National Conference on Correctional Health Care
October 18 - October 22, 2014
Connect - Collaborate - Commit to Excellence!
Since its inception in 1977, NCCHC's flagship conference has been the must-attend event of the year. With its exceptional lineup of educational sessions, abundant networking opportunities and the best commercial exhibition in this field, this premier event attracts thousands of dedicated correctional health professionals. With sessions geared toward basic, intermediate and advanced levels of experience and knowledge, the conference will deliver an array of opportunities to learn, mentor, connect and grow.
Save up to $75 when you register by September 10!
To register by mail or fax, please download this registration form.
|Registration Rates||Early Registration
9/11 - 10/14/14
|One-day (Monday, Tuesday or Wednesday)||$235||$275|
|Preconference seminar: Saturday (full day)||$185||$185|
|Preconference seminar: Sunday (half day)||$99||$99|
|Guest (exhibit hall events only)||$75||$75|
|Conference at Academy Member Rate *||$400||$445|
* To join the Academy of Correctional Health Professionals, simply sign up when you register.
Full registration (Regular or Academy) includes access to all conference events and educational sessions from Sunday evening through Wednesday, including roundtable discussions, included meals and all exhibit hall events. One-day registration provides access to all events and sessions scheduled for that day. The CCHP examination is NOT included in conference registration.
On-site registration is available. However, a $25 fee will apply.
To be considered preregistered, your registration with full payment must be received by October 14. After this date, all registrations must be processed on-site. An on-site fee of $25 will apply.
Notification of cancellation must be submitted in writing. Cancellations received by September 30 will be refunded less a $100 processing fee. No refunds will be made for cancellations after September 30. Delegate substitutions are allowed at any time, but NCCHC must be notified in writing. Registrants who fail to attend the conference and do not notify NCCHC are responsible for full payment.
Funding Approval Tips
While the issues you face continue to grow in number and complexity, there’s no doubt that getting to a conference poses budget difficulties for many professionals in our field. Here are some ideas to get your approval on track so you can join your peers at the Conference.
CCHP Exam and Application
There is a separate application for the CCHP examination. It is not included in your conference registration. Learn more at www.ncchc.org/CCHP.
Continuing Education Objectives
- Demonstrate understanding of correctional health care issues, including quality of care, access to care, financial management and workforce development
- Identify major health care, research and policy issues facing incarcerated individuals, including infectious diseases, mental illness, substance abuse and special needs (e.g., women’s issues, juvenile health, geriatrics, disability)
- Demonstrate increased understanding of skills necessary to better manage common medical, nursing, dental and psychological problems found in correctional settings
- Describe legal, ethical and administrative issues and develop solutions for the correctional setting
Continuing Education Credit
The maximum CE hours indicated below include participation in preconference seminars.
- CCHPs: Certified Correctional Health Professionals may earn up to 32 contact hours of Category I continuing education for recertification.
- Nurses: The National Commission on Correctional Health Care is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
NCCHC designates this educational activity for a maximum of 32 contact hours.
- Physicians: The National Commission on Correctional Health Care is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. NCCHC designates this live activity for a maximum of 32 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- Psychologists: The National Commission on Correctional Health Care is approved by the American Psychological Association to sponsor continuing education for psychologists. NCCHC maintains responsibility for this program and its content. This educational activity has been approved for up to 32 hours of credit.
- Social Workers: NCCHC has applied for 32 credits from the National Association of Social Workers. (See Schedule at a Glance for sessions that have been approved for APA credit.)
Targeted Education for Every discipline
The National Conference provides comprehensive coverage of all aspects of correctional health care: chronic care, mental health, suicide prevention, oral health care, special populations, crisis intervention, liability challenges, risk management and more.
Posters are available for viewing in the exhibit hall. Meet one-on-one with the poster authors to discuss their findings during the exhibit hall opening reception on Sunday evening. Poster topics run the gamut—from program innovations to research findings to treatment recommendations and more.
500 Epidemiology of Newly Diagnosed Cases of HIV Infection From Correctional Facilities, 2008-2011
Albert Barskey, CDC’s National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention; This poster describes the demographics and risk behavior characteristics of persons newly diagnosed with HIV infection within a correctional facility during 2008-2011. These features are compared with those of the population newly diagnosed outside of correctional facilities. The percentage of all newly diagnosed persons who were diagnosed within a correctional facility is discussed, and trends over the time period are examined.
501 Using Evidence-Based Practice to Improve Patient Safety
Linda Pirruccello, MSN, RN, California Men's Colony; Central-line bloodstream infections are among the most deadly and costly threats to patient safety. This poster describes the action taken by the California Men’s Colony hospital to eliminate such infections. Evidence-based practices implemented include development of an interdisciplinary leadership team, use of best practice guidelines from the CDC, staff training and education, updated policy and procedures, user-friendly documentation forms, use of new site care and dressing products and ongoing surveillance and evaluation of patient outcomes and central-line care practice.
502 Health Information Resources for LGBT Populations
Naomi Gonzales, National Library of Medicine; Participants will learn how to access free online health information resources (including patient handouts) that address common health issues seen in lesbian, gay, bisexual and transgender populations, such as HIV/AIDS, mental health disorders and resources for LGBT youth. Resources covered include websites from the National Institutes of Health such as MedlinePlus, AIDSinfo and the National Institute of Mental Health.
503 Cost–Benefit Analysis of New Hepatitis C Treatments in a Correctional Setting
Jeffrey Fetter and Elizabeth Barton, MBA, MHM Correctrional Services Inc.; New antiviral therapies for hepatitis C are remarkably effective and well tolerated, but also much more costly than interferon-based treatments. This cost–benefit analysis poster compares estimated cost per sustained viral remission for several potential treatment protocols for use in a correctional setting.
506 Mental Illness and Homelessness Among Prisoners: Understanding Health Challenges and Reentry Needs
Cassandra Ramdath, MA, John Jay College of Criminal Justice; This poster examines the prevalence of homelessness and mental illness among U.S. state and federal prisoners. In addition, it looks at homelessness as a predictor of mental health problems in this population, as well as other correlates of mental illness. Correctional, reentry and reintegration planning for prisoners with housing and health care needs will be discussed.
507 Repurposing: Transitioning a Punitive Detention Facility to a Strength-Based Rehabilitation Center
Aron Steward, PhD, Vermont Department of Corrections; Correctional systems and providers in juvenile settings must ensure youth are adequately treated to prevent recidivism and future entry into adult facilities. A strength-based delivery system, clinically indicated levels of treatment and supporting staff create the most effective rehabilitation environment. This poster will present a literature review and provide an example of a repurposed facility.
508 Pain Management Quality Improvement in Santa Clara County Jail
Jessica Humphreys and Alexander Chyorny, MD, Santa Clara Valley Health & Hospital; This poster reviews a population study that compiled descriptive data for chronic pain patients in Santa Clara County Jail. The study measured and evaluated a number of quality indicators including urine toxicology screening, ER transfers, man-down events and presence of pain contracts to assess the quality of pain management services provided and adherence with current pain management protocols.
509 Lowering Mental Health Costs Through Development of a Special Needs Pod
Deborah Koricke, PhD, Lorain County Sheriff's Office; This poster describes how a medium-sized county jail was able to lower inpatient psychiatric stays from an average of 12 to fewer than 1 per year, saving the county more than half a million dollars a year. Additionally, the jail was able to lower the cost of antipsychotic medications to almost half of the previous average cost while maintaining high quality care standards for more detainees.
510 Building the Best: Planning, Design and Construction of the California Health Care Facility
Brenda Epperly, MSN, RN, CCHP, California Correctional Health Care Services; Dwight Winslow MD, CCHP; George Dyckes, Kitchell Corp.; Under pressure of health care litigation and court oversight, how do you incorporate different levels of acuity, bring together diverse state agencies, include multiple stakeholders and manage several construction firms to build the biggest prison hospital in the United States? This poster will show how patient acuity was used to drive decision making and design, how collaboration was established and the approaches that brought together the stakeholders.
512 New Paradigms in Hepatitis C: Navigating Changes and Finding Resources
Richard Feffer, MS, CCHP, Washington Department of Corrections
Recent changes in hepatitis C treatment options and the Affordable Care Act will change the way prisons and jails provide care for HCV. This poster presents these changes, related issues and strategies being taken by correctional systems to address them. It also provides an overview of resources provided by The National Hepatitis Corrections Network, a group of professionals collaborating for better HCV care in corrections.
