Washington
Telepresence Services Improve Patient Care and Legal Access at DOC
October 12, 2022
By
Danielle Jimenez (e-mail)
Division of Corrections
Danielle Betts attends a telehealth appointment at Washington Corrections Middle for Ladies (Photograph courtesy of Washington Corrections Middle for Ladies)
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With the onset of the COVID-19 pandemic, the Washington State Division of Corrections (DOC) launched into assembly the wants of its incarcerated inhabitants via telepresence providers. With affected person care and entry to well being care as a precedence, the company put in telehealth providers in all 12 of its jail amenities in December 2021.
With telehealth providers, the DOC’s objectives embrace bettering appointment-wait and-travel instances and bettering medical look after incarcerated people, mentioned DOC Assistant Secretary of Well being Providers David Flynn. This initiative gives larger accessibility to care, quicker service, and a extra streamlined, modernized well being care platform for sufferers, he added.
“I’m actually excited that we will allow specialists and primary-care suppliers distant entry to offer therapy to these in our care and custody,” mentioned DOC Deputy Secretary Sean Murphy. “That is about bringing incarcerated people accountable and well timed care. It’s also about protecting our employees and the neighborhood protected. For me, it’s a win-win.”
Telehealth is the rising development in well being care in every single place. With the onset of COVID-19, telehealth visits grew to become a norm for a lot of and allowed sufferers to have higher entry to care, to be seen safely, rapidly, and effectively at a time when many had been sheltering in place to scale back the unfold of the virus.
“When COVID hit we knew telehealth was positively wanted, and as soon as we obtained it, it was actually appreciated,” mentioned DOC Chief Nursing Officer Rae Simpson. “It permits us to speak to many various specialists in the neighborhood to prioritize and get our sufferers therapy.”
Telehealth visits have grow to be a staple in medication and now incarcerated people on the DOC share the advantages of telemedicine which have grow to be important for thus many throughout the globe.
“We’ve got talked about implementing telehealth for some time, however with neighborhood suppliers transferring extra in direction of telehealth consults, when doable, we needed our sufferers to have improved entry to well being care suppliers in the neighborhood, and telehealth will give us that improved service,” mentioned DOC Chief of Employees Julie Martin.
When an incarcerated particular person requires medical care, they now have areas at every of the amenities with a delegated station in addition to choices for appointments on tablets that come to them.
“We’ve additionally bought telehealth carts and tablets which are capable of go to a affected person’s room they usually’re Wi-Fi succesful – if vitals are wanted, nurses are capable of help as properly,” David Flynn mentioned.
Being able to deliver a pill on to a affected person is sport altering for incarcerated people and well being care suppliers — particularly with the pandemic nonetheless prime of thoughts on the DOC, Simpson mentioned.
“I can let you know with the impression of COVID, telehealth has allowed sufferers to achieve out and be seen extra rapidly; particularly for psychological well being considerations,” Simpson mentioned. “They will discuss to their counselors proper on tablets we deliver to them. If you’re in medical isolation or quarantine that restricted socialization will enhance psychological well being challenges so having fast entry to care is vital. The affected person can’t all the time go to suppliers in the neighborhood, however the supplier can go to the affected person.”
At amenities, incarcerated people have what’s known as a “kite course of”, which is a communication between the sufferers and suppliers that’s all the time accessible, Simpson mentioned. In the event that they declare an emergency – corresponding to a psychological well being emergency – they are often seen by a psychological well being skilled instantly.
Prior to now, when specialised medical care was required, incarcerated people needed to be transported exterior the safe perimeter of the jail to exterior medical amenities. Telehealth permits improved well being care by offering faster entry to extra medical specialists.
Telehealth will help in increasing well being care applications for incarcerated people and can result in shorter wait instances, elevated affected person privateness, and improved outcomes for the incarcerated inhabitants.
For incarcerated people who’ve persistent situations, getting swift, common entry to a specialist can imply main enhancements of their well being. Earlier than telemedicine, the logistics of getting that entry was extra difficult.
In lots of circumstances, incarcerated people who required specialised care needed to depart the jail to entry it. In some areas, this might imply a number of hours of journey, difficult much more by the safety considerations that include taking incarcerated people out of jail. They should be escorted to appointments by corrections officers, which might generally create a bottleneck for others additionally ready to journey to a specialist.
“It helps us be present with the remainder of the business, and there’s boundaries to individuals being seen by exterior suppliers and this eliminates plenty of these – and it aligns with reentry as properly,” David Flynn mentioned. “They go to their telehealth appointment and may work together with a supplier in the neighborhood such as you or I. Its working in direction of being extra affected person centered.”
