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CEAC: Health Care Task Force Interim Report June 18, 2014
CEAC: Health Care Task Force Interim Report June 18, 2014
Healthcare Task Force
• Research unique, effective and sustainable models of university health care delivery.
• Evaluate pros and cons of alternative health delivery models.
• Recommend methods of developing a healthy campus community culture.
Healthcare Task Force Members/Participation • Christy McLeod, BMC - Chair
• Kelly Sparks, OSU-Cascades Liaison, Associate VP for Finance and Strategic Planning
• Wendy Alexander, OSU-Cascades student representative
• Jaime Law, OSU-Cascades student
• Dan McCarthy, Adaugeo Healthcare Solutions (High Lakes Healthcare)
• Anya Peterson-Frey, OSU-Cascades, Human Resources
• Linda Porzelius, OSU-Cascades Counseling Services
• Kara Witzke, OSU-Cascades, Instructor, Exercise and Sport Science
• Elaine Knobbs, Mosaic Medical
• Jessica Jacks, Deschutes County Health Services
• Tricia Stumpf, Planned Parenthood
• Kat Mastrangelo, Volunteers in Medicine
• David Visiko, Deschutes County
Task Force Work Plan
• Research other institutions of higher education healthcare models Services provided Cost of services How services are accessed Distance/transportation to services
• Research health care services already available in our community • Services provided and capacity (physical, mental and behavioral health) • Cost of services • Access to services/limitations • Distance/transportation to services
• Research impact of Obama care on potential recommendations • Understand role of wellness vs. acute care needs in a university environment • Research policies to promote wellness and enforcement on campus • Evaluate financial feasibility/business case of possible options • Prioritize needs and ideas by university population growth • Make recommendations to present to CEAC
Process
• Town & Gown research • Montana State-Bozeman • UC Merced • UW Tacoma • Western Washington University • University River Falls Wisconsin
• Impact of healthcare reform -- current and future impacts • Access to care • Insurance parameters
• Policy vs. Recommendation • Insurance • International Population needs
Next Steps
• Bi-weekly meetings for research/information
sharing/discussions from Feb-end of May
• July 24th – half day work session to finalize recommendations
• Present back to the CEAC in the fall
Housing Task Force Recommendations – final 6/18/14
Page 1
Category Housing
Issue/Concern A) On-‐campus & near-‐campus housing targets
Research Question
What portion of the undergraduate and graduate student population should live within walking distance of classes (i.e., within ½ mile)?
Goals:
1) Establish a “primarily residential” university campus (see Finding #1).
2) Accommodate as many students as possible (i.e., nearly all non-‐local students) on campus or within ½ mile in university-‐owned or university-‐affiliated1 housing.
Supporting Analysis:
Analytical Data
Nationally, among students attending public colleges2: – 40% live on campus – 40% live off campus – 20% live with parents
In Oregon, public universities average closer to 20% of students living on campus.
Findings 1) To be considered a “primarily residential” campus under the Carnegie Foundation Classification System, 25-‐49% of undergraduates must live on campus.
2) The projected composition of the student body for OSU-‐Cascades includes a high percentage of non-‐traditional students; these are older local residents, including transfers from COCC and other colleges, 2+2 enrollees, adult degree-‐completers, and employed graduate students. With minor exceptions, these students will already live in Central Oregon. This group will comprise 35–40% of all students.
3) This leaves 60-‐65% of students as the available market for housing on and near campus.
4) With a rental vacancy rate below 1%, Bend does not have housing for these students. Housing must be built for them, both on campus and off campus, to avoid displacing families, seniors, and younger working adults who will otherwise be in competition with students for scarce rental housing.
5) The 2012 Living on Campus Survey of institutions operating over 2,500 residence halls found that 44% of campuses lacked sufficient space to meet demand, which resulted in overcrowding, not enough housing for juniors and seniors, and a “negative impact on their relationship with the neighborhoods that are in close proximity to the school.”3 Supplying adequate and proximate student housing is necessary for the well-‐being of both students and the existing community.
6) The same survey reported that many students base their choice of college on the quality of student housing: priorities are larger rooms, privacy, and amenities.
7) Studies show a direct correlation between living on campus and academic success.
