THE ROLE OF A COMMUNITY PARAMEDIC IN A CORRECTIONAL FACILITY

THE ROLE OF A COMMUNITY PARAMEDIC IN A CORRECTIONAL FACILITY Presenter: Michael Wilcox, M.D. Michael Wilcox M.D., FACEP, FAAFP e: mwilcox3090@yahoo.com p: 612.803.2912

Disclosures Disclosure: None

Today’s Agenda Objectives Introduction Characteristics of Clientele Healthcare Services Provided Enhanced Healthcare Services with the addition of the Community Paramedic Outcomes Projected Conclusion

Objectives After attending this presentation the participant will know the: Types of clients found in a Correctional Facility Medical problems encountered in a Correctional Facility Potential benefits of adding a Community Paramedic to the healthcare team within a Correctional Facility

Today’s Agenda Objectives Introduction Characteristics of Clientele Healthcare Services Provided Enhanced Healthcare Services with the addition of the Community Paramedic Outcomes Projected Conclusion

Correctional Facility: Scott County Introduction Correctional Facility: Scott County Scott County is located in the 7-County Metropolitan area of Minneapolis/St. Paul Population of Scott County is 137,250 (2013 census) Scott County

Correctional Facility: Scott County Introduction Correctional Facility: Scott County The Correctional Facility is made up of 6 pods, 4 male and 2 female Average population 130-150 inmates Age range of these inmates is between 18-75 years A large number of these inmates are characterized as “homeless” upon their admission Many of these come from the streets of Minneapolis/St. Paul by a free bus service provided by a local casino

Today’s Agenda Objectives Introduction Characteristics of Clientele Healthcare Services Provided Enhanced Healthcare Services with the addition of the Community Paramedic Outcomes Projected Conclusion

Characteristics of the Clientele Healthcare Issues Encountered These individuals frequently have issues related to possession of illegal drugs and chemical dependency Many have overlying mental health issues (70%) Illnesses related to Sexually Transmitted Diseases HIV Hepatis C Hep B Syphilis Gonorrhea Chlamydia

Characteristics of the Clientele Healthcare Issues Encountered Dermatological issues: MRSA Fungal infections Parasitic issues (Scabies, Fleas) Eczema Chronic Disease issues: Diabetes Mellitus Cardiac issues COPD Neurological issues Dental issues: Caries Dental abscesses Gingivitis

Today’s Agenda Objectives Introduction Characteristics of Clientele Healthcare Services Provided Enhanced Healthcare Services with the addition of the Community Paramedic Outcomes Projected Conclusion

Healthcare Services Provided Previous Healthcare Services Provided 2 Full-Time Registered Nurses provide daily healthcare resources to the Correctional Facility Sunday, 6am-4pm Monday-Friday, 6am-4pm After-Hours “on call” coverage 1 Physician Medical Director 2 Clinics provided each month 4 hours per clinic 20-25 patient encounters per clinic On call back-up coverage for Nursing staff questions

Healthcare Services Provided Previous Healthcare Services Provided 1 Psychiatrist, 1 Mental Health nurse 2 Psychiatric clinics 2 hours per clinic Services of crisis intervention offered by Mental Health Nursing 2 Dental Clinics per month 4 hours per clinic

Today’s Agenda Objectives Introduction Characteristics of Clientele Healthcare Services Provided Enhanced Healthcare Services with the addition of the Community Paramedic Outcomes Projected Conclusion

Enhanced Healthcare Services with the addition of the Community Paramedic Community Paramedic Healthcare Onsite Available onsite Tuesday-Friday from 2pm-10pm Available onsite Saturdays, 8am-4pm May provide additional onsite services to cover Jail Nurse leave of absences May provide additional onsite services on Holidays

In-Take Medical Screening Mental Health Screening Mantoux Screening Enhanced Healthcare Services with the addition of the Community Paramedic Healthcare Services Provided by the CP: In-Take Medical Screening Mental Health Screening Mantoux Screening

Enhanced Healthcare Services with the addition of the Community Paramedic Healthcare Services Provided by the CP: Ordering and Performing Medication Administration as requested by the Correctional Facility Medical Director and/or Psychiatrist Managing Inventory of Medical Supplies and Stocking Medication Carts

Enhanced Healthcare Services with the addition of the Community Paramedic Healthcare Services Provided by the CP: Maintaining, Filing and Scanning Inmate Medical Records Scheduling Appointments and Coordinating Appointments with Outside Specialty Services

Enhanced Healthcare Services with the addition of the Community Paramedic Healthcare Services Provided by the CP: Performing Lab and Diagnostic tests Response to Inmate Requests Immunization and Vaccination updating Services provided are based upon protocols developed by the Medical Director

Healthcare Services Provided by the CP: Ad hoc items as per request Enhanced Healthcare Services with the addition of the Community Paramedic Healthcare Services Provided by the CP: Ad hoc items as per request Provision of classes for Sheriff office staff to achieve: First Responder Certification First Aid Certification AHA CPR Certification Assistance in healthcare planning and policy development within Scott County’s Correctional System Assistance and participation in health educational programs within the Scott County’s Correctional Facility

Today’s Agenda Objectives Introduction Characteristics of Clientele Healthcare Services Provided Enhanced Healthcare Services with the addition of the Community Paramedic (go back and update) Outcomes Projected Conclusion

Outcomes Projected A greater onsite presence of healthcare providers within the Correctional Facility should lead to a: Decreased need to transport ill or injured inmates for offsite care Decreased cost for Emergency Room/Urgent Care Decreased costs for extra security personnel needed for offsite management Decreased cost for overtime hours paid to Correctional Facility staff for offsite healthcare issues

Outcomes Projected Upon inmate discharge a greater onsite presence of healthcare providers should allow: Additional opportunities for Correctional Facility staff to develop a follow-up Plan of Healthcare Additional opportunities for Mental Health staff to develop a follow-up plan of Mental Health/Chemical dependency care

Today’s Agenda Objectives Introduction Characteristics of Clientele Healthcare Services Provided Enhanced Healthcare Services with the addition of the Community Paramedic (go back and update) Outcomes Expected Conclusion

Conclusion The Community Paramedic, placed within a Correctional Facility, can contribute greatly to the level of services provided by the Healthcare team By adding this Extender, the Correctional Facility could achieve a higher level of in-house care, by increasing efficiencies and reducing overhead costs By adding this Extender, additional time could become available for the Healthcare team to develop a discharge plan of care (A continuum of care)

Questions? Presenter: Michael Wilcox, M.D. Michael Wilcox M.D., FACEP, FAAFP e: mwilcox3090@yahoo.com p: 612.803.2912