Team # 945 -- Follow-Up for Student Alcohol-Related Emergency Department Visits
Student Affairs

January 2009

Objective

To improve the follow-up interview with students who have been seen in the Emergency Department for a reason related to alcohol abuse.

Alcohol use and abuse is the number one public health problem on college campuses nationwide and at Penn State. In 2007-2008, 445 students visited the emergency department at Mt. Nittany Medical Center for an alcohol-related reason. Historically, Health Promotion and Wellness staff have followed-up with these students to conduct a brief intervention and to provide referral information. The follow-up process helps identify students who may be in need of long-term intervention services. This brief intervention is most effective if conducted within several days of the initial ED visit. Data from the 2007-2008 implementation indicate that follow-up could be improved.

Team Membership

  • Noel Habashy, Co-Leader
  • Suzanne Zeman, Co-Leader
  • Linda LaSalle, Member

Results Achieved to Date

  • ExpectedResults:
    Goals and objectives:
    1) reduce the amount of time between ED visit and when the initial secure message is sent to the students
    2) increase the number of phone contacts with students who went to Mt. Nittany Medical Center for an alcohol- related ED visit

    Performance measure(s):
    1) date of initial ED visit, date HIM documents the visit, date HPW sends secure message to student
    2) number of phone contacts with students
    3) number of secure messages sent to each student

    Performance measure(s):
    1) date of initial ED visit, date HIM documents the visit, date HPW sends secure message to student
    2) number of phone contacts with students
    3) number of secure messages sent to each student

    Based on the analysis of 2007-2008 data the following corrective measures were taken
    - new staff trained on follow-up procedure.
    - HIM obtains the student visit record from M.N.M.C. and documents the visit in the “ETOH ER Tracking Sheet” on the
    Z drive.
    - Staff from HPW checks the spreadsheet within 3 business days.
    - HPW staff sends a secure message to each new student on the list within three business days
    - When a student contacts the HPW office, staff will record the encounter in the student’s medical record using Point
    and Click (PnC) in the ER follow-up template.
    - If the student does not contact the HPW office, a second, final secure message will be sent out within one week of
    the first message.
    - HPW staff will record all items on the “ETOH ER Tracking Sheet”.
    If the graduate student in charge of the F/U process is away on break the Health Educator who oversees the AIP
    programs will fill in so the response time is not delayed. Reanalysis and reporting will be conducted in spring 2010.
  • With the implementation of the Brief Alcohol Screening and Intervention for College Students (BASICS) program in fall 2010 our process changed dramatically related to our previous QI project. During that project students that went to MNMC for alcohol related treatment were contacted and services were offered to them in UHS but there was no requirement for them to sign up. Starting in fall 2010 all students who go to MNMC for alcohol related treatment are actually required to take the BASICS program here in UHS with one of our health educators. This is a link to the information located on our website about BASICS http://studentaffairs.psu.edu/health/basics/.

    Suzanne Zeman
    September 30, 2011

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