Prison Health Care Agency Paper
March 16, 2015
Prison Health Care Agency Paper
The national health care expenditures in the United States are excessive. High health care prices are the main reason for excessive health care spending in the United States. According to the National Association for the Advancement of Colored People, (NAACP) the United States is 5% of the World population and has 25% of world prisoners. The 25% of detainees are a combination of those in penitentiary, jail and those on parole or probation supervision. The Federal Bureau of Prisons (BOP) is an agency responsible for the management of the federal prison structure. BOP’s task is to “protect public safety by ensuring that federal offenders serve their sentences of imprisonment in facilities that are safe, humane, cost-efficient, and appropriately secure, and provide reentry programming to ensure their successful return to the community”(Federal Bureau of Prisons, 2014). The following paper will explain the role and impact of the Federal Bureau of Prisons, and the agency’s impact on health care. BOP’s duties as well as what regulatory authority the bureau has in relation to health and the organization’s process for accreditation, certification, and authorization will be clarified. Agency’s Role
When prisons were established in the 16th and 17th centuries they were created for those whom exhibited criminal behaviour. These individuals were placed on display to the public which is where they were shamed and humiliated by the townspeople. The punishment these criminals faced were the ducking stool, which was a chair the offender was tied to and then dunked into the water, the pillory which was a device made out of wood or metal attached to a post that consisted of holes used for the wrist and the neck. Physical punishments consisted of whippings, branding and stocks. During this century many other offences was death. The Federal prison system was not established until the 1890’s. The Federal Bureau of Prisons (BOP) was established in 1930 and linked with the Department of Justice. BOP is located in Washington, D.C., and currently employs 39,105 employees and oversees 216, 073 inmates, 6 district offices, 2 staff teaching bases and 28 public corrections offices. The organization covers the management of the 11 Federal prisons. The agency is accountable for the administration of the federal prison system and is accountable for the safekeeping and care of the federal convicts whom are imprisoned in government facilities. BOP’s goals are to decrease future illegal doings by inspiring prisoners towards the partaking in an array of settings that have been confirmed to aid the incarcerated embrace a crime-free regime once they are released into the community. Impact on Health Care
In 1933, the first BOP medical facility was created, and the organization partner with the United Stated Public Health Service. To governor the growing cost of health care, BOP has implemented programs targeted at delivering more proficient and operational prisoners health care. There are four stages in which BOP provides medical CARE grouping system. CARE level 1 manages inmates younger than 70 years old whom are well but might have imperfect medical requirements, for example, stable HIV patients. CARE level 2 prisoners are stable out-patients who require quarterly evaluations, for example those with mental health issues. CARE level 3 convicts are very fragile outpatients who require assistance with daily activities such as bathing, dressing and eating. These patients have advanced HIV, end-stage liver disease, and congestive heart failure. CARE level 4 inmates need amenities only offered at a BOP Medical Referral Center (MRC) which delivers heightened medical services. These convicts need 24- hour nursing assistance. They may have cancer, be on dialysis, pregnant, or have had a stroke or head injury. The Health Services...
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