July 10, 2015 DOC Board Meeting Handouts

TERRY E. BRANSTAD, GOVERNOR
KIM REYNOLDS, LT. GOVERNOR
DEPARTMENT OF CORRECTIONS
JERRY W. BARTRUFF, DIRECTOR
IOWA BOARD OF CORRECTIONS AGENDA
Friday, July 10, 2015, 9:00 a.m.
Iowa Medical & Classification Center
2700 Coral Ridge Avenue
Coralville, IA 52241
(319) 626-2391
TOPIC
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PRESENTER
Call to Order
Richard LaMere
 Approval of June 5, 2015 Minutes (Action Item)
Next Board meeting will be August 7, 2015
Richard LaMere
at the 6th Judicial District Office,
951 29th Avenue SW, Cedar Rapids, IA 52404
(A meeting notice will be posted on the DOC website: www.doc.state.ia.us)
Welcome
Dan Craig
Director’s Report
Jerry Bartruff
State Auditor’s Report - DCS
Dot Faust
State Auditor’s Report - ICON
Brad Hier
Budget Closeout FY’15 - Start FY’16 Budget
Brad Hier
Update on FY’16 Telephone Rate
Fred Scaletta
FY’16 Telephone Rebate Expenditures (Action Item)
Brad Hier
Records LEAN Event
Laura Scheffert and Tamia Salviati
IDOC Health Care Costs
Dr. Harbans Deol
Recidivism Reduction Update
Beth Skinner
Public Comments
Public
Open Discussion
Board Members
Adjournment
Board Members
The Board of Corrections’ agenda is posted on the DOC Web Site at www.doc.state.ia.us
under the Board of Corrections Tab.
The mission of the Iowa Department of Corrections is to:
Advance successful offender reentry to protect the public, staff and offenders from victimization.
(Office) 515-725-5701 - 510 East 12th Street, Des Moines, Iowa 50319 - (FAX) 515-725-5799
www.doc.state.ia.us
TERRY E. BRANSTAD, GOVERNOR
KIM REYNOLDS, LT. GOVERNOR
DEPARTMENT OF CORRECTIONS
JERRY W. BARTRUFF, DIRECTOR
IOWA BOARD OF CORRECTIONS MINUTES
Friday, June 5, 2015
Ft. Dodge Correctional Facility
1550 L Street
Ft. Dodge, IA 50501
Board Members Present: Richard LaMere, Lawrence Kudej, Rebecca Williams, Dr. Mary Chapman.
On conference call: Dr. John Chalstrom. Absent: Rev. Michael Coleman, Lisa Hill.
Staff Present: Director Jerry Bartruff, Diann Wilder-Tomlinson, Dot Faust, Dan Clark, Michael Savala,
Jim Wittenwyler, Fred Scaletta, Sandra Smith, Beth Skinner, Tim Diesburg, Jon Groteluschen, Jim
McKinney, Cornell Smith, Marty Hathaway, Netti Renshaw, Jeremy Pullen, Leslie Wagers, Josh
McNeil.
Visitors Present:
Eleena Mitchell-Sadler, Ombudsman’s Office; Don Wadleigh, Toastmasters; Peter Kaspari, The
Messenger.
Call to Order, Vice Chair Rick LaMere
 Vice Chair Rick LaMere called the meeting to order.
 Rick LaMere asked for any changes or a motion to approve the May 1, 2015 minutes. Mary
Chapman made a motion to approve the minutes and Larry Kudej seconded the motion. All
members were in favor of approving the minutes, motion passed.
 The next Board meeting will be July 10, 2015 in Coralville. The board meeting will be held at
the Iowa Medical & Classification Center starting at 9:00 a.m.
(A meeting notice will be posted on the DOC website: www.doc.state.ia.us)
Welcome, Warden Jim McKinney

Warden Jim McKinney welcomed the Board and visitors to the Ft. Dodge Correctional Facility
(FDCF).
 There are currently 1300 offenders and about 280 staff at FDCF.
 It’s the people that make FDCF run smoothly.
Director’s Report, Director Jerry Bartruff
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Director Bartruff and staff visited the last institution on their institution tour on May 12th.
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IDOC Celebrated Corrections Staff Week May 4th-10th. This week is a chance to recognize
the good work that Corrections Staff does every day.
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The Director attended the opening of the Iowa Corrections Association (ICA) Conference on
May 6th in Sioux City.
 The intent of ICA is to promote relationship building and promote leadership in
corrections.
 The Fall ICA Conference will be in Dubuque.
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Director Bartruff met with Iowa Workforce Development (IWD) on two different occasions.
 They discussed the important role of employment on reentry.
 The second meeting regarded working with Veterans. Brian Brooks from the Federal
Veterans Association (VA) attended this meeting and gave input on ways to assist
Veterans.
The mission of the Iowa Department of Corrections is to:
Advance successful offender reentry to protect the public, staff and offenders from victimization.
