AWARE- Protect yourself By: Michelle Bettis Savannah Devries Alissa Hill Caitlyn Van Valkenburg Mission: Improving and maintaining optimal community health through sexually transmitted infection education and testing. Philosophy: We believe all members of the community deserve confidential access to education and medical testing regarding prevention, transmission, or treatment of sexually transmitted infections. We believe that empowering individuals with the right knowledge and education can help to prevent the spread of sexually transmitted infections throughout the community. We seek to provide a safe haven for those who need assistance or want to improve their own sexual well-being and health. We will provide confidential testing, education, and counseling on a one-on-one basis for each client. Goals 1. Ensure information and education on the prevention of sexually transmitted diseases are available to all community members regardless of demographics, race, gender or ability to pay. (We believe that empowering individuals with the right knowledge and education can help to prevent the spread of sexually transmitted infections throughout the community.) 2. Ensure all confidential testing and education provided is done in a facility that can be easily accessed by community members. (Confidential access to education and medical testing regarding prevention transmission, or treatment of sexually transmitted infections.) 3. Ensure that all materials, equipment, supplies, and education available take into consideration the diverse cultures and ethnicities of the community to be served. (We believe that empowering individuals with the right knowledge and education can help to prevent the spread of sexually transmitted infections throughout the community.) 4. Ensure that confidential testing and services are available on a consistent schedule so that community members are able to access the services provided. (We seek to provide a safe haven for those who need assistance or want to improve their own sexual well-being and health.) Goals 5. Ensure that all services and education are one to one with a healthcare provider. (We seek to provide a safe haven for those who need assistance or want to improve their own sexual well-being and health.) 6.) Ensure that all care provided is done by health care professionals or individuals that have the necessary education and experience. (We will provide testing, education, and counseling on a one-on-one basis for each client.) 7.) Ensure overall improvement in the community STI infection rate with regards to our services. (We believe that empowering individuals with the right knowledge and education can help to prevent the spread of sexually transmitted infections throughout the community.) 8.) Ensure that more men and women are aware of their HIV status. (We will provide testing, education, and counseling on a one-on-one basis for each client.) Objectives To obtain a building centrally located in a community to house Aware by December 2015 To hand out 100 informational flyers per day for the first 3 weeks into the community to help draw awareness to our services. To complete training for all Aware staff members on STI testing and counseling by the first month of employment, demonstrating competent knowledge in these areas by completing all testing and obtaining an 80% or higher To demonstrate understanding of education received, clients will complete end of education questions getting at least 70% of answers correct. To see 300 STI tests completed on the public in the first year To double the clients served from the community in the first year within three years of Aware being opened. To record a 6% decrease in STIs noted in the community within two years of Aware opening To increase the number of men and women who are aware of their HIV infection status by 10% in the first 5 years. Organizational Job Chart Physician Director of Nursing Assiatant Director of Nursing Registered Nurses ClericalVolunteers Physician Responsible for medically managing the STI Clinic including: assessing, diagnosing and treatment of STIs. Ensure all medical documentation is: complete records are HIPAA compliant confidentiality protocols are maintained for patient record Perform: individualized assessment, diagnosis, and treatment services Physician (Cont) Utilize: laboratory test results and clinical assessment they will determine type and stage of STI appropriate protocols and guidelines as established by the Centers for Disease Control and Prevention the diagnosis and treatment of sexually transmitted infections Clinical tasks are completed by following established policies and protocols such as: Collects blood samples and other laboratory specimens as part of assessment and diagnosis process when required Counsels and administers hepatitis A and B vaccines to eligible clients based on hepatitis A and B laboratory screening results Performs one-on-one education specific to HIV/STI and other communicable disease to patients Provides education to clients regarding their infection and instructions regarding medication treatment and test-for-cure in 90 days Physician Qualifications Full registration and license to practice with the General Medical Council in the State of Michigan Completion of 4 hours post-graduate training Specialize training in sexual and reproductive health Experience or background working with and prevention of sexually transmitted diseases Director of Nursing (DON) Implement organizations goals and mission statement Follow evidence-based practices to support direction of education and services provided to staff and to patients Responsible for the following: Oversight of the finance/budgeting and marketing of the organization Fundraising, grants, and community development of this organization Development of the policies and procedures that help to direct the care of the patients Hiring/Firing of all employees and volunteers Oversee the standard of care and development of the organization Work as a part of the healthcare team to maintain HIPAA policy for all patients Run all required staff meetings Director of Nursing Qualifications Bachelor Degree in nursing or business administration Licensed Registered Nurse in the State of Michigan Certified in BLS Experience in business and nursing management Strong background in health care environment Experience in staffing, education, and training Assistant Director of Nursing (ADON) Manage day to day operations at organization Supervise and evaluate staff members Oversee the training and scheduling of all staff and volunteers Ensure adequate educational material and supplies for physicians, nurses, and patients Work with the Director of Nursing to Coordinate required staff meetings Implement policies and procedures and maintain high standards of care in accordance with all laws Work with others to maintain HIPAA standards and the privacy of all patients Assistant Director of Nursing Qualifications Licensed Registered Nurse in the State of Michigan Bachelors of Science in Nursing (preferred) Certified in BLS Experience in nursing management Experience in staffing Experience in education and training Registered Nurse Work under the supervision of the Physician, DON and ADON Screen patients for STIs, and administer treatment as needed with in their scope of practice per policy Instruct and educate patients on specimen collection Explain lab results to the patients Provide safe sex counseling appointments for identified high risk patients Work with the physician to report positive communicable diseases to ATCHD Educate patients on current STD trends, prevention, and treatment Registered Nurse (Cont) Work with others to ensure all medical documentation is complete and that records are HIPAA compliant and confidentiality protocols are maintained for patient records Performs very specialized assessment, diagnosis, and treatment services to utilizing appropriate protocols and guidelines as established by the Centers for Disease Control and Prevention the diagnosis and treatment of sexually transmitted infections under the nursing scope of practice Performs all clinical tasks following established policies and protocols: Collects blood samples and other laboratory specimens as part of assessment and diagnosis process when required Counsels and administers hepatitis A and B vaccines to eligible clients based on hepatitis A and B laboratory screening results as ordered Performs one-on-one education specific to HIV/STI and other communicable disease to patients Provides education to clients regarding their infection and instructions regarding medication treatment and test-for-cure in 90 days Registered Nurse Qualifications Licensed Registered Nurse in the State of Michigan Certified in BLS Experience in education and training preferred Experience in a health care setting for two year minimum Flexible Schedule Patient advocate and team player May have special education in STIs Clerical Associate Help to aide in client enrollment process Schedule clients for appropriate tests/appointments Answer phones, supply patients with educational resources if needed within scope of responsibility Order supplies/equipment needed and stock appropriate educational materials for patients Develop and maintain a confidential organized filing system Maintains and processes forms Maintains financial records and files Clerical Associate Qualifications Prior clerical office experience (preferred) High School Diploma Ability to multitask Telephone/Communication Skills Strong organizational and time management skills Good customer service and verbal communication skills Computer proficiency Volunteer Work under the supervision of the Registered Nurses to help with specimen collection from the patients Work under the supervision of the Registered Nurse to help educate patients on current STD trends, prevention, and treatment Help with phone calls, filing, and stocking of supplies Transport specimens to desired destinations Transportation of patients Assist at community health fairs Volunteer Qualifications Currently enrolled in a Nursing program in Michigan Certified in BLS Willingness to learn and educate others Positive attitude Good communication skills Personnel Budget Proposal PositionPhysician Director of Nursing Assistant Director of Nursing Registered Nurse 1 Registered Nurse 2 Clerical Secretary 1 Clerical Secretary 2 VolunteersTotal FTE/PTEPTEFTE PTEFTEPTEN/A Hourly Pay$60$33$29$23 $15 Weekly Hours Hours/month Monthly Pay$6,720.00$5,280.00$4,640.00$3,312.00$2,208.00$2,160.00$ PTOYes NoYesNo Paid HolidayYes NoYesNo Benefits (monthly)$2,016.00$1,584.00$ $993.60$662.40$648.00$ Monthly Total$8,736.00$6,864.00$6,032.00$4,305.60$2,870.40$2,808.00$1, $32,864.00 Operational Hours SchedulePhysician Director of Nursing Assistant Director of Nursing Registered Nurse 1 Registered Nurse 2 Clerical Secretary 1 Clerical Secretary 2 VolunteersTotal