This executive order is issued under the authority of Sections
1 and 2 of Chapter III of the Standing Orders of the Board of Trustees
and is effective April 28, 2005.
- Purpose
This policy governs the provision of health services in the
California State University. It is not intended to alter but
rather is intended to implement Board of Trustees’ policy.
Thus, in case of perceived conflict between Trustees’
policy and this executive order, the Trustees’ policy
shall prevail. Health services are provided through Student
Health Centers, university athletic programs, academic programs,
and auxiliary organizations. Regardless of where these services
are provided, the provision of services must comply with the
policies contained in this executive order. The president or
designee shall ensure appropriate oversight of all university
health services.
This policy applies to Student Health Centers. The section
on athletic medicine applies only to athletic programs. Sections
“VII. Qualifications of Providers of Health Care at CSU
Campuses,” “IX. Health Facility Safety and Cleanliness,”
“X. Medical Records,” “XII. Security of Health
Facilities,” and “XVI. Insurance and Liability Coverage,”
apply to all campus programs and entities providing health care.
Student Health Centers shall be established and maintained
to facilitate the retention of students matriculated in state-supported
programs of the university and to enhance the academic performance
of students through accessible and high quality medical care,
public health prevention programs, and educational programs
and services.
- Student Health Advisory Committee
Each president or designee shall establish a student health
advisory committee. The committee shall be advisory to the president
or designee and the Student Health Center on the scope of service,
delivery, funding, and other critical issues relating to campus
health services. Students shall constitute a majority of membership
and the committee may include faculty, administrative, and staff
members and shall include a representative from the Student
Health Center. A student shall chair the committee.
- Required Basic Student Health Services
- The following basic services shall be available in all Student
Health Centers subject to the limitations stated below. These
basic services shall be available to all matriculated students
who have paid the appropriate mandatory student health fee:
- Primary outpatient care consistent with the scope of service,
and the skills and specialties of clinical staff;
- The provision of family planning services, consistent with
current medical practice excluding surgical procedures;
- Public health prevention programs including immunizations
for the prevention and control of communicable diseases including
required immunizations and those immunizations required for
participation in educational programs of the campus (e.g., nursing);
- Health education (e.g. nutrition, sexually transmitted infections,
HIV, alcohol and substance abuse, eating disorders, preventive
medicine);
- Evaluation and guidance for individual health problems;
- Clinical laboratory diagnostic services in support of basic
services. Tests to be provided at no additional charge, regardless
of where performed, include the following: complete blood count,
urinalysis, screening cultures, and urine pregnancy tests;
- Basic diagnostic X-ray services;
- Pharmacy services;
- Medical liaison services with other community health agencies
and services (e.g., county health departments, medical and nursing
schools);
- Consultation with and referral to off-campus health care
providers and hospitals; and
- Consultative services on campus health issues.
A common core of basic medical services for students within
the CSU system shall be provided although it is acknowledged
that some services on individual campuses may vary from those
provided elsewhere in the system due to the availability of
medical personnel, facilities, and equipment. It is also recognized
that the care of certain illnesses, injuries, and conditions
may require hospitalization or referral to other community medical
facilities for after-hours, long-term, specialty, or other care
requiring staff, facilities, and equipment which are either
not available to the Student Health Center or beyond the scope
of authorized service. The patient, not the university, is financially
responsible to the provider for health services received off
campus and for health services received on campus but beyond
the scope of authorized services.
- First Aid – Student Health Centers shall provide first
aid during normal operating hours to all persons while on the
campus, or at campus activities, if a qualified health care
provider is available and in attendance. First aid is defined
as one-time treatment that typically does not require a physician,
laboratory, X-ray, or pharmacy services.
- Reciprocal Services – Students eligible for basic
services at one CSU campus shall be eligible for basic services
provided by other CSU campuses at no additional charge.
- Funding Basic Services
- Campuses may assess all students a mandatory student health
services fee to provide basic services. Campuses may also fund
basic student health services using General Fund allocations.
Such fees shall not exceed substantially the cost of services
provided. Additional fees for basic services may not be charged
except for the cost of laboratory tests sent to reference laboratories
and the actual acquisition cost of vaccines, medications, and
devices/appliances. All proceeds of the mandatory student health
fee and interest earned shall be used to support Student Health
Center operations.
