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Program D: Health Services

Program Authorization: R.S. 15:821-840.2 and R.S. 36:401-409

PROGRAM DESCRIPTION

The mission of the Health Services Program is to provide the appropriate level of health care to the inmate population to meet their basic medical, dental, and mental health needs, thus allowing them to maintain their health and participate in institutional programs.

The goal of the Health Services Program is to assure that the health of all inmates is adequately evaluated and that proper and effective treatment is provided as needed in order to maintain their health and allow for participation in institutional programs to the extent possible.

The Health Services Program provides medical services, dental services, mental health services, and substance abuse counseling.

OBJECTIVES AND PERFORMANCE INDICATORS

1. In FY 1998-99, the Health Services Program will provide each inmate the medical, dental, and mental health services necessary to maintain his basic health.

MEDICAL AND MENTAL HEALTH TRENDS AT DWCC

 

1993-94

1994-95

1995-96

1996-97

Number of deaths:

 

 

 

 

     Suicides

0

0

0

0

     Violence

0

0

0

1

     Illness

3

5

2

5

Number of serious illnesses:

 

 

 

 

     Tuberculosis1

3

8

13

4

     HIV

6

16

16

13

     AIDS

0

0

1

1

1 Number of positive responses to test administered to inmate population for TB infection. A positive response indicates presence of TB infection, but not necessarily active TB disease. Because inmates who test positive once are no longer included in the test base, figures for subsequent years reflect only new positive responses.

Explanatory Note: David Wade Correctional Center is presently working with E. A. Conway Hospital in Monroe on a telemedicine demonstration project. Telemedicine utilizes interactive video and specialized diagnostic equipment to enable physicians who are located elsewhere to examine patients at an off-site location. (Many of Louisiana's correction institutions, including David Wade Correctional Center, are located in rural areas. Telemedicine has proven to be especially useful in rural areas and areas where transportation is problematic.) Wade/Conway clinics held thus far have included orthopedics, screening and follow-up general surgical procedures, and internal medicine. Wade staff anticipate additional applications, such as on-site emergency screening. In cases for which this is appropriate, a consultation that would require a 135-mile round trip and two trip security officers can be handled in about 45 minutes without taking inmates outside the secure perimeter of the institution. Telemedicine not only enhances efficiency and security, but it also has the potential to support recruiting efforts by enabling a physician at a relatively isolated site to interact with medical colleagues.

SOURCE OF FUNDING

This program is funded entirely with state general fund.

ANALYSIS OF RECOMMENDATION

GENERAL FUND

TOTAL

T.O.

 

DESCRIPTION

 

 

 

 

 

$2,578,755

$2,578,755

43

 

ACT 18 FISCAL YEAR 1997-1998

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$0

0

 

None

 

 

 

 

 

$2,578,755

$2,578,755

43

 

EXISTING OPERATING BUDGET - December 10, 1997

 

 

 

 

 

($41,220)

($41,220)

0

 

Non-Recurring Startup Supplies for Forcht Wade

($210,045)

($210,045)

0

 

Equipment/Major Repairs Adjustment(s) (Non-recurring: -$210,045)

$37,020

$37,020

0

 

Annualization of 1997 -'98 Merit Pay Adjustment(s)

$10,480

$10,480

0

 

1998 -'99 Merit Pay Adjustment(s)

($23,381)

($23,381)

0

 

Attrition Adjustment(s)

($8,204)

($8,204)

0

 

Retirement Rate Adjustment(s)

($26,422)

($26,422)

0

 

Reduction(s) in various Expenditure Categories; Including Reductions to fully fund Salaries

($95,674)

($95,674)

(7)

 

Reduction(s) due to the delayed opening of Forcht Wade

 

 

 

 

 

$2,221,309

$2,221,309

36

 

TOTAL RECOMMENDED

 

 

 

 

 

($357,446)

($357,446)

(7)

 

DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 86.1% of the existing operating budget. It represents 74.0% of the total request ($ 3,006,196) for this program. The decrease in the recommended level is primarily attributed to the delayed opening of Forcht Wade and the reduction of non-recurring acquisitions. Forcht Wade will begin to increase its inmate population in October of 1998. The decrease of 7 positions is due to the fact that the functions of Reception Center and the Special Needs Unit for the Elderly will be phased in causing these positions to not be needed in Fiscal Year 1999. The 7 positions will, however, be necessary in Fiscal Year 1999-2000.

PROFESSIONAL SERVICES

$434,871

 

Medical services for inmates - radiologist, psychiatrist, optometrist and physician

 

 

 

$434,871

 

TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

This program does not have funding for Other Charges for Fiscal Year 1998-1999.

ACQUISITIONS AND MAJOR REPAIRS

This program does not have funding for Acquisitions and Major Repairs for Fiscal Year 1998-1999.


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