Monday N/A Tuesday N/A Wednesday N/A Thursday N/A Friday N/A Saturday N/A Sunday closed Total: Operational Costs- Facility Space Available: ,698 SF Rental Rate: $ $17.03 /SF/Year Rent/Space Cost Downtown Grand Rapids : $13.32-$17.03 per square foot/year 1,500 sq feet 19,980- $25,545 Operational Costs- Office & Clinic Supplies Initial Costs (1 time costs) Computer Stations Midmark 6204 Care Exchange Workstation #4 at $1000 : $4000 Computer Desks #4 Single Pedestal Steel Desk with Center Drawer Black/Walnut Top $308: $1232 Reception Desk #1 U-shaped Reception Station: $1014 Chairs #5 Realspace Salsbury Highback chair at $180: $900 Operational Costs- Office & Clinic Supplies Computers- #8 at $500 each: $4,000 Physician, Secretary, DON, ADON, 4 floor computers Copy Machine/Fax Machine #3 Epson WorkForce Pro WF-5690 Network Multifunction Printer at $400: $1200 Fireproof/Locking Lateral File Cabinet #1 FireKing UL 1-hour lateral file cabinet at $2603 Furniture for Waiting Room Television: $500 2 small tables: $ chairs: $500 Magazine Rack: $75 Plants for waiting room: $50 Paint for the space: $100 5 Multi-line telephones: $500 Operational Costs- Office & Clinic Supplies Exam Rooms Exam tables Ritter 204 Basic Manual Examination Table by Midmark #3 at $1082: $3246 Examination stools: Midmark 425 Air Lift Physician Stool #3 at $574 : 1,722 Operational Costs- Office & Clinic Supplies On-going costs Dynarex SafeTouch Nitrile Exam Gloves $9.20 a box $55.20 a week (6 boxes a week) Sharps containers :$21 every 3 months (1 for each exam room) $7 each Copy Paper : $60 per week (2 boxes) 5,000 sheets Sams Club copy paper $30/box Pens : $5 per week (1 box) 60 ct black ball pens Sams Club Printer Ink: $64 a week $32 Epson Ink Multipack (Amazon Prime) Sterile urine specimen containers: $17 a month (100 containers) Winged blood collection set: $ 54 a month (50 sets) Eclipse Needles: $ 18 a month (48 sets) 2 boxes of red top blood collection tubes: $ 44 a month (100 tubes per box) 2 boxes of gold top blood collection tubes: $ 62 a month (100 tubes per box) Operational Costs- Office & Clinic Supplies 1 box of lavender top blood collection tubes: $ 18 a month (100 tubes per box) I box of one use needle holders: $ 17 a month (250 holders per box) 2 boxes alcohol prep pads : $6 a month (200 pads per box) 3 boxes latex free tourniquets : $31 a month (25 per box) Surgical paper tape: $6 a month (12 rolls per box) 2x2 gauze squares: $10 a month (5 packs of 200 gauze squares) Lab specimen bags: $ 58 every 3 months (1000 bags a package) 4 containers of CaviCide wipes: $48 every month (160 wipes per container) 1 box of culture transport sterile swabs: $257 every 6 months (500 swabs per box) Monthly bills-phone, internet, television, rent, employees, medical waste disposal, advertising, insurance Curriculum and training materials: Free from CDC Initial Start Up Costs ItemCostAmountTotal Computer station$1,0004$4,000 Desk Reception Desk10141 Chair Computer Copy/Fax Machine File Cabinet26031 Television5001 Table Chair Magazine Rack751 Plant10550 Paint1001 Telephone Exam Table Stool Grand Total: $ 21,842 Monthly Costs ItemsCost Employees$ 32,864 Rent2128 Medical waste disposal63 Lab fees500 Cleaning service200 Phone, Internet, Television264 Advertising 208 Insurance208 Gloves221 Sharps containers7 Paper240 Pens20 Printer ink256 Urine specimen containers17 Needles72 Blood tubes124 Needle holders17 Tourniquets31 Alcohol Pads6 Tape6 Gauze10 Specimen bags19 Culture swabs43 Cleansing wipes48 Grand Total: $37,572 Costs Initial costs to start Aware: Protect Yourself $21,842 Monthly costs to operate Aware: Protect Yourself $37, 572 Yearly cost to operate Aware: Protect yourself $450,864 Plans for reimbursement All private insurance, Medicare, Medicaid Private pay Grants and Government funding Fees we would charge $5 lab fee $200 for 10 test panel Individual test panels $25-80 Counseling session $45/ Hour Advertisement Positions Flyers at college campuses Newspaper ads Ads in Journals Table at Expos for Womens Health Radio Advertisements Online ads (e.g. Indeed, Monster, Craigslist) Our Clinic Flyers at college campuses Newspaper ads Table at Expos for Womens Health Radio Advertisements Online web-page Billboards Advertisement- Local Newspaper $9.95 for 20 words; 35 cents per word for each additional word (This information was obtained from The Iosco County News Herald) Advertisement-Journal of Professional Nursing Annual Pricing Color Standard color (2C or 3C. Colors available are Black, Cyan, Magenta or Yellow): $580 per page or fraction. Matched color (PMS specific number): $670 per page or fraction. 4-color: $1,115 per page or fraction. Matched (PMS) colors can be combined with the Black and White rate, or they can be added to the Standard or 4 Color charge. Color charges are in addition to earned black and white rates. Bleed: No charge. * Agency discount is 15%* COMPOSITION (Black & White Only) Full page: $150 Half page: $125 Quarter page: $95 PREMIUM POSITIONS Contract needed. Non Cancellable Cover 4: 50% B/W page rate Cover 2: 35% B/W page rate Cover 3: 25% B/W page rate Opposite TOC: 25% B/W page rate First Right Hand Page: 25% B/W page rate Other preferred positions: 10% B/W page rate How many pages One time adThree timesSix TimesTwelve Times Full page$960$940$930$920 Half of a page$730$710$700$670 Quarter of a page $605$600$595$585 Advertisement Our Advertisement for Volunteers Advertisement Another Advertisement for Volunteers