Winner of 2013 New Jersey Hospital Association Excellence in Quality Improvement Award
- How to Make Quality Improvement Everyone's Business.
Winner of 2013 New Jersey League for Nursing Corporate Award
Sunset Long Standing Litigation
- After only 2½ years UCHC sunset the CF v Terhune Settlement Agreement for male inmates by addressing problems related to their access to mental health services within the NJDOC.
- In June 2010 satisfied additional requirements established in May 2007 for female inmates.
Reduced Health Care Costs to the State
UCHC has cost based agreements with the NJDOC, JJC and SPB. Rutgers does not profit from cost savings.
- Reduced the mental health services expenses by 31.7% from $50.5 to $34.7 million for FY16 compared to FY09.
- Medical health services only increased by an average of 1.6% per year from $97.9 in FY07 to $111.9 million for FY16, while medical CPI increased by an average of 3.5% per year over the same time period.
- Established a Peer Review process for referrals to medical specialists to assure consults meet medical necessity criteria.
- Reduced average daily inpatient hospital census from about 13 in 2008 to 9 in FY16.
- UCHC was one of the featured States on a webcast hosted by the National Governors Association on “Strategies for Managing Prison Health Care Spending.”
Established Funded Training Programs
- Developed a Forensic Psychiatry Fellowship Program funding two Forensic Psychiatric Fellows, one Child Psychiatric Fellow and four Psychology Interns.
- Established multiple student placements throughout UCHC sites.
Implemented Prevention Program
- With funding from the Department of Health and Senior Services, initiated the Stanford University Chronic Disease Self-Management Program in all prisons with over 1,000 participants. Evaluation indicated significant reduction in LDL and increase in HDL. In 2013 groups focused on management of diabetes added.
Telemedicine Reducing Off Site Transports
- 34% of specialist appointments occur via telemedicine.
- Telemedicine programs expanded to include the following clinics: Gynecology, Nephrology, Infectious Disease, General Surgery, Cardiology, Gastroenterology, Endocrinology, Orthopedics, Oncology, Urology and Neurology.
- Approximately 96% of the patients report satisfaction with their telemedicine visits.
Improved Clinical Outcomes
- Established a target for 40% of inmates with Hyperlipidemia to achieve LDL levels <130. In December 2016, 71% of inmates with Hyperlipidemia achieved this level.
- Hypertension: exceeded blood pressure benchmarks for NJDOC (40%), Medicaid (53.4%), Commercial (62.2%) and Michigan DOC (48.4%). In December 2016, 87% of inmates with Hypertension were below the 140/90 threshold.
- Diabetic care: exceeded the NJDOC requirement to achieve average Hemoglobin A1C ≤ 7 by 16%. In December 2015 achieved an average of 59%. (Michigan DOC - 48.4%).
- HIV: 79% of patients receiving treatment for 6 months in July 2016 have undetectable viral loads.
- Of inmates a mental illness as a result of treatment: 77% reported reduction in symptoms, 2% report remain the same & 21% reported worsening symptoms.
Improved Satisfaction and Reduced Complaints
- Reduced mental health complaints by 94% (1,863 in CY04 to 102 in CY14).
- Reduced medical complaints by 67% (5,082 in CY07 to 1,654 in CY14).
- Reduced dental complaints by 74% (312 in CY07 to 82 in CY14).
- In CY 2015 NJDOC changed to an electronic filing resulting in more two-way communications regarding health care.
Improved Efficiency and Productivity
- 93% of the time, achieved the 97% threshold for 35 medical and dental objective performance indicators.
- As per NJDOC Logician reports, increased dental visits by 136% from FY04 levels to present (18,628 in FY04 to approximately 43,125 in the CY16).
Reduced Transfers to Psychiatric Hospital
- With enhanced psychiatric services and discharge planning, reduced transfers to Ann Klein Forensic Center (AKFC) by 85% (123 in CY04 to 18 within the past 12 months).
- This was done without increasing the risk of suicide within NJDOC.
Annual Performance Improvement Fair
- Over 40 Performance Improvement (PI) Projects are showcased annually demonstrating site specific PI activities to improve services using the Plan/Design, Measure, Assess, and Improve methodology.
- Winner of the 2012 Richard Cody Behavioral Health Care Fair for Bed Utilization Review Project.