IFSM 495 PART 3 CS

Case Study 3 – Memorandum

Brittany Perry

Health Services Management, UMGC

HMGT 495 Strategic Planning and Leadership in Healthcare

Professor Shelby Boggs

September 27, 2022

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Abstract

The need for adequate staffing arrangements must be met in order to remain complaint under the guidelines of 1976 ruling of Estelle v. Gamble. As a women only correctional facility there are special accommodations needed to provide efficient and sustainable care outside of our facility. Housing nearly 30- 60 pregnant women on any given day, we must ensure we can meet the needs of care that is outside of our facility. Implementing a plan that reduces number of offsite appointments will be the goal of this strategic plan.

memo

Southeastern Correctional Facility

To: Correctional Facility Administrator From: Brittany Perry, Case Coordinator Intern Date: September 27, 2022 Re: Strategic Planning Process

Dear Facility Administration,

During my short time here as a case coordinator intern, I have noticed an apparent need to provide our population

with adequate health resources outside of our facility. Which also requires sufficient arrangements for the availability

of staff that remain in-house, and those who travel outside of the facility to healthcare related appointments.

Currently we have a monthly occurrence of out-of-facility appointments. One of the concerns is the arrangement of

staff availability for these appointments. More than 300 offsite appointments can occur each month. Evaluating the

cost of offsite appointments, can be used in our decision-making.

Average annual cost for offsite appointments:

300+ off site appointments each month = approximately 3,600 appointments per year (300x12)

Average annual cost for health care services:

$5,720 per inmate (McKillop, 2017)

Annual cost for off site appointments x estimates annual health care services cost:

3,600 x $5,270 = $18,972,000

Reducing the number of out of facility appointments would be beneficial to our finances, and the safety of our staff.

We identified the average annual cost of offsite appointments as $18,972,000. What I am proposing is to hire more

specialty physicians. This would provide our facility with more flexibility in the safety of our staff and population, while

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maintaining adequate health care for those in need. Expanding our in-house healthcare facility can reduce the

necessity of off-site appointments. The average salary for an OB/GYN is estimated as low as $200,423 with a

consistent 40-60 work week (Rayburn et al., 2011). We may need to further research purchasing the necessary

equipment for physician to perform in-house appointments.

According to Pregnancy in Prison Statistics (PIPS) project, prisons typically neglect to provide sufficient care to

incarcerated inmates who are pregnant. Some prisons require inmates to have pre-existing arrangements for

deliveries (Unsupportive Environments and Limited Policies: Pregnancy, Postpartum, and Birth During Incarceration,

2021). We would need to look further into our state specific guidelines when evaluating the needs of the population

we serve.

My hope is to be proactive in our efforts to accommodate scheduled off-site appointments, emergency appointments,

and preventative appointments with the population we serve. We could also develop a team of staff dedicated to

strategically planning and documenting treatment requirements that may still require off-site appointments. The team

of staff will handle all aspects of accommodation, which should limit the number of staff who are pulled from in-house

positions. Staff would be qualified in areas of safety, health care support, transportation, and administration. Similar to

a tactic team that is dedicated to the organizational plan. We could advocate for additional funding from the state.

Advising of our proactive measures of accommodating the required needs of off-site appointments.

In conclusion, together we can use the information provided and collectively brainstorm the best solution to

addressing the needs of our population. Using a framework design that aligns with our facility’s mission, vision, and

goals. Evaluating the needs of our population to make the best decision that reduces cost, maintain staff safety, and

give the most adequate health care, we can strategically work together to serve as a well ran facility.

Respectfully submitted,

Brittany Perry

Case Coordinator, Intern

Reference

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Unsupportive environments and limited policies: Pregnancy, postpartum, and birth

during incarceration. (2021, August 19). Prison Policy Initiative.

https://www.prisonpolicy.org/blog/2021/08/19/pregnancy_studies/

McKillop, M. (2017, December 15). Prison Health Care Spending Varies Dramatically

by State. The Pew Charitable Trusts. https://www.pewtrusts.org/en/research-and-

analysis/articles/2017/12/15/prison-health-care-spending-varies-dramatically-by-

state

Rayburn, W. F., Fullilove, A. M., Scroggs, J. A., & Schrader, R. M. (2011, January).

Trends in salaries of obstetrics-gynecology faculty, 2000-01 to 2008-09.

American Journal of Obstetrics and Gynecology, 204(1), 82.e1-82.e6.

https://doi.org/10.1016/j.ajog.2010.08.047

Ritchey, D. (1993, March 10). A Gift for Mom. Health Marketing Quarterly, 10(1–2),

79–82. https://doi.org/10.1300/j026v10n01_06

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