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FOUNDATIONS of Cornell Health


FROM THE DIRECTOR Health is a fundamental building block for academic and life success. This core value is reflected in Cornell’s strategic plan, leadership messages, and campus dialogue . . . and in our mission at Gannett Health Services:

To foster lifelong learning and well-being through innovative services and strategies that promote the physical, emotional, and social health of individuals and our diverse campus community. As a unit within Student and Campus Life, Gannett’s vision is to support student readiness to learn and participate fully in the Cornell experience. Realizing this vision influences everything we do, from our scope of services to our programmatic and financial decisions. Strengthened by Cornell’s historical commitment to student health – and active engagement with campus and community partners, student leaders, and generous alumni and friends – our team has been hard at work to lay the foundations of high-quality, accessible, cost-effective, and sustainable services that meet Cornell’s evolving needs, and will support the university’s mission for decades to come. These Foundations of Cornell Health are the focus of this report: Rich History . . . . . . . . . . . . . . . . . . . Whole-Person Integrated Care . . . . Campus Health . . . . . . . . . . . . . . . .

page 3 page 5 page 9

Access to Care . . . . . . . . . . . . Cost-Effective Programs . . . . . Capacity to Serve . . . . . . . . . .

page 13 page 15 page 17

Janet Corson-Rikert, MD

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Executive Director of Gannett Health Services Associate Vice President for Campus Health


OUR VISION

• Logs more than 110,000 in-person and virtual visits a year, reaching more than 80% of Cornell students annually • Employs more than 200 staff members, including medical and mental health clinicians, nurses, technicians, pharmacists, physical therapists, educators, and administrative and support staff • Provides high-quality services on Cornell’s central campus (see list, below) • Manages public health campaigns, and leads campus initiatives related to mental health, alcohol and other drugs, hazing, and sexual violence

• Maintains hours of operation that balance accessibility with cost

lth ea

Ex p

ce of Care ien er

GANNETT HEALTH SERVICES . . .

Populati on H

GANNETT @ A GLANCE

To support student READINESS to learn, participate fully in the Cornell experience, and achieve academic and life success.

Readiness

Hours: Academic Year Monday ‒ Thursday

8:30 am – 7:00 pm

Friday

8:30 am – 5:00 pm

Saturday

10:00 am – 4:00 pm

Every Day

24/7 phone consultation

• Utilizes a funding model for core medical, mental health, and public health services that promotes access to care 5% student out-of-pocket cost at the time of care 45% 50% student central Funding Sources pre-pay university

ON-CAMPUS SERVICES INCLUDE . . . • primary medical care • counseling & psychiatry • 24/hour phone consultation • lab testing • x-rays • pharmacy services • sports medicine • sexual & gender health services • allergy shots • alcohol & other drug services • nutrition & healthy eating programs • physical therapy • immunizations • travel clinic • occupational medicine • student disability services •

Pe r

C a p it a C o s

t

How we advance our vision: • Provide an EXPERIENCE OF CARE that is student-centered, respectful, compassionate, accessible, equitable, affordable, and safe; provide high-quality care in a seamless and integrated fashion • Improve POPULATION HEALTH outcomes through individual and population interventions; education, and prevention efforts; advocacy for healthy behaviors; guidance in navigating health resources; and programs that reach under-served groups • Control PER CAPITA COST by fully utilizing all team members, and focusing on best-practice standards of care This framework is modified from the Military Health System’s Quadruple Aim — based on the Institute for Healthcare Improvement’s TripleAim (a guide for optimizing health system performance and outcomes).

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Local Services

University Health Services

University Health Services on Central Campus

Local Sanitorium

Off-Campus Infirmary

Health Clinic

Clinic space was expanded to provide greater service to the campus community.

1975

New “Gannett Clinic” opens on Ho Plaza. The clinic is named by the Gannett Foundation to honor media mogul Frank Gannett, CU 1898.

