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

This study source was downloaded by 100000785772547 from CourseHero.com on 04-13-2023 07:16:17 GMT -05:00

https://www.coursehero.com/file/169655110/HMGT-495-Case-Study-3docx/

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.

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

2This study source was downloaded by 100000785772547 from CourseHero.com on 04-13-2023 07:16:17 GMT -05:00

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

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,

Case Coordinator, Intern

3This study source was downloaded by 100000785772547 from CourseHero.com on 04-13-2023 07:16:17 GMT -05:00

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-

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

4This study source was downloaded by 100000785772547 from CourseHero.com on 04-13-2023 07:16:17 GMT -05:00

https://www.coursehero.com/file/169655110/HMGT-495-Case-Study-3docx/ Powered by TCPDF (www.tcpdf.org)

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HMGT_495___Case_Study_3.docx.pdf

by ella | Feb 13, 2024 | >Science homework help

Case Study 3 – Memorandum

Brittany Perry

Health Services Management, UMGC

HMGT 495 Strategic Planning and Leadership in Healthcare

Professor Shelby Boggs

September 27, 2022

This study source was downloaded by 100000785772547 from CourseHero.com on 04-13-2023 07:16:17 GMT -05:00

https://www.coursehero.com/file/169655110/HMGT-495-Case-Study-3docx/

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.

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 (300×12)

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

2This study source was downloaded by 100000785772547 from CourseHero.com on 04-13-2023 07:16:17 GMT -05:00

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

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,

Case Coordinator, Intern

3This study source was downloaded by 100000785772547 from CourseHero.com on 04-13-2023 07:16:17 GMT -05:00

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

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

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

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-

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

4This study source was downloaded by 100000785772547 from CourseHero.com on 04-13-2023 07:16:17 GMT -05:00

https://www.coursehero.com/file/169655110/HMGT-495-Case-Study-3docx/ Powered by TCPDF (www.tcpdf.org)

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Ivory Lessons

Ivory Lessons

HMGT495 Strategic Planning and Leadership in Healthcare

Case Study 3

Instructions

Continue working with the case described in week 3. Prepare a memorandum targeting the following:

1. What staff arrangements are available to meet the needs of out of the facility appointments?

2. What staff arrangements are needed to:

-accommodate the out of the facility appointments(show the calculations);

-meet the needs of in-house appointments (show the calculations);

-reduce the number of out of the facility appointments (justify);

3.Organizational plan to accommodate scheduled appointments, emergency appointments, and preventive appointments.

Make sure to use APA to cite credible evidence.

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HMGT 495 University of Maryland Global Wk 3 Correctional Health Care Case Study

  • June 19, 2023

You applied and were accepted in an internship program of a state-level, Female Correctional Health Care Operation in the Southeastern United States and your primary responsibility is to work on the assigned projects related to the provision of inmate health care.

Case Study Associated Materials : 

***Correctional Health Care Delivery: Unimpeded Access to Care Section 2 and 4 are recommended for the main reference in working on this assignment. 

  • The Health and Health Care of US Prisoners: Results of a Nationwide Survey

Public Health Behind Bars

Sample Tool Control Policy

Inmate Sick Call Procedures-Corrections

Case Study Details : For the incarcerated population in the United States, health care is a constitutionally guaranteed right under the provisions of the eight amendments which is the prohibition against cruel and unusual punishment ( see Estelle v. Gamble ). This particular prison can hold in excess of 1,728 offenders and routinely houses between 1,600 and 1,700 women on any given day. This institution incarcerates all custody classes to include minimum security, medium security, close custody, death row, and pretrial detainees. 

The health care operation provides the highest level of care for female offenders in the state. The health care facility is a 101 thousand square foot, 150 bed, three-story building that cost the taxpayers $50 million dollars to construct and is a hybrid of an ambulatory care center, long-term care center, and behavioral care center. The health care facility also houses an assisted living dorm.

The patient demographic includes women who have multiple co-morbidities including substance abuse, seriously persistent mental illnesses (SPMI), diabetes, cardiovascular disease, cancer, morbid obesity, HIV / AIDs, hepatitis, etc. On any given day there will also be 30 to 60 offenders who are pregnant, with 98% of those offenders having a history of substance abuse; all pregnant offenders are considered high-risk. The dental health of this patient population is exceptionally horrendous because of excessive drug abuse coupled with a sugary diet and poor oral hygiene practices. It is not uncommon for a 23-year-old to need all of her teeth extracted.

There are approximately 300 FTEs, including correctional staff, that operate the facility and provide care to the offender population. The healthcare facility is comprised of the following directorates: (a) Medical, (b) Nursing, (c) Behavioral Health, (d) Pharmacy, (e) Dental, (f) Medical Records, (g) Health Service Support, and (h) Operations and Security.