513 Using Checklists to Improve Operations
Dawn Frazier, ADN, RN, CCHP-RN, Sheriff Al Cannon Detention Center; Checklists can serve as a job aid to compensate for potential limits of human memory. Checklists help to make sure attention is a sound operations strategy and serve as a guaranteed check and balances system that holds employees accountable and enhances the quality of care. They help to ensure consistency and completeness in carrying out tasks in the complex correctional health care setting.
514 Montana: Meeting the Needs of Elderly Offenders
Sarah Phipps, BSN, RN, CCHP, Montana Department of Corrections; Melissa Scharf, RN, CCHP, Montana State Prison; This poster explains how the Montana Department of Corrections developed a 25-bed nursing home facility to provide a specialized level of health care to elderly offenders. It compares the types of health care services provided to these elderly inmates to the services provided in a community nursing home and identifies areas of improvement for the correctional facility.
515 Paliperidone Palmitate vs. Oral Antipsychotics Delays Adverse Consequences for Schizophrenia
H. Lynn Starr, MD, Lian Mao, PhD, and Stephen Rodriguez, MA, Janssen Pharmaceuticals, Inc.; The results of a prospective, open-label, randomized, rater-blinded, 15-month study comparing once-monthly injectable paliperidone palmitate and daily oral antipsychotics in schizophrenia subjects with a history of incarceration will be presented. This poster will also highlight the real-world settings of this trial and will support the inclusion of a broad range of real-world consequences in the study of schizophrenia.
516 Opt-Out HIV Screening Among Persons Incarcerated in a Large County Jail, 2012-2013
Vincent Gales, BSN, RN, CCHP, and Jane L. Wixted, MSN, MHSA, Maricopa County Correctional Health Services; Because of the increased risk factors prevalent in the incarcerated population, HIV infection is more prevalent in prisons and jails than in the general population. To identify inmates who may not be aware of being infected with HIV, an opt-out screening program was initiated at the Maricopa County Jail in Phoenix, AZ. Over a two-year period, 59 new cases of HIV were identified.
517 Expedited Partner Therapy Use and Barriers to Use by California Juvenile Halls
Tracy Exley, MD, Stanford Children's Health; Expedited partner therapy is a method of providing treatment without a medical evaluation for sex partners of patients diagnosed with a sexually transmitted infection. EPT has been shown to be effective both as treatment and in decreasing reinfection rates. Little is known about the use of EPT in juvenile halls. This study sought to determine the use and barriers to use of EPT by health care providers in California juvenile halls.
518 Using Telemedicine in the Management of HIV and Hepatitis C Coinfection
Melissa Badowski, University of Illinois College of Pharmacy at Chicago; Jeremy Young; Pyrai Vaughn; This poster presents the benefits of using new and emerging therapies to manage patients co-infected with HIV and hepatitis C. It reviews a program in which the University of Illinois Hospital and Health Sciences System provides HIV and hepatitis C care to inmates at Illinois Department of Corrections facilities, with an infectious diseases physician, infectious diseases clinical pharmacist and a case manager providing multidisciplinary care via telemedicine.
519 Using Electronic Health Information Exchange to Save Time and Improve Outcomes in Transitional Care Management
Alison Jordan, MSW, New York City Department of Health and Mental Hygiene; Jesse Thomas; Transitional Health Care Coordination has embarked on an initiative to support new practices of service delivery and administration through the use of technology and electronic health information exchange in partnership with information technology initiatives and RDE systems. This approach is transforming how information is processed and used for operations and quality improvement in the context of the Affordable Care Act.
520 Prototype Photographic Wound Documentation Policies and Procedures to Monitor Wound Healing
Anita Thorpe, RN, CCHP, Montana State Prison; Veronica Alfaro, BSN; Electronic health records that incorporate photographs with wound documentation creates a portrait of wound progression or regression, givingproviders distinct detail and true-to-life color. The use of photographs can streamline documentation and the visualization of wounds. A policy and procedure designed for the highly sensitive corrections environment enables monitoring of inmates at all security levels, including those responsible for wound self-care, leaving little room for negative outcomes due to inconsistency in charting and chart interpretation.
Summaries of the educational sessions are available in session order in this tab. Create your own curriculum by attending the sessions you pick each day; you will receive copies of all presentation materials. Check back, more sessions will be added!
Concurrent Session 1
Monday, October 20, 10:45 am – 11:45 am
401 Common Viral Cancers in Corrections
Richard Kosierowski, MD, CCHP, Corizon - Brentwood Regional
Viral-induced cancers are common in corrections. Common viruses such as HPV, HIV and hepatitis B/C cause a large percentage of cancers including cervical, vulvar anal, oropharyngeal, non-Hodgkin’s lymphoma and hepatoma. The epidemiology, prevention, diagnosis and treatment of such cancers will be discussed, highlighting the role of the primary care physician and the chronic care clinic in the the prevention, screening, diagnosis, treatment and posttherapy surveillance of viral tumors.
402 Developing Guidelines for Nurses in Chronic Care Management: What Is Nursing’s Role?
Margaret Collatt, BSN, RN, CCHP-RN, Oregon Department of Corrections; Nancy Sue Smith, MSN, RN, CCHP-RN, Instructional Connections
Nurses have knowledge and expertise to contribute to the care of inmate-patients diagnosed with chronic illnesses, but nursing practice in chronic disease management varies widely throughout correctional facilities. Guidelines should be developed that maximize nursing participation in chronic disease management and adhere to nursing scope of practice and existing regulations. The guidelines should be developed with participation from nurses at different levels of practice.
403 Dual Disorder Treatment in the Correctional Setting Using the DSM-5
Scott Huntington, LPC, MA, Genesis Behavioral Services, Inc.; Mark Fleming, PhD, CCHP-MH, Corizon - Brentwood Regional
Recognizing the increase in dual disorders in our correctional settings, it is imperative that behavioral health programs that are being established within the criminal justice system use an integrated treatment approach along with the implementation of the DSM-5 to properly treat this targeted population. This training will highlight these areas of concern and provide some current thoughts, clinical approaches and diagnostic tools.
404 An Increasing Call for the Testimony of Correctional Health Care Providers
Deana Johnson, JD, MHM Correctional Services, Inc.
In both the civil and criminal arenas, correctional health care providers are being tapped more frequently to testify in court on matters that traditionally have been handled by independent medical experts. Learn some of the reasons for this development as well as your obligations, rights and risks.
405 Preventive Dentistry: New Paradigm for Correctional Dentistry
Nicholas S Makrides, DMD, MPH, Federal Bureau of Prisons
406 Juvenile Health Intake Screening and Assessment: Critical Questions and Actions
Michelle Staples-Horne, MD, MPH, CCHP, GA Dept of Juvenile Justice; Ohiana Torrealday, PhD, CCHP-MH, University of Texas Medical Branch; Melanie Farkas, PhD, MGH Child CBT Program
Youth being received into juvenile detention settings often arrive from the community with many potential health risk factors. An adequate screening process is essential for the protection of the receiving youth, other residents and staff. Specific screening and assessment questions and actions based on responses will be discussed, and policies and procedures that impact the effectiveness of an adequate health screening and assessment program will be detailed.
407 Standardizing Your Medical Diet Program: Benefits, Rationale and Compliance
Barbara Wakeen, MA, RD, CCHP, Correctional Nutrition Consultants, Ltd.
A standardized medical diet program helps to maintain optimal health status of inmates, ensures compliance and eliminates diet issues that can contribute to added costs. Communication between medical and the food service department is the key to the success of a standardized medical diet program. This presentation will identify the key points in a medical diet program, exemplifying the process from the diet order to the meal served and incorporating the standards compliance guidelines.
408 Restoring Medical Professionalism
Rebekah Haggard, CHCQM, MD, CCHP, Corizon - Brentwood Regional
Reports show that the health care workforce is struggling with heavy workloads. Burnout and complications that follow include apathy, disrespect and disengagement. This is problematic for any environment, but in health care it impacts delivery of safe care and contributes to medical errors and harmful mistakes. This presentation addresses ideas to restore a healthy sense of medical professionalism to minimize burnout and potential associated costs.
