TABLE OF CONTENTS NOTES FROM THE DIRECTOR... 4 HIGHLIGHTS OF THE PAST YEAR...

Transcription

1 A

2 TABLE OF CONTENTS NOTES FROM THE DIRECTOR... 4 HIGHLIGHTS OF THE PAST YEAR... 6 Adminisraive Suppor... 7 Campus Healh Iniiaives...15 Environmenal and Occupaional Healh...24 Medical Services...26 Menal Healh Services...36 Suden Healh Insurance Plan...46 Wisconsin Clearinghouse...48 Clien/Paien Saisfacion Qualiy and Process Improvemen STATISTICS AND FINANCIALS Clien Saisics and Demographics...54 Financial Performance...58 Organizaional Facs and Figures...60 B 1

3 To be a naional suden healh leader in he 21s cenury To enhance learning and suden success by promoing, proecing, and resoring healh and well-being. For over 100 years, Universiy Healh Services (UHS) has suppored he educaional and research mission of UW Madison as he comprehensive campus healh organizaion, offering sudens primary oupaien medical and menal healh care, occupaional healh for faculy and saff, and prevenion services. UHS srives o improve he healh of campus hrough direc service, populaion healh measures, and suppor for a healhy environmen. UHS will provide he highes qualiy care in a fully inegraed medical, menal healh, and prevenion service model ha promoes he healh and well-being of he campus communiy. UHS will pursue resources and maximize heir use in an accounable, susainable, and fiscally responsible manner o achieve opimal oucomes for he universiy communiy while adaping o he demands of evolving healh care, socieal, and economic condiions. *** 2 3

4 NOTES FROM THE DIRECTOR A Year in Review On behalf of he over 200 employees of UHS, I am pleased o presen he UHS Annual Repor. UHS has had a remarkable year and advanced is mission o suppor a healhy campus where is sudens, faculy, and saff can live, learn, work, and flourish. Using a public healh framework, UHS provides high-qualiy, direc medical and menal healh services, as well as supporing policies, sysems, and an environmen o opimize he healh and wellness of he UW Madison communiy. A Year in Review Coninuous qualiy and process improvemen are core aciviies for any healh care organizaion and UHS has underaken new approaches o improve is program. A newly creaed Direcor of Qualiy posiion has focused on engaging all saff in hese effors and led a variey of projecs using mehodologies such as Lean Six Sigma and Kaizen. The recenly released No Alone repor from he Whie House has led o a naional dialogue which hopes o end he epidemic of sexual assaul on college campuses. The UHS Violence Prevenion uni has provided exper guidance and resources o he UW Madison campus o comba hese crimes on our campus. The uni coninues work on expanding prevenion effors o faculy, saff, and graduae and professional sudens, and will begin providing vicim advocacy services his fall. Sarah Van Orman, MD, MMM Execuive Direcor * In January of his year, he UW Madison Occupaional Healh program became par of UHS creaing he UHS Environmenal and Occupaional Healh uni. Through close collaboraion wih UHS Occupaional Medicine clinical saff, his new program is poised o improve workplace, classroom, and research safey wih enhanced monioring, surveillance, and access o prevenive services. UHS coninues o provide campus leadership o reduce he impac of alcohol on campus healh and safey. This pas year, UHS has overseen he implemenaion of a new policy governing alcohol beverage service a campus evens and implemened mandaory firs-year alcohol educaion. New daa on firs-year alcohol use has provided campus suden life unis wih informaion o develop new sraegies o reduce suden high-risk alcohol use, paricularly during heir firs few weeks on campus. UHS remains commied o meeing he needs and expecaions of our campus populaion in a fiscally accounable and ransparen fashion. Careful financial sewardship allows UHS o coninue curren services wihou increasing segregaed fees for UHS anicipaes using reserves o sabilize fuure fee increases. The coninued implemenaion of he Affordable Care Ac provided new opporuniies for sudens o have comprehensive healh insurance. Despie he ongoing uncerainies, he Suden Healh Insurance Plan showed record enrollmen in a fully ACA complian program. Self-insurance and fiscal sewardship has resuled in premiums much below comparable marke producs. UHS has parnered wih local agencies o promoe suden awareness and access o healh insurance opions. As a final bierswee noe, his fall will bring he end of he Transform Wisconsin projec, wo years earlier han anicipaed due o an unexpeced end of he federal funding for he projec. Wih his, he Wisconsin Clearinghouse for Prevenion Resources wihin UHS will end is remarkable conribuions o he healh of all he ciizens of Wisconsin. Is legacy will live on hrough is unique conribuions o elling he sories of prevenion and helping us all undersand ha Prevenion Speaks. 4 5

5 Adminisraive Services suppors he UHS mission hrough efficien and high-qualiy suppor services. The Adminisraive unis of UHS include Budge and Finance, Building Services, Healh Informaion Managemen, Human of he pas year Resources, and Informaion Technology. Adminisraive Services is also responsible for overseeing he Suden Healh Insurance Plan, risk managemen, and accrediaion aciviies. 6 7

6 Budge & Finance Overseeing he cenral business funcions of UHS, including suden eligibiliy, billing and cashiering, purchasing services, and ravel adminisraion and gran adminisraion suppor Achievemens Se up separae cos ceners o faciliae budgeing and racking funcion of non-segregaed, fee-funded unis of UHS o enhance allocaion of overhead charges. Developed financial analysis, cos esimaes, and budges o faciliae he ransfer of he UHS Biosafey uni o he UW Madison Safey Deparmen, as well as he ransfer of he Occupaional Healh Uni from he UW Madison Safey Deparmen o UHS. Modified he service pricing model for paien services wihin he Poin and Click (PnC) sofware sysem o uilize improved sofware feaures and capabiliies. 8 9

