Health System: Correctional Health Services (6300P)

Program Outcome Statement

Improve the health of children and adults in custody.

Program Services

  • 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 Below Target

Percent of Offenders Receiving Timely Histories and Physicals: Juveniles (within 96 hours of incarceration) and Adults (by 14th day of incarceration) Meeting Targets

FY 2017-18 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 opening of Behavioral Health Pods (BHP) to stabilize and prevent deterioration has lowered psychiatric inpatient hospital days; however, severely mentally ill inmates require an acute inpatient psychiatric facility.  Therefore, the drop in utilization does not reflect the need.  CHS is currently in negotiations with potential vendors to develop a Lanterman Petris Short (LPS) Unit within the correctional facility for the acutely mentally ill.  A new performance measure in conjunction with the LPS unit, and revised number of medical and psychiatric inpatient days will be determined during Fall 2018.

Average Cost per Inmate Booked per Day for Medical and Health Services

At 2017-18 mid-year, the average cost per inmate is below the fiscal year 2017-18 target due to savings from vacant staff positions and services and supplies as well as fixed asset purchases not expended at this time.  Additionally, in April 2017, the Medi-Cal Claiming Inmate Program (MCIP) became effective allowing eligible inmates receiving inpatient care Medi-Cal coverage for which the State has not yet billed CHS for the non-federal share of reimbursement yet. 

Percent of Offenders Receiving Timely Histories and Physicals

The Youth Services Center provided 100 percent of youth with timely histories and physicals, in compliance with Title 15. For adults, training of new medical staff and incorporating intake in the LEAP Phase II System to See, a process improvement program used by the Health System, assisted CHS achieve 100 percent compliance for adults, exceeding the target of 98 percent compliance per Corrections regulations.

Future Priorities

  • Increase rates of medication compliance, decrease dangerous events and improve social functioning of inmates through the Behavioral Health Pod (BHP) for women, which opened at Maple Street Correctional Center in August 2016, and the BHP for men, which opened at Maguire Correctional Facility in January 2017, as a pilot program designating housing units for the seriously mentally ill where evidence-based psycho-social treatments and therapeutic milieu will be provided daily.
  • Continue to develop and expand tele-medicine between CHS 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.
  • Explore implementation of an electronic health record (EHR) for opportunities to replace outdated systems and to be able to seamlessly communicate 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.

Author: Gina Wilson, Chief Financial Officer, Health System     Contact Email:     Last Updated: 01-29-2018