Concurrent Session 2
Monday, October 20, 1:00 pm —2:30 pm
409 Abdominal Pain Assessment: A Clinical Review
Todd Wilcox, MBA, MD, CCHP-A, Salt Lake County Metro Jail
Abdominal pain is a common complaint in all patient groups and in all patient settings. This talk will review basic anatomy as it relates to abdominal pain assessment and pathophysiology. The standard workup will be reviewed with physical exam hints and treatment tricks gleaned from years of practice. This course will be a review of core health care practice skills and knowledge.
410 Lub-Dub, Lub-Dub: Increasing Your Cardiac Exam Skills
Susan Laffan, RN, CCHP-RN, CCHP-A, Specialized Medical Consultants; Margaret Collatt, BSN, RN, CCHP-RN, and Sandra Whitbread, RN, Oregon Department of Corrections
This interactive session will focus on cardiac examination skills and review of the cardiac system. Topics will include cardiac anatomy, circulation, cardiac EKG tracings of irregular heatbeats, symptoms associated with the complaint of chest pain, appropriate nursing interventions and proper documentation and reporting of findings to the practioner.
411 Self-Injury Profiling System: A New Model for Risk Prediction and Treatment Selection
William Bales, PhD, and Samuel Scaggs, MS, Florida State University; Dean Aufderheide, PhD, Florida Department of Corrections
Nonsuicidal self-injury, especially serial NSSI, is a significant problem in corrections. An innovative profiling system identifies diagnostic and personality characteristics of inmates who engage in serial NSSI, behavioral patterns and risk factors to construct a SIPS profile and to analyze trends. The purpose is to develop a classification system for defining NSSI and a paradigm for understanding the motivational and etiological factors involved in order to facilitate evidence-based interventions, improved clinical outcomes and reduced health care costs.
412 A Diverse Population: Rights of the Transgender Inmate
Jessica Young, JD, Advanced Correctional Healthcare; Karen Stocke, CCHP, Advanced Correctional Healthcare
To protect the facility and all staff from successful litigation, it is necessary to understand the transgender population. This lecture will identify the correct terminology to be used when dealing with a transgender inmate regarding their safety and health care. It will explain housing and classification issues, treatment options and the importance of a zero-tolerance policy regarding harassment at the facility.
413 Best Practices in the Use of Restraints with Pregnant Women Under Correctional Custody
Patricia Reams, MD, CCHP, Cumberland Hospital
The National Task Force on the Use of Restraints with Pregnant Women under Correctional Custody represents a balance of corrections practitioners, federal agencies, advocates and medical professionals with expertise in this topic. In this session, task force members will discuss the formation of a best practices statement to guide the development and implementation of policies and practices affecting the use of restraints with pregnant women, as well as the statement’s recommendations on operational practice and additional resources available.
414 Risk Management: How to Make Your Jail Safer
Peter Perroncello, CJM, MS, CCHP, Norfolk County Sheriff's Office; Joseph Penn, MD, CCHP, University of Texas Medical Branch
Far too often, the practical and theoretical never converge. What constitutes a legal baseline of care and custody is constantly being assessed by the judiciary and legal scholars. Participants will gain insight into U.S. Supreme Court holdings that anchor sound jail management principles. Topics include classification, health care, use of force, policies and procedures, protection from harm, crowding, caring for the mentally ill, training and search policies post-PREA.
415 Prior Gunshot Injuries: A Public Health Approach to Violence
John May, MD, CCHP, Armor Correctional Health Services, Inc.
Firearm injuries are a leading cause of morbidity and mortality in the United States. Persons in jails and prison have disproportionate experiences of gun violence as victims, witnesses and perpetrators. Framing gun violence as a public health issue provides opportunities for intervention and prevention within the correctional health model. The circumstances, risk factors, consequences and opportunities for prevention will be described.
416 Hazardous Duty: The Invisible Effects of Working in Corrections
John Wilson, PhD, CCHP-MH, and Sharen Barboza, PhD, CCHP-MH, MHM Correctional Services, Inc.
Correctional professionals understand we are working in potentially hazardous environments. In addition to physical safety risks, these environments can pose emotional and psychological health risks for staff. This presentation will discuss correctional stress, what it is, how to recognize it and how to effectively cope with our environments to reduce its impact on ourselves and our personal lives.
Concurrent Session 3
Monday, October 20, 2:45 pm — 3:45 pm
417 Terminal Illness: Managing Symptoms at the End of Life
Aleksander Shalshin, MD, MS, CCHP, NYC Correctional Health Services
The prison population is aging and with it we see a greater need for managing chronic conditions, often with terminal diagnosis. This presentation will outline best practice for managing symptoms at the end of life. Treating pain, addiction, emotional disturbance, anxiety and other symptoms related to terminal diagnosis is very important in delivery of total care.
418 Care of the Pregnant Inmate
Elizabeth Sazie, MD, MPH, CCHP, Coffee Creek Correctional Facility
Care of the pregnant inmate is an essential NCCHC standard. Oregon's pregnancy and birth data over the last 10 years were examined. Demographics, risk factors, adverse events, birth and postpartum care were reviewed. Programs to enhance childbearing and parenting were developed with community partners. They remain a work in progress, and include breast feeding and contraceptive services upon release. Early results are reported here.
419 Effects of Sexual Abuse and Human Trafficking on Inmate Populations
Robert Cromwell, BBA, MS, CCHP, Licking County Justice Center
Vast numbers of sexual abuse and human trafficking victims exist in the United States. Correctional facilities are housing more and more inmates who were victims of these crimes. With the growing number of American children who are victims of human trafficking, these statistics only stand to increase. This presentation will raise awareness of human trafficking and provide statistics of these crimes.
420 Anatomy of a Health Care Lawsuit From Initial Grievance Through Trial
Daniel Griffith, JD, and Scott Wilcox, JD, Whiteford, Taylor, Preston, LLP
This presentation traces the life cycle of a full correctional health care lawsuit—from the administrative grievance through final verdict—and offers expert advice on where and how the correctional health care provider’s involvement is most critical. Intended as a deconstrction of the entire inmate lawsuit process, the presentation includes real-world examples of litigation successes and mistakes. To aim is to enable attendees to avoid these lawsuits or defend them more effectively.
421 Strategic Reentry Jail Model in Baltimore City
Renard Brooks, MAS, and Olivia Farrow, JD, Mayor's Office of Human Services
One of the challenges in jail reentry is to target those most in need of services. The key to address this challenge is to formulate a reentry strategy to gain a better understanding of the population in a jail. Approximately 50,000 individuals are processed through the Baltimore City Jail each year. This is why the Mayor’s Office of Human Services emphasized implementing a reentry strategy focusing on the Baltimore City Jail.
422 Inmate-Patient Satisfaction Surveys: A Key Component of Continuous Quality Improvement
Clarence Cryer, Jr, MSPH, CCHP, California Substance Abuse and Treatment Facility and State Prison at Corcoran
NCCHC’s 2008 Standards for Health Services in Prisons recommends patient satisfaction surveys as a component of comprehensive continuous quality improvement programs. Nevertheless, patient satisfaction with prison health services is seldom studied, despite the prolific litigation in prisons. The Substance Abuse Treatment Facility in Corcoran, CA, conducted a study to obtain inmate-patient feedback regarding various aspects of health care services. This talk will discuss implementation of the survey and its findings.
423 Practical Preparation for Initial NCCHC Accreditation Part 1
Tracey Titus, RN, CCHP, National Commission on Correctional Health Care
This talk addresses the practicalities of NCCHC accreditation and is intended for those unfamiliar with the process or those applying for the first time. Focus includes the four phases of the accreditation process: preparing your facility; what to expect during the survey, with tips on how to make it as painless as possible; review of findings and follow-up corrective action; and how to unwind afterward. Benefit from the experiences of those who have been through the process many times and have your questions answered.
Concurrent Session 4
Monday, October 20, 4:00 pm —5:00 pm
425 Effectiveness and Cost Savings of a Statewide On-Site Ophthalmology Program
Michael Summerfield, Wexford Health Sources Inc; Sharon Baucom, MD, Maryland Department of Public Safety and Correctional Services
This talk will present a novel statewide on-site ophthalmology program, including challenges faced in implementing the program. Findings from more than 8,000 patient encounters will include incidence and prevelance of specific ophthalmology diagnosis, with emphasis on diabetes, glaucoma and ocular trauma, which represent a large proportion of pathology. Cost-saving in terms of direct care and prevention of morbidity will be discussed.