7 Building Services Ensuring a clean and safe environmen hrough building managemen and cusodial services for he enire universiy ower, including UHS four floors consising of 120,000 square fee of floor space Achievemens Managed he design and consrucion phases of building projecs on he 5h and 8h floors. Coninued o develop he leadership poenial of members wihin our diverse work force. Coninued o sudy he effeciveness of green cleaning producs in our building, including he Lous cleaning sysem, which would allow common areas of he building o be cleaned wihou chemicals. Healh Informaion Managemen Ensuring he privacy and securiy of healh informaion a UHS and legal and regulaory compliance Achievemens Prepared for he migraion o he new Inernaional Coding classificaion changes and performed an ICD-10 documenaion gap analysis wih he assisance of a newly graduaed Madison College coding suden. Several policy, procedural, and workflow changes were implemened as a resul of HIM saff aending conferences and webinars and aking educaional uorials. Performed several qualiy improvemen iniiaives for medical and menal healh referral processes, record reenion and desrucion, and release of menal healh records. *** 10 11

8 Informaion Technology Human Resources Providing recruimen and reenion services, and processing human resources ransacions for all unis of UHS o ensure he agency has a compeen workforce Achievemens Expanded he UHS suden employmen experience by parnering wih he engagemen effors of he Vice Chancellor for Finance and Adminisraion s (VCFA) WiGrow program. The program esablishes leadership roles and professional developmen opporuniies for sudens while focusing on supervisor/ suden communicaions and direc feedback. The firs annual WiGrow Suden Rerea was held for UHS sudens, providing learning opporuniies o curren sudens and graduaing sudens preparing for he job marke or graduae school. Upgraded he suden applicaion process wih a web applicaion sysem, which allows sudens o apply for jobs by direcly uploading heir resume, cover leer, and curren schedule and allows supervisors o view all applicaions online. Developed cos-per-hire merics for he fiscal year. Providing 24-hour suppor for UHS compuer and elephone sysems, including operaing and supporing an elecronic medical record sysem, which is unique o he provision of suden healh services and o securing sensiive healh informaion Achievemens Compleed projecs include an inerface o he Wisconsin Sae Lab of Hygiene for he auomaed delivery of laboraory resuls. Developed back-end sofware o suppor he mandaory campus-wide suden alcohol educaion iniiaive, AlcoholEDU. Upgrades o he Poin and Click (PnC) elecronic healh record sofware were successfully esed and implemened. ** 12 13

9 Campus Healh Iniiaives provides populaion-based prevenion and healh promoion services o our campus communiy. Collaboraing wih sudens, campus unis, and communiy parners, UHS engages he wider UW Madison communiy in supporing suden poenial healh, safey, and well-being. The Campus Healh Iniiaives Program comprises Campus Communiy Parnerships and Healh Communicaions

10 Alcohol and Oher Drug Abuse Prevenion 16 Academic Parnerships Promoing a healhy learning environmen on campus by engaging sudens and faculy in academic parnerships o suppor he healhy developmen of individuals and communiies Achievemens Linked sudens and insrucors wih he people, places, and culural asses of Souh Madison o learn while conribuing o he revializaion of he Park Sree corridor (he gaeway o campus). Based on long-erm experiences in place-based campus communiy parnerships in Souh Madison, conduced an inquiry (inerviewed 10 campus leaders) and issued a repor wih recommendaions for sronger bridging beween diversiy and civic engagemen renewal on campus. Three Souh Madison-based projecs iniiaed and suppored by UHS received awards and were recognized as exemplarly a he 2014 Universiy-Communiy Parnership Awards ceremony. Served on he Execuive Commiee of he UW Madison Teaching Academy and was a represenaive on he annual Teaching and Learning Symposium planning commiee. Organized a faciliaed luncheon discussion for 335 aendees focused on implemening educaional innovaions o promoe suden learning and engagemen boh in and ou of he classroom. Creaing an environmen where he use of alcohol and oher drugs does no preven sudens from realizing heir highes poenial of inellecual, physical, and human developmen Achievemens Implemened AlcoholEdu, a program for firs-year sudens ha increases heir knowledge and undersanding of suden alcohol use and provides hem he ools hey need o make wise decisions relaed o heir alcohol and oher drug use. Niney-wo percen of firs-year sudens compleed he program. Daa generaed by AlcoholEdu on suden drinking behaviors was disseminaed across campus and sparked new iniiaives and policy changes. Piloed Badgers Sep Up!, a peer-led bysander inervenion program, wih 542 suden leaders paricipaing. The program was revised and improved in response o suden feedback and in preparaion for he coming year when approximaely 4,500 sudens will be required o complee he program, including represenaives from all regisered suden organizaions, he Inerfraerniy Council, he Panhellenic Associaion, and sophomore ahlees. 17

11 18 Civic Engagemen Supporing he developmen and applicaion of civic skills ha enable sudens o engage wih heir communiies and advance healh equiy, during and afer college, in ways ha conribue o boh sudens psychosocial well-being and he public good Achievemens Received a Bringing Theory o Pracice gran from he Associaion of American Colleges and Universiies (AAC&U) o engage he campus communiy in a Civic Seminar for College Suden and Communiy Well-Being for sraegic consideraion of democraic engagemen, is relaionship o sudens psychosocial well-being, and how i relaes o he mission of UW Madison. Buil campus capaciy o measure and documen effecive civic engagemen pracices by conducing a workshop eniled Assessing Civic Compeencies: AAC&U Civic Engagemen VALUE Rubric Workshop, aended by over 30 faculy and saff from across he universiy. Developed a collaboraive parnership wih Associaed Sudens of Madison (ASM) and he Muliculural Suden Cener (MSC) in order o pilo he use of he AAC&U Civic Engagemen VALUE Rubric as a measure of he developmen of sudens civic compeencies. Healh Communicaions Developing communicaions sraegies o inform and influence individual decisions ha enhance healh Achievemens Using social media ools has become an effecive way o expand reach, foser engagemen, and increase access o credible, science-based healh messages. Healh communicaions coninued o embrace social media bes pracices and conen sraegies resuling in a 38 percen increase in Facebook followers, a 43 percen increase in Twier followers, and a 40 percen increase in followers on Pineres. Healh communicaions once again parnered wih Suden Healh 101, an online healh and wellness magazine, o provide sudens wih relevan healh and wellness informaion. UW Madison regisers wice he average number of SH101 views as oher campus ha use SH101. To enhance visibiliy, esablish experise, and increase engagemen and sharing, healh communicaions moved from a sandard websie forma for news o a blog forma, specifically he Badger Healh Hub. The new forma increased UHS news page visis by 50 percen over he previous year, oaling more han 18,000 visis. 19