Telehealth in prisons considerably streamlines incarcerated people’ well being care. Sufferers who’d been touring offsite for care solely want to depart the jail for appointments that require in-person care from a specialist— like surgical procedure. And physicians who beforehand had lengthy journey instances and needed to navigate vital safety to see sufferers onsite on the jail, can see their sufferers proper from their workplace.
“Telehealth permits us to achieve out to extra suppliers and specialists, and it permits us to bridge out to the neighborhood and get the providers our sufferers want,” Simpson mentioned.
It permits them to obtain specialist care extra rapidly, and specialists can see considerably extra incarcerated people, Simpson mentioned.
“The division want to develop using expertise the place it suits – to enhance entry, enlist specialty providers within the distant location of our prisons and supply high quality look after the 21st century,” Murphy mentioned. “This might be important as the environment continues to evolve battling COVID-19 and different infectious ailments. That is the appropriate time to make this occur.”
Telemedicine shouldn’t be the one method the DOC is utilizing telepresence providers at its amenities.
Lisa Flynn, correctional program administrator for Correctional Operations, added that the company’s capability to develop telepresence providers associated to authorized entry, reentry, and providers for incarcerated dad and mom has been phenomenal.
Now, the DOC is searching for everlasting funding to permit for continued and expanded use of telepresence expertise.
Exterior stakeholders supply robust help of the brand new telepresence providers for not solely telehealth, however for court docket hearings/resentencing, youngster dependency points, youngster help abatement hearings and reentry providers, Lisa Flynn mentioned.
The demand for virtual-court appearances proceed to develop. Not solely as a result of court docket choices and legislative actions impacting sentencing, but additionally as a result of criminal-justice companions transferring to safer digital platforms to finish court docket actions previously accomplished in individual, to maintain communities safer and scale back prices related to exterior transports, Lisa Flynn mentioned.
With extra telepresence choices, Incarcerated dad and mom can take part in dependency actions involving their youngsters, giving them a voice within the care and welfare of their youngsters.
Telepresence expertise is vital in permitting dad and mom to stay related and concerned in choices relating to their youngsters throughout incarceration and supporting household reunification efforts, Lisa Flynn mentioned.
“Division of Corrections will proceed to work with criminal-justice companions and stakeholders to extend effectivity and enhance entry to providers important for the well being and well-being of incarcerated people,” Lisa Flynn mentioned. “In doing so, we create pathways for constructive outcomes for these people, supporting our mission to ‘Enhance public security by positively altering lives.’”
Washington
Early Storylines For Lions Playoff Matchup Against Commanders
The Detroit Lions (15-2) will welcome a Washington Commanders (13-5) team riding high after their first playoff victory in decades.
New head coach Dan Quinn has rebuilt the culture and has a young signal-caller that earned the respect of his teammates.
After defeating the Buccaneers, 23-20, a whole new challenge awaits the upstart NFC East squad.
Detroit is now rested and will be fully prepared to win in front of their home fans at Ford Field.
Dan Campbell has his team and the entire organization pulling in the same direction. In a season that is “Super Bowl or bust,” the back-to-back NFC North division champs are as primed as ever to represent the NFC in the Super Bowl that takes place in New Orleans.
Here are some early storylines Lions OnSI is following this week.
How Lions will handle rookie quarterback Jayden Daniels?
Washington’s rookie quarterback is the favorite to win NFL Rookie of the Year after an exceptional season. He completed 69 percent of his passes in the regular season and threw for 3,568 yards and 25 touchdown passes.
Daniels also is a dangerous rushing threat, as he rushed for 891 yards and six touchdowns. The Lions have struggled against mobile quarterbacks at points this season, as Buffalo’s Josh Allen gave them fits.
The Lions are 2-1 this season against mobile quarterbacks. Allen handed them a loss in Week 15, but the defense was able to contain Kyler Murray in Week 3 and Anthony Richardson in Week 12. Allen rushed for 68 yards, while Richardson ran for 61 and Murray notched 45.
Though it will be the first time the Lions have faced off against Daniels, it won’t be the first time he’s seen Detroit rookie cornerback Terrion Arnold. The two players matched up against each other in the SEC for two seasons, with Arnold recording an interception for his Alabama team against Daniels and LSU.
Can Commanders stop Lions rushing attack?
The Lions’ offense has been one of the league’s best this season, and the run game has been a huge part of that success. Detroit’s offense stands to get a boost this week as well, as David Montgomery is expected to return for Saturday’s game.
