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CORRECTIONAL MANAGED HEALTH CARE
COMMITTEE
AGENDA
September 16, 2020
10:00 a.m.
Conference Call Dial In: (877) 226-9790 Access Code: 1101666
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CORRECTIONAL MANAGED HEALTH CARE COMMITTEE September 16, 2020
10:00 a.m.
Conference Call Dial in Number: (877) 226-9790
Access code: 1101666
I. Call to Order
II. Recognitions and Introductions
III. Consent Items
1. Approval of Excused Absences
2. Approval of CMHCC Meeting Minutes, June 17, 2020
3. TDCJ Health Services Monitoring Reports- Operational Review Summary Data- Grievance and Patient Liaison Statistics- Preventive Medicine Statistics- Utilization Review Monitoring- Capital Assets Monitoring- Accreditation Activity Summary- Active Biomedical Research Project Listing- Restrictive Housing Mental Health Monitoring
4. University Medical Directors Reports- Texas Tech University Health Sciences Center- The University of Texas Medical Branch
5. Summary of CMHCC Joint Committee / Work Group Activities
IV. Update on Financial Reports
V. Medical Directors Updates
1. Texas Department of Criminal Justice- Health Services Division Fiscal Year 2020 Third Quarter Report
2. Texas Tech University Health Sciences Center
3. The University of Texas Medical Branch
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CMHCC Agenda (Continued) September 16, 2020 Page 2
VI. Update on the CMHCC Joint Pharmacy & Therapeutics Committeeand an Overview of Pharmacy OperationsStephanie Zepeda, Pharm.D., Director, Pharmacy ServicesUTMB Correctional Managed Care
VII. Public Comments
VIII. Adjourn
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Consent Item
Approval of CMHCC Meeting Minutes
June 17, 2020
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CORRECTIONAL MANAGED HEALTH CARE COMMITTEE
June 17, 2020
Chairperson: Robert D. Greenberg, M.D
CMHCC Members Present: Cynthia Jumper, M.D., Lannette Linthicum, M.D., CCHP-A, FACP, F. Parker Hudson III, M.D., Preston Johnson, Jr.,
Philip Keiser, M.D., Erin Wyrick, John Burruss, M.D., Jeffrey Beeson, D.O., Dee Budgewater
CMHCC Members Absent: None
Location: Teleconference – (877) 226-9790, Access Code: 5032791
Agenda Topic / Presenter Presentation Discussion Action
I. Call to Order
- Dr. Robert Greenberg
II. Recognitions and
Introductions
- Dr. Greenberg
Dr. Robert Greenberg called the Correctional Managed
Health Care Committee (CMHCC) meeting to order at 10:00
a.m. then called roll and noted that a quorum was present on
the line, and the meeting would be conducted in accordance
with Chapter 551 of the Texas Government Code, the Open
Meetings Act.
Dr. Greenberg acknowledged that all wishing to offer public
comment must be registered and would be allowed a three-
minute time limit to express comments. There were no public
members on the line wishing to register to offer public
comment.
Dr. Greenberg welcomed and thanked everyone for being in
attendance. He then moved on to recognitions and
introductions.
Dr. Greenberg announced that Dr. Rodney Burrow resigned
as presiding officer of the CMHCC, and the Governor has
appointed him to the Texas Board of Criminal Justice. Dr.
Greenberg shared that he is the Vice President and Chief
Medical Officer of Emergency Services, Baylor Scott &
White Health and was appointed by the Governor to serve the
remainder of Dr. Burrow’s term as the presiding officer of the
CMHCC. Dr. Greenberg shared that he is a native Texan;
however, he was raised in Louisiana and he returned to Texas
after his residency. He has been with Baylor, Scott & White
for 26 years.
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II. Recognitions and
Introductions (cont.)
- Dr. Greenberg
Dr. Greenberg shared that he has served on and chaired the
Governor’s EMS and Trauma Advisory Council. Dr.
Greenberg concluded by stating he is looking forward to
working on the committee.
Dr. Greenberg announced that Dr. Ben Raimer has resigned
from the CMHCC. Dr. Raimer, in his role as the University of
Texas Medical Branch (UTMB) President, ad interim, has
appointed Dr. Philip Keiser, Professor, Division of Infectious
Diseases, Internal Medicine to serve on the committee as the
physician representative for UTMB. Dr. Greenberg welcomed
Dr. Keiser to the committee.
Dr. Cynthia Jumper, VP Health Policy & Special Health
Initiatives Texas Tech University Health Sciences Center
(TTUHSC) Correctional Managed Care (CMC) recognized
Mike Jones, Director of Nursing Services who retired June 12,
2020 with 30 years of service and Dr. Guillermo Garcia,
Director of Psychiatry and Behavioral Health who is resigning
effective June 30, 2020. Dr. Jumper introduced Dr. Shirley
Marks who will assume the role of Director of Psychiatry and
Behavioral Health effective July 1, 2020 and Dr. Melinda
Schalow, Southern Regional Medical Director.
Dr. Owen Murray, UTMB CMC Offender Care Services
recognized Dr. Susan Morris, Medical Director of
Telemedicine who retired May 30, 2020 with 25 years of
service.
Dr. Lannette Linthicum recognized Dr. Keiser for his ongoing
public health and infectious disease consultation to the Joint
Medical Directors during the COVID-19 pandemic.
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III. Approval of Consent Items
- Dr. Greenberg
- Approval of Excused
Absences
- Approval of CMHCC
Meeting Minutes –
December 4, 2019
- Approval of TDCJ
Health Services
Monitoring Report
- University Medical
Directors Reports
- TTUHSC
- UTMB
- Summaries of CMHCC
Joint Committee / Work
Groups Activities
Dr. Greenberg next moved on to agenda item III approval of
consent items.
Dr. Greenberg stated that the following five consent items
would be voted on as a single action:
The first consent item was the approval of excused absences-
from the December 4, 2019 meeting – Dr. Ben Raimer and
Erin Wyrick
The second consent item was the approval of the CMHCC
meeting minutes from the December 4, 2019 meeting. Dr.
Greenberg asked if there were any corrections, deletions or
comments. Hearing none, Dr. Greenberg moved on to the
third consent item.
The third consent item was the approval of the Fiscal Year
2020 First and Second Quarter Texas Department of Criminal
Justice (TDCJ) Health Services Monitoring Report. There
were no comments or discussion of these reports.
The fourth consent item was the approval of the Fiscal Year
2020 First and Second Quarter University Medical Directors
Report. There were no comments or discussion of these
reports.
The fifth consent item was the approval of the Fiscal Year
2020 First and Second Quarter summaries of the CMHCC
Joint Committee/Work Groups Activities. There were no
comments or discussion of these reports.
Dr. Greenberg then called for a motion to approve the consent
items.
Dr. Jumper made a motion
to approve all consent
items, and Dr. Jeffrey
Beeson seconded the
motion which prevailed by
unanimous vote.
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III. Approval of Consent Items
(cont.)
- Dr. Greenberg
IV. Update on Financial
Reports
- Rebecca Waltz
Dr. Greenberg next called on Ms. Rebecca Waltz to present
the financial report.
Ms. Waltz reported on statistics for the Second Quarter of
Fiscal Year (FY) 2020, as submitted to the Legislative Budget
Board (LBB). The report was submitted in accordance with
the General Appropriations Act, Article V, Rider 43. Details
of Ms. Waltz report may be found in Tab B in your CMHCC
agenda book and are also posted on the CMHCC website.
Ms. Waltz answered that prior years have been less. A spend-
forward request has been prepared and submitted to the
Governor’s Office and the Legislative Budget Board that will
allow funds from FY21 to be used to cover this anticipated
FY20 shortfall. This will also let them know that moving
forward into the next legislative session a supplement
appropriation will be required.
Dr. Greenberg asked how the items in the
Monitoring Report under Operational Review
that show red or below the compliance threshold
are addressed.
Dr. Linthicum answered that within the Health
Services Division is an Office of Health
Services Monitoring. For any areas of non-
compliance, the unit is required to submit a
Corrective Action Plan (CAP) to this office to
address those areas. The CAP is then staffed and
either approved or disapproved. If approved, it
is closed out. If it is not approved, it sent back to
the unit for additional action until there is an
acceptable CAP in place.
Dr. Beeson asked about blank items in the
monitoring report and whether this would
indicate a zero for that field.
Dr. Linthicum answered that may indicate no
data and those items will be checked. In the
future, that will be more clearly defined.
Dr. Greenberg asked how the projected 100.7
million shortfall compares to previous shortfalls.
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IV. Update on Financial
Reports (cont.)
- Ms. Waltz Ms. Waltz answered yes, they are required to submit cost
savings initiatives to the legislature. The universities
continuously take measures to reduce costs.
Mr. Preston Johnson, Jr. asked if there are cost
saving measures being looked at.
Dr. Parker Hudson added that supplemental
funding may be an issue with budgets in the state
that they are currently in.
Dr. John Burruss asked about the pressure on the
universities. The care and therefore the costs are
inescapable. The population is aging and the
portion of those whose care is most costly is
increasing.
Dr. Murray answered that is all correct.
Historically, the supplemental requests have
been approved and the deficits covered.
However, this amount does continue to grow. It
is really during the last six months when the
university has to assist with funding. This
session will be a challenge with budgets as they
are due to COVID-19. Cost saving initiatives are
ongoing. The 340b program represents their
largest cost savings to the state. Dr. Murray
shared reducing staff would reduce service
levels and they have still not recovered fully
from the last reduction in force (RIF). They try
to save by using technologies; using
telemedicine; using the electronic health record;
using reporting platforms to provide the best
care and keep patients as healthy as possible.
Dr. Jumper concurred with Dr. Murray.
Dr. Linthicum shared that in May the Governor,
Lt. Governor and the Speaker issued a letter to
state agencies requesting a 5% reduction in their
funding levels for the next biennium. TDCJ
requested that an exemption be made for
correctional managed health care.
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VI. Medical Director’s Updates
- TDCJ – Health
Services Division FY
2020 Second Quarter
Report
-Dr. Lannette Linthicum
- Texas Tech University
Health Sciences
Center
- Dr. Cynthia Jumper
Dr. Greenberg thanked Ms. Waltz and then called on Dr.
Linthicum to present the Fiscal Year 2020 Second Quarter
TDCJ Medical Director’s Report.
