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Transcript of Research Memo - Wyoming Legislature Memo ||P a g e 11 RESEARCH AND INFORMATION SERVICES • 213...
WYOMING LEGISLATIVE SERVICE OFFICE
Research Memo
|| 11 P a g e
RESEARCH AND INFORMATION SERVICES • 213 State Capitol • Cheyenne, Wyoming 82002 TELEPHONE 307-777-7881 • FAX 307-777-5466 • EMAIL [email protected] • WEBSITE http://legisweb.state.wy.us
16 RM 006
Re: Wyoming Department of Corrections Inmate Healthcare
Questions
1. What is the statutory or other legal basis for the administration of inmate treatment
programs within the Wyoming Department of Corrections (WDOC or Department)
prison facilities?
2. What is the scope of services and related costs for inmate healthcare provided by the
WDOC?
3. What are the processes and procedures related to administering inmate healthcare by
the WDOC?
4. What is the current census of WDOC inmates by age and length of minimum sentence?
Answers
1. Both statute and federal legal precedent help establish the structure of healthcare
services provided to inmates of WDOC’s prison facilities. Wyoming statutes 25-1-104
and 25-1-105 create the WDOC and provide a structure for the administration of the
“care and maintenance” of inmates (25-1-104). Wyoming statute 25-1-105 addresses
the requirements of care for Wyoming inmates located in facilities outside of the State
of Wyoming. Additionally, subsection (b) clarifies inmate care in these instances by
stating that the Department may contract with the federal government or other states
for the care of persons housed outside of Wyoming. Those services may include
medical services, counseling, and special treatment programs or other special needs
programs. The WDOC is also required to establish rules and regulations regarding the
minimum standards for such facilities and standards for the care and treatment of
correction inmates.
In the United States Supreme Court case, Estelle v. Gamble (1978), the Court reversed the
U.S. Court of Appeals for the Fifth Circuit and ruled that inmates have a right to receive
“adequate health care” by stating that the principles of the 8th
Amendment to the U.S.
Constitution were applicable. The court stated:
“These elementary principles establish the government’s obligation to provide medical
care for those it is punishing by incarceration. An inmate must rely on prison authorities
to treat his medical needs; if the authorities fail to do so, those needs will not be met…”
Date: November 16, 2016
Author: Jennifer Lockwood, Associate Research Analyst
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RESEARCH AND INFORMATION SERVICES • 213 State Capitol • Cheyenne, Wyoming 82002 TELEPHONE 307-777-7881 • FAX 307-777-5466 • EMAIL [email protected] • WEBSITE http://legisweb.state.wy.us
2. Services provided by the WDOC include a variety of medical, dental, mental health and
substance abuse, and special needs care. Tables 1, 2 and 3, below, summarize the basic
costs and type of services provided within WDOC facilities. More specifically, Table 1
indicates the total number of inmates who were treated for services within the five
correctional institutions, including the Wyoming Medium Correctional Institution
(WMCI), Wyoming State Penitentiary (WSP), Wyoming Women’s Center (WWC),
Wyoming Honor Conservation Camp and Boot Camp (WHCC/WBC), and the
Wyoming Honor Farm (WHF).
Table 1. Wyoming Department of Corrections’ Facilities Healthcare Services
by Service Category, FY2016.
Source: Legislative Research summary of Wyoming Department of Corrections data.
The table lists each type of medical service provided with the cumulative number of patient visits
at each facility. According to this information, mental health services, nurse sick calls and
provider sick calls are the most widely used treatments within WDOC. The WDOC also notes
that inmates are eligible for regular recurring check-ups and preventive dental care once every
two years, if they submit a request to receive those services. If the provider determines more
frequent dental cleanings or care are necessary, they will be scheduled accordingly. Finally,
inmates also receive full wellness physicals on the following schedules:
Inmates who are under 40 years of age receive a full wellness physical every three years.
Inmates who are between 40 - 49 years of age receive a wellness physical every two years.
Anyone age 50 and older receives an annual wellness physical.
Anyone with a chronic medical condition is seen quarterly.
