Health System: 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 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.
- 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.