Dr. Linthicum began by explaining that the Managed Health
Care statute 501.150 requires TDCJ to do four things
statutorily; ensure access to care, conduct periodic operational
reviews or compliance audits, monitor the quality of care and
investigate health care complaints. The Medical Director’s
Report is a summary of those activities and may be found in
Tab C in your CMHCC agenda book and is also posted on the
CMHCC website.
Dr. Linthicum answered, yes, all direct patient care is
provided by the universities. There is a program in the Reentry
and Integration Division (RID) called the Texas Correctional
Office on Offenders with Medical or Mental Impairments
(TCOOMMI) who receive an appropriation from legislature
for continuity of care services. They provide services along
the continuum of corrections, including pre-adjudication, jail,
prisons and parole. The universities coordinate with
TCOOMMI for the placement of behavioral health patients as
part of their continuity of care plan. All unit-based care is
provided by the universities and includes approximately 2,000
inpatient psych beds at 4 facilities and approximately 24,000
patients on the outpatient caseload. The universities also
participate in civil commitments.
Dr. Greenberg thanked Dr. Linthicum and then called on Dr.
Jumper to present the report for TTUHSC.
Dr. Jumper stated that she had nothing further to report.
Dr. Greenberg asked if all behavioral health care
is provided by the universities. He asked if they
utilize any of the state behavioral health services
for continuity of care.
Dr. Joseph Penn, UTMB Director of Mental
Health Services shared that he is available to any
member who would like additional information
about behavioral health at TDCJ facilities. He
stated they provide patients with full access to
care while they are in the system.
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VI. Medical Director’s Updates
(cont.)
- University of Texas
Medical Branch
- Dr. Owen Murray
VII. Pandemic Response
- Dr. Linthicum
Dr. Greenberg thanked Dr. Jumper and then called on Dr.
Murray to present the report for UTMB.
Dr. Murray stated that he had nothing further to report.
Dr. Greenberg thanked Dr. Murray and then called on Dr.
Linthicum to begin the presentation on the pandemic
response.
Dr. Linthicum stated her report would focus on the TDCJ
pandemic response. Historically, and to give a timeline of
some key events; In January, Dr. Olugbenga Ojo, Chief
Medical Officer and Chief Physician Executive for Hospital
Galveston (HG) sent out an email advising that the UTMB
had created a corona virus task force in light of the virus in
China and the confirmed cases in the USA. This task force
included participants from the Centers for Disease Control
and Prevention (CDC) and UTMB’s emergency response
team. In February, Dr. Ojo organized a meeting with the
CMHCC Joint Medical Directors, Dr. Philip Keiser and Dr.
Janak Patel to address coronavirus within the correctional
managed health care program. In March, daily conference
calls with the Department of State Health Services (DSHS)
and Texas Division of Emergency Management (TDEM)
began. Also, in March, Dr. Linthicum hosted a meeting that
included representation from all divisions within TDCJ and
the universities. At this meeting she presented a Pandemic Flu
Plan and an extensive action list for the agency was created.
Following this meeting, the TDCJ Executive Director put out
a mandate for all divisions titled Procedures Implemented in
Response to COVID-19. On March 16th, the TDCJ Command
Center was activated and is still ongoing. Also, in March,
meetings were held with the Correctional Institutions Division
(CID) and the Manufacturing, Agribusiness and Logistics
Division (MAL) to coordinate distribution of the personal
protective equipment (PPE). Dr. Linthicum reported that due
to previous experience with the H1N1 pandemic, a stockpile
of PPE had been maintained. The first COVID-19 specific
policy was formulated March 20th and currently, this policy is
on its sixth revision. Collaboration has been ongoing with
DSHS and Dr. Keiser.
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VII. Pandemic Response (cont.)
- Dr. Linthicum
Dr. Linthicum stated that originally the state guidelines for
testing had to be followed. In March, the UTMB requested
deviation from these testing guidelines to conduct focused
testing of targeted vulnerable populations. This request for
deviation from the state guidelines was made to and approved
by DSHS.
Dr. Linthicum reported shortly after the UTMB began
targeted testing, Bryan Collier, TDCJ Executive Director was
advised that adequate supplies were available through TDEM
for mass testing. Mass testing began on May 11th and as of
June 15th 107,684 offenders had been tested with 7,445
positive results. 54 parolees in residential facilities have been
tested, with 54 positive results. For employees tested the
numbers are; TDCJ 30,769 tested with 970 positive; 6 Board
of Pardons and Paroles with 2 positive; 14 Windham School
District with 2 positive; 465 UTMB with 78 positive; 121
TTUHSC with 27 positive and 172 other contract staff and
community facilities with 37 positive.
Dr. Linthicum shared that as of June 15th 4 staff members and
74 offenders are hospitalized due to COVID-19 and 8
employees have died. As of June 16th, 93 offender deaths are
presumed to be COVID-19 related.
Dr. Linthicum reported that as of June 15th there are 18,653
offenders on medical restriction. 18,452 are on preventative
medical restriction due to positive case. These offenders will
be removed from restriction within 14 days from their
potential exposure provided that they remain symptom free.
201 are on preventative medical restriction due to exposure to
suspected cases with results pending. These offenders will be
removed from restriction as negative test results are received.
There are 31 units currently on lockdown due to COVID-19
positive offenders or employees.
Dr. Linthicum reported that the agency continues to receive
additional PPE from TDEM.
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VII. Pandemic Response (cont.)
- Dr. Linthicum
VII. Pandemic Response
- Dr. Murray
VII. Pandemic Response
- Dr. Olugbenga Ojo
Dr. Linthicum reported that CMC established family member
hotlines in the TDCJ Health Services Patient Liaison Program
for third parties and UTMB and TTUHSC for family
members. These hotlines are specifically for COVID-19.
They are all staffed by registered nurses. In addition to these
call-in lines, the Chaplaincy Program and others assigned to
the Rehabilitations Programs Division have made over 68,000
calls to family members of offenders whose units are on
lockdown. The TDCJ is also hosting family member and
advocacy group conference calls weekly.
Dr. Greenberg thanked Dr. Linthicum and called on Dr.
Murray to present the pandemic response for the UTMB.
Dr. Murray stated he would like to avoid duplicating
information already provided by Dr. Linthicum. He shared
that workloads have increased for both security and health
care staff. For offenders in medical restriction and isolation,
temperatures must be taken, and rounding must be conducted.
Dr. Murray stated HG has played a pivotal role in the
pandemic response. Dr. Murray introduced Dr. Olugbenga
Ojo and invited him to provide highlights regarding Hospital
Galveston’s pandemic response.
Dr. Ojo began by explaining that Hospital Galveston is the
only freestanding prison hospital in the nation, it is unique.
Dr. Ojo reported that to date there have been 341 admissions
and 210 discharges. There are 50 patients today hospitalized
with COVID-19 related issues, 15 of those are in intensive
care and 11 of those 15 are on mechanical ventilation. In May,
Remdesivir antiviral agent was approved for use by the FDA
and 27 patients have received this treatment and 25 patients
have received convalescent plasma therapy. The COVID-19
patient population have had longer length of stay. The length
of stay (LOS) ranges between 10 to 58 days.
Dr. Ojo stated offsite numbers are low to mid-twenties
currently. Outpatient face-to-face encounters have been
significantly reduced. Patients are being seen instead through
telemedicine.
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VII. Pandemic Response (cont.)
- Dr. Olugbenga Ojo
VII. Pandemic Response
- Dr. Jumper
Dr. Ojo reported ambulatory face-to-face specialty clinics on
a smaller scale are scheduled to resume June 22, 2020.
Appropriate precautions have been put in place to
accommodate this through a collaborative effort between
CMC and the TDCJ CID. Every admit to HG is tested for
COVID-19. All patients will be in surgical mask prior to
departure from their units, all HG staff will be in surgical
mask as well. Dr. Ojo stated they have been able to change the
staffing ratio to accommodate the pandemic. They have also
been fortunate to have Dr. Keiser as a partner and resource
throughout the pandemic. Dr. Ojo asked Dr. Keiser to speak
to where we are with this pandemic.
Dr. Greenberg thanked Dr. Ojo and then called on Dr. Jumper
to present the pandemic response for TTUHSC.
Dr. Jumper reported that they have designated their Regional
Medical Facility (RMF) and infirmary clinics as repositories
for the COVID patients that have required more extensive
monitoring. The groups that have been the most effected in
the sector are in El Paso, Abilene, Amarillo and Lamesa. Dr.
Jumper stated that she believes we need to start thinking about
our post COVID-19 plans as it relates to some of the higher
acuity patients. They currently have 4 hospitalizations in the
sector, 2 in Amarillo and 2 in Lubbock. There have been 10-
11 deaths.
Dr. Keiser stated the TDCJ has done an
outstanding and remarkable job in responding to
this pandemic. There was so much unknown
about this disease, and plans had to be
developed. They built an Intensive Care Unit
(ICU) for COVID-19 patients and those patients
are receiving Remdesivir. UTMB now has an
experienced staff to treat COVID.
Dr. Hudson asked about testing strategies and as
the cases increase is there a plan in place to
handle that.
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VII. Pandemic Response (cont.)
VIII. Public Comments
- Dr. Greenberg
IX. Adjourn
Dr. Linthicum answered that yes, we have access to additional
tests through TDEM. The Joint Medical Directors are
continuously developing strategies to deal with current and
future needs. Strategies follow CDC Guidelines and
consultation with Dr. Keiser. Of particular concern is the
long-term care facilities, geriatric and sheltered housing.
Surveillance testing continues.
Dr. Linthicum stated that they have used the guidelines that
the CDC published for recommendations for corrections.
They continue to collaborate with state and local public health
authorities. At this point, we have conducted more testing than
any other jurisdiction.
Dr. Greenberg thanked Dr. Linthicum, Dr. Jumper and Dr.
Ojo and then noted that in accordance with the CMHCC
policy, during each meeting the public is given the
opportunity to express comments. He asked if there was
anyone on the line wishing to express comments. Hearing
none, he next moved on to meeting adjournment.
Dr. Greenberg next called for a motion to adjourn the meeting.
Dr. Hudson asked where we stand when
compared to what other states are doing in the
prison setting.
Dr. Linthicum made a
motion to adjourn the
meeting, and Dr. Jumper
seconded the motion
which prevailed by
unanimous vote.
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________________________________________ _______________________________________
Robert D. Greenberg, M.D., Chairperson Date
Correctional Managed Health Care Committee
Dr. Greenberg thanked everyone for their attendance and
adjourned the meeting. Dr. Greenberg announced that the next
CMHCC meeting is scheduled for September 16, 2020 in
Dallas, Texas.
The meeting was adjourned at 11:37 a.m.
