July 10, 2015 DOC Board Meeting Handouts
Transcription
July 10, 2015 DOC Board Meeting Handouts
TERRY E. BRANSTAD, GOVERNOR KIM REYNOLDS, LT. GOVERNOR DEPARTMENT OF CORRECTIONS JERRY W. BARTRUFF, DIRECTOR IOWA BOARD OF CORRECTIONS AGENDA Friday, July 10, 2015, 9:00 a.m. Iowa Medical & Classification Center 2700 Coral Ridge Avenue Coralville, IA 52241 (319) 626-2391 TOPIC PRESENTER Call to Order Richard LaMere Approval of June 5, 2015 Minutes (Action Item) Next Board meeting will be August 7, 2015 Richard LaMere at the 6th Judicial District Office, 951 29th Avenue SW, Cedar Rapids, IA 52404 (A meeting notice will be posted on the DOC website: www.doc.state.ia.us) Welcome Dan Craig Director’s Report Jerry Bartruff State Auditor’s Report - DCS Dot Faust State Auditor’s Report - ICON Brad Hier Budget Closeout FY’15 - Start FY’16 Budget Brad Hier Update on FY’16 Telephone Rate Fred Scaletta FY’16 Telephone Rebate Expenditures (Action Item) Brad Hier Records LEAN Event Laura Scheffert and Tamia Salviati IDOC Health Care Costs Dr. Harbans Deol Recidivism Reduction Update Beth Skinner Public Comments Public Open Discussion Board Members Adjournment Board Members The Board of Corrections’ agenda is posted on the DOC Web Site at www.doc.state.ia.us under the Board of Corrections Tab. The mission of the Iowa Department of Corrections is to: Advance successful offender reentry to protect the public, staff and offenders from victimization. (Office) 515-725-5701 - 510 East 12th Street, Des Moines, Iowa 50319 - (FAX) 515-725-5799 www.doc.state.ia.us TERRY E. BRANSTAD, GOVERNOR KIM REYNOLDS, LT. GOVERNOR DEPARTMENT OF CORRECTIONS JERRY W. BARTRUFF, DIRECTOR IOWA BOARD OF CORRECTIONS MINUTES Friday, June 5, 2015 Ft. Dodge Correctional Facility 1550 L Street Ft. Dodge, IA 50501 Board Members Present: Richard LaMere, Lawrence Kudej, Rebecca Williams, Dr. Mary Chapman. On conference call: Dr. John Chalstrom. Absent: Rev. Michael Coleman, Lisa Hill. Staff Present: Director Jerry Bartruff, Diann Wilder-Tomlinson, Dot Faust, Dan Clark, Michael Savala, Jim Wittenwyler, Fred Scaletta, Sandra Smith, Beth Skinner, Tim Diesburg, Jon Groteluschen, Jim McKinney, Cornell Smith, Marty Hathaway, Netti Renshaw, Jeremy Pullen, Leslie Wagers, Josh McNeil. Visitors Present: Eleena Mitchell-Sadler, Ombudsman’s Office; Don Wadleigh, Toastmasters; Peter Kaspari, The Messenger. Call to Order, Vice Chair Rick LaMere Vice Chair Rick LaMere called the meeting to order. Rick LaMere asked for any changes or a motion to approve the May 1, 2015 minutes. Mary Chapman made a motion to approve the minutes and Larry Kudej seconded the motion. All members were in favor of approving the minutes, motion passed. The next Board meeting will be July 10, 2015 in Coralville. The board meeting will be held at the Iowa Medical & Classification Center starting at 9:00 a.m. (A meeting notice will be posted on the DOC website: www.doc.state.ia.us) Welcome, Warden Jim McKinney Warden Jim McKinney welcomed the Board and visitors to the Ft. Dodge Correctional Facility (FDCF). There are currently 1300 offenders and about 280 staff at FDCF. It’s the people that make FDCF run smoothly. Director’s Report, Director Jerry Bartruff Director Bartruff and staff visited the last institution on their institution tour on May 12th. IDOC Celebrated Corrections Staff Week May 4th-10th. This week is a chance to recognize the good work that Corrections Staff does every day. The Director attended the opening of the Iowa Corrections Association (ICA) Conference on May 6th in Sioux City. The intent of ICA is to promote relationship building and promote leadership in corrections. The Fall ICA Conference will be in Dubuque. Director Bartruff met with Iowa Workforce Development (IWD) on two different occasions. They discussed the important role of employment on reentry. The second meeting regarded working with Veterans. Brian Brooks from the Federal Veterans Association (VA) attended this meeting and gave input on ways to assist Veterans. The mission of the Iowa Department of Corrections is to: Advance successful offender reentry to protect the public, staff and offenders from victimization. (Office) 515-725-5701 - 510 East 12th Street, Des Moines, Iowa 50319 - (FAX) 515-725-5799 www.doc.state.ia.us On May 15th the Governor certified that Iowa will comply with the National PREA (Prison Rape Elimination Act) Standards. The IDOC has passed all PREA audits to this point. The IDOC facilities that have been audited are: Iowa Medical & Classification Center (IMCC), Newton Correctional Facility (NCF), FDCF, North Central Correctional Facility (NCCF) and all residential facilities. Director Bartruff had an opportunity to meet with the IBTSA (Iowa Board for the Treatment of Sexual Abusers). On May 19th Director Bartruff met with the IDOC Wardens and then Statewide Labor Management. They’re doing a good job of creating communication between Labor and IDOC. Together they’ve created an agreement for bidding posts at the Iowa State Penitentiary (ISP). May 18-21 there was a LEAN Event held at the Central Office. LEAN is a process used to eliminate waste and add value to work. This event involved Records Staff. The IDOC wants to make sure there are adequate resources for everything the Records Staff handle. On May 29th Director Bartruff attended the Mental Health Proclamation signing at the Capitol. The Governor signed the Proclamation designating May as Mental Health Month. The IDOC recognizes within our population there are a lot of persons with mental illness. Teresa Bomhoff works with NAMI (National Alliance on Mental Illness) Des Moines. She spoke very convincingly about the need to provide services to persons with mental illness in the community so they don’t become involved in the criminal justice system. We appreciate the Governor’s support on mental health. Director Bartruff met with the Department of Management (DOM). Together they were able to identify about 120 positions that IDOC thinks is critical to operations and gained approval from DOM to fill. IDOC is in the process now of filling some of those vacancies that had been kept open. The door has been opened to hire about 120 positions, over 70% are Correctional Officers and line staff. June 1st was a big day for ISP. They began food production at the new facility and shut down the kitchen at the old facility. The food is then transported to the old ISP location for the offenders. Director Bartruff met with Roxanne Ryan the Commissioner for the Department of Public Safety (DPS) on June 2nd to discuss the move of offenders at ISP. The IDOC has targeted the move into the new facility sometime late summer or early fall. Becky Williams: Is there a green light now? Or are there still a few issues that need to be taken care of? Director Bartruff: There are still a few issues that need to be taken care of. The State Fire Marshall has been there frequently the last couple of weeks. There’s still a Certificate of Occupancy they have to sign. With the State Fire Marshall being on site, we’re hoping that sometime later in June or early July they will sign off on occupancy. That will give us the green light to figure out the move. Overview of Institutional Visits, Director Jerry Bartruff Director Bartruff presented the process of movement through the IDOC system. (Documents from this presentation can be found on the DOC website, attached to the June 5, 2015 DOC Board Meeting Handouts.) Recidivism Reduction Update, Beth Skinner This week two Executive Officer IIs were hired to assist with the Grant work. The Workgroups are all up and going. These Workgroups are made up of a cross section of staff from both CBC and DOC institutions. Beth meets with the Workgroups on a monthly basis. The Technical Service Provider is going to do an on-site visit June 17-19, to look at our scope of work, what has been done to date, the goals that have been set, etc. On June 19th there will be the Quarterly Meeting of the Offender Reentry Task Force. The Offender Reentry Task Force is the steering committee for the Grant. 2 This group is made up of many different people not just IDOC staff. Other Task Force members include IWD Staff, Education Staff, Veterans, County Attorneys and Department on Aging to name a few. In the next month our RFP, a competitive bid for some of the Grant work, will be due. The RFP includes the scope of work around Quality Assurance Work, Training Work as well as Job Competency and Classification. The goal is to bring in experts in the field to help implement the Grant. Beth has put together a reporting template that she’ll use to keep track of all of the progress they’re making, including Activities, Work Groups and Results. Beth would like to start having someone from the workgroups come to speak at the Board Meetings about the work they’re doing for the Grant. Dr. Mary Chapman: The goal is to measure success, if you have the goal and to measure how close we are to accomplishing it, it could be color coded, to know that we’re almost there, not quite there, we’re still moving Director Bartruff: There are other things we can report. As