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Uncommon Ground Robert B. Greifinger, MD Workshop on Health and Incarceration December 5, 2012

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Page 1: Uncommon Ground - sites.nationalacademies.org · Moller L. Health in prisons: a WHO guide to the essentials in prison health. WHO 2007. Greifinger RB, Thirty years since Estelle v

Uncommon Ground

Robert B. Greifinger, MD Workshop on Health and Incarceration

December 5, 2012

Page 2: Uncommon Ground - sites.nationalacademies.org · Moller L. Health in prisons: a WHO guide to the essentials in prison health. WHO 2007. Greifinger RB, Thirty years since Estelle v

Litigation-driven prison health care

Page 3: Uncommon Ground - sites.nationalacademies.org · Moller L. Health in prisons: a WHO guide to the essentials in prison health. WHO 2007. Greifinger RB, Thirty years since Estelle v
Page 4: Uncommon Ground - sites.nationalacademies.org · Moller L. Health in prisons: a WHO guide to the essentials in prison health. WHO 2007. Greifinger RB, Thirty years since Estelle v
Page 5: Uncommon Ground - sites.nationalacademies.org · Moller L. Health in prisons: a WHO guide to the essentials in prison health. WHO 2007. Greifinger RB, Thirty years since Estelle v
Page 6: Uncommon Ground - sites.nationalacademies.org · Moller L. Health in prisons: a WHO guide to the essentials in prison health. WHO 2007. Greifinger RB, Thirty years since Estelle v

Structural Challenges

Page 7: Uncommon Ground - sites.nationalacademies.org · Moller L. Health in prisons: a WHO guide to the essentials in prison health. WHO 2007. Greifinger RB, Thirty years since Estelle v

Structural Challenges

Page 8: Uncommon Ground - sites.nationalacademies.org · Moller L. Health in prisons: a WHO guide to the essentials in prison health. WHO 2007. Greifinger RB, Thirty years since Estelle v

Structural Challenges

Page 9: Uncommon Ground - sites.nationalacademies.org · Moller L. Health in prisons: a WHO guide to the essentials in prison health. WHO 2007. Greifinger RB, Thirty years since Estelle v

Structural Challenges

Page 10: Uncommon Ground - sites.nationalacademies.org · Moller L. Health in prisons: a WHO guide to the essentials in prison health. WHO 2007. Greifinger RB, Thirty years since Estelle v

Structural Challenges

Page 11: Uncommon Ground - sites.nationalacademies.org · Moller L. Health in prisons: a WHO guide to the essentials in prison health. WHO 2007. Greifinger RB, Thirty years since Estelle v

Structural Challenges

Page 12: Uncommon Ground - sites.nationalacademies.org · Moller L. Health in prisons: a WHO guide to the essentials in prison health. WHO 2007. Greifinger RB, Thirty years since Estelle v

Structural Challenges

Page 13: Uncommon Ground - sites.nationalacademies.org · Moller L. Health in prisons: a WHO guide to the essentials in prison health. WHO 2007. Greifinger RB, Thirty years since Estelle v

Structural Challenges

Page 14: Uncommon Ground - sites.nationalacademies.org · Moller L. Health in prisons: a WHO guide to the essentials in prison health. WHO 2007. Greifinger RB, Thirty years since Estelle v

Poor performing systems lack . . .

Page 15: Uncommon Ground - sites.nationalacademies.org · Moller L. Health in prisons: a WHO guide to the essentials in prison health. WHO 2007. Greifinger RB, Thirty years since Estelle v

Poor performing systems lack . . .

Page 16: Uncommon Ground - sites.nationalacademies.org · Moller L. Health in prisons: a WHO guide to the essentials in prison health. WHO 2007. Greifinger RB, Thirty years since Estelle v

Poor performing systems lack . . .

Page 17: Uncommon Ground - sites.nationalacademies.org · Moller L. Health in prisons: a WHO guide to the essentials in prison health. WHO 2007. Greifinger RB, Thirty years since Estelle v

Poor performing systems lack . . .

Page 18: Uncommon Ground - sites.nationalacademies.org · Moller L. Health in prisons: a WHO guide to the essentials in prison health. WHO 2007. Greifinger RB, Thirty years since Estelle v

Poor performing systems lack . . .