426 The Nurse's Role in Managing Chronic Care
Lori Roscoe, MSN, PhD, CCHP-RN, Correctional Healthcare Consultant
The management of chronic disease in corrections is a multidisciplinary team endeavor whose mainstay is nursing. The identification of patients, the coordination of care, the assessment of condition exacerbations and patient education are key nursing functions. This session will discuss the role of the nurse in chronic disease management, including the skills necessary for competence and the challenges to performance of these roles.
427 Strategies for Effective Treatment of Attention-Deficit/Hyperactivity Disorder
Judith Cox, MA, CCHP, JFC Consulting; Kyle Dopfel, BA, CCHP, Americorp, Inc., Pat Wood, RN, Attention Deficit Disorder Association
The prevalence of ADHD in prisons reveals an overwhelming area of oversight and opportunity within the justice system. Programs addressing ADHD in corrections have been shown to effectively reduce recidivism while improving behavior, safety and morale. This presentation will demonstrate the importance of identification and treatment for ADHD inmates and outline successful strategies for approaching the issue in a variety of correctional settings.
428 Dental Fluoride Training and Application: Its Impact on Your Bottom Line
Marybeth Wood, BSN, MSN, Scott County Jail
The speaker will discuss the training, implementation and results of a dental fluoride program in a county jail. A dental hygenist was brought in to discuss the training with RNs and the tools to use. To evaluate the program, a study group was selected and data were collected over nine months. Factors evaluated included transportation costs, dental surgical rates, volume of dental visits and costs. Findings show that the program reduced costs and decreased pain for inmates.
429 Implementing and Maintaining a Comprehensive Continuous Quality Improvement Program
Joel Andrade, LICSW, PhD, MHM Correctional Services, Inc.
Effective CQI programs are built upon gathering accurate and meaningful information in the form of data. When data is collected in this fashion it can be analyzed to identify areas that require improvement, improve efficiencies, help practitioners practice smarter and, most importantly, improve patient care. Participants will gain an in-depth knowledge of how to implement a successful CQI program.
430 Update on Human Papillomavirus Infection in Teens and Young Adults
Paula Braverman, MD, Hamilton County Juvenile Court Youth Center
HPV is the most common sexually transmitted infection. In addition to genital warts, there are significant long-term sequelae including oropharyngeal, cervical, anal and other genital cancers. Available treatment modalities can be uncomfortable and require extended therapy. Prophylatic vaccination is recommended for all 11-12-year-olds with catch-up to age 26. This lecture will provide an overview and update about HPV-related disease and vaccination, with recommendations for addressing youth or parental concerns about vaccination.
431 Practical Preparation for Initial NCCHC Accreditation Part 2
Tracey Titus, RN, CCHP, National Commission on Correctional Health Care
Please see session 423
432 Mental Health vs. Security: Crisis Intervention From Both Perspectives
Robert Cromwell, BBA, MS, CCHP, Licking County Justice Center
This presentation identifies the communication problems that exist between mental health staff and security staff. These two professions come together in a correctional setting with completely different goals and objectives. Facilitating an understanding of each other's profession, goals and mission is paramount to a successful working environment and ultimately taking care of inmates in crisis.
Concurrent Session 5
Tuesday, October 21, 8:15 am — 9:15 am
433 Assessment and Management of Elevated Blood Pressure and Hypertension
Charles Mullany, MD, CCHP, Maricopa County Correctional Health Services
Elevated blood pressure is a common problem in new arrestees presenting to county jails. Not all of these patients necessarily have true hypertension and often the elevated BP is transient and related to drugs, anxiety and other causes. Assessment of these patients will be presented, along with guidelines for management, including the management of true hypertension based on recently published national guidelines.
434 My Pink Slippers: Rejuvenating Your Nursing Spirit
Susan Laffan, RN, CCHP-RN, CCHP-A, Specialized Medical Consultants; Margaret Collatt, BSN, RN, CCHP-RN, Oregon Department of Corrections
Sue Lane, RN, CCHP, Armor Correctional Health Services, Inc.; Many factors, both personal and professional, can affect the “spirit” of nurses in today’s work environment. This talk will identify those factors and describe ways nurses can rejuvenate their own nursing spirit. Participants will leave with a sence of pride in the nursing profession and a rekindled nursing sprit that they can share with their peers. And yes ... you can wear your slippers to this session!
435 DSM-5: Clinical and Legal Implications for Correctional Mental Health
Joel Andrade, LICSW, PhD, and Dana Neitlich, MSW, MHM Correctional Services, Inc.; Katherine O'Neill, Massachusetts Department of Correction
The DSM-5 was released in May 2013. Correctional mental health professionals are currently implementing the new diagnostic classification system. This presentation will review major changes in the DSM that impact the practice of correctional mental health. Results from a survey of more than 100 forensic and correctional mental health professionals will provide insights into the impact of changes made in the DSM in correctional settings.
436 What Did He Just Say? Understanding the Ties Between Cultural Literacy and Patient-Centered Care
Jessica Lee, MSN, RN, Rikers Island Correctional Facility; Elmeada Frias, MAS, CCHP, House of Correction
Patient-centered care has been promoted extensively as a successful approach to improving health care quality. This presentation will explore the potential for negative outcomes when providing culture-neutral care and the importance of building interpersonal professional relationships between health care practitioners and patients. The speakers will explore new practices to employ patient-centered care during patient encounters and to improve overall health literacy for patients.
437 Working With Youths Who Engage in Suicidal and Nonsuicidal Self-Injury
Ronald Koon, PhD, and Christine Doyle, LCSW, MSW, GA Dept of Juvenile Justice
The Georgia Department of Juvenile Justice recently transformed its approach to assessment and treatment of youth who engage in suicidal and nonsuicidal self-harm. The approach was developed following a review of gaps in DJJ clinical procedures, current theoretical literature and research on adolescent suicide and nonsuicidal self-harm. This presentation will describe the process and rationale for the shift from a traditional clinical approach based on the medical model to a collaborative approach that draws on current psychological research and theory.
438 Department of Justice: An Ally in the Journey to Excellence
Esmaeil Porsa, MD, MPH, CCHP, Dallas County Jail
The history of the current partnership between the Dallas County Jail and Parkland Health and Hospital System will be presented. Steps taken to successfully accomplish the Department of Justice’s requirement as outlined by a consent decree agreement will be outlined. Samples of the jail’s daily quality assurance dashboard will be shared.
439 Building Successful Programs to Care for Elderly Inmates
Linda Redford, PhD, RN, Central Plains Geriatric Education Center; Donna Cayer, MPA, Missouri Department of Corrections
This interactive session will focus on how some correctional facilities have redesigned prison environments and programs to address the challenges of older inmates. Changes in the physical environment, programmatic approaches and the training of health care providers, custody staff and inmate-helpers have proven important. This program discusses how collaboration among state correctional departments, correctional facilities and academic institutions can facilitate needed changes.
440 Managing HIV in Corrections
Anne Spaulding, MD, MPH, CCHP, Emory University
Concurrent Session 6
Tuesday, October 21, 10:00 am —11:00 am
441 The Challenges of Hunger Strikes: What Should We Do? What Shouldn't We Do?
Marc Stern, MD, MPH, University of Washington Medical School; John May, MD, CCHP, Armor Correctional Health Services, Inc.
Hunger strikes are a unique phenomenon for correctional professionals. They challenge our medical, psychological, social and political skills and are an ethical struggle. This session will lay out the existing national and international thinking, share some international experience and offer some practical approaches within ethical guidelines. Other important aspects of these events, including political, legal and employment-related, will also be discussed.
442 Transforming Nursing Leadership: Road Map to Quality and Professional Practice
Mary Muse, MS, RN, CCHP-A, Wisconsin Department of Corrections
During the past four years, the nursing community has participated to implement the recommendations in the Institute of Medicine’s Report on the Future of Nursing. Where is the correctional nursing community in this effort? In what ways are we or should we be driving transformational change in correctional nursing? Transforming Nursing Leadership in Corrections is one approach to transforming the role of nurses and to improving quality and care outcomes. Five key areas will be discussed.
443 Reaching Neutral Ground: De-escalating Critical Incidents
Melissa Caldwell, PhD, Advanced Correctional Healthcare
There is a high potential for inmates to experience emotional crises and exhibit problematic and potentially dangerous behaviors. The literature shows that effective de-escalation of critical incidents requires consideration of numerous individual, interpersonal and environmental factors. This session will describe the situations that increase the likelihood of a critical incident and will aid staff in responding in a professional manner that provides maximum safety for the staff member, the inmate and the facility as a whole.
