o~o~a~ Kerr County Jail Medical Audit Committee April 9, 2009 . s Kerr County Jail Medical Audit Committee April 9, 2009 AGENDA 1. INTRODUCTION 2. STATISTICAL REVIEW 3. UTILIZATION REVIEW 4.PHARMACY REPORT S.C~UESTIONS AND ANSWERS 6.ADJOURN/SCHEDULE NEXT MEETING (SUGGEST JULY 22, 2009) STATISTICAL REVIEW Monthly Statistics KERR COU NTY JAI L 2009 JANUARY FEBRUARY MARCH TOTAL AVERAGE POPULATION 143 156 148 149 RECEIVING SCREENING 143 146 148 442 SICK CALL 97 91 80 268 PHYSICAN LINE 25 15 13 53 PHYSICIAN CHART REVIEWS 75 70 80 220 ER VISITS 3 12 3 18 HOSPITAL ADMISSIONS 0 0 0 0 OUTPATIENT PROCEDURES 10 3 8 21 CHRONIC CARE HYPERTENSION 3 3 4 10 DIABETES 0 3 5 8 ASTHMA 7 2 2 11 SEIZURES 1 1 1 3 INFECTIOUS DISEASE TB PLACED 70 93 58 221 # +PPD 2 1 2 5 #CXR FOR +PPD 2 1 2 5 PHARMACY # INMATES ON MEDICATION-MEDICAL 12 20 31 63 # PRESCRIPTIONS 25 43 54 122 #INMATES ON MEDICATION- PSYCHIATRIC 17 17 20 54 # PRESCRIPTIONS 27 30 30 87 NON-FORMULARY REQUESTS 0 1 4 5 APPROVED REQUESTS 0 1 4 5 C~IM Correctional Healthcare Management Medical Statistical Summary Facility Name: Kerr County Jail Year: 2009 Submitted by: Lane Gardner Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec YTD ADP Receivin Screenings Health Assessments Nursn> Sick call 97 91 80 268 Medication verification Emer enc encounters Tele hone contacts Medical Ph sician Line Ph sician Chart reviews Ph sician Emer enc encounters Mid-level Line Mid-level Chart reviews Emer enc encounters bental __ Dental Screenin s Dental Exams Dental Treatment Plans Dental Procedures Dental X-ra s Mental Health Axis One Dia noses Ps chiatrist Line Ps chiatrist Chart Review Mental Health worker encounters Mental Health Chart Review Off Site Emer enc Room referrals .~ Hos ital Admissions Clinic/Out atient referrals Procedures out atient sure etc. Chronic Diseases H ertension/CAD Diabetes Asthma/Pulmona Seizures A Division of Correctional Healthcare Companies C~IM Correctional Healthcare Management Medical Statistical Summary Facility Name: Kerr County Jail Year: 2009 Submitted by: Lane Gardner Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec YTD Si nificant Events Deaths- Total Deaths- Unex ected Deaths- Medical) Ex ected Deaths- Due to Homicide Suicide Watches Attem ted Suicides # successful Other Mental Health Watches Admitted to Observation/Infirma Medical Grievances -Total Founded -Access to Health Care Founded - Quali of Health Care On-site In'uries Inmates Staff Infectious Disease' Tuberculosis PPD laced # +PPD # CXR for +PPD # +CXR # +Conversions Active TB # on INH HIV # tests # + new He atitis A Virus # tests # + acute He atitis B Virus # tests #+ He atitis C Virus # tests #+ MSRA Sexual) ` Transmitted Diseases Gonorrhea # tests #+ Chlam dia # tests #+ S hills # tests #+ A Division of Correctional Healthcare Companies Correctional Healthcare Management Medical Statistical Summary Facility Name: Kerr County Jail Year: 2009 Submitted by: Lane Gardner Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec YTD Medications # Inmates on Medication-medical 1 # Prescri tions # Inmates on Medication- s ch #Prescri tions # Non-formula re uests # a roved # Thera eutic Diets H ertension Diabetic Cardiac Renal A Division of Correctional Healthcare Companies UTILIZATION REVIEW o~ o d o 00 0 0 ~o o m d n~ .