Continue working with the case described in week 3. Prepare a table (freestyle) addressing the following:1. Iden

Continue working with the case described in week 3. Prepare a table (freestyle) addressing the following:1. Identify what information and evidence you have to apply to the strategic process steps.2. Identify appropriate evidence you still need to correctly use the strategic planning process. (HINT: make sure to list all types of evidence you need)3. Identify the sources of the needed evidence. Offer the stakeholders able to provide you with the evidence you are seeking.


TEMPLATE FOR TABLE OF EVIDENCE (TOE)
Table 1.
Table of Evidence
Study Citation
(Authors & Date)
Sample
(Characteristics,
Size & Setting)
Design/Patient
Selection
Intervention
Findings/Author
Conclusions
Level/
Grade of
Evidence
Reviewer’s Comments (Strengths
& Limitations)
Strategic Planning Framework Evidence Collection Table (an example)
Framework: P.E.R.I.E.
Step of the process
Problem
Evedence type
Present
Scientific
Morbidity rates
Needed
Stakeholders to
provide the evidence
Mortality rates
School enrolment
CDC
Dof Ed
Relationship
N/A
Regional Health
Case Control Study System
CASE STUDY
For the incarcerated population in the United States, health care is a constitutionally guaranteed right
under the provisions of the eight amendment 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 the female offender 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
a 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 highrisk. 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 to include 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 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 who have 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 this is where the challenge lies. Similar to many health care operations, the prison Utilization
Review / Case Management Department facilitates all external appointments and form the lynchpin
between the correctional facility health care providers who refer offenders for specialty appointments,
and the outside organization providing that appointment.
RESOURCES
The Health and Health Care of US Prisoners: Results of Nationwide SurveyI
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC26614…
Public Health Behind Bars
https://learn.umuc.edu/content/enforced/263139-027…
Inmate Sick Call Procedure
Population
A locked box labeled “Sick Slips” is located next to the officer’s station in each general population
housing unit.
Sick slips are available next to the “Sick Slips” box.
Inmates may fill out a sick slip and deposit it into the locked Sick Slips box.
A nurse from the Health Service Unit will collect sick slips at 7:00 AM and 7:00 PM.
A nurse will triage the sick slips to determine if inmates should be scheduled for an appointment in the
Health Service Unit or if they need to be seen immediately.
Within 48 hours, each inmate submitting a sick slip shall be brought to the Health Service Unit, for
evaluation, or a notation shall be made in the medical record indicating why such a medical visit was
unnecessary.
Administrative Confinement
A nurse shall make rounds in the Administrative Confinement unit on the 7-3 shift and 3-11 shift.
The nurse making rounds will stop at each cell to provide each inmate the opportunity to communicate
any medical concerns.
Based upon the medical complaint, and personal observation, the nurse making rounds shall make the
determination if an inmate must be seen in the Health Service Unit immediately, or if he/she may be
scheduled within the next 48 hours.
Documentation
All sick slips shall be filed in the inmate’s medical folder. Each sick slip shall be filled out and signed by a
member of the medical staff, indicating what action was taken.
Sample Tool Control Policy
TOOL CLASSIFICATION
1.
All tools and controlled items shall be classified
under three general headings:
a.
Class AA-extremely dangerous tools:
This
category includes those tools that would be
classified as Class A tools, but due to their
nature in the correctional setting are not
appropriate for storage within a secured
facility.
The use of these items within a
secured facility must be strictly controlled,
supervised, and limited. At a minimum these
items include bolt cutters, ladders over six
feet in height, scaffolding, hilti gun (or
similar) kits with charges, metal cutting saw
blades, hacksaw blades, files, ban saw blades,
mixing chambers, any diamond tipped tool,
hydraulic jacks, porta jacks, core drills.
Each facility shall determine any additional
items that fit this category.
Extremely
dangerous tools must be removed from the
institution at the end of each work day or
stored inside a combination locked safe inside
a Class A tool room, stored in the Armory or
turned into the control center.
Procedures
for storing and issuing these items shall be
discussed later in this policy.
b.
Class
A-hazardous
tools:
This
category
includes those tools most likely to be used in
an escape or escape attempt; used to
manufacture or serve as weapons capable of
doing serious bodily harm; or are hazardous to
institutional security or personal safety.
Consumables such as welding rods and sandpaper
are considered class “A” tools and need to be
addressed with perpetual inventories and
appropriate storage.
c.
Class B-non-hazardous tools: This category
includes those tools which are not likely to
be used in escapes or escape attempts; not
used to manufacture or serve as weapons
capable of doing serious bodily harm; or are
not hazardous to institutional security or
personal safety.
