425 Holiday Drive Foster Plaza 2 Pittsburgh, Pennsylvania 15220

Lenora Tenney RNWV Regional Manager

WEXFORD HEALTH SOURCESWEXFORD HEALTH SOURCES

• Mission Statement

• We are dedicated to achieving excellence in the delivery of quality health care services

and innovative programs designed to improve the health status of our patients.

• We cost-effectively perform our duties to exceed the expectations of our clients,

employees, and other constituents.

Overview

• Wexford Health Provides health care services to correctional facilities across the country

We were incorporated in 1992 for the sole purpose of providing health care services to correctional institutions. Our 16-year portfolio contains agencies in 13 states as well as statewide or major regional health care programs for agencies in West Virginia, Florida, Illinois, Maryland, Michigan, Mississippi, New Mexico, New York, Pennsylvania, and Wyoming.

Based in Pittsburgh, Wexford Health Sources is the third largest correctional health care company in the nation.

WEXFORD HEALTH SOURCESWEXFORD HEALTH SOURCES

We recognize that every contract is a partnership, and we are committed to

establishing and maintaining client relationships that go well beyond simply

meeting the health care needs of a facility’s population.

WEXFORD HEALTH SOURCESWEXFORD HEALTH SOURCES

• We currently employ nearly 1,400 men and women to provide clinical services for approximately 90,000 offenders at more than 100 facilities across the country. Most of our contracts involve the provision of medical, mental health, dental, and pharmaceutical services. All Wexford programs are designed to meet or exceed the standards established by the American Correctional Association (ACA), the National Commission on Correctional Health Care (NCCHC) and the Joint Commission for Accreditation of Health Care Organizations.

OUR QUESTOUR QUEST

In our QUEST for Excellence our Core Values are:

Quality—we meet or exceed expectations of our constituents

Unity—our employees are valuable and critical to our team

Ethics and Integrity—we do business in highest ethical manner

Satisfaction of our constituents—we anticipate their needs

Teamwork and Communication—to achieve any goal, all employees must work as a team.

ContractsContracts

We currently have contracts in:

•West Virginia

•Mississippi

•Illinois

•Washington

•Arizona

•Ohio

• Wexford Health Sources contracted with the West Virginia division of Corrections starting May 1, 2008. We provide health care services in eight WV DOC prison facilities. These are Anthony, Denmar, Huttonsville, Lakin, Martinsburg, Mount Olive, Pruntytown, and St. Mary’s. We also provide pharmacy consultant services at Huntington Work Release, Charleston Work Release, and Beckley Correctional Center as well as Mental Health Services through PSIMED our subcontractor in the Northern facilities.

• Each of the eight mentioned are staffed 24 hours a day 7 days a week with qualified, licensed health care providers. This care includes but is not limited to medical, dental, mental health, optometry, pharmacy, and dialysis services. Infirmary care is provided for inmates with illnesses or diagnoses that require frequent monitoring, medication therapy, or assistance with activities of daily living at a level needing skilled nursing intervention.

Services Offered in West Virginia:Services Offered in West Virginia:

Medical Services

– Health Screenings and assessments– Sick Call– Chronic Care Clinics– Infection Control– Infirmary Management Programs– Coordination of offsite services for outpatient

procedures and hospitalization

Services Offered in West Virginia:Services Offered in West Virginia:

Mental Health• Mental Health Services are provided by our

partner, PSIMED INC.– PSIMED provides clinically effective services that

focus on patient improvement and outcomes that includes but is not limited to:• Outpatient services• Crisis stabilization• Transitional Care• Acute Psychiatric Inpatient Care

Services Offered in West Virginia:Services Offered in West Virginia:

PHARMACY• Pharmacy Services in our West Virginia

contract are provided through Boswell.

– Formulary designed to encourage use of generic drugs

– Drug Utilization Review– Timely and accurate statistical cost and utilization

reporting.

