bop pharmacy chris a. bina, pharm.d. captain, us public health service director, pharmacy program...

BOP PHARMACYBOP PHARMACY

Chris A. Bina, Pharm.D.

Captain, US Public Health Service

Director, Pharmacy Program

Federal Bureau of Prisons

Health Services Division

320 First Street NW

Washington, DC 20534

202-353-4653

202-305-0862 (fax)

cbina@bop.gov

BOP Mission StatementBOP Mission Statement

It is the mission of the Federal Bureau of Prisons to protect society by confining offenders in the controlled environments of prisons and community-based facilities that are safe, humane, cost-efficient, and appropriately secure, and that provide work and other self-improvement opportunities to assist offenders in becoming law-abiding citizens.

BOP Core ValuesBOP Core Values

Correctional ExcellenceRespectIntegrity

BOP Health Services DivisionBOP Health Services DivisionMission StatementMission Statement

The health care mission of the Bureau of Prisons is to deliver medically necessary health care to inmates effectively in accordance with proven standards of care without compromising public safety concerns inherent to the Bureau's overall mission.

BOP RegionsBOP Regions

Western RegionWestern Region

North Central RegionNorth Central Region

South Central RegionSouth Central Region

Northeast RegionNortheast Region

Mid-Atlantic RegionMid-Atlantic Region

Southeast RegionSoutheast Region

Under Development or Activation

FCI, Mendota (Fresno County), California (WXR)

FCI, Berlin (Coos County), New Hampshire (NER)

FCI, McDowell County, West Virginia (MXR)

BOP Institution Quick FactsBOP Institution Quick Facts

114 institutions200,328 inmates as of Feb 08

(1996: 90,000) – 34,177 located in non-BOP facilities (e.g.

contract state DOC (Department of Corrections)

6 Federal Medical Centers13 institutions w/ female inmates7 Protective Custody Units (i.e. Witsec)

Inmate Breakdown (2005)Inmate Breakdown (2005)

Male: 93.2% Female: 6.8% White: 56.7% Black: 40.1% Asian: 1.6% Native

American: 1.6% United States: 71.2% Mexico: 16.7% Colombia:

2.0% Cuba: 1.3% Dominican Republic: 2.0% Other/Unknown: 6.8%

Drug Offenses: 54.3% Average Inmate Age: 38 Sentences

– 5-15 years: 46.3%– Life: 3.2%– Death Row: 30

Inmate Medical IssuesInmate Medical Issues

~1% are HIV +

~15% are Hep B or C carriers

Liver and kidney damage are common because of self-destructive lifestyles.

Health Services Overview Health Services Overview

Nursing/EMT

ID, x-ray, lab, IOP

MedicalRecords

PharmDental

ADMINSupport

CDMLP’sHSA

WardenAW

CLINICAL PHARMACY PRACTICECLINICAL PHARMACY PRACTICE

Newly created position of Chief, Clinical Pharmacy Programs, CDR Mike Shiber

Pharmacist ImmunizersPharmacist PractitionersAnticoagulation, Hyperlipidemia,

Diabetes, etc.

A Typical Day for a BOP Staff A Typical Day for a BOP Staff PharmacistPharmacist Get ready for morning pill line Receive and review charts, fill orders Prepare for Mid-day pill line Receive and review charts, fill orders Communicate with providers on medication issues

(they’re just down the hall!) Consult on formulary issues, drug abuse questions, lab

test interference for illegal drugs, drug interactions, etc. Participate in data collection for Drug Utilization

Evaluations You get to eat lunch! No insurance rejections!

Pharmacist Positions in BOPPharmacist Positions in BOP

Staff Pharmacist (both inpatient and outpatient; ambulatory or medical center)

Assistant Chief PharmacistChief PharmacistRegional HIV Pharmacist ConsultantRegional Pharmacist ConsultantCentral Processing Staff, Chief, and

Clinical Pharmacists

Where to Get More InformationWhere to Get More Information

– http://www.hhs.gov/pharmacy/bop/index.htmBOP Pharmacy Homepage

– http://dcp.psc.gov vacancy list PHS Pharmacy Job Listserv

– http://www.bop.gov– http://www.usphs.gov

InitiativesInitiatives

Central Fill with VAVirtual Central Processing by BOP

PharmacistsImmunization DeliveryDisease State Management – Clinical

Pharmacy ProgramsAnticoagulation ClinicsAntihyperlipidemic Clinic

BOP Pharmacy Contact BOP Pharmacy Contact InformationInformation

CAPT Chris Bina, PharmDChief Pharmacist, cbina@bop.gov202-353-4753

CDR Mike Shiber, RPhChief, Clinical Pharmacy, mjshiber@bop.gov202-353-4758

LT Hollie Cook, PharmDDrug Utilization Specialist/Program Management Officer, hcook@bop.gov202-353-4748

BOP Pharmacy Recruitment BOP Pharmacy Recruitment WorkgroupWorkgroup

AKA “Chain Gang”

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