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

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Presentation transcript:

Corrections Health Services FY Budget Worksession July 16, 2012

Organization Chart Proposed FY Budget Accomplishments Budget Challenges Summary Presentation Outline

Organization Chart Proposed FY Budget Accomplishments Budget Challenges Summary Presentation Outline

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.

Organization Chart Proposed FY Budget Accomplishments Budget Challenges Summary Presentation Outline

Proposed FY Budget Current FY 12$ Change Proposed FY 13 Personal Services$12.3M($0.1)$12.2M Operating Budget8.7M0.18.8M Budget Change0.0% Staffing175(5)170

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

Offsite Medical Other Medications Lakeside 16% 14% 53% Operating Budget $ 8.8M Proposed FY Budget

Offsite Medical 53% Operating Budget $ 8.8M Hospitalization ($ 4.6M) Specialist referrals Inpatient days Offsite diagnostics Consultant fees Proposed FY Budget

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

Lakeside14% Operating Budget $ 8.8M 9 Beds at Lakeside –Acute mental health treatment –Forced medication –Therapeutic environment Proposed FY Budget

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

Organization Chart Proposed FY Budget Accomplishments Budget Challenges Summary Presentation Outline

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

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

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

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

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

Organization Chart Proposed FY 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 Budget Accomplishments Budget Challenges Summary Presentation Outline

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 Pictures Summary

FY Budget Worksession July 16, 2012 Corrections Health Services

BUDGET CHALLENGES Per capita health care spending in the US Source: Centers for Medicare and Medicaid Services, Office of the Actuary, National Health Statistics Group, at (Historical data from NHE summary including share of GDP, CY , file nhegdp08.zip; Projected data from NHE Projections , Forecast summary and selected tables, file proj2009.pdf).