Page 19: Uncommon Ground - sites.nationalacademies.org · Moller L. Health in prisons: a WHO guide to the essentials in prison health. WHO 2007. Greifinger RB, Thirty years since Estelle v

Poor performing systems typically have . . .

Page 20: Uncommon Ground - sites.nationalacademies.org · Moller L. Health in prisons: a WHO guide to the essentials in prison health. WHO 2007. Greifinger RB, Thirty years since Estelle v

Poor performing systems have . . .

Page 21: Uncommon Ground - sites.nationalacademies.org · Moller L. Health in prisons: a WHO guide to the essentials in prison health. WHO 2007. Greifinger RB, Thirty years since Estelle v

Poor performing systems have . . .

Page 22: Uncommon Ground - sites.nationalacademies.org · Moller L. Health in prisons: a WHO guide to the essentials in prison health. WHO 2007. Greifinger RB, Thirty years since Estelle v

Poor performing systems have . . .

Page 23: Uncommon Ground - sites.nationalacademies.org · Moller L. Health in prisons: a WHO guide to the essentials in prison health. WHO 2007. Greifinger RB, Thirty years since Estelle v

Poor performing systems have . . .

Page 24: Uncommon Ground - sites.nationalacademies.org · Moller L. Health in prisons: a WHO guide to the essentials in prison health. WHO 2007. Greifinger RB, Thirty years since Estelle v
Page 25: Uncommon Ground - sites.nationalacademies.org · Moller L. Health in prisons: a WHO guide to the essentials in prison health. WHO 2007. Greifinger RB, Thirty years since Estelle v

Why not use evidence?

Page 26: Uncommon Ground - sites.nationalacademies.org · Moller L. Health in prisons: a WHO guide to the essentials in prison health. WHO 2007. Greifinger RB, Thirty years since Estelle v

High-performing U.S. community health systems are . . .

Page 27: Uncommon Ground - sites.nationalacademies.org · Moller L. Health in prisons: a WHO guide to the essentials in prison health. WHO 2007. Greifinger RB, Thirty years since Estelle v

High-performing U.S. community health systems have . . .

Page 28: Uncommon Ground - sites.nationalacademies.org · Moller L. Health in prisons: a WHO guide to the essentials in prison health. WHO 2007. Greifinger RB, Thirty years since Estelle v

High-performing U.S. community health systems have . . .

Page 29: Uncommon Ground - sites.nationalacademies.org · Moller L. Health in prisons: a WHO guide to the essentials in prison health. WHO 2007. Greifinger RB, Thirty years since Estelle v

High-performing U.S. community health systems have . . .

Page 30: Uncommon Ground - sites.nationalacademies.org · Moller L. Health in prisons: a WHO guide to the essentials in prison health. WHO 2007. Greifinger RB, Thirty years since Estelle v

High-performing U.S. community health systems have . . .

Page 31: Uncommon Ground - sites.nationalacademies.org · Moller L. Health in prisons: a WHO guide to the essentials in prison health. WHO 2007. Greifinger RB, Thirty years since Estelle v

High-performing U.S. community health systems have . . .

Page 32: Uncommon Ground - sites.nationalacademies.org · Moller L. Health in prisons: a WHO guide to the essentials in prison health. WHO 2007. Greifinger RB, Thirty years since Estelle v

High-performing U.S. community health systems have . . .

Page 33: Uncommon Ground - sites.nationalacademies.org · Moller L. Health in prisons: a WHO guide to the essentials in prison health. WHO 2007. Greifinger RB, Thirty years since Estelle v

Affordable Care Act Opportunities for Change?

Page 34: Uncommon Ground - sites.nationalacademies.org · Moller L. Health in prisons: a WHO guide to the essentials in prison health. WHO 2007. Greifinger RB, Thirty years since Estelle v

References

Moller L. Health in prisons: a WHO guide to the essentials in prison health. WHO 2007. Greifinger RB, Thirty years since Estelle v. Gamble, in Greifinger, RB (ed), Public health behind bars: from prisons to communities. Springer 2007; 4-8.