Although the health care facility has a vast amount of capability, there are limitations: (a) This facility does not have advanced cardiac life support capability (ACLS), (b) no surgical capability, (c) no ability to conduct telemetry, (d) no oral surgery beyond simple extractions, (e) no obstetrical capability beyond out-patient clinics, (f) MRI, (g) level 2 ultrasound, and the list goes on.

Those inmates with medical needs that cannot be addressed by the health services staff at the correctional facility will need appointments with external health care providers who have a business relationship with the prisons in this area. On any given month, there will be approximately 300 offenders who will go to outside medical appointments, and making certain that these appointments take place is where the challenge lies. Similar to many healthcare operations, the prison Utilization Review / Case Management Department facilitates all external appointments and forms the lynchpin between the correctional facility healthcare providers who refer offenders for specialty appointments and the outside organization providing that appointment.  

Your assignment: You are the Case Coordinator. You have 300 patients that need to be scheduled for outside specialty appointments every month. You are tasked by the Administrator to develop a strategic plan for organizing the out-of-the-facility appointments without impairing internal services.

*** Note: additional personal or financial resources are not available fortis case strategic plan. However, the question of the additional personnel or resources can be discussed in an Addendum. Specific justification must be presented and supported by evidence. 

As the first step, develop a 500-800 word Memorandum addressing:

Provide an overview of Estelle v. Gamble and how that 1976 Supreme Court ruling pertains to the provision of inmate health care.

Examine the challenges of providing health care in a correctional environment.

What are the challenges of providing health care to a female offender population that may not exist in a male prison?

What framework would you apply to strategic planning? Why? ( Strategic planning frameworks)  

Nursing Assignment Help

Introduction:

In this memorandum, we will address four key questions related to the provision of inmate healthcare within a correctional environment. Specifically, we will discuss the implications of the Estelle v. Gamble Supreme Court ruling on inmate healthcare, identify the challenges of providing healthcare in a correctional setting, explore the unique challenges involved in caring for a female offender population, and propose a strategic planning framework to guide the organization of out-of-facility specialty appointments.

1. Provide an overview of Estelle v. Gamble and how that 1976 Supreme Court ruling pertains to the provision of inmate health care.

Estelle v. Gamble (1976) was a landmark Supreme Court case that established the constitutional right to receive adequate medical care for inmates. The ruling stated that “deliberate indifference to serious medical needs” constitutes cruel and unusual punishment, which is prohibited under the Eighth Amendment. This means that correctional facilities are legally obligated to provide inmates with healthcare that meets acceptable medical standards. It places a responsibility on prison authorities to ensure that inmates have access to necessary medical care, regardless of the limitations or challenges of the correctional environment.

2. Examine the challenges of providing health care in a correctional environment.

Providing healthcare in a correctional environment poses unique challenges due to the nature of the inmate population and the limitations of the correctional facilities. Some of these challenges include:

a. Security concerns: Correctional facilities must prioritize safety and security, which can impact the delivery of healthcare services. Balancing the need for security with the provision of adequate healthcare can be challenging.

b. Lack of resources: Many correctional facilities face resource limitations, including limited budgets, staffing shortages, and outdated or inadequate medical equipment and infrastructure. These constraints can hinder the delivery of quality healthcare to inmates.

c. High prevalence of chronic illnesses: Inmate populations often experience a higher prevalence of chronic illnesses, mental health disorders, and substance abuse issues compared to the general population. Treating and managing these complex conditions within the correctional environment can be challenging, requiring specialized care and coordination with external healthcare providers.

d. Continuity of care: Inmates are frequently transferred between facilities or released back into the community, making it challenging to maintain continuity of care. Ensuring seamless transitions and access to necessary healthcare services during and after incarceration is a crucial challenge.

3. What are the challenges of providing health care to a female offender population that may not exist in a male prison?

Caring for a female offender population presents unique challenges compared to male prisons. Some key challenges specific to female offenders include:

a. Reproductive health needs: Female offenders have specific reproductive health needs, including prenatal and postnatal care, family planning services, and gynecological care. Providing comprehensive reproductive healthcare within the correctional environment can be complex and require specialized resources and staff.

b. Gender-specific healthcare: Women have different healthcare needs and often require gender-specific services related to breast health, menopause management, and sexual assault recovery. Correctional facilities must ensure that these gender-specific healthcare needs are addressed appropriately.

c. Trauma-informed care: Many female offenders have a history of trauma, abuse, or mental health issues. Providing trauma-informed care that acknowledges and addresses these unique experiences is crucial but can be challenging within the correctional setting.