we look at programs, there’s some programs we’re cutting, so we’ll be able to say this program wasn’t working. We’re stopping this program and moving those resources to another program. We’re looking at something called Core Correctional Practice which is things that can be done in institutions and CBCs that can reduce recidivism. Beth Skinner: We’re looking at how we’re doing our workload, how they spend their 40 hours. We’re also looking at core job competancies and classifications, instead of doing the usual business of hiring, promoting and evaluating people we’re going to look at actually what are core skills that people have depending on their job classifications. Core Correctional Practices and practices we know reduce recidivism now we’re going to include those in our job descriptions, how we screen people, hire people, promote them and evaluate them. We are working on developing a great foundation of evidence based practices throughout corrections. Director Bartruff: We’ve also got a survey that’s going out to parole officers and case managers in the prisons. The survey questions will be about the core practices which will give us an anonymous look at how are we doing with what is already identified in the research as core correctional practice. We’ll administer that now to give us a baseline. Then after we do some of the things we’re talking about we’ll ask the survey questions again and see if we’ve moved the needle. Hi-Roc Program, Leslie Wagers, Jeremy Pullen, Joshua McNeil and Nettie Reshaw High Risk Orientations Classes (Hi-Roc) is a program that was designed to aid offenders in adjusting to prison life and to aid those offenders coming in with long sentences that won’t get treatment for a while. An offender can be placed in Hi-Roc if they score above a 10 for victimization or violence for the BOP risk score, they’re automatically put in Hi-Roc. Hi-Roc is not a punitive measure. (Documents from this presentation can be found on the DOC website, attached to the June 5, 2015 DOC Board Meeting Handouts.) DOC Apprenticeship Program, Sandra Smith and Tim Diesburg The IDOC began the Apprenticeship Program at ASP in February 2014. The goal for FY15 was to bring on four more institutions for the Apprenticeship program. This way when an offender moves from one institution to another they can continue working on their Apprenticeship program. Need to score at least 72% on assessment OJT (On the Job Training) is recorded on the US Department of Labor’s (USDOL) database. Employers can go the the USDOL’s website to see how many hours the person has Apprenticed. 3 The US Secretary of Labor would like to come and visit ASP to meet with those involved with the Apprenticeship Programs. Would like for the Board to consider appropriating $100,000 from the offender telephone funds to support hiring a fulltime Iowa DOC Apprenticeship Coordinator. There are currently 64 offenders in the program. The number of offenders that could participate in the Apprenticeship Program is unlimited. The only requirement is they have to have a Hi-Set or high school diploma. We are not looking at adding additional staff to accommodate more offender participating in the Apprenticeship Program. Director Bartruff: This is a demonstration of what Beth was speaking about utilizing the staff we currently have to enhance the outcomes and values of those programs. Other than seeking someone to coordinate it, these people are already in place. Larry Kudej: Regarding the funding sources (i.e. the telephone fund), the telephone fund needs to benefit the general population, not just a limited few. Sandra Smith: This will benefit a large majority of our offender population. It’s a great motivator for them to see the value of education as well. (Documents from this presentation can be found on the DOC website, attached to the June 5, 2015 DOC Board Meeting Handouts.) FY’16 Telephone Rate Approval, Fred Scaletta Proposed telephone rate of $2.90 for local and long distance phone calls. This rate includes all local or long distance telephone calls from 1 to 20 minutes in duration. The rate for international calls has also been This change will be implemented on July 1, 2015. This telephone rate will be reviewed again in 4-6 months, the Board would like to know the results of the review in 6 months. Richard LaMere asked for a vote to approve the FY’16 Telephone Rate. Larry Kudej motioned to approve the proposed FY’16 Telephone Rate. Dr. Mary Chapman seconded the motion. All members were in favor of the motion, motion passed. (Documents