1. Michael Vasquenza, BS Kirsten Shea, MBA Correctional Managed Health Care

2.  NO CONFLICTS OF INTEREST

3.  Participants will understand the current challenges, specifically those in CT, of disseminating health information across departments, across facilities, and across agencies in the absence of an EMR.  Participants will understand cost effective alternatives to an EMR as demonstrated by CMHC’s Information Technology solutions.  Participants will understand the importance of developing data systems which are interoperable and easily transferable to ancillary programs and applications.

4.  CT is 1 of 6 states with an integrated jail and prison system.  20% of admissions require prompt medical or mental health intervention  Hartford Correctional Center (jail) averages > 45 intakes daily  26,143 annual admissions, each with screening requirements  Medical and psychiatric disease prevalence rates far greater than community  19% active Mental Health treatment  24% active Medical treatment  60% on medications

5.  Cost of global healthcare per inmate per year (both genders) was $4,735 (FY 2012)  60% of inmates on medications  Specialty Care (on-site/off-site appointments)  Discharge Planning

6. Census (2/1/2013)

8. Challenges Population Needs in the context of budget reductions Pharmacy services Aging population Legal obligations Logistics specific to Correctional Institutions / Building Infrastructure Space and accompanying environment Organizational Structure / Ownership

11.  Foundation outlined in 2009 – RFP  Funding challenges  DOC RFP - Offender Management Information System (OMIS)  Health care module

13. No Money – No EMR

14. Develop Alternative Strategy ◦ Establish Organizational Focus Areas ◦ Identify customers ◦ Consolidate/centralize data ◦ Statistics/Trends/Research

16.  Managerial / Operational applications  Disseminating Clinical Information  Optimizing Resources  Discover Trends / Research

19.  Interoperability  Meaningful Use  Health Information Exchanges  Continuity of Care Document (CCDs)

20. Dashboards  Medical Census  Mental Health Census  Employee Overtime  UR Appt Completion Stats  Psychiatric Diagnoses  Current JDH Inpatient Census  340b Patients to be Seen  Monthly Statistics:  Episodes Self-Injury  Suicide Attempts  Number Sick Call visits

22.  Scheduling Application  W10 Application (discharge planning)  Infectious Diseases

23. 340b Federal Program ◦ Implement process by which doctors see patients ◦ Develop simple InfoPath form to retrieve data ◦ Provide reports to assure accountability, follow-up

26. Simple example: Medication costs ◦ Provide data! ◦ Data available via pharmacies/vendors…share it! ◦ Educate physicians

27. Example: START NOW Objective variables:  Disciplinary tickets  Inpatient admissions  Security score modifications  Recidivism

29. Contact Information: Michael Vasquenza, BS mvasquenza@uchc.edu Kirsten Shea, MBA kshea@uchc.edu