INFECTION CONTROL – INTAKE INFECTION CONTROL – INTAKE ASSESSMENTASSESSMENT

Soon after arrival at the facility offenders are interviewed for:

Fever Active coughNausea Vaginal discharge

(females)Diarrhea Penile discharge (males)Skin infectionJaundiceNeedle marksSwollen glands

INFECTION CONTROL – MEDICAL INFECTION CONTROL – MEDICAL HISTORYHISTORY

Inquiry into:• Frequent diarrhea• Genital sores• V.D.• Hepatitis• HIV• Persistent sore throat• Blood products before 1992• Jaundice

INFECTION CONTROL – TB HISTORYINFECTION CONTROL – TB HISTORY

INQUIRY INTO:• Ever treated with TB drugs?• Previous PPD test?• Previous past positive PPD?• Chronic cough• Recent weight loss• Recent appetite loss• Fever• Night sweats• Fatigue

INFECTION CONTROL – INTAKE INFECTION CONTROL – INTAKE TESTINGTESTING• PPD testing on all new intakes unless

documentation is available that the PPD is up-to-date

• RPR on all new intakes• Chlamydia, Gonorrhea, and HIV test offered

to all new intakes• Other tests as ordered by the physician

INFECTION CONTROL - EMPLOYEESINFECTION CONTROL - EMPLOYEES

• PPD TESTING ON ALL NEW HIRES• YEARLY PPD TESTING ON ALL STAFF• HEPATITIS B VACCINE OFFERED • YEARLY FLU VACCINE OFFERED• POST EXPOSURE PROPHYLAXIS STARTER

KIT OF ANTIVIRAL MEDICATIONS AVAILABLE IN CASE OF HIGH RISK BLOOD BORNE PATHOGENS EXPOSURE

• TRAINING IN INFECTION CONTROL ON HIRE AND YEARLY

INFECTION CONTROL – KITCHEN INFECTION CONTROL – KITCHEN CLEARANCECLEARANCE

• Ensure TB test is current and negativePHYSICAL ASSESSMENT:• No open sores or rashes on hands, arms,

face• No diarrhea• No cough• Lungs clear• No signs or symptoms of contagious

disease

INFECTION CONTROL – HEALTH EDUCATIONINFECTION CONTROL – HEALTH EDUCATION

Kitchen Workers are Instructed on:

• Appropriate use of a hair net• Appropriate hand washing (including

demonstration)• Personal hygiene• Report to kitchen supervisor if ill, have

diarrhea, or a rash

INFECTION CONTROL – HEALTH EDUCATIONINFECTION CONTROL – HEALTH EDUCATION

ADDITIONAL HEALTH EDUCATION IS PROVIDED ON SUCH TOPICS AS:

• Hepatitis A, B, C• HIV• Other STD’s• Strep Throat• Ear infections• Influenza (treatment and

prevention)

INFECTION CONTROL POLICY & INFECTION CONTROL POLICY & PROCEDURESPROCEDURES

Policies include but are not limited to:• Environmental Health and Safety• Management of waste• Universal precautions• Respiratory isolation• Management of TB• Management of varicella• MRSA control guidelines• Meningitis and encephalitis

INFECTION CONTROL – DISCHARGE INFECTION CONTROL – DISCHARGE PLANNINGPLANNING

• Provided with referrals to community health care providers as needed

• Given a list of all WV county health departments including address and phone number

• If on medication will be given a 10 day supply plus a prescription for an additional 30 day supply

• Instructions on prevention of STD’s

ANTHONY CORRECTIONAL:ANTHONY CORRECTIONAL:

May 1 – November 30, 2008• 305 PPD’s given. None positive• 1 on INH-transferred in, not identified at

Anthony• 57 Gonorrhea tests performed. None

positive.• 57 Chlamydia tests performed. None

positive.• 58 HIV tests performed. None positive.• 131 Syphilis tests performed. None positive.• No new cases of Hepatitis A, B, or MRSA

ANTHONY CORRECTIONAL ANTHONY CORRECTIONAL

MEDICAL CONTACT:

RONALD MANN RN

304-536-2017

DENMAR CORRECTIONALDENMAR CORRECTIONAL

May 1 – November 30, 2008

• 291 PPD’s given. • 5 HIV tests performed. None positive.• 6 cases of MRSA identified and

treated.