- The campus president or designee may establish campus-based
procedures for waiving mandatory student health services fees
in exceptional circumstances
(REP 07-93-05).
- The establishment and changing of student health fees are
subject to the California State University’s student fee
policy, described in a separate executive order.
- Continued Care - Student Health Center directors may authorize
continued care to a patient who has become ineligible but has
not completed prescribed treatment begun while an eligible student.
Such care may continue to resolution of the current condition
or until appropriate referral has been accomplished. In no case
should care extend more than one academic term beyond the loss
of eligibility. Continued care is subject to the payment of
fees defined in Section “V. Provision of Student Health
Services.”
- Denial of Care – Student Health Center directors may,
in rare cases, deny care. Student Health Centers shall maintain
a written policy that governs denial of care.
- Augmented Services
Augmented services shall be those health services offered by
the Student Health Center that are elective or specialized in
nature and not included in basic services. Only augmented services
listed below or interim services deemed necessary to meet urgent
campus health needs shall be authorized.
- The following augmented services may be authorized if the
conditions stated below in Section “IV.B. Conditions for
Approval of Augmented Services” are met:
- Specialty care appropriate to the health needs of students
and when economically feasible;
- Elective physical examinations (e.g., pre-employment,
overseas travel, scuba diving certifications);
- Elective immunizations (e.g., Hepatitis A, Meningococcal
vaccine, or immunizations required for personal overseas
travel);
- Allergy testing and immunotherapy;
- Physical therapy services;
- Dental services;
- Ophthalmology/Optometry services;
- Athletic or sports medicine (e.g., required physical examinations);
- Employee services beyond emergency first aid (See Policy
Section “XV. Employee Health Care Services”);
- Pharmacy services in support of augmented services;
- Clinical laboratory and X-ray services provided in support
of augmented services;
- Other appropriate health services as consistent with CSU
policy and approved in writing by the president or designee;
and
- Provision of augmented services to students from other
CSU campuses who are eligible for reciprocal services.
- Conditions for Approval of Augmented Services
- The president or designee is delegated the authority to approve
any augmented service listed above in Section IV.A subject to
all of the following conditions:
- The service is provided consistent with CSU policy and
in a manner that prevents diversion of resources or staff
from the adequate provision of basic student health services;
- The Student Health Center or contracted provider is equipped
to provide the service;
- The medical qualifications and specializations of the
staff are sufficient to provide the service;
- Justification of student need or demand for the service
has been made;
- The method for providing the service is the most effective
in terms of both treatment and cost; and
- Proposed services have been submitted for consideration
to the student health advisory committee prior to review
by the campus president or designee.
It is recognized that augmented services may vary from campus
to campus depending upon student needs, facilities, equipment,
resources, and medical qualifications and specialties of staff.
- Funding Augmented Services - Each Student
Health Center may provide augmented services without imposing
additional student fees subject to the conditions stated above.
If such services cannot be provided without additional funding
support, campuses may use the following methods for funding
approved augmented services:
- A fee for service charged for each use of an augmented
service rendered to students.
- A fee charged to students at the beginning of the term
that allows unlimited use of all augmented services provided
by the Student Health Centers at no additional charge.
Augmented health service fee charges1
shall be separate from
mandatory student health services fees and shall be charged
to students in amounts not to exceed the actual cost of providing
the services and/or materials. All proceeds of augmented fees,
both revenue and interest earned (if any), shall be used to
support Student Health Centers operations. The establishment
and changing of augmented health services fees are subject
to the California State University’s student fee policy
that is described in a separate executive order.
- Procedures for Deposit, Accounting, and Expenditure
of Augmented Fees
- Procedures for the collection of fees by the Student Health
Centers shall be in compliance with policies established
or approved by the Business Office.
- Funds collected shall be deposited in a local trust account
(Ed. Code, § 89721 (i)).
- Expenditures may be budgeted and expended in the independent
operations program of the Support Budget.
- The support appropriation shall be reimbursed at least
monthly from the trust account for expenses incurred in
providing student health services.
- Expenditures shall be restricted to staffing, supplies,
services, and equipment in the Student Health Center.
- The Business Office may be reimbursed for costs incurred
in the accounting and disbursement of fees at a rate not
to exceed 8 percent of fees collected.