12 Suden Wellness Creaing a campus amosphere ha promoes healhy lifesyles and overall well-being. Inclusive Communiy Building Promoing healhy, inclusive, and equiable communiies o ensure ha all sudens are welcomed, suppored, and engaged in he campus communiy Achievemens Coordinaed and faciliaed he UHS Leadership Insiue Learning Communiy pilo in collaboraion wih he UHS Equiy and Diversiy Commiee o creae an inra-deparmen diversiy/social jusice/ inclusiviy learning communiy, and build saff capaciy o undersand and be acive agens in responding o he emerging insiuional inclusiviy mandaes. Led he Suden SEED (Seeking Educaional Equiy and Diversiy) seminars, which serve as he sole UW Madison campus model for sudens on how o organize and susain inclusive communiies of dialogue wihin a social jusice framework. Three Suden SEED seminars were offered wih a oal of 74 paricipans and 18 faciliaors, six new faciliaors were recruied, and 12 faciliaor professional developmen workshops were offered hroughou he year. Served as a consulan, faciliaor, and menor o unis, academic deparmens, and suden organizaions Achievemens In January 2014, a new Suden Wellness Coordinaor posiion was creaed a UHS o help forward wellness iniiaives and srenghen wellness effors on campus hrough policies, sysems, and environmenal changes. Collaboraed wih Housing parners o develop a comprehensive wellness promoion iniiaive for implemenaion across all residence halls in fall Provided a leadership role for UWell, a campus-wide wellness iniiaive, including a revision of he charer and sraegic plan, examinaion of daa sources and needs, and realignmen of parnership roles and effors. Developed and expanded parnerships wih campus unis o encourage and suppor inclusion of wellness principles across he campus communiy

13 Suicide Prevenion Prevening suden suicides hrough collaboraive campus-wide effors Achievemens Implemened A-Risk for universiy faculy and saff wih over 575 employees paricipaing in his online raining program ha eaches how o recognize sudens in disress, respond o hem appropriaely, and refer hem o resources. Creaed he Umaer websie in collaboraion wih Menal Healh saff as a space o provide comprehensive suicide prevenion informaion o he campus communiy. Pages include informaion abou how o recognize poenial warning signs of suicide and inervene effecively. Through he Suicide Prevenion Council, reviewed he process by which UW Madison sudens migh ener and leave one of he local hospials because of a suicide aemp or oher menal healh crisis. Developed several inervenions as a resul of his gap analysis, including a campus-wide Menal Healh Crisis Inervenion Plan and a Umaer resource brochure in parnership wih various campus unis and communiy agencies. Violence Prevenion Increasing he capaciy of UW Madison o address sexual assaul and inimae parner violence Achievemens Managed a universiy requiremen for all incoming undergraduae sudens o paricipae in Tonigh, a primary prevenion program designed o increase suden knowledge, provide informaion abou confidenial suppor services and vicim righs, challenge harmful aiudes and behaviors ha conribue o sexual assaul and daing violence, provide informaion abou reporing opions and campus disciplinary policies, and increase he capaciy of sudens o inervene in harmful siuaions. Provided suden organizaion advising and echnical assisance o PAVE (Promoing Awareness, Vicim Empowermen), UW Madison s suden organizaion dedicaed o prevening sexual assaul, daing violence, and salking hrough educaion and acivism. Provided exensive consulaion o campus offices regarding changes from he 2010 reauhorizaion of he Violence Agains Women Ac (VAWA) amendmens o he Jeanne Clery Disclosure Campus Securiy Policy and Campus Crime Saisics Ac. These included meeing new insiuional requiremens for primary prevenion effors, insiuional disciplinary procedures, and vicim righs. Creaed a new FTE posiion o provide survivor advocacy services o UW Madison sudens who are vicims of sexual assaul, daing violence, domesic violence, and salking. These services include confidenial vicim advocacy, suppor groups, informaion abou reporing opions, and referrals o oher services available o vicims

14 Environmenal & Occupaional Healh The Environmenal and Occupaional Healh (EOH) Uni assesses, mainains, and promoes he environmenal and occupaional healh of he campus communiy. A he beginning of he calendar year, he Environmenal Healh Program merged wih he Occupaional Healh Program (formerly par of he Environmen, Healh and Safey Deparmen of Faciliy Planning and Managemen). Core funcions include environmenal services such as food, waer, and air esing; and inspecions and occupaional services such as personal proecive equipmen, occupaional healh care, and ergonomics Achievemens Compleed he reorganizaion of environmenal and occupaional healh unis. This included he physical move of saff and equipmen; relocaion of he ergonomic showroom; developmen and launch of a new web page; and new policies and esablishmen of meeing schedules o foser collaboraion beween EOH and Occupaional Medicine. Recruied and hired wo new saff members in saniarian and indusrial hygiene posiions. Compleed a Reques for Proposal process for an enerprise-wide campus informaion managemen sysem o manage environmenal healh and safey informaion. Developed a work flow for Respiraory Proecion and racking process in he UHS elecronic paien healh care record sysem, helping he uni beer rack occupaional healh care relaed merics

