1

Medical Review Committee MinutesFebruary 23, 2006

MEDICAL REVIEW COMMITTEE MEETING

February 23, 2006

MINUTES

MRC:

Joyce Talley- Chair

Phil Morgan – Co-Chair

Mike Deloy – Deputy Warden/SCI –Co-Chair

Ed Synoski- Deputy Bureau Chief

Tom Carroll-Warden-DCC

Raphael Williams- Warden HRYCI

Jim Welch- Health Services Director-DOC

DOC MEDICAL STAFF

Jeremy McEntire

CIVIGENIGS:

Russel Buskirk-State Director

Allen Nesbitt – Region 1 Program Coordinator

CMS:

Dr. Traci Bolander – Statewide Director of Mental Health

Mike Hooper – Regional Manager, CMS

GUESTS:

Steve Martin-University of Delaware

ABSENT:

Linda Riddagh-Controller

I.The meeting was called to order at 9:00 a.m. and roll call was taken.

  1. Review and Acceptance of Substance Abuse/Treatment Minutes.

The November minutes were accepted with the following amendments:

(a) Under Section IV – Old Business:

Staffing Issues: Key North Update, 2nd sentence; Mr. Buskirk’s name misspelled.

(b)Under Section V – New Business

DSAMH Licensure Updates: “Russel Buskirk provided committee with licensure updates, noting that all programs, with the exception of “Key North”, should read “Crest North”

(c)Under Miscellaneous: last line announced “Russel Buskirkwas appointed to the Drug andAlcohol Certification Board” should read, “RusselBuskirk was appointed as President of theMental Health and Chemical Dependency Board”

  1. No changes were made to the meeting agenda.

IV.Old Business

CJI report update

Independent Audit

Mr. Buskirk noted that Bob May submitted the report to the State office (via electronic Acrobat PDF file) on 2/21/06. The State Director has forwarded the file to Jim Welch and Jeremy McEntire. Jeremy McEntire, Warden Phil Morgan, Russell Buskirk and Steve Martin will meet at the WWRTC on March 13, 2006 @ 10:00 a.m. to discuss the report. Mr. Synoski informed the committee that the report is being reviewed by the AG’s Office to determine if it can be released under FOIA.

V.New Business

State Directors Report

Russel Buskirk provided the committee with the State Directors Report.

DSAMH Licensure Updates

Russel Buskirk provided committee with licensure updates, noting that full licenses exist at all sites including Crest North Residential, which has a provisional license. Crest North for Women and New Horizon are within the 90 days of review period. We continue to send Corrective Action Plan for Key North to DSAMH. Mr. Morgan stated that they want to see that the Corrective Action Plan is being followed as it was developed and to see the changes being made. Mr. Morgan stated he has expressed vacancy concerns at Key North for (2) two months in a row and will be looking at again next month.

Discussion on co-occurring disorders (COD)

Civigenics NCC MH Clinician and/or State Director continue to participate in DSAMH led initiative on use of piloted Screening tool (CSI-D). Plan is to collect (10) screens and send to the subcommittee for review and update.

VI.Issues for the Commissioner:

None.

VII.Executive Session (if necessary for personnel matters and/or case reviews)

The committee elected not to go into executive session.

The meeting was adjourned at 9:35 a.m.

VIII.The Health Care Services Meeting was called to order at 10:10 a.m. and roll call was taken.

IX.Review and Acceptance of the Health Care Services Minutes.

The January Minutes were reviewed and accepted; with the following amendment:

(a) Under Section XI: Old Business, last paragraph, last sentence: “ The individual has an RN and a background in chart review…should read “The individual has a medical background in chart review”.

X.No changes were made to the meeting agenda.

  1. Old Business

Staffing Updates:

Mike Hooper reviewed the CMS staffing report with the committee. Mike expressed he feels staffing issues are solid with the exception of (Gander) Howard R. Young Correctional Institution. They are currently filling vacancies with PRN’s doing overtime. Dr. Traci Bolander stated they have hired (2) administrative support personnel for Gander. They are an Administrative Assistant and a Unit Clerk.

Additionally, a full time Administrator will be starting at BWCI on Monday (2/27).

Recruitment:

Dr. Bolander stated that she felt the DOC Job Fair was a good experience and they got good exposure. The experience of being able to have perspective employees fill out applications, interview and prepare paperwork for security clearances all at one time was very beneficial. She estimated they had (9) leads. All but (1) has been followed up on thus far.

XII.New Business

CMS provided a copy of a rough draft of the DE State Diet Manual table of contents.

Jim Welch and Jeremy McEntire are scheduled to meet with Michael Knight of DOC Food Services to discuss Heart Healthy Diets and a range of Special Diets. Food Services, the Wardens and Medical will create a transition plan and hope to have a plan of action by the fall. Jim Welch stated this could benefit the long-term cost associated with diets. The challenge would be to add healthy dietary items in the Commissaries. The Wardens don’t see how this could work for the Commissaries, since they can’t control what individuals on diets will be purchasing.

Jim Welch, Jeremy McEntire and Mike Hooper met with representatives from Christiana Care HIV Unit to seek interest/support for in-house HIV Clinics. Christiana Care requested a proposal be put together of a profile of our HIV population for possible on-site care. They suggested a willingness to provide support. Jim Welch also noted that Dr. Bacon’s Group, which is the largest ID group in Delaware, agreed to work with Christiana Care once a proposal has been submitted.

Physicals: Mike Hooper said physicals are on track.

DACS: Mike Hooper stated they are checking for accuracy regarding Chart Reviews. Identified problems are with people in system being seen by medical but still showing up on list to be seen. CMS will follow up with DOC Medical Unit. They will also check with DOC Medical Unit to see if Dental Exams could be a separate category. Suggesting a dental drop down menu that would include cleanings, fillings, extractions, etc.

CMS Drug Testing: Warden Williams asked if CMS employees are being drug tested and Mike Hooper stated, “only for cause” per CMS’ for cause policy. Ed Synoski stated that FCM had the drug testing in their contract and as part of the Transfer and Amendment Agreement that CMS assumed, CMS should be doing random drug testing of their employees.

XIII.Issues for the Commissioner:

None.

XIV.Executive Session (if necessary for personnel matters and/or case reviews)

Motion was made by Phil Morgan to go into Executive Session at 11:23 a.m.

The Committee returned from Executive Session at 11:45 a.m.

XV.Adjournment

The meeting was adjourned at 11:46 a.m.

The next scheduled MRC Meeting is March 23, 2006 and will be held at the Department of Correction Admin Building, in Conference Room 300, at 9:00 a.m.