Cost of an Integrated Care Program to Reduce ED Visits During Diabetic Prisoner Court Hearings

Autor: Joy Matienzo, Josie Barbita, Tim Pauley, Joseph Ventura
Rok vydání: 2017
Předmět:
Zdroj: Journal of Correctional Health Care. 23:283-296
ISSN: 1940-5200
1078-3458
DOI: 10.1177/1078345817709804
Popis: Diabetic events occurring during court hearings previously required emergency medical services (EMS) transport to the emergency department (ED). A new process was implemented whereby the provincial court (PC) was notified by the detention center of diabetes status of prisoners scheduled for court later that day, enabling a community nursing services provider to provide on-site diabetes assessment and treatment at the PC. During the 13-month pre-implementation phase, there were 10 incidents of diabetic distress resulting in an ED visit at a total cost of $797.58/prisoner, including police service personnel, EMS, and ED staff/physician. During the 12.5-month postimplementation phase, insulin was administered on-site during 72 court dates at a cost of $161.93/prisoner. The new process for managing diabetic needs of prisoners during court dates resulted in a substantial cost savings in terms of police services and health care personnel and improved the immediacy and quality of care for prisoners.
Databáze: OpenAIRE