An Innovative Approach to Pharmacy Management in a State Correctional System

Abstract

Numerous models are employed for medication distribution and pharmacy services management in correctional facilities. Since 2003, the University of Rhode Island College of Pharmacy and the Rhode Island Department of Corrections (RIDOC) have collaborated on a pharmacy management program designed to better integrate medical care, improve medication utilization, and reduce pharmaceuticals costs. The program introduced staff education, waste-reduction strategies, treatment protocols, and a responsive formulary system. RIDOC pharmaceutical expenditures grew at a rate of approximately 1.5% Per Inmate Per Year from 2003 to 2009, considerably below the annual pharmaceutical inflation rate. Analyses of projected and actual drug spending indicate that RIDOC benefited from savings of almost $5 million during this period. This innovative approach to pharmacy management addressed many pharmaceutical care issues that had challenged RIDOC while providing educational opportunities for doctor of pharmacy students in this practice setting.

Keywords

correctional health care pharmacy pharmaceuticals management

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References

Abner

(2006). Graying prisons: States face challenges of an aging inmate population. State News (Council of State Governments), 49(10):8–11.

American Society of Health-System Pharmacists. (1995). ASHP guidelines on pharmaceutical services in correctional facilities. American Journal of Health-System Pharmacy, 52, 1810–1813.

Borger

, Smith

, Truffer

, Keehan

, Sisko

, Poisal

, Clemens

M. K.

(2006). Health spending projections through 2015: Changes on the horizon. Health Affairs, 25, W61–W73.

Centers for Medicare and Medicaid Services, Office of the Actuary. (2008). National Health Expenditure Projections, 2007-2017. Retrieved from http://www.nipcweb.com/NHE_Projections.pdf

Hartman

, Martin

, McDonnell

, Catlin

(2009). National health spending in 2007: Slower drug spending contributes to lowest rate of growth since 1998. Health Affairs, 28, 246–261.

Keith

M. R.

, Coffey

E. L.

(1997). Clinical training program for distributive pharmacists. American Journal of Health-System Pharmacy, 54, 674–677.

Kingston

R. L.

, Pfeifle

C. E.

, Cipolle

R. J.

, Zaske

D. E.

, Eells

C. B.

, Johnson

H. L.

(1982). Comprehensive pharmaceutical services for a state correctional facility. American Journal of Hospital Pharmacy, 39, 86–89.

Kraut

J. R.

, Haddix

A. C.

, Carande-Kulis

, Greifinger

R. B.

(2002). Cost-effectiveness of routine screening for sexually transmitted diseases among inmates in United States prisons and jails. The health status of soon to be released inmates: A report to Congress (Vol. 2, pp. 81–108). Chicago, IL: In National Commission on Correctional Health Care.

Pew Center on the States, Public Safety Performance Project. (2009). One in 100: Behind bars in America 2008. Retrieved from http://www.pewcenteronthestates.org/uploadedfiles/8015pcts_prison08_final_2-1-1_forweb.pdf

10.

Rhode Island Department of Corrections. (2002-2009). RIDOC Monthly Pharmacy Utilization Reports.

11.

Rhode Island Department of Corrections. (2009a). Population report FY2009. Retrieved from http://www.doc.ri.gov/administration/planning/docs/FY09%20Population%20Report.pdf

12.

Rhode Island Department of Corrections (2009b). The RIDOC at a glance. Retrieved from http://www.doc.ri.gov/documents/media/RIDOC%20At%20a%20Glance%2005-09.pdf

13.

Rikard

R. V.

, Rosenberg

(2007). Aging inmates: A convergence of trends in the American criminal justice system. Journal of Correctional Health Care, 13, 150–162.

14.

Roberts

M. B.

, Keith

M. R.

(2002). Implementing a performance evaluation system in a correctional managed care pharmacy. American Journal of Health-System Pharmacy, 59, 1097–1104.

15.

Simpson

, Shah

(2005). How prison pharmacy is changing. Pharmaceutical Journal, 275, 234–235.

16.

Smith

M. C.

, Hopper

C. B.

(1969). Pharmacy service in prison hospitals. American Journal of Hospital Pharmacy, 26, 36–40.

17.

State of Wisconsin. (2003). Dispensing of returned prescription drugs by prison pharmacies. Wisconsin Act 54 of 2003. Retrieved from https://docs.legis.wisconsin.gov/2003/related/acts/54

18.

U.S. Department of Justice, Federal Bureau of Prisons. (2005). Pharmacy Services Program Statement (HSD/HPB No. P6360.01). Retrieved from http://www.bop.gov/policy/progstat/6360_001.pdf

19.

U.S. Department of Justice. (2007). Federal Bureau of Prisons Health Services National Formulary. Retrieved from http://www.bop.gov/news/PDFs/formulary.pdf

20.

Varghese

, Peterman

T. A.

(2001). Cost-effectiveness of HIV counseling and testing in U.S. prisons. Journal of Urban Health, 78, 304–312.

21.

Veysey

B. M.

, Bichler-Robertson

(2002). Providing psychiatric services in correctional settings. The health status of soon to be released inmates: A report to Congress (Vol. 2, pp. 157–165). Chicago, IL: National Commission on Correctional Health Care.