The The PennsylvaniaDepartment of Corrections &

Prison Health Services, Prison Health Services, Inc. Inc.

Quality People…Providing Quality Care

PHS At-a-GlancePHS At-a-Glance

Founded the private correctional Founded the private correctional healthcare field in 1978 – 29 years healthcare field in 1978 – 29 years experienceexperience

69 contracts currently serving:69 contracts currently serving:• 184,500 inmates in 24 states184,500 inmates in 24 states• 197 prison and jail sites197 prison and jail sites• More than 4,700 employees nationwideMore than 4,700 employees nationwide

Accreditation ExpertiseAccreditation Expertise

ACA & NCCHC - 100% track record ACA & NCCHC - 100% track record in achieving and maintaining in achieving and maintaining

Currently 93 sites accreditedCurrently 93 sites accredited

Successes: ACA EAGLE AWARD - Successes: ACA EAGLE AWARD - Accreditation of all programs within Accreditation of all programs within Pennsylvania DOC jurisdictionPennsylvania DOC jurisdiction

Medical Supervision

Patient-ClinicianEncounter

DecisionSupportSystem

Corporate MedicalOversight

InfectionControl

QualityImprovement

DiseaseManagement

UtilizationManagement

Credentialing

PHS Medical Management Model

Training&

Education

Quality ImprovementQuality Improvement

1. Chronic Disease Management by 1. Chronic Disease Management by clinical performance indicators clinical performance indicators review at monthly site QI meetingreview at monthly site QI meeting

2. Preventive Health Maintenance 2. Preventive Health Maintenance by periodic health appraisal by periodic health appraisal according to patient’s ageaccording to patient’s age

CredentialingCredentialing

1. Physician Assistant License1. Physician Assistant License

2. Employment Application2. Employment Application

3. DOC Security Application3. DOC Security Application

4. Background Investigation4. Background Investigation

5. Supervisory Agreements5. Supervisory Agreements

6. Annual CPR certification6. Annual CPR certification

Utilization ManagementUtilization Management

1. Specialty Consultation1. Specialty Consultation

2. Telemedicine – dermatology, 2. Telemedicine – dermatology, urology, oncology, HIV, neurology urology, oncology, HIV, neurology

3. Hospitalization3. Hospitalization

4. Formulary Management4. Formulary Management

Disease ManagementDisease Management

1.1. Sick CallSick Call

2.2. InfirmaryInfirmary

3.3. Emergency CareEmergency Care

Infection ControlInfection Control

1. HIV1. HIV

2. Hepatitis B / Hepatitis C2. Hepatitis B / Hepatitis C

3. Tuberculosis3. Tuberculosis

4. MRSA4. MRSA

Typical PA Work DayTypical PA Work DayTwo PA’s on dutyTwo PA’s on duty

Arrive at institution 7:15 amArrive at institution 7:15 am

Review medical records of inmates to be Review medical records of inmates to be seen on inmate requested sick call that dayseen on inmate requested sick call that day

Sick call begins at 7:45 amSick call begins at 7:45 am

Completed sick call – 20-25 patients at Completed sick call – 20-25 patients at 10:30 am10:30 am

PA line begins at 10:30 until 12:00 (6-8 PA line begins at 10:30 until 12:00 (6-8 patients)patients)

LunchLunch

PA Work Day continuedPA Work Day continued

1:00-2:00 pm – PA’s make clinical 1:00-2:00 pm – PA’s make clinical rounds with one PA reporting to rounds with one PA reporting to Restricted Housing Unit and Restricted Housing Unit and Administrative Custody Unit – Second Administrative Custody Unit – Second PA reports to Mental Health UnitPA reports to Mental Health Unit

2:00 – 3:45 pm – PA line continues 2:00 – 3:45 pm – PA line continues usually 2-3 patients and depending on usually 2-3 patients and depending on type of clinic or follow-up recommended type of clinic or follow-up recommended or procedure to be performedor procedure to be performed