from this presentation can be found on the DOC website, attached to the June 5, 2015 DOC Board Meeting Handouts.) FY’16 Budget Update, Jim Wittenwyler Senate File (SF) 497 has been through the Conference Committee however it has passed the General Assembly, so this is just preliminary. The total amount the Conference Committee approved for FY 2016 IDOC budget is $381,636,515 million which is $3,001,777 less than the Governor’s Recommended FY 2016 budget for IDOC. Larry Kudej: SF505 is the DHS Funding of Mt. Pleasant and Clarinda, if I’m understanding correctly, I thought that was out. That the committee is recommending that Mt. Pleasant stay open. Also that Clarinda stay open until the end of the year and look for a private contractor to take it over? Director Bartruff: I think that was the general consensus on what was going to happen, but they’re still working out the details. That would leave Mt. Pleasant in the current situation with us, so the shared services would apply. The Clarinda issue if they close after six months, is the funding that continues those shared services that support some of the maintenance work we do and some of the staff that were shared, that becomes an issue for us. One source that I’ve heard is saying that money is in DHS’s budget to be able to move, if that is the case, they could move that money and seek legislative approval to do that later. There are still some moving pieces, but that seems to be the direction it’s heading. (Documents from this presentation can be found on the DOC website, attached to the June 5, 2015 DOC Board Meeting Handouts.) 4 Public Comments, Public Don Wadleigh from ToastMasters. There are currently two and a half clubs in the IDOC. Joan Johansen is running the Champion Club here in Ft. Dodge. They have 26 members and a waiting list of 13-14. Word Warriors is the club inside ICIW. They’re having a little trouble getting started. There are so many other good things going on at ICIW, they are having trouble finding people to join Toastmasters. Conscious Communicators is the club at ISP. They aren’t hurting for membership, they’re hurting for money for the membership. They’re trying to collect money to keep this club going. Successes - Hill Top Toasters, out of Illinois, has 35 members, their 7 officers are all going home from prison over the next six months. Toastmaster’s has a competition every year for the World Champion of Public Speaking, this is an international competition. Over 30,000 people compete. There’s 94 still in competition. Our conference is in August, at that point there will be a world champion. One of the District Champions from Tennessee is a former offender. In Nebraska there’s an item in the newspaper the Toastmaster Club at the Nebraska State Penitentiary just got a visit from the Governor of Nebraska. Eleena Mitchell-Sadler is from the Ombudsman’s Office. The Ombudsman’s Office is dumbfounded about the funding source for the Apprenticeship Program Coordinator. However, the Ombudsman has been out of the office, so Eleena is going to leave comments to her, if it’s decided to move it on as an action item. Eleena said typically when she comes to meetings at facilities or CBCs she meets with staff and offenders who she has open cases with and she doesn’t have any today. She thanked Warden McKinney for whatever he was doing. About a year ago, the Ombudsman’s Office began receiving several complaints about the Hi-Roc Program. Eleena wasn’t one of the assistants that received a complaint, but she overheard telephone conversations with staff in her office. One of the assistants came over, as the Corrections Specialist, to consult with Eleena. From listening to their conversations over the phone and getting more information from those assistants, she told them that she didn’t have a problem with it. She understood that Hi-Roc was new and she wouldn’t expect for a policy to be set because they’re going to be working out the kinks. Warden McKinney sent a lengthy email explaining things, Eleena thinks Hi-Roc is a really good thing. Often times when they send letters to the offenders in response to their complaints, most of the times we decline, which you don’t believe. But we do. Other times we say reasonable minds can disagree, but regarding Hi-Roc we sent our support. Open Discussion, Board Members Rick LaMere: One of the points Jerry was trying to get across was that when you travel to the different institutions throughout the state that you get a good sense of the dedication, the team work and the commitment to the mission. If I