444 Suicide and the Detoxing Inmate: Risk Factors, Treatment and Housing Options
Maurianna Swanson, LMHC, MS, Corizon
This presentation will look at the ever-growing population of jail inmates who present as under the influence of various drugs and/or alcohol. Many inmates who present as intoxicated may make statements that indicate suicidal ideation. This talk will give some insight into risk factors of suicidality within this subpopulation, treatment options and appropriate housing in the correctional setting.
445 STD Case Studies: Best Practices for the Correctional Health Care Provider
Sharon Adler, MD, MPH, CA STD/HIV Prevention Training Center
Guidance on best practices for management of STD cases will be provided. STD screening for persons entering corrections will be reviewed, along with diagnostic work-up, management and appropriate follow-up. Screening, diagnosis and treatment recommendations will be derived from current CDC STD treatment guidelines and emerging research. STD cases to be addressed include syphilis, herpes, gonorrhea, chlamydia and trichomoniasis.
446 Ethical Issues in Inmate Lawsuits — Solutions to the Most Common Ethical Challenges
Daniel Griffith, JD, and Chad Toms, JD, Whiteford, Taylor, Preston, LLP
Correctional health care professionals have duties and loyalties that arise by oath, by law and by contract. Inmate lawsuits frequently put these duties and loyalties into conflict. This presentation identifies the most prevalent ethical challenges that arise in the context of inmate lawsuits and offers practical approaches and solutions. The aim is to equip professionals with the tools to identify, address and resolve the myriad ethical challenges associated with inmate lawsuits.
447 Aging Inmates in Correctional Settings: Is a Culture Change Needed?
Linda Redford, PhD, RN, Central Plains Geriatric Education Center; Donna Cayer, MPA, Missouri Department of Corrections
Prisons are experiencing an increasingly aging inmate population. This presents challenges in an environment designed to house and manage younger and more functional inmates. This session will focus on the unique characteristics of older inmates and how the usual prison culture may pose challenges to managing their needs. Current approaches to addressing the problem of aging inmates will be discussed, and participants will be invited to share strategies being implemented in their facilities.
448 Prison Terminal: The Last Days of Private Jack Hall Documentary Viewing
Edgar Barens, MFA
Prison Terminal: The Last Days of Private Jack Hall is an Oscar-nominated documentary that breaks through the walls of one of America’s oldest maximum security prisons to tell the story of the final months in the life of a terminally ill prisoner and the hospice volunteers, themselves prisoners, who care for him. The documentary provides a fascinating and poignant account of how the hospice experience profoundly touches even the forsaken lives of the incarcerated.
Tuesday, October 20, 12:00 pm — 1:15 pm
L1 Identifying and Treating Patients Affected by HIV in Corrections
Harish Moorjani, MD, New York Medical College
This well-regarded speaker will discuss the epidemiology of HIV in corrections, the various policies related to HIV testing behind bars and how testing has impacted the HIV epidemic. He will also discuss the importance of linking HIV patients from corrections into the community and the various systems in place to achieve this goal.
Made possible through an educational grant from Gilead Sciences, Inc.
Concurrent Session 7
Tuesday, October 21, 1:30 pm — 2:30 pm
449 Sexually Transmitted Infections: A Review and What's New
Robert Morris, MD, CCHP, UCLA Department of Pedatrics, CHC General Pediatrics
The CDC indicates that while most common STIs will not cause harm, some have the potential to cause serious health problems, especially if not diagnosed and treated early. While the consequences of untreated STIs are often worse for young women, a recent analysis reveals that the annual number of new infections is equal among young women and young men. This talk will discuss diagnosis, complications a nd new recommended treatments for common and some less common STIs.
450 Laboratory Results: What Do They Mean and What Do We Do With Them?
Susan Laffan, RN, CCHP-RN, CCHP-A, Specialized Medical Consultants; Deborah Franzoso, LPN, Specialized Medical Consultants; Sue Lane, RN, CCHP, Armor Correctional Health Services, Inc.
Laboratory tests are ordered by providers for many different reasons. It is important for nurses to have a basic knowledge of laboratory values and what they should do with these values. It is also important that laboratory tests are done correctly when obtaining specimens. This session will focus on normal common lab values, what to do with abnormal lab values and tips for proper venipuncture skills.
451 Breaking Bad: Why Good Staff Do Bad Things
Dean Aufderheide, PhD, Florida Department of Corrections
Staff misconduct is a growing concern for correctional health and mental health care leaders nationwide. Experts representing administration, medical, nursing and mental health will discuss the conditions and influences that make health care staff at risk for professional and personal misconduct. Using video clips and case studies, we will examine the psychology of how staff become vulnerable to faulty decisions, correctional stress and the dynamics of groupthink, and how failure in the leadership and supervisory staff can contribute to bad behaviors.
452 Bridging the Gap: Taking a Holistic Approach to the Difficult Patient
Michael Puerini, MD, CCHP-A, Oregon State Correctional Institution; Joseph Penn, MD, CCHP, University of Texas Medical Branch
In corrections, our patients have multiple medical diagnoses and complex mental health issues. Health care providers, from doctors to counselors to nurses, are presented with patients who can be perceived as manipulative, difficult and dangerous. Communication among providers can be problematic, and patient safety and effective treatment can suffer. This presentation will use a case-based and holistic approach to define the issues involved and propose holistic solutions.
453 Establishing and Implementing an Effective Jail Reentry Program
Mark Fleming, PhD, CCHP-MH, Corizon - Brentwood Regional; Sophia Henry, LCSW, MSW, CCHP, Corizon
Inadequate transition planning for jail inmates has many negative effects, including the compromise of public safety, an increased incidence of psychiatric symptoms, hospitalization, relapse to substance abuse, suicide, homelessness and rearrest. This presentation will focus on creating a strategic plan for jail reentry that is line with your organization’s mission, vision and values. It will examine strategies to recognize strengths and weakneses in jail reentry programs and explain how to create a well-rounded reentry program.
454 Prenatal Alcohol Exposure and Juvenile Justice: Correctional Health Care's Role
Carolyn Shaputnic, MPH, RN, University of California at San Diego; Yvette Klepin, BS, Marian Gaston, JD, Office of the Primary Public Defender
Prenatal alcohol exposure can damage the developing brain, causing significant problems with impulse control, emotional regulation and executive function. Children with fetal alcohol spectrum disorders are overrepresented in the juvenile justice system, with around 60% having been in legal trouble and 35% having been incarcerated. A public-private partnership between a probation department, a public defender’s office and the pediatric health care system has been created to screen, identify, diagnose and improve services for youth affected by FASDs.
455 How to Pick Good Quality Improvement Measures
David Leidner, PhD, California Department of Corrections and Rehabilitation
Effective quality improvement requires meaningful measures. This presentation draws on the literature and experiences implementing QI in a large state prison system to describe basic principles behind choosing good measures: 1) measure as far down the structure-process-outcome chain as you can, 2) pick measures with strong evidence, 3) maximize impact x feasibility, 4) ensure measures are actionable and 5) use the right statistic.
456 Mock Trial
Robert Vogt, JD, CCHP, Weldon-Linne & Vogt; Steven Shelton, MD, CCHP-A, Oregon Department of Corrections
Concurrent Session 8
Tuesday, October 21, 3:15 pm — 4:15 pm
457 Preventive Medicine 2014
Donald Kern, MD, MPH, CCHP, Quality Correctional Health Care
Primary prevention is generally the most cost-effective way to maintain the health and functioning of a population. This session will review some current recommendations for preventive medicine practice applicable to correctional populations, focusing on guidelines from the U.S. Preventive Services Task Force. Emphasis will be placed on interventions for otherwise healthy populations, along with suggestions for efficient implementation of screening programs.
458 Nursing Responsibilities in Neurological Emergencies
Mark Ellsworth, MSW, Salt Lake County Metro Jail
Neurological urgencies and emergencies constitute a major component of correctional nursing and knowing how to assess them is one of the most important skills for a nurse to acquire when working in a correctional setting. We will review common neurological presentations and teach basic nursing neurological assessment and documentation designed for implementation in the field. Nationally, strokes have emerged recently as a hot area of litigation within correctional settings. This talk will go over the updates in treatment standards for strokes, and nursing responsibilities associated with them. We will review community standards for field assessments of stroke and other neurological emergencies and how that impacts nursing triage and man down responses in your facility.