(Office) 515-725-5701 - 510 East 12th Street, Des Moines, Iowa 50319 - (FAX) 515-725-5799
www.doc.state.ia.us
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On May 15th the Governor certified that Iowa will comply with the National PREA (Prison
Rape Elimination Act) Standards.
 The IDOC has passed all PREA audits to this point. The IDOC facilities that have been
audited are: Iowa Medical & Classification Center (IMCC), Newton Correctional Facility
(NCF), FDCF, North Central Correctional Facility (NCCF) and all residential facilities.
Director Bartruff had an opportunity to meet with the IBTSA (Iowa Board for the Treatment of
Sexual Abusers).
On May 19th Director Bartruff met with the IDOC Wardens and then Statewide Labor
Management. They’re doing a good job of creating communication between Labor and IDOC.
Together they’ve created an agreement for bidding posts at the Iowa State Penitentiary (ISP).
May 18-21 there was a LEAN Event held at the Central Office. LEAN is a process used to
eliminate waste and add value to work. This event involved Records Staff. The IDOC wants
to make sure there are adequate resources for everything the Records Staff handle.
On May 29th Director Bartruff attended the Mental Health Proclamation signing at the Capitol.
The Governor signed the Proclamation designating May as Mental Health Month. The IDOC
recognizes within our population there are a lot of persons with mental illness.
 Teresa Bomhoff works with NAMI (National Alliance on Mental Illness) Des Moines. She
spoke very convincingly about the need to provide services to persons with mental illness
in the community so they don’t become involved in the criminal justice system.
 We appreciate the Governor’s support on mental health.
Director Bartruff met with the Department of Management (DOM). Together they were able to
identify about 120 positions that IDOC thinks is critical to operations and gained approval from
DOM to fill.
 IDOC is in the process now of filling some of those vacancies that had been kept open.
 The door has been opened to hire about 120 positions, over 70% are Correctional
Officers and line staff.
June 1st was a big day for ISP. They began food production at the new facility and shut down
the kitchen at the old facility. The food is then transported to the old ISP location for the
offenders.
Director Bartruff met with Roxanne Ryan the Commissioner for the Department of Public
Safety (DPS) on June 2nd to discuss the move of offenders at ISP.
 The IDOC has targeted the move into the new facility sometime late summer or early fall.
Becky Williams: Is there a green light now? Or are there still a few issues that need to be
taken care of?
 Director Bartruff: There are still a few issues that need to be taken care of. The State
Fire Marshall has been there frequently the last couple of weeks. There’s still a Certificate
of Occupancy they have to sign. With the State Fire Marshall being on site, we’re hoping
that sometime later in June or early July they will sign off on occupancy. That will give us
the green light to figure out the move.
Overview of Institutional Visits, Director Jerry Bartruff
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Director Bartruff presented the process of movement through the IDOC system.
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(Documents from this presentation can be found on the DOC website, attached to the June 5,
2015 DOC Board Meeting Handouts.)
Recidivism Reduction Update, Beth Skinner
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This week two Executive Officer IIs were hired to assist with the Grant work.
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The Workgroups are all up and going. These Workgroups are made up of a cross section of
staff from both CBC and DOC institutions.
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Beth meets with the Workgroups on a monthly basis.
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The Technical Service Provider is going to do an on-site visit June 17-19, to look at our scope
of work, what has been done to date, the goals that have been set, etc.
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On June 19th there will be the Quarterly Meeting of the Offender Reentry Task Force. The
Offender Reentry Task Force is the steering committee for the Grant.
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This group is made up of many different people not just IDOC staff. Other Task Force
members include IWD Staff, Education Staff, Veterans, County Attorneys and Department
on Aging to name a few.
In the next month our RFP, a competitive bid for some of the Grant work, will be due.
 The RFP includes the scope of work around Quality Assurance Work, Training Work as
well as Job Competency and Classification. The goal is to bring in experts in the field to
help implement the Grant.
Beth has put together a reporting template that she’ll use to keep track of all of the progress
they’re making, including Activities, Work Groups and Results.
Beth would like to start having someone from the workgroups come to speak at the Board
Meetings about the work they’re doing for the Grant.
Dr. Mary Chapman: The goal is to measure success, if you have the goal and to measure
how close we are to accomplishing it, it could be color coded, to know that we’re almost there,
not quite there, we’re still moving
 Director Bartruff: There are other things we can report. As we look at programs, there’s
some programs we’re cutting, so we’ll be able to say this program wasn’t working. We’re
stopping this program and moving those resources to another program. We’re looking at
something called Core Correctional Practice which is things that can be done in
institutions and CBCs that can reduce recidivism.
 Beth Skinner: We’re looking at how we’re doing our workload, how they spend their 40
hours. We’re also looking at core job competancies and classifications, instead of doing
the usual business of hiring, promoting and evaluating people we’re going to look at
actually what are core skills that people have depending on their job classifications. Core
Correctional Practices and practices we know reduce recidivism now we’re going to
include those in our job descriptions, how we screen people, hire people, promote them
and evaluate them. We are working on developing a great foundation of evidence based
practices throughout corrections.