could speak on behalf of the Board, I think we get the same feeling when we go to the different institutions and CBCs. We really care about you and sometimes we worry about you, but we’re always encouraged when we get the chance to meet with you. From a personal note, I know we only meet once a month, but we’re thinking about you everyday. Adjournment Board Members Larry Kudej motioned to adjourn the meeting. Dr. Mary Chapman seconded the motion. All members were in favor. Motion passed, meeting adjourned. Respectfully Submitted, Abby Williams, Secretary The Board of Corrections’ agenda is posted on the DOC Web Site at www.doc.state.ia.us under the Board of Corrections Tab. 5 TERRY E. BRANSTAD, GOVERNOR KIM REYNOLDS, LT. GOVERNOR DEPARTMENT OF CORRECTIONS JERRY W. BARTRUFF, DIRECTOR July 10, 2015 – Iowa Board of Corrections Offender Telephone Rebate Expenditures – FY 2016 1. Education (HISET, Literacy, Special Needs, Life Skills, Apprenticeship Program & Vocational Training) 2. Telephone Administration $458,119 $63,893 3. Translation Services $1,000 Total $523,012 The mission of the Iowa Department of Corrections is: We Protect the Public, Employees, and Offenders from Victimization. (Office) 515-725-5701 - 510 East 12th Street, Des Moines, Iowa 50319 - (FAX) 515-725-5798 www.doc.state.ia.us IDOC Records Value Stream Mapping Event BACKGROUND During the week of May 18th – 21st, 2015, a team of staff from across the agency was involved in a 4-day Value Stream Mapping LEAN event. As a lean tool, value stream mapping has been referred to as taking that 30,000 foot, high-level look at KeyResults: a process. Therefore, the focus of this event was to strategically obtain a global view of the records departments within the Department of Recordsprocessesare Corrections to determine what functions each of them do, how they interact and where opportunities exist amongst them for improved documentedforcurrent collaboration and efficiencies. strategicplanningand futuretrainingand transparency Alistofprioritized recommendationsfor improvedefficiencies providedtomanagement The IDOC Value Stream Mapping Lean Team (aka- Team “Records Slayers”) Identificationofapotential (Front Row) Janet Fliehler, Records – ASP; Marcia Tope (Facilitator), DOM; Tamia Salviati (Sub-Team Leader), DOC; Vickie Sherzan, ITS - 5th JD CBC; Laura Scheffert (Team Leader), DOC; Gayle Johnson, Records- NCCF; Jane Grotelushen, Records – FDCF; Betty Witte, Records – MPCF; Brenda Miller, Unit Manager – ICIW; DeeAnn Davidson, Records – NCF; Lori Brockman, Records – CCF; Sheila Vorwaldt, Records – ISP; Janie Mendez, Correctional Counselor – ISP; Jay Nelson – Central Office. futureleanevent LEAN WEEK During the Lean Value Stream Mapping week, representatives from across the IDOC records departments along with staff from the DOC institutions and community-based corrections, worked with a facilitation team to identify opportunities for improvement. After the team mapped all the various processes to obtain a global view of record’s functions (local and statewide), the team went through a de-selection process that prioritized high return-oninvestment ideas. Additionally, data was captured to assist in providing further transparency and suggested priorities for management consideration. The team then developed an implementation plan with task assignments and timeframes for the team to move forward on those items and a separate management plan was forwarded to Sponsor Dot Faust and Director Bartruff for consideration of the more difficult to implement, but very high impact, long-term goals. What is LEAN? LEAN is a continuous improvement approach that stresses empowering staff (those doing the work) in order to: identify greater process efficiencies, identify “waste” (such as delays, duplication, re-work, unnecessary steps), and identify the “value-added” parts of our processes (from a customerdriven perspective). If you have any questions about lean or future events, contact: Marcia Tope [email protected] or Laura Scheffert [email protected] DOC Records Value Stream Mapping Event Report to the Board of Corrections July 10, 2015 Team “Records Slayers” Event Date: May 18 – 21, 2015 What is Lean? Lean: a methodology that uses a specific set of tools to accelerate the speed of any process by eliminating waste in all its forms Why Lean? • Efficiency - doing more with existing resources • Allows staff to focus on mission critical work • Support from and partnership with stakeholders Key Principles of Lean 1. Precisely define value from the customer's perspective 