Additional PA DutiesAdditional PA Duties

Lab reviewsLab reviews

Chart reviews with blood pressure Chart reviews with blood pressure checks/blood sugar checks/new-intake checks/blood sugar checks/new-intake medical reviewsmedical reviews

Suturing – on-call after hours for Suturing – on-call after hours for suturingsuturing

Medical EmergenciesMedical Emergencies

Weekend rounds with physician on-Weekend rounds with physician on-callcall

WHAT YOU CAN WHAT YOU CAN EXPECT:EXPECT:

Dedicated, professional medical team Dedicated, professional medical team focused on quality carefocused on quality care

Safe, clean work environment Safe, clean work environment adequately staffed and equippedadequately staffed and equipped

Supportive atmosphere conducive to Supportive atmosphere conducive to enhance professional growth and enhance professional growth and learninglearning

SCI MUNCYSCI MUNCY

SCI FAYETTESCI FAYETTE

SCI SOMERSETSCI SOMERSET

TELEMEDICINE @ SCI TELEMEDICINE @ SCI SOMERSETSOMERSET

WHAT YOU CAN WHAT YOU CAN EXPECT:EXPECT:

A safe and supportive work A safe and supportive work environment with competitive environment with competitive compensation and benefits that compensation and benefits that include: include: Paid Professional Liability Insurance Paid Professional Liability Insurance Long & Short Term Disability Insurance Long & Short Term Disability Insurance Health, Dental, and Vision Insurance Health, Dental, and Vision Insurance Life Insurance Life Insurance Holiday, Vacation, Sick Leave Holiday, Vacation, Sick Leave 401k Retirement Plan401k Retirement PlanCompany Stock Purchase PlanCompany Stock Purchase Plan CME Reimbursement and Paid Time CME Reimbursement and Paid Time

Pennsylvania’s Primary Health Care Pennsylvania’s Primary Health Care Practitioners Loan Repayment ProgramPractitioners Loan Repayment Program

Prison Health Services, Inc works Prison Health Services, Inc works collaboratively with the Pennsylvania collaboratively with the Pennsylvania Department of Health to establish site Department of Health to establish site designations. As of January 2008, the designations. As of January 2008, the following correctional institutions in following correctional institutions in Pennsylvania have been designated as Pennsylvania have been designated as eligible for loan repayment:eligible for loan repayment:

Designated SCI SitesDesignated SCI Sites

SCI Albion, Camp Hill, Coal Township, SCI Albion, Camp Hill, Coal Township, Cresson, Fayette, Forest, Frackville, Cresson, Fayette, Forest, Frackville, Greene, Greensburg, Houtzdale, Greene, Greensburg, Houtzdale, Huntingdon, Mahanoy, Muncy, Pine Huntingdon, Mahanoy, Muncy, Pine Grove, Pittsburgh (in progress), Grove, Pittsburgh (in progress), Rockview, Smithfield, SomersetRockview, Smithfield, SomersetTwo year minimum service commitment Two year minimum service commitment based on participant’s qualifying based on participant’s qualifying educational loanseducational loansOpportunities beyond two years may be Opportunities beyond two years may be availableavailable

Pennsylvania’s Primary Health Pennsylvania’s Primary Health Care Practitioners Loan Care Practitioners Loan

Repayment ProgramRepayment ProgramState repayment program through National Health State repayment program through National Health Service Corps (NHSC) grants matching funds Service Corps (NHSC) grants matching funds directly to states to operate their own loan directly to states to operate their own loan repayment programs. repayment programs.

This initiative is part of the overall strategy of the This initiative is part of the overall strategy of the Health Resources and Services Administration Health Resources and Services Administration (HRSA) to improve and expand access to healthcare (HRSA) to improve and expand access to healthcare for Americans nationwide. for Americans nationwide.

Eligibility requirements and benefits vary from state Eligibility requirements and benefits vary from state to state. A list of contacts for these state programs to state. A list of contacts for these state programs is available by calling our toll-free helpline or is available by calling our toll-free helpline or visiting our website (available on hand-out) visiting our website (available on hand-out)