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Consent Item
TDCJ Health Services Monitoring Reports
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TEXAS DEPARTMENT OF CRIMINAL JUSTICE
Health Services Division
Quarterly Monitoring Report
Third Quarter, Fiscal Year 2020
(March, April, and May 2020)
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Rate of Compliance with Standards by Operational Categories
Third Quarter, Fiscal Year 2020
March 2020 - May 2020
Unit
Operations/
Administration
General
Medical/Nursing
Coordinator of
Infectious Disease Dental Mental Health Fiscal
n
Items 80% or
Greater
Compliance n
Items 80% or
Greater
Compliance n
Items 80% or
Greater
Compliance n
Items 80% or
Greater
Compliance n
Items 80% or
Greater
Compliance n
Items 80% or
Greater
Compliance
Connally 32 32 100% 11 11 100% 26 23 88% 2 2 100% 24 21 88% 2 2 100%
Garza East 31 31 100% 13 11 85% 24 20 83% NA NA NA 11 11 100% 2 2 100%
Garza West 31 30 97% 13 12 92% 36 26 79% 3 2 67% 14 14 100% 2 2 100%
Glossbrenner 29 28 97% 13 13 100% 24 17 71% 11 11 100% 2 2 100% 4 4 100%
Lopez State Jail 31 31 100% 15 15 100% 25 21 84% 10 10 100% 16 14 88% 5 5 100%
McConnell 31 31 100% 11 8 73% 30 25 83% 2 2 100% 21 17 81% 2 2 100%
Sanchez State Jail 31 31 100% 13 13 100% 33 32 97% 2 2 100% 16 15 94% 2 2 100%
Segovia 31 31 100% 13 13 100% 26 23 88% 10 10 100% 2 2 100% 4 4 100%
Stvenson 30 30 100% 11 11 100% 29 27 93% 2 2 100% 2 2 100% 2 2 100%
Willacy State Jail 31 31 100% 13 13 100% 22 20 91% 10 10 100% 14 13 93% 6 6 100%
n = number of applicable items audited.
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Compliance Rate By Operational Categories for
CONNALLY FACILITY
April 07, 2020
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Compliance Rate By Operational Categories for
GARZA EAST FACILITY
May 05, 2020
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Compliance Rate By Operational Categories for
GARZA WEST FACILITY
May 05, 2020
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Compliance Rate By Operational Categories for
GLOSSBRENNER FACILITY
March 04, 2020
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Compliance Rate By Operational Categories for
LOPEZ FACILITY
March 03, 2020
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Compliance Rate By Operational Categories for
MCCONNELL FACILITY
May 06, 2020
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Compliance Rate By Operational Categories for
SANCHEZ FACILITY
April 01, 2020
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Compliance Rate By Operational Categories for
SEGOVIA FACILITY
March 03, 2020
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Compliance Rate By Operational Categories for
STEVENSON FACILITY
April 08, 2020
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Compliance Rate By Operational Categories for
WILLACY FACILITY
March 03, 2020
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Dental Quality of Care Audit
Urgent Care Report
For the Three Months Ended May 31, 2020
CORRECTED 6/23/2020 Urgent Care Definition: Individuals, who in the dentist’s professional judgment, require treatment for an acute oral or maxillofacial
condition which may be accompanied by pain, infection, trauma, swelling or bleeding and is likely to worsen without immediate
intervention. Individuals with this designation will receive definitive treatment within 14 days after a diagnosis is established by a
dentist. Policy CMHC E 36.1
Facility Charts Assessed by
TDCJ as Urgent Urgent Care Score *
Offenders receiving
treatment but not within timeframe **
Offenders identified as
needing definitive care***
B. Moore 10 100 0 0
Bradshaw 10 100 0 0
Briscoe 10 70 2 1
Clements 10 100 0 0
Cotulla 10 10 7 2
Crain 10 100 0 0
Formby 10 100 0 0
Goodman 10 100 0 0
Goree 10 20 3 5
Hamilton 10 100 0 0
Hilltop 10 100 0 0
Hodge 10 100 0 0
Hughes 10 100 0 0
Huntsville 10 100 0 0
Johnston 10 100 0 0
Kegans 10 100 0 0
Lychner 10 100 0 0
Montford 10 90 1 0
Mountain View 10 90 1 0
-
Ney 10 100 0 0
Ramsey 10 100 0 0
Rudd 9 23 1 6
Scott 10 90 1 0
Skyview 10 100 0 0
Smith ECB 10 60 0 4
Smith GP 10 20 6 2
Stringfellow 10 80 2 0
Telford 10 100 0 0
Torres 10 100 0 0
Wheeler 10 100 0 0
Woodman 10 90 1 0
Young 4 50 2 0
* Urgent Care score is determined: # of offenders that had symptoms and received definitive treatment with 14 days = 100%
Total # of offenders in audit.
** A Corrective Action is required by TDCJ Health Services if the Urgent Care score is below 80%
*** A Corrective Action is required by TDCJ Health Services giving the date and description of definitive care.
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PATIENT LIAISON AND STEP II GRIEVANCE STATISTICS QUALITY OF CARE/PERSONNEL REFERRALS AND ACTION REQUESTS
STEP II GRIEVANCE PROGRAM (GRV)
Total numberof Action Total number of Action
Total number of Total number of Total number of Percent of Action Requests Referred to Requests Referred to Texas
GRIEVANCE GRIEVANCE Action Requests Requests from University of Texas Tech University Health
Fiscal Correspondence Correspondence (Quality of Care, Total # of Medical Branch- Sciences Center-
Year Received Each Closed Each Personnel, and GRIEVANCE Correctional Managed Correctional Managed
2020 Month Month Process Issues) Correspondence Health Care Health Care
Percent of Percent of
Total Action Total Action
Requests Requests
Referred QOC* Referred QOC*
March 305 396 53 13.38% 42 12.12% 6 11 3.54% 3
April 403 372 48 12.90% 48 14.78% 7 0 0.00% 0
May 395 439 63 14.35% 50 12.53% 5 13 3.19% 1
Totals: 1,103 1,207 164 13.59% 140 13.09% 18 24 2.32% 4
PATIENT LIAISON PROGRAM (PLP)
Fiscal
Year
2020
Total numberof
Patient Liaison
Program
Correspondence
Received Each
Month
Total numberof
Patient Liaison
Program
Correspondence
Closed Each
Month
Total number of
Action Requests
(Quality of Care,
Personnel, and
Process Issues)
Percent of Action
Requests from
Total number of
Patient Liaison
Program
Correspondence
Total number of Action
Requests Referred to
University of Texas
Medical Branch-
Correctional Managed
Health Care
Total number of Action
Requests Referred to Texas
Tech University Health
Sciences Center-
Correctional Managed
Health Care
Percent of
Total Action
Requests
Referred
Percent of
Total Action
Requests
Referred QOC* QOC*
March 1,302 1,277 34 2.66% 28 2.19% 0 6 0.55% 1
April 1,935 1,761 42 2.39% 38 2.90% 13 4 0.23% 0
May 1,702 1,428 21 1.47% 19 1.61% 4 2 0.21% 1
Totals: 4,939 4,466 97 2.17% 85 2.28% 17 12 0.31% 2
GRAND
TOTAL= 6,042 5,673 261 4.60%
*QOC= Quality of Care
Quarterly Report for 3rd Quarter of FY2020
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Texas Department of Criminal Justice
Office of Public Health
Monthly Activity Report
March 2020
Reportable Condition
Reports
2020
This
Month
2019
Same
Month
2020
Year to
Date
2019
Year to
Date*
Chlamydia 9 4 24 32
Gonorrhea 5 4 20 19
Syphilis 156 161 423 441
Hepatitis A 0 0 0 1
Hepatitis B, acute 0 0 0 0
Hepatitis C, total and (acute£) 172 213 668 421
Human immunodeficiency virus (HIV) +, known at intake
119 142 441 632
HIV screens, intake 2,931 4,024 10,932 16,962
HIV +, intake 0 7 87 88
HIV screens, offender- and provider-requested 470 614 1,731 2,440
HIV +, offender- and provider-requested 0 0 0 0
HIV screens, pre-release 2,080 3,056 8,671 12,916
HIV +, pre-release 0 0 0 0
Acquired immune deficiency syndrome (AIDS) 0 0 6 9
Methicillin-resistant Staph Aureus (MRSA) 139 141 300 391
Methicillin-sensitive Staph Aureus (MSSA) 18 35 55 109
Occupational exposures of TDCJ staff 3 14 19 37
Occupational exposures of medical staff 0 2 3 12
HIV chemoprophylaxis initiation 1 5 8 13
Tuberculosis skin test (ie, PPD) +, intake 83 119 248 372
Tuberculosis skin test +, annual 21 25 92 87
Tuberculosis, known (ie, on tuberculosis medications) at intake 0 1 0 2
Tuberculosis, diagnosed at intake and attributed to county of
origin (identified before 42 days of incarceration) 0 0 0 0
Tuberculosis, diagnosed during incarceration
(identified after 42 days of incarceration) 1 5 6 9
Tuberculosis cases under management 18 24
Peer education programs¶ 0 0 100 100
Peer education educators∞ 48 12 7556 7,083
Peer education participants 6,617 8,881 20,566 22,210
Alleged assaults and chart reviews 59 63 202 174
Bloodborne exposure labs drawn on offenders 25 19 106 54
New Sero-conversions d/t sexual assault ± 0 0 0 0
Year-to-date totals are for the calendar year. Year-to-date data may not equal sum of monthly data because of late reporting. £ Hepatitis C cases in parentheses are acute cases; these are also included in the total number reported. Only acute cases are reportable to the Department of State Health Services ¶ New programs are indicted in the column marked “This Month”; total programs are indicated in the column marked “Year to Date.” ∞ New peer educators are indicted in the column marked “This Month”; total peer educators are indicated in the column marked “Year to Date.” ± New sero-conversions. * New reporting beginning August 1, 2011
-
Texas Department of Criminal Justice
Office of Public Health
Monthly Activity Report
April 2020
Reportable Condition
Reports
2020
This
Month
2019
Same
Month
2020
Year to
Date
2019
Year to
Date*
Chlamydia 4 19 28 51
Gonorrhea 2 3 24 22
Syphilis 57 168 480 609
Hepatitis A 0 0 0 1
Hepatitis B, acute 0 0 0 0
Hepatitis C, total and (acute£) 112 256 780 696
Human immunodeficiency virus (HIV) +, known at intake
119 184 560 674
HIV screens, intake 2,931 4,599 13,863 17,537
HIV +, intake 27 30 114 111
HIV screens, offender- and provider-requested 470 785 2,201 2,611
HIV +, offender- and provider-requested 0 0 0 0
HIV screens, pre-release 2,080 3,900 10,751 13,760
HIV +, pre-release 0 0 0 0
Acquired immune deficiency syndrome (AIDS) 7 5 13 14
Methicillin-resistant Staph Aureus (MRSA) 105 69 405 539
Methicillin-sensitive Staph Aureus (MSSA) 23 31 78 151
Occupational exposures of TDCJ staff 6 17 25 49
Occupational exposures of medical staff 3 7 6 17
HIV chemoprophylaxis initiation 3 5 11 18
Tuberculosis skin test (ie, PPD) +, intake 21 138 269 494
Tuberculosis skin test +, annual 17 39 109 112
Tuberculosis, known (ie, on tuberculosis medications) at intake 0 0 0 2
Tuberculosis, diagnosed at intake and attributed to county of
origin (identified before 42 days of incarceration) 0 0 0 0
Tuberculosis, diagnosed during incarceration
(identified after 42 days of incarceration) 4 0 10 9
Tuberculosis cases under management 16 23
Peer education programs¶ 0 0 100 100
Peer education educators∞ 4 13 7560 7,112
Peer education participants 1,073 8,230 21,639 27,646
Alleged assaults and chart reviews 58 61 260 248
Bloodborne exposure labs drawn on offenders 12 7 118 64
New Sero-conversions d/t sexual assault ± 0 0 0 0
Services
£ Hepatitis C cases in parentheses are acute cases; these are also included in the total number reported. Only acute cases are reportable to the Department of State Health
Year-to-date totals are for the calendar year. Year-to-date data may not equal sum of monthly data because of late reporting.
