FY Budget Worksession Corrections Health Services Division July 13, 2015

Presentation Outline  Organizational Chart  Proposed FY Budget  Accomplishments  Budget Challenges  Summary

Presentation Outline  Organizational Chart  Proposed FY Budget  Accomplishments  Budget Challenges  Summary

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.

Presentation Outline  Organizational Chart  Proposed FY Budget  Accomplishments  Budget Challenges  Summary

Proposed FY 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

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

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 Budget

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 Budget

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

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

Presentation Outline  Organizational Chart  Proposed FY Budget  Accomplishments  Budget Challenges  Summary

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

Presentation Outline  Organizational Chart  Proposed FY Budget  Accomplishments  Budget Challenges  Summary

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

Presentation Outline  Organizational Chart  Proposed FY Budget  Accomplishments  Budget Challenges  Summary

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

FY Budget Worksession Corrections Health Services Division July 13, 2015