STORAGE IN WORK AREAS
1.
2.
3.
Class “AA”, Class “A”, and Class “B” tools shall be
inventoried,
marked,
secured
and
shadowed
separately at all times when not in use.
All Class “A” tools shall be stored in areas secured
by at least two separate solid locked doors and
inmates shall never have access to these areas. A
centralized
tool
storage
area
for
this
classification of tools is required which shall be
manned by a designee of the superintendent to which
the keys shall be restricted to that person only
and secured in glass front box in the main control
center. This tool storage area must be designed in
such a fashion so unauthorized entrance is
physically reduced. In such the rooms must be of
solid design from floor to ceiling without windows
or if windows are present, bars equivalent in
strength to the control center must be installed.
All Class “B” tools shall be stored in an area
secured by at least one locked door and separated
from inmate traffic. If the Class “B” storage area
is in conjunction with a Class “A” storage area,
then the design must be of the solid type
construction with security hardware and locks as
described in Section 2 above. If only Class “B”
tools are to be stored in the area the design can
be such as is normally associated with an
administrative office within a secure facility.
The keys to this area must be restricted to one
person but may be located on the main key board.
Class “AA” tools may only be stored inside a secure
facility in a combination locked safe within the
Class “A” main tool storage area that meets all the
requirements set forth in Section 2 above. Storage
of “AA” tools is not permitted inside a secured
facility satellite tool storage area, such as an
industries or vocation shop. All other Class “AA”
tools shall be removed from the facility and stored
either in the Armory, Main Control Center, or other
outside structure with equivalent design features,
no inmate access and limited staff access.
Whenever Class “AA” tools enter a secured facility
the entrance officer must log the item into the
facility to include the time, date, item, staff
member supervising the tool, and the area to be
visited. The entrance officer should then notify
the shift commander.
These tools must never be
left unattended within the facility.
CONTRACTOR’S TOOLS
1.
CONTROL OF
CHEMICALS
The front entrance officer or rear gate officer
shall inventory all visitors and contractor’s tools
on an approved form prior to entering and departing
the institution.
A copy will be given to the
escorting staff member.
The original will be
maintained by the entrance officer.
Upon the
contractor’s exiting the facility, the original
will be used to complete the inventory by the
exiting officer. Only those tools absolutely
necessary to the project shall be allowed inside
the institution. Class “A” and “AA” tools must be
approved by the shift commander prior to their
admittance.
Contractors shall be under staff
escort and supervision while in the institution.
Any discrepancies in the tool inventory shall be
handled as outlined in Section 511.16 and the
contractor shall remain at the facility until
attempts at tool recovery have been completed.
FLAMMABLE,
HAZARDOUS
AND
POISONOUS
MATERIALS,
AND
1.
All flammable, hazardous, poisonous and toxic
materials shall be considered Class “A” items.
This includes such items as gasoline, alcohol,
ditto fluids, acid, glue, insecticides, etc.
2.
Inventories shall be maintained for these items.
They shall be drawn by an employee only when
authorized by the department supervisor.
The
issuing officer shall record the date, time,
amount, and name of the employee receiving the
item.
3.
These items shall be stored in a non-flammable
storage cabinet or other suitable storage cabinet,
in accordance with Class “A” storage requirements
as outlined in this policy.
4.
All flammable and toxic materials, other than
gasoline,
shall be stored in its original
container. The manufacturer’s label shall not be
removed.
5.
Gasoline and other flammables shall be strictly
controlled to prevent use in the manufacturing of
bombs or committing arson.
6.
a.
All gas pumps shall be outside the facility
and locked when not in use.
b.
Gasoline shall not be stored or carried in any
type container except an approved safety can.
The can shall be painted red, with the word
“gasoline” painted clearly on the side in
yellow, with a one-half inch yellow band
around the container, as per OSHA regulations
and local fire codes.
c.
Movement of gasoline into the institution for
use in small engines (e.g., lawnmowers) shall
be supervised by an employee.
All gasoline
powered small engine operations shall be
directly supervised by a staff member.
All
gasoline powered small engines must be
equipped with locking gas caps and metal
shields over the fuel lines for entry into the
institution.
d.
Lawnmowers and other small engine equipment
shall be removed and stored outside the
institution when not
in use.
All excess oxygen, propane, acetylene, and other
gas tanks (full or empty) shall be stored in a
secure area, outside the institution perimeter,
inaccessible to inmates.
They shall be chained
together and locked to an immovable object. Tanks
stored within the facility must be approved by the
director of security or superintendent’s designee.
