1. Virtual Healthcare in Corrections
October 18, 2012
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2. Correctional Healthcare
• Average Daily Population 2.4M -Jails and
Prisons nationwide
• Of the 2.4 M ADP
– Prisons 57% of population
– Jails 34% of ADP
– Feds 9% of ADP
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3. Healthcare Spending
• Healthcare Spend in 2011 - $10.2B
– Outsourced $4.4B
– State Operated $5.5B
• 32 states have some sort of outsourcing:
– 13 states are totally converted to one vendor
– 6 states have multiple vendors
– 6 states have a handful of sites converted
– 6 states use university teaching models (MA, CT,
NJ, GA, OK, TX) for part or all of the state
– 1 state is managed by a hospital
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4. Chronic Disease
• Most prevalent chronic diseases among 34-39
year olds in prison:
– Overweight 47%
– Obese 24.7%
– Hypertension 24.7%
– Arthritis 23.1%
– Asthma 13.9%
– Hepatitis 12.9%
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5. OUTSOURCING DRIVERS
• Budget Pressures
• 32 Year Record of Cost Efficiencies
• Healthcare Expense Volatility
• Productivity / Flexibility
• Compliance / Accreditation
• Accountability
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6. Literature Review
• Is Feasible
• Increases Access to Care
• Enables Specialty Consultation
• Yields Positive Clinical Outcomes
• Allows Reliable Evaluations
• Satisfies Patients and Providers
• Educates and Empowers Parties Using It

7. Benefits
• Decreased Security Risk to Public
• Reduction of Security Hours (Off-site, On-site)
• Decreased Transportation Costs
• Increased Access to Care
• Decreased Waiting Times for Healthcare
• Increased Offender Satisfaction with
Healthcare
• Education, In-services/Training and Meetings
• Increased Provider Pool

8. Impact on Improved Healthcare Delivery
• Improve access to care for remotely located
patients
• Shift appropriate visits from high-cost settings
• Reduce cost of managing chronic patient
populations
• Reduce unnecessary hospital readmissions
• Lower number of days spent in hospital
• Improve patient outcomes
• Create higher satisfaction among patients and
providers
• Time, Cost, Access, Convenience, Compliance 8

9. Advantages
• Patients
– Access to Care
– Continuity of Care
• Providers
– Greater Flexibility for Living and Practice
– Interest Focus
– Decreased Travel Time, Isolation
– Improved Efficiency, Productivity; Full Time Positions
• System
– Larger Talent Pool
– Improved Safety
– Decreased Transport
– Fewer Access Driven Emergencies
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10. Cost Savings
• Reduction in Inmate Transportation
• Reduction in Time and Money for
Practitioner Travel to Remote Sites
• Travel and Time for Administrative
Meetings
• Training and Education for Employees
• Reduction in Inmate Litigation
• Medication
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11. Transportation Savings
• Emergency Room Trips – 40%
– 94,180/$158 million
– 40,000/$60.3 million
• MD Visits
– 691,000/$302 million
– Avoid 543,000/$201 million
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12. Prisons/Jails
• Many states have some form of telehealth
• Not used fully or to capacity
• Alabama and Georgia
• Jails – five states
• Next stage – nearly virtual care!
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13. Global Partnership for Telehealth, Inc.
914 Memorial Drive
Waycross, GA 31502
Dr. Jeffrey Kesler
Jeffrey.kesler@gatelehealth.org
Phone: 912.285.0902
Web: www.gatelehealth.org
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