INDICATORS 2008
MEDICAL - DENTAL Calendar
YTD
Provider Visits
Number of physician visits 15,732
Number of physician assistant/nurse practitioner visits 13,774 Number of emergency visits (add on to scheduled sick call) 1,677
Number of inmates charged a co-payment 2,010
Nursing
Total number sick call requests 32,742
Total number sick call visits (completed) 26,397 Total number of inmates refusing RN sick call visits 632 Number of inmates charged a co-payment for nurse sick call 11,668 Number of treatments (blood pressure, finger sticks, wound
care) 65,550
Segregation rounds completed 15,992
Prenatal Care
Number of pregnancy tests completed 1,644
Number of new positive pregnancy tests 111
Number of pregnant inmates 155
Number of prenatal visits 215
Number of deliveries 15
Mental Health
Total number sick call requests 8,180
Total number routine mental health visits 13,786
Total number segregation rounds 34,226
Total number referrals from medical/other 7,681 Total number mental health detailed screens 5,685 Total number individual psychiatrist visits 7,428
Total number forced medication 57
Total number incidents involving restraints 14 Total number non-scheduled crisis visits 1,642
Total number DOC/parole evaluation 384
Total number Psychology individual visits 1,436
Total number Mental Health groups 1,252
Total number offenders in Mental Health group 17,030
Laboratory
Tests performed on -site (BioReference and state labs) 17,692 Tests sent off site (STAT labs sent to local hospital) 101
EKG's performed on-site 960
Radiology
Appendix A
Overview of Current Health Care Services
Number of Radiology procedures performed on-site 3,723 Number of radiology procedures waiting for on-site>14days 60
Nutritional Services
Total number of therapeutic diets 10,457
Vision
Number of exams by optometrist 1,249
Number of corrective lenses issued by optometrist 672
Number of glasses repaired or re-ordered 182
Chronic Care Clinics
Number of patients identified as seriously mentally ill 11,856
Total number of patients on dialysis 109
Infection Control
Inmate/resident number of initial PPD's placed 17,303 Inmate/resident number of initial PPD's read 11,619 Inmate/resident number of annual PPD's placed 2,272 Inmate/resident number of annual PPD's read 2,325
Current month positive PPD's 292
Current month new positive HIV tests 266
HIV/AIDS offenders released 77
Number of reportable communicable diseases 944
Mortality report 23
Offsite Specialty Consultations
Audiologist 19
Appendix A
Overview of Current Health Care Services
Total Medical Emergency responses within the facility 930 Ambulance emergency responses within the facility 268
Facility vehicle transports 330
Life Flight/Medi-Vac responses
Hospital Admissions
Total number of hospital admissions 315
Total number of inpatient hospital days
Intake
Number of receiving screens 23,831
Number of transfers received 8,702
Number of intake Mental Health assessments 19,515
Number of Boot Camp evaluations 255
Number of completed (7/14) day physicals
Infirmary Care
Admissions to infirmary 2,023
Discharges from infirmary 1,846
Total patient days in infirmary 17,159
Total number of infirmary beds actually useable 988
Other Services
Employee accident/injury 19
Urine drug screens (employee) 129
Use of force exams 33
Number attending staff meeting 1,492
Number of people attending monthly in-service 1,133
Female Admissions 1,340
APPENDIX B
DDOC Organizational Chart
Bureau of Correctional Healthcare Services Delaware Department of Correction
CARL C. DANBERG COMMISSIONER DEPARTMENT OF CORRECTION
JULIE HUGHES COMPLIANCE COORDINATOR
VICTORIA WINDLE QA ADMINISTRATOR JAMES C. WELCH, RN, HN-BC
BUREAU CHIEF (NCCHC HEALTH AUTHORITY)
JESSICA FORAND ADMINISTRATIVE
ASSISTANT
JOHN OLDIGS SR FISCAL ADMIN
OFFICER
SPENCER EPPS MEDICAL DIRECTOR
IMAD JARWAN SUBSTANCE ABUSE ADMIN.
