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Health and Wellness Manager Orientation
April 2001
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Job CorpsGeneral Information
Established in 1964 Serves approximately 70,000
students per year at more than 120 centers/campuses across the country
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Job Corps Costs
Administration 19.7%
Medical Care 5.7%
Outreach/Intake 4.4%
Transportation 1.3%
Social Skills 21.3%
Vocational Training 14.8%
Meals/Lodging 14.6%
Basic Education 7.4%Allowances 6.8%
OWCP Benefits 0.4%
Placement/Settlement 3.5%
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Employment and Training Administration Organization
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Office of Job Corps Organization
H ealth O ffice
D ivis ion o f P rog ram D eve lop m en t D ivis ion o f P rog ram S u p p ort
R O C A Team s
D ivis ion o f P rog ram M g m t & A ccou n tab ility
D ep u ty D irec to r R eg ion a l D irec to rs
N ation a l D irec to r
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National Program Development
•CDSS Program Policy
•.Vocational Training
•.National Training Contractors
•.Academic-Curriculum Development
•.Contextual Academic/Voc Learning
•.Social Skills Training
•.Outreach & Admissions
•.Placement
•.Post Center Services
•.Industry Councils
•.Employability Skills
•.Labor Market Information
•.Health Services
•.School-to-Work
National Program Management
and Accountability
.CDSS Accountability
.Finance and Budget
.Program Review
.OIG/GAO Audits
.GPRA
.Annual Report
.Continuous Improvement Strategies
.National Awards
.Student Complaints/EEO/Significant Incidents
.Data Design & Analysis
.Student Feedback Survey/Safety
.Post Placement Data Collection
.Initial 13-week Follow-up
.6/12 Month Follow-up
.Mathematica Study
National Program Support
.CDSS Support
.Architecture & Engineering Support
.Vocational Equipment/VST Support
.Center Expansion
.Data Center
.Procurement
.Small Business Integration
.CCC - Interagency Liaison
.Capacity Building
.Student Benefits/Transportation/Child Care
.FOIA/Privacy Act
.Management Information System Library
.Job Corps Directives System
.Hall of Fame, Scholarships
.Safety & Health
.Community Connections
Office of Job Corps
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Job Corps Health Office Organization
R eg ion a l D irec to rs
R eg ion a l H ea lth C on su ltan ts
H ea lth S u p p ort C on trac to r H IV , D ru g , C h lam yd ia Tes tin g C on trac to r
N u rse C on su ltan t
U n it C h ie f
N ation a l P rog ram D eve lop m en t D irec to r
N ation a l D irec to r
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Job Corps National Snapshot
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Job Corps Administration
Department of Labor develops policy and regulatory guidance
Regional Office (RO) awards contracts, provides oversight, monitoring, and TA
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Job Corps Administration
National Health Office handles national health issues; provides direction in health matters to ROs; monitors health and wellness programs
Health Support contractor provides TA to ROs/centers through regional health consultants (RHCs), provides technical support to National Health Office
RHCs conduct center assessments, provide technical assistance to center staff, and conduct trainings to center health staff at health support contractor’s direction
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Center Health and Wellness Programs
Center health and wellness team members
Quality assurance on center Center assessments
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Wellness Philosophy
Redefining roles of health providers
Ensuring use of wellness terminology
Using TQM/CQI approaches to ensure program quality and effectiveness
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Important Resources—Policy and Requirements
Handbook (PRH) Provides JC community with policy
on all aspects of JC operations—from eligibility criteria through placement
PRH Chapter 5, Health Program—Provides policy on ensuring students receive health services, support, and education that will enhance their employability and encourage and maintain a healthy lifestyle
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PRH Basic Health Services
Cursory health evaluation including cursory oral exam and medical history (within 48 hours)
Entrance physical exam and review of medical history (within 14 days)
Laboratory testing (within 48 hours) Immunizations Case management of chronic health
problems Mandatory oral exam by center dentist
(between 45th and 75th day)
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Important Resources—Health Directives
PRH Change Notice—contains new or revised policy with instructions to delete, replace or add pages
Program Instruction—One-time announcement requiring a specific response/action (e.g., survey)
Information Notice—One-time announcement not requiring a specific action (e.g., meeting/conference announcement)
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Important Resources
Technical Assistance Guides (TAGs)—contain guidelines, suggestions, and examples for implementing policy/programs
COPs Program Assessment Guide
(PAG)—contains information on the center assessment process
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Administrative Functions of the HWM
To ensure quality health services are delivered in a professionally caring, consistent, and cost-effective manner
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Administrative Functions—Team
Leader Staffing
New staff orientation Credential verification Malpractice insurance Scheduling
Authorizations (consent obtained prior to service delivery)
