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Corrections Health Services

Corrections Health Services. FY 2012-13 Budget Worksession July 16, 2012. Presentation Outline. Organization Chart Proposed FY 2012-13 Budget Accomplishments Budget Challenges Summary. Presentation Outline. Organization Chart Proposed FY 2012-13 Budget Accomplishments

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Corrections Health Services

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  1. Corrections Health Services FY 2012-13 Budget Worksession July 16, 2012

  2. Presentation Outline • Organization Chart • Proposed FY 2012-13 Budget • Accomplishments • Budget Challenges • Summary

  3. Presentation Outline • Organization Chart • Proposed FY 2012-13 Budget • Accomplishments • Budget Challenges • Summary

  4. Medical Director Robert Buck, D.O. Health Services Administrator Jane Jenkins, B.S.N. Mental Health Services Leonard Branch, Ph.D. Physicians and Mid-level Providers Pharmacy Services Shari Hopwood, Pharm.D. Organization Chart

  5. Presentation Outline • Organization Chart • Proposed FY 2012-13 Budget • Accomplishments • Budget Challenges • Summary

  6. Proposed FY 2012-13 Budget

  7. Proposed FY 2012-13 Budget • Position Deletions – (5) • Medical Assistant (2) • Admin Specialist (1) • Nursing Unit Supervisor (1) • Manager, CHS (1) • Pharmacy Budget Increase • $100K

  8. Proposed FY 2012-13 Budget Other Offsite Medical Lakeside 14% 53% 16% Medications Operating Budget $ 8.8M

  9. Proposed FY 2012-13 Budget Hospitalization ($ 4.6M) • Specialist referrals • Inpatient days • Offsite diagnostics • Consultant fees Offsite Medical 53% Operating Budget $ 8.8M

  10. Proposed FY 2012-13 Budget • Over half of Rx Costs are for HIV meds • Mental health meds • Many chronic meds • About 6000 pills daily 16% Medications Operating Budget $ 8.8M

  11. Proposed FY 2012-13 Budget • 9 Beds at Lakeside • Acute mental health treatment • Forced medication • Therapeutic environment Lakeside 14% Operating Budget $ 8.8M

  12. Proposed FY 2012-13 Budget • Dialysis • Medical supplies • X-rays & ultrasounds • Ambulance transport • Laboratory tests Other Operating Budget $ 8.8M

  13. Presentation Outline • Organization Chart • Proposed FY 2012-13 Budget • Accomplishments • Budget Challenges • Summary

  14. Accomplishments (FY11) Triage Initial Screenings (45,444) Medical Screening Formal Physical Assessment

  15. Accomplishments (FY11) 24/7 Initial Screenings (45,444) Telephone Sick Call (29,211) Assigned to a nurse or provider within 24 hours

  16. Accomplishments (FY11) Initial Screenings (45,444) 74,655 contacts Telephone Sick Call (29,211)

  17. Accomplishments (FY11) Mental Health (34,766) Initial Screenings (45,444) Over 112,000 contacts Telephone Sick Call (29,211) Dental (2,655)

  18. Accomplishments • Enhanced Community Partnerships • Offering HIV testing to inmates at no cost to the County • Hospitalization Length of Stay • Consistently lower than the community average • Increased use of generic medications to reduce pharmacy cost

  19. Presentation Outline • Organization Chart • Proposed FY 2012-13 Budget • Accomplishments • Budget Challenges • Summary

  20. Budget Challenges • Rising Cost of Healthcare • Hospitalization • Specialist referrals • Pharmaceuticals • Older, sicker inmate population • 25% of inmates require mental health intervention

  21. Budget Challenges • Staffing • Affected by jail population & growth • Competitive salaries • Private sector is hiring

  22. Presentation Outline • Organization Chart • Proposed FY 2012-13 Budget • Accomplishments • Budget Challenges • Summary

  23. Corrections Health Services proposed budget $21M 5 positions deleted Budget Challenges Rising cost of healthcare Older, sicker population High percentage of mental health patients Staffing based on population Summary Pictures Pictures

  24. Corrections Health Services FY 2012-13 Budget Worksession July 16, 2012

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