Job Corps Health Services Utilization Statistics

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* 1. Center Name

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* 2. Your Name

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* 3. Your Email Address

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* 4. Today's date

Date / Time

Date

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* 5. Reporting Period: Month and Year

	Month	Year
The data provided below is from: Example: You submit data between April 1-10, 2023 for reporting period of March 2023	The data provided below is from: Example: You submit data between April 1-10, 2023 for reporting period of March 2023 Month menu	The data provided below is from: Example: You submit data between April 1-10, 2023 for reporting period of March 2023 Year menu

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* 6. Center OBS as of the last day of the month for the reporting period:

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* 7. Number of new students admitted to the center

(Number of new students arriving on center during the previous month)

Male

Female

X (does not identify as male or female)

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* 8. Number of students receiving medical exam within 14 days of arrival

(Number of students who received a medical exam within 14 days of arrival. Some of these students may have arrived on center during the previous reporting period, and some will be carried over to the next reporting period)

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* 9. Number of center physician (CP), physician assistant (PA) and nurse practitioner (NP) visits

(Number of CP/PA/NP– Number of visits to health services during which a student is seen by a CP/PA/NP)

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* 10. Number of nursing visits – Number of visits to health services during which a student is seen by a nurse (RN, LP/VN))

Number of nursing visits for medications (daily prescription administration)

Number of nursing visits for all other reasons

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* 11. Number of pregnancies diagnosed on entry

(Number of students who had a positive pregnancy test on entry, as part of the medical exam, by residential status. Report only those diagnosed during the reporting period.)

Resident

Non-Resident

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* 12. Number of pregnancies diagnosed after entry

(Number of students who had a positive pregnancy test after an initial negative test, by residential status. Report only those diagnosed during the reporting period.)

Resident:

Non-Resident

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* 13. Number of emergency room visits

(Number of visits made to the emergency room)

Medical/Surgical

Mental Health/Substance Abuse

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* 14. Number of urgent care visits

(Number of visits made to an urgent care center)

Medical/Surgical

Mental Health/Substance Abuse

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* 15. Number of admitted hospitalizations

(Number of students who were admitted to the hospital)

Medical/Surgical

Mental Health/Substance Abuse

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* 16. Number of students oral health visits

·        Dental Readiness Inspections – Number of students who received the dental readiness inspections

·         Elective oral exams – Number of students who received the elective oral examination

·         Treatment by the center dentist – Number of students who received oral health services (this excludes dental hygiene services, the dental readiness inspections and elective oral examinations)

·         Dental hygiene visits – Number of students who received dental hygiene services by the dental hygienist

Dental readiness inspections

Elective oral exams

Treatment

Dental hygiene

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* 17. Number of applicant files reviewed by the CMHC(s) with recommendations of denials that were submitted to the Health and Wellness Director (HWD)/ Regional Office

(Number of files reviewed and hours spent reviewing and completing forms 2-04 Direct Threat Assessment and 2-05 Health Care Needs Assessment)

Number of files

How many hours (total)

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* 18. Number of students provided direct clinical mental health services by the CMHC(s) (Do not include graduate students)

(Number of students who had direct clinical mental health services including intake screening, assessments, counseling sessions, groups, crisis intervention, medication check-ins, and medical separation evaluations)

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* 19. Number of hours the CMHC(s) provided indirect mental health services (Do not include graduate students)

(Number of hours the center mental health consultants spent on applicant file review with recommendation of enrollment only, SIF review, health record review, case management meetings with counselors, TEAP consultation, medication meetings, staff consultation, off center referrals/consultation/ case management, and resources for housing insecure students)

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* 20. Number of hours provided by CMHC in mental health promotion activities and training

(Number of hours the center mental health consultant spent on center wide activities and trainings for staff and/or students)

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* 21. Number of Health and Wellness staff hours spent supporting/aiding the disability program

(Number of hours Health and Wellness staff spent participating in the Disability Accommodation Process (DAP), consultation with the disability coordinator, follow-up, and record review)

