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CALIFORNIA HEALTH CARE FACILITY

STOCKTON, CALIFORNIA

CA-NV CORRECTIONAL HEALTH SERVICES ASSOCIATION

WELCOME

CA-NV CHAPTER MULTIDISCIPLINARY CORRECTIONAL HEALTHCARE CONFERENCE

PARTICIPANTS OF THE NOVEMBER 2013

CALIFORNIA HEALTH CARE FACILITY

Agendao Overviewo Collaboration of Agencieso Medical Serviceso Mental Health Serviceso Key Factors for Success

CALIFORNIA HEALTH CARE FACILITY

CHCF is a licensed healthcare facility designed to provide care for patients who require acute and long term care for medical or psychiatric needs.

CALIFORNIA HEALTH CARE FACILITY

o Opened July 2013o On Schedule

o $839 million facility o 1.2 million sq ft o 54 buildings o Over 2,500 employees

Overview

INMATE-PATIENT CENSUS

Census Goal by December 2013

o 1,818 patients

Current Census as of Oct. 30, 2013o 914 patients

CALIFORNIA HEALTH CARE FACILITY

Collaboration of AgenciesCalifornia Department of Corrections & Rehabilitation

California Correctional Health Care Services

California Department of State Hospitals

CALIFORNIA DEPARTMENT OF CORRECTIONS & REHABILITATION

Warden

Chief Deputy Warden

EEO/Labor Relations

Disciplinary Officer

Security/Investigations

Lieutenant

CALIFORNIA CORRECTIONAL HEALTH CARE SERVICES

Chief Executive Officer, Health Care

Receiver’s Medical Executive

Chief of Mental Health Services

Receiver’s Nursing Executive

Dental Health Program Manager III

CALIFORNIA DEPARTMENT OF STATE HOSPITALS

DSH-Stockton o 931 employeeso 514 licensed, Joint

Commission Accredited inpatient beds

o Acute and Intermediate levels of care.

MEDICAL SERVICESo 21 Primary Care Board

Certified Physicians when fully staffed.

CHCF MEDICAL SERVICES

NURSING SERVICESClinical Staffingo SRN III -4o SRN II – 27o PSYCH TECH – 20o PHN I & II – 2o LVN – 114o CNA - 202

CHCF MEDICAL SERVICES

MENTAL HEALTH SERVICES CLINICAL STAFFINGo Staff Psychiatrists – 19o Clinical Psychologists – 25.8o Clinical Social Worker – 6.8o Recreational Therapists – 13.4

CHCF MEDICAL SERVICES

DENTAL SERVICESCLINICAL STAFFINGo Dentists– 3o Dental Hygienist– 1o Dental Assistants – 4

CHCF MEDICAL SERVICES

Dietary Serviceso State of the Art Therapeutic Diet Kitcheno Accommodates special medical & religious diets.o Food & Nutrition Management Software

(FNMS). o Over 321 renal diets served daily

CHCF MEDICAL SERVICES

MEDICAL SERVICESo Telemedicineo 29 bed Dialysis unito Standby Emergency Medical

Serviceso Procedure Centero Lab, Radiology, Pharmacy

CHCF MEDICAL SERVICES

DEWITT NELSONCORRECTIONAL ANNEX o Slated to open April 2014

o $173 million construction o 1,133 bed, Level II State Prisono Medical & Mental Health

Services

CHCF MEDICAL SERVICES

CHCF MEDICAL SERVICES

SAN JOAQUIN GENERAL HOSPITAL $2.2 million securely guarded ward, constructed at SJGH for inmate-patients who require surgery or a higher level of care.

KEY FACTORS TO SUCCESS

o Leadershipo Partnership

o Community SupportoQuality Management

o Acculturationo Inter-Departmental Process Training

LEADERSHIP

Critical during activation and in continuing CHCF’s vision and mission.

KEY FACTORS TO SUCCESS

o Emergency Supply Ordero Prioritization of Resourceso Shared Resources

APPROPRIATE ALLOCATION OF RESOURCES

PARTNERSHIPState Licensing Liaisonso The Joint Commission o California State Fire Marshallo United States Environmental Protection Agencyo Board of Pharmacy Specialistso Community Care Licensing Division o California Department of Social Services

PARTNERSHIP

Partnership with San Joaquin Delta College: With funding from California Prison Health Care Services San Joaquin Delta College expanded its accredited psychiatric technician program to be able to fill required CHCF positions. San Joaquin Delta College ramped up its program over three to four years to graduate 270 students in the contract term.

SAN JOAQUIN DELTA COLLEGE

COMMUNITY SUPPORT o Over $3 million contribution to roadway

improvementso More than $690,000 direct contribution to

schoolso More than $690,000 direct contribution to

governmento Estimated $1 million in sales taxes to San Joaquin

County from purchase of construction materials.

KEY FACTORS TO SUCCESS

Quality Assurance process at all stages of development.

QUALITY MANAGEMENT

ACCULTURATION

o Focus on Trainingo Integration of Systems with

Interagency Policieso Cultivation of a Safety Cultureo Quality Management

KEY FACTORS TO SUCCESS

o Collaboration & Synergyo Engage & Involve Employeeso Importance of Feedbacko Maintain Clarity of Mission

STAFF COMMUNICATION

KEY FACTORS TO SUCCESS

o Interdepartmental Process Trainingo Multi-departmental & Multi-disciplinary

Collaborationo Interdisciplinary Treatment Model

o A-WRP: Admission-Wellness and Recovery Plano IDTT: Inter-Disciplinary Treatment Team o CCAT: Coordinated Clinical Assessment Team

TRAINING

ACRONYMN LIST EXAMPLES

The past, the present and the future are really one: they are today. -Harriet Beecher Stowe

CA-NV CORRECTIONAL HEALTH SERVICES ASSOCIATION

THANK YOU

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