-
Texas Department of Criminal Justice
Office of Public Health
Monthly Activity Report
May 2020
Reportable Condition
Reports
2020
This
Month
2019
Same
Month
2020
Year to
Date
2019
Year to
Date*
Chlamydia 1 16 29 67
Gonorrhea 5 8 27 30
Syphilis 11 164 491 773
Hepatitis A 0 0 0 1
Hepatitis B, acute 0 0 0 0
Hepatitis C, total and (acute£) 225 281 1,005 977
Human immunodeficiency virus (HIV) +, known at intake
44 178 604 852
HIV screens, intake 276 4,959 14,139 22,496
HIV +, intake 29 37 143 148
HIV screens, offender- and provider-requested 327 733 2,528 3,344
HIV +, offender- and provider-requested 1 0 1 0
HIV screens, pre-release 3,244 3,153 13,995 16,913
HIV +, pre-release 0 0 0 0
Acquired immune deficiency syndrome (AIDS) 4 1 17 15
Methicillin-resistant Staph Aureus (MRSA) 120 151 525 690
Methicillin-sensitive Staph Aureus (MSSA) 36 46 114 197
Occupational exposures of TDCJ staff 18 9 43 58
Occupational exposures of medical staff 3 5 9 22
HIV chemoprophylaxis initiation 12 3 23 21
Tuberculosis skin test (ie, PPD) +, intake 0 123 269 617
Tuberculosis skin test +, annual 14 27 123 139
Tuberculosis, known (ie, on tuberculosis medications) at intake 0 0 0 2
Tuberculosis, diagnosed at intake and attributed to county of
origin (identified before 42 days of incarceration) 0 1 0 1
Tuberculosis, diagnosed during incarceration
(identified after 42 days of incarceration) 2 0 12 9
Tuberculosis cases under management 20 17
Peer education programs¶ 0 0 100 100
Peer education educators∞ 7 16 7,567 7,128
Peer education participants 133 6514 21,772 34,160
Alleged assaults and chart reviews 48 67 308 315
Bloodborne exposure labs drawn on offenders 16 22 134 86
New Sero-conversions d/t sexual assault ± 0 0 0 0
Year-to-date totals are for the calendar year. Year-to-date data may not equal sum of monthly data because of late reporting. £ Hepatitis C cases in parentheses are acute cases; these are also included in the total number reported. Only acute cases are reportable to the Department of State Health
Services
-
Health Services Utilization Review Hospital and Infirmary Discharge Audit
During the 3rd Quarter of Fiscal Year 2020, ten percent of the UTMB and TTUHSC hospital and infirmary discharges were audited. A total of 303 hospital discharge and 28 infirmary discharge audits
were conducted. This chart is a summary of the audits showing the number of cases with deficiencies and their percentage.
Freeworld Hospital Discharges in Texas Tech Sector
Month
Charts
Audited
Vital Signs Not Recorded1
(Cases with Deficiencies)
Appropriate Receiving Facility2
(Cases with Deficiencies)
No Chain-In Done3
(Cases with Deficiencies)
Unscheduled Care within 7 Days4
(Cases with Deficiencies)
Lacked Documentation5
(Cases with Deficiences)
March 43 7 16.28% 0 N/A 14 32.56% 0 N/A 24 55.81%
April 35 10 28.57% 0 N/A 8 22.86% 0 N/A 16 45.71%
May 32 7 21.88% 0 N/A 11 34.38% 1 3.13% 23 71.88%
Total/Average 110 24 21.82% 0 N/A 33 30.00% 1 0.91% 63 57.27%
Freeworld Hospital Discharges in UTMB Sector
Month
Charts
Audited
Vital Signs Not Recorded1
(Cases with Deficiencies)
Appropriate Receiving Facility2
(Cases with Deficiencies)
No Chain-In Done3
(Cases with Deficiencies)
Unscheduled Care within 7 Days4
(Cases with Deficiencies)
Lacked Documentation5
(Cases with Deficiences)
March 35 3 8.57% 0 N/A 3 8.57% 3 8.57% 7 20.00%
April 28 1 3.57% 0 N/A 1 3.57% 3 10.71% 4 14.29%
May 40 2 5.00% 0 N/A 1 2.50% 3 7.50% 11 27.50%
Total/Average 103 6 5.83% 0 N/A 5 4.85% 9 8.74% 22 21.36%
UTMB Hospital Galveston Discharges
Month
Charts
Audited
Vital Signs Not Recorded 1
(Cases with Deficiencies)
Appropriate Receiving Facility2
(Cases with Deficiencies)
No Chain-In Done3
(Cases with Deficiencies)
Unscheduled Care within 7 Days4
(Cases with Deficiencies)
Lacked Documentation5
(Cases with Deficiences)
March 37 2 5.41% 0 0.00% 11 29.73% 3 8.11% 0 N/A
April 29 7 24.14% 0 N/A 10 34.48% 0 N/A 0 N/A
May 24 1 4.17% 0 N/A 8 33.33% 0 N/A 0 N/A
Total/Average 90 10 11.11% 0 N/A 29 32.22% 3 3.33% 0 N/A
GRAND TOTAL: Combined Hospital Discharges (Texas Tech Sector, UTMB Sector and Hospital Galveston)
Month
Charts
Audited
Vital Signs Not Recorded1
(Cases with Deficiencies)
Appropriate Receiving Facility2
(Cases with Deficiencies)
No Chain-In Done3
(Cases with Deficiencies)
Unscheduled Care within 7 Days4
(Cases with Deficiencies)
Lacked Documentation5
(Cases with Deficiences)
March 115 12 10.43% 0 N/A 28 24.35% 6 5.22% 31 26.96%
April 92 18 19.57% 0 N/A 19 20.65% 3 3.26% 20 21.74%
May 96 10 10.42% 0 N/A 20 20.83% 4 4.17% 34 35.42%
Total/Average 303 40 13.20% 0 N/A 67 22.11% 13 4.29% 85 28.05%
Texas Tech Infirmary Discharges
Month
Charts
Audited
Vital Signs Not Recorded1
(Cases with Deficiencies)
Appropriate Receiving Facility2
(Cases with Deficiencies)
No Chain-In Done3
(Cases with Deficiencies)
Unscheduled Care within 7 Days4
(Cases with Deficiencies)
Lacked Documentation5
(Cases with Deficiences)
March 3 0 N/A 0 N/A 0 N/A 0 N/A 0 N/A
April 2 0 N/A 0 N/A 0 N/A 0 N/A 0 N/A
May 3 0 N/A 0 N/A 0 N/A 0 N/A 0 N/A
Total/Average 8 0 N/A 0 N/A 0 N/A 0 N/A 0 N/A
UTMB Infirmary Discharges
Month
Charts
Audited
Vital Signs Not Recorded1
(Cases with Deficiencies)
Appropriate Receiving Facility2
(Cases with Deficiencies)
No Chain-In Done3
(Cases with Deficiencies)
Unscheduled Care within 7 Days4
(Cases with Deficiencies)
Lacked Documentation5
(Cases with Deficiences)
March 9 3 33.33% 0 N/A 2 22.22% 0 N/A 3 33.33%
April 5 0 N/A 0 N/A 0 N/A 1 20.00% 1 20.00%
May 6 0 N/A 0 N/A 0 N/A 0 N/A 0 N/A
Total/Average 20 3 33.33% 0 N/A 2 10.00% 1 5.00% 4 20.00%
GRAND TOTAL: Combined Infirmary Discharges (Texas Tech and UTMB)
Month
Charts
Audited
Vital Signs Not Recorded1
(Cases with Deficiencies)
Appropriate Receiving Facility2
(Cases with Deficiencies)
No Chain-In Done3
(Cases with Deficiencies)
Unscheduled Care within 7 Days4
(Cases with Deficiencies)
Lacked Documentation5
(Cases with Deficiences)
March 12 3 25.00% 0 N/A 2 16.67% 0 N/A 3 25.00%
April 7 0 N/A 0 N/A 0 N/A 1 14.29% 1 14.29%
May 9 0 N/A 0 N/A 0 N/A 0 N/A 0 N/A
Total/Average 28 3 10.71% 0 N/A 2 7.14% 1 3.57% 4 14.29%
Footnotes: 1. Vital signs were not recorded on the day the offender left the discharge facility. 2. Receiving facility did not have medical services available sufficient to meet the offender's current needs. 3. Chart not reviewed by a health care member and referred (if
applicable) to an appropriate medical provider as required by policy. 4. The offender required unscheduled medical care related to the admitting diagnosis within the first seven days after discharge. 5. Discharge information was not available in the offender's
electronic medical record within 24 hours of arriving at the unit.
