Approved a request for an Appropriation Modification transferring funds in the amount of $698,214 relating to the proposed restructure of staffing in Custody Health Services.

Department:    Custody Health Services (Santa Clara Valley Health and Hospital System)    
Category:    Appropriation Modification

Custody Health Services (CHS) proposes a restructure plan to transition CHS from its current state to a future desired state and to ensure the use of national and industry standards in the care of its incarcerated patient population. This aim will align the intricacies of complex correctional healthcare delivery with recognized industry standards for outcome-based improvements in patient safety and quality of care with the explicit purpose to continually reduce the burden of illness, injury, and disability, and to improve the health and functioning of incarcerated patients. Industry standards in healthcare are applicable to the custody health setting and are further outlined by two Federal Consent Decrees: County of Santa Clara, N.D. Cal. No. 1:15-cv-05277-RMI (filed Nov. 2015) and Cole v. County of Santa Clara, N.D. Cal No. 5:16-cv-06594 (filed Nov. 2016) compliance standards; both holding CHS accountable to provide adequate levels of integrated healthcare to incarcerated patients. The aim is to hardwire a sustainable integrated model based on reviews of national correctional healthcare standards and community healthcare systems. The overarching goal is to advance CHS towards a “high reliability system of care” that promotes a culture of continuous learning, self-examination, highly responsive to evolving industry standards, and rooted in a systems-driven culture of patient safety, quality improvement, and ongoing learning.


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