1. The The Pennsylvania Department of Corrections & Prison Health Services, Inc. Quality People…Providing Quality Care

3. PHS At-a-Glance Founded the private correctional healthcare field in 1978 – 29 years experience 69 contracts currently serving: 184,500 inmates in 24 states 184,500 inmates in 24 states 197 prison and jail sites 197 prison and jail sites More than 4,700 employees nationwide More than 4,700 employees nationwide

4. Accreditation Expertise ACA & NCCHC - 100% track record in achieving and maintaining Currently 93 sites accredited Successes: ACA EAGLE AWARD - Accreditation of all programs within Pennsylvania DOC jurisdiction

5. Medical Supervision Patient-Clinician Encounter Decision Support System Corporate Medical Oversight Infection Control Quality Improvement Disease Management Utilization Management Credentialing PHS Medical Management Model Training & Education

6. Quality Improvement 1. Chronic Disease Management by clinical performance indicators review at monthly site QI meeting 2. Preventive Health Maintenance by periodic health appraisal according to patient’s age

7. Credentialing 1. Physician Assistant License 2. Employment Application 3. DOC Security Application 4. Background Investigation 5. Supervisory Agreements 6. Annual CPR certification

8. Utilization Management 1. Specialty Consultation 2. Telemedicine – dermatology, urology, oncology, HIV, neurology 3. Hospitalization 4. Formulary Management

9. Disease Management 1. Sick Call 2. Infirmary 3. Emergency Care

10. Infection Control 1. HIV 2. Hepatitis B / Hepatitis C 3. Tuberculosis 4. MRSA

11. Typical PA Work Day Two PA’s on duty Arrive at institution 7:15 am Review medical records of inmates to be seen on inmate requested sick call that day Sick call begins at 7:45 am Completed sick call – 20-25 patients at 10:30 am PA line begins at 10:30 until 12:00 (6-8 patients) Lunch

12. PA Work Day continued 1:00-2:00 pm – PA’s make clinical rounds with one PA reporting to Restricted Housing Unit and Administrative Custody Unit – Second PA reports to Mental Health Unit 2:00 – 3:45 pm – PA line continues usually 2-3 patients and depending on type of clinic or follow-up recommended or procedure to be performed

13. Additional PA Duties Lab reviews Chart reviews with blood pressure checks/blood sugar checks/new-intake medical reviews Suturing – on-call after hours for suturing Medical Emergencies Weekend rounds with physician on-call

14. WHAT YOU CAN EXPECT: Dedicated, professional medical team focused on quality care Safe, clean work environment adequately staffed and equipped Supportive atmosphere conducive to enhance professional growth and learning

15. SCI MUNCY

16. SCI FAYETTE

17. SCI SOMERSET

18. TELEMEDICINE @ SCI SOMERSET

19. WHAT YOU CAN EXPECT: A safe and supportive work environment with competitive compensation and benefits that include: A safe and supportive work environment with competitive compensation and benefits that include: Paid Professional Liability Insurance Long & Short Term Disability Insurance Health, Dental, and Vision Insurance Life Insurance Holiday, Vacation, Sick Leave 401k Retirement Plan Company Stock Purchase Plan CME Reimbursement and Paid Time

20.  Pennsylvania’s Primary Health Care Practitioners Loan Repayment Program Prison Health Services, Inc works collaboratively with the Pennsylvania Department of Health to establish site designations. As of January 2008, the following correctional institutions in Pennsylvania have been designated as eligible for loan repayment:

21. Designated SCI Sites SCI Albion, Camp Hill, Coal Township, Cresson, Fayette, Forest, Frackville, Greene, Greensburg, Houtzdale, Huntingdon, Mahanoy, Muncy, Pine Grove, Pittsburgh (in progress), Rockview, Smithfield, Somerset Two year minimum service commitment based on participant’s qualifying educational loans Opportunities beyond two years may be available

22.  Pennsylvania’s Primary Health Care Practitioners Loan Repayment Program State repayment program through National Health Service Corps (NHSC) grants matching funds directly to states to operate their own loan repayment programs. This initiative is part of the overall strategy of the Health Resources and Services Administration (HRSA) to improve and expand access to healthcare for Americans nationwide. Eligibility requirements and benefits vary from state to state. A list of contacts for these state programs is available by calling our toll-free helpline or visiting our website (available on hand- out)