-
FIXED ASSETS CONTRACT MONITORING AUDIT
BY UNIT
THIRD QUARTER, FISCAL YEAR 2020
March 2020
Numbered Property Total
Number Total
Number Total
Number
On Inventory
Report
of
Deletions of Transfers
of New
Equipment
Glossbrenner 10 0 0 0
Lopez 24 0 0 0
Segovia 20 0 0 0
Willacy 16 2 0 0
Total 70 2 0 0
April 2020
Numbered Property Total
Number Total
Number Total
Number
On Inventory
Report
of
Deletions of Transfers
of New
Equipment
Connally 53 0 0 0
Sanchez 5 0 0 0
Stevenson 22 0 0 0
Total 80 0 0 0
May 2020
Numbered Property Total
Number Total
Number Total
Number
On Inventory
Report
of
Deletions of Transfers
of New
Equipment
Garza East 6 0 0 0
Garza West 81 0 0 0
McConnell 50 0 9 9
Total 137 0 9 9
-
CAPITAL ASSETS AUDIT
THIRD QUARTER, FISCAL YEAR 2020
Audit Tools March April May Total
Total number of units audited 4 3 3 10
Total numbered property 70 80 137 287
Total number out of compliance 0 0 0 0
Total % out of compliance 0.00% 0.00% 0.00% 0.00%
-
AMERICAN CORRECTIONAL ASSOCIATION
ACCREDITATION STATUS REPORT
Third Quarter FY-2020
University of Texas Medical Branch
Unit Audit Date % Compliance
Mandatory Non-Mandatory
Wynne March 2-4, 2020 100.00% 98.3%
Estelle March 9-11, 2020 100.00% 98.4%
Texas Tech University Health Science Center
Unit Audit Date % Compliance
Mandatory Non-Mandatory
The ACA 2020 Summer Conference will be held in Cincinnati, OH on August 6-11, 2020. During
this conference, the following CID Facilities will be represented: Clements, Byrd, Administrative
Review and Risk Management, Daniel, Glossbrenner, Formby-Wheeler, Wynne, Estelle, Training
and Leadership Development Division, Skyview-Hodge, Roach, Ramsey, Correctional Industries,
Smith, Jester Complex.
Note: The following unit ACA audits were postponed due to the COVID-19 pandemic: Skyview-
Hodge, Roach, Ramsey, Correctional Industries, Smith, and Jester Complex.
Update: The 150TH Congress of Correction, August 6-11, 2020 Cincinnati, Ohio, has been
cancelled due to the ongoing COVID-19 Pandemic.
-
Executive Services
Monthly Active Academic Research Projects
Correctional Institutions Division
FY-2020 Third Quarter Report: March, April, and May
Project Number: 202-RL02
Researcher: IRB Number: IRB Expiration Research Began:
Kymn Kochanek 11.07.04 7/19/2023 1/16/2002
Title of Research: Data Collection Began:
National Longitudinal Survey of Youth 1997 9/24/2018
(Bureau of Labor Statistics)
Data Collection End
Proponent: 6/30/2020
NORC – National Organization for Research at the University of Chicago
Project Status: Progress Report Due: Projected Completion:
Data Collection 3/01/2021
Project Number: 221-RL02
Researcher: IRB Number: IRB Expiration Research Began:
Kymn Kochanek 12.06.05 7/19/2023 6/6/2002
Title of Research: Data Collection Began:
National Longitudinal Survey of Youth 1979 (for Bureau of Labor 9/24/2018
Statistics)
Data Collection End:
Proponent: 11/07/2019
NORC at the University of Chicago
Project Status: Progress Report Due: Projected Completion:
Data Collection 3/01/2021
Project Number: 587-AR09
Researcher: IRB Number: IRB Expiration Research Began:
Marcus Boccaccini 2009-04-032 7/20/2020 1/1/2009
Title of Research: Data Collection Began:
Item and Factor Level Examination of the Static-99, MnSOST-R, and 7/15/2010
PCL-R to Predict Recidivism
Data Collection End:
Proponent: 2/28/2016
Sam Houston State University
Project Status: Progress Report Due: Projected Completion
Data Analysis 12/4/2020 12/31/2021
-
Project Number: 661-AR12
Researcher: IRB Number: IRB Expiration Research Began:
Byron Johnson 656915 7/9/2018 1/7/2013
Title of Research: Data Collection Began:
Assessing the Long-Term Effectiveness of Seminaries in Maximum 1/7/2013
Security Prisons: An In-Depth Study of the Louisiana State
Penitentiary and Darrington Prison Data Collection End:
8/31/2017
Proponent:
Baylor University
Project Status: Progress Report Due: Projected Completion:
Formulating Results 12/31/2020 1/6/2020
Project Number: 686-AR13
Researcher: IRB Number: IRB Expiration Research Began:
Jeffrey Bouffard 10-12362 10/12/2014 12/6/2013
Title of Research: Data Collection Began:
Criminal Decision Making Among Adult Felony Inmates 4/11/2014
Data Collection End:
Proponent: 6/12/2014
Sam Houston State University
Project Status: Progress Report Due: Projected Completion:
Data Analysis 11/20/2020 10/30/2020
Project Number: 723-AR15
Researcher: IRB Number: IRB Expiration Research Began:
David Pyrooz 00001971 1/13/2020 8/5/2015
Title of Research: Data Collection Began:
Gangs on the Street, Gangs in Prison: Their Nature 4/8/2016
Interrelationship, Control, and Re-entry
Data Collection End:
Proponent: 12/31/2017
Sam Houston State University
Project Status: Progress Report Due: Project Completion:
Data Analysis 12/31/2020 12/1/2018
Project Number: 767-AR17
Researcher: IRB Number: IRB Expiration Research Began:
Kathryn Whiteley 2015-061 3/20/2020 3/21/2017
Title of Research: Data Collection Began:
Self-Identities of Women Incarcerated for Acts of Violence 1/07/2019
Proponent: Data Collection End:
Messiah College 1/10/2019
Project Status: Progress Report Due: Project Completion:
Data Analysis 10/30/2020 3/21/2020
-
Project Number:
Researcher:
778-AR17
IRB Number: IRB Expiration Research Began:
Lisa Muftic EXEMPT
Title of Research:
Predicting County Victim Impact Statement Form Completion Rates Data Collection Began:
Based on Victim Assistance Coordinator Practices
Proponent: Data Collection End:
Sam Houston State University
Project Status: Monitored Only!
Progress Report Due: 9/30/2020
Projected Completed
Project Number: 783-AR18
Researcher: IRB Number: IRB Expiration Research Began:
Stephen Tripodi 00000446 3/14/2020 5/1/2018
Title of Research: Data Collection Began:
Multi-Site Randomized Controlled Trial of the 5-Key Model for Reentry 5/3/2018
Data Collection End:
Proponent: 8/15/2020
Florida State University
Project Status: Progress Report Due: Projected Completion:
Data Analysis 10/23/2020 4/1/2025
Project Number: 785-AR18
Researcher: IRB Number: IRB Expiration Research Began:
Erin Orrick 2018-03-38251 8/30/2020 5/15/2018
Title of Research:
Correctional Officer Attrition Data Collection Began:
Proponent:
11/6/2018
Data Collection End:
Sam Houston State University 7/1/2020
Project Status: Progress Report Due: Projected Completion:
Data Analysis 9/30/2020 7/30/2020
Project Number:
Researcher:
786-AR18 IRB Number: IRB Expiration Research Began:
Flavio Cunha Title of Research:
EXEMPT 10/24/2018
Evaluation of TDCJ Workforce Reentry Programs Data Collection Began:
5/20/2019
Proponent: Data Collection End:
Rice University
Project Status: Progress Report Due: Projected Completion
Data Analysis 10/30/2020 09/30/2020
-
Project Number:
Researcher:
793-AR18 IRB Number: IRB Expiration Research Began:
Byron Johnson 1361257 12/17/2020 2/8/2019
Title of Research Data Collection Began:
A Study of ROD Ministries Program in Texas Prisons 7/15/2019
Proponent: Data Collection End:
Baylor University
Project Status: Progress Report Due: Projected Completion:
Data Collection 9/30/2020 12/30/2023
Project Number: 801-AR19
Researcher: IRB Number: IRB Expiration Research Began:
Bryon Johnson 1432377 5/6/2020 11/20/2019
Title of Research: Data Collection Began:
"Human and Transcendent Accountability" 03/16/2020
Proponent: Data Collection End:
Baylor University
Project Status: Progress Report Due: Projected Completion:
Data Collection 9/30/2020 12/31/2023
-
Executive Services
Monthly Pending Academic Research Projects
Correctional Institutions Division
FY-2020 Third Quarterly Report: March, April, and May
Project Number: 434-RL04
Researcher: IRB Number: IRB Expiration Research Began:
Marilyn Armour 2003-11-0076 1/6/2014 3/10/2004
Title of Research: Data Collection Began:
Victim Offender Mediated Dialogue: Study of the Impact of a Victim- 8/31/2004
Oriented Intervention in Crimes of Severe Violence
Proponent: Data Collection End:
University of Texas- Austin 5/31/2017
Project Status: Progress Report Due: Projected Completion:
Pending Manuscript 12/1/2020 12/31/2020
Project Number: 547-RL07
Researcher: IRB Number: IRB Expiration Research Began:
Robert Morgan 501024 12/31/2012 6/11/2008
Title of Research: Data Collection Began:
Re-Entry: Dynamic Risk Assessment 6/11/2008
Proponent: Data Collection End:
Texas Tech University 8/30/2012
Project Status: Progress Report Due: Projected Completion:
Pending Manuscript 2/20/2018 10/1/2012
Project Number: 716-AR14
Researcher: IRB Number: IRB Expiration Research Began:
Janet Mullings 19302 08/18/2018 05/30/2015
Title of Research: Data Collection Began:
Understanding Prison Adjustment and Programming 08/11/2015
Needs of Female Offenders Survey
Proponent: Data Collection End:
Sam Houston State University 05/30/2016
Project Status: Progress Report Due: Projected Completion:
Manuscript Review 11/20/2020 05/30/2017
-
Executive Services
Monthly Active Medical Research Projects
Health Services Division
FY-2020 Third Quarter Report: March, April, and May
Project Number: 615-RM10
Researcher: IRB Number: IRB Expiration: Research Began:
John Petersen Flexible IRB 9/12/2013
Title of Research: Data Collection Began:
Serum Markers of Hepatocellular Cancer 1/1/2014
Data Collection End:
Proponent: 6/20/2022
University of Texas Medical Branch at Galveston
Project Status: Progress Report Due: Projected Completion:
Data Collection 12/6/2020 3/1/2023
_
Project Number: 724-RM15
Researcher: IRB Number: IRB Expiration: Research Began:
Zbigniew Gugala 14-0351 7/17/2020 6/29/2015
Title of Research: Data Collection Began:
The Efficacy of the Air Barrier System in the Prevention 9/21/2015
of Surgical Site Data Collection End:
8/31/2020
Proponent:
University of Texas Medical Branch at Galveston
Project Status: Progress Report Due: Projected Completion:
Data Analysis 12/31/2020 3/31/2021
-
Project Number: 729-RM15
Researcher: IRB Number: IRB Expiration: Research Began:
Jacques Baillargeon 14-0283 12/13/2021 10/1/2015
Title of Research: Data Collection Began:
The Health and Healthcare Needs of Older Prisoners - 6/1/2015
