Health and Wellness Manager Orientation

April 2001

2

Job CorpsGeneral Information

Established in 1964 Serves approximately 70,000

students per year at more than 120 centers/campuses across the country

3

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%

4

Employment and Training Administration Organization

5

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

6

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

7

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

8

Job Corps National Snapshot

9

Job Corps Administration

Department of Labor develops policy and regulatory guidance

Regional Office (RO) awards contracts, provides oversight, monitoring, and TA

10

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

11

Center Health and Wellness Programs

Center health and wellness team members

Quality assurance on center Center assessments

12

Wellness Philosophy

Redefining roles of health providers

Ensuring use of wellness terminology

Using TQM/CQI approaches to ensure program quality and effectiveness

13

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

14

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)

15

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)

16

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

17

Administrative Functions of the HWM

To ensure quality health services are delivered in a professionally caring, consistent, and cost-effective manner

18

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

19

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

20

Administrative Functions—Organizational Issues and

Meetings Monthly Center Director

Meetings Health and Safety Committee

Meetings Health Staff Meetings Student Orientations

21

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

22

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

23

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

24

Administrative Functions—Medical Leave and

Separations Medical Leave Medical Separation with

Reinstatement Rights Medical Separation

25

Administrative Functions—Significant Incident

Reports Maintaining SIR log Filing SIR report Filing SIR supplemental and

final reports

26

Administrative Functions—Pre-Arrival Health Records

Screening

Ensure continuity of care Ensure staff and student safety Develop system to process

student health folders

27

Administrative Functions—Other

Pharmaceuticals/Controlled Substances

Office of Worker’s Compensation Program

Total Quality Management Program Waivers of Medical Care

28

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

29

Direct Services to Students

H&W services during orientation

Open hours or H&W checks

30

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

31

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

32

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

33

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

34

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

35

Special Programs—Trainee Employee Assistance

Program (TEAP) Assessment Intervention Counseling Relapse Prevention Prevention and education Testing, separation, and referral

36

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

37

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

38

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