 Director Bartruff: We’ve also got a survey that’s going out to parole officers and case
managers in the prisons. The survey questions will be about the core practices which will
give us an anonymous look at how are we doing with what is already identified in the
research as core correctional practice. We’ll administer that now to give us a baseline.
Then after we do some of the things we’re talking about we’ll ask the survey questions
again and see if we’ve moved the needle.
Hi-Roc Program, Leslie Wagers, Jeremy Pullen, Joshua McNeil and Nettie Reshaw
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High Risk Orientations Classes (Hi-Roc) is a program that was designed to aid offenders in
adjusting to prison life and to aid those offenders coming in with long sentences that won’t get
treatment for a while.
 An offender can be placed in Hi-Roc if they score above a 10 for victimization or violence
for the BOP risk score, they’re automatically put in Hi-Roc.
 Hi-Roc is not a punitive measure.
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(Documents from this presentation can be found on the DOC website, attached to the June 5,
2015 DOC Board Meeting Handouts.)
DOC Apprenticeship Program, Sandra Smith and Tim Diesburg
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The IDOC began the Apprenticeship Program at ASP in February 2014.
 The goal for FY15 was to bring on four more institutions for the Apprenticeship program.
This way when an offender moves from one institution to another they can continue
working on their Apprenticeship program.
 Need to score at least 72% on assessment
 OJT (On the Job Training) is recorded on the US Department of Labor’s (USDOL)
database. Employers can go the the USDOL’s website to see how many hours the
person has Apprenticed.
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The US Secretary of Labor would like to come and visit ASP to meet with those involved
with the Apprenticeship Programs.
Would like for the Board to consider appropriating $100,000 from the offender telephone
funds to support hiring a fulltime Iowa DOC Apprenticeship Coordinator.
There are currently 64 offenders in the program.
The number of offenders that could participate in the Apprenticeship Program is unlimited.
The only requirement is they have to have a Hi-Set or high school diploma.
We are not looking at adding additional staff to accommodate more offender participating in
the Apprenticeship Program.
 Director Bartruff: This is a demonstration of what Beth was speaking about utilizing the
staff we currently have to enhance the outcomes and values of those programs. Other
than seeking someone to coordinate it, these people are already in place.
Larry Kudej: Regarding the funding sources (i.e. the telephone fund), the telephone fund
needs to benefit the general population, not just a limited few.
 Sandra Smith: This will benefit a large majority of our offender population. It’s a great
motivator for them to see the value of education as well.
(Documents from this presentation can be found on the DOC website, attached to the June 5,
2015 DOC Board Meeting Handouts.)
FY’16 Telephone Rate Approval, Fred Scaletta
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Proposed telephone rate of $2.90 for local and long distance phone calls.
 This rate includes all local or long distance telephone calls from 1 to 20 minutes in
duration. The rate for international calls has also been
 This change will be implemented on July 1, 2015.
 This telephone rate will be reviewed again in 4-6 months, the Board would like to know
the results of the review in 6 months.
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Richard LaMere asked for a vote to approve the FY’16 Telephone Rate. Larry Kudej
motioned to approve the proposed FY’16 Telephone Rate. Dr. Mary Chapman seconded the
motion. All members were in favor of the motion, motion passed.
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(Documents from this presentation can be found on the DOC website, attached to the June 5,
2015 DOC Board Meeting Handouts.)
FY’16 Budget Update, Jim Wittenwyler
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Senate File (SF) 497 has been through the Conference Committee however it has passed the
General Assembly, so this is just preliminary.
 The total amount the Conference Committee approved for FY 2016 IDOC budget is
$381,636,515 million which is $3,001,777 less than the Governor’s Recommended FY 2016
budget for IDOC.
 Larry Kudej: SF505 is the DHS Funding of Mt. Pleasant and Clarinda, if I’m understanding
correctly, I thought that was out. That the committee is recommending that Mt. Pleasant
stay open. Also that Clarinda stay open until the end of the year and look for a private
contractor to take it over?
 Director Bartruff: I think that was the general consensus on what was going to happen, but
they’re still working out the details. That would leave Mt. Pleasant in the current situation
with us, so the shared services would apply. The Clarinda issue if they close after six
months, is the funding that continues those shared services that support some of the
maintenance work we do and some of the staff that were shared, that becomes an issue
for us. One source that I’ve heard is saying that money is in DHS’s budget to be able to
move, if that is the case, they could move that money and seek legislative approval to do
that later. There are still some moving pieces, but that seems to be the direction it’s
heading.
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(Documents from this presentation can be found on the DOC website, attached to the June 5,
2015 DOC Board Meeting Handouts.)
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Public Comments, Public
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Don Wadleigh from ToastMasters. There are currently two and a half clubs in the IDOC.
Joan Johansen is running the Champion Club here in Ft. Dodge. They have 26 members and
a waiting list of 13-14. Word Warriors is the club inside ICIW. They’re having a little trouble
getting started. There are so many other good things going on at ICIW, they are having
trouble finding people to join Toastmasters. Conscious Communicators is the club at ISP.