DENMAR CORRECTIONAL DENMAR CORRECTIONAL

MEDICAL CONTACT:

KARA HOLDREN RN

304-653-8512

HUTTONSVILLE CORRECTIONALHUTTONSVILLE CORRECTIONAL

May 1 – November 30, 2008

• 1254 PPD’s administered• 337 Gonorrhea tests performed. None

positive.• 349 Syphilis tests performed. One

positive & treated.• 337 Chlamydia tests performed. None

positive.• They averaged 3 cases of MRSA a month

during this time period.

HUTTONSVILLE CORRECTIONALHUTTONSVILLE CORRECTIONAL

MEDICAL CONTACT:

TRISTAN TENNEY RNOR

DIANA SMITH RN

304-338-6323

LAKIN CORRECTIONALLAKIN CORRECTIONAL

May 1 – November 30, 2008

• 446 PPD’s administered. 1 positive. • 82 HIV tests performed. 0 positive• 64 Gonorrhea tests performed. 0 positive• 64 Chlamydia tests performed. 0 positive• 178 Syphilis tests performed. 0 positive• Averaged 1.5 MRSA cases during this time

period.

LAKIN CORRECTIONALLAKIN CORRECTIONAL

MEDICAL CONTACT:

REBECCA MOORE RN

304-674-2440

MARTINSBURG CORRECTIONALMARTINSBURG CORRECTIONAL

May 1 – November 30, 2008

• 805 PPD’s administered. 1 positive & treated.• 646 Gonorrhea tests performed. None

positive.• 666 Syphilis tests performed. 2 positive &

treated• 646 Chlamydia tests performed. 9 positive &

treated.• Averaged 1.5 cases of MRSA per month. They

show a MRSA prevention/educational video to all new inmates.

MARTINSBURG CORRECTIONALMARTINSBURG CORRECTIONAL

MEDICAL CONTACT:

SCARLET SHANTON RN

304-267-0156

MOUNT OLIVE CORRECTIONALMOUNT OLIVE CORRECTIONAL

MAY 1 – NOVEMBER 30, 2008

• 489 PPD’S PERFORMED. ALL NEGATIVE.

• 75 TESTS FOR SYPHILIS PERFORMED. ALL NEGATIVE.

MOUNT OLIVE CORRECTIONALMOUNT OLIVE CORRECTIONAL

MEDICAL CONTACT:

NAOMI ROBERTS RNOR

MIKAEL TERRY RN

304-442-2250

PRUNTYTOWN CORRECTIONALPRUNTYTOWN CORRECTIONAL

May 1 – November 30, 2008• 595 PPD’s administered. One positive-

transferred to negative air flow room until negative AFB’s obtained.

• 32 HIV tests performed. None positive.• 46 Chlamydia tests performed. None

positive.• 46 Gonorrhea tests performed. None

positive.• 82 Syphilis tests performed. None positive.• Averaged 1 MRSA case per month during this

time period.

PRUNTYTOWN CORRECTIONALPRUNTYTOWN CORRECTIONAL

MEDICAL CONTACT:

RICHARD KIMBLE RN

304-265-0929

ST. MARY’S CORRECTIONALST. MARY’S CORRECTIONAL

MAY 1 – NOVEMBER 30, 2008

• 12 HIV tests performed. All were negative.

• 571 PPD’s administered. All were negative.

ST. MARY’S CORRECTIONALST. MARY’S CORRECTIONAL

MEDICAL CONTACT:

JAEL FULTON RN

304-684-1167

Wexford Health SourcesWexford Health Sources

Wexford Health Sources main office is located in Pittsburgh, Pennsylvania.

For more information on the services we provide

and offer please visit our website

www.wexfordhealth.comOr you may reach us at:

P: 412.937.8590F: 412.937.8599