Abstracts & Faculty

An In-Depth Look at NCCHC’s 2008 Standards for Health Services ($170)
Saturday, May 17, 9 am – 5 pm
(separate sessions for jails and prisons)
These seminars will discuss the 2008 Standards, which are NCCHC’s recommendations for managing medical and mental health care delivery in adult correctional facilities and the foundation of its accreditation program. Groundbreaking changes in these editions have the potential to reduce costs of operations, while at the same time providing a framework for improved patient care and outcomes. Whether or not your facility is accredited (or plans to be), these practical seminars will give an overview of the changes and guidance in how to achieve and demonstrate compliance. You will leave equipped to implement quality improvements that will lead to more efficient and effective delivery of services, better patient health care, fewer adverse events and reduced liability risk. The registration fee includes a copy of the Standards for the setting (prison or jail)—a $70 value.

Educational Objectives
1. Describe how to comply with NCCHC’s new standards
2. Identify ways to improve quality in health services delivery systems
3. Implement strategies for reducing liability and risk

An In-Depth Look at NCCHC’s 2008 Standards for Mental Health Services in Correctional Facilities ($170)
Saturday, May 17, 9 am – 5 pm
NCCHC is introducing standards specifically for mental health services in prisons and jails, to be accompanied by a voluntary accreditation program beginning in late 2008. Learn what the standards say and how they apply to your facility, as well as how to use the standards to improve the delivery of your mental health services. The new standards and accreditation program can help you determine proper levels of care, organize your system more effectively and efficiently, and demonstrate to others that constitutional requirements are being met. The registration fee includes a copy of the new Standards—a $70 value.

Educational Objectives
1. Describe how to comply with NCCHC’s new standards
2. Identify ways to improve mental health delivery
3. Implement strategies for reducing liability and risk

Nursing Administration: Ensuring Quality Care ($95)
Saturday, May 17, 1:30 pm – 5 pm
Catherine M. Knox, RN, MSN, CCHP
Nurses are the key to excellence in the delivery of patient care in every health care setting. This presentation will engage nurses in considering how to support excellence in the practice of nursing in correctional settings. Participants will review the work done by the American Nurses Association, the Institute of Medicine and the National Quality Forum in defining the scope and standards of practice for nurses, the characteristics of work environments that retain nurses and the relationship between nursing practice and patient care outcomes. This review will compare and contrast support for nursing practice in corrections to other health care settings for the purpose of identifying practices and programs that can be adapted to correctional nursing. This session is designed to offer timeless principles and concrete applications so that, regardless of facility size, the population served or their role in the setting, every nurse who attends can improve his or her practice.

Educational Objectives
1. Identify the ANA Standards of Practice as a resource in supporting the practice of nursing
2. Apply strategies from organizations and work environments that support the retention of nurses
3. Develop recommendations to ensure quality care and improve nursing practice

New! Dealing with Special Challenges in Correctional Medicine ($95)
Saturday, May 17, 12 pm - 5 pm
Sponsored by the Society of Correctional Physicians
This seminar for correctional clinicians and administrators will present case studies to demonstrate common management issues you may be faced with. Clinical topics cases will cover pain management, diabetes and chest pain. Administrative issues will address how to manage patients who are frequent flyers, labeled as malingerers, and who are manipulative or threatening legal action. Panelists and audience members will offer their opinions on how to handle the cases with feedback from the presenter. Finally, a psychiatric perspective will be provided on how caretakers can continue to provide quality medical care in this challenging environment. The registration fee includes a luncheon program, immediately preceding, on cardiovascular and metabolic complications in HIV.

Educational Objectives
1. Manage administratively difficult patients as they present in the correctional health care setting.
2. Diagnose clinically challenging cases in the fields of cardiology, diabetes and pain management.
3. Apply nationally-recognized, evidence-based guidelines in the treatment of their patient populations for clinical presentations and cases.

Chronic Disease Management ($95)
Sunday, May 18, 8 am – 11:30 am
Todd R. Wilcox, MD, MBA, CCHP-A
Chronic diseases account for a significant percentage of the health care in a correctional facility. Appropriate management of this constellation of diseases can make or break your health care delivery process, while failure to do so results in a disproportionate number of bad outcomes and lawsuits. This talk will present an overview of the diseases that constitute chronic conditions and current recommendations for managing them, along with an intensive look at operational methods for implementing an effective program that integrates nursing and physician resources into a cohesive treatment plan. The speaker will also discuss other medical and mental health conditions that benefit from the same treatment methodologies applied to the traditional chronic care diseases. Lessons from lawsuits will be highlighted.

Educational Objectives
1. Review current recommendation for managing chronic disease
2. Implement effective chronic disease treatment plans
3. Analyze medication treatment options to save on costs

Suicide Prevention: Components of an Effective Plan ($95)
Sunday, May 18, 8 am – 11:30 am
Dean Aufderheide, PhD, MTH
Suicide is the third leading cause of death in U.S. prisons and the second in jails. The effective management of suicidal and self-injurious behavior, therefore, is among the most important challenges facing correctional professionals. Decisions must be clinically justifiable, precautions implemented quickly, and documentation must be legally defensible. The material in this workshop will focus on the “What Works” principle of suicide risk management in ensuring that safety and treatment services match the level of the assessed needs of inmates at risk for suicide. We will learn about the “Best Practices” for identifying imminent warning signs and the risk factors associated with suicides and why classifying self-inflicted harm as “suicidal” versus “manipulative” subverts the principal purpose of a suicide risk assessment. While identifying key policy issues in implementing a suicide prevention program, participants will enjoy applying the principles of suicide risk management to several case scenarios.

Educational Objectives
1. Define standard terms regarding suicide and self-injury prevention and interventions
2. Describe the risk factors associated with suicidal/self-injurious behavior
3. Compare the links between mental illness and suicide/self-injury

Risk Management in the Correctional Environment ($95)
Sunday, May 18, 12:30 pm – 4 pm
Joseph Paris, PhD, MD, CCHP-A
Even the most dedicated correctional health care workers groan at how litigiousness some inmates can be. If only there were surefire antidotes to prevent lawsuits and going to court. While we have yet to find that perfect antidote, this experienced presenter’s experience fending off and defending correctional lawsuits will be distilled for the audience. In an interactive session, discover different approaches to risk management and develop the essential tools: morbidity and mortality reviews, CQI, auditing, grievances and inmate feedback, and health care employee education and discipline. Find out how to do it all without breaking the bank or burning out the staff.

Educational Objectives
1. Discuss the different approaches to risk management
2. Review the necessary documentation needed to protect yourself
3. Identify ways to save costs and avoid staff burnout

Correctional Mental Health: Principles for  Co-occurring Disorders (Free)
Sunday, May 18, 12:30 pm - 4 pm
Joel Dvoskin, PhD
Mental health care providers face enormous challenges in identifying and treating the growing number of inmates with mental illness in their facilities. A high percentage of these inmates suffer from serious mental illness, and a very high percentage of them suffer from co-occurring disorders. Treatment of these disorders involves assessment and amelioration of symptoms, skill deficits and social disconnectedness. This presentation will describe how to assess, plan and treat these disorders during and after incarceration. Attendees can expect lively discussions and plenty of time for questions.

Educational Objectives
1. List the steps in evaluating the treatment needs of inmates with co-occurring disorders
2. Describe methods to address the needs of inmates with co-occurring diagnoses of substance abuse and mental illness
3. Compare the treatment of serious mental illness and treatment of substance abuse

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