAS, the <strong>Student</strong> <strong>Health</strong> Advisory Committee recognizes that user services fees for mental health servicesin the <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> Mental <strong>Health</strong> Clinic create a financial barrier for students seeking care; andWHEREAS, the user service fee in the <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> Mental <strong>Health</strong> Clinic has the effect on students <strong>of</strong>limiting the frequency <strong>of</strong> their visits to that area <strong>of</strong> the health service; andWHEREAS, students do not have to pay user service fees in the medical service clinics in <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>;andWHEREAS, the user service fees for mental health services in the <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> Mental <strong>Health</strong> Clinic isinconsistent with parity laws established for benefit coverage <strong>of</strong> mental health services in many states including thestate <strong>of</strong> Minnesota; andWHEREAS, students covered under the <strong>University</strong> <strong>of</strong> Minnesota Graduate Assistant health insurance plan areobligated under their health plan rules to pay copayments in ALL clinical areas <strong>of</strong> <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>s as wellas all other network clinics; andWHEREAS, the potential effect <strong>of</strong> increased mental health clinic service volume related to elimination <strong>of</strong> the userservice fee may be met by the addition <strong>of</strong> mental health pr<strong>of</strong>essional practitioners as well as increased space for suchstaff to <strong>of</strong>fice; andWHEREAS, <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> Administration has analyzed the financial impact <strong>of</strong> eliminating the non-Graduate Assistant user service fee in the Mental <strong>Health</strong> Clinic and determined that the revenue loss to be less than$80,000 annually; andWHEREAS, <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> administration and the <strong>Student</strong> <strong>Health</strong> Advisory Committee will be requestingadditional student health service fee funding for 2013-14 and 2014-15 to help cover added expenses to meet themental health service needs <strong>of</strong> students.NOW, THEREFORE, BE IT RESOLVED, in consideration <strong>of</strong> the impact on the mental health <strong>of</strong> students at the<strong>University</strong> <strong>of</strong> Minnesota, the <strong>Student</strong> <strong>Health</strong> Advisory Committee recommends to the Administration <strong>of</strong> <strong>Boynton</strong><strong>Health</strong> <strong>Service</strong>, the elimination <strong>of</strong> the <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> Mental <strong>Health</strong> Clinic user service fee effectiveJanuary 1, 2013.Approved and adopted the 18 th day <strong>of</strong> October 2012. We, the undersigned, hereby certify that the foregoingResolution was duly adopted by the <strong>Student</strong> <strong>Health</strong> Advisory Committee._________________________________Devyn Goetsch, Co-Chair<strong>Student</strong> <strong>Health</strong> Advisory Committee___________________________________Rachel Drake, Co-Chair<strong>Student</strong> <strong>Health</strong> Advisory CommitteeVice Provost’s Email - December 10, 201286


2012-13 Administrative Unit <strong>Student</strong> <strong>Service</strong>s <strong>Fees</strong> Request<strong>University</strong> <strong>of</strong> Minnesota – Twin Cities<strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong>Dear Twin Cities Campus Faculty and Staff,The <strong>Student</strong> Mental <strong>Health</strong> Website (www.mentalhealth.umn.edu) was developedby the Provost's Committee on <strong>Student</strong> Mental <strong>Health</strong>, for students, their parents,faculty, and staff who are looking for student mental health information andrelated resources at the <strong>University</strong> <strong>of</strong> Minnesota.Results from a 2010 <strong>Boynton</strong> <strong>Health</strong> <strong>Service</strong> survey indicate that 27% <strong>of</strong> U <strong>of</strong> MTwin Cities students have been diagnosed with at least one mental healthcondition during their lifetime, and 45% <strong>of</strong> students report experiencing stressrelated to personal relationships, the death or illness <strong>of</strong> someone close, or parentalconflict.We know that the additional pressures <strong>of</strong> pending end-<strong>of</strong>-semester projects, finalexams, as well as the added stress <strong>of</strong> the holiday season can lead to diminishedacademic or job performance, or reduced participation in the classroom or otheractivities. If you encounter students whose behavior raises concerns, there areseveral things you can do.If you are comfortable in doing so, talking privately to the student about yourconcerns and observations can be a helpful first step. For specific suggestionsregarding how to approach a student who you are concerned about, please go tohttp://www.mentalhealth.umn.edu/facstaff/HowTo.pdf. To access an interactivetraining module for faculty and staff and to find out more about student mentalhealth please go to the <strong>Student</strong> Mental <strong>Health</strong> website.If you are concerned about a student who displays behaviors that may harm thestudent or others, you should report those concerns to your direct supervisor. Mostsituations are best dealt with at the local level, but assistance in dealing with moreconcerning situations is available through the <strong>University</strong>'s BehavioralConsultation Team (BCT) by calling 612-626-3030. If the situation <strong>of</strong> concern isan emergency, call 911. Faculty who wish to consult about how best to deal withtheir concern may contact <strong>University</strong> Counseling and Consulting <strong>Service</strong>s(UCCS) at 612-624-3323 and ask to speak with the walk-in counselor.Jerry Rinehart,Vice Provost for <strong>Student</strong> Affairs and Dean <strong>of</strong> <strong>Student</strong>sThis message was sent by Vice Provost Jerry Rinehart to all faculty and staff on the Twin Cities campus.©2012 Regents <strong>of</strong> the <strong>University</strong> <strong>of</strong> Minnesota. All rights reserved.The <strong>University</strong> <strong>of</strong> Minnesota is an equal opportunity educator and employer.87

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