corrections health services fy 2011-12 budget worksession july 11, 2011

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