- Provision of Student Health Center Services
- Academic Year - Student Health Centers
or contracted health care providers shall provide medical
services Monday through Friday throughout the academic year,
excluding campus closures and holidays, to serve all students
matriculated in state-supported instruction.
- Summer - Each Student Health Center on
a non year-round campus may provide services during summer
periods2 to regularly enrolled continuing students subject
to resources and available funding. A “regularly enrolled
continuing student” during quarter or semester breaks,
intersession, or the summer is defined as a student who:
- Was enrolled as a matriculated student in state-supported
instruction during the preceding term;
- Paid all charges and fees due to the campus; and
- Registered, or is expected to register, for the succeeding
term.
Required immunizations may be provided to individuals
admitted to the university who intend to enroll in classes
in the following term.
- Year-Round Operations – On campuses
with year-round operation (YRO), the term “summer
period” used in this section means any one of the
four quarters or one of the three semesters during the 12-month
year provided that the student has been regularly enrolled
at least two terms immediately prior to the term of nonattendance
and there is an indication of intent to enroll during the
following quarter. Students at YRO campuses may count only
one term per 12-month period as a “summer period.”
Campuses operating state-supported instruction in the summer
shall continue to provide regularly enrolled summer students
with basic services.
- Campus-Sponsored Programs - Student Health
Centers may serve participants in campus-sponsored programs
(e.g., continuing education, “Summer Bridge,”
on-campus youth programs). Medical services may be made
available to such students on condition that service to
regularly enrolled students is not diminished.
- Continuing Education - Student Health
Centers may provide services to students enrolled in self-support
programs by contracts for services between continuing education
program sponsors and the Student Health Center.
- Distance Learning - Students enrolled
in a distance learning program must choose the campus from
which to receive basic services and pay the corresponding
mandatory student health fee.
- Service Fees - The chancellor is authorized
to establish the following fees for services, consistent
with other executive orders:
- Category III fees (fees paid to receive services)
- For regularly enrolled continuing students, workshop,
thesis, continuing education, “Summer Bridge,”
and on-campus youth program participants during the
summer, a fee to receive services may be charged on
a fee-per-visit basis.
- Category I fees (fees paid to enroll in and attend
the university) - Students enrolled in continuing education
programs and participants in workshops and institutes
may be charged a mandatory fee that includes the average
cost of staffing, supplies, services, and the administrative
and accounting costs necessary to provide basic student
health services (such fee shall not be charged on a
fee-per-academic-unit basis).
- Funds collected shall be deposited in a local trust
account (Ed. Code, § 89721 (i)).
- Pharmacy Services
- Purpose - Pharmacy services shall be
made available to support the provision of basic and augmented
student health services. Pharmacy services shall be provided
in accordance with CSU Board of Trustee policy, ethical
and professional practices, and state, federal, and local
laws.
- Pharmacy Operations
- Student Health Center pharmacies shall be licensed
by the State of California and operated in accordance
with the California Business and Professions Code and
the most current California State Board of Pharmacy’s
Rules and Regulations.
- Staffing:
- The campus president or designee shall provide
staffing in a manner that ensures coverage of the
pharmacy by a registered pharmacist currently licensed
by the State of California to the fullest extent
possible when the Student Health Center is open.
A licensed pharmacist shall be designated as “pharmacist
in charge.”
- Student Health Centers that offer pre-packaged
medication shall provide appropriate staffing and
ensure professional consultation that maintains
compliance with state, federal, and local laws.
- Student Health Center pharmacies shall fill prescriptions
written by Student Health Center medical providers or
appropriately licensed professionals. With the written
approval of the campus president or designee, the director
of the Student Health Center may implement a policy
that permits the Student Health Center pharmacy to fill
prescriptions written by off-campus licensed health
care professionals for those eligible for services.
- Student Health Center Formularies
- Student Health Center formularies shall be limited
to medications that are necessary to provide quality
health care and are representative of those medications
most effective in terms of treatment.
- Consideration shall be given to cost and quality factors
in determining which medications shall be included in
the formulary.
- Formulary content shall include prescription and non-prescription
items and be reviewed at least annually.
