BOP PHARMACY Chris A. Bina, Pharm.D. Captain, US Public Health Service Director, Pharmacy Program Federal Bureau of Prisons Health Services Division 320 First Street NW Washington, DC 20534 202-353-4653 202-305-0862 (fax) cbina@bop.gov

BOP Mission Statement It is the mission of the Federal Bureau of Prisons to protect society by confining offenders in the controlled environments of prisons and community-based facilities that are safe, humane, cost-efficient, and appropriately secure, and that provide work and other self-improvement opportunities to assist offenders in becoming law-abiding citizens.

BOP Core Values Correctional Excellence Respect Integrity

BOP Health Services Division Mission Statement The health care mission of the Bureau of Prisons is to deliver medically necessary health care to inmates effectively in accordance with proven standards of care without compromising public safety concerns inherent to the Bureau's overall mission.

BOP Regions

Western Region

North Central Region

South Central Region

Northeast Region

Mid-Atlantic Region

Southeast Region

Under Development or Activation FCI, Mendota (Fresno County), California (WXR) FCI, Berlin (Coos County), New Hampshire (NER) FCI, McDowell County, West Virginia (MXR)

BOP Institution Quick Facts 114 institutions 200,328 inmates as of Feb 08 (1996: 90,000) 34,177 located in non-BOP facilities (e.g. contract state DOC (Department of Corrections) 6 Federal Medical Centers 13 institutions w/ female inmates 7 Protective Custody Units (i.e. Witsec)

Inmate Breakdown (2005) Male: 93.2% Female: 6.8% White: 56.7% Black: 40.1% Asian: 1.6% Native American: 1.6% United States: 71.2% Mexico: 16.7% Colombia: 2.0% Cuba: 1.3% Dominican Republic: 2.0% Other/Unknown: 6.8% Drug Offenses: 54.3% Average Inmate Age: 38 Sentences 5-15 years: 46.3% Life: 3.2% Death Row: 30

Inmate Medical Issues ~1% are HIV + ~15% are Hep B or C carriers Liver and kidney damage are common because of self-destructive lifestyles.

Health Services Overview Nursing/EMT ID, x-ray, lab, IOP Medical Records Pharm Dental ADMIN Support CD MLP’s HSA Warden AW

CLINICAL PHARMACY PRACTICE Newly created position of Chief, Clinical Pharmacy Programs, CDR Mike Shiber Pharmacist Immunizers Pharmacist Practitioners Anticoagulation, Hyperlipidemia, Diabetes, etc.

A Typical Day for a BOP Staff Pharmacist Get ready for morning pill line Receive and review charts, fill orders Prepare for Mid-day pill line Communicate with providers on medication issues (they’re just down the hall!) Consult on formulary issues, drug abuse questions, lab test interference for illegal drugs, drug interactions, etc. Participate in data collection for Drug Utilization Evaluations You get to eat lunch! No insurance rejections!

Pharmacist Positions in BOP Staff Pharmacist (both inpatient and outpatient; ambulatory or medical center) Assistant Chief Pharmacist Chief Pharmacist Regional HIV Pharmacist Consultant Regional Pharmacist Consultant Central Processing Staff, Chief, and Clinical Pharmacists

Where to Get More Information http://www.hhs.gov/pharmacy/bop/index.htm BOP Pharmacy Homepage http://dcp.psc.gov vacancy list PHS Pharmacy Job Listserv http://www.bop.gov http://www.usphs.gov

Initiatives Central Fill with VA Virtual Central Processing by BOP Pharmacists Immunization Delivery Disease State Management – Clinical Pharmacy Programs Anticoagulation Clinics Antihyperlipidemic Clinic

BOP Pharmacy Contact Information CAPT Chris Bina, PharmD Chief Pharmacist, cbina@bop.gov 202-353-4753 CDR Mike Shiber, RPh Chief, Clinical Pharmacy, mjshiber@bop.gov 202-353-4758 LT Hollie Cook, PharmD Drug Utilization Specialist/Program Management Officer, hcook@bop.gov 202-353-4748

BOP Pharmacy Recruitment Workgroup AKA “Chain Gang”

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