Prison Health Care Success Stories
LARGE MIDWESTERN STATE PRISON SYSTEM
· Have held contract since 1992
· Approximately 48,000 inmates
· 41 locations
· Comprehensive on- and offsite health services, including medical, mental health, dental, and pharmacy care
340B discount drug program: Coordinate and provide onsite staffing for the telehealth encounters that form the basis of the DOC’s federal 340B discount drug program with the state University. This enables the Department to obtain reduced pricing for expensive HIV and Hepatitis C pharmaceuticals. Wexford Health also provided the telehealth equipment for this initiative.
Comprehensive restructured mental health plan: In response to the ever-increasing volume, acuity, and complexity of the inmate population’s mental health needs—and to assist the DOC with responding to the clinical components of a lawsuit against the State—we designed an enhanced mental health program that provides the services required by today’s more seriously mentally ill inmates. The program addresses every point on the mental health care continuum, including new Residential Treatment Units and associated programming.
Telepsychiatry: Implemented a telepsychiatry program to ensure mentally ill inmates have access to (and receive) the psychiatric services/medications they require to remain stable and non-violent. This increases the safety level for inmates, correctional staff, and the public, in the midst of a nationwide psychiatrist shortage.
Medicaid enrollment program: Coordinated with state social service agencies to implement an inmate Medicaid enrollment program, enabling the State to leverage the financial benefits of the Affordable Care Act (ACA). We are also partnering with the DOC on revenue generation programs in non-health care areas, helping to coordinate the Department’s Cost of Incarceration Recovery Program, as well as federal reimbursement for the residential placement of eligible juvenile offenders.
National Commission on Correctional Health Care first-time accreditation: Teamed with the DOC on a pilot program in which eight of the Department’s institutions will obtain independent, third-party medical and mental health certification from the NCCHC’s team of clinical experts. All eight correctional centers have undergone their audits; five are now accredited, with the remaining three pilot facilities awaiting their results.
RURAL EASTERN STATE PRISON SYSTEM
· Have held contract since 2008
· Approximately 5,000 inmates
· 13 locations
· Comprehensive onsite and offsite health services, including medical, mental health, dental, and pharmacy care
Implementation of a statewide electronic health record
Established a 340B pharmacy program with the major local health system to provide treatment and discounted medications to HIV and HCV patients
100% ACA and NCCHC accreditation (including multiple first-time accreditations)
Vivitrol pilot program for end-of-sentence substance abusing inmates, to help them with their alcohol/opioid addiction after they are released
Partnership with the Central Plains Geriatric Education Center from the University of Kansas to establish hospice beds at three institutions
Internships and fellowship rotations with two major in-state universities
Establishment of new facilities and new infirmaries for the DOC; as well as taking over facility operations from other health care vendors at the Department’s request
Trained HIV counseling staff at each DOC institution
LARGE EAST COAST STATE PRISON AND JAIL SYSTEM
· Have held contract since 2005
· Approximately 24,000 offenders
· 24 locations
· Comprehensive on- and offsite medical services, provider network contracting, utilization management, and claims processing
A Medicaid reimbursement program for inmates admitted to community hospitals; working with the DOC and the State’s social service agency, our program has generated more than $23.5 million for the State in federal Medicaid reimbursements as of June 2017.
A cutting-edge telehealth program utilizing InTouch cloud-based technology; Wexford Health’s program has saved the DOC more than $1.8 million in transportation and security costs since its implementation.
An innovative, one-of-a-kind violence reduction pilot program which trains correctional and clinical personnel to identify and address inmates with violent tendencies
A statewide medical discharge program; the program includes a Medicaid application system to enroll eligible parolees in public assistance
Collaborated with the DOC to achieve successful first-time NCCHC accreditation for one of the system’s Detention Facilities; and ACA accreditation at two other institutions; we also achieved NCCHC re-accreditation for the State’s Booking Intake Center and largest Detention Center; and ACA re-accreditation at two additional correctional institutions.
Established and expanded our partnerships with the State’s nationally renowned University, University Medical School, and major hospitals
Planned, implemented, and maintain (with the DOC) a locked medical unit at a major hospital in the State’s largest city, which provides secure offsite housing for inmates in need of overnight and/or extensive care, including surgery and level IV trauma care
LARGE SOUTHERN STATE PRISON SYSTEM
· Held contract from 2006 to 2015
· Approximately 14,000 inmates
· 35 locations
· Comprehensive onsite health services, including medical, mental health, dental, and pharmacy care
Partnership with the state university’s medical center to administer a federal 340B drug discount program for the DOC; university specialists see HIV+/AIDS patients through a telehealth connection, with Wexford Health nurses providing the “hands on” portion of the exam within the secure institutional walls. From January 2013 through September 2014, our 340B program generated more than $1.5 million in savings for the DOC.
Design, implementation, and operation of a specialized treatment program at the State Penitentiary for mentally ill segregated inmates who have not achieved positive outcomes from traditional mental health treatment approaches; the Step-Down Unit (SDU) was an Assertive Community Treatment Program that targeted patients who were experiencing great functional impairment. It offered an alternative to inpatient care for those patients who required a level of psychiatric services equivalent to residential treatment and partial hospitalization. The SDU helped these patients reintegrate into their former housing units by offering support, training, and various types of treatment.
Creation of the 42-bed Youthful Offender Unit (YOU) program at a major state correctional facility, in response to class action litigation over the conditions in a state juvenile facility managed by one of our competitors; the YOU is a true multidisciplinary effort, with clinical and custody staff working hand-in-hand throughout the entire process.
Implementation of a Female Special Treatment Unit (FSTU) at a major state correctional facility, which focuses on providing a well-rounded regimen designed that translates into a balanced lifestyle when the inmate returns to the community; over six years, Wexford Health achieved an average recidivism rate of 3% for FSTU graduates—significantly below the national rate of 40%.
100% accreditation success at the state’s main prison facilities from both the NCCHC and the ACA; with ACA accreditation at all eligible County Regional facilities and Community Work Centers.
Opening a Compassionate and Palliative Care Ward at the State Penitentiary to meet the physical, psycho-social, practical, and spiritual needs of terminally-ill patients; the 6-bed unit focuses on managing pain and affording the patient dignity, providing the best possible quality of life for terminally ill inmates.
Successful implementation of GE Healthcare’s Centricity EMR at all state-operated prisons in 2009; and at the state’s five privately operated correctional facilities in 2011
Re-design, moving, and expansion of the DOC dialysis unit from an outside, stand-alone trailer to a permanent home in an existing DOC facility; as a result, Wexford Health not only successfully decreased our emergency response time; but also eliminated the need for staff and patients to walk outside for dialysis services; resulting in a far safer and more controlled environment. Additionally, at our own expense, Wexford Health expanded the capacity of the unit; and equipped it with all new chairs, dialyzers, dialysis machines, and a reverse osmosis water filtration system.