Health: Correctional Health Services (6300P)
Program Outcome Statement
Improve the health of children and adults in custody.
- Physical Health Services
- Dental Services
- Mental Health Services
- Substance Use Disorder Treatment Services
- Nutrition Services
Correctional Health Services (CHS) provides comprehensive and timely physical health, dental, mental health, and substance use disorder treatment services as well as quality, customer-oriented nutrition services to the incarcerated population of San Mateo County.
Number of Inmate Medical and Psychiatric Inpatient Hospital Days Under Discussion
Average Cost per Inmate Booked per Day for Medical and Health Services Meeting Target
Percent of Offenders Receiving Timely Histories and Physicals: Juveniles Meeting Target and Adults Below Target
FY 2018-19 Mid-Year Story Behind Performance
Number of Inmate Medical and Psychiatric Inpatient Hospital Days
CHS previously contracted with Santa Clara County to provide psychiatric beds. This contractual arrangement was terminated in January 2016. The drop in utilization does not reflect the need. CHS recently executed a contract with Liberty Healthcare Corporation to open an Acute Stabilization Unit (ASU), within the jail. The new unit opened in October 2018. A new performance measure in conjunction with Liberty Healthcare Corporation and revised number of medical and psychiatric inpatient days will be determined for FY 2019-20.
Average Cost per Inmate Booked per Day for Medical and Health Services
The fiscal year 2018-19 target was met due to services and supplies savings and fixed asset purchases delays due to continued project implementation of the ASU Unit and medication dispensing machines. Although the severity of inmate health issues has increased and more inmates are being sent for outside hospital services, the costs of these services have been reduced by the Medi-Cal Claiming Inmate Program (MCIP) that become effective in April 2017. MCIP provides eligible inmates receiving inpatient care with Medi-Cal coverage.
Percent of Offenders Receiving Timely Histories and Physicals
The Youth Services Center (YSC) census and CHS medical staff have been stable facilitating compliance with Institute of Medical Quality (IMQ) requirements to complete 100 percent of timely histories and physicals within 96 hours of intake for juveniles. For adults, a couple of history and physicals were delayed due to staff vacancies. The Nursing Manager will review onboarding procedures to ensure training is sufficient, and the continuous quality improvement staff will perform oversight to ensure procedures are being followed and met.
- Continue pilot program behavioral health pods for women at Maple Street Correctional Center and for men at Maguire Correctional Center designating housing units for the
seriously mentally ill where evidence-based psycho-social treatments and
therapeutic milieu will be provided daily with the goals of increasing rates of medication compliance, decreasing dangerous events, and improving social functioning.
- Continue to develop and expand tele-medicine between Maguire and
Maple Street correctional facilities and San Mateo Medical Center
(SMMC), and potentially outside providers, with the goals of
providing timely access and continuity of care, improving staff
efficiency, and decreasing costs related to transportation of inmates.
- Implementation of an electronic health record (EHR), in conjunction with medication dispensing machines, in order to replace outdated systems while increasing patient safety and facilitating seamless communication with SMMC and other County health departments to improve continuity of care. An EHR will also replace manual efforts to track patient care and collect and analyze data and performance measures, facilitating process improvement while increasing staff time dedicated to patient care.