Epidemiology in the Texas Prison System Data Collection End:
12/31/2022
Proponent:
University of Texas Medical Branch at Galveston
Project Status: Progress Report Due: Projected Completion:
Data Analysis 12/31/2020 12/31/2022
Project Number: 819-RM20
Researcher: IRB Number: IRB Expiration: Research Began:
Beilin Wang 20-0126.007 12/12/2020 06/01/2020
Title of Research: Data Collection Began:
Prognostication model of predicting severe COVID 19 pneumonia 07/01/2020
Data Collection End:
Proponent:
Sam Houston State University
Project Status: Progress Report Due: Projected Completion:
Data Collection 10/30/2020
-
3rd Quarter FY 2020
TDCJ Office of Mental Health Monitoring &
LiaisonMental Health Segregation Audit Summary
Reporting months: March 2020, April 2020, May 2020
Date of Audit Unit Observed Interviewed
Mental
Health
Referrals
Requests
Fwd
911
Tool
ATC
4
ATC
5
ATC
6
2/10/2020 Travis 25 25 0 0 100% 100% 100% 100%
2/19/2020 Formby 18 18 0 0 100% 100% 0% 100%
2/5-6/2020 Eastham 427 323 1 7 100% 100% 100% 100%
2/12-13/2020 Ferguson 428 358 0 4 100% 100% 100% 100%
2/20/2020 Robertson 334 277 0 10 100% 100% 100% 100% 2/29/2020 Kegans* N/A N/A N/A N/A N/A N/A N/A N/A
3/12/2020 Dominguez 27 27 0 0 100% 100% 100% 100%
3/31/2020 Ellis* N/A N/A N/A N/A N/A N/A N/A N/A
3/31/2020 Clements N/A N/A N/A N/A N/A 100% 100% 100%
3/31/2020 Connally* N/A N/A N/A N/A N/A N/A N/A N/A
3/31/2020 Lindsey* N/A N/A N/A N/A N/A N/A N/A N/A
3/31/2020 Beto* N/A N/A N/A N/A N/A N/A N/A N/A
3/31/2020 Cole* N/A N/A N/A N/A N/A N/A N/A N/A
3/31/2020 Telford N/A N/A N/A N/A N/A 100% 100% 100%
4/30/2020 Allred N/A N/A N/A N/A N/A 100% 100% 100%
4/30/2020 McConnell N/A N/A N/A N/A N/A 100% 100% 100%
4/30/2020 Polunsky N/A N/A N/A N/A N/A 100% 100% 100%
4/30/2020 Willacy* N/A N/A N/A N/A N/A N/A N/A N/A
4/30/2020 Bradshaw* N/A N/A N/A N/A N/A N/A N/A N/A
4/30/2020 East Texas* N/A N/A N/A N/A N/A N/A N/A N/A
Total 20 1,259 1,028 1 21
*No offenders in the targeted restrictive housing status were currently housed at the Kegans, Ellis, Connally,
Lindsey, Beto, Cole, Willacy, Bradshaw, and East Texas Units.
-
COMPELLED PSYCHOACTIVE MEDICATION AUDIT
3rd Quarter FY 2020 Audits Conducted in March 2020, April 2020, May 2020
UNIT Reporting
Month
Compelled Medication Cases Documented in
Medical Record1
Reviewed Applicable
Instances Compliant Score
Corrective
Action
Clements March 2020 0 0 N/A N/A N/A
Jester IV March 2020 6 6 6 100% NO
Montford March 2020 7 7 7 100% NO
Skyview March 2020 13 13 13 100% NO
Reviewed Applicable Compliant Score Corrective Action
Clements April 2020 0 0 N/A N/A N/A
Jester IV April 2020 2 2 2 100% NO
Montford April 2020 15 15 15 100% NO
Skyview April 2020 16 16 16 100% NO
Reviewed Applicable Compliant Score Corrective
Action
Clements May 2020 0 0 N/A N/A N/A
Jester IV May 2020 5 5 5 100% NO
Montford May 2020 10 10 10 100% NO
Skyview May 2020 12 12 12 100% NO
1. Documentation supports that psychoactive medication was compelled because the patient refused to
voluntarily comply and failure to take the medication would have resulted in: 1.Emergency - imminent
likelihood of serious harm to the patient and/or to others, or 2. Non-emergency – likelihood of continued
suffering from severe and abnormal mental, emotional and physical distress or deterioration of the
patient’s ability to function independently.
-
INTAKE MENTAL HEALTH EVALUATION (MHE) AUDIT 3rd Quarter of 2020
Reporting months– March 2020, April 2020, May 2020
FACILITY Charts
Reviewed
Charts
Requiring
MHE (1)
MHE’s completed
within 14 days
(at Intake Unit)
Charts
Excluded
(2)
MHE Audit
Score
Baten 25 20 18 5 90%
Bradshaw 80 45 23 35 51%
Byrd 40 19 18 21 95%
Dominguez 28 20 19 8 95%
East Texas
40
29 25 11 86%
Formby 27 10 8 17 80%
Garza West 40 25 24 15 96%
Gist 30 18 18 12 100%
Glossbrenner 27 9 8 18 89%
Gurney 40 6 3 34 50%
Halbert 38 20 12 18 60%
Holliday 24 20 19 4 95%
Hutchins 40 13 9 27 69%
Jester I 20 20 20 0 100%
Johnston 33 11 11 22 100%
Kegans 36 28 28 8 100%
Kyle N/A N/A N/A N/A N/A
Lindsey 38 15 14 23 93%
Lychner 20 18 18 2 100%
Middleton 26 20 19 6 95%
Plane 28 20 20 8 100%
Rudd 27 18 18 9 100%
Sanchez 39 19 17 20 89%
Travis 25 20 20 5 100%
Woodman 23 20 20 3 100%
Sayle 18 6 5 12 83%
GRAND
TOTAL 812 469 414 343
1. Offenders entering TDCJ who are identified during the Intake Mental Health Screening/Appraisal process as having a history
of treatment for mental illness, currently receiving mental health treatment, history of self-injurious behavior or current
symptoms/complaints of symptoms of mental illness will have a Mental Health Evaluation (MHE) completed by a Qualified
Mental Health Professional (QMHP) within 14 days of identification.
2. If the offender was transferred from the intake unit within 14 days of identification, the chart is excluded from the sample of
charts requiring an MHE.
A Corrective Action Plan is required of all units scoring below 80%.
-
Consent Item
University Medical Director’s Report
Texas Tech University Health Sciences Center
-
Correctional Health Care
MEDICAL DIRECTOR’S REPORT
3rd Quarter
FY2020
-
Medical Director’s Report:
MARCH APRIL MAY Qtly Average
Average Population 28,241.98 27,864.05 26,942.08 27,682.70
Rate Per Rate Per Rate Per Rate Per
Number Offender Number Offender Number Offender Number Offender
Medical encounters
Physicians 3,302 0.117 1,758 0.063 1,636 0.061 2,232 0.081
Mid-Level Practitioners 8,381 0.297 5,267 0.189 4,239 0.157 5,962 0.215
Nursing 13,282 0.470 8,194 0.294 7,538 0.280 9,671 0.349
Sub-total 24,965 0.884 15,219 0.546 13,413 0.498 17,866 0.645
Dental encounters
Dentists 3,324 0.118 1,716 0.062 1,675 0.062 2,238 0.081
Dental Hygienists 671 0.024 22 0.001 16 0.001 236 0.009
Sub-total 3,995 0.141 1,738 0.062 1,691 0.063 2,475 0.089
Mental health encounters
Outpatient Mental Health Visits 5,081 0.180 3,619 0.130 3,024 0.112 3,908 0.141
Crisis Mgt. Daily Census 57 0.002 50 0.017 43 0.002 50 0.002
Sub-total 5,138 0.182 3,669 0.132 3,067 0.114 3,958 0.143
Total encounters 34,098 1.207 20,626 0.740 18,171 0.674 24,298 0.878
Encounters as Rate Per Offender Per Month Encounters by Type
0.400
Outpatient 0.349 Mental Health 0.350
Visits
Dental 7.8%
0.300 Hygienists 1.0%
0.250 Dentists 9.2% Crisis Mgt. 0.215
Daily Census 0.200 0.2%
0.141 0.150
Physicians 9.2%
0.100 0.081 0.081
0.050
0.009 0.002 0.000
Physicians
Mid-Level Practitioners
Nursing Mid-Level
Dentists Practitioners 4.7%
Dental Hygienists Nursing
Outpatient Mental Health Visits 39.8%
Crisis Mgt. Daily Census
-
Medical Director’s Report (Page 2):
MARCH APRIL MAY Qtly Average
Medical Inpatient Facilities
Average Daily Census
Number of Admissions
Average Length of Stay
Number of Clinic Visits
95.34
133.33
7.52
472.00
106.38
202.00
10.19
707.00
87.47
59.00
4.96
384.00
92.17
139.00
7.42
325.00
Mental Health Inpatient Facilities
Average Daily Census
PAMIO/MROP Census
365.00
363.33
360.00
374.00
385.00
368.00
350.00
348.00
Specialty Referrals Completed 1,973.00 1,075.00 1,007.00 1,351.67
Telemedicine Consults 2393 2,359 1,775 2,175.67
MAY APRIL MARCH 0.00
2.00
4.00
4.96 6.00
7.42 8.00
10.00
10.19
12.00
Average Length of Stay
-
Consent Item
University Medical Director’s Report
Fiscal Year 2020
3rd Quarter
The University of Texas Medical Branch
-
UTMB-Correctional Health Care MEDICAL DIRECTOR'S REPORT
THIRD QUARTERFY 2020
-
Medical Director's Report:
Average PopulationMarch April May Qtly Average
142,920 140,285 134,671 139,292
NumberRate PerOffender Number
Rate PerOffender Number
Rate PerOffender Number
Rate PerOffender
Medical encountersPhysiciansMid-Level PractitionersNursing
14,89239,733862,169
0.100.286.03
10,77727,240893,716
0.080.196.37
9,56822,673
987,016
0.070.177.33
11,74629,882
914,300
0.080.216.56
Sub-total 916,794 6.41 931,733 6.64 1,019,257 7.57 955,928 6.86Dental encounters
DentistsDental Hygienists
9,8521,327
0.070.01
3,61168
0.030.00
3,48794
0.030.00
5,650496
0.040.00
Sub-total 11,179 0.08 3,679 0.03 3,581 0.03 6,146 0.04Mental health encounters
Outpatient mental health visitsCrisis Mgt. Daily Census
12,429986
0.090.01
9,336983
0.070.01
7,945941
0.060.01
9,903970
0.070.01
Sub-total 13,415 0.09 10,319 0.07 8,886 0.07 10,873 0.08
Total encounters 941,388 6.59 945,731 6.74 1,031,724 7.66 972,948 6.98
Encounters as Rate Per Offender Per Encounters by TypeMonth
7.00 6.56
6.00
Dental Hygienists5.000.1% Outpatient mental health
visits4.00 Dentists
0.6% 1.0%
3.00
Crisis Mgt. Daily Census
2.00 0.1%
Physicians1.00 1.2%
0.08 0.21 0.04 0.00 0.07 0.010.00
1 Mid-Level PractitionersNursing 3.1%94.0%
Physicians Mid-Level Practitioners
Nursing Dentists
Dental Hygienists Outpatient mental health visits
Crisis Mgt. Daily Census
-
Medical Director's Report (Page 2):
March April May Qtly AverageMedical Inpatient Facilities
Average Daily Census 81.8 77.0 81.7 80.2Number of Admissions 340 309 225 291Average Length of Stay 6.6 7.7 10.6 8.3Number of Clinic Visits 6,388 3,787 3,756 4,644
Mental Health Inpatient FacilitiesAverage Daily Census 985.93 982.67 941.39 970.00DDP Census 727.77 723.30 704.87 718.65
Telemedicine Consults 10,617 6,675 5,103 7,465
-
Consent Item
Summary of CMHCC Joint Committee/ Work Group Activities
-
Correctional Managed Health Care
Joint Committee/Work Group Activity Summary
for September 16, 2020, CMHCC Meeting
The Correctional Managed Health Care Committee (CMHCC), through its overall management
strategy, utilizes a number of standing and ad hoc joint committees and work groups to examine,
review and monitor specific functional areas. The key characteristic of these committees and work
groups is that they are comprised of representatives of each of the partner agencies. They provide
opportunities for coordination of functional activities across the state. Many of these committees
and work groups are designed to insure communication and coordination of various aspects of the
statewide health care delivery system. These committees work to develop policies and procedures,
review specific evaluation and/or monitoring data and amend practices in order to increase the
effectiveness and efficiency of the program.
