PharmD Rear Admiral US Public Health Service Director Pharmacy Program Federal Bureau of Prisons Health Services Division 320 First Street NW Washington DC 20534 2023534653 2023050862 fax ID: 745398
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BOP PHARMACY
Chris A. Bina,
Pharm.D.Rear Admiral, US Public Health ServiceDirector, Pharmacy ProgramFederal Bureau of PrisonsHealth Services Division320 First Street NWWashington, DC 20534202-353-4653202-305-0862 (fax)cbina@bop.govSlide2
Welcome!!Slide3
BOP Mission Statement
It is the mission of the Federal Bureau of Prisons to protect society by confining offenders in the controlled environments of prisons and community-based facilities that are safe, humane, cost-efficient, and appropriately secure, and that provide work and other self-improvement opportunities to assist offenders in becoming law-abiding citizens.Slide4
BOP Core Values
Correctional ExcellenceRespectIntegritySlide5
BOP Health Services DivisionMission Statement
The health care mission of the Bureau of Prisons is to deliver medically necessary health care to inmates effectively in accordance with proven standards of care without compromising public safety concerns inherent to the Bureau's overall mission. Slide6
BOP RegionsSlide7
Western RegionSlide8
North Central RegionSlide9
South Central RegionSlide10
Northeast RegionSlide11
Mid-Atlantic RegionSlide12
Southeast RegionSlide13
Under Development or Activation
USP Yazoo City, Mississippi (SER) – Expected Fall 2013Administrative USP Thomson, Illinois (NCR) – pending funding proposed through BOP’s FY 2014 President’s
Budget RequestSlide14
BOP Institution Quick Facts
119 activated institutions219,357 inmates as of August 15, 2013 (1996: 90,000)
42,513 located in non-BOP facilities (e.g. contract state DOC (Department of Corrections))6 Federal Medical Centers13 institutions w/ female inmates7 Protective Custody Units (i.e. Witsec)Slide15
Inmate Breakdown (2010)
Male: 93.5% Female: 6.5%White: 57.9% Black: 38.5% Native American: 1.8% Asian: 1.7% Hispanic 33%
United States: 73.2% Mexico: 18.1% Colombia: 1.3% Cuba: 0.9% Dominican Republic: 1.3% Other/Unknown: 5.3%Drug Offenses: 51.3%Average Inmate Age: 38Sentences5-15 years: 50%Life: 3.1%Death Row: 55Slide16
Inmate Medical Issues
~
1.6% are HIV + (2 to 3 times more than the general population) ~15% are Hep B or C carriers Liver and kidney damage are common because of self-destructive lifestyles.Slide17
Importance of Correctional Health
2 1/2 Millions wake up in prison/jail every day~ 5,000 correctional facilities (>3,000 local jails; 1,800 state/federal correctional institutions)Iron Law of Corrections: 95% of those incarcerated will return to
the streetsApprox. 14% of persons with HIV in the U.S. pass through the correctional system each year35% of all TB cases, and 29% of all Hepatitis C cases pass through the nation’s correctional facilities at some point in time Slide18
Importance of Correctional Health
BOP recognized by Office of National AIDS Policy through work with the National HIV/AIDS Strategy (released in 2010) regarding significant HIV outcomes within the BOPApprox. 82% of our patients that have been within institutions for 6 months have non-detectable virusSlide19
Health Services Overview
WardenAW
Nursing/EMT
ID, x-ray, lab, IOP
Medical
Records
Pharm
Dental
ADMIN
Support
CD
MLP’s
HSA
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CLINICAL PHARMACY PRACTICE