15 Toal Visis: 74,932 Unique (or Toal) Paiens: 28,213 A broad range of medical services are available for sudens. Services suppor opimal suden well-being hrough care for acue and ongoing illnesses and injuries, as well as promoe healh hrough he delivery of clinical prevenive services. UHS medical services include: primary care, women s healh, nuriion, ravel, allergy desensiizaion and immunizaions, infecious disease and sexually ransmied infecion screening, physical herapy, ahleic rainer evaluaions, and wellness services. Medical services also provides employee healh services for all UHS employees as well as for he campus communiy occupaional medicine services o he campus research faciliies. The greaes growh occurred in hree separae areas: Employee Healh, Nuriion, and Travel. The mos common causes for and frequen diagnoses of paien visis remained: upper respiraory infecions, screenings for infecious disease and sexually ransmied infecions, and conracepion

16 Physical Therapy and Ahleic Training Offering care and rehabiliaion of musculoskeleal concerns in a collaboraive pracice wih primary care providers Achievemens Physical Therapy (PT) visis increased from 716 in o 804 in To decrease wai imes for sudens, UHS increased he number of sessions during he academic year. To provide services for sudens during he summer session, UHS began providing PT services for a half a day a week during summer sessions. Ahleic rainers coninued a highly successful parnership o provide services o he UW Madison marching band beginning during pre-season camp and coninuing hroughou he marching season. Primary Care Providing acue care, same-day access, and coninuiy of care o minimize he impac of illness and injuries on sudens academic progress Achievemens Improved appoinmen scheduling. Online appoinmens increased 37 percen from las year. Sudens are able o go online and choose he appoinmen ime ha bes fis heir academic schedule. Increased suden saisfacion wih medical visis. Niney-wo percen of sudens surveyed his pas year expressed overall saisfacion wih heir visi. This compares o 90 percen overall saisfacion he year prior. Conribuing o his raing is a 4 percen increase in suden saisfacion wih he qualiy of provider explanaions. Paricipaed in he American College Healh Associaion s qualiy benchmarking projec. Colleced daa on several clinical, screening, prevenion, and safey dimensions o compare UHS performance o oher college healh services and o idenify opporuniies for improvemen. *** 28 29

17 Training Program Teaching healh professional sudens and residen physicians in he care of college-age sudens. Occupaional Medicine Serving he UW Madison research enerprise wih medical oversigh, consulaion, pre-exposure evaluaion, and pos-exposure reamen of animal, chemical, or biological exposures Achievemens Faciliaed influenza vaccinaion clinics for UW Madison faculy and saff and developed a daabase o repor influenza compliance o parner organizaions for employees wih dual appoinmens. Coordinaed he Selec Agen Suiabiliy and Reliabiliy Assessmen (SASRA) program in conjuncion wih UW Police Deparmen and Biosafey. Expanded and enhanced informaion managemen for surveillance and pre-exposure services. These included he review of over 1,121 Animal Conac Risk Quesionnaires (ACRQ) while promoing online access o ACRQs; developing a plan for TB screening for employees of he non-human primae labs; and developing a Respiraory Proecion daa base for fi esing and medical clearances o repor compliance o he program Achievemens Coninued wih a Medical Educaion Series, providing up-o-dae presenaions on various issues peraining o Primary Care wih several gues speakers who are specialiss from UW Hospials and Clinics. The eaching program and journal review sessions provide one o wo hours of addiional raining each week. Compleed 12 qualiy improvemen sudies and presened hese resuls o clinical services saff members. This provides srucured opporuniies for ongoing evidence-based educaion for he enire saff and enhances he care provided o paiens by exposing saff o he mos recen lieraure and guidelines for reamen. I affords he providers he opporuniy o collaborae on he mos ineresing and challenging cases. The qualiy improvemen sudies improve he abiliy o manage common clinical complains consisen wih curren evidence, affording he mos cos-efficien and cos-effecive care for sudens. Supervised 14 second-year Deparmen of Pediarics residens, four Deparmen of Medicine residens, and eigh fourh-year medical sudens. In , we successfully inegraed hree addiional hird-year Deparmen of Medicine residens for ongoing primary care roaions lasing several monhs

18 Travel Providing sudens who are planning o ravel abroad wih a pre-ravel assessmen including immunizaions, prophylaxis medicaions, counry-specific informaion, and pos-ravel healh issues o be aware of Achievemens Implemened a new model for delivery of care which included a paien-driven ravel uorial available on he UHS Travel websie. This uorial provides educaional maerials previously given o sudens in paper form. Sudens also received a ravel summary per secure message a he end of heir visi. Sudens now have he choice of hree differen levels of care including: immunizaions only, RN visi, or provider visi. There was a $50 fee for he laer, which generaed $9,500 beween January and May, Proocols were wrien so ha RNs opimized heir role in he Travel Clinic, hus increasing appoinmen slos for sudens and increasing he availabiliy of a provider for primary care. RNs counseled 460 sudens, up from zero las year and he provider saw 190 sudens, down from 468 las year. This resuled in an addiional 270 provider slos for primary care. The medical assisan s role also expanded o include he adminisraion of immunizaions. Wellness Helping sudens acquire he knowledge and skills necessary o achieve lifelong well-being and o be well-informed healh care consumers wih services such as acupuncure, massage, nuriion, and individual wellness coaching Achievemens In , muliple members of he medical eam paricipaed in he Healhy Lifesyles iniiaive o enhance he screening of sudens wih weigh issues according o iniiaive guidelines. All sudens now enering medical services are provided wih an opporuniy o reques informaion and referral for weigh and nuriion services. Enhanced he availabiliy of nuriional services wih he hiring of one full-ime nuriionis. Increased awareness of wellness services resuled in a 20 percen increase in uilizaion