1965

1979

Since Cornell’s earliest days, outbreaks of communicable disease, disasters of local, national, and international scale, and other emerging public health concerns have shaped campus support for the students in our care. As early as 1882, a “Mental Health Division” was created at the university, making Cornell an early leader in recognizing the importance of emotional health and well-being in students’ lives. In recent decades, an increasing number of state and federal mandates – from safety regulations and required vaccinations to sexual violence services – have influenced the scope of health services as well as our delivery of care.

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1985

Gannett Health Center

1956

1955

University health officer—called the medical adviser— was appointed.

1945

Infirmary was expanded to Schuyler House (addition built to connect the structures).

President Day announced “the University will assume full responsibility for the medical care of sick students.” First clinic opens on central campus in a faculty residence.

1935

Henry Sage home was converted into an infirmary to accommodate about 20 students.

1925

Ithaca’s Cascadilla Sanitarium (now a Collegetown residence hall) was once described as an “ill-ventilated, ill-smelling, uncomfortable, ill-looking alms house.”

1915

1921

1905

1910

1895

1898

1885

Gannett Clinic

1940

1870s

1875

1865

A RICH HISTORY


. . . and a growing commitment to campus health & well-being

Cornell Health

% of Students Accessing Any Gannett Service

While student enrollment* has grown steadily since Gannett opened in 1956, the last decade has seen an unprecedented increase in the use of services, particularly for mental health concerns. * Enrollment has grown

2000

2017

Gannett was renamed “Services” to reflect the expansion of health services beyond the Ho Plaza facility.

Following a 2-year extensive expansion and renovation project, a right-sized “Cornell Health” will open in 2017.

an average of 1% per year for the past 30 years, significantly increasing demand for health services.

90.0% 88.0% 86.0% 84.0% 82.0% 80.0% 78.0% 76.0% 74.0% 72.0% 70.0% FY06

FY09

FY12

FY15

% of Students Accessing Mental Health Services 24.0% 22.0% 20.0% 18.0% 16.0% 14.0%

2015

2005

1995

12.0% 10.0% FY06

FY09

FY12

FY15

RICH HISTORY

Gannett Health Services

A DECADE OF GROWTH: 2005–2015

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WHOLE-PERSON INTEGRATED CARE At Gannett, we recognize that our patients and clients are whole people whose mental and physical health are intimately linked. That’s why we’ve built our model of care around delivering integrated services that support both mind and body.

Our collaborative care teams – physicians, counselors, psychiatrists, physician assistants, nurse practitioners, nurses, diagnostic technicians, physical therapists, nutritionists, behavioral health consultants, pharmacists, and other providers – work together to care for students’ medical and mental health needs.

Students from Weill Cornell Medicine select Gannett as a training site for integrated primary care.

Strategies include: • A comprehensive, shared electronic health record that promotes integrated care • Mental health screenings – and brief interventions, when appropriate – during medical visits • Specialized care teams that address disordered eating, alcohol use, and student athlete health • Early outreach and ongoing care management for students with chronic or serious health conditions • Collaborative clinical rounds and case conferences • Coordination with student services, academic advising, and speciality care providers in the community

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Director of Medical Services Kent Bullis connects a student with therapist Sarah Rubenstein-Gillis. Such “warm hand-offs” between providers are frequent at Gannett (left).


A NATIONALLY RECOGNIZED “PATIENT-CENTERED MEDICAL HOME”

Every three years, Gannett voluntarily participates in the AAAHC’s accreditation process, which measures our programs against national best-practice standards. During the 2015 review, we earned the AAAHC’s highest marks for the sixth time in a row. Gannett is also one of the first university health services in the country to achieve additional certification as a “Patient-Centered Medical Home” in recognition of our high-quality, integrated approach to student-focused health care.

PERSONALIZED SERVICES FOR CORNELL’S DIVERSE COMMUNITY “Serving an incredibly diverse community means making sure that every one of our students knows we’re responsive to their cultural beliefs, practices, and values,” says Jada Hamilton, physician, and co-chair of Gannett’s Diversity Committee. Gannett staff members collaborate with campus partners who serve international students, students of color, and members of Cornell’s LGBT community, and design programs and outreach efforts to connect with underrepresented populations. We prioritize diversity and cultural competency training to better serve students who come from all over the world and from many different cultures and backgrounds. “All of us at Gannett strive to be sensitive to the individual needs and preferences of those who rely on us for care, and to serve each person with respect and compassion,” says Hamilton.