They aren’t hurting for membership, they’re hurting for money for the membership. They’re
trying to collect money to keep this club going.
 Successes - Hill Top Toasters, out of Illinois, has 35 members, their 7 officers are all
going home from prison over the next six months.
 Toastmaster’s has a competition every year for the World Champion of Public Speaking,
this is an international competition. Over 30,000 people compete. There’s 94 still in
competition. Our conference is in August, at that point there will be a world champion.
One of the District Champions from Tennessee is a former offender. In Nebraska there’s
an item in the newspaper the Toastmaster Club at the Nebraska State Penitentiary just
got a visit from the Governor of Nebraska.
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Eleena Mitchell-Sadler is from the Ombudsman’s Office. The Ombudsman’s Office is
dumbfounded about the funding source for the Apprenticeship Program Coordinator.
However, the Ombudsman has been out of the office, so Eleena is going to leave comments
to her, if it’s decided to move it on as an action item.
 Eleena said typically when she comes to meetings at facilities or CBCs she meets with
staff and offenders who she has open cases with and she doesn’t have any today. She
thanked Warden McKinney for whatever he was doing.
 About a year ago, the Ombudsman’s Office began receiving several complaints about the
Hi-Roc Program. Eleena wasn’t one of the assistants that received a complaint, but she
overheard telephone conversations with staff in her office. One of the assistants came
over, as the Corrections Specialist, to consult with Eleena. From listening to their
conversations over the phone and getting more information from those assistants, she
told them that she didn’t have a problem with it. She understood that Hi-Roc was new
and she wouldn’t expect for a policy to be set because they’re going to be working out the
kinks. Warden McKinney sent a lengthy email explaining things, Eleena thinks Hi-Roc is
a really good thing. Often times when they send letters to the offenders in response to
their complaints, most of the times we decline, which you don’t believe. But we do. Other
times we say reasonable minds can disagree, but regarding Hi-Roc we sent our support.
Open Discussion, Board Members
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Rick LaMere: One of the points Jerry was trying to get across was that when you travel to the
different institutions throughout the state that you get a good sense of the dedication, the
team work and the commitment to the mission. If I could speak on behalf of the Board, I think
we get the same feeling when we go to the different institutions and CBCs. We really care
about you and sometimes we worry about you, but we’re always encouraged when we get the
chance to meet with you. From a personal note, I know we only meet once a month, but
we’re thinking about you everyday.
Adjournment Board Members
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Larry Kudej motioned to adjourn the meeting. Dr. Mary Chapman seconded the motion. All
members were in favor. Motion passed, meeting adjourned.
Respectfully Submitted,
Abby Williams, Secretary
The Board of Corrections’ agenda is posted on the DOC Web Site at www.doc.state.ia.us
under the Board of Corrections Tab.
5
TERRY E. BRANSTAD, GOVERNOR
KIM REYNOLDS, LT. GOVERNOR
DEPARTMENT OF CORRECTIONS
JERRY W. BARTRUFF, DIRECTOR
July 10, 2015 – Iowa Board of Corrections
Offender Telephone Rebate Expenditures – FY 2016
1. Education (HISET, Literacy, Special Needs, Life Skills,
Apprenticeship Program & Vocational Training)
2. Telephone Administration
$458,119
$63,893
3. Translation Services
$1,000
Total
$523,012
The mission of the Iowa Department of Corrections is:
We Protect the Public, Employees, and Offenders from Victimization.
(Office) 515-725-5701 - 510 East 12th Street, Des Moines, Iowa 50319 - (FAX) 515-725-5798
www.doc.state.ia.us
IDOC Records Value Stream Mapping Event
BACKGROUND During the week of May 18th – 21st, 2015, a team of staff from across the agency was involved in a
4-day Value Stream Mapping LEAN event. As a lean tool, value stream
mapping has been referred to as taking that 30,000 foot, high-level look at
KeyResults:
a process. Therefore, the focus of this event was to strategically obtain a
global view of the records departments within the Department of
 Recordsprocessesare
Corrections to determine what functions each of them do, how they
interact and where opportunities exist amongst them for improved
documentedforcurrent
collaboration and efficiencies.
strategicplanningand
futuretrainingand
transparency

Alistofprioritized
recommendationsfor
improvedefficiencies
providedtomanagement
The IDOC Value Stream Mapping Lean Team (aka- Team “Records Slayers”)

Identificationofapotential
(Front Row) Janet Fliehler, Records – ASP; Marcia Tope (Facilitator), DOM; Tamia
Salviati (Sub-Team Leader), DOC; Vickie Sherzan, ITS - 5th JD CBC; Laura Scheffert
(Team Leader), DOC; Gayle Johnson, Records- NCCF; Jane Grotelushen, Records –
FDCF; Betty Witte, Records – MPCF; Brenda Miller, Unit Manager – ICIW; DeeAnn
Davidson, Records – NCF; Lori Brockman, Records – CCF; Sheila Vorwaldt, Records –
ISP; Janie Mendez, Correctional Counselor – ISP; Jay Nelson – Central Office.
futureleanevent
LEAN WEEK During the Lean Value Stream Mapping week, representatives from across the IDOC records
departments along with staff from the DOC institutions and community-based corrections, worked with a facilitation team
to identify opportunities for improvement. After the team mapped all the various processes to obtain a global view of
record’s functions (local and statewide), the team went through a de-selection process that prioritized high return-oninvestment ideas. Additionally, data was captured to assist in providing further transparency and suggested priorities for
management consideration. The team then developed an implementation plan with task assignments and timeframes for
the team to move forward on those items and a separate management plan was forwarded to Sponsor Dot Faust and
Director Bartruff for consideration of the more difficult to implement, but very high impact, long-term goals.