19 Youh Programs Providing healh services o summer residenial youh paricipans a UW Madison o ensure a safe and healhy environmen for paricipans. Women s Healh Providing prevenive and problem-focused care o sudens as well as educaional raining o OB/GYN residens, medical sudens, and advanced nurse praciioner sudens Achievemens Implemened open access hrough online appoinmens and increased provider saffing. Due o he laer, Achievemens Operaed four Healh Saions 24/7 for duraion of youh programs. Coninued developmen of policies and procedures wih Youh Program involvemen. Developed a core saff o coordinae Youh Programs. Aendance a, and a member of, he Associaion of Camp Nurses. we have also been able o increase capaciy for inserion of LARC (Long Acing Reversible Conracepion) devices including insering IUDs (inrauerine device). Compleed an IUD saisfacion and coninuaion survey of 251 women who had an IUD placed in wih a 71 percen response rae, and found ha 82 percen of paiens sill had he device and 97 percen of paiens were very saisfied wih he IUD saing hey would recommend he IUD o ohers. The overall complicaion rae was low, wih no perforaions and 2.8 percen expulsions. Broadened acknowledgemen of care needs in paiens wih unwaned sexual encouners. Online appoinmens for such concerns and open access for sexual assaul needs has been sreamlined wih women s healh RNs serving as he primary enry poin o care, and riaging care needs for walk-in and web-booked paiens

20 Toal Visis: 19,209 Unique (or Toal) Cliens: 4,179 Menal Healh services suppor he emoional, relaional, and psychological well-being of UW Madison sudens as hey srive for academic success. UHS offers muliculurally-aware reamen and consulaion, boh on-sie wihin he clinical seing and hroughou he campus communiy. for he campus communiy Menal Healh services include behavioral healh, campus-based programs, case managemen, crisis services, group counseling, individual and couples counseling, and psychiary. The mos common causes for and frequen diagnoses of paien visis: depression and depressive disorders, anxiey and anxiey disorders, adjusmen issues, and relaional concerns

21 Behavioral Healh Co-locaes menal healh care providers wih medical providers o provide immediae, brief menal healh care for sudens wih concerns such as smoking use, insomnia, anxiey, and depression in he medical clinic Achievemens Compared o radiional access o menal healh services, more Laino and inernaional sudens accessed services hrough Behavioral Healh; a rae of nearly hree imes more for inernaional sudens. Three permanen saff members, four pre-docoral psychology inerns, one pos-docoral psychology residen, and one pos-masers inern were rained in Behavioral Healh and joined he reamen eam. Suppored he developmen and implemenaion of he Healhy Lifesyles iniiaive as a means o suppor sudens mainenance of healhy weigh and abiliy o make posiive lifesyle choices. Paricipaed in raining hrough he Naional College Depression Parnership, which resuled in improved screening for depression. Fuure goals include improving referrals o services, greaer iniiaion of care, and furher clinical improvemen for sudens who screen posiive. Campus-Based Services Providing a range of programs ouside UHS, including Le s Talk drop-in sessions wih a menal healh professional and he Red Folder Program o rain faculy and saff Achievemens Le s Talk uilizaion increased by 47 percen from he las academic year. Compared o , Le s Talk served a higher percenage of graduae and professional sudens, men, African-American sudens, and Asian-American sudens compared o radiional services. Provided 34 Red Folder Presenaions, reaching 1,176 faculy/saff/suden leaders and increased heir abiliy o recognize, respond o, and refer sudens in disress. Provided 115 wellness and menal healh relaed programs on campus, reaching 3,990 sudens (1,687 idenifying as LGBTQ/racial or ehnic minoriies/inernaional sudens)

22 Crisis Sabilizaion Managing menal healh crises for sudens in acue disress by providing individualized, inensive reamen focusing on risk assessmen, sabilizaion, and increased coping skills. Care Managemen Minimizing he impac of menal healh issues on he academic and personal success of sudens wih complex or ongoing needs hrough coordinaion of care beween campus/ communiy resources and enhanced resources for suden services saff Achievemens Hired wo addiional Care Managers o mee he growing need for inensive follow-up services for sudens referred o communiy menal healh care and o provide services for he Odyssey Program, a program on campus ha provides he opporuniy for he leas advanaged members of he Madison communiy o experience higher educaion. Three care managers provided 831 suden visis, up 63 percen from las year, and engaged Achievemens Expansion of hese services has been recognized as a high prioriy for UHS and campus parners. Requesed and received funding for 1.5 Crisis Sabilizaion Specialiss. These providers offer immediae care o sudens in acue disress who canno olerae waiing for radiionally-scheduled appoinmens. Prior o acquiring 1.5 FTE, five providers provided open access for sudens who had experienced evens such as rape, bereavemen, and criminal violence. Afer-hours coverage provided 152 menal healh crisis responses. in 633 hird-pary conacs on behalf of sudens being conneced wih communiy menal healh resources. Suden visis primarily refleced follow-up care, pos referral. Care Managemen Consul services provided sudens wih immediae access o exernal resources when necessary

23 Individual/Couples Counseling Providing evidence-based reamen for sudens whose menal healh concerns may impac academic success Achievemens Implemened ipad echnology a Access Consulaions o mee echnology culure of curren sudens, as well as rack daa on sudens who iniially presen for services. Transiioned o Counseling Cener Assessmen of Psychological Sympoms (CCAPS), an assessmen creaed and normed on college sudens as par of UW Sysem agreemen o compare menal healh concerns across he sae. CCAPS will allow UHS o conribue o a naional daa se ha racks universiy suden menal healh concerns. Research endeavors focused on oucome daa and herapeuic bond for sudens of color compared o non-sudens of color; resuls forhcoming. Group Counseling Providing effecive and efficien reamen for sudens experiencing issues such as anxiey, depression, and relaionship concerns o foser a sense of belongingness, a key facor in academic reenion Achievemens The group model coninues o be one of he larges group programs in he naion, offering 75 groups in Creaed he Managing Challenges Group (MCG) o provide inerpersonal effeciveness, emoion regulaion, disress olerance, and mindfulness. MCG serves high-risk sudens in order o suppor learning more adapive coping behaviors and sraegies o allow hem o say engaged as sudens. Daa revealed high suden saisfacion in group counseling. Seveny-one percen said, My paricipaion in group counseling had a posiive impac on my academic performance. Seveny-one percen also said, Group counseling helped me say enrolled as a suden. One hundred percen said, My culural ideniy and background were respeced in group counseling