Jada Hamilton, Gannett physician, provides national leadership as Chair of the American College Health Association’s Ethnic Diversity Coalition.

INTEGRATED CARE

Gannett is proud to be recognized as a “flagship organization in college health” by the Accreditation Association for Ambulatory Health Care for our success in providing integrated medical, counseling, and health promotion services.

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Collaborative medical & mental health services A MULTIDISCIPLINARY APPROACH TO NUTRITIONAL HEALTH

BEHAVIORAL HEALTH CONSULTATION

Gannett’s Cornell Healthy Eating Program (CHEP) team is made up of nutritionists, medical clinicians, counselors, psychiatrists, nurses, and care managers who work together to support students’ healthy eating habits.

Behavioral Health Consultants (BHCs) are mental health professionals who are “embedded” in medical teams to provide students with ready access to mental health care.

Team members serve more than 600 students each year, providing guidance for nutritional health and body image concerns, and treatment for disordered eating and nutrition-related health problems. CHEP also provides prevention outreach, weekly support groups, and specialized referrals for treatment outside the scope of Gannett’s services. “CHEP is a great example of how staff from different disciplines collaborate to provide medical and mental health care for our students,” says Randy Patterson, Assistant Director of Counseling and Psychological Services.

Athletic trainers, sports medicine staff, and other medical and mental health providers work collaboratively to support our Big Red athletes in achieving peak physical performance, recovering from injury, and engaging in healthy practices on and off the field.

Randy Patterson (lower left) with other members of the CHEP team

“Students’ eating habits impact – and are impacted by – both their psychological and their physical health, and require an integrated approach for successful support and treatment of what often are complex concerns.”

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BHCs provide early, cost-effective care including same-day consultation (by referral from other team members), brief behavioral interventions, and screening and transition to other appropriate services, as needed. The BHC model has been shown to reduce diagnostic testing, specialty medical referrals, emergency department visits, and hospitalizations.

CARE MANAGEMENT FOR CHRONIC CONDITIONS Before students even arrive on campus, Gannett connects with those who have serious and chronic conditions (as identified in their required health history form) to help them have a safe and positive transition to Cornell. Designated nurse Care Managers coordinate integrated services for these students, making sure they receive the medical and mental health support they need, and connecting them with community resources when necessary. This care management approach helps students be more successful at Cornell, and avoid unnecessary visits to the health center and hospital emergency department.


INTEGRATION WITH THE CAMPUS COMMUNITY Counseling and Psychological Services staff members work to find creative ways to make mental health support available to students beyond the clinical setting.

“Let’s Talk,” a service that takes counseling to students – with free walk-in hours Monday through Friday at various campus locations – reduces barriers to talking with a counselor. Students also connect with counselors who help lead Cornell’s “Let’s Meditate” mindfulness meditation series. Our Community Consultation and Intervention team provides consultation to faculty and staff members working with students in distress, including students who are unable or unwilling to access traditional counseling services. “We work closely with coaches, residential staff, professors, and other campus partners to make sure students get support, and that staff and faculty have the resources they need to help students,” says Wong. Wai-Kwong Wong, Assistant Director for Community Based Services (left)

COORDINATED SEXUAL HEALTH SERVICES Supporting students’ sexual health involves a wide range of integrated services at Gannett – from asymptomatic screenings and sexual health counseling to mental health support, patient advocacy, and gender services. “Students who come for primary medical care may present initially with physical concerns, but we recognize that they may also be dealing with an identity or safety dimension,” says Beth Kutler, nurse practitioner and Chief of Women’s Health Services. “We work closely with colleagues across many Gannett departments to make sure students receive the support they need – whether it’s related to medical care, sexual identity concerns, healthy relationships, safer sex practices, or care and advocacy after unwanted sexual contact.” Beth Kutler, Chief of Women’s Health Services, speaks with other members of Gannett’s medical team.