Services Category WMCI WSP WWC WHCC WHF Total
Mental Health 9,261 348 4,937 -- 1,550 16,096
Nurse Sick Call 2,888 200 2,379 2,468 1,395 9,330
Provider Sick Call 1,829 140 1,914 1,835 937 6,655
Dental Visits 2,657 130 707 689 937 5,120
Chronic Care Clinic 2,210 86 448 471 730 3,945
MH-Psychiatrist visits 1,286 51 1,605 -- 234 3,176
Intake Medical Assessments 849 -- 137 -- -- 986
Optical Visits 505 27 99 134 59 824
TB Assessments -- 613 -- 135 -- 748
Offsite Transfers -- 46 -- 339 328 713
Flu Vaccines -- 515 -- 136 -- 651
Inmates with Labs Drawn -- 67 -- 358 -- 425
Hepatitis C Vaccines -- -- -- 149 -- 149
Flu Vaccines Refused -- -- -- 117 -- 117
EKG’s -- -- -- 76 -- 76
Physical Therapy (on-site) -- -- -- 42 -- 42
Total 21,485 2,223 12,226 6,949 6,170 49,053
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RESEARCH AND INFORMATION SERVICES • 213 State Capitol • Cheyenne, Wyoming 82002 TELEPHONE 307-777-7881 • FAX 307-777-5466 • EMAIL [email protected] • WEBSITE http://legisweb.state.wy.us
Table 2, below, depicts the cost of off-site care of four medical services (inpatient, outpatient,
diagnostic, and pharmacy) provided to inmates for FY2016 by each facility. Of the services
mentioned, the majority of costs for treatment were in the areas of outpatient treatment and
pharmacy, with the majority of funds expended for WMCI inmates.
Table 2. Wyoming Department of Corrections Off-Site Healthcare Services Cost, by Service
Category and Correctional Facility, FY2016.
Facility Name Inpatient Outpatient Diagnostic Pharmacy Total
Wyoming Medium Correctional Institution
(WMCI) $889,784 $776,400 $182,538 $590,468 $2,439,190
Wyoming Women’s Center (WWC) $13,445 $96,321 $29,775 $86,565 $226,106
Wyoming Honor Farm (WHF) $61,400 $169,709 $16,450 $112,227 $359,786
Wyoming Honor Conservation Camp and
Boot Camp (WHCC) $25,535 $150,048 $10,776 $70,807 $257,166
Wyoming State Penitentiary (WSP) $23,460 $377,395 $71,380 $259,123 $731,358
Total $1,013,624 $1,569,873 $310,919 $1,119,190 $4,013,606
Source: Legislative Research summary of Wyoming Department of Corrections data.
Table 3, below, provides the appropriated funding and program expenditures for each biennium from
FY2011-2012 to FY2015-2016 for each facility as well as overall WDOC administration. It should be
noted that there may be additional costs when an inmate is in need of an evaluation by a specialist or a
required out of state hospitalization. In those instances, the additional costs of transportation, security
staff for hospital duty, lodging and meals may increase the Department’s overall cost of treatment.
These additional costs are not paid out of the facilities’ healthcare services budgets. See Attachment A
for the WDOC’s summary of monthly costs of services, on-site and off-site, for the FY2015-2016
biennium.
Table 3. Financial Summary of General Fund Appropriations and Expenditures for WDOC
Facilities’ Healthcare Services, FY2011-2016.
Inmate
Medical
Services
FY2011-12
Appropriations
FY2011-12
Expenditures
FY2013-14
Appropriations
FY2013-14
Expenditures
FY2015-16
Appropriations
FY2015-16
Expenditures
WHCC $6,822,782 $4,658,064 $6,317,924 $4,678,007 $4,946,599 $5,042,617
WWC $4,790,824 $4,711,771 $6,166,912 $4,426,994 $4,989,854 $4,406,907
WHF $5,862,800 $3,628,974 $5,356,373 $3,931,975 $3,894,447 $4,801,177
WSP $16,530,670 $14,386,702 $15,609,055 $12,556,340 $14,527,337 $12,231,568
WMCI $15,069,334 $13,559,005 $15,126,146 $12,182,653 $13,869,482 $12,570,295
Health
Services
Admin.
$906,598 $814,700 $1,183,117 $682,433 $1,186,233 $687,241
Total $49,983,008 $41,759,216 $49,759,527 $38,458,402 $43,413,952 $39,739,805
Source: Legislative Research adaptation from Wyoming Department of Corrections data.