- Quantities dispensed per prescription should reflect
current standard medical and pharmaceutical practice
and appropriate patient monitoring.
- Inventory Management For Pharmaceuticals
- Inventories for purposes of inventory control shall
be conducted at least annually.
- Outdated, deteriorated, or recalled medications must
be purged on a regular basis and disposed of in accordance
with federal, state, and local laws.
- Fees for Medications and Pharmacy Items
Each Student Health Center shall develop a pricing policy
for medications, vaccines, and other pharmacy items consistent
with each of the following:
- Provide such medications, vaccines, and other pharmacy
items without a fee; or
- Charge a fee that shall not exceed the acquisition
cost of the medication, the administrative costs, and
a fee to cover the cost of packaging, supplies, and
labels set and adjusted pursuant to the CSU fee setting
authority. These fee provisions shall apply to any single
prescription or individually packaged over-the-counter
item provided in medically appropriate quantities or
representing a one-month supply or less of the prescription
item.
- Procedures for Deposit, Accounting, and Expenditure of
Fees for Medications and Prescribed Devices
- Funds collected shall be deposited in a local trust
account (Ed. Code § 89721 (i)).
- All proceeds of pharmacy fees collected (both fee
revenue and interest earned) shall be expended only
to defray costs of medications, pharmacy staffing, supplies,
and Student Health Center administrative and accounting
costs associated with the pharmacy medication program.
- Pharmacy Security
- Security standards shall be in place for pharmaceuticals
maintained and dispensed through Student Health Center
licensed pharmacies. These security standards must comply
with federal, state and local laws.
- The pharmacist in charge shall be responsible for
maintaining the security of the licensed pharmacy facility.
- The pharmacy shall remain locked at all times. Only
persons authorized by the pharmacist-in-charge shall
be permitted access and only when a licensed pharmacist
is present.
- Pharmacy keys and/or access cards shall be issued
only to licensed pharmacists. In addition, the director
of the Student Health Center shall possess a single
key to the pharmacy that is maintained in a tamper evident
container for the purpose of delivering the key to a
pharmacist or providing access in case of an emergency
(e.g., fire, flood, or earthquake). The signature of
the pharmacist-in-charge shall be present in such a
way that the pharmacist may determine readily whether
the key has been removed from the container. A log showing
date, time, name, signature, and purpose must be maintained
and reviewed by the pharmacist-in-charge.
- Only an authorized officer of the law or a person
licensed to prescribe may enter the pharmacy when a
licensed pharmacist is not present.
- Security of Pharmaceutical Items Maintained Outside of
the Licensed Pharmacy
- When pharmaceuticals, pre-packaged medications, over-the-counter
items, samples, and other medications are stored outside
the licensed pharmacy and are for the use of more than
one licensed health care provider, the Student Health
Center must obtain and maintain a California State Board
of Pharmacy Clinic Permit.
- Procedures must be developed for inventory control,
regular removal of outdated, deteriorated, or recalled
medications, security procedures, training, protocol
development, record keeping, packaging, labeling, dispensing,
and patient consultation.
- The policies and procedures to implement the clinic
permit shall be developed and approved by a consulting
pharmacist, a physician acting as a professional director,
and by the director of the Student Health Center.
- The policies and procedures shall include a written
description of the method used in developing, approving,
and revising them.
- The dispensing of drugs by the Student Health Center,
outside of the licensed pharmacy, shall be performed
only by a physician, a pharmacist, or other person lawfully
authorized to dispense drugs, and only in compliance
with the laws.
- The provisions of Business and Professions Code, Sections
4180 (authorizing the purchase of drugs at wholesale)
and 4181 (restricting the dispensing of drugs to a physician
and a pharmacist) apply to CSU Student Health Centers
(Business and Professions Code § 4180 (a)(1)(e)).
- When pharmaceuticals are maintained for dispensing
by a single licensed health care provider, written policies
and procedures must be developed for storage, security,
labeling, outdates, record keeping, and other applicable
California State Pharmacy and Medical Board law.