459 Benefits of Collaborative Medical and Behavioral Health Care
Tara Taylor, RN, CCHP, Corizon - St Louis Regional; Marian Atwell, PsyD, Corizon
As the number of inmates suffering from medical and behavioral health illnesses grows, it is essential that the medical and behavioral health staff develop a collaborative relationship. The use of a multidisciplinary (transdisciplinary) treatment team provides a holistic approach to meeting the challenging treatment needs of a population that is often unhealthy. Scenarios will be shared to highlight best practices and provide learning opportunities.
460 Just the Facts: Appropriate Documentation
Jessica Young, JD, Advanced Correctional Healthcare
Is your documentation an asset or a liability? Learn how to make your documentation an asset in litigation by following the 3 C’s of charting. Discover what inappropriate content may be hiding in your medical records files. This lecture will help you identify strategies for ensuring your documentation accurately reflects the medical care provided so you can spend more time treating patients and less time in the courtroom.
461 Swiss Cheese: How Systems Error and Human Factors Contributed to a Preventable Death in Only 16 Days
Catherine Knox, MN, RN, CCHP-RN, Catherine Knox LLC
Intake screening, medication reconciliation, vital signs and transfer summaries are tasks that correctional health care professionals carry out many times every day. How can these routine, high-volume activities contribute to adverse clinical outcomes? Strategies to reduce clinical risk are discussed. The contribution of the 2014 NCCHC Standards to patient safety is reviewed.
462 Targeted Interventions for Youths in Corrections
Ohiana Torrealday, PhD, CCHP-MH, University of Texas Medical Branch; Melanie Farkas, PhD, MGH Child CBT Program
Youth enter correctional settings with a range of acute and severe presenting concerns. While in care we aim to both support their emotional well-being and facilitate their success in the community upon reentry. This talk will discuss theory, empirical support and practice of interventions including those addressing internalization of motivation to make positive change, conflict resolution and social problem-solving skills, affect and self-regulation and management skills, and substance use/abuse.
463 Reducing Stress Among Correctional Nurses Through Focus Groups
Denise Panosky, RN, CCHP, University of Connecticut Health Center
Correctional nurses work in stressful environments. The purpose of this pilot study was to identify correctional nursing work-related stress. Specifically, it evaluated whether correctional nurses’ participation in focus groups that elicit their job-related concerns and that are followed, when possible, by administrative response to those concerns is associated with a subsequent reduction in their levels of stress. This talk will describe the study and its results.
464 Maintaining Professional Focus and Mission in Correctional Health Care
Fred Rottnek, MD, CCHP, St. Louis County Department of Health
Correctional health care managers have a responsibility to recruit, train and retain health staff. Unfortunately, the very nature of the work exposes us to professional burnout, compassion fatigue and loss of mission. This endangers the well-being of the professional, the patient and the system. Critical reflection and professional mission statements are two examples of evidence-based professional development that strengthens the individual and the program.
Concurrent Session 9
Tuesday, October 21, 4:30 pm — 5:30 pm
465 Assessment and Importance of Vitamin D Status in Inmates: Results From the Maricopa County Jail
Charles Mullany, MD, CCHP, Maricopa County Correctional Health Services
Vitamin D is clearly important in maintaining musculoskeletal health. Recent studies suggest that vitamin D deficiency may be associated with an increased susceptibility to type 1 diabetes, depression, cancer, cognitive decline and schizophrenia. Data will be presented comparing two groups of inmates: those recently incarcerated and those incarcerated for > 1 year. Vitamin D metabolism and management guidelines for vitamin D deficiency will be discussed.
466 Managing the Transition from Staff Nurse to Nurse Manager: Change in Clinical Nurse Identity
Rebecca Pinney, MSN, RN, CCHP-RN, Corizon - Brentwood Regional
467 Statewide Community-Based Naloxone Pilot Program in Detention Centers
Rita Torres, CCHP, Health Care Partners Foundation; Bette Fleishman, JD, Melissa Heinz, MPH, New Mexico Department of Health
This pilot program aims to address the problem of increasing opioid overdoses and deaths through partnerships among detention centers, public health departments, community clinics and local hospitals. In this community-based, statewide overdose prevention program, high-risk inmates are identified through security and medical intake processes. The program includes includes education, on-site provision of naloxone rescue kits upon release and a safety-net of community systems for follow-up.
468 Preparing Your Shield Against an Inmate's Legal Attack
Chris Swanberg, JD, California Correctional Health Care Services
Inmates are increasingly resorting to suits against their medical providers when they are unhappy with their care or not being given what they want. Several proven methods can reduce your chances of being sued and will increase the likelihood of early, successful outcomes in litigation. Another increasingly prevalent inmate tactic is to file a complaint with the provider’s licensing board. Practical suggestions and templates will be provided for response to the typical case.
468a A Choice For Change: Group Therapy Program in Administrative Segregation
Harold Goldstein, Rutgers University Correctional Health Care
This presentation will introduce an innovative group therapy approach to treating inmates in administrative segregation. It will describe the development and structure of the program, theoretically driven interventions aimed at improving institutional adjustment and adaptive functioning, and preliminary outcome data. Participants will discuss understanding and changing disruptive behavior in these inmates.
Concurrent Session 10
Wednesday, October 22, 8:45 am — 9:45 am
469 Crisis Intervention Team Training In Correctional Mental Health Units
Todd R Wilcox, MBA, MD, CCHP-A, and Mark Ellsworth, MSN, Salt Lake County Metro Jail
Mentally ill patients present significant management challenges in a correctional environment. This talk reviews an innovative officer training program targeted to handling mentally ill clients using new techniques and skills taught in crisis intervention team training. It also reviews the data from the seven-year experiment with respect to use of force, disciplinary hearings, clinical outcomes, length of stay and officer job satisfaction.
470 Critical Thinking and the Nursing Process: Have You Mastered These?
Susan Laffan, RN, CCHP-RN, CCHP-A, Specialized Medical Consultants; Margaret Collatt, BSN, RN, CCHP-RN, Oregon Department of Corrections; Sue Lane, RN, CCHP, Armor Correctional Health Services, Inc.
The Nursing Process is a systematic approach that used to gather data, examine and analyze that data, identify client responses, design outcomes, take action and evaluate the effectiveness of the action. Critical thinking is meshed together with the nursing process because it is the analyzing of information gathered and what action is taken.
471 Psychological and Pharmacological Aspects of Interferon Treatment in a Prison Population
Mark Fleming, PhD, CCHP-MH, Corizon - Brentwood Regional; Chuck Jones, DrPH, CCHP, and Peter Lee, MBA, PharmD, CCHP
Interferon remains an essential component of treatment regimens for chronic hepatitis C infection. This presentation reviews recognition of and risk factors for neuropsychological and pharmacological side effects in patients receiving interferon plus ribavirin for HCV infection. Treatment and prevention of these side effects are also discussed, along with recommendations for use of interferon in a prison setting.
472 Jail Discharge Planning and Reintegration: Differences by Community Setting
Maurianna Swanson, LMHC, MS, and Kristina Dunbar, LPN, Corizon
Discharge planners and other jail health care personnel face many issues in the effort to enable successful reentry of inmates back to the community. This effort can be challenging when the jail is in an affluent tourist community. Barriers to discharge planning in large metropolitan areas and in small tourist communities will be compared, and novel ideas for reintegration into these small communities will be shared, including alternative methods for obtaining funding and housing.
473 NSAID Pain Medication Overuse and Adverse Cardiovascular Outcomes
Vincent Grattan, Mental Health Management Services; Erik Hamel, PharmD, University of Massachusetts Medical School
In February 2014, the FDA and a panel of experts reviewed new safety data on the cardiovascular side effects of NSAID pain medications. The new data sheds light on the underrecognized cardiovascular risks of short-term use of these medications. The speakers will quantify the prevalence of NSAID overuse and duplicate therapy in inmates and present recommendations that can mitigate serious health risks and optimize patient care.
474 Minimize the Effects of Diagnostic Error: Think About the Way You Think
Carl Keldie, MD, CCHP
Diagnostic errors reflect breakdowns in systems, clinical reasoning or both. Reasoning is influenced by cognitive and affective dispositions to respond. Cognitive disposition to respond includes mental shortcuts and biases. Affective disposition to respond will also be reviewed. Several strategies to help overcome and minimize the impact on clinical reasoning will be presented. These strategies apply to individuals, teams and systems.