What is LEAN? LEAN is a
continuous improvement
approach that stresses
empowering staff (those doing
the work) in order to: identify
greater process efficiencies,
identify “waste” (such as delays,
duplication, re-work,
unnecessary steps), and identify
the “value-added” parts of our
processes (from a customerdriven perspective). If you have any questions about lean or future events, contact:
Marcia Tope Marcia.Tope@iowa.gov or Laura Scheffert Laura.Scheffert@iowa.gov
DOC Records
Value Stream Mapping Event
Report to the Board of Corrections
July 10, 2015
Team “Records Slayers”
Event Date: May 18 – 21, 2015
What is Lean?
Lean: a methodology that uses a specific
set of tools to accelerate the speed of any
process by eliminating waste in all its
forms
Why Lean?
• Efficiency - doing more with existing
resources
• Allows staff to focus on mission critical
work
• Support from and partnership with
stakeholders
Key Principles of Lean
1. Precisely define value from the
customer's perspective
2. Identify the value stream for each
process
3. Allow value to flow without interruptions
4. Let the customer pull value from the
process
5. Continuously pursue perfection
Why Map the Value Stream?
Jane Groteluschen
• Value Stream Mapping is a method that assists
a team in seeing and understanding the flow of
both documents and information
• It delivers breakthrough opportunities across
system processes that otherwise are difficult to
see
• It helps you not only see waste and gaps, but
more importantly the source of the waste
Value Streams
Tamia Salviati
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Team Records Slayers
Janet Fliehler
•
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Team Members: Tamia Salviati, Betty Witte, Sheila Vorwaldt, Janet Fliehler,
Lori Brockman, Gayle Johnson, DeeAnn Davidson, Jane Groteluschen, Janie
Mendez, Jay Nelson, Brenda Miller, Vickie Sherzan Facilitators: Marcia Tope,
Laura Scheffert
Scope
Sheila Vorwaldt
This event will look at the global view of
the records departments within the
Department of Corrections to determine
what functions each of them do, how
they interact and where opportunities
exist amongst them for improved
collaboration and efficiencies.
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Objectives
Lori Brockman
• Understand existing priorities, basic
functions, and barriers (local and statewide)
• Identify areas of greatest need for
further/improved collaboration (local and
state-wide)
• Identify tools staff need to assist them in
creating greater efficiencies.
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Current Records Processes
DeeAnn Davidson
• Current State – Where are we now
What did we see?
Betty Witte
• Records touches many other departments in their
work
• Records does many critical processes
• Numerous non-records functions
• Clearer understanding of what others do
• Many delays – create more work
• Outside perspective seeing opportunities
• Good customer service can sometimes lead to extra
work for records
• Key person for final release of offender
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Next Steps
Janet Fliehler
Implementation/Communication Plan
Person
Responsible
Discontinue Jail Credit database entry (ISP)
Sheila
Standardized role/clarification of record's role in count DeeAnn/Sheila
verification process Records staff meet with BOP at records meeting
Tamia
Don't scan DOT forms into ICON
Lori/Sheila
DOT forms distributed at Intake so no longer need to do this but Lori/Sheila
have available
Cheat sheet for offenders and staff ‐ time comp sheet
Tamia/Janet
Change/create the deadline for staff to answer visitng appeals Betty
(change policy)
Update visiting policy to include deadlines for response to Betty
MPCF visiting application inquires
MPCF to do PRH visiting (policy change)
Betty
Email work release escape and discharge paperwork to Janet
residential facility (follow‐up with Margot)
Add ASP records to resi CIR distribution list for Priority #1s Janet
(email director)
OWI release check list ‐ is it necessary?
Tamia
Records staff not making release arrangements (transportation Lori phone calls)
Records staff not responsible for tracking court‐ordered Sheila/Betty/Lori/
progress reports
DeeAnn/Brenda
Receiving institution to do ICON cross‐reference on vistors Betty
upon transfer (write policy and submit to management)
Records staff needs permissions to run ALJ/Disciplinary Tamia/Jane Decision Ad hoc report (check ICON)
Better training for SOR process (for any staff who does this ‐ Sheila/Lori/Brenda
DPS website)
Sheila/Tamia/Gayle
/
Collaboratively Work with DPS to ensure SOR Database works:
Jane/Brenda/
Each institution develop SOR list of needs (bring to 30 days)
DeeAnn/Lori/Betty
Provide to DPS /
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Due
Date
5/22/2015
6/24/2015
6/24/2015
5/22/2015
5/22/2015
6/24/2015
6/24/2015
6/24/2015
6/24/2015
6/24/2015
6/24/2015
6/24/2015
6/24/2015
6/24/2015
6/24/2015
6/24/2015
6/24/2015
6/24/2015
Management Plan
Jay Nelson
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Key Results:
• Records processes are documented for current
strategic planning and future training and
transparency
• A list of prioritized recommendations for improved
efficiencies provided to management
• Identification of a potential future lean event
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Implementation and Progress
Improvements/ Action Item
Discontinue Jail Credit database entry
(ISP)
Standardized role/clarification of record's
role in count verification process
Records staff meet with BOP at records
meeting
Person
Responsible
Sheila
Cheat sheet for offenders and staff - time
comp sheet
Change/create the deadline for staff to
answer visiting appeals (change policy)
Update visiting policy to include
deadlines for response to MPCF visiting
application inquires
MPCF to do PRH visiting (policy change)
Updated
Due Date
DONE
DeeAnn/Sheila
6/24/201
5
7/22/15
Tamia
6/24/201
5
DONE
Lori/Sheila
5/22/201
5
7/22/15
Lori/Sheila
5/22/201
5
7/22/15
Tamia/Janet
6/24/201
5
7/22/15
Betty
6/24/201
5
7/22/15
Betty
6/24/201
5
7/22/15
Betty
6/24/201
5
7/22/15
Don't scan DOT forms into ICON
DOT forms distributed at Intake so no
longer need to do this but have available
Due
Date
5/22/201
5
Notes
6/24 - Discontinued
6/24 - Has been reassigned for
DeeAnn.
Sheila will meet with
management.
6/24 - Meeting held on 6/24/15.
John Hodges and Jim Twedt
present.
6/24 - Lori is no longer doing.
Sheila will discuss with
management.
6/24 - Being discussed, so
continue to follow current
process for now.
6/24 - Sent to team for review.
Still working on policy for the
cheat sheet. Share with a few
counselors for feedback. Send
comments to Janet/Tamia
before 60-day.
6/24 - Submitted changes
waiting for response.
6/24 - Submitted changes
waiting for response.
6/24 - Submitted changes
waiting for response. (Dot to
follow up with Sheryl Dahm on
#8, #9, and #10 - policy
changes.)
Implementation and Progress
MANAGEMENT PLAN
Forwarding Kiosk messages - is possible
but would be very difficult and very
expensive to reprogram.
Next steps - will remain on the ICON wish
list but not a high priority. Management
need to determine if remain on list or not.
Dot/Jerry
Visiting Changes:
-Suspension date
-Closing admits to IMMC and ICIW
Need more specific attachment area
6/24/15 - On ICON wish list
Janet/Betty
7/22/2015
7/15/15
6/24/15 Obtaining more
information from team on where
they want attachments (ex.
Visitor attachments)
Next steps - Team identify
additional ICON areas for
attachments and/or viewed from
offender attachment screen.
Send these ideas to Janet/Betty
by 7/15/15.
We welcome your
questions and comments!
17
IDOC HEALTH CARE COSTS
Harbans S. Deol, D.O., Ph.D.
IDOC Medical Services Director
RECEPTION ADMISSIONS
ICIW
IMCC
FY15
Offender Admits Jul‐14
Aug‐14
Sep‐14
Oct‐14
Nov‐14
Dec‐14
Jan‐15
Feb‐15
Mar‐15
Apr‐15
May‐15
Jun‐15
475
425
385
489
375
431
424
460
399
499
361
400
TOTAL
Patient Admits Total Admissions
2
2
4
7
3
4
2
2
3
3
4
6
477
427
389
496
378
435
426
462
402
502
365
406
5,165 FY15
Admissions
Jul‐14
Aug‐14
Sep‐14
Oct‐14
Nov‐14
Dec‐14
Jan‐15
Feb‐15
Mar‐15
Apr‐15
May‐15
Jun‐15
Total
81
86
61
91
56
76
69
57
58
68
54
70
827
CHRONIC CONDITIONS
Diabetes
643
Dyslipidemia
1257
Hypertension
1881
Hepatitis
1349
Asthma
928
COPD
236
HIV/AIDS
39
MH
SMI/SN DX
1832
CHD
182
AGE AND CHRONIC DISEASE
# w/Chronic
Disease
• <54 3,251
• >54
973
• Total: 4,224
# w/1 Chronic
Disease
• <54 2,284
• >54
344
• Total: 2,628
# w/>1
Chronic
Disease
• <54 967
• >54 629
• Total: 1,596
IMCC Population by Age
(7/2/15)
Age 50-59
Age 60-69
Age 70-79
Age 80-89
127
53
19
7
206 / 906 OR 22.7% of
offenders are age 50+
--------------Oldest offender is 88.2 yrs
FY’15 CHRONIC DISEASE
BY
AGE GROUPS
AIDS
Asthma
CAD
COPD
Diabetes
I & II
Hep B
HTN
Hyperlipidemia
Neoplasm
Pregnancy
Seizure
Age 18-29
1
328
0
0
24
4
160
6
121
29
12
14
77
Age 30-39
1
282
2
6
104
3
325
8
349
193
30
5
83
Age 40-49
5
195
37
50
176
6
364
14
539
362
34
0
87
Age 50-59
6
99
69
99
220
8
396
8
577
438
49
0
35
Age 60 and
over
2
24
74
81
119
3
104
3
295
235
30
0
8
Totals
15
928
182
236
643
24
1349 39 1881
1257
155
19
290
Hep C HIV
AGING POPULATION IN IDOC
1600
1480
1400
1200
1027
1000
800
1260
1229
1309
1139
1104
902
600
400
200
283
239
333
308
380
336
403
464
0
2005 2006 2007 2008 2009 2010 2011 2012 2013
50-59
>60
IDOC CHRONIC CARE PROVISIONS
IMCC MEDICAL UNIT CENSUS
6/30/15:
Infirmary: 16
LTA: 32
STA: 16
Total Care
Paraplegic/ (Bedridden)
Tube
Fed (2)
Oxygen
(4)
Hemiplegic
(6)
(9)
Dialysis
(9)
Dementia
Wheelchair Patients
(30)
Bound
(12)
ADL
Care
Cancer
Dx
(102)
CHRONIC CARE - RECENT ADMISSIONS
Admitted IMCC 6/23/15:
• 53 year old
• Co. Jail since 2/24/15
• Alcoholic Dementia
Admitted IMCC 6/25/15:
• 53 year old
• Left-sided stroke, wheelchair bound
• Came to us from hospital due to digoxin toxicity
• 6/30/15 UIHC via ambulance-uncontrollable high
BP
• Remains hospitalized at UIHC
Admitted IMCC 6/26/15:
• Admitted from Co. Jail who had taken him to ER just
prior to transport to IMCC
• Had been drinking heavily two days prior
• Had seizure on 6/25/15
• Came in with tremors, sweating, unsteady gait
• Admitted to Skilled Nursing Unit for detox observation
CIVIL COMMITMENTS
100
90
86
88
86
80
80 M
6F
70
60
59
56
50
45
40
42
46
37
30
20
10
8
12
0
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
UIHC OUTPATIENT APPTS
FY2012
4,048
FY2013
4,394
FY2014
5,193
FY2015
5,277*
*As of 5/31/15
July
August
September
October
November
December
January
February
March
April
May
Total
510
491
495
534
420
492
488
463
446
474
464
5277
PHARMACY COSTS
July
COST CHANGES FY’15
August
September
October
November
December
FY 2015 TOTAL
$ 654,857.16
$ 594,182.16
$ 639,290.27
$ 679,590.68
$ 515,640.79
$ 608,082.44
FY 2014 TOTAL
$ 505,849.89
$ 471,033.35
$ 471,899.60
$ 515,386.12
$ 488,149.32
$ 551,772.64
Increase/Decrease
$ 149,007.27
$ 123,148.81
$ 167,390.67
$ 164,204.56
$
$
FY 2015 TOTAL
FY 2014 TOTAL
Increase/Decrease
27,491.47
56,309.80
January
February
March
April
May
June
TOTAL
$ 571,322.15 $ 470,528.16 $ 552,829.41 $ 481,593.31 $ 460,026.99 $ 421,610.39 $ 6,649,553.91*
$ 505,238.31 $ 438,563.19 $ 493,512.51 $ 521,177.59 $ 536,576.69 $ 523,161.37 $ 6,035,770.83
$
66,083.84 $
31,964.97 $
59,316.90 $ (39,584.28) $ (76,549.70) $ (101,550.98) $
For FY 2017 funding, the Governor’s
budget provides an additional $1,000,000
