HMGT 495
Develop a Briefing report (continue working on the case from week 3) covering all the following:
1.What framework would you apply to the strategic planning? Why? (HINT: Remember all the available frameworks that you learned in the previous classes as well as in this class to make a correct choice; justify the final choice through the collaborative ).
2.Identify what information and evidence you have to apply to the strategic process steps. Identify appropriate evidence you still need to correctly use the strategic planning process. (HINT: make sure to list all types of evidence you need)
3.Identify appropriate evidence you still need to correctly use the strategic planning process. (HINT: make sure to list all types of evidence you need)
HMGT 495
Develop a Briefing report (continue working on the case from
week 3) covering all the following:
1. What framework would you apply to the strategic planning? Why?
(HINT: Remember all the available frameworks that you learned
in the previous classes as well as in this class to make a correct
choice; justify the final choice through the collaborative ).
2. Identify what information and evidence you have to apply to the
strategic process steps. Identify appropriate evidence you still
need to correctly use the strategic planning process. (HINT:
make sure to list all types of evidence you need)
3. Identify appropriate evidence you still need to correctly use the
strategic planning process. (HINT: make sure to list all types of
evidence you need)
Correctional Health Care Assignment
You applied and were accepted in an internship program of a
state-level, Female Correctional Health Care Operation in the
South Eastern United States and your primary responsibility is to
work on the assigned projects related to the provision of inmate
health care.
Associated materials:
The Health and Health Care of US Prisoners: Results of a
Nationwide Survey
Public Health Behind Bars
Sample Tool Control Policy
Inmate Sick Call Procedures-Corrections
For the incarcerated population in the United States, health care
is a constitutionally guaranteed right under the provisions of the
eight amendment which is the prohibition against cruel and
unusual punishment (see Estelle v. Gamble). This particular
prison can hold in excess of 1,728 offenders and routinely
houses between 1,600 and 1,700 women on any given day. This
institution incarcerates all custody classes to include minimum
security, medium security, close custody, death row, and pretrial
detainees.
The health care operation provides the highest level of care for
the female offender in the state. The health care facility is a 101
thousand square foot, 150 bed, three-story building that cost
the taxpayers $50 million dollars to construct and is a hybrid of
an ambulatory care center, long-term care center, and a
behavioral care center. The health care facility also houses an
assisted living dorm.
The patient demographic includes women who have multiple comorbidities including substance abuse, seriously persistent
mental illnesses (SPMI), diabetes, cardiovascular disease, cancer,
morbid obesity, HIV / AIDs, hepatitis, etc. On any given day
there will also be 30 to 60 offenders who are pregnant, with 98%
of those offenders having a history of substance abuse; all
pregnant offenders are considered high-risk. The dental health
of this patient population is exceptionally horrendous because
of excessive drug abuse coupled with a sugary diet and poor
oral hygiene practices. It is not uncommon for a 23-year-old to
need all of her teeth extracted.
There are approximately 300 FTEs to include correctional staff
that operate the facility and provide care to the offender
population. The healthcare facility is comprised of the following
directorates: (a) Medical, (b) Nursing, (c) Behavioral Health, (d)
Pharmacy, (e) Dental, (f) Medical Records, (g) Health Service
Support, and (h) Operations and Security.
Although the health care facility has a vast amount of capability,
there limitations: (a) This facility does not have advanced cardiac
life support capability (ACLS), (b) no surgical capability, (c) no
ability to conduct telemetry, (d) no oral surgery beyond simple
extractions, (e) no obstetrical capability beyond out-patient
clinics, (f) MRI, (g) level 2 ultrasound, and the list goes on.
Those inmates who have medical needs that cannot be
addressed by the health services staff at the correctional facility
will need appointments with external health care providers who
have a business relationship with the prisons in this area. On
any given month, there will be approximately 300 offenders who
will go to outside medical appointments and making certain that
these appointments take place this is where the challenge lies.
Similar to many health care operations, the prison Utilization
Review / Case Management Department facilitates all external
appointments and form the lynchpin between the correctional
facility health care providers who refer offenders for specialty
appointments, and the outside organization providing that
appointment.
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