INTEGRATED CARE

“Sometimes students are more comfortable having the first point of contact in a setting or through a relationship that they’re familiar with,” says Wai-Kwong Wong, Assistant Director for Community Based Services.

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CAMPUS HEALTH In tight-knit communities, public health connects us all, for better or worse. At Cornell, our shared response to public health challenges and crises have served to strengthen our identity as a caring community. Gannett’s proven internal systems, well-defined collaborations with campus partners and local health providers, and empowering educational campaigns have been cornerstones on which community confidence has been built. Foster a healthy educational environment Reduce risks in the physical environment

Cornell University

Promote life skills and resilience

Comprehensive Health Deliver coordinated crisis Framework management Provide integrated mental health and medical care

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COMMUNICABLE DISEASE PREVENTION & RESPONSE A campus of our size and complexity regularly experiences public health challenges requiring wellorganized planning and decisive response. The recent H1N1 pandemic and a mental health crisis that affected the entire community required sustained and multifaceted strategies. Smaller scale outbreaks of infectious disease and even outbreaks that occur elsewhere also require significant investment to educate the public and minimize risk of contagion. Strategies include:

Increase help-seeking behavior

Identify people in need of care

Cornell’s comprehensive health framework reflects our integrated, population-based approach to promoting the health and well-being of the entire Cornell community.

Jane Murray, nurse, has administered flu vaccines at Cornell for nearly 20 years.

• Immunizations, including those required for new students, recommended for travel, and protective during annual flu season • Screening and early intervention for illnesses such as TB, hepatitis B, and sexually transmitted infections • Population monitoring for disease/symptom clusters • Educational campaigns related to prevention and self-care • Protocols and safety drills for health services staff, and tabletop exercises with campus and local health care partners • Communication strategies and media outreach to provide information during times of crisis or worry • Collaboration with local, state, and national organizations regarding communicable disease management


SUPPORT FOR STAFF AND FACULTY

• Occupational medicine: pre-placement physicals, immunizations, and medical monitoring for staff engaged in work or research with potential health risks • Select medical services: immunizations, allergy shots, and care for acute illnesses and injuries • Physical & massage therapy: rehabilitative support for injuries, pain, and post-surgical needs

• Faculty & Staff Assistance Program (FSAP): free and confidential counseling, support, and education for employees, retirees, post docs, and their partners

Gabriel Tornusciolo, Assistant Director for FSAP

• Pharmacy services: prescription medication and over-the-counter supplies • Travel clinic: pre-travel assessment, advice, supplies, and immunizations

Susan Geisler, Physical Therapy Supervisor

STUDENT DISABILITY SERVICES Cornell’s Student Disability Services (SDS) helps students with physical, medical, mental health, and sensory disabilities participate fully in the Cornell experience.

Supporting the health of our community

SDS – which became part of Gannett Health Services in 2013 – is responsible for certifying eligibility for services, determining reasonable accommodations, and developing plans for the provision of accommodations for students.

Katherine Fahey, Director of Student Disability Services

“Being part of Gannett has strengthened SDS’s ability to connect students with disability services, making sure that academic, environmental, and transportation accommodations are available when needed,” says Katherine Fahey, Director of SDS. “Providing appropriate support and accessibility for a range of abilities is a vital component of Cornell’s commitment to diversity and an inclusive community.”

CAMPUS HEALTH

The health and well-being of our faculty and staff are vital components of a healthy campus environment. While primarily serving students, many Gannett services are also available to Cornell employees:

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SKORTON CENTER FOR HEALTH INITIATIVES For nearly thirty years, Gannett’s Health Promotion staff members have worked to create a healthy campus through policy initiatives, educational strategies, and research. In July 2015, Cornell’s Board of Trustees acknowledged the importance of this ongoing work by renaming the Health Promotion department in honor of then-outgoing President David Skorton, and expanding its scope and leadership role on campus. In collaboration with faculty members, student leaders, and other campus partners, the newly established Skorton Center will continue to advance Cornell’s role as a national leader on student and campus health.