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RESEARCH AND INFORMATION SERVICES • 213 State Capitol • Cheyenne, Wyoming 82002 TELEPHONE 307-777-7881 • FAX 307-777-5466 • EMAIL [email protected] • WEBSITE http://legisweb.state.wy.us
3. The WDOC contracts with multiple vendors to provide healthcare services for inmates.
Prison Health Services was the primary medical provider until its merger with Corizon
in 2011. Corizon has remained the provider since the 2011 merger. The current
contract expires in June 2018, but may be renewed without bid for up to two years.
Therefore, a new, rebid contract will go into effect not later than July 1, 2020.
For off-site services (outside the corrections facilities), the WDOC has contracted with
Corizon under a fifty-fifty risk share agreement. The agreement stipulates that the
WDOC and Corizon share financial responsibility for inmates care required outside the
WDOC’s facilities. Each entity is responsible for 50% of the associated costs, and the
WDOC is billed on a monthly basis. The contractor agrees to provide the WDOC with
monthly documentation of services provided. See Attachment B for a complete list of
contract stipulations.
Each WDOC facility has a nursing staff. Both the Wyoming Medium Correctional
Institution (WMCI) and the Wyoming State Penitentiary (WSP) have a full-time nursing staff
which is dedicated to the facility on a twenty-four hour, seven days per week basis, with one
full-time physician. The remaining facilities have a nursing staff which is available sixteen
hours per day as well as a physician who is contracted for specific hours during the week.
In terms of the basic steps required to request and administer medical care to inmates, a
specific policy is followed at each location in order to coordinate services. If an inmate is in
need of medical services, he or she is required to fill out a Health Services Request Form
which is forwarded to the medical department at the facility where the inmate is located. The
request is reviewed by medical staff and an appointment is then set up for the inmate, which
is coordinated by security and the medical nursing staff.
Mental health and dental appointments are addressed in a similar way, requiring the inmate
to request the appointment. When necessary, an appointment can also be scheduled with a
physician or physician’s assistant. Outside medical attention can be contracted when
necessary for the inmate’s care. In the case of inmate hospitalization, WDOC security staff
provide 24/7 security in the inmate’s room, and daily communication takes place between
hospital staff and the WDOC facility where the inmate is housed.
In the case of an emergency, each institution has emergency medical procedures and staff are
trained in CPR, emergency first aid and are first responders. Additionally, a nurse can
respond to the inmate’s location and the inmate can then be transported to the infirmary or by
ambulance to an appropriate care facility or setting. Medical staff will only enter an area that
has been determined safe by security staff.
4. Table 4, on the next page, summarizes the current population of inmates across all
WDOC facilities according to their age and minimum sentence requirements. The table
indicates that 436, or about 21%, of all inmates are aged fifty-one or older. Of this
subgroup, ninety inmates (about 4.4% of the total population) are currently serving
sentences of more than thirty years, life, or life without parole. As the inmate
population continues to age, additional or more complicated medical conditions may
require more costly healthcare services. Please note that some inmates, on the date this
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information was gathered, may have recently entered a facility and their minimum
sentence is not yet entered into the data system and is listed as “unknown.” See
Attachment C for tables related to the individual correctional facilities’ population and
sentencing statistics.
Table 4. Census of Wyoming Correctional Facilities’ Inmates by Age and Minimum Sentence,
September 2016.
Age
Category
Years to Minimum Sentence
0-
5
6-
10
11-
15
16-
20
21-
25
26-
30 > 30 Life
Life
w/o
Parole
Death
Past
Proj.
Min
UK Total
18-20 38 3 0 1 0 0 0 1 0 0 2 0 45
21-25 175 7 4 0 1 2 2 5 1 0 58 2 257
26-30 226 13 2 1 4 1 0 6 5 0 75 4 337
31-35 198 13 10 4 1 2 5 2 5 0 60 3 303
36-40 173 18 9 6 5 2 1 16 10 0 63 1 304
41-45 114 18 4 6 1 0 1 16 2 0 46 1 209
46-50 91 16 5 6 2 1 2 19 0 0 30 0 172
51-55 84 12 9 4 5 0 1 26 6 0 21 1 169
56-60 75 13 1 3 3 1 0 23 3 0 12 0 134
61-65 26 3 4 2 2 1 0 8 1 0 13 0 60
66-70 12 3 2 0 0 1 0 12 2 0 9 0 41
71-75 11 0 1 0 1 0 0 5 0 1 4 0 23
76 or
older 2 1 0 1 0 0 0 3 0 0 2 0 9
Unknown 2 0 0 0 0 0 0 0 0 0 0 0 2
Total 1,227 120 51 34 25 11 12 142 35 1 395 12 2,065
Source: Legislative Research adaptation of Wyoming Department of Corrections data.
