Charles R. Mathews, M.D.,
John G. Burke
Deputy Assistant Secretary
for Health Services Administration
David L. Thomas,
Deputy Assistant Secretary
for Health Services
"The Assistant Secretary of Health Services...shall be responsible for the delivery of health services to offenders within the system and shall have direct professional authority over such services." (F.S. 20.315(3)(g))
As you will see on the following pages, a great deal has been accomplished during fiscal year 1997-98 and I am, of course, extremely proud of these accomplishments by the Health Services team. These accomplishments include the development of a mini-residency with the University of Miami College of Medicine (that exemplifies public/private cooperation), seminars on HIV/AIDS and tuberculosis, the continued expansion and refinement of our Quality Management Program (which furthered our efforts to improve the utilization of nursing staff), the expanded use of both the Corrections Distance Learning Network (CDLN) and the Health Science Television Network (HSTN), and further development of an electronic medical records system. Also, through Correctional Quality Managerial Leadership we were able to further improve the efficiency and effectiveness of our delivery of health care services to Florida's inmates. If you have any questions or comments relative to this report, please contact us.
Charles R. Mathews, MD
The 2,700 health services staff members provide access to comprehensive medical, dental, and mental health services for male and female offenders Department-wide. This includes health education, preventative care, and chronic illness clinics at the minimum community standard of health care. During FY 1997-98, the department provided 2.8 million health care encounters. The scope of health services includes primary care, emergency care inpatient hospitalization, and specialty care, as required.
The annual per diem cost for health care for Florida inmates has increased from $8.63 in 1992-1993, to only $9.30 in 1997-1998, an increase of 1.3% per year. This is despite an increase in the average daily population and the fact that the department over the last six years has absorbed price level increases. In comparison, the Hospital and Related Services component of the Consumer Price Index has averaged 5.0% per year during the same period. The consolidation of health care delivery during this time period was instrumental in managing these costs.
The Office of Program Policy Analysis and Government Accountability (OPPAGA) stated that "While the department's annual cost of providing each inmate with health care services has increased over the last five years, these costs have increased at a slower rate than Florida's medical care inflation rate."
Comparison Average Daily Cost of Health Care for DC Inmate, US Citizen, and Medicaid Patient|
Fiscal Year 1992-1998
| Inmates with
AIDS - This facility was
specifically designed for inmates who are seriously ill