2. Identify the value stream for each process 3. Allow value to flow without interruptions 4. Let the customer pull value from the process 5. Continuously pursue perfection Why Map the Value Stream? Jane Groteluschen • Value Stream Mapping is a method that assists a team in seeing and understanding the flow of both documents and information • It delivers breakthrough opportunities across system processes that otherwise are difficult to see • It helps you not only see waste and gaps, but more importantly the source of the waste Value Streams Tamia Salviati 6 Team Records Slayers Janet Fliehler • 7 Team Members: Tamia Salviati, Betty Witte, Sheila Vorwaldt, Janet Fliehler, Lori Brockman, Gayle Johnson, DeeAnn Davidson, Jane Groteluschen, Janie Mendez, Jay Nelson, Brenda Miller, Vickie Sherzan Facilitators: Marcia Tope, Laura Scheffert Scope Sheila Vorwaldt This event will look at the global view of the records departments within the Department of Corrections to determine what functions each of them do, how they interact and where opportunities exist amongst them for improved collaboration and efficiencies. 8 Objectives Lori Brockman • Understand existing priorities, basic functions, and barriers (local and statewide) • Identify areas of greatest need for further/improved collaboration (local and state-wide) • Identify tools staff need to assist them in creating greater efficiencies. 9 Current Records Processes DeeAnn Davidson • Current State – Where are we now What did we see? Betty Witte • Records touches many other departments in their work • Records does many critical processes • Numerous non-records functions • Clearer understanding of what others do • Many delays – create more work • Outside perspective seeing opportunities • Good customer service can sometimes lead to extra work for records • Key person for final release of offender 11 Next Steps Janet Fliehler Implementation/Communication Plan Person Responsible Discontinue Jail Credit database entry (ISP) Sheila Standardized role/clarification of record's role in count DeeAnn/Sheila verification process Records staff meet with BOP at records meeting Tamia Don't scan DOT forms into ICON Lori/Sheila DOT forms distributed at Intake so no longer need to do this but Lori/Sheila have available Cheat sheet for offenders and staff ‐ time comp sheet Tamia/Janet Change/create the deadline for staff to answer visitng appeals Betty (change policy) Update visiting policy to include deadlines for response to Betty MPCF visiting application inquires MPCF to do PRH visiting (policy change) Betty Email work release escape and discharge paperwork to Janet residential facility (follow‐up with Margot) Add ASP records to resi CIR distribution list for Priority #1s Janet (email director) OWI release check list ‐ is it necessary? Tamia Records staff not making release arrangements (transportation Lori phone calls) Records staff not responsible for tracking court‐ordered Sheila/Betty/Lori/ progress reports DeeAnn/Brenda Receiving institution to do ICON cross‐reference on vistors Betty upon transfer (write policy and submit to management) Records staff needs permissions to run ALJ/Disciplinary Tamia/Jane Decision Ad hoc report (check ICON) Better training for SOR process (for any staff who does this ‐ Sheila/Lori/Brenda DPS website) Sheila/Tamia/Gayle / Collaboratively Work with DPS to ensure SOR Database works: Jane/Brenda/ Each institution develop SOR list of needs (bring to 30 days) DeeAnn/Lori/Betty Provide to DPS / 12 Due Date 5/22/2015 6/24/2015 6/24/2015 5/22/2015 5/22/2015 6/24/2015 6/24/2015 6/24/2015 6/24/2015 6/24/2015 6/24/2015 6/24/2015 6/24/2015 6/24/2015 6/24/2015 6/24/2015 6/24/2015 6/24/2015 Management Plan Jay Nelson 13 Key Results: • Records processes are documented for current strategic planning and future training and transparency • A list of prioritized recommendations for improved efficiencies provided to management • Identification of a potential future lean event 14 Implementation and Progress Improvements/ Action Item Discontinue Jail Credit database entry (ISP) Standardized role/clarification of record's role in count verification process Records staff meet with BOP at records meeting Person Responsible Sheila Cheat sheet for offenders and staff - time comp sheet Change/create the deadline for staff to answer visiting appeals (change policy) Update visiting policy to include deadlines for response to MPCF visiting application inquires MPCF to do PRH visiting (policy change) Updated Due Date DONE DeeAnn/Sheila 6/24/201 5 7/22/15 Tamia 6/24/201 5 DONE Lori/Sheila 5/22/201 5 7/22/15 Lori/Sheila 5/22/201 5 7/22/15 Tamia/Janet 6/24/201 5 7/22/15 Betty 6/24/201 5 7/22/15 Betty 6/24/201 5 7/22/15 Betty 6/24/201 5 7/22/15 Don't scan DOT forms into ICON DOT forms distributed at Intake so no longer need to do this but have available Due Date 5/22/201 5 Notes 6/24 - Discontinued 6/24 - Has been reassigned for DeeAnn. Sheila will meet with management. 