Basic health services per PRH-5
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Administrative Functions—Team
Leader Major medical reimbursement Standing orders (signed by
physician, center mental health consultant, dentist, and center director)
Ensuring professional standards of care
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Administrative Functions—Organizational Issues and
Meetings Monthly Center Director
Meetings Health and Safety Committee
Meetings Health Staff Meetings Student Orientations
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Administrative Functions—Reports and
Surveys Annual Reports HMIS Report Student Satisfaction Surveys H&W Standing Orders H&W Service Program Descriptions TEAP Quarterly Alcohol Testing Bloodborne Pathogen Plan Chart Audits Communicable Disease Reports to health
departments and CDC Disability Reports
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Administrative Functions—Fiscal
Management Monitor H&W budget Determine free or low-cost community
health programs and services available to Job Corps students
Work closely with RNC to identify and make use of cost-saving resources
Procure equipment and supplies
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Administrative Functions—Disability Accommodation
Evaluation Review medical records of
students requesting reasonable accommodation (RA)
Work with CDD in evaluating and implementing RAs
Work with CDD in monitoring effectiveness of RAs
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Administrative Functions—Medical Leave and
Separations Medical Leave Medical Separation with
Reinstatement Rights Medical Separation
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Administrative Functions—Significant Incident
Reports Maintaining SIR log Filing SIR report Filing SIR supplemental and
final reports
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Administrative Functions—Pre-Arrival Health Records
Screening
Ensure continuity of care Ensure staff and student safety Develop system to process
student health folders
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Administrative Functions—Other
Pharmaceuticals/Controlled Substances
Office of Worker’s Compensation Program
Total Quality Management Program Waivers of Medical Care
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Direct Services to Students
Assist students in attaining and maintaining optimal health from admission to separation
Provide basic health services to include promotion, prevention, assessment, treatment, and follow up
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Direct Services to Students
H&W services during orientation
Open hours or H&W checks
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Direct Services to students—Medical
Program Assessment
Admission screening (center and regional responsibility) Cursory exam (within 48 hours) Entrance physical exam (within 14 days) Laboratory testing (within 48 hours) Immunizations Case management of chronic health problems
Treatment Primary emergency care Treatment of urgent conditions Off-center referrals for specialized assessment
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Direct Services to students—Oral Health and Wellness
Program Assessment
Cursory inspection (within 48 hours) Dental exam (between 45-75 days)
Treatment Prophylaxis Primary procedures Referral for emergency or specialized
care
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Direct Services to students—Mental Health
Program Assessment of behavior requiring
emergency care Immediate referral for off-center
emergency care Short-term counseling Training and staff development Testing/counseling for AOD use Case management of students on
psychotropic medications
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Special Programs
To provide prevention and intervention services
To promote healthful choices To provide information and
skills that will direct appropriate choices and develop acceptable workplace behavior
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Special Programs—Healthy Lifestyles
Programs Tobacco Use Prevention Program (TUPP) Weight Improvement Program (WIP) Hypertension Program Asthma “Healthy Breathing” Program Reproductive Health Program Occupational Safety and Health
Administration Respirator Program HIV/AIDS Respirator Evaluation Program
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Special Programs—Trainee Employee Assistance
Program (TEAP) Assessment Intervention Counseling Relapse Prevention Prevention and education Testing, separation, and referral
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Interactions with Center Staff
Following are examples of how your H&W program can interact with other departments/staff
Academics Residential Life Vocations Center Administration
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Interactions with the Community
Familiarize yourself with established community contacts
Identify additional community (state and local organizations) programs as potential resources and/or service providers
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Useful Websites
www.jobcorpshealth.com provides information on Job Corps health issues, announcements of conferences and other events, health-related directives, and regional health information
www.jobcorpshealth.com/disability provides a tutorial and information on the Job Corps disability initiative including legislation, common disabilities, and reasonable accommodation issues
www.cdc.gov provides information about preventing and controlling disease, injury, and disability
www.cdc.gov/nchstp/od/nchstp provides general information on public health surveillance, prevention research, and programs to prevent and control HIV/AIDS, sexually transmitted diseases, and tuberculosis