CORRECTIONS HEALTH SERVICES
FY 2011-12Budget Worksession
July 11, 2011
• Organization Chart
• Proposed FY 2011-12 Budget
• Accomplishments
• Budget Challenges
• Summary
Presentation Outline
• Organization Chart
• Proposed FY 2011-12 Budget
• Accomplishments
• Budget Challenges
• Summary
Presentation Outline
Organization Chart
N ursing Team 1
N urse ManagerTeam 1
J ane J enkins
N ursing Team 2
N urse ManagerTeam 2
R enee Leonard
O perations
H ealth Services Adm inistratorLourdes M arkham
M ental HealthDr. Leonard Branch
PhysicianPsychiatrist
DentistM id- level P roviders
Pharm acistPharm acy Techs
D irector of Pharm acyDr. Shari H opw ood
M edical D irectorDr. Edw in Pont
• Organization Chart
• Proposed FY 2011-12 Budget
• Accomplishments
• Budget Challenges
• Summary
Presentation Outline
Proposed FY 2011-12 Budget
CurrentFY 11 $ Change
ProposedFY 12
Personal Services $12.8M ($0.5M) $12.3M
Operating Budget 9.0M (0.3M) 8.7M
Budget Change (3.6%)
Staffing 179 (4) 175
• Position Deletions – (4)– Medical Assistant (3)– Caseworker (1)– $143K
• Reduced Pharmacy Budget– $136K
Proposed FY 2011-12 Budget
Offsite Medical
Other
Medications
Lakeside
16%
14%53%
Operating Budget $8.7M
Proposed FY 2011-12 Budget
Offsite Medical
53%
Operating Budget $8.7M
• Hospitalization ($4.6M)– Specialist referrals– Inpatient days– Offsite diagnostics– Consultant fees
Proposed FY 2011-12 Budget
16%
Operating Budget $8.7M
• Over half of Rx Costs are for HIV Meds
• Mental health meds
• Many chronic meds
• About 6,000 pills daily
Medications
Proposed FY 2011-12 Budget
Lakeside 14%
Operating Budget $8.7M
• 9 Beds at Lakeside
• Acute mental health treatment
• Forced medication
• Therapeutic environment
Proposed FY 2011-12 Budget
Other
Operating Budget $8.7M
• Dialysis
• Medical Supplies
• X-rays & Ultrasounds
• Ambulance Transport
• Laboratory tests
Proposed FY 2011-12 Budget
• Organization Chart
• Proposed FY 2011-12 Budget
• Accomplishments
• Budget Challenges
• Summary
Presentation Outline
Accomplishments (FY10)
Initial Screenings
(53,704)
Triage
Medical Screening
Formal Physical Assessment
Accomplishments (FY10)
Initial Screenings
(53,704)
Telephone Sick Call(30,286)
24/7
Assigned to a nurse or provider within 24 hours
83,990 contacts
Accomplishments (FY10)
Initial Screenings
(53,704)
Telephone Sick Call(30,286)
Over113,000 contacts
Accomplishments (FY10)
Initial Screenings
(53,704)
Telephone Sick Call(30,286)
Mental Health
(26,221)
Dental(3,316)
Accomplishments (FY10)
• Outsourced management of HIV patients– Anticipated net savings over
$430K
• Hospitalization Length of Stay– Consistently lower than the
community average
• Implemented enhanced clinical policies and procedures
• Organization Chart
• Proposed FY 2011-12 Budget
• Accomplishments
• Budget Challenges
• Summary
Presentation Outline
Budget Challenges
• Rising Cost of Healthcare
– Hospitalization
– Specialist referrals
– Pharmaceuticals
• Older, sicker inmate population
• 25% of inmates require mental health intervention
Budget Challenges
• Staffing– Affected by jail
population & growth
– Competitive salaries
– Private sector is hiring
• Organization Chart
• Proposed FY 2011-12 Budget
• Accomplishments
• Budget Challenges
• Summary
Presentation Outline
• Corrections Health Services proposed budget $21M– 3.6% reduction – 4 positions deleted
• Budget Challenges– Rising cost of healthcare– Older, sicker population– High percentage of mental
health patients– Staffing based on population
Pictures
Pictures
Summary
FY 2011-12Budget Worksession
July 11, 2011
CORRECTIONS HEALTH SERVICES