6/24 - Meeting held on 6/24/15. John Hodges and Jim Twedt present. 6/24 - Lori is no longer doing. Sheila will discuss with management. 6/24 - Being discussed, so continue to follow current process for now. 6/24 - Sent to team for review. Still working on policy for the cheat sheet. Share with a few counselors for feedback. Send comments to Janet/Tamia before 60-day. 6/24 - Submitted changes waiting for response. 6/24 - Submitted changes waiting for response. 6/24 - Submitted changes waiting for response. (Dot to follow up with Sheryl Dahm on #8, #9, and #10 - policy changes.) Implementation and Progress MANAGEMENT PLAN Forwarding Kiosk messages - is possible but would be very difficult and very expensive to reprogram. Next steps - will remain on the ICON wish list but not a high priority. Management need to determine if remain on list or not. Dot/Jerry Visiting Changes: -Suspension date -Closing admits to IMMC and ICIW Need more specific attachment area 6/24/15 - On ICON wish list Janet/Betty 7/22/2015 7/15/15 6/24/15 Obtaining more information from team on where they want attachments (ex. Visitor attachments) Next steps - Team identify additional ICON areas for attachments and/or viewed from offender attachment screen. Send these ideas to Janet/Betty by 7/15/15. We welcome your questions and comments! 17 IDOC HEALTH CARE COSTS Harbans S. Deol, D.O., Ph.D. IDOC Medical Services Director RECEPTION ADMISSIONS ICIW IMCC FY15 Offender Admits Jul‐14 Aug‐14 Sep‐14 Oct‐14 Nov‐14 Dec‐14 Jan‐15 Feb‐15 Mar‐15 Apr‐15 May‐15 Jun‐15 475 425 385 489 375 431 424 460 399 499 361 400 TOTAL Patient Admits Total Admissions 2 2 4 7 3 4 2 2 3 3 4 6 477 427 389 496 378 435 426 462 402 502 365 406 5,165 FY15 Admissions Jul‐14 Aug‐14 Sep‐14 Oct‐14 Nov‐14 Dec‐14 Jan‐15 Feb‐15 Mar‐15 Apr‐15 May‐15 Jun‐15 Total 81 86 61 91 56 76 69 57 58 68 54 70 827 CHRONIC CONDITIONS Diabetes 643 Dyslipidemia 1257 Hypertension 1881 Hepatitis 1349 Asthma 928 COPD 236 HIV/AIDS 39 MH SMI/SN DX 1832 CHD 182 AGE AND CHRONIC DISEASE # w/Chronic Disease • <54 3,251 • >54 973 • Total: 4,224 # w/1 Chronic Disease • <54 2,284 • >54 344 • Total: 2,628 # w/>1 Chronic Disease • <54 967 • >54 629 • Total: 1,596 IMCC Population by Age (7/2/15) Age 50-59 Age 60-69 Age 70-79 Age 80-89 127 53 19 7 206 / 906 OR 22.7% of offenders are age 50+ --------------Oldest offender is 88.2 yrs FY’15 CHRONIC DISEASE BY AGE GROUPS AIDS Asthma CAD COPD Diabetes I & II Hep B HTN Hyperlipidemia Neoplasm Pregnancy Seizure Age 18-29 1 328 0 0 24 4 160 6 121 29 12 14 77 Age 30-39 1 282 2 6 104 3 325 8 349 193 30 5 83 Age 40-49 5 195 37 50 176 6 364 14 539 362 34 0 87 Age 50-59 6 99 69 99 220 8 396 8 577 438 49 0 35 Age 60 and over 2 24 74 81 119 3 104 3 295 235 30 0 8 Totals 15 928 182 236 643 24 1349 39 1881 1257 155 19 290 Hep C HIV AGING POPULATION IN IDOC 1600 1480 1400 1200 1027 1000 800 1260 1229 1309 1139 1104 902 600 400 200 283 239 333 308 380 336 403 464 0 2005 2006 2007 2008 2009 2010 2011 2012 2013 50-59 >60 IDOC CHRONIC CARE PROVISIONS IMCC MEDICAL UNIT CENSUS 6/30/15: Infirmary: 16 LTA: 32 STA: 16 Total Care Paraplegic/ (Bedridden) Tube Fed (2) Oxygen (4) Hemiplegic (6) (9) Dialysis (9) Dementia Wheelchair Patients (30) Bound (12) ADL Care Cancer Dx (102) CHRONIC CARE - RECENT ADMISSIONS Admitted IMCC 6/23/15: • 53 year old • Co. Jail since 2/24/15 • Alcoholic Dementia Admitted IMCC 6/25/15: • 53 year old • Left-sided stroke, wheelchair bound • Came to us from hospital due to digoxin toxicity • 6/30/15 UIHC via ambulance-uncontrollable high BP • Remains hospitalized at UIHC Admitted IMCC 6/26/15: • Admitted from Co. Jail who had taken him to ER just prior to transport to IMCC • Had been drinking heavily two days prior • Had seizure on 6/25/15 • Came in with tremors, sweating, unsteady gait • Admitted to Skilled Nursing Unit for detox observation CIVIL COMMITMENTS 100 90 86 88 86 80 80 M 6F 70 60 59 56 50 45 40 42 46 37 30 20 10 8 12 0 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 UIHC OUTPATIENT APPTS FY2012 4,048 FY2013 4,394 FY2014 5,193 FY2015 5,277* *As of 5/31/15 July August September October November December January February March April