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NCJRS Abstract

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NCJ Number: 62553 Add to Shopping cart Find in a Library
Title: CALIFORNIA - DEPARTMENT OF FINANCE - CDC (CALIFORNIA DEPARTMENT OF CORRECTIONS) /CYA (CALIFORNIA YOUTH AUTHORITY) MEDICAL SURGICAL STUDY - A STAFF REFERENCE REPORT
Corporate Author: California Dept of Finance
United States of America
Project Director: D BROWN
Date Published: 1977
Page Count: 68
Sponsoring Agency: California Dept of Finance
Sacramento, CA 95814
National Institute of Justice/
Rockville, MD 20849
Publication Number: S77-39
Sale Source: National Institute of Justice/
NCJRS paper reproduction
Box 6000, Dept F
Rockville, MD 20849
United States of America
Language: English
Country: United States of America
Annotation: ALTERNATIVE WAYS OF PROVIDING MEDICAL AND SURGICAL SERVICES TO INMATES AND WARDS OF THE CALIFORNIA DEPARTMENTS OF CORRECTIONS (CDC) AND YOUTH AUTHORITY (CYA) ARE ANALYZED.
Abstract: THE STUDY RESULTED FROM OPPOSITION BY THE DEPARTMENT OF FINANCE AND THE HEALTH AND WELFARE AGENCY TO INCREASED FUNDING FOR LICENSING CDC AND CYA HOSPITALS BEFORE ALTERNATIVES TO LICENSING HAD BEEN FULLY EXPLORED. EXAMINATION OF THE CURRENT MEDICAL SYSTEM AND DEMAND FOR INPATIENT CARE SHOWED THAT CDC AND CYA DO NOT CURRENTLY HAVE A FORMAL UTILIZATION CONTROL SYSTEM. IMPLEMENTATION OF SUCH A SYSTEM COULD PRODUCE SUBSTANTIAL COST SAVINGS. MEDICAL SERVICES DELIVERY IS AFFECTED BY THE FOLLOWING ISSUES: (1) THE APPLICABILITY OF DEPARTMENT OF HEALTH LICENSING STANDARDS TO CORRECTIONAL HOSPITALS; (2) LICENSING REQUIREMENTS--WHETHER CORRECTIONAL HOSPITALS SHOULD BE LICENSED OR CHANGED TO INFIRMARIES AND THEIR HOSPITAL CASES SENT TO LICENSED COMMUNITY HOSPITALS; AND (3) STAFFING STANDARDS APPLIED TO ACHIEVE ECONOMIES IN OVERSTAFFED AREAS. ACCORDING TO THE GENERAL COUNSEL OF GENERAL SERVICES, CDC AND CYA HOSPITALS ARE EXEMPT FROM THE LAW REQUIRING LICENSURE. IF NOT, THEN SENDING CYA AND CDC HOSPITAL CASES TO LICENSED COMMUNITY HOSPITALS HAS BOTH ADVANTAGES AND DISADVANTAGES. APPLICATION OF STAFFING STANDARDS FROM THE AMERICAN CORRECTIONAL ASSOCIATION AND THE CALIFORNIA DEPARTMENT OF HEALTH WOULD SAVE OVER $800,000 IF CORRECTIONAL HOSPITALS AREN'T LICENSED. CHOOSING UNLICENSED CORRECTIONAL HOSPITALS AND APPLICATION OF STAFFING STANDARDS WOULD SAVE 5 PERCENT OF CURRENT MEDICAL SYSTEM COSTS. ALL THE OTHER ALTERNATIVES CONSIDERED, EXCEPT THE STATUS QUO, WOULD INCREASE COSTS. THE MOST EXPENSIVE ALTERNATIVE, LICENSING HOSPITALS AND NOT APPLYING STAFFING STANDARDS, WOULD INCREASE COSTS BY 14 PERCENT OVER PROJECTED 1978-79 COSTS. FOOTNOTES, TABLES, ILLUSTRATIONS, AND APPENDIXES PRESENTING METHODOLOGIES USED, RESULTS, A LIST OF ABBREVIATIONS, AND THE LEGAL OPINION OF THE CHIEF COUNSEL OF GENERAL SERVICES, ARE INCLUDED. (CFW)
Index Term(s): Comparative analysis; Cost effectiveness analysis; Hospitals; Inmate Programs; Medical and dental services
To cite this abstract, use the following link:
http://www.ncjrs.gov/App/publications/abstract.aspx?ID=62553

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