1. FY 2015-16 Budget Worksession Corrections Health Services Division July 13, 2015

2. Presentation Outline  Organizational Chart  Proposed FY 2015-16 Budget  Accomplishments  Budget Challenges  Summary

3. Presentation Outline  Organizational Chart  Proposed FY 2015-16 Budget  Accomplishments  Budget Challenges  Summary

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

5. Presentation Outline  Organizational Chart  Proposed FY 2015-16 Budget  Accomplishments  Budget Challenges  Summary

6. Proposed FY 2015-16 Budget Current FY 2015$ Change Proposed FY 2016 Personal Services$12.9M($134K)$12.7M Operating Budget$8.9M$196K$9.1M Budget Change0.3% Staffing165(2)163

7. Off Site Medical Other Medications Mental Health 16% 14% 53% Operating Budget $9.1M Proposed FY 2015-16 Budget

8. Off Site Medical 53% Operating Budget $9.1M Off Site Care ($ 4.9M)  Emergency Room  Inpatient days  Specialist referrals  Offsite diagnostics  Consultant fees Proposed FY 2015-16 Budget

9. 16% Operating Budget $9.1M  Over half of inmates are on medications  Mental health meds  Meds for various chronic conditions  About 6,000 pills daily Medications Proposed FY 2015-16 Budget

10. Mental Health14% Operating Budget $9.1M  9 Beds at Aspire – Acute mental health treatment – Forced medication – Therapeutic environment Proposed FY 2015-16 Budget

11. Other Operating Budget $9.1M  Dialysis  Medical supplies  X-rays & ultrasounds  Ambulance transport  Laboratory tests Proposed FY 2015-16 Budget

12. Presentation Outline  Organizational Chart  Proposed FY 2015-16 Budget  Accomplishments  Budget Challenges  Summary

13. Accomplishments  Continued NCCHC Accreditation  Developed and implemented Ebola plan  Revised Continuous Quality Improvement process  Improved infirmary to receive patients requiring certain types of physical and occupational therapy

14. Presentation Outline  Organizational Chart  Proposed FY 2015-16 Budget  Accomplishments  Budget Challenges  Summary

15. Budget Challenges  Increased Costs of Healthcare – Hospitalization  State regulations  Expensive new medications – Could become community standard of care

16. Presentation Outline  Organizational Chart  Proposed FY 2015-16 Budget  Accomplishments  Budget Challenges  Summary

17. Summary  Corrections Health Services proposed budget – 0.3% increase in operating budget  Budget Challenges – Increasing cost of healthcare – New pharmaceuticals – Potential expansion of state guidelines

18. FY 2015-16 Budget Worksession Corrections Health Services Division July 13, 2015