If you need anything further, please contact LSO Research at 777-7881.
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RESEARCH AND INFORMATION SERVICES • 213 State Capitol • Cheyenne, Wyoming 82002 TELEPHONE 307-777-7881 • FAX 307-777-5466 • EMAIL [email protected] • WEBSITE http://legisweb.state.wy.us
Attachment A
Table A1. Monthly Encumbrances for Inmate On-Site and WDOC Share of Off-Site Healthcare Costs,
by WDOC Facility Type, FY2015-2016.
MONTH
WHCC WWC WHF WSP
On-Site
Cost
Off-Site
Cost
On-Site
Cost
Off-Site
Cost
On-Site
Cost
Off-Site
Cost
On-Site
Cost
Off-Site
Cost
July 2014 $198,141 $9,315 $182,235 $4,690 $174,812 $10,204 $494,747 $36,423
August 2014 $210,714 $2,314 $181,478 $1,993 $173,449 $11,671 $487,021 $6,160
September 2014 $201,834 $21,223 $184,472 $6,024 $178,685 $4,137 $488,308 $42,938
October 2014 $198,882 $4,197 $186,542 $1,321 $182,187 $1,945 $484,705 $7,814
November 2014 $196,323 $2,896 $183,447 $2,947 $193,596 $2,028 $490,808 $5,657
December 2014 $199,504 $3,673 $185,265 $416 $192,385 $4,048 $495,655 $1,011
January 2015 $199,201 $2,143 $178,448 $5,535 $195,566 $8,137 $492,323 $16,552
February 2015 $207,685 $35,898 $179,357 $55,340 $192,839 $72,902 $488,081 $61,292
March 2015 $202,383 $4,847 $181,629 $1,413 $193,596 $2,237 $485,052 $22,708
April 2015 $193,294 $17,929 $189,658 $16,626 $193,899 $7,688 $477,477 $30,749
May 2015 $195,872 $23,359 $182,485 $8,945 $187,417 $1,310 $491,090 $595
June 2015 $196,475 $28,870 $176,782 $2,953 $188,749 $2,777 $487,324 $954
July 2015 $201,928 $21,575 $176,479 $2,361 $182,993 $12,801 $483,688 $34,277
August 2015 $185,242 $36,129 $176,660 $9,232 $190,249 $32,571 $495,649 $48,327
September 2015 $198,595 $551 $169,056 $551 $188,749 $551 $491,262 $551
October 2015 $199,959 $2,991 $170,874 $6,519 $191,324 $33,884 $500,200 $14,554
November 2015 $195,566 $5,916 $175,721 $4,120 $196,929 $7,417 $490,354 $31,283
December 2015 $195,372 $5,484 $169,889 $6,646 $189,709 $5,635 $494,093 $16,729
January 2016 $197,384 $7,081 $169,056 $15,114 $196,020 $1,860 $493,535 $7,614
February 2016 $200,868 $54 $169,965 $969 $192,991 $144 $493,838 $390
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RESEARCH AND INFORMATION SERVICES • 213 State Capitol • Cheyenne, Wyoming 82002 TELEPHONE 307-777-7881 • FAX 307-777-5466 • EMAIL [email protected] • WEBSITE http://legisweb.state.wy.us
MONTH
WHCC WWC WHF WSP
On-Site
Cost
Off-Site
Cost
On-Site
Cost
Off-Site
Cost
On-Site
Cost
Off-Site
Cost
On-Site
Cost
Off-Site
Cost
March 2016 $195,566 $6,707 $170,419 $2,917 $190,718 $6,442 $487,627 $20,058
April 2016 $205,715 $7,126 $164,209 $398 $191,476 $18,911 $494,747 $22,949
May 2016 $199,959 $11,615 $169,662 $1,069 $194,960 $318 $490,959 $19,349
June 2016 $197,838 $1,868 $168,753 $5,689 $195,717 $2,545 $491,111 $12,981
FY2015 $2,400,307 $156,664 $2,191,798 $108,203 $2,247,182 $129,083 $5,862,591 $232,854
FY2016 $2,373,992 $107,097 $2,050,743 $55,583 $2,301,835 $123,078 $5,907,062 $229,061
Subtotal $4,774,299 $263,761 $4,242,541 $163,786 $4,549,016 $252,161 $11,769,652 $461,915
Total $5,038,060 $4,406,327 $4,801,177 $12,231,568
Table A1. (cont.)