- Qualifications of Providers of Health Care at CSU
Campuses
- Only those who are qualified to provide health care shall
be hired and shall be assigned duties consistent with their
qualifications. The determination of qualifications will
be guided by state law, CSU Classification and Qualification
Standards, National Practitioner Data Bank review, professional
references, and accreditation agency guidelines. The Student
Health Center director or designee, in conjunction with
campus Human Resources, is responsible for the credentialing
and privileging of providers of health care in the Student
Health Center. For all other campus entities providing health
care, including athletic departments, academic programs,
and auxiliary organizations, the president or designee is
responsible for the credentialing and privileging of health
care providers.
- The minimum qualifications for health care providers include
the following:
- Possession of a valid and relevant California professional
license. Unlicensed individuals providing health care
(e.g., athletic trainers) must do so under the supervision
of a physician or other appropriately licensed provider.
Such arrangements for supervision must be approved by
the Student Health Center director or designee;
- Possession of a valid Drug Enforcement Agent (DEA)
certificate for those who prescribe controlled substances;
- Current cardiopulmonary resuscitation (CPR) certification
as appropriate to assigned duties; and
- Current American Board of Medical Specialties (ABMS)
or American Osteopathic Association (AOA) medical board
certification appropriate for assigned duties for physicians
hired after September 1, 1988. A physician can be given
clinical privileges pending initial certification but
must be board certified as soon possible, but not later
than two years after the date of hire. If a physician
loses certification thereafter, then the physician may
be allowed to continue to provide health care for up
to one year while recertification is obtained. If s(he)
is not recertified within the one-year grace period
then the physician’s clinical privileges in the
Health Center may be suspended immediately.
- Educational Programs
The Student Health Center may participate in educational
programs (e.g., residency programs, nursing programs) that
involve the provision of health care. Participation in such
programs requires the approval of the president or designee,
a contract or a memorandum of understanding that has been
approved by the CSU Office of General Counsel, and oversight
by the Student Health Center Director or designee.
- Health Facility Safety and Cleanliness
Student Health Centers and other health facilities have unique
needs with regard to cleanliness, sanitation, and employee
safety. It is imperative that the president or designee makes
consistent and effective efforts to ensure the safe disposal
of hazardous waste material and reduce the risk of the environmental
spread of disease.
- To ensure the health and safety of employees, patients,
and others, each campus shall implement a written plan that
addresses the health and safety risks associated with health
facility operation. The plan, consistent with federal and
state guidelines, shall include at least the following items:
- Provides appropriate consultation with custodial staff
to address health facility sanitation and safety issues
and provides for the assignment of identified and trained
custodial personnel to ensure appropriate cleanliness
of the health facility;
- Addresses the unique conditions that determine the
frequency and adequacy of cleaning of specific health
facility areas (e.g., laboratory, examining rooms, minor
surgery rooms, waiting areas, halls, restrooms); and
- Provides orientation, continuing education, and training
of custodians regarding the transmission and prevention
of infectious diseases. Guidelines provided by federal
and state agencies shall be followed.
- Medical Records
- Medical records shall be secured in compliance with state
and federal laws.
- Only persons authorized by the health facility’s
director may gain access.
- Medical records, defined by California’s Confidentiality
of Medical Information Act (Civil Code § 56 et seq.),
that are maintained in any other departments than the Student
Health Center (e.g., nursing departments, athletic departments,
speech pathology laboratories, disabled student services,
environmental health and safety) shall follow the same guidelines
and controls as medical records kept in the Student Health
Center, including the following:
- The medical record shall document any consent to treat,
all exams, diagnoses, services, and follow up, indicating
the date, name of the student, name of the provider(s),
and a description of the service. The provider of the
service shall sign the record;
- When not in use, medical records shall be stored in
either locked files or in a locked room;
- Access to keys to medical files and/or record room
shall be limited to those university employees authorized
by the department to have such access;
- In order to ensure that medical records are filed,
stored, and utilized in a manner that provides maximum
confidentiality, each campus department shall review
biennially its record management procedures;
- Campuses should maintain electronic data backup in
off-site locations; and
- Confidentiality of all medical information shall be
maintained in accordance with the California’s
Information Practices Act (Civil Code § 1798.1
et seq.), Confidentiality of Medical Information Act
(Civil Code § 56 et seq.), and other state and
federal laws.
- External Reviews of Student Health Centers
- In order to obtain external professional assessment of
the provision of quality medical care, each Student Health
Center shall be evaluated and accredited by an appropriate,
nationally recognized, independent review agency such as
the Accreditation Association for Ambulatory Health Care,
Inc. or the Joint Commission on Accreditation of Healthcare
Organizations.