MISSION: The Skorton Center for Health Initiatives will realize President David Skorton’s visible and visionary commitment to supporting student and campus health through innovation in institutional leadership, education, research, and public engagement.

Skorton Center Public Health Fellows Nicolette Lee ’15, Jessie Bonney-Burrill ’14, and Andrew Eng ’15 use “near-peer” strategies to promote student health and well-being in the areas of mental health, alcohol and other drugs, sexual violence, and hazing.

Print and online campaigns communicate key messages related to campus health initiatives.

Timothy Marchell (front), and colleagues following a campus round-table discussion about the prevention of sexual violence

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“ Being a healthy campus requires interconnected strategies that focus both on individuals and the environment in which they live and learn.” Timothy Marchell ’82, Director of the Skorton Center for Health Initiatives


Advancing culture change • mental health • sexual violence • hazing • alcohol & other drugs

Institutional Leadership

Research

The Skorton Center provides leadership for university-wide public health approaches that promote health and well-being and prevent harm to individuals and the community.

In partnership with faculty from the College of Human Ecology, the Bronfenbrenner Center for Translational Research, and the School of Industrial and Labor Relations, Skorton Center staff members are creating a program of research and evaluation to support institutional strategies and contribute to the knowledge base in the field of college health.

In concert with campus partners, the Skorton Center staff provides strategic direction for health-related university councils and committees including: • Council on Mental Health and Well-Being • Council on Alcohol and Other Drugs • Council on Sexual Violence Prevention • Council on Hazing Prevention

Education By developing and implementing evidence-based educational programs, campaigns, and cultural change strategies, the Skorton Center works to promote mental health, reduce high-risk alcohol consumption and alcohol-related harms, and prevent sexual violence and hazing.

Public Engagement The Skorton Center will continue President Skorton’s commitment to share our knowledge and experience beyond the campus through public events, consultations with local leaders on health-related issues, and leadership meetings of health professionals and researchers within the higher education community.

Skorton Center staff members also train future health professionals through Public Health Fellowships, and through an Engaged Cornell initiative in which the Center will serve as a field placement site for undergraduates in the Global and Public Health Sciences major.

CAMPUS HEALTH

SKORTON CENTER PRIORITIES

Mental Health Promotion Coordinator Catherine Thrasher-Carroll discusses community well-being on a radio program (left). Students at a “Lift Your Spirits” event create artwork to highlight the importance of mental health and well-being.

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ACCESS TO CARE

Being there . . . when and where students need us

At Gannett, we believe that all students should have access to the care and services they need to be successful at Cornell, and in life.

STRATEGIES TO FACILITATE EASY ACCESS TO CARE

Cornell students are a diverse group, hailing from all over the world, with vastly different backgrounds and experiences. When it comes to their health, however, we see common themes. Many students are . . .

• Online appointment scheduling, and the ability to exchange secure messages with providers

• Unfamiliar with health services and health insurance

• Web-based interactive mental health screenings and personalized feedback

• Still somewhat reliant on parents/caregivers for guidance and support • Slow in recognizing the need for care, especially related to mental health, sexual health, and alcohol/other drug use • Reluctant to commit time or money to health care • More comfortable scheduling appointments and asking questions online, rather than calling or visiting in person • Spontaneously prompted to seek services or information (help-seeking may be triggered by walking past Gannett, or by peer interactions) • Accustomed to personalized services and communications, rather than a one-size-fits-all approach Our strategies to increase accessibility of services are designed with these themes in mind. We want to make seeking care easy, convenient, and rewarding, so no student avoids or delays getting help.

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• Evening and Saturday hours, plus 24/7 phone consultation and referral

LET’S TALK:

Olin, Carol Tatkon Center, Rockefeller, Caldwell (ISSO), Myron Taylor, Sage, Goldwin Smith, Schurman

Free and confidential consultation and support on a variety of issues. Available to all students. No appointment necessary. WHEN: WHERE: WHO:

Monday- Friday Multiple campus locations Counselors from Gannett Health Services

For more information: www.gannett.cornell.edu/LetsTalk phone: 607 255-5155

stress academic problems anxiety relationships

Each year, nearly 500 students adjustment to a new culture family problems depression financial difficulties other concerns benefit from Let’s Talk walk-in consultations.