Many of these committees or work groups are considered to be medical review committees allowed
under Chapter 161, Subchapter D of the Texas Health and Safety code and their proceedings are
considered to be confidential and not subject to disclosure under the law.
This summary is intended to provide the CMHCC with a high-level overview of the ongoing work
activities of these workgroups.
Workgroup activity covered in this report includes:
System Leadership Council
Joint Policy and Procedure Committee
Joint Pharmacy and Therapeutics Committee
Joint Infection Control Committee
Joint Dental Work Group
Joint Mortality and Morbidity Committee
Joint Nursing Work Group
System Leadership Council
Chair: Dr. Owen Murray
Purpose: This group’s membership consists of discipline directors in medical, nursing, mental health,
dental and allied health care staff appointed by the Joint Medical Directors. This group is
charged with implementation of the CMHCC Quality Improvement/Quality Management
(QI/QM) Plan. The purpose of this plan is to provide a streamlined, integrated, clinically
driven state-of-the-art Quality Improvement Program, which adds value to the quality of
health care services provided to the Texas Department of Criminal Justice (TDCJ)
offenders. The plan demonstrates that quality will be consistently/continuously applied
and/or measured and will meet or exceed regulatory requirements. The CMHCC strongly
endorses and has administrative oversight for implementation of the plan. The agents of
the CMHCC and the TDCJ Health Services Division will demonstrate support and
participation for the plan. The committee meets on a quarterly basis.
-
Meeting Date: August 19, 2020
Key Activities:
I. Call to Order
II. Approval of Minutes
III. Reports from Champions/Discipline Directors
A. Access to Care – Dental Services
B. Access to Care – Mental Health Services
C. Access to Care-Nursing Services
D. Access to Care-Medical Staff
E. Sick Call Request Verification Audit (SCRVA)
IV. FY 2020 SLC Indicators
A. Dental: Total Open Reminders with Delay >60 days
B. Mental Health: Restrictions Audit
C. Nursing: Annual TB Screening
D. Support Services: Inpatient/Outpatient Physical Therapy
E. Clinical Administration: Missed Appointments (No Shows)
F. Joint Medical/Pharmacy: Hepatitis C
V. Standing Issues
A. CMHCC Updates
B. CMHC Pharmacy Report
C. Hospital Galveston Report
VI. Miscellaneous/Open Discussion Participants
A. ATC Accuracy Evaluation
B. Nurse Protocol Audits
C. Nursing QA Site Visit Audits
VII. Adjournment
Joint Policy and Procedure Committee
Co-Chair: Chris Black-Edwards, RN, BSN
Co-Chair: Carrie Culpepper, RN, FNP-C, MBA
Purpose: This group’s membership consists of clinicians, nurses, health care administrators and
dentists appointed by the Joint Medical Directors. This group is charged with the annual
review of all Correctional Managed Health Care (CMHC) policies and procedures. The
committee meets on a quarterly basis and one fourth of the manual is reviewed at each
of its quarterly meetings.
Meeting Date: July 9, 2020
-
Sub Committee Updates:
Dr. Guillermo Garcia of TTUHSC and Chair of the Joint Mental Health Working Group
has resigned from his position as Director of Psychiatry and Behavioral Health. Dr. Shirley
Marks will be replacing him in this role.
Committee Updates:
Michael (Mike) Jones, Director of Nursing Services, TTUHSC and the Policy and
Procedure (P&P) Committee Co-Chair has retired after 31 years of service. Ms. Carrie
Culpepper of TTUHSC will be filling in for Mr. Jones.
Committee Referrals:
Joint Mental Health Working Group – Shirley Marks, M.D.
THESE POLICIES ARE UP FOR REVIEW AND OPEN FOR RECOMMENDED CHANGES
DURING THIS QUARTER.
A-08.3 A-08.4* A-08.5* A-08.6* A-08.7* A-08.8 C-22.1 C-23.1 D-28.1 D-28.5
D-29.1 E-36.5 E-36.6 E-36.8 E-37.6 E-39.1 E-40.1 E-41.1 E-41.2* E-42.1
E-42.4 F-49.1 G-51.11* G51.12 G-52.1 G-53.1* G-53.3 G-54.1 H-60.3 H-61.1*
I-70.1* I-71.1* I-72.1 *Indicates Attachment(s) included in the policy.
THE FOLLOWING POLICIES HAVE BEEN SUBMITTED WITH CHANGES OR FOR
DISCUSSION:
POLICY # POLICY NAME SUBMITTED BY
E-36.1 Dental Treatment Levels of Care Manuel Hirsch
E-36.2 In Processing Offenders – Dental Examination,
Classification, Education & Treatment
Manuel Hirsch
G-52.4 Serious Mentally Ill – Sheltered Housing (SMI-SH) Shirley Marks
Adjournment
The Next Meeting is scheduled for October 8, 2020
Joint Pharmacy and Therapeutics Committee
Chair: Dr. Benjamin Leeah
Purpose: This group’s membership consists of physicians, nurses, clinicians, dentists and pharmacists appointed by the Joint Medical Directors. This group is charged with
developing and maintaining the statewide drug formulary, drug use policies and disease
management guidelines. This group also establishes policy regarding the evaluation,
selection, procurement, distribution, control, use and other matters related to medications
within the health care system. This group further serves to support educational efforts
directed toward the health care staff on matters related to medications and medication use.
Disease management guidelines are reviewed annually and updated as needed by the
-
CMHCC Joint Pharmacy and Therapeutics Committee. All changes to consensus
guidelines published by the Centers of Disease Control and Prevention and the National
Institutes of Health or other nationally recognized authorities are considered. In addition,
CMHCC Joint Pharmacy and Therapeutics Committee reviews adverse drug reaction
reports, drug recalls, non-formulary deferral reports and reports of medication errors.
Clinical pharmacists present reviews of drug classes to the committee for education and
consideration of new updates to the formulary. Clinical pharmacists also periodically
conduct medication usage evaluations. Finally, this group reviews and evaluates all
pharmacy and therapeutic policies and procedures annually. This group meets on a bi-
monthly basis.
Meeting Date: July 9, 2020
I. Approval of the Minutes from the May 14, 2020 Meeting
II. Reports from Subcommittees
A. Carbamazepine – Dr. Penn
B. Diabetes – Dr. Agrawal
1. Opioid Discontinuation
2. Gout
C. Hypertension – Dr. Nguyen
D. Psychiatry – Dr. Patel
III. Monthly Reports
A. Adverse Drug Reaction Reports (none)
B. Pharmacy Clinical Activity Report
C. Drug Recalls (April 1 – July 1, 2020)
D. Non-Formulary Deferral Reports
1. UTMB Sector (April – June 2020)
2. Texas Tech Sector (April – May 2020)
E. Utilization Reports FY20 through May
1. HIV Utilization
2. HCV Utilization
3. HBV Utilization
4. Psychotropic Utilization
F. Quarterly Medication Error reports – 3rd Quarter FY20
1. UTMB Sector (report not available)
2. Texas Tech Sector
3. Pharmacy Dispensing Errors
G. Special Reports
1. Top 50 Medications by Cost and Volume – 3rd Quarter FY20
2. Top 10 Non-Formulary Medications by Cost and Volume – 3rd Quarter FY20
3. Pharmacy Diabetes Clinic Report 3rd Quarter FY20
a. UTMB Sector
b. Texas Tech Sector
4. Pharmacy Warfarin Clinic Reports – 3rd Quarter FY20
a. UTMB Sector
b. Texas Tech Sector
H. Policy Review Schedule
-
IV. Old Business (none)
V. New Business
A. Action Request
1. Clozapine MUE Data Collection Form
2. Probenecid Formulary Deletion
B. Category Reviews
1. Antihypertensive Agents
2. Psychotropic Agents
3. Topical Agents
C. MUE – Carbamazepine General MUE
D. FDA Medication Safety Advisories (none)
E. Manufacturer Shortages and Discontinuations
F. Policy and Procedure Revisions – Policies 40-10 through 75-30 due in November
1. KOP Medication Distribution Program (50-05)
VI. Miscellaneous
VII. Adjournment
Joint Infection Control Committee
Co-Chair: Carol Lynn Coglianese, MD
Co-Chair: Chris Black-Edwards, RN, BSN
Purpose: This group’s membership consists of physicians, nurses, clinicians, dentists and
pharmacist appointed by the Joint Medical Directors. This group is charged with
developing and promulgating policies and procedures for infection control prevention
and treatment. This group is charged with the annual review of all Correctional
Managed Health Care Infection Control Policies and meets on a quarterly basis.