1 “University-‐affiliated” implies housing owned and/or operated by a third party in cooperation with a defined university program, such that the housing, for example, may be “certified” for student use, relevant OSU housing rules apply, and the housing is marketed through the university directly to students 2 NCES, National Postsecondary Student Aid Study, 2008. See: http://nces.ed.gov/pubsearch/pubsinfo.asp?pubid=200801 3 “And the Survey Says.” College Planning & Management, June 2012, p9-‐11. To download the full 2012 College Housing Report, go to: http://webcpm.com/research/2012/06/college-‐housing/asset.aspx
Housing Task Force Recommendations – final 6/18/14
Page 2
Recommendations:
Phase OSU-‐Cascades City of Bend Private Landowners
2016+
Up to 1,890 students
Objective:
House 30% on or near campus
• House 300 students on campus (about 16% of total enrollment4)
• Provide a mix of housing units, including ones that accommodate the needs of international students
• Develop programs to partner with (a) private developers and (b) individual landlords, with the aim of offering university-‐affiliated near-‐campus housing options
• Create incentives for private developers to build student housing near campus
• Require onsite management for near-‐campus student housing complexes
• Create incentives for ADU development within 1 mile of campus (e.g., waive the required conditional-‐use permit for pre-‐1998 homes)
• Partner with the OSU-‐C to develop university-‐affiliated purpose-‐built5 student housing within ½ mile of campus for about 275 upperclassmen (about 14% of total enrollment)
• Construct or renovate legally-‐permitted ADUs housing 20 or more students within 1 mile of campus
2020
About 3,525 students
Objective:
House 60% on or near campus
• Same as above, plus:
• House an additional 1,000 students on campus (for a total of about 37% of total enrollment)
• Add suites and apartments (with kitchens) that appeal to upperclassmen by offering a more independent residential lifestyle and more living space and amenities
• Establish zoning for a university district that accommodates on-‐ and near-‐campus housing targets, while supporting related goals, including parking/transportation, neighborhood livability, and sustainability (e.g., reduce the required ratio of parking spaces, and moderately increase building heights and lot-‐coverage ratios)
• Partner with the university to develop student housing within ½ mile of campus for about 525 additional students, including upperclassmen and graduate students (for a total of about 23% of total enrollment)
• Construct or renovate legally-‐permitted ADUs housing 30 or more students within 1 mile of campus
2025
About 5,275 students
Objective:
House 65% on or near campus
• Same as above, plus:
• House an additional 800 students on campus (for a total of about 40% of total enrollment)
• Add graduate students to the target audience for on-‐campus housing
• Same as above, plus:
• Implement the recommendations of the Neighborhood Livability Task Force regarding public safety services needed to support approximately 3,400 students living on and near campus
• Partner with the university to develop multi-‐family housing within ½ mile of campus to accommodate about 475 additional students, including those who are married or have children (for a total of about 25% of total enrollment near campus, including ADUs)
4 Total enrollment = undergraduate students on the Chandler campus + graduate students at the Graduate & Research Center 5 “Purpose-‐built” student housing refers to facilities intentionally designed for, and marketed to students.
Housing Task Force Recommendations – final 6/18/14
Page 3
Table 1: Housing targets based on enrollment projections
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Housing Task Force Recommendations – final 6/18/14
Page 4
Category Housing
Issue/Concern B) How to make living on campus attractive
Research Question
What market forces, amenities, and policies promote achieving a high percentage of students living on campus?
Goals:
1) Create a vibrant, dynamic campus that students want to be on, both in and out of classes.
2) Make the price of on-‐campus housing competitive with off-‐campus options.
Supporting Analysis:
Analytical Data
Living on campus is highly-‐correlated with academic success, increased retention, higher student satisfaction, and stronger continuing ties to the university.6
Findings 1) Most residential campuses provide a full array of amenities, including: – academic support (library, study group rooms, tutoring, etc.) – student services (counseling center, health center, career center, etc.) – extracurricular clubs (arts, sciences, community service, etc.) – recreational facilities (performance, fitness, pool, sports fields and courts, etc.) – living-‐learning communities & residential-‐life communities
2) Achieving a higher percentage of students living on campus correlates with: – stricter on-‐campus living requirements – offering a mix of units (suites, single rooms, in-‐unit baths, kitchens, etc.) – the availability of on-‐campus amenities (see Finding #1) – a shortage of off-‐campus rental housing – traffic congestion (unpredictable travel times) – more out-‐of-‐area students – more students from higher-‐income families
3) Factors influencing a lower percentage of students living on campus include: – a high level of urban integration (easy access to public transit, off-‐campus rentals, and community amenities) – a shortage of on-‐campus housing (both number of beds and mix of units) – old or poorly-‐maintained on-‐campus housing – much higher prices for on-‐campus versus off-‐campus housing
6 Pascarella, E.T., & Terenzini, P.T. How college affects students; A third decade of research (2nd ed.). San Francisco: Jossey-‐Bass, 2005.