• Robust web resources for education and self-care strategies • Multiple campus locations for free walk-in counseling, meditation sessions, and flu shots • Peer-to-peer programming about college health topics, often conducted during evenings or on weekend • Health awareness campaigns in residential communities and outreach to historically under-served populations • Telephone translation service for more than 200 languages • Facilities that are fully accessible for those with physical limitations


Gannett collaborates with the Office of Risk Management to provide a high-value comprehensive student health benefit plan: in Affordable Care Act terms, a “platinum-level” plan at a “bronze-level” price. Our Student Health Plan (SHP) – designed with input from students – provides excellent health coverage anywhere in the world, including low-cost care at Gannett. Students who opt out of SHP coverage pay an annual Student Health Fee to give them similarly affordable access to much of the routine and preventive care they’ll need on campus. A portion of both SHP and the health fee also helps provide sustainable support for public health programs that benefit the whole Cornell community.

Reducing financial barriers FINANCIAL ASSISTANCE FOR THOSE WHO NEED IT “We are committed to making sure all students can access the care they need, regardless of their financial circumstances or what insurance they have,” says Val Lyon, Associate Director for Business and Finance at Gannett.

Our Student Health Plan-Medicaid (SHP-M) program has greatly improved access to care for some of Cornell’s most financially vulnerable students. Now in its second pilot year with the New York State Department of Health, SHP-M covers care on campus and in Ithaca for students enrolled in the plan, and has saved both the state and the university money.

Val Lyon, Associate Director for Business and FInance

For students who find Gannett’s $10 visit copay to be a barrier to seeking the care they need, our Fee Waiver Program provides financial assistance. And for all students, Gannett’s Office of Student Health Benefits staff members help students (and their families) navigate the complex terrain of U.S. health insurance, and select coverage that fits their needs and budget.

This funding structure enables Gannett to charge students – both those on SHP, and those paying the health fee – just a $10 copay for most visits (some visits have no charge), with no additional charges for procedures, x-rays, and lab tests performed at Gannett.

Cornell’s student health plans cover students in good times and in bad.

ACCESS TO CARE

COMPREHENSIVE COVERAGE + AFFORDABLE ON-CAMPUS SERVICES

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COST-EFFECTIVE PROGRAMS Gannett aims to provide the highest quality patient care in the most streamlined and costefficient way possible. Our organizational systems are designed to find and sustain that balance, including: • Medical and mental health brief assessments: Brief intake evaluations conducted by phone and during walk-in hours provide a rapid connection with services, directing students to appropriate care. • Group therapy: Support groups offer an effective complement or alternative to traditional counseling, facilitate student connectedness, and reach more students with fewer resources. • Secure messaging in lieu of follow-up visits: Brief electronic exchanges between providers and patients enable convenient, confidential care. • Quality improvement and utilization review programs: Regular internal evaluations and patient satisfaction surveys find opportunities for care improvement and cost reduction. • Variable staffing levels: Staffing includes a large percentage of 10- and 11-month employees, matching seasonal fluctuations in demand. • Strong community partnerships: Collaboration with community providers offers lower-volume, higher-cost services (such as urgent after-hours care and sexual assault examinations) more reliably and economically.

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Bridging cost and service

CLINICIAN-NURSING COLLABORATION Many services at Gannett are provided by multidisciplinary teams. For example, highly trained nurses deliver more than a third of our services – from basic appointments to phone follow-ups and Ask a Nurse secure messages. Physicians and mid-level clinicians provide consultation to nursing staff, respond to more acute or complicated concerns, order tests, and prescribe medication.

Rebecca Damiani, nurse practitioner, and Dee Palumbo, registered nurse, regularly collaborate to deliver care.