4. What framework would you apply to strategic planning? Why?

The framework that we would apply to strategic planning in this case is the Hoshin Kanri approach. Hoshin Kanri, a lean management methodology, emphasizes clear communication and alignment of objectives across all levels of an organization. It involves the identification of long-term goals, the development of specific action plans, and the implementation of a system for ongoing monitoring and evaluation. This framework is well-suited for the strategic planning of organizing out-of-facility appointments for inmate healthcare as it ensures a comprehensive and coordinated approach to meeting the needs of the patient population. By involving all stakeholders and implementing a robust system for continuous improvement, the Hoshin Kanri approach can support the effective organization of specialty appointments within the given limitations of resources and personnel.

  • Care , Case , Correctional , global , Health , HMGT , Maryland , Study , University

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    Case Study # 3Hide Assignment InformationTurnitin®This assignment will be submitted to Turnitin®.InstructionsContinue working with the case described in week 3. Prepare a memorandum targeting the following:1. What staff arrangements are available to meet the needs of out of the facility appointments?2. What staff arrangements are needed to:-accommodate the out of the facility appointments ...

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    Health-science document from Saint Paul College, 3 pages, Correctional Health Care Assignment Course Objective for Assignment: Relate strategic management principles and decision logic to current complex health care management challenges and formulate effective solutions. ... HMGT 495 Correctional Health Care Case Study One.docx. School. Saint ...

  14. SOLUTION: HMGT 495 Maryland College Park Correctional ...

    HMGT 495Develop a Briefing report (continue working on the case from week 3) covering all the following:1.What framework would you apply to the strategic planning? Why? (HINT: Remember all the available frameworks that you learned in the previous classes as well as in this class to make a correct choice; justify the final choice through the collaborative ).2.Identify what information and ...

  15. UMGC HMGT495 Case Study 3 Latest 2022 January

    HMGT495 Strategic Planning and Leadership in Healthcare Case Study 3 Instructions Continue working with the case described in week 3. Prepare a memorandum targeting the following: 1. What staff arrangements are available to meet the needs of out of the facility appointments? 2. What staff arrangements are needed to: -accommodate the out of the facility

  16. Lee HMGT495 CaseStudy3 SU20208W6.docx

    A. Robinson HMGT 495 Case Study 2.docx. University of Maryland, University College. HMGT 495. Lenny Case Study #5 Group#2 Project_Ver2.docx. Solutions Available. University of Maryland, University College. HMGT 495. View More.

  17. HMGT 495 Week 4 Discussion.docx

    Document HMGT 495 Week 4 Discussion.docx, Subject Health Science, from University of Nairobi, Length: 3 pages, Preview: 1. ... Screenshot_20240506_135958.jpg Screenshot_20240507_001640.jpg Screenshot_20240507_001617.jpg Screenshot_20240507_001638.jpg Case Study Group 4 Project Final.docx HMGT 495 Week 7 Discussion.docx Screenshot_20240507 ...

  18. SOLUTION: Hmgt 495 Case Study 2

    Hmgt 495 Case Study 2; Hmgt 495 Case Study 2. Content type User Generated. Subject Management. School University of Maryland Global Campus. Course HMGT 495. Type Homework. Uploaded By fgneqbanyq96. Pages 2. Rating Showing Page: 1/2. Running Head: HMG T 495 1 . HMGT 495 CASE STUDY 2 . STUDENT'S NAME:

  19. (Solved) UMGC HMGT495 Case Study 3 Latest 2022 January

    UMGC HMGT495 Case Study 3 Latest 2022 January Question # 00817133 Posted By: Ferreor Updated on: 01/10/2022 08:24 PM Due on: 01/11/2022 Subject Education Topic General Education Tutorials: 1 See full Answer

  20. Understanding Knowledge Management Problems in Healthcare:

    HMGT 495. Subject. Health Science. Date. Feb 27, 2023. Pages. 4. Uploaded by CorporalWillpower4184. Helpful Unhelpful. Helpful ... Nyerwanire, H., & Valpas, A. (2014). Knowledge management problems in healthcare - A case study based on the grounded theory. Proceedings of the International Conference on Knowledge Management and Information ...

  21. Lee HMGT495 CaseStudy2 SU20208W4.docx

    View Lee_HMGT495_CaseStudy2_SU20208W4.docx from HMGT 495 at University of Maryland, University College. Running head: EVIDENCE COLLECTION TABLE Evidence Collection Table Anna Lee University of. ... View Case_Study_1_Ver2.docx from HMGT 495 at University of Maryland, University College... 362224501#.edited.docx. Egerton University. CHEMISTRY ...

  22. HMGT 495 University of Maryland Global Wk 3 Correctional Health Care

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  23. Discussion 4 HMGT 495.docx

    HMGT 495 - Case Study 3.docx. University of Maryland, University College. HMGT 495. View More. This research was conducted through the knowledge management problems in healthcare based on the Grounded Theory to investigate the problems that hinder or impede knowledge.