Jahmyr Gibbs earned NFC Offensive Player of the Month honors in Montgomery’s absence and will still get plenty of touches. Against the 30th-ranked Commanders rushing defense, both Gibbs and Montgomery could stand to have big days.
Will Aaron Glenn blitz at a high rate still?
With all the injuries to Detroit’s defense, the game plan for defensive coordinator Aaron Glenn has involved plenty of blitzing. Against the Vikings in Week 18, the defense utilized a number of different blitz packages to get after Sam Darnold.
Daniels has had plenty of success against the blitz, posting an ESPN QBR of 90.3 which ranked third in the league. If the Lions are not disciplined in their rush lanes, then they will also risk giving up long scrambles as Daniels can evade defenders.
The rookie passer has proven his abilities to handle blitzes, so whether or not Aaron Glenn continues to do so could be a deciding factor in Saturday’s game.
Lions injuries to monitor
The Lions, like most weeks, have some injuries to monitor heading into the Divisional Round. Both cornerback Terrion Arnold and offensive lineman Kevin Zeitler suffered injuries in Week 18, and the bye week gave them an extra week to recover.
Arnold has been reported as day-to-day with a foot injury, while Zeitler was given an optimistic prognosis by Campbell last week. Things didn’t sound as good for defensive lineman Pat O’Connor.
We should learn more about the availability of all these players on Monday, as Dan Campbell is scheduled to speak with the media.
Odds: Lions Are 8.5-Point Favorite Against Commanders
Commanders have familiar faces on their staff
Part of the reason the Commanders had success this season is the staff Quinn assembled.
Offensive coordinator Kilff Kingsbury is a respected play-caller and will again see his name surface for available head coaching jobs.
Former Lions quarterback David Blough, who reportedly aided in the game-winning touchdown call against the Eagles, is currently serving as the Commanders assistant quarterbacks coach.
Former Lions offensive coordinator Anthony Lynn was eventually demoted by Campbell before being let go.
Lance Newmark is now in his first season as assistant general manager of the Commanders.
Newmark joined the Commanders with nearly three decades of NFL experience, including 26 seasons with the Detroit Lions. In Detroit, he most recently served as the senior director of player personnel.
Washington
BIZ BUZZ: Antonios go to Washington
Donald Trump is scheduled to be inaugurated—again—as the president of the United States on Jan. 20 in Washington.
Among those who will witness his return to power as the 47th president of the world’s largest economy are some of his old friends from the Philippines.
We’re talking about Century Properties Group founder and chair Jose EB Antonio and his wife, Hilda.
Going with them is their third son, Jose Roberto, who had just been appointed managing director of the J. Antonio Group Inc. in charge of resort-related projects.
It may be recalled that the Trumps and the Antonios struck up a friendship decades ago in New York when Trump was more known as a property developer, just like the Antonios. Some of their children also went to business school together.
And then, the Antonios also brought the Trump brand into one of the office buildings in its Century City development in Makati City.
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But the elder Antonio will be there not just as a personal friend invited by the Trumps to attend the inauguration but also to represent President Marcos as his ambassador-at-large tasked with inviting more investments into the Philippines.
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With a friend in the White House, the Antonios are confident that more investments as well as visitors will flow toward the Philippines. —Tina Arceo-Dumlao
Clark hits the Belle’s eye
In July 2024, Belle Corp. gave us a teaser about applying for a gaming license from “government regulators.”
Despite the rumor mill running wild that the gaming-focused investment firms of delisted subsidiary Premium Leisure Corp. had plans to conquer Clark, Belle opted to keep quiet.
Nearly half a year later, Belle hailed Clark as “the next gaming and tourism hub” and confirmed that they had, indeed, applied for a gaming license specifically to develop an integrated resort in the former American air base.
Belle president and CEO Armin Raquel Santos likewise expressed optimism on his company’s growth prospects, “and bullish on the Philippine gaming market and its resilience despite industry headwinds.”
”Belle, through its gaming subsidiaries, continues to explore and pursue related ventures and high-growth opportunities in the gaming space that will enhance shareholder value while delivering its commitments to all stakeholders,” the company quoted Santos as saying.
Though much still remains unsaid about Belle’s plans for Clark, it is clear that the gaming industry is still attractive despite some weakness and hiccups—Bloomberry Corp.’s earnings, for instance, and Davao-based businessman Dennis Uy’s long-stalled Cebu casino project.
Let’s see if