Health and Wellness Manager Orientation

1. 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

4. Employment and Training Administration Organization

5. Office of Job Corps Organization

6. Office of Job Corps 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 • 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

7. Job Corps Health Office Organization

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