MONTH
WMCI Total On-
Site Cost
Total Off-
Site Cost Total Cost On-Site
Cost
Off-Site
Cost
July 2014 $464,904 $90,320 $1,514,840 $150,952 $1,665,792
August 2014 $462,178 $49,879 $1,514,840 $72,017 $1,586,856
September 2014 $461,541 $79,210 $1,514,840 $153,532 $1,668,371
October 2014 $462,523 $28,209 $1,514,840 $43,486 $1,558,326
November 2014 $450,665 $137,202 $1,514,840 $150,730 $1,665,570
December 2014 $442,030 $8,664 $1,514,840 $17,812 $1,532,651
January 2015 $449,301 $81,738 $1,514,840 $114,104 $1,628,944
February 2015 $446,878 $44,504 $1,514,840 $269,936 $1,784,775
March 2015 $452,180 $10,465 $1,514,840 $41,671 $1,556,510
April 2015 $460,511 $46,169 $1,514,840 $119,161 $1,634,000
May 2015 $457,975 $30,700 $1,514,840 $64,909 $1,579,748
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RESEARCH AND INFORMATION SERVICES • 213 State Capitol • Cheyenne, Wyoming 82002 TELEPHONE 307-777-7881 • FAX 307-777-5466 • EMAIL [email protected] • WEBSITE http://legisweb.state.wy.us
MONTH
WMCI Total On-
Site Cost
Total Off-
Site Cost Total Cost On-Site
Cost
Off-Site
Cost
June 2015 $465,510 $46,527 $1,514,840 $82,081 $1,596,921
July 2015 $469,752 $89,587 $1,514,840 $160,601 $1,675,440
August 2015 $467,040 $80,707 $1,514,840 $206,966 $1,721,805
September 2015 $467,177 $2,970 $1,514,840 $5,174 $1,520,013
October 2015 $452,483 $68,512 $1,514,840 $126,460 $1,641,300
November 2015 $456,270 $106,881 $1,514,840 $155,617 $1,670,456
December 2015 $465,778 $40,246 $1,514,840 $74,739 $1,589,579
January 2016 $458,845 $38,109 $1,514,840 $69,778 $1,584,618
February 2016 $457,179 $77,448 $1,514,840 $79,005 $1,593,844
March 2016 $470,509 $92,861 $1,514,840 $128,986 $1,643,825
April 2016 $458,693 $73,545 $1,514,840 $122,929 $1,637,768
May 2016 $459,299 $39,039 $1,514,840 $71,389 $1,586,229
June 2016 $461,420 $180,704 $1,514,840 $203,786 $1,718,625
FY2015 $5,476,196 $653,586 $18,178,074 $1,280,390 $19,458,464
FY2016 $5,544,443 $890,610 $18,178,074 $1,405,429 $19,583,503
Subtotal $11,020,639 $1,544,196 $36,356,148 $2,685,819 $39,041,967
Total $12,564,835 $39,041,967
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Attachment B
Source: Wyoming Department of Corrections.
“The contract specifically states:
A. The Parties hereby acknowledge and agree that the risk share parameters (and resultant
financial implications to the Parties – collectively “Risk Share Arrangement”) have been
established for the mutual benefit of the parties in order to contain costs associated with this
Contract.
B. The intent within this section is to define Contractor’s responsibilities and cost limitations
for off-site services as outlined below. Pursuant to the terms of this Contract and consistent with
Constitutional, community, and NCCHC Standards, Contractor hereby agrees to arrange for,
ensure the provision of and initially pay for all medical, dental, vision, mental health, and any
special needs care, as well as the necessary transition services for any and all WDOC Inmates at
WMCI, WSP, WWC, WHF, WHCC. Said services shall include medically necessary discharge
planning and any referral(s) for inmates in WDOC Facilities, including those housed in specialty
therapeutic programs such as the Intensive Treatment Units (ITU) at WMCI and WWC.