CMHC:

HWD:

Center Physician:

Dentist:

TEAP Specialist:

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* 22. Number of incoming students on Psychotropic Medications

Arrived – Students entering the program during the reporting period who were on psychotropic medications

Started – Students entering the program during the reporting period who were not on psychotropic medications prior to enrollment, but were prescribed medications upon arrival

Arrived

Started

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* 23. Number of incoming students on Controlled Substances

Arrived – Students entering the program during the reporting period who were on Controlled Substances

Started – Students entering the program during the reporting period who were not on Controlled Substances prior to enrollment, but were prescribed medications upon arrival

Arrived

Started

Job Corps Health Services Utilization Statistics

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* 1. Center Name

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* 2. Your Name

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* 3. Your Email Address

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* 4. Today's date

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* 5. Reporting Period: Month and Year

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* 6. Center OBS as of the last day of the month for the reporting period:

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* 7. Number of new students admitted to the center(Number of new students arriving on center during the previous month)

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* 8. Number of students receiving medical exam within 14 days of arrival(Number of students who received a medical exam within 14 days of arrival. Some of these students may have arrived on center during the previous reporting period, and some will be carried over to the next reporting period)

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* 9. Number of center physician (CP), physician assistant (PA) and nurse practitioner (NP) visits(Number of CP/PA/NP– Number of visits to health services during which a student is seen by a CP/PA/NP)

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* 10. Number of nursing visits – Number of visits to health services during which a student is seen by a nurse (RN, LP/VN))

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* 11. Number of pregnancies diagnosed on entry(Number of students who had a positive pregnancy test on entry, as part of the medical exam, by residential status. Report only those diagnosed during the reporting period.)

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* 12. Number of pregnancies diagnosed after entry(Number of students who had a positive pregnancy test after an initial negative test, by residential status. Report only those diagnosed during the reporting period.)

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* 13. Number of emergency room visits(Number of visits made to the emergency room)

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* 14. Number of urgent care visits(Number of visits made to an urgent care center)

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* 15. Number of admitted hospitalizations(Number of students who were admitted to the hospital)

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* 20. Number of hours provided by CMHC in mental health promotion activities and training(Number of hours the center mental health consultant spent on center wide activities and trainings for staff and/or students)

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* 21. Number of Health and Wellness staff hours spent supporting/aiding the disability program(Number of hours Health and Wellness staff spent participating in the Disability Accommodation Process (DAP), consultation with the disability coordinator, follow-up, and record review)

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* 7. Number of new students admitted to the center

(Number of new students arriving on center during the previous month)

* 8. Number of students receiving medical exam within 14 days of arrival

(Number of students who received a medical exam within 14 days of arrival. Some of these students may have arrived on center during the previous reporting period, and some will be carried over to the next reporting period)

* 9. Number of center physician (CP), physician assistant (PA) and nurse practitioner (NP) visits

(Number of CP/PA/NP– Number of visits to health services during which a student is seen by a CP/PA/NP)

* 11. Number of pregnancies diagnosed on entry

(Number of students who had a positive pregnancy test on entry, as part of the medical exam, by residential status. Report only those diagnosed during the reporting period.)

* 12. Number of pregnancies diagnosed after entry

(Number of students who had a positive pregnancy test after an initial negative test, by residential status. Report only those diagnosed during the reporting period.)

* 13. Number of emergency room visits

(Number of visits made to the emergency room)

* 14. Number of urgent care visits

(Number of visits made to an urgent care center)

* 15. Number of admitted hospitalizations

(Number of students who were admitted to the hospital)

* 20. Number of hours provided by CMHC in mental health promotion activities and training

(Number of hours the center mental health consultant spent on center wide activities and trainings for staff and/or students)

* 21. Number of Health and Wellness staff hours spent supporting/aiding the disability program

(Number of hours Health and Wellness staff spent participating in the Disability Accommodation Process (DAP), consultation with the disability coordinator, follow-up, and record review)