Concurrent Session 11
10:00 am — 11:00 am
475 Becoming a Nationally Recognized Patient-Centered Medical Home
Dawn Frazier, ADN, RN, CCHP-RN, Sheriff Al Cannon Detention Center; Herbert Drayton, County of Charleston Detention Center
Patient-centered medical homes are foundations for a health care system that gives more value by achieving the “triple aim” of better quality, experience and cost. A PCMH creates a centralized setting that facilitates partnerships between patients, providers and, when appropriate, community health partners. Care is facilitated by registries, information technology, health information exchange and other means to assure that patients get the indicated care when and where they need and in a culturally and linguistically appropriate manner.
476 Nursing Risk Reduction: The First 72 Hours of Incaceration
Mark Ellsworth, MSN, Salt Lake County Metro Jail
477 Identifying and Managing Delayed Multidrug Detoxification Inmates
Svoboda Holt, LMHC, Corizon - Brentwood Regional
Inmates are using a wider variety of street drugs and the nature of detoxification has changed over the past few years. Harm to self and others is a high risk. Detoxification is frequently delayed and tends to last longer than in the past or when inmates were using less toxic substances. This talk will present information to enable staff need to quickly identify and safely manage these inmates.
478 Electonically Stored Information and Litigation Hold Letters
Andrew Ramage, JD, MA, Wexford Health Sources Inc; Rodger Heaton, JD, and Adam Guetzow, JD, Hinshaw & Culbertson LLP
This talk will focus on cutting-edge litigation issues regarding how to handle lawsuit production requests for electronically stored information such as emails and electronic medical records. It will discuss what steps need to be taken by health care professionals and their employers to avoid or minimize liability when litigation is reasonably anticipated after a medical problem arises, as well as best practices (litgation hold letters).
479 Evidence-Based HCV Management: Financial and Public Health Benefits
Theresa Hughes, Wings For Life; Charles Young, MS; California Department of Corrections and Rehabilitation; Jared Rutledge, PhD
Wings for Life is partnering with the California Department of Corrections and Rehabilitation to develop an evidence-based pilot program that aims to manage the economic burden of hepatitis C infection through testing; early diagnosis, care and treatment; and use of the Affordable Care Act to reduce outside hospitalization. The program also will document HCV infection rates by age, race, and gender.
480 Correctional Health Care Accreditation: The Benefits to Your Program
Tracey Titus, RN, CCHP, National Commission on Correctional Health Care
Limited resources, grievances, litigation and providing the three basic rights can be challenging for correctional health systems. A well-managed, organized health care system empowers administrators, and staff to minimize these challenges. NCCHC?s Standards for Health Services are widely recognized as the benchmark for establishing and measuring a correctional health services system. As the leader in correctional health services accreditation, NCCHC has a history of success in guiding the nation?s jails, prisons and juvenile facilities toward continual improvement. Attendees will better understand the importance and benefits of correctional health care accreditation.
Concurrent Session 12
Wednesday, October 22, 11:15 am — 12:15 pm
481 Corrections, Culture and Medicine
Rebecca Lubelczyk, FSCP, MD, CCHP, MHM Correctional Services, Inc.
Practicing medicine in a correctional environment is a unique experience for which nothing in medical school prepares. Despite the challenges of working in a security-controlled venue and taking care of individuals who often have physical, behavioral and emotional co-morbidities, correctional medicine offers real opportunities to make a difference. By understanding the cultures of the correctional staff and the incarcerated patient, a physician may become more comfortable and more successful in fulfilling their much needed role.
482 Key Elements for Operational Success
Connie Smock, MSN, CCHP-RN, Corizon - St Louis Regional; Tom Dolan, MBA, Corizon - Boise
The elements for a successful organization are based on Maslow’s Hierarchy of Needs. Stable leadership, staff, equipment, and supplies ensure the physiological functioning. Processes, systems, standards, policies and procedures create a safe environment. Building trust, confidence, and development of staff ensures the social needs of the organization are met. A trusting client relationship is key to success of the organization ensuring the esteem needs are met. Continuous improvement and engaged staff are essential for self-actualization.
484 Restorative Design in Correctional Environments
Gregory Cook, AIA, LEED AP, CCHP, HOK Architects; Erin Costino, MS, American Institute of Architects—Academy of Architecture for Justice (AAJ)
Providing treatment within secure environments requires a change in strategy. Evidence-based practice offers a bridge between the cultures of corrections and treatment. This presentation will demonstrate the effectiveness of alternative facility design concepts that reduce stress, and design as it relates to the phenomenological understanding of space and the strengthened experience of self.
485 CCHP Certification: The Mark of Professional Leadership, Competence and Expertise
Matissa Sammons, CCHP, National Commission on Correctional Health Care
The rewards of a career in correctional health care are many: experience with a wide variety of patients, playing an important role in public health and working with other dedicated professionals, to name a few. But correctional settings present unique challenges: strict security regulations, crowded facilities, the myriad legal and public health considerations of providing care to incarcerated populations and more. Achieving professional certification is the surest way to prove that you have the tools to meet these challenges.
488 A New Generation of Telemedicine for Correctional Health Care
Ellen Rappaport, MPH, CCHP, Wexford Health Sources Inc.
In 2012, the Maryland Department of Public Safety awarded a comprehensive medical contract that included expansion of the telemedicine program in the state prison system. The primary objective was to reduce medical transport and correctional officer overtime costs. This panel presentation will describe the expansion, which went from a medical videoconferencing system to using telemedical peripherals and high-definition technology, and feature a live demonstration. It also will share outcome data.
489 Use of Buprenorphine as the Preferred Treatment for Opioid Withdrawal
Ivor Garlick, MD, CCHP, Corizon Healthcare
Buprenorphine/naloxone was studied for opioid withdrawal in several jails. A three-day protocol was used. Detoxification with buprenorphine is safe and very cost-effective and can prevent the need for off-site medical services. An example will be given to illustrate the efficacy and value of this approach to the problem of opioid withdrawal in jails.
490 CCHPs: Take Your Certification to the Next Level
Matissa Sammons, CCHP, National Commission on Correctional Health Care
491 Basics of Statistical Evaluation for Correctional Medicine
Kareem Karara, PharmD, Correct Rx Pharmacy Services, Inc.; Raymond Herr, MD, MS, CCHP, Correctional Healthcare Companies
Knowledge of biostatistics is a cornerstone of evidence-based medicine. This review of biostatistical concepts and methods will assist correctional health care professionals in interpreting medical literature to improve patient care and generate better patient outcomes. Participants can expect to develop an understanding of how to independently assess and evaluate medical literature in order to draw conclusions for the purpose of impacting clinical practice.
Concurrent Session 14
Wednesday, October 22, 3:00 pm — 4:00 pm
492 Managing the Difficult Patient
Steven Shelton, MD, CCHP-A, Oregon Department of Corrections
Every physician has had this experience: You look at the name of your next patient and your heart sinks. There is medical literature dealing with the “difficult” patient. Is the situation any different in correctional health? The presenters, experienced correctional physicians, will examine this question and discuss what constitutes a difficult patient in a correctional setting. Case presentations will illustrate management techniques we have found helpful.
493 Applying the ANA Standards: Implementation and Evaluation
Mary Muse, MS, RN, CCHP-A, Wisconsin Department of Corrections
The American Nurses Association has recognized correctional nursing as a specialty area of practice since 1995. The ANA Correctional Nursing: Scope and Standards of Practice defines the specialty, describes its distinguishing features, delineates the basic principles that guide correctional nursing practice and offers guidance on practice improvement. The second edition was published this year. Members of the ANA Scope and Standards Workgroup will describe the process used to revise the manual and highlight emerging themes and content changes. Each of the 16 standards will be reviewed, with case examples to illustrate how each is applied in the correctional setting and resources to understand and apply the standards.
494 Post-Traumatic Stress Disorder in a Correctional Setting
Lydia Hicks, LCSW, MSW, Advanced Correctional Healthcare
This talk will help correctional clinicians and staff to better care for inmates with PTSD and minimize risk management issues with this population. It will present clinical definitions of PTSD and trauma; identify the signs and symptoms PTSD, including among veterans; and discuss ways to stabilize and treat this population in the jail setting.