Newly created position of Chief, Clinical Pharmacy ProgramsPharmacist Immunizers
Pharmacist Practitioners93 Collaborative Practice Agreement protocols in place, involving 56 pharmacists within 12 areas of medicineAnticoagulation, Hyperlipidemia, Diabetes, Anemia, Psych, HIV, Hep C, Dialysis, Oncology, etc.Slide21
Pharmacist Positions in BOP
Staff Pharmacist (both inpatient and outpatient; ambulatory or medical center)Assistant Chief Pharmacist
Chief PharmacistRegional HIV/HCV Pharmacist ConsultantRegional Chief Pharmacist Central Processing Staff, Chief, and Clinical PharmacistsCentral Fill Staff in futureSlide22
Where to Get More Information
http://www.usphs.gov/corpslinks/pharmacy/bop/index.htm
BOP Pharmacy Homepage http://dcp.psc.gov vacancy list PHS Pharmacy Job Listserv http://www.bop.gov http://www.usphs.govSlide23
Initiatives
Central Fill vs Mail Order Pharmacy (BOPMOP)Virtual Central Processing by BOP Pharmacists
Immunization DeliveryDisease State Management – Clinical Pharmacy ProgramsAnticoagulation ClinicsAntihyperlipidemic ClinicSlide24
BOP Pharmacy Contact Information
RADM Chris Bina, PharmD
Chief Pharmacist, cbina@bop.gov 202-353-4753 CAPT A. Martin Johnston, RPh Chief, Pharmacy Logistics, ajohnston@bop.gov 202-353-4758LT Michelle Williams, PharmD HIV/Hep Program Manager, mrwilliams@bop.gov
202-353-4748Chief, Clinical Pharmacy Programs - VacantSlide25
BOP Pharmacy Recruitment Workgroup
Name
InstitutionResponsible RegionEmailPhoneCAPT Cassondra White – LEADCentral Processing Pharmacist (CPPS) -CCM San AntonioALLc3white@bop.gov
210-472-4510LCDR William LehaultFCI Otisville
North East Region
wlehault@bop.gov
845-386-6826
LCDR Anna Stevenson
FMC
Devens
North East Region
astevenson@bop.gov
978-796-1352
CDR Ed Houser
FMC Rochester
North
Central Region
ehouser@bop.gov
507-424-7580
CDR Mark Sellers
USMCFP Springfield
North Central Region
msellers@bop.gov
417-836-1349
CDR Theresa Porter
FCI Ashland
Mid-Atlantic Region
tporter@bop.gov
606-929-4118
LT Daniel
True
FCI Cumberland
Mid-Atlantic
Region
dtrue@bop.gov
301-784-1000 x2160
CAPT Patrick Marshall
CPPS - FCI Edgefield
South East Region
pmarshall@bop.gov
803-637-1728
CDR Jeff
Mallette
CPPS - FPC PensacolaSouth East Regionjxmallette@bop.gov850-458-7318LCDR Kevan LeeFCC HazeltonSouth Central Regionkmlee@bop.gov304-379-5118LT Michelle WilliamsCentral OfficeSouth Central Regionmrwilliams@bop.gov202-353-4748LCDR Huu NguyenFCC VictorvilleWestern Regionhnguyen@bop.gov760-246-2576LT Anthony SheltonUSP CanaanWestern Regionashelton@bop.gov570-488-8000 x8246Todd DavisCentral Office BEMR Rx -USMCFP Springfield
ALL (Civil Service)jtdavis@bop.gov417-837-1750Karen HaysFCC Yazoo CityALL (Civil Service)klipscomb@bop.gov662-716-1020 x4397Slide26
Federal Pharmacy Vision
Federal Pharmacists are essential to health care access and delivery in the United States; recognized as health care providers of patient-centered primary and specialty care, and as trusted public health leaders. As experts in medication use and comprehensive pharmacy services, we promote wellness, prevent and manage disease, ensure patient safety and optimize health outcomes in collaboration with the health care team.Slide27Slide28
(former) Surgeon General SupportSlide29
Summary
Correctional Health is Public HealthSave EnvironmentUnique, Diverse, & RewardingMaking a DifferenceMany Thank You’s
Integration into overall Federal Pharmacy CollaborationStudent OpportunitiesSlide30Slide31
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Questions