May Total 510 491 495 534 420 492 488 463 446 474 464 5277 PHARMACY COSTS July COST CHANGES FY’15 August September October November December FY 2015 TOTAL $ 654,857.16 $ 594,182.16 $ 639,290.27 $ 679,590.68 $ 515,640.79 $ 608,082.44 FY 2014 TOTAL $ 505,849.89 $ 471,033.35 $ 471,899.60 $ 515,386.12 $ 488,149.32 $ 551,772.64 Increase/Decrease $ 149,007.27 $ 123,148.81 $ 167,390.67 $ 164,204.56 $ $ FY 2015 TOTAL FY 2014 TOTAL Increase/Decrease 27,491.47 56,309.80 January February March April May June TOTAL $ 571,322.15 $ 470,528.16 $ 552,829.41 $ 481,593.31 $ 460,026.99 $ 421,610.39 $ 6,649,553.91* $ 505,238.31 $ 438,563.19 $ 493,512.51 $ 521,177.59 $ 536,576.69 $ 523,161.37 $ 6,035,770.83 $ 66,083.84 $ 31,964.97 $ 59,316.90 $ (39,584.28) $ (76,549.70) $ (101,550.98) $ For FY 2017 funding, the Governor’s budget provides an additional $1,000,000 for drugs and biologicals *Figure represents what was actually dispensed to offenders. Some purchases remain in inventory in addition 10.17% from FY 2014 613,783.08 DRUG COSTS – CONTRACT / STATE FY2015 0 FY2014 0 FY2013 0 FY2012 0 FY2011 0 2010 0 2009 0 2008 0 2007 0 Millions 0 6.65 6.04 5.51 6.48 IDOC Population 8.57 14.69 2009 8400 2010 8600 FY2011 8700 FY2012 8300 FY2013 8100 FY2014 8200 FY2015 8200 8.48 6.24 8.6 2 4 State Rx 6 8 10 Contract Rx 12 14 16 IDOC MEDICATION COSTS ASSOCIATED WITH TRANSPLANTS Azathioprine Cyclosporine Mycophenolate Mofetil 7/1/14 - 6/29/15: Prednisone Sirolimus $16,431.18 Tacrolimus ASP IDOC MEDICATION COSTS ASSOCIATED WITH CHEMOTHERAPY (4 patients) $17,904.64 CCF (4 patients) $1,044.17 FDCF (9 patients) $108,576.06 ICIW 7/1/14 through 6/29/15: (7 patients) $1,600.88 IMCC (18 patients) 69 patients $511,238.16* $181,590.76 ISP (7 patients) $67,660.04 MPCF (6 patients) $650.32 NCF (10 patients) *+Unknown cost @ UIHC NCCF (4 patients) $131,715.27 $496.02 PHARMACY COSTS MOST COSTLY MEDS Medication Risperidone 25mg/2ml Injection Insulin Beta-1a 44mcg/0.5ml Injection Risperidone 37.5mg/2ml Injection PEG-Interferon 135mcg/0.5ml Injection (each) Desmopressin 1.5mg/ml Nasal Spray Risperidone 50mg/2ml Injection Sofosbuvir 400mg tablet Adalimumab 40m/0.8ml Injection Abatacept 125mg/ml Injection Hydroxyprogesterone Caproate 250mg/ml Injection PEG-Filgrastim 6mg/0.6ml Injection Cost per unit $ 310.89 $ 349.95 $ 466.34 $ 510.42 $ 605.00 $ 621.80 $ 985.00 $ 1,329.91 $ 2,660.79 $ 3,750.00 $ 4,036.38 ATYPICAL ANTIPSYCHOTICS Tablets Liquids/Specialty Forms vs Aripiprazole tablet 30 mg tabs $16.90 to $24.00 Dissolving tablet 30 mg “discmelt” Risperidone Dissolving tabs Olanzapine tablet 3 mg tabs $1.76 to $4.10 Oral Solution 3 ml 30 mg tabs $0.08 to $0.40 Dissolving tablet 30 mg $101.55 $ 0.84 $ 5.40 INSULINS INSULIN ASPART U100 (NOVOLOG) INSULIN DETEMIR U-100 (LEVEMIR) INSULIN GLARGINE U-100 (LANTUS) INSULIN LISPRO U100 (HUMALOG) INSULIN HUMAN NPH U-100, INSULIN HUMAN REGULAR U-100, INSULIN HUMAN NPH/REGULAR 70/30 U-100 $200.90 vial $228.19 vial $213.93 vial $45.60 vial $12.12 vial INHALERS ALBUTEROL HFA INHALER $37.16 each BECLOMETHASONE INHALER 80mcg $173.30 each BUDESONIDE/ FORMOTEROL INHALER 80/4.5mcg, 160/4.5mcg $229.89/ $262.77 each FLUTICASONE/ SALMETEROL DISKUS INHALER 100/50, 250/50, 500/50 $227.05/ $282.11/ $371.05 each IPRATROPIUM HFA INHALER SALMETEROL DISKUS INHALER TIOTROPIUM INHALANT CAPSULES + HANDIHALER 18mcg $247.34 each $241.49 each $283.83/ 30 capsules & inhaler unit MEDICATION COSTS Medication FY '13 Inventory Price/unit FY '14 Inventory Price/unit Current Price/unit % Increase Amitriptyline 100mg tablet $ 0.04 $ 0.04 $ 1.01 Benzoyl Peroxide 10% Gel $ 1.67 $ 12.80 $ 12.80 Carbamazepine 200mg tablet $ 0.04 $ 0.04 $ 0.65 Clobetasol 0.05% Ointment $ 1.56 $ 16.90 $ 152.54 Clomipramine 25mg capsule $ 0.22 $ 7.05 $ 7.05 Fluconazole 150mg tablet Fluorometholone 0.1% Ophth Suspension Hydrocortisone Valerate 0.2% Cream $ 0.22 $ 2.04 $ 12.84 2425% 666.46% 1525% 9678% 3104% 5736% $ 1.78 $ 43.34 $ 56.34 3065% $ 1.64 $ 115.80 $ 115.80 Insulin Detemir U‐100 $ 70.05 $ 180.88 $ 210.00 6960% 199.78% 466.71% 9337.50% 206.06% Prednisolone 1% Ophth Suspension $ 7.63 $ 43.24 $ 43.24 Tetracycline 500mg capsule $ 0.08 $ 7.55 $ 7.55 Thiothixene 5mg capsule $ 0.33 $ 1.01 $ 1.01 HEPATITIS C IDOC Pop 7/1/15 8221 Hep C Dx 782 9.5% PHARMACY COSTS HEP B/C & HIV MEDICATIONS $86,252.13 FY2015 $842,222.41 $206,615 FY2014 $1,052,749 $239,435 FY2013 $1,054,901 $225,769 FY2012 $822,020 $96,155 FY2011 $786,722 $148,813 FY2010 $- $200,000 $687,212 $400,000 $600,000 Hepatitis B/C $800,000 $1,000,000 $1,200,000 HIV
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