C. Once an inmate has been taken into the custody of the WDOC (from the time of intake into
the WDOC facilities) Contractor shall be financially responsible for the cost of all medical
treatment regardless of the nature of the illness or injury or whether or not the illness or injury
occurred prior or subsequent to the individual’s incarceration at the WDOC (once the inmate has
been determined to be medically stabilized), subject to the limitations on financial responsibility
for Off-site Services as set forth below. An inmate shall be considered medically stabilized
when the medical condition no longer requires immediate emergency medical care or outside
hospitalization so that the inmate can be reasonably housed inside a WDOC facility. The
WDOC shall notify the Contractor’s on-site staff of all remotely booked inmates within twenty-
four (24) hours of said booking (as applicable).
D. For purposes of this Contract, off-site services shall be defined to include services that are
rendered outside of the five (5) WDOC facilities (WMCI, WSP, WWC, WHF, and WHCC),
including but not limited to the following (the list below is not intended to be all inclusive):
i. Inpatient hospitalization;
ii. Off-site surgical services, devices, implants, prosthetics;
iii. Physician fees associated with inpatient or outpatient care;
iv. Office visits (excluding post-op services included in the surgical fees and
bundles);
v. Ambulatory surgery including professional fees, technical fees, and facility
charges;
vi. Emergency care including ground ambulance transfers, air transfers, or other
emergency transport services;
vii. Diagnostic and Therapeutic radiology (offsite);
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viii. Ultrasound;
ix. Renal dialysis requiring hospital level of care;
x. Chronic Renal dialysis (when services are not possible on site due to any reason
other than staffing variance) or contractor required maintenance;
xi. Chemotherapy infusions when ordered off-site by medical specialist;
xii. Specialty Physician office visits (i.e., OB, Cardiac, Oncology, etc.);
xiii. Laboratory and pathological capabilities (related to and generated during off-site
specialty services); and,
xiv. Physical Therapy and Rehabilitative Medicine.
xv. The Parties hereby acknowledge and agree the costs for all Off-site Services
(provided to the WDOC inmates) will be the shared financial responsibility of the Parties.
Specifically, the WDOC and Contractor shall each be financially responsible for fifty
percent (50%) of the total costs spent on Off-site Services.
xvi. Contractor shall be responsible for the initial payment of all invoices associated
with the provision of Off-site Services. On a monthly basis, the Contractor will bill the
WDOC for fifty percent (50%) of any and all costs paid for Off-site Services related to
dates of services occurring within the Contract Term. Such billings will be in addition to
the twenty-four (24) equal monthly payments identified in Section 4.A. of this Contract
and will be due and payable within forty-five (45) days of receipt.
xvii. Contractor shall provide monthly, documentation (via electronic format) to
support claims paid by the Contractor for Off-site Services.
xviii. The Parties recognize that Contractor cannot control the timeliness of the
submission of claims and/or invoices from non-contracted third party providers. In
addition, there may be instances in which the Contractor has denied a claim, but the
provider has appealed the denial and the claim is still in the appellate process, therefore
such monthly billings will continue beyond the Contract Term until all claims for Off-site
Services related to dates of services occurring within the Contract Term have been
received and paid by the Contractor.”
c. Services are coordinated in the facilities in the following manner. If an inmate needs
medical attention, he fills out a Health Services Request form, which is then forwarded to the
medical department at the facility where the inmate is housed. Those requests are reviewed daily
and triaged by medical staff. An inmate is given an appointment, which is coordinated between
the medical department and security. Facilities have specific Nurse Sick Call times which in
effect act as a medical clinic. Multiple inmates may be called to the medical department at one
time and wait to be seen. If determined necessary, the inmate will see a physician or physician’s
assistant or be scheduled in the future to be seen.
Follow up appointments are scheduled when necessary, inmate patients are advised of the care
plan, any restrictions impacting the inmate of which security should be aware are relayed and the
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inmate returns to his/her housing area. This process can be repeated as many times as the inmate
believes s/he needs medical attention.