VINNIE FABBER MENTAL HEALTH ADMINISTRATOR VACANT
ADVANCE PRACTICE NURSE
SARA MYERS NURSE TRAINER
JAIME H. RIVERA PHYSICIAN
APPENDIX C
Pharmacy Utilization Data
All Facilities DE
Transactions
Primary Class Secondary Class Nov-08 Dec-08 Jan-09 Feb-09 Mar-09 Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09
CARDIOVASCULAR ANTICOAGULANT 56 73 64 80 77 75 81 72 81 82 90 92
CHOLESTEROL 642 709 730 758 717 782 789 817 841 790 746 859
HTN/CARDIAC 2,317 2,464 2,401 2,375 2,290 2,367 2,464 2,564 2,530 2,480 2,390 2,481 CARDIOVASCULAR Total 3,015 3,246 3,195 3,213 3,084 3,224 3,334 3,453 3,452 3,352 3,226 3,432 GENERAL MEDICINE ANALGESIC 2,065 2,203 2,149 2,234 2,341 2,342 2,285 2,373 2,408 2,294 2,312 2,359 ANTIHISTAMINE 561 597 562 576 647 677 721 806 782 656 732 724
ANTI-INFECTIVES 403 390 387 369 411 399 401 435 462 395 472 457
BIOLOGICAL 31 29 33 18 31 39 38 40 32 42 32 32
DERM/TOPICAL 1,169 1,402 1,425 1,480 1,634 1,472 1,565 1,533 1,340 1,132 1,056 1,077 DIABETES 395 464 429 419 425 419 409 451 469 418 446 426
DIALYSIS 29 33 34 24 27 35 30 29 31 33 26 28
HORMONE 22 28 18 23 16 18 20 27 26 24 36 27
MIGRAINE 9 12 6 5 6 6 7 8 11 12 16 11
MUSCLE RELAXANT 227 273 240 237 265 233 241 243 251 247 247 242
OPHTHALMIC/OTIC 106 111 146 104 96 118 123 139 163 116 120 103
OTHER - MISC 118 106 125 123 104 127 104 108 105 105 107 136
PARKINSON 2 2 1 2 2 4 5 7 10 2 7 11
RESPIRATORY/NASAL 909 982 1,058 1,026 1,098 1,025 993 961 1,094 945 960 990
SEIZURE 64 93 71 79 73 84 72 87 94 98 100 87
STEROIDS 48 50 38 41 49 52 51 40 38 43 32 48
THYROID 127 144 132 133 140 148 141 152 164 157 142 147
URINARY/PROSTATE 51 59 63 72 58 61 65 76 81 66 67 70
VITAMIN/MINERAL 414 425 416 424 444 428 450 502 481 482 422 462
GENERAL MEDICINE Total 6,750 7,403 7,333 7,389 7,867 7,687 7,721 8,017 8,042 7,267 7,332 7,437 GI GI 1,579 1,745 1,702 1,650 1,629 1,669 1,609 1,782 1,848 1,738 1,754 1,851 HEPATITIS 17 15 15 12 8 12 9 12 12 11 10 13
GI Total 1,596 1,760 1,717 1,662 1,637 1,681 1,618 1,794 1,860 1,749 1,764 1,864 HIV HIV 212 219 220 177 233 219 214 195 230 186 185 228
HIV Total 212 219 220 177 233 219 214 195 230 186 185 228
PSYCHOTROPIC ATYPICAL ANTIPSYCHOTIC 172 234 244 245 241 220 214 291 321 296 326 356
DEPRESSION - 1ST GEN 589 679 665 680 694 671 612 722 788 666 665 646
DEPRESSION - 2ND GEN 797 1,003 860 905 990 987 931 1,089 1,034 898 1,023 964
MOOD STABILIZERS 560 581 551 602 582 621 654 727 725 651 665 627
OTHER PSYCHOTROPIC 222 240 208 193 182 184 175 176 210 185 182 165
SEDATIVE/HYPNOTIC 35 43 36 46 49 35 31 40 40 39 37 37
TYPICAL ANTIPSYCHOTIC 456 505 401 379 413 392 352 412 395 314 315 298
PSYCHOTROPIC Total 2,831 3,285 2,965 3,050 3,151 3,110 2,969 3,457 3,513 3,049 3,213 3,093 UNKNOWN UNKNOWN 1 2 7 4 9 7 6 15 5 4 7 6
UNKNOWN Total 1 2 7 4 9 7 6 15 5 4 7 6
APPENDIX D
Female inmates 52-69 years of age who received follow-up evaluation for an abnormal mammogram finding
Prenatal Care Births in which prenatal care was begun within the first 4 months of pregnancy and/or who had 5 visits or more if delivered before 37 weeks or had 8 visits or more if delivered after or at 37 weeks of gestation