24 Psychiary Providing psychiaric evaluaion and medicaion managemen o sudens and psychiaric consulaion o all UHS providers Achievemens Me suden needs and provided 2.3 percen more visis over las year despie wo emporary, year-long vacancies. Hired Psychiaric RN o provide adminisraive suppor for psychiary prescribers in order o increase availabiliy for direc paien visis. The number of psychiaric consuls allowing immediae access o psychiaric services doubled Training Preparing fuure menal healh professionals for independen clinical pracice wih an American Psychological Associaion (APA) accredied inernship wih four posiions, wo pos-docoral fellows, and 10 masers and docoral pracicum sudens annually Achievemens Agency rainees provided 4,700 clinical visis. Demonsraed commimen o diversiy by hiring clinicians in raining o reflec he diversiy of he suden body. Ou of 17 rainees, six were providers of color and wo idenified as LGBT. Trainees of color saw more cliens of color over he pas year. Achieved core compeency developmen o prepare fuure menal healh professionals as par of he APA inernship accrediaion process. from he previous year. Served as a highly desirable specialy raining sie for fourh-year psychiary residens. This pas year, hree psychiary residens chose six o 12 monh roaions in college menal healh and eaing disorders. * 44 45

25 Achievemens Plan model and suden member pool enabled a plan of unparalleled value 46 Suden Healh Insurance Plan The UW Madison Suden Healh Insurance Plan (SHIP) operaes as a parially self-funded healh plan. SHIP is adminisered a UHS, which also provides primary and prevenive care for SHIP members. A Third Pary Adminisraor (TPA) provides claims esimaes, pays claims, and esablishes reinsurance (which proecs he plan in he even of high dollar claims). Plan reserves are mainained a 125 percen of projeced claims for he wo-year claims cycle o ensure he plan is adequaely funded. Any remaining uncommied plan reserves are designaed o subsidize premiums and improve member benefis and ervices. SHIP coverage ravels wih he member providing access o a naionwide nework of hospials, clinics, and specialized services wih comparaively low member cos-sharing. o sudens. Wih a naionwide nework unmached in he Markeplace and low member cos-sharing, SHIP is sill able o provide Gold level coverage a a Bronze price o domesic sudens. SHIP coninued o mirror he Affordable Care Ac (ACA) requiremens for fully-insured suden healh plans. For , he waiing period for coverage of pre-exising condiions for domesic members was reduced o hree monhs (from six monhs) and he maximum drug benefi was also increased o $500,000 (from $100,000). Even wihou he availabiliy of federal premium subsidies (which do no exend o suden plans) enrollmen in he SHIP domesic plan increased by 3 percen in spring of Favorable claims experience allowed for he uilizaion of $500,000 of plan reserves o subsidize premiums for he plan year. Inernaional premiums were frozen a levels for he hird year in a row and domesic premiums increased by jus 2 percen. For , SHIP is projeced o have a Medical Loss Raio of 92 percen (meaning ha for every dollar he plan receives, SHIP is projeced o pay ou 92 cens in claims coss). In coordinaion wih he Inernaional Faculy and Saff Services office, he SHIP office communicaes he UW Madison suden insurance enrollmen and waiver policies o inernaional scholars prior o heir arrival in he US. Explaining policies ha are unique o he US healh care environmen is challenging. In an effor o improve incoming scholar undersanding of he requiremens, SHIP parnered wih Culural Linguisic Services o ranslae he policy ino Mandarin. This conen was rolled ou on he SHIP websie earlier his year. 47

26 Wisconsin Clearinghouse for Prevenion Resources The Wisconsin Clearinghouse for Prevenion Resources works on muliple projecs and collaboraes wih a wide range of UW Madison parners o provide echnical assisance on helping implemen soluions for beer healh where we live, learn, work, and play. Over he pas year, he Clearinghouse has primarily focused on he Transform Wisconsin Projec, funded by he Ceners for Disease Conrol and Prevenion (CDC). The goal of he projec is o reduce deah and disabiliy due o obacco use, hear disease, and sroke, and o reduce he rae of obesiy. While forming parnerships and building infrasrucure for prevenion effors a he sae level, Transform Wisconsin is adminisraing grans o over 30 local communiy granees hroughou he sae. Transform Wisconsin communiies have implemened soluions ha give everyone access o healhy food, safe places o play, and smoke-free air. In February 2014, Congress unexpecedly eliminaed Communiy Transformaion Grans across he counry. While he work a he communiy level will coninue for mos of 2014, i will be ending wo years earlier han originally planned Achievemens Acive Communiies focused on helping open more communiy spaces for exercise hrough Recreaional Use Agreemens and helping ge kids more acive in school. As of March 2014, 25 new Recreaional Use Agreemens have been pu ino place providing new opporuniies for exercise for over 32,000 people, and Acive School sraegies were implemened in 90 schools helping over 31,000 kids ge more physical aciviy during he school day. Tobacco Free Living focused on passing smoke-free policies in muli-uni housing, such as aparmens and condos, o help ensure everyone has he righ o breahe clean air. Through March 2014, 343 unique propery owners received individualized educaion and 68 properies adoped smokefree policies. This means ha 3,143 new housing unis conaining nearly 7,000 people can now live smoke-free. Food Sysems suppored farm o school programs which suppor more fresh, local food for lunch and oher aciviies designed o educae and expose kids o more fresh food. By March 2014, 307 schools had iniiaed farm o school programming reaching over 114,000 sudens. Building a beer sae-level suppor srucure for local change suppors he emergence of new communiies of ineres like THRIVE (Wisconsin s Alliance for Healh Equiy) and he Wisconsin Acive Communiies Alliance, which are well posiioned o live beyond hese gran-funded effors. Local granees have played key roles in many communiies, working o realign local resources o work ogeher beer, wih less duplicaion and greaer resuls

