1. THE ROLE OF A COMMUNITY PARAMEDIC IN A CORRECTIONAL FACILITY

2. THE ROLE OF A COMMUNITY PARAMEDIC IN A CORRECTIONAL FACILITY
Presenter: Michael Wilcox, M.D.
Michael Wilcox M.D., FACEP, FAAFP e: p:

3. Disclosures
Disclosure: None

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

5. 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

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

7. 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

8. 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 inmates
Age range of these inmates is between 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

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

10. 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

11. 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

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

13. 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

14. 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

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

16. 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

17. 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

18. 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

19. 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

20. 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

21. 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

22. 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

23. 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

24. 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

25. 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

26. 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)

27. Questions? Presenter: Michael Wilcox, M.D.
Michael Wilcox M.D., FACEP, FAAFP e: p: