CORRECTIONAL HEALTH.


LEGAL AUTHORITY

Administrative Order No.99 of July 28, 1995, created the Correctional Health program and ascribed it to the Health Depatament. Subsequently, through the Morales vs. Romero Barceló case, USDC PR Civil No. 79-4, Puerto Rico's Federal District Court instructed the Correctional Administration to provide medical and mental health services to all their inmates. Executive Order 2005-49 of June 30, 2005, transfers the program from the Health Department to the Correctional Administration.


MISSION

Offer prisoners access to health services in an integrated and multidisciplinary manner, which includes offering the appropriate treatment in a caring environment.


ORGANIZATIONAL STRUCTURE

  • Accounting and Budget
  • Executive Director
  • General Services
  • Human Resources
  • Infection Control Director
  • Legal Counsel
  • Materials Manager
  • Medical Director
  • Medical Records Director
  • Mental Health Director
  • Nursing Director
  • Nutrition and Diet Director
  • Odontology Director
  • Pharmacy Director
  • Program Administrator
  • Psychology Director
  • Quality Improvement Director
  • Social Work Director


PROGRAM

Health Services to Inmates

Program Description

Is responsible for implementing the Medical and Mental Health Plan, according to the stipulations of the Federal Court. Develops an integrated health service system, with high levels of quality and accessibility. In addition, it provides health education services to inmates, custody officers, and offers training to health professionals. Also, establishes a system for prevention, diagnosis and treatment of infectious and sexually transmitted diseases.

Statistical Data 2011 2012 2013

 

"Sick Call" 83,049 90,989 95,538
Admission services 16,936 17,674 18,557
Admissions to outpatient detoxification (Outpatient Detox) 2,105 2,691 2,799
Dental procedures 76,862 84,542 88,769
Drugs dispensed 3,700,987 4,106,586 4,311,915
Extended care patients admitted to infirmary 3,059 3,419 3,590
Laboratory processed 136,323 127,882 134,276
Mental screening tests 12,927 13,358 14,025
Nursing procedures 1,441,018 1,135,620 1,078,839
Outpatient mental services 67,472 63,629 60,448
Participants in educational health activities 106,440 131,475 138,048
Prescriptions issued 219,329 246,970 259,318
Referred to outpatient clinics intra-institutional 136,710 139,493 146,468
Tele-psychiatry services 5,220 5,441 5,713
Treatment referrals 6,202 4,389 4,608
Tuberculin tests 20,076 19,449 20,421
X Rays 35,273 35,979 37,778

Information provided by the Agency during the budget process for fiscal year 2012-2013.

Customers

Inmates cared for at corresponding medical units and at the Correctional Psychiatric Hospital.

FISCAL YEAR 2012-2013 PROPOSED BUDGET

The proposed consolidated budget for Fiscal Year 2012-2013 amounts to $71,148,000 from the Joint Resolution General Fund.

Operational expenses reflect a decrease of $2,269,000 when compared to funds assigned in fiscal year 2011-2012 due to a reduction in Rent and Utilities expense and to the implementation of an early retirement incentive program.

The proposed budget will allow the agency to continue to provide services according to the stipulations of the Federal Court in relation to the Morales Feliciano Case. It will allow for the continuation of medical services to inmates, the treatment of infectious and sexually transmitted diseases, specifically Hepatitis C and HIV and to make medicine available in order to provide efficient care and prevent diseases.

SUMMARY OF AVAILABLE RESOURCES

Consolidated Budget  (thousands $) 2010 2011 2012 2013

 

Program  
Operational Expenses Actual Actual Budget Proposed
Health Services to Inmates 77,596 73,436 73,417 71,148
Subtotal, Operational Expenses 77,596 73,436 73,417 71,148
Total, Program 77,596 73,436 73,417 71,148
 
Funding Sources  
Operational Expenses  
Joint Resolution - General Fund 49,671 44,199 73,417 71,148
Local Stabilization Fund 27,925 29,237 0 0
Subtotal, Operational Expenses 77,596 73,436 73,417 71,148
Total, Funding Sources 77,596 73,436 73,417 71,148
 
Expense Category  
Operational Expenses  
Payroll and Related Expenses 33,284 30,066 32,599 29,315
Rent and Utilities 3,712 3,146 3,473 1,866
Purchased Services 5,332 25,657 20,180 24,304
Donations, Subsidies, and Distributions 0 30 0 0
Transportation Expenses 19 17 17 17
Professional Services 20,226 2,791 3,646 2,790
Other Expenses 284 332 35 29
Non Distributed Allocations 100 0 0 0
Previous Years Debt Payments 414 0 0 175
Equipment Purchases 606 1,549 0 0
Office Supplies and other Materials 13,619 9,848 13,467 12,652
Subtotal, Operational Expenses 77,596 73,436 73,417 71,148
Total, Expense Category 77,596 73,436 73,417 71,148