Housing Task Force Recommendations – final 6/18/14
Page 5
Recommendations:
Phase OSU-‐Cascades City of Bend Private Landowners
2016+
Up to 1,890 students
• Offer as many of the amenities in Finding #1 above as space allows and partner with other entities to fill gaps
• Require all non-‐exempted freshmen to live on campus7
• Require all non-‐exempted sophomores to live on campus or (with approval) in university-‐affiliated housing near campus
• Offer First-‐Year-‐Experience and other student life programs
• Designate space for upperclassmen and incentivize them to live on campus
• Utilize financial aid strategies to make the price of on-‐campus housing competitive
• Partner with the university to offer student life programs and amenities in purpose-‐built near-‐campus student housing
2020
About 3,525 students
• Same as above, plus:
• Build a complete 4-‐year residential campus with all of the amenities in Finding #1 above
• Utilize creative financing of student housing to make the price of on-‐campus housing competitive
• Require that the master plan include the amenities in Finding #1 and limit enrollment, if necessary, to achieve a proper balance of academic facilities, student housing, and non-‐academic amenities
• Establish zoning for a university district that accommodates these uses
• Same as above
2025
About 5,275 students
• Same as above, plus:
• Have faculty in residence to attract graduate students on campus
• Same as above • Same as above
7 Exemptions: part-‐time students; those who are over 21, married, have dependant(s), or are veterans; those living with (non-‐student) family member(s) within commuting distance
Housing Task Force Recommendations – final 6/18/14
Page 6
Category Housing
Issue/Concern C) How to transition students to off-‐campus housing
Research Question
What can the university do to help prepare students to be good neighbors?
Goals:
1) Promote good neighbor practices that mitigate impacts on livability in the surrounding community.
2) Prepare students to live independently as responsible members of the community.
3) Educate landlords on legal and safety standards that help ensure successful experiences in renting to students.
Supporting Analysis:
Analytical Data
Several campuses have established programs to orient students to their responsibilities as community members and to teach them about the legal aspects of being tenants.
Findings 1) Oregon State University, Portland State University, Ohio State University, Georgetown, and others offer model programs which aim to8: – help students and their families make well-‐informed decisions about off-‐campus housing options – help students understand their legal rights and responsibilities when entering into a lease agreement – reduce off-‐campus risks and hazards by providing students with information and strategies that enhance personal safety and home security – lower utility costs and raise environmental awareness by promoting sustainable living
8 (a) OSU Guide to Living Off-‐Campus. See: http://oregonstate.edu/uhds/sites/default/files/off_campus_living_guide.pdf
(b) PSU Off-‐Campus Housing Resource Guide. See: http://www.pdx.edu/sites/www.pdx.edu.housing/files/2010 Off Campus Housing Guide.pdf
(c) Ohio State Off-‐Campus Excellence Program. See: https://offcampus.osu.edu/off-‐campus-‐living/off-‐campus-‐housing-‐excellence-‐program/
(d) Georgetown University Off-‐Campus Program. See http://studentliving.georgetown.edu/off-‐campus/
Housing Task Force Recommendations – final 6/18/14
Page 7
Recommendations:
Phase OSU-‐Cascades City of Bend Neighborhood Associations
All
Up to 5,275 students
• Jointly hire staff Town/Gown coordinator with City of Bend
• Partner with COROA, City, and NAs to develop landlord best practices
• Sponsor “Connect Week” for freshmen and a re-‐engagement program for upperclassmen to connect them to the community: – community service and outdoor components – student conduct code – alcohol and sexual assault awareness – “campus reads” program (w/DPL)
• Develop “university-‐affiliated” preferred rental-‐housing provider programs for (a) private developers and (b) individual landlords: – require off-‐campus students to register – City safety inspections – violation notifications – landlord orientation – suitable occupancy/ parking ratios – model lease agreement – OSU-‐C web site listings
• Create an off-‐campus living program including: – print & web content – training workshop
• Minimize impact of housing events, such as move-‐in/move-‐out days: – off-‐street parking – valet support
• Jointly hire staff Town/Gown coordinator with OSU-‐Cascades