for drugs and biologicals
*Figure represents what was actually dispensed to offenders. Some purchases
remain in inventory in addition
10.17%
from FY 2014
613,783.08
DRUG COSTS – CONTRACT / STATE
FY2015
0
FY2014
0
FY2013
0
FY2012
0
FY2011
0
2010
0
2009
0
2008
0
2007
0
Millions
0
6.65
6.04
5.51
6.48
IDOC Population
8.57
14.69
2009
8400
2010
8600
FY2011
8700
FY2012
8300
FY2013
8100
FY2014
8200
FY2015
8200
8.48
6.24
8.6
2
4
State Rx
6
8
10
Contract Rx
12
14
16
IDOC MEDICATION
COSTS
ASSOCIATED WITH
TRANSPLANTS
 Azathioprine
 Cyclosporine
 Mycophenolate Mofetil
7/1/14 - 6/29/15:
 Prednisone
 Sirolimus
$16,431.18
 Tacrolimus
ASP
IDOC MEDICATION
COSTS
ASSOCIATED WITH
CHEMOTHERAPY
(4 patients)
$17,904.64
CCF
(4 patients)
$1,044.17
FDCF
(9 patients)
$108,576.06
ICIW
7/1/14 through 6/29/15:
(7 patients)
$1,600.88
IMCC
(18 patients)
69 patients
$511,238.16*
$181,590.76
ISP
(7 patients)
$67,660.04
MPCF
(6 patients)
$650.32
NCF
(10 patients)
*+Unknown cost @ UIHC
NCCF
(4 patients)
$131,715.27
$496.02
PHARMACY COSTS
MOST COSTLY MEDS
Medication
Risperidone 25mg/2ml Injection
Insulin Beta-1a 44mcg/0.5ml Injection
Risperidone 37.5mg/2ml Injection
PEG-Interferon 135mcg/0.5ml Injection (each)
Desmopressin 1.5mg/ml Nasal Spray
Risperidone 50mg/2ml Injection
Sofosbuvir 400mg tablet
Adalimumab 40m/0.8ml Injection
Abatacept 125mg/ml Injection
Hydroxyprogesterone Caproate 250mg/ml Injection
PEG-Filgrastim 6mg/0.6ml Injection
Cost per unit
$
310.89
$
349.95
$
466.34
$
510.42
$
605.00
$
621.80
$
985.00
$
1,329.91
$
2,660.79
$
3,750.00
$
4,036.38
ATYPICAL ANTIPSYCHOTICS
Tablets
Liquids/Specialty
Forms
vs
Aripiprazole tablet 30 mg tabs $16.90 to $24.00
Dissolving tablet
30 mg “discmelt”
Risperidone Dissolving tabs
Olanzapine tablet
3 mg tabs $1.76 to $4.10
Oral Solution
3 ml
30 mg tabs $0.08 to $0.40
Dissolving tablet
30 mg
$101.55
$ 0.84
$ 5.40
INSULINS
INSULIN
ASPART U100
(NOVOLOG)
INSULIN
DETEMIR
U-100
(LEVEMIR)
INSULIN
GLARGINE
U-100
(LANTUS)
INSULIN
LISPRO U100
(HUMALOG)
INSULIN HUMAN
NPH U-100,
INSULIN HUMAN
REGULAR U-100,
INSULIN HUMAN
NPH/REGULAR
70/30 U-100
$200.90
vial
$228.19
vial
$213.93
vial
$45.60
vial
$12.12
vial
INHALERS
ALBUTEROL
HFA
INHALER
$37.16
each
BECLOMETHASONE
INHALER
80mcg
$173.30
each
BUDESONIDE/
FORMOTEROL
INHALER
80/4.5mcg,
160/4.5mcg
$229.89/
$262.77
each
FLUTICASONE/
SALMETEROL
DISKUS
INHALER
100/50,
250/50,
500/50
$227.05/
$282.11/
$371.05
each
IPRATROPIUM
HFA
INHALER
SALMETEROL
DISKUS
INHALER
TIOTROPIUM
INHALANT
CAPSULES +
HANDIHALER
18mcg
$247.34
each
$241.49
each
$283.83/
30
capsules
& inhaler
unit
MEDICATION COSTS
Medication
FY '13 Inventory Price/unit FY '14 Inventory Price/unit Current Price/unit % Increase
Amitriptyline 100mg tablet
$ 0.04 $ 0.04 $ 1.01 Benzoyl Peroxide 10% Gel
$ 1.67 $ 12.80 $ 12.80 Carbamazepine 200mg tablet
$ 0.04 $ 0.04 $ 0.65 Clobetasol 0.05% Ointment
$ 1.56 $ 16.90 $ 152.54 Clomipramine 25mg capsule
$ 0.22 $ 7.05 $ 7.05 Fluconazole 150mg tablet
Fluorometholone 0.1% Ophth Suspension
Hydrocortisone Valerate 0.2% Cream
$ 0.22 $ 2.04 $ 12.84 2425%
666.46%
1525%
9678%
3104%
5736%
$ 1.78 $ 43.34 $ 56.34 3065%
$ 1.64 $ 115.80 $ 115.80 Insulin Detemir U‐100
$ 70.05 $ 180.88 $ 210.00 6960%
199.78%
466.71%
9337.50%
206.06%
Prednisolone 1% Ophth Suspension $ 7.63 $ 43.24 $ 43.24 Tetracycline 500mg capsule
$ 0.08 $ 7.55 $ 7.55 Thiothixene 5mg capsule
$ 0.33 $ 1.01 $ 1.01 HEPATITIS C
IDOC Pop
7/1/15
8221
Hep C Dx
782
9.5%
PHARMACY COSTS
HEP B/C & HIV MEDICATIONS
$86,252.13
FY2015
$842,222.41
$206,615
FY2014
$1,052,749
$239,435
FY2013
$1,054,901
$225,769
FY2012
$822,020
$96,155
FY2011
$786,722
$148,813
FY2010
$-
$200,000
$687,212
$400,000
$600,000
Hepatitis B/C
$800,000 $1,000,000 $1,200,000
HIV