Checkups After Delivery
Female inmates who had a postpartum visit on or between 21 to 56 days after delivery
Cesarean Section Rate
Female inmates who had a cesarean section resulting in a live birth during the reporting year
Heart Disease Monitoring Hypertension
Inmates enrolled in the HTN chronic care clinic who had at least 1 encounter for hypertension with the provider (nurse or physician) every 3 months
HTN Treatment Inmates enrolled in the HTN chronic care clinic without DM with systolic blood pressure above 140 or diastolic blood pressure above 90
HTN Treatment Inmates enrolled in the HTN chronic care clinic with DM with systolic blood pressure above 130 or diastolic blood pressure above 80
Response to Abnormal Blood Pressure Test
Inmates having 3 or more diastolic blood pressure readings equal to or greater than 90 mm Hg who received a referral to a hypertension chronic care clinic
AMI – Aspirin on Being Sent Out
Inmates having a principle diagnosis of AMI and not identified as having
contraindications to aspirin who received aspirin within 24 hours of arrival or within 24 hours before referral to the hospital in the reporting year
AMI – Aspirin at Return to Facility
Inmates having a principle diagnosis of AMI and not identified as having contraindications to aspirin who were prescribed aspirin at arrival (return) to the facility in the reporting year
Beta-Blocker Treatment After a Heart Attack
Inmates age 35 or older hospitalized and discharged alive with a principal diagnosis of AMI and not identified as having contraindications to beta-blockers who received a prescription for beta-blockers within 7 days after discharge from the hospital with a diagnosis of AMI or within 30 days before the hospitalization for AMI
Cholesterol Management After Acute Cardiovascular Events – LDL-C Screening
Inmates age 18-75 discharged alive in the year before the reporting year for AMI, CABG or PTCA who received an LDL-C screening on or between 60 to 365 days after discharge for an acute cardiovascular event
Cholesterol Management After Acute Cardiovascular Events – LDL-C Level
Inmates age 18-75 discharged alive in the year before the reporting year for AMI, CABG or PTCA having LDL-C level of <130 mg/dL and <100 mg/dL (1st year measure) on or between 60 to 365 days after discharge for an acute cardiovascular event
Infectious Diseases
Tuberculosis Inmates with newly positive TB skin test in the year before the reporting year who accepted the treatment offered by the DOC and therefore completed curative therapy within 12 months of the positive diagnosis
Pneumovax Percentage of chronic care population and patients older than 55 who have had pneumovax vaccination within the past five years
HIV – Viral Load Counts Undetectable
HIV+ inmates in the treatment program with viral load counts that undetectable HIV – Viral Load
Counts Undetectable
HIV+ inmates with viral load counts that are undetectable HIV – Laboratory
Testing
HIV+ inmates receiving quarterly CD4 and viral load tests
HIV – Treatment HIV+ inmates with CD4 counts under 200 or viral load greater than undetectable after