27 Clien/Paien Saisfacion As good sewards of he sudens financial resources, UHS solicis feedback regarding programming and services on a regular basis. Daa is colleced and analyzed wih an eye oward coninually improving processes and providing he bes services o paiens and cliens by improving heir experience of care. We survey sudens abou he qualiy of care hey receive during medical and menal healh visis hrough our Paien Saisfacion Survey (PSS) process. We used he ACHA/PSAS in order o more closely compare saisfacion wih our medical services o hose of comparable college healh agencies. We also compared our resuls inernally o hose from las year o help idenify process improvemens. In , we surveyed 3,022 sudens afer heir medical visis, yielding a 12 percen response rae. This yield is slighly lower han las year, bu our saisfacion resuls were quie comparable. In addiion, saisfacion surveys were sen o randomly chosen menal healh cliens seen for counseling and psychiary visis during he academic year. Sudens received an linking hem o a confidenial web survey. This year, 1,083 sudens were surveyed in counseling services alone, yielding a 28 percen response rae. We receive ongoing feedback via paper Tell Us How We re Doing (TUHWD) forms, s o he exernal UHS sie hrough he TUHWD box, he commens box, and he general UHS box. Finally, calls from concerned parens and sudens are frequenly forwarded o he suden relaions manager. Highlighs from a dozen iems are lised o he righ and indicae ongoing high levels of saisfacion wih he services received and are similar o previous surveys. Significan saisfacion gains were made in provider explanaions and empahic lisening. Very high overall saisfacion, as well as likelihood of recommending a friend o UHS, coninues o encourage our saff. Consrucive commens were used o improve sysems, he flow of check-in, and referral processes. When providers were named and noeworhy commens relaed o hem, supervisors were noified and discussed hese wih he providers. Medical Services Key Quesions ITEMS Saisfied wih app. scheduling Recepion saff friendly and helpful Provider lisened carefully o concerns Qualiy of provider explanaions Overall saisfacion wih medical visi Recommend UHS o anoher suden Very No Saisfied Saisfied OK 1 Saisfied 63% 68% 77% 66% 63% 73% 23% 23% 13% 18% 22% 12% 12% 8% 8% 11% Menal Healh Services Key Quesions ITEMS Accessed iniial services in a reasonable ime Recepion saff helpful and coureous Provider lisened carefully o concerns Paperwork and e-surveys clear and easy o complee Overall saisfacion wih C&CS Recommend C&CS o a friend 54% 69% 71% 51% 40% 30% 28% 48% 11% 8% Srongly Agree 1 Agree Disagree 52% 59% 43% 37% 3% 0% 1% 3% 3% 2% 1% 1% 1% 2% 2% 4% Srongly Disagree 4 3% 0% 0% 0% 0% 0% Very Dissaisfied 1 This OK caegory combines wo midrange opions on he 6-poin raing scale. Rounding errors were accouned for in his midrange area. 1% 0% 1% 3% 2% 3% N/A 0% 0% 0% 0% 1% 1% 50 51

28 Qualiy and Process Improvemen The Qualiy and Process Improvemen program promoes a sraegic approach o evaluaing and improving he qualiy of care and services provided a UHS. Improvemen effors are designed o align wih professional sandards, naional benchmarks, and regulaory requiremens. Qualiy and process improvemen projecs are evaluaed based on responsiveness o paien, cusomer, and sakeholder experience as well as safey, cos effeciveness, and responsible uilizaion of resources. The program engages saff in improvemen work by providing relevan educaion and resources Achievemens All UHS saff paricipaed in raining designed o engage employees a all levels in qualiy and process improvemen. Consulans from he UW Healh Qualiy, Safey, and Innovaion eam conduced a learning session on he use of FOCUS (a srucured, daa-driven eam approach o improvemen work) and PDCA (Plan-Do-Check-Ac) processes. Several of he eams coninued heir work, which resuled in compleed improvemen projecs. The Qualiy Managemen and Improvemen Commiee (QMIC) revised, piloed, and adoped new forms for reporing sudies and improvemen work. These forms assure documenaion is aligned wih AAAHC (Accrediaion Associaion for Ambulaory Healh Care) qualiy managemen and improvemen sandards. QMIC revised he daabase used for racking improvemen work o ensure ha recommendaions are implemened and ha improvemens are checked a specified inervals. Designaed a eam of medical and menal healh providers o paricipae 52 in he American College Healh Associaion-Naional College Depression Parnership (ACHA-NCDP). This college healh consorium uilizes an evidence-based, high-impac, cos-effecive professional developmen approach o help college healh sysems and clinicians provide opimal care hrough he use of oucome measuremens and collaboraive learning. By employing a series of PDCA cycles, UHS increased he rae of depression screening a medical appoinmens from 67.5 o 96.8 percen (Sep.-May) and improved he screening workflow and documenaion process. Lessons learned are being applied o screening and follow-up for oher risks o healh and academic success specific o he college-age populaion. Ongoing work will focus on behavioral healh inervenions and follow-up. 53