- Reaccreditation evaluations shall be conducted at three-year
intervals or as determined by the accrediting agency and
the campus.
- The report of the accrediting agency shall provide an
external assessment of the quality of medical services provided
by the Student Health Center. The accrediting agency’s
report shall be sent to the campus president or designee.
A report of the accreditation process shall be provided
to the chancellor.
- Each Student Health Center shall adopt the quality assurance
program required by the accrediting agency as a core component
of the campus quality of care assurance program consistent
with accreditation guidelines.
- Security of Health Facilities
- Each campus shall develop a formal method of monitoring
compliance with campus security policies of all areas of
campus that provide health services. In addition, this monitoring
process and results should be reported to the chancellor.
- In order to ensure that patient confidentiality is maintained
and that equipment and medical supplies are protected, health
facilities shall implement written policies for the control
of access to the facility. In recognition of the unique
security issues associated with health facility operations,
the policy shall address the following:
- Keys and/or access cards to the facility shall be
issued only to personnel approved by the health facility
director and those service personnel as designated in
the campus key control policy. The facility’s
director shall review the control lists of key holders
and/or access cardholders annually;
- Access to the health facility during the hours the
facility is closed shall be limited to personnel and
other individuals authorized by the health facility
director; and
- Provisions permitting non-health facility employees
continuing access to the facility may be made if medical
records, medications, and equipment are maintained in
locked rooms and/or health facility staff is on duty.
Authorization for such access shall be provided by the
health facility’s director and approved by the
president or designee.
- Pharmacy Security (See Section “VI. Pharmacy Services”).
- Medical Records (See Section “X. Medical Records”).
- Athletic Medicine
- The president or designee is responsible for ensuring
appropriate oversight of all medical services provided to
students participating in intercollegiate athletics on each
campus.
- Athletic departments shall comply with Section “X.
Medical Records.”
- The president or designee is responsible for having athletic
medicine policies and procedures approved in writing by
the physician responsible for medical oversight of the athletic
medicine program.
- The physician responsible for medical oversight of the
athletic medicine program shall approve all changes in policies
and procedures in writing.
- Credentialing: Only those who are qualified to provide
health care shall be allowed to do so in the CSU. The determination
of qualifications shall be guided by state law, CSU Classification
and Qualification Standards, National Practitioner Data
Bank review, and professional references. The president
or designee, in conjunction with campus Human Resources,
is responsible for credentialing and privileging providers
of health care in the athletic department. (See Section
“VIII. Qualifications of Providers of Health Care.”)
- Scope of Service
- The scope of service for each health care provider
shall be in written protocols that are established on
each campus.
- These protocols shall be reviewed biennially for currency
and should be available for audit purposes.
- These protocols shall cover student assistants, student
athletic trainers, and other health care providers for
intercollegiate athletics.
- Intercollegiate athletic departments shall develop a quality
assurance program similar to that used by the campus Student
Health Center.
- When pharmaceuticals are maintained for dispensing by
a single licensed health care provider, written policies
and procedures shall be developed for storage, security,
labeling, outdates, record keeping, and other applicable
California law.
- Drug distribution records shall be created and maintained
where dispensing occurs in accordance with appropriate
legal guidelines. The records shall be current and easily
accessible by medical personnel.
- Individuals receiving medications shall be properly
informed about what they are taking, who prescribed
the medication, and how they should take it. Drug allergies,
chronic medical conditions, and concurrent medication
use should be recorded and readily retrievable in the
athletic training room medical record. These records
should be reviewed on a regular basis.
- All drug stock shall be examined at regular intervals
for removal of outdated, deteriorated, or recalled medications.
Inventories shall be conducted at least annually in
order to purge outdated, deteriorated, and recalled
medications and to maintain formularies consistent with
CSU policy. A written protocol for reviewing all drug
stock shall be established and available for review.
- All emergency and travel kits containing medications
and over-the-counter drugs shall be routinely inspected
for drug quality and security. A written protocol and
log shall be maintained to ensure compliance with this
mandate.
