Presented by Reinaldo Rivera HR Manager Texas Commission ...
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Presented by Reinaldo Rivera HR Manager Texas Commission on Environmental Quality
Transcript of Presented by Reinaldo Rivera HR Manager Texas Commission ...
Presented by Reinaldo RiveraHR Manager
Texas Commission on Environmental Quality
How did it begin?
• HB 952, enacted during the 79th
legislative
session, authorized a pilot program to provide health care services to state employees in state office complexes.
• SB 1761, enacted during the 80th
legislative
session, mandated the continuation of the pilot program.
Program Goals
• Reduce the cost of health care
• Increase the wellness and productivity of state employees
Program requirements• The program must employ a licensed advanced
practice nurse, as defined by Section 301.152, Occupation code.
• A licensed physician will perform supervisory services, as described in Section 157.052 (e), Occupation code
• Obtain liability insurance covering services provided by the advanced practice nurse.
• Supply appropriate office space and equipment for the nurse to provide basic medical care.
What are the partners’
roles?
ERS
–
Developed and implemented the pilot program. Receives
and distributes the contract funds that are paid by the TCEQ.
TCEQ
–
Assisted with the program implementation. We pay for
the contract; provide space for the clinic.ARC
–
Serves as the contractor; provides the nurse practitioner
(NP) and supervising physician.BCBS
–
Serves as the third party administrator (TPA), providing
administrative services and generating clinic utilizationreports.
Clinic Location
Available Services
• Take vital signs• Initial work injury assessment• Tetanus vaccination• Other immunizations and
injections if supplied by patient
(nurse’s discretion)• Remove stitches and staples• Phone consultation• Contact physicians office to schedule urgent appointments
• Rapid flu testing• Workshops on selected health topics
• Limited counseling on
healthy lifestyles• Monitor and record visit
info; enables patient to
report to PCP
Available Services(continued)
• Assessment and treatment
(including Rx):
* Upper respiratory illnesses* Minor injuries or wound
care
* Musculoskeletal symptoms* Minor gastroenterological
illnesses
* Minor allergy and asthma
symptoms
* Breast health education
* Waived CLIA laboratory
test:
-
Dipstick urine
-
Blood sugar
-
Rapid strep test
Available Equipment• Nebulizer• Crash box (minimal emergency meds)• O2 tank• Wall mounted BP• Pulse oximeter• Wood’s lamp• Otoscope• Scale
Common QuestionsIs a copayment required for utilizing the clinic services?
No. Who can use the clinic services?
Active state employees.Are COBRA beneficiaries entitled to access the clinic?
No, as stated above, clinic services are only available to active state employees.
Is a pharmacy included?No; however, the nurse practitioner may issue written
prescriptions for the employee to fill at the pharmacy oftheir choice.
Common Questions(continued)
Who has access to the patient files?The patient files are managed in accordance with the
HIPAA requirements.How are the patient files kept?
Hard copies are stored in locked file cabinets. No electronic patient files are created.
Can I make an appointment?Yes, appointments are the preferred and most convenient method to use the nurse practitionerservices. Call 512/239-6877 or email [email protected]
to schedule an appointment.
Common Questions(continued)
Are walk-ins accepted?Yes, walk-ins are worked in between scheduled appointments and will be seen as time permits. However, it may take longer to be seen if you do not have an appointment.
Questions?
Contact:General QuestionsReinaldo
Rivera512/239-0131
Contract Questions Cindy Jorgensen 512/239-0116