~ oo d o in m m .~ oo m N m o o d o .n ~o 0 0 o m M~ M o o m M ~n m~ M o o m a, N !~ N 0p N N O N 1~ N m M Vl 1~ d m 1~ m Ol ~!1 h 1~ Ol Ol ~ O~ N N h N 00 N N N N M OO m d N N O N m ~/1 d~ N~ h 1~ m N N N M N N N N M N m O N t0 N t~ (~ i~ ~O e-1 M N N .-1 f~ r-1 N n N d d N N N N N N N N N N ~y NNN N N 'y` N N N N N N N N N n n N N N N N N N N Q1 m U C C C C G m m ~ % ~X ~X ~X ~X H N '~ v v a v v v a n v v v v d v v ~^ a a a a a a a ~ ~ i~ > ;~ vvv vvvav~v~vvvv~v~~~ ~vv~~v v~v~~ v~~vv~vv oa~ooo ooaoooeo00000pOpOVOpOOp0~00000 OOOpOppp ~ ~' a ~' a n 'c o. a s °i a s o. n a a n o. a s c a a n a a a 'c n a$ n a a 'c a a n a a L a a a n a a a n ~ 'm n A a n w a a a L a a n n a a o. a n a a a a a a a a d n a a n a o. m a a a n n a a n n a a n n ~:, O a o a a o a a a o a a a a a a a a a a a a a a a a a o a a a a a a o a a a a a o a a a a a a a a a, E ~o z .o J m C ~ C C_ C C C C_ C C C C C C C C C C C C C C C C C C C_ C C C_ C C C_ G C C C C G C C C C C C C C C C C ~' Z z z z z 2 2~ Z Z Z Z Z 2 Z Z 2 2 2 2 2 2 Z 2 Z 2 Z Z 2 Z 2 Z 2 .2 ~2 .~ .Z ~2 ~2 .2 .~ 2 .~ ~2 ~2 ~2 2 2 v to m m m a fo m m ~o m ~a m ~a to io is m m m m ~a m m ~o m io m eo ~a m m io ~o m eo m m io m m m a m ~a io m (o ¢ a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a n a a a 0 0, m o, o, o, rn a, o, o, m m m a, o, a, m o, a, a, rn rn o, o, a, o, o, o, o, 0 0 °o o °o o °o ~ °o o °o o °0 0 0 °o °o g o o °o o °o o °0 0 0 °o ~ N N N N N N N N N N N N N N N N N N N N N N N N N N N N N W \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ > O1 00 1~ d N O O H 00 tp ~ ~p 1~ d d N N N 1~ 1~ O N O n n n M 1~ ~ O '\y \ ti ~"~ r-1 N N N \ \ \ '~'~ ~ ~ ~ \ \ ~ N N N ~ N N \ \ \ 'y 'y N N N N '-I N N N ~-i Q ~ ~ \ \ \ M M M \ \ \ \ \ \ \ \ \ \ \ n N N N N N N N N M M M M M M a O Ol Ol O1 M Ol 01 O1 Ol O\ O) Ol Ol O1 Ol OI Ol Ol 01 O1 Ol 01 01 Ol Ol Ol Ol T Ol ~ Ol 01 Ol Ol O1 O1 O1 Ol Ol O\ Ol Ol O) O1 OI Ol Ol Ol 01 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0$ o 0 o g o0 0 °o °o °0 0 0 °o S$ o °o ~$ o 0 0° °o o °o °o °0 0 0 °o g 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N ti \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ ~ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ V1 1~ W m N M~ V1 N M M 1~ O N O .-1 M M d Ol ~-1 N M d d d ul u1 I~ n N N N O1 01 N M tp l0 O O M d d t11 f~ O \\\ ~\ .-1 .y N N N N N M\ .-I N ey H N e.y .-1 N N N N N N N N N N\\\\\ ry ~y .y .y ry N N N N N N M '~ ~ ~ .-i .\i \ ~ ~ \ ~ \ \ ~ N \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ M M M M M \ \ \ \ \ \ \ \ \ \ \ ~ ~ .ti ti N N N N N N N N N N N N N N N N N M tvf M M M M M M M M M M Vl O O A O r H r~ hxv FV F F H F F Fv F F H F Fes- ~ F IV Fes- F F~ F F~- F F H- ~ !x- F F-_ !-. 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