Strategic Planning Framework Evidence Collection Table
Continue working with the case described in week 3. Prepare a table (freestyle) addressing the following:
1. Identify what information and evidence you have to apply to the strategic process steps.
2. Identify appropriate evidence you still need to correctly use the strategic planning process. (HINT: make sure to list all types of evidence you need)
3. Identify the sources of the needed evidence. Offer the stakeholders able to provide you with the evidence you are seeking.
For the incarcerated population in the United States, health care is a constitutionally guaranteed right under the provisions of the eight amendment which is the prohibition against cruel and unusual punishment (see Estelle v. Gamble). This particular prison can hold in excess of 1,728 offenders and routinely houses between 1,600 and 1,700 women on any given day. This institution incarcerates all custody classes to include minimum security, medium security, close custody, death row, and pretrial detainees.
The health care operation provides the highest level of care for the female offender in the state. The health care facility is a 101 thousand square foot, 150 bed, three-story building that cost the taxpayers $50 million dollars to construct and is a hybrid of an ambulatory care center, long-term care center, and a behavioral care center. The health care facility also houses an assisted living dorm.
The patient demographic includes women who have multiple co-morbidities including substance abuse, seriously persistent mental illnesses (SPMI), diabetes, cardiovascular disease, cancer, morbid obesity, HIV / AIDs, hepatitis, etc. On any given day there will also be 30 to 60 offenders who are pregnant, with 98% of those offenders having a history of substance abuse; all pregnant offenders are considered high-risk. The dental health of this patient population is exceptionally horrendous because of excessive drug abuse coupled with a sugary diet and poor oral hygiene practices. It is not uncommon for a 23-year-old to need all of her teeth extracted.
There are approximately 300 FTEs to include correctional staff that operate the facility and provide care to the offender population. The healthcare facility is comprised of the following directorates: (a) Medical, (b) Nursing, (c) Behavioral Health, (d) Pharmacy, (e) Dental, (f) Medical Records, (g) Health Service Support, and (h) Operations and Security.
Although the health care facility has a vast amount of capability, there limitations: (a) This facility does not have advanced cardiac life support capability (ACLS), (b) no surgical capability, (c) no ability to conduct telemetry, (d) no oral surgery beyond simple extractions, (e) no obstetrical capability beyond out-patient clinics, (f) MRI, (g) level 2 ultrasound, and the list goes on.
Those inmates who have medical needs that cannot be addressed by the health services staff at the correctional facility will need appointments with external health care providers who have a business relationship with the prisons in this area. On any given month, there will be approximately 300 offenders who will go to outside medical appointments and making certain that these appointments take place this is where the challenge lies. Similar to many health care operations, the prison Utilization Review / Case Management Department facilitates all external appointments and form the lynchpin between the correctional facility health care providers who refer offenders for specialty appointments, and the outside organization providing that appointment.
The Health and Health Care of US Prisoners: Results of Nationwide SurveyI
Public Health Behind Bars
Inmate Sick Call Procedure
A locked box labeled “Sick Slips” is located next to the officer’s station in each general population housing unit.
Sick slips are available next to the “Sick Slips” box.
Inmates may fill out a sick slip and deposit it into the locked Sick Slips box.
A nurse from the Health Service Unit will collect sick slips at 7:00 AM and 7:00 PM.
A nurse will triage the sick slips to determine if inmates should be scheduled for an appointment in the Health Service Unit or if they need to be seen immediately.
Within 48 hours, each inmate submitting a sick slip shall be brought to the Health Service Unit, for evaluation, or a notation shall be made in the medical record indicating why such a medical visit was unnecessary.
A nurse shall make rounds in the Administrative Confinement unit on the 7-3 shift and 3-11 shift.
The nurse making rounds will stop at each cell to provide each inmate the opportunity to communicate any medical concerns.
Based upon the medical complaint, and personal observation, the nurse making rounds shall make the determination if an inmate must be seen in the Health Service Unit immediately, or if he/she may be scheduled within the next 48 hours.
All sick slips shall be filed in the inmate’s medical folder. Each sick slip shall be filled out and signed by a member of the medical staff, indicating what action was taken.
Strategic Planning Framework Evidence Collection Table (an example)
|Step of the process||Evedence type||Present||Needed||Stakeholders to provide the evidence|
|School enrolment||Dof Ed|
|N/A||Case Control Study||Regional Health System|