- Safety, Sanitation, and Cleanliness of Facilities:
athletic training facilities have unique needs with regard to
cleanliness, sanitation, and employee safety and shall comply
with “IX. Health Center Safety and Cleanliness.”
- Employee Health Care Services
- Although state policy allows agencies to provide limited
employee health care services, the policy of the Board of
Trustees limits these services to campuses that can provide
assurance that the service will not adversely affect services
to students.
- The president or designee is delegated the authority to
approve the provision of employee services on individual
campuses subject to all of the following conditions:
- The service does not divert staff or resources from
the adequate provision of health services for students;
- The medical specialties of the staff are sufficient
to provide the service;
- The scope of basic and augmented services available
to students is sufficient to provide the service;
- The written justification for this service includes
the assurance from the Student Health Center director
that such services are within the scope of campus staff
and facility capability;
- No comparable medical service can be obtained from
non-state sources at lower cost; and
- Reimbursement is provided to the Student Health Center
by the campus for the cost of the following services:
- Employee physical examinations (employment qualification
and periodic exams);
- First medical treatment of work-related injuries
and illnesses; and
- Evaluation of physical ability of injured to return
to work.
- Medical Disaster Planning
- The president or designee shall be responsible for ensuring
that campus emergency plans include provision for the training
and assignment of Student Health Center staff in disasters
that may require emergency medical services.
- The Student Health Center staff should review medical
disaster plans of the campus emergency plan annually. The
president or designee shall approve proposed revisions of
such plans.
- Insurance and Liability Coverage
The president or designee shall be responsible for ensuring
that the Student Health Center and other on-campus medical
providers (e.g., athletic departments, academic programs,
auxiliary organizations) are adequately covered through risk
management and insurance and liability coverage. Campuses
should consult with the offices of Risk Management and General
Counsel about appropriate coverage.
- Chancellor’s Office Oversight Responsibilities
- To ensure operational effectiveness and efficiency, to
ensure compliance with management and regulatory policies,
and to reduce risk exposure, the division of Academic Affairs,
Student Academic Support within the Chancellor’s Office
shall monitor systemwide Student Health Center activities.
- To assist the Chancellor’s Office with this oversight
responsibility, a systemwide health services advisory committee
shall be established. This advisory committee shall be responsible
for the following activities:
- Develop a campus survey based upon an assessment of
potential risks that must be completed annually by each
campus, e.g., a written list of health services approved
by the president or designee provided by all campus
departments such as the Student Health Center, athletic
department, academic programs, and auxiliary organizations;
- Review and recommend comparative performance measures
developed in collaboration with Student Health Centers
directors;
- Identify the provisions in the executive order that
will be evaluated for compliance in the survey;
- Review annual campus reports, including campus accreditation
reports completed during the year of the evaluation,
to assess potential risks;
- Recommend corrective measures to minimize risks identified
in the annual survey and accreditation report;
- Review, revise, and update the executive order to
ensure compliance with changes in state and/or federal
law; and
- Recommend to the chancellor university health policy.
- The president or designee shall report annually the following
information:
- Complete and submit the annual survey developed by
the systemwide health services advisory committee;
- Submit copies of accreditation reports if performed
during the year;
- Submit copies of the campus oversight policy established
by the president for all university health services
provided by all campus entities (e.g., student health
centers, athletic departments, academic programs, and
auxiliary organizations);
- Submit a report that describes the campus health services
advisory committee membership, recommendations, and
outcome of recommendations. Section II requires the
establishment of a Student Health Advisory Committee,
and it is not the intent of Section XVII to require
the establishment of a second advisory committee if
a committee of this nature already exists on the campus
and meets the requirements of the Executive Order.
- Provide the name, title and contact information for
the campus privacy officer, if the campus is a HIPAA
covered entity.
- Review and recommend comparative performance measures
developed in collaboration with Student Health Center
directors.
1 Title 5, California Code of
Regulations, Section 42659(p) provides that student body organizations also may
fund augmentations
of campus health services.
2 Some campuses are incapable of providing basic services
during certain summer periods. For example,
when the only physician
on a small campus is on vacation, services must be curtailed. If a campus is
unable to provide summer
services due to insufficient staff and/or resources, it shall implement a policy
to refer students,
workshop and institute participants, and campus visitors to appropriate community
medical facilities.
|