The decision should be based upon the tank’s
necessity for the functioning of the facility and
not just convenience. All tanks stored inside the
facility must be locked to an immovable object.
Empty tanks may not be stored inside the facility.
All tanks when moved from their designated storage
site must be used under constant staff supervision
and returned to storage immediately after use. At
no time shall they remain out of storage overnight.
Mixing chambers shall not be stored under any
circumstances inside the facility and shall be
removed from the facility immediately after use.
Combination Acetylene/Oxygen tanks with nondetachable mixing chambers shall not be stored
inside the facility. Torch tips, hoses, regulators,
etc., shall be handled in accordance with Class “A”
tool specifications delineated in this policy, but
shall not be stored in the same or adjacent area
where any tanks are stored.
7.
Adherence to the provisions of 103 DOC 730 is also
required.
CONTROL OF DANGEROUS DRUGS AND HYPODERMIC APPARATUS:
1.
The control of narcotics, dangerous drugs, and
hypodermic apparatus shall be the responsibility of
the hospital administrative officer.
2.
Syringes, needles and lancets shall be disposed of
outside the institution as required by Law.
Storage of these items until disposal shall be
coordinated with the director of security or
Warden’s designee so as to insure security and
inaccessibility to inmates. Syringes, needles and
other medical/dental sharps are to be controlled
similarly to Class “A” tools.
Lancet management
will be conducted in accordance with health service
policy and procedure.
3.
Disposable scissors, I.V. needles, and tubing shall
be disposed of outside the institution as required
by State Law. Storage of these items until disposal
shall be coordinated with the director of security
or Warden’s designee so as to insure security and
inaccessibility to inmates. These items are to be
controlled similarly to Class “A” tools.
4.
A perpetual
maintained.
inventory
of
narcotics
must
be
5.
Reserve stocks of hypodermic apparatus shall be
kept in a vault or safe in a hospital office not
accessible to inmates.
6.
A perpetual inventory of all needles, syringes and
other medical/dental sharps by size shall be
maintained.
7.
Only the minimum number of syringes, needles and
other medical/dental sharps necessary or the proper
operation of any unit of the hospital should be
available for daily use, being kept in a
convenient, and at the same time, safe place.
CONTROL OF FOOD SERVICE EQUIPMENT
1.
The control of food service tools and knives shall
follow the same basic procedures for all other
tools, as outlined in this supplement. All knives
shall be considered Class “A” tools.
2.
A knife cabinet shall be constructed in each food
service area which shall contain all knives. They
shall be marked and shadowed in accordance with the
standards of this policy.
The cabinet shall be
secured
with
a
security
padlock
and
the
construction shall be the same as for any Class “A”
storage area.
3.
A food service staff member shall inventory, using
an inventory form similar to the attached sample,
all knives maintained in the knife cabinet twice
each day (once in the morning, and once in the
evening before departing the area).
Once the
inventory is co-signed by another food service
staff member as a witness, a copy shall be delivered
to the shift commander.
After reviewing for
accuracy this copy shall be forwarded to the
director of security or superintendent’s designee
for filing.
If any discrepancies are noted
immediate attention shall be given.
4.
Items from the knife cabinet shall be checked out
by employees utilizing a metal chit. If the item
is to be used by an inmate, the employee shall
record the inmate’s name and number on the
accountability form along with the check out and
check in times. This form shall be maintained in
the knife cabinet.
5.
Knives shall not be transported by inmates.
An
employee shall issue and retrieve the knife at the
inmates work station. When a knife or other Class
“A” tool is utilized, all entrances and exit doors
to the kitchen area and dining room shall be
secured.
Inmates should refrain from utilizing
knives or other Class “A” equipment during the
feeding of any meal, but if necessary may utilize
them under direct supervision.
AT NO TIME SHALL
KNIVES OR SIMILAR TYPE EQUIPMENT BE PERMITTED IN
THE DINING ROOM DURING THE FEEDING OF ANY MEAL.
6.
Yeast shall be handled and dispensed only by food
service employees and kept under direct supervision
until such time as the yeast is thoroughly
incorporated as an ingredient in the item to be
prepared.
After yeast is incorporated into the
dough, but uncooked, the trays of unbaked goods
shall be kept in a refrigerated area, yeast shall
be stored in a metal box secured to an immovable
object (bolted to the floor) and locked with a
security padlock. An inventory record shall be kept
in this box, which shall indicate the date,
quantity issued, receipts, balance on hand and the
initials of the responsible employee making the
entry.
Inmates are not permitted to draw yeast
from the yeast storage box under any circumstances.

Purchase answer to see full
attachment