Provision of Medical-Grade PPE for Health Services Staff

The University Health Center is currently well stocked with both disposable and reusable PPE. We calculate that we have supplies to last for at least 6 months. We are monitoring the supplies regularly and have advance orders in place.

The most difficult PPE to obtain are gowns, masks and face shields. We have purchased reusable gowns, which will be laundered here at the UHC, and we have reusable face shields. Our mask and glove supply should last through the semester. We will reorder earlier than usual and anticipate being able to restock as needed.

Maintenance of Typical (non-COVID-19) Health Services

Typical non-COVID-19 health care will operate as it did prior to COVID-19. However, we have added a telehealth option and online self-scheduling by students will be limited.

We are also modifying services amenable to virtual visits or brief encounters so that we may continue to provide services while limiting physical interactions within the Health Center.

Mental Health services

JMU’s Counseling Center is committed to prioritizing rapid access to mental health services and meet the growing mental health needs of students. As a result of COVID-19, with the exception of circumstances in which an individual student’s needs might require an accommodation (e.g., significant levels of risk), the CC will be exclusively providing services via telehealth after initial intake.

The Counseling Center (CC) will maintain its daily walk-in hours for initial appointments while taking appropriate safety measures. For example, to eliminate contact with surfaces, the main door will be propped open and the majority of waiting room seating will be removed, with the remaining furniture being arranged to support physical distancing. The CC’s front desk will be ensconced in plexiglass to ensure the safety of the staff fulfilling
reception responsibilities, and floor markings will be employed to encourage physicaldistancing for those waiting in line.

Students will be screened by reception staff for COVID-19 symptoms, and if they report being asymptomatic, they will be directed to one of five rooms that have been arranged specifically for intake processes. Students will then complete their initial paperwork on the intake room computer, and the student will remain in that room during their telehealth appointment with a clinician. Each of the five intake rooms is large enough to allow for
appropriate physical distancing in the event that the clinician needs to be in the room with the client, most commonly in a crisis situation.

In most cases, the client will not be present at the CC during their telehealth sessions, but exceptions can be made for students who have difficulty finding a private place to meet with their clinician. Similarly, group counseling and treatment program services will be provided through a telehealth modality, and outreach programming will also be virtual. The CC’s two self-care spaces will be closed until further notice.

SHS Facility Considerations

UHC medical providers have identified medical complaints and reasons for visits that are amenable to electronic interactions and those requiring a face-to-face interaction. Telehealth or telemedicine interactions will offered to students if applicable. Face-to-face visits will be used when medically required or requested by the patient. A specific clinical waiting and evaluation area for respiratory illnesses has been established. Phone triage
protocols as well as patient screening protocols are in place.

IT changes include the addition of Telehealth to minimize the need to come to the health center. Mobile check-in has been added to avoid the use public computers and to decrease overall time in the waiting area and in the clinic itself. UHC staff will minimize the time patients spend in any waiting area by quickly moving patients to private exam rooms. History shows that, in general, our patients spend less than five minutes in the waiting rooms.

Due to the addition of new in-house laboratory testing for COVID-19, the UHC will initiate insurance billing for specific lab tests in order to minimize out-of-pocket expense to the student. Fee schedules have been set to make tests affordable for the uninsured and underinsured. No other changes to our fees have been made.

UHC undergoes regular environmental cleaning of all clinical areas, with a focus on appropriate sanitation of areas with higher risk of COVID-19 patients. Signs relating to face mask use and hand hygiene are in place, and fabric face masks will be available and required for every visit to the UHC.

SHS Administrative and Staff Considerations

The UHC is able to provide all needed PPE and other materials needed by UHC staff as detailed in section A.12.E. In addition, UHC routinely provides yearly training; this year’s training will focus on COVID-19. Ongoing training will also be provided regarding the clinical, personal health, public health and financial aspects of COVID-19.

To ensure their health and safety, all UHC employees engaged in clinical care will receive daily health screenings.

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