HETTLER'S
TOP 20
Quality Indicators
 by
Bill Hettler, MD

These quality indicators are based on:
My 30 years experience providing medical care to young adults
Experience as the father of 6 children
Consultations/visitations to hundreds of campuses worldwide
Standards and recommendations of ACHA, AAAHC, & JCAHO

Staffing

 

Top Quality Staffing Medium Quality Staffing Low Quality Staffing
The health service is staffed with the number of professionals needed to meet the medical concerns of the student body.  

Suggested staffing pattern for a typical high quality university health service would be:

One MD for every 2000 students
Two Midlevel Clinicians for every 2000 students
One pharmacist for every 8000 students
One Medical Technologist for each 6000 students
Two Wellness Educators for each 8000 students
Two clinical support staff for each MD or midlevel clinician (LPN's or MA's)
One Information Technology Staff for each 4000 students.
Two Peer Educators for each 1000 students
One Mental Health Staff member for each 1000 students.
One Physical Therapist for each 4000 students
One dietician for each 8000 students
Three administrators for each 8000 students

The health service is staffed with the number of professionals needed to meet the majority of the medical concerns of the student body.  Some needed services are provided by off campus providers.

Suggested staffing pattern for a typical medium quality university health service would be:

One MD for every 3000 students
Two Midlevel Clinicians for every 3000 students
One pharmacist for every 16,000 students
One Medical Technologist for each 8000 students
One Wellness Educator for each 8000 students
One clinical support staff for each MD or midlevel clinician (LPN's or MA's)
One Information Technology Staff for each 8000 students.
One Peer Educators for each 1000 students
One Mental Health Staff member for each 2000 students.
One Physical Therapist for each 8000 students
One dietician for each 16,000 students
Two administrators for each 8000 students

The health service is staffed with the number of professionals needed to meet the majority of the medical concerns of the student body.  Some needed services are provided by off campus providers.

Suggested staffing pattern for a typical low quality university health service would be:

One MD for every 4000 students
Two Midlevel Clinicians for every 4000 students
No pharmacist 
No Medical Technologist 
Part time Wellness Educator 
One clinical support staff for every two MD's or midlevel clinicians (LPN's or MA's)
Outsourced information technology services
One Peer Educators for each 2000 students
One Mental Health Staff member for each 4000 students.
No Physical Therapist 
No dietician 
One administrator for each 8000 students

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