HD27 - Master Plan for Healthcare Services [Final Report: Alternatives for Developing Additional Medical, Mental Health and Geriatric Facilities]


Executive Summary:
Purpose

The purpose of this study, a Master Plan for Healthcare Services, is to address and answer by recommendation, the following General Assembly directive to the Virginia Department of Corrections:

Item 387 #3c of the 2006 Acts of Assembly states:

“The Department of Corrections shall provide a planning report on alternatives for developing additional medical, mental health, and geriatric facilities. The report shall consider the potential for cost savings through the expansion or replacement of the medical unit at Powhatan Correctional Center, the optimum mix of services and facilities at other facilities, the use of contract services, requirements for mental health services, requirements for geriatric services for older inmates, and financing options. Copies of an interim report, including a scope statement and work plan, shall be provided by October 16, 2006, and a final report by April 30, 2007, to the Secretary of Public Safety and the Chairmen of the Senate Finance and House Appropriations Committees.”

The Master Plan for Healthcare Services study began in August 2006 and concludes the process of research, analysis, and recommendation as outlined in the Interim Report of October 16, 2006 to the General Assembly. Working with representatives from the Department of Corrections (DOC), Moseley Architects and HKS, Inc. (the Team) has developed facility recommendations to meet the future healthcare, including medical and mental health, needs of the male state responsible offender (SRO) population.

Female State Responsible Offender

For this study it was confirmed by the Department of Corrections that the Fluvanna Correctional Center for Women has adequate medical and mental health capacity to accommodate the projected healthcare needs of the female state responsible offender population for the foreseeable future; therefore only male SRO needs are addressed in this study; therefore only male SRO needs are addressed in this study . Current capacity at FCC includes 46 infirmary/medical beds, 46 acute mental health beds and 144 residential mental health beds for a total of 236 healthcare beds.

Process

In response to the General Assembly’s request to “…provide a planning report on alternatives for developing additional medical, mental health and geriatric facilities…” the Team structured a logical process to develop the Master Plan for Healthcare Services. Specific tasks completed by The Team included:

1. Analyzing historical male state responsible offender (SRO) healthcare utilization data from 2004 – 2006;

2. Benchmarking VA DOC’s healthcare utilization rate with other comparable DOC’s;

3. Assessing existing correctional healthcare facility conditions;

4. Reviewing the approved male SRO forecast for 2008 – 2012 provided by the DOC; Virginia Department of Corrections Master Plan for Healthcare Services June 1, 2007

5. Forecasting male SRO for 2013 – 2032 solely for use in estimating future healthcare service needs for this study;

6. Confirming the healthcare services that will be provided at a correctional center site versus those that will be performed outside of the correctional institution;

7. Estimating future bed, diagnostic and treatment procedure room demand based upon forecasted male SRO population and healthcare use rates for 2017 through 2032;

8. Maximizing reuse of existing, appropriate DOC healthcare facilities;

9. Developing viable facility options for approval and acceptance, or rejection, for further development; and

10. Identifying potential financing options to fund construction of recommended future DOC healthcare facilities.

[For the interim report, see HD 57, 2006.]