In an emergency, the nurses respond to the location of the emergency, administer care at that
location and have the inmate transported to the infirmary or if needed, an ambulance is
summoned.
In the event treatment is needed outside the facility, the nurse’s work with the outside provider to
schedule the appointment. The medical department works closely with security that transports
the inmates to the outside appointments. Outside treatment is sought when the contracted
medical providers believe it is necessary for the illness or injury presenting.
When an inmate is in the hospital, WDOC security staff provide 24/7 security in the inmate’s
room. Daily contact occurs between the medical staff and the hospital and medical staff at the
WDOC institution from which the inmate was taken. When able, the inmate is returned to a
WDOC facility. Depending on the condition and medical needs of the inmate upon release from
the hospital, s/he may not be returned from the facility they left, but may be taken to the
Wyoming Medium Correctional Institutions (WMCI) in Torrington, which has the ability to
provide more acute care.
d. The two larger facilities, WMCI and the Wyoming State Penitentiary (WSP) in Rawlins,
have a full-time dedicated physician at each facility, and have nursing staff on duty 24/7. The
three smaller facilities have nursing staff on duty sixteen hours a day and have a physician
contracted for specific hours each week. The process for seeking medical attention remains the
same at every facility.
Seeking mental health and dental services is handled in much the same way as the medical
process. The inmate requests to be seen, an appointment is made and follow-up is scheduled as
needed. Emergencies are responded to immediately.”
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RESEARCH AND INFORMATION SERVICES • 213 State Capitol • Cheyenne, Wyoming 82002 TELEPHONE 307-777-7881 • FAX 307-777-5466 • EMAIL [email protected] • WEBSITE http://legisweb.state.wy.us
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RESEARCH AND INFORMATION SERVICES • 213 State Capitol • Cheyenne, Wyoming 82002 TELEPHONE 307-777-7881 • FAX 307-777-5466 • EMAIL [email protected] • WEBSITE http://legisweb.state.wy.us
Attachment C
Table C1. Census of the Wyoming State Penitentiary Inmates by Age and Minimum Sentence, September 2016.
Age
Category
Years to Minimum
0-5 6-10 11-15 16-20 21-25 26-30 > 30 Life Life w/o
Parole Death
Past Proj.
Min Unknown Total
18-20 10 1 0 0 0 0 0 1 0 0 2 0 14
21-25 71 4 3 0 1 1 1 4 1 0 26 1 113
26-30 100 8 0 1 4 1 0 4 5 0 26 1 150
31-35 66 7 8 1 0 1 3 1 3 0 9 0 99
36-40 35 11 3 4 4 1 0 8 8 0 16 0 90
41-45 37 7 3 2 0 0 0 12 0 0 11 0 72
46-50 14 6 3 2 0 1 1 11 0 0 7 0 45
51-55 18 4 6 3 2 0 1 14 2 0 6 0 56
56-60 12 3 1 2 1 0 0 10 0 0 3 0 32
61-65 3 0 1 0 1 0 0 6 1 0 5 0 17
66-70 2 1 0 0 0 0 0 4 0 0 4 0 11
71-75 0 0 1 0 0 0 0 1 0 1 1 0 4
76 or older 0 0 0 0 0 0 0 1 0 0 0 0 1
Total 368 52 29 15 13 5 6 77 20 1 116 2 704
Source: Legislative Research adaptation of Wyoming Department of Corrections data.
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RESEARCH AND INFORMATION SERVICES • 213 State Capitol • Cheyenne, Wyoming 82002 TELEPHONE 307-777-7881 • FAX 307-777-5466 • EMAIL [email protected] • WEBSITE http://legisweb.state.wy.us
Table C2. Census of the Wyoming Medium Correctional Institution Inmates by Age and Minimum Sentence, September
2016.
Age
Category
Years to Minimum
0-5 6-10 11-15 16-20 21-25 26-30 > 30 Life Life w/o
Parole
Past Proj.