495 Update on the Harper Panel Process in Light of Loughner and Hardy
Sohrab Zahedi, MD, University of Connecticut Health Center
In the time since Washington v. Harper was decided, the cases of Loughner and Hardy have provided additional insights into involunatrily treatment of the mentally ill inmate. This talk will review the three cases, looking at how U.S. v. Loughner colors Harper as we know it. A review of Hardy and less well-known cases will address some lingering details of the involunatrily treatment process.
496 Key Features of an Effective Integrated Electronic Health Record
Tracy Wilkins, ADN, RN, and Christopher Klein, Delaware Department of Corrections, and Vijay Nathan, MBA, CNT Info. Tech
The presentation will address the various functions of an electronic health record, as well as the need for integration to the statewide health information system to enable sharing of health records. The speakers will discuss the DOC’s approach to standardizing the health care process, modifying the tools used in data collection and sharing of information across facilities and within the state health care systems to better manage an inmate’s health care needs.
Tour: Clark County Detention Center
Sunday, October 19, at 1:00 pm or 2:30 pm
The Clark County Detention Center (CCDC) falls under the Detention Services Division of the Las Vegas Metropolitan Police Department (LVMPD), under the leadership of Sheriff Doug Gillespie. Situated in downtown Las Vegas, the CCDC is the facility responsible for housing all arrestees for felony and gross misdemeanors in in Clark County, as well as all arrestees taken into custody for simple misdemeanors in the unincorporated Clark County areas.
Although known primarily for Las Vegas, Clark County spans approximately 8,091 square miles with a population of approximately 2 million, including unincorporated areas. The LVMPD is responsible for police services for the City of Las Vegas and in unincorporated Clark County and corrections services in the Clark County Detention Center. The CCDC’s main location is in downtown Las Vegas (2,982 beds).
CCDC contracts its medical care and offers a full array of in-house medical, dental and mental health services to the inmate population 24 hours a day, 7 days a week. Services include onsite pharmacy facilities, on-site X-ray (at the main facility and the remote North Valley Complex), on-site dialysis and a complete range of care from an arrestee’s arrival through eventual release, including on-site infirmaries for males (64 beds) and females (30 beds) for more extensive medical needs.
Transportation will be provided to/from the hotel. There is no charge to attend but preregistration is required. Please allow two to three hours for the tour, including travel.
Everything you love about Paris, right in the heart of the Las Vegas Strip
All conference activities will take place at the Paris Hotel. Reserve by September 25 to receive the special conference rate of $155 per night (single or double). Rooms may be cancelled until 72 hours prior to arrival.
Reserve online or call 877-603-4389 and indicate that you are with NCCHC.
ALERT: NCCHC has received reports that unauthorized companies may pose as the official housing vendors for this event. These companies are not affiliated with NCCHC. For your own protection, we ask that you exercise caution when making hotel and travel arrangements with such entities. NCCHC only guarantees hotel room rate, availability, benefits and protection for reservations made through the Paris Hotel. If you choose to book with a vendor not endorsed by NCCHC, please verify their credentials before doing business with them and independently confirm that your reservations have in fact been made and will be honored by directly contacting your chosen hotel.
GAIN A PROFESSIONAL EDGE
Participation in NCCHC’s Certified Correctional Health Professional program is an investment in your future that will give you a professional edge. Certification recognizes the mastery of national standards and the knowledge expected of leaders in this complex, specialized field. The CCHP credential is a symbol of achievement and leadership, and is highly valued not only by participants but also by employers.
The CCHP, CCHP-MH and CCHP-RN exams will be offered on Sunday, October 19, at 1 pm. Applications are due by September 12. View the CCHP calendar.
The CCHP examination is NOT included in your conference registration. The CCHP application is separate from conference registration. To apply, visit www.NCCHC.org/CCHP.
BUSINESS NETWORKING AT ITS BEST
NCCHC conference attendees come to the exhibit hall to find ways to improve health services in their facilities. NCCHC conferences are the ideal venue for your company to build recognition and relationships with these important professionals.
- Exhibitor manual
Enter your exhibitor description (due September 3)
Program advertising (due September 11)
Event Banners and Logos
Download the banner or logo of your choice for use in your conference exhibition promotional efforts. Right click on the desired link and "Save target as..." All are in jpg format but may be converted to other formats or resized as necessary. Images below are reduced in size and shown for illustration purposes.
Also see the 2014 Marketing and Resource Guide for general information about conference exhibition and sponsorship, plus cost-effective advertising packages.
For more information, contact Carmela Barhany, Sales Manager, at Sales@ncchc.org or 773-880-1460 extension 298.
SOMETHING FOR EVERYBODY
Welcome to the Entertainment Capital of the World! Whether you're a high roller or a low-key lounger, Las Vegas has something to suit your taste. Sample fare from top chefs and cornucopian buffets, try your luck at one of the world's premier casinos or take in a spectacular show.
Here are useful sites to help you start planning:
NCCHC PRESENTER GUIDELINES
Presentations are due September 5, 2014
Your presentation for the National Commission on Correctional Health Care is one of the most important means of exchanging information among correctional health care professionals. These guidelines will help make your presentation as effective as possible.
Preparing Your Talk
The time allotment for most sessions is one hour. Please do not go over your allotted time because it will disrupt the program schedule. Plan your talk to allow 10 minutes for questions. (Adjust accordingly if your session is more than one hour.) If you have special needs for your presentation that have not already been accounted for, contact Deborah Ross, director of education and meetings, in advance at email@example.com.
Plan to speak slowly and clearly so that everyone can understand you, especially if you discuss a topic not covered in your visual presentation materials. As a rough guideline, you should allow for approximately 2-3 minutes per slide that you use for your talk. Therefore, we recommend that you plan for approximately 12-20 slides, maximum, for a 50-minute talk. An introductory slide should show the title of your presentation, your name with credentials and your affiliation.
Because the session rooms can be much larger than typical conference rooms, use large, well-spaced type on your slides and allow space for the border around the image. The maximum number of lines on your slide should be 8-10 lines of type that is preferably 24 point size or larger for most text and never smaller than 18 point for any text. Please use the provided template.
The organizations that allow NCCHC to offer continuing education require that NCCHC keep copies of presentation materials. In addition, conference attendees are entitled to receive presentation materials for every session, so you MUST provide an electronic copy of your slides. This must be sent to NCCHC by the requested deadline. Otherwise, it is your responsibility to provide presentation handouts, typically 100 copies per session. A copy of the handout also should be provided to NCCHC.
On-Site at the Meeting
Arrive at your session room 10 minutes before the talk begins to discuss any special arrangements or problems with the session moderator. Please check the audiovisual equipment you will be using. A laptop will be provided.
Before your talk, the moderator will introduce you, giving, at minimum, your name, professional affiliation and presentation title. If you would like additional information to be shared with the audience, please communicate that to your moderator.
Always speak into your microphone, and when someone asks a question, repeat it succinctly. Please refrain from making comments that could be perceived by others to be disparaging to the profession of correctional health care or the patients we serve.
Remember, you typically will have a maximum of 50 minutes for your entire presentation plus 10 minutes for questions and answers. Your moderator will signal you when you have approximately 10 minutes remaining. Your moderator may interrupt you, if necessary, to allow adequate time for questions from the audience.
Tips for Increasing Visibility for Your Presentation
- Update your email signature to include a message such as “See you at the National Conference on Correctional Health Care, October 18-22, 2014, www.ncchc.org/national-conference."
- Provide information about the event and your presentation in your organization’s newsletters as well as other communications.
- Place the conference banner or logo on your organization’s website and/or as part of your email signature. It’s available on the conference site under “exhibitor information.”
- Include the National Conference on Correctional Health Care on your company calendar on your website, if applicable.
- Add information about the conference to your organization's intranet calendar.
- Use social media such as Facebook and LinkedIn to publicize your plans to present.
- Develop and distribute a press release.
- A PDF of the conference preliminary program will be available for distribution to your professional contacts in June 2014.
For more information, email Deborah Ross, director of education and meetings, or call (773) 880-1460, x 286
Paris Hotel, Las Vegas
The meeting will take place at the Paris Hotel. Situated in the heart of the Las Vegas Strip, this elegant hotel combines classic style, fine craftsmanship and authentic details to create a unique ambiance.
The conference group rate is available through September 25. The special rate is $155 for single or double occupancy. Reserve online or call 877-603-4389 and indicate that you are with NCCHC.