29 Saisics & Financials Clien Saisics and Demographics FY14 Visis Basic Demographics Paien /Clien Summary Repor Division Unique Paiens Unique Sudens Unique Nonsudens Menal Healh 4,179 4, Medical 25,209 23,950 1,259 Occ Occ Med Med 1, ,099 Wellness 1,801 1, Toal paiens/cliens served 27,514 25,094 2,420 Inernaional Sudens Repor Division Toal Visis US US Ciizen Non Non Ciizen Nonsuden/Unk Menal Healh 19,209 16,896 1, Medical 67,217 57,084 7,939 2,177 Occ Occ Med Med 3, ,107 Wellness 3,742 3, Toal visis 94,141 77,894 10,382 5,848 Suden Saus Repor Division Toal Visis Nonsuden Suden Menal Healh 19, ,772 Medical 67,217 2,177 65,040 Occ Occ Med Med 3,973 3, Wellness 3, ,615 Toal paien/clien visis 94,141 5,848 88,293 Sex Repor Division Toal Visis Female Male Menal Healh 19,209 12,071 7,138 Medical 67,217 43,647 23,570 Occ Occ Med Med 3,973 1,744 2,229 Wellness 3,742 2, Toal visis 94,141 60,365 33,776 Ehniciy Repor Division Toal Visis American Indian/ Asian Black/ Hispanic/ Hawaiian/ Whie Unkown/ Alaskan Naive African American Laino Oher Pac Pac Island Unspecified Menal Healh 19, , ,312 2,514 Medical 67, ,658 1,835 2, ,966 10,092 Occ Occ Med Med 3, ,158 Wellness 3, , Toal visis 94, ,057 2,937 4, ,475 16,430 Academic Career Repor Division Toal Visis Undergrad Grad Professional Special Nonsuden Menal Healh 19,209 12,539 4,313 1, Medical 67,217 48,222 8,004 7,502 1,312 2,177 Occ Occ Med Med 3, ,107 Wellness 3,742 2,170 1, Toal visis 94,141 63,495 13,635 9,257 1,906 5,

30 56 Saisics & Financials Clien Saisics and Demographics (coninued) FY14 UHS Uilizaion Visis by Deparmen Deparmen ca Visis Unique Ps/ Visis per P/ FY13 Visis change Cliens* Clien FY14 v 13 Acupuncure wl % Behavioral Healh mh % Care Team mh new Case Managemen mh % Comm Hlh All/Imm md 19,439 11, , % Comm Healh Ou md 3,574 3, , % Counseling mh 11,023 2, , % Employee Healh md % Nuriion wl % Occ Med md 3,973 1, , % Phys Therapy md % Primary Care md 30,586 14, , % Psych mh 3, , % Sexual Healh md 2,705 2, , % Travel md 1,179 1, % Triage mh 3,378 3, , % Wellness wl 1,725 1, , % Womens Healh md 8,474 5, , % Medical Visis md 71,190 26, , % Menal Healh Visis mh 19,209 4, , % Wellness Visis wl 3,742 1, , % UHS Toal Visis 94,141 27, , % Days Open 250 Visis/Day 377 5h floor visis/day 131 6h floor visis/day 159 7h floor visis/day 78 *oals do no sum, paiens may be seen in more han one deparmen UHS Hisorical Uilizaion * Academic year, ~Aug 15 Aug 14, corresponding wih UHS eligibiliy. Uilizaion % = proprion of enrolled sudens using UHS in he period 08 09* 09 10* 10 11* 11 12* 12 13* Toal Visis 70,628 85,118 80,708 85,203 88,714 Medical Visis 53,916 66,952 60,157 64,033 67,302 Menal Healh (MH) Visis 16,712 18,166 20,551 20,990 18,896 Wellness Visis n/a n/a n/a n/a 2,516 Toal Users 22,066 25,237 24,504 25,476 25,808 Medical Users 21,091 24,218 23,359 24,352 24,707 Menal Healh Users 3,754 4,094 4,576 4,504 4,501 Wellness Users n/a n/a n/a n/a 1,467 Toal Visis/User Medical Visis/User Menal Healh Visis/User Wellness Visis/User n/a n/a n/a n/a 1.7 Toal Uilizaion % 48.7% 52.3% 50.2% 52.0% 52.0% Medical Uilizaion % 46.6% 50.2% 47.8% 49.7% 49.8% Menal Healh % Uilizaion 8.3% 8.8% 9.9% 9.7% 8.6% Wellness % Uilizaion n/a n/a n/a n/a 3.2% Full Year Enrollmen 45,269 45,350 45,581 45,237 45,876 UHS Visis per Enrolled Suden UHS Visis per 1,000 Sudens 1,560 1,877 1,771 1,883 1,934 Med Visis per Enrolled Suden MH Visis per Enrolled Suden

31 Saisics & Financials Financial Performance UHS is funded hrough suden segregaed fees, general program revenue, fee-for-service billing, and gran suppor. The suden segregaed healh fee for was $ per semeser; for i will remain unchanged a $ per semeser. Because almos all UHS services are prepaid hrough segregaed fees, sudens access a wide range of medical and menal healh services a no addiional cos. Addiional fees are charged for selec services such as prescripions, mos immunizaions, and physical herapy. The suden healh fee for included a funding increase for hree addiional menal healh providers. These were added a he reques of UW Madison sudens in order o mee he growing need for menal healh services. The Suden Healh Insurance Plan (SHIP) is funded enirely by premiums colleced from insured policyholders. Excluding medical claims paid by SHIP, over 75 percen of UHS expenses are personnel coss. The remaining expenses are largely made up of supplies, services, and medicaions. Despie increased uilizaion and healh care inflaion pressures, UHS has been able o mainain services wih modes increases in he segregaed fee averaging 2.1 percen over he pas five years, well below overall campus uiion increases. Hisorical Healh Fee Increases 7.0% 6.0% 5.0% 4.0% 3.0% 2.0% 1.0% 0.0% 6.1% 3.2% 3.2% 3.5% Fee Increase Sources of UHS Funding 128 Seg Fee 84% 128 Billed 8% 2.9% 101 7% 5-yr Average 136 1% 1.5% 2.7% 0.0% 0.0% Uses of UHS Funding Medical 60% 2.1% Menal Healh 24% Prevenion 16% 58 59