Min. Unknown Total
18-20 17 1 0 1 0 0 0 0 0 0 0 19
21-25 42 3 0 0 0 1 1 1 0 19 1 68
26-30 53 3 1 0 0 0 0 1 0 28 0 86
31-35 43 6 1 3 1 0 2 1 2 25 2 86
36-40 40 5 6 2 1 1 1 6 2 18 0 82
41-45 16 9 1 3 1 0 1 4 2 14 0 51
46-50 13 10 2 4 2 0 1 6 0 13 0 51
51-55 22 5 2 0 3 0 0 10 4 8 1 55
56-60 14 10 0 1 2 1 0 12 3 4 0 47
61-65 8 2 3 2 1 1 0 2 0 3 0 22
66-70 1 2 2 0 0 1 0 8 2 4 0 20
71-75 5 0 0 0 1 0 0 4 0 3 0 13
76 or
older 2 1 0 1 0 0 0 2 0 2 0 8
Unknown 1 0 0 0 0 0 0 0 0 0 0 1
Total 277 57 18 17 12 5 6 57 15 141 4 609
Source: Legislative Research adaptation of Wyoming Department of Corrections data.
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RESEARCH AND INFORMATION SERVICES • 213 State Capitol • Cheyenne, Wyoming 82002 TELEPHONE 307-777-7881 • FAX 307-777-5466 • EMAIL [email protected] • WEBSITE http://legisweb.state.wy.us
Table C3. Census of the Wyoming Honor Conservation Camp and Boot Camp Inmates
by Age and Minimum Sentence, September 2016.
Age Category Years to Minimum
0-5 6-10 Past Proj. Min. Unknown Total
18-20 8 0 0 0 8
21-25 37 0 4 0 41
26-30 16 0 6 2 24
31-35 36 0 10 0 46
36-40 30 1 6 1 38
41-45 16 2 5 0 23
46-50 17 0 4 0 21
51-55 25 2 4 0 31
56-60 21 0 3 0 24
61-65 8 0 3 0 11
66-70 4 0 1 0 5
71-75 3 0 0 0 3
Unknown 1 0 0 0 1
Total 222 5 46 3 276
Source: Legislative Research adaptation of Wyoming Department of Corrections data.
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RESEARCH AND INFORMATION SERVICES • 213 State Capitol • Cheyenne, Wyoming 82002 TELEPHONE 307-777-7881 • FAX 307-777-5466 • EMAIL [email protected] • WEBSITE http://legisweb.state.wy.us
Table C4. Census of the Wyoming Honor Farm Inmates
by Age and Minimum Sentence, September 2016.
Age
Category
Years to Minimum
0-5 Past Proj. Min. Unknown Total
21-25 8 7 0 15
26-30 22 5 1 28
31-35 27 9 0 36
36-40 32 12 0 44
41-45 28 9 1 38
46-50 35 5 0 40
51-55 11 0 0 11
56-60 19 2 0 21
61-65 6 2 0 8
66-70 3 0 0 3
71-75 3 0 0 3
Total 194 51 2 247
Source: Legislative Research adaptation of Wyoming Department of Corrections data.
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RESEARCH AND INFORMATION SERVICES • 213 State Capitol • Cheyenne, Wyoming 82002 TELEPHONE 307-777-7881 • FAX 307-777-5466 • EMAIL [email protected] • WEBSITE http://legisweb.state.wy.us
Table C5. Census of the Wyoming Women’s Center Inmates by Age and Minimum Sentence,
September 2016.
Age
Category
Years to Minimum
0-5 6-10 11-15 16-20 26-30 Life Past Proj. Min. Unknown Total
18-20 3 1 0 0 0 0 0 0 4
21-25 17 0 1 0 0 0 2 0 20
26-30 35 2 1 0 0 1 10 0 49
31-35 26 0 1 0 1 0 7 1 36
36-40 36 1 0 0 0 2 11 0 50
41-45 17 0 0 1 0 0 7 0 25
46-50 12 0 0 0 0 2 1 0 15
51-55 8 1 1 1 0 2 3 0 16
56-60 9 0 0 0 0 1 0 0 10
61-65 1 1 0 0 0 0 0 0 2
66-70 2 0 0 0 0 0 0 0 2
Total 166 6 4 2 1 8 41 1 229
Source: Legislative Research adaptation of Wyoming Department of Corrections data.
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RESEARCH AND INFORMATION SERVICES • 213 State Capitol • Cheyenne, Wyoming 82002 TELEPHONE 307-777-7881 • FAX 307-777-5466 • EMAIL [email protected] • WEBSITE http://legisweb.state.wy.us