This team-based approach “empowers our RNs to attend to common ailments, and focus on educating students about self-care strategies and staying healthy,” says Rebecca Damiani, nurse practitioner. “It also optimizes the use of our clinicians’ skills and training to address the more complex medical needs presented by many of our patients.” “Collaborating helps us provide higher-quality care,” says Dee Palumbo, registered nurse. “Our patients benefit from having an entire team of providers invested in their health.”


ELECTRONIC HEALTH RECORDS Gannett staff members rely on a shared electronic health record to facilitate efficient, coordinated care, and to communicate confidentially with patients and with other care providers.

Students benefit from the EHR’s patient portal, which provides easy access to their personal health information, and enables them to schedule appointments and communicate with their providers online. Physicians Ken Hill, Anne Jones, and Edward Koppel discuss trends in utilization of medical services (left).

PHONE CONSULTATION 24/7 Our phone consultation service allows us to provide around-the-clock care to the campus community while limiting our building hours and costs. Each year more than 3,500 callers get help outside of Gannett’s business hours, for everything from alcohol emergencies to illnesses, injuries, and anxiety. Calls are fielded first by our answering service, and then connected to a Gannett nurse or counselor on-call. “When students need immediate care, we connect them with providers in the community, including coordinating their transportation when necessary,” says Nianne VanFleet, Associate Director for Operations, and one of Gannett’s on-call nurses. “Most students have less urgent concerns, and we talk them through self-care strategies, and advise them about services and resources that are available to them in the morning.” On-call staff also coordinate with campus partners, parents, and community providers to get help for students who need it. “It’s a real comfort to students and parents to know that help, and TLC, are available 24 hours a day,” says VanFleet.

Nianne VanFleet, Associate Director for Operations, has been an on-call nurse at Gannett for almost 20 years.

COST-EFFECTIVE

Since this electronic health record (EHR) system was implemented in 2009, Gannett has been able to reduce health records staffing, advance nurse-delivered programs in both medical and psychiatry services, and improve data collection and data-driven decision making.

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CAPACITY TO SERVE The renovation and expansion of Cornell’s on-campus health center has been a university priority since 2005, when an independent study concluded the Gannett facility was significantly undersized to serve the campus population. • The current facility no longer meets today’s codes and health care standards.

Meeting Cornell’s growing needs . . .

The new building – due to be completed in 2017 – will support access to care for a growing student body with evolving health needs. Designed with multidisciplinary suites and collaborative work spaces, it will facilitate the delivery of integrated medical and mental health services. The $55 million project (architect: Grace Chiang ’80, B. Arch. ’81) is being funded by a unique collaboration among generous donors and Cornell’s schools, colleges, and central administration.

• Since the Gannett building opened in 1956, enrollment has doubled and visits have increased by 250%. • Since 1996, mental health visits have nearly tripled, and the number of Gannett employees has more than doubled. • Several Gannett departments have moved out of the building due to space constraints.

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Janet Corson-Rikert, Executive Director, and Greg Eells, Director of Counseling and Psychological Services, discuss opportunities for enhanced delivery of integrated medical and mental health services in the renovated facility.


NEW BUILDING HIGHLIGHTS

Current space = 25,000 NSF

Enhanced pharmacy space

NEW SPACE: 22,000 NSF to meet current needs & standards 5,000 NSF for projected future demand

• An adequate number of examination rooms to accommodate campus demand • Appropriately sized exam rooms and waiting areas • More private clinician offices to improve confidentiality and the patient experience • An expanded pharmacy • Multidisciplinary suites to facilitate integrated delivery of services

Medical procedure room

Lobby atrium

Counseling office

Staff consultation room

• Consultation space to promote provider collaboration • Meeting rooms for group counseling, staff-student collaboration on campus health initiatives, and community meetings • Space for outside specialists to consult with students on site

Facility design by Chiang O’Brien Architects

CAPACITY TO SERVE

• An increase in size from 25,000 to 55,000 net square feet (NSF):

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2017

Gannett Health Services • 110 Ho Plaza, Ithaca, NY 14853-3101 • 607 255-5155 • gannett.cornell.edu

Steve Weismore and Don Pizarro, members of Gannett’s project team (above)

11.2015/500

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