• Partner with COROA (Central Oregon Rental Owners Association), OSU-‐C, and NAs to develop landlord best practices
• Sponsor Good Neighbor Program: – support with program definition, financial resources, and city staff (as in Beaverton) – cover relevant code – implement via NAs
• Implement voluntary landlord registration program: – rental unit inspections – violation notifications – communication of landlord liability under city code
• Consider requiring a business license for landlords, which would provide a revenue stream to fund the landlord program and establish a database of rental properties
• Partner with OSU-‐C, City, and COROA to develop landlord best practices: – leverage existing COROA best practices – City safety inspections – promote model lease agreements (e.g., each resident signs their own lease to enable separate financial liability and eviction; landlord to pay for garbage disposal and lawn care)
• Help develop and implement a Good Neighbor Program: – every September – “introduce yourself to your student neighbor” – how to report code violations to Town/Gown coordinator – recruit students for NA board membership, social gatherings, and projects – help recruit landlords for “university-‐affiliated” preferred rental-‐housing provider program
Housing Task Force Recommendations – final 6/18/14
Page 8
Category Housing
Issue/Concern D) How to deal with bad behavior in student-‐occupied housing
Research Question
When students make mistakes, in either on-‐ or off-‐campus housing, how can they be held accountable and learn from their mistakes?
Goals:
1) Set student expectations for acceptable and appropriate behavior in student-‐occupied housing, both on-‐campus and in the community.
2) Provide a mechanism for students and community members to report violations.
Supporting Analysis:
Analytical Data
Oregon State University has a Student Conduct Code that applies to all OSU-‐Cascades students.9
Findings 1) The university also has housing policies that will apply to students living on campus.
2) The only part of the conduct code that applies to off-‐campus housing is item 23: “Violation of any federal or state law or city or local ordinance . . .”; other violations (of HOA rules or a lease agreement, for example) would be between the HOA or landlord and the student, but would not involve the university’s student judicial process.
9 Oregon State University Student Conduct Code. See: http://arcweb.sos.state.or.us/pages/rules/oars_500/oar_576/576_015.html
Housing Task Force Recommendations – final 6/18/14
Page 9
Recommendations:
Phase OSU-‐Cascades City of Bend Local Neighbors
All
Up to 5,275 students
• Develop student “appropriate behavior” education program: – levels of consequence – student affairs to communicate issues to students within 12 hours
• Enforce the Student Conduct Code on-‐ and off-‐campus through the student judicial process
• Extend OSU housing policies to off-‐campus living arrangements, as appropriate
• Discourage students from living in high-‐occupancy rentals
• Provide a single point of contact for community complaints (Town/Gown coordinator)
• Partner with the City to develop university district monthly incident reporting and neighborhood statistics
• Establish monitoring protocols to evaluate the effectiveness of behavior management programs
• Develop a strong relationship with City Code Enforcement
• Educate the community about FERPA, which protects the privacy of education records
• Provide referrals from the housing office to appropriate mental health services
• Update City code to address relevant International Property Maintenance Code recommendations: – noise – chronic nuisances – unruly gatherings – garbage disposal – parking on approved surfaces only
• Review protocols for violation notifications by the community
• Communicate violation notices to Town/Gown coordinator
• Partner with OSU-‐C to develop university district monthly incident reporting and neighborhood statistics
• Develop a joint OSU-‐C, City Code Enforcement, Police, and community task force to deal with “big” incidents: – review incident reports – establish best practices – propose code changes – recommend university policy improvements – implement weekend code enforcement
• Provide notification of violations through appropriate City channels
• Participate in the big-‐incident task force
• Update HOA rules, as necessary, to address issues covered by the university’s housing policies that might not be included in current rules
• Promote HOA rules requiring model lease agreements addressing suitable occupancy/ parking ratios and requiring the landlord to pay for garbage disposal, snow removal, and landscape maintenance