Meeting Date: August 19, 2020
Key Activities:
I. Standing Reports:
A. HIV – Hepatitis- Peggy Davis
B. MRSA & MSSA & Occupational Exposure – Latasha Hill
C. Syphilis – Regina InmonD. Tuberculosis – Mary Parker
E. SANE – Kate Williams
F. Peer Education- Dianna Langley
II. Old Business: None
-
New Business: None
These policies were up for review with no recommended changes this quarter
B-14.23 B-14.24 B-14.25 B-14.26 B-14.27
* Indicates Attachment(s) included in the policy.
The following policies have been submitted with changes or for discussion:
# POLICY # POLICY NAME SUBMITTED BY
1 B-14.5 Occupational Exposure Counseling and Testing for TDCJ and
Correctional Managed Health Care Employees Justin Robison
2 B-14.19 Disease Reporting Carol Lynn Coglianese
3 B-14.20 Standard Precautions Carol Lynn Coglianese
4 B-14.21 Transmission Based Precautions Carol Lynn Coglianese
5 B-14.22 Handwashing Carol Lynn Coglianese
III. Adjourn
Next Meeting: October 8, 2020
Joint Dental Work Group
Chair: Dr. Cecil Wood
Purpose: This group’s membership includes the TDCJ Director for the Office of Dental Quality
and Contract Compliance, the University of Texas Medical Branch (UTMB)
Correctional Managed Care (CMC) Dental Director and the Texas Tech University
Health Sciences Center (TTUHSC) CMC Dental Director. This group is charged with
the development of dental treatment and management guidelines, as well as the
development of dental initiatives. It reviews changes to the Dental Scope of Practice
Act and makes recommendations for policy changes as needed. Finally, this group also
reviews and makes recommendations to the CMHCC Joint Policy and Procedure
Committee on all dental policies and procedures.
Meeting Date: July 23, 2020
I. Call to order
A. Minutes Confirmation-Review/Approval of Minutes from May 27, 2020 meeting.
II. Dental Policy Review
1. E-36.4 Dental Prosthodontic Services
2. E-36.5 Dental Utilization & Quality Review Committee
3. E-36.6 Periodontal Disease Program
4. E-36.7 Dental Clinic Operations Reporting
-
III. Dr. B. Horton
1. Discussed “Ramp Up” plan for re-opening dental clinics.
2. Ordering of PPE.
IV. Dr. M. Hirsch
1. Acceptance / Non acceptance of written responses.
2. Discussion of PPE samples provided by TDCJ Industry.
V. Dr. C. Wood – None.
VI. P. Myers, Dental Hygiene Program Manager
1. Reminder of need for high volume evacuation for ultrasound use in the future.
VII. Sector Updates – None at this time.
A. TDCJ
B. UTMB
C. TX Tech
VII. Round the Table
Next meeting: September 10, 2020
Policies scheduled for Review: Dental Comprehensive Treatment Plan E-36.8; Dental Health
Education & Promotion; Dental Health Record F-46.1 – Organization & Maintenance H-60.1.
Joint Mortality and Morbidity Committee
Co-Chair: Dr. Eidi Millington
Co-Chair: Dr. Olugbenga Ojo
Purpose: This group’s membership consists of physicians and nurses appointed by the Joint
Medical Directors. The group is charged with reviewing the clinical health records of
each offender death. The committee makes a determination as to whether or not a
referral to a peer review committee is indicated. This group meets on a monthly basis.
For the Three Months Ended May 2020:
There were 71 deaths reviewed by the Mortality and Morbidity Committee during the months of
March, April and May 2020. Of those 71 deaths, 1 was referred to peer review committees.
Joint Nursing Work Group
Chair: Kirk Abbott, MBA, BSN, RN
Purpose: This group’s membership includes the TDCJ Director of Nursing Administration, the
UTMB CMC Northern Geographical Service Area (GSA) Regional Chief Nursing
Officer, the UTMB CMC Southern GSA Regional Chief Nursing Officer and the
TTUHSC CMC Director of Nursing Services. This group is charged with the
development of nursing management guidelines and programs. It reviews changes to
the Nursing Scope of Practice Act for Registered Nurses and Licensed Vocational
Nurses and makes recommendations for policy/practice changes as needed. Finally,
-
this group also reviews and makes recommendations to the CMHCC Joint Policy
and Procedure Committee on all nursing policies and procedures.
Meeting Date: August 24, 2020
Old Business
None
New Business
Establish Frequency for Ongoing Joint Nursing Work Group Morning
Meetings (to address COVID-19 Pandemic Management)
County Jail Intake Ramp Up
COVID-19 Policy Revisions Based on Revised CDC Guidance
o Updates to COVID Flowsheets
o Revisions to NoteBuilder Forms
Hurricane Laura Preparations
Adjournment
Next Meeting Date: August 31, 2020
-
Financial Report on
Correctional Managed Health Care
Quarterly Report
FY2020 Third Quarter
September 2019 – May 2020
-
Second Quarter Financial Report on Correctional Managed Health Care
Overview
➢ Pursuant to the FY2020-21 General Appropriations Act, Article V, Rider 43, 86th
Legislature, Regular Session 2019
➢ FY2020 TDCJ Correctional Managed Health Care Appropriations:
• Strategy C.1.8, Unit and Psychiatric Care, $317.9M
• Strategy C.1.9, Hospital and Clinical Care, $251.3M
• Strategy C.1.10, Pharmacy Care, $72.4M
Method of Finance Summary FY2020
HB 1, Article V, TDCJ Appropriations
C.1.8. Unit and Psychiatric Care 317,916,293$
C.1.9. Hospital and Clinic Care 251,343,853$
C.1.10. Pharmacy Care 72,440,252$
TOTAL 641,700,398$
Allocation to Universities
University of Texas Medical Branch
C.1.8. Unit and Psychiatric Care 255,359,224$
C.1.9. Hospital and Clinic Care 209,127,832$
C.1.10. Pharmacy Care 58,472,430$
Subtotal UTMB 522,959,486$
Texas Tech University Health Sciences Center
C.1.8. Unit and Psychiatric Care 62,557,069$
C.1.9. Hospital and Clinic Care 42,216,021$
C.1.10. Pharmacy Care 13,967,822$
Subtotal TTUHSC 118,740,912$
TOTAL TO UNIVERSITY PROVIDERS 641,700,398$
Allocation to Capital Budget
Expand Infirmary Capacity at Stiles Unit 3,000,000$
TOTAL ALLOCATED 644,700,398$
-
Population
➢ Overall offender service population has decreased 3.4% from FY2019
• Average daily census through 3rd quarter
▪ FY2019: 147,480
▪ FY2020: 142,500
➢ Offenders aged 55 or older population has increased 2.7% from FY2019
• Average daily census through 3rd quarter
▪ FY2019: 19,454
▪ FY2020: 19,981
• While comprising about 14.0% of the overall service population, these offenders
account for 48.3% of the hospitalization costs received to date.
➢ Mental health caseloads:
• FY2020 average number of psychiatric inpatients through 3rd quarter: 1,710
• FY2020 average number of psychiatric outpatients through 3rd quarter: 26,810
130,000
135,000
140,000
145,000
150,000
155,000
13,000
14,000
15,000
16,000
17,000
18,000
19,000
20,000
21,000
To
tal
Po
pu
lati
on
Off
end
ers
Ag
e 5
5+
CMHC Service Population
Offenders Age 55+
Total Population
-
Health Care Costs
➢ Total expenditures through 3rd quarter, FY2020: $578.5M
• Unit and Psychiatric Care expenses represent the majority of total health care costs -
$306.3M or 52.9% of total expenses
• Hospital and Clinical Care - $213.9M or 37.0% of total expenses
• Pharmacy Services - $58.3M or 10.1% of total expenses
▪ HIV related drugs: 29.7% of total drug costs
▪ Hepatitis C drug therapies: 29.9% of total drug costs
▪ Psychiatric drugs: 5.1% of total drug costs
▪ All other drug costs: 35.3% of total drug costs
➢ Cost per offender per day increased 5.1% from FY2019 to FY2020
• Cost per offender per day through 3rd quarter FY20
▪ FY2019: $14.10
▪ FY2020: $14.82
FY 16 FY17 FY18 FY194-Year
Average
FYTD 20
1st Qtr
FYTD 20
2nd Qtr
FYTD 20
3rd Qtr
Population
UTMB 116,828 116,574 118,737 117,987 117,531 116,288 115,730 114,356
TTUHSC 30,004 29,807 29,448 28,992 29,563 28,293 28,375 28,144
Total 146,832 146,381 148,185 146,979 147,094 144,581 144,105 142,500
Expenses
UTMB $523,473,857 $554,779,025 $589,220,522 $631,955,233 $574,857,159 $162,357,021 $322,692,765 $481,355,222
TTUHSC $118,262,289 $115,982,376 $118,282,720 $124,707,572 $119,308,739 $32,524,779 $64,549,380 $97,103,462
Total $641,736,146 $670,761,401 $707,503,242 $756,662,805 $694,165,898 $194,881,800 $387,242,145 $578,458,684
Cost/Day
UTMB $12.24 $13.04 $13.60 $14.67 $13.39 $15.34 $15.32 $15.36
TTUHSC $10.77 $10.66 $11.00 $11.78 $11.05 $12.63 $12.50 $12.59
Total $11.94 $12.55 $13.08 $14.10 $12.92 $14.81 $14.76 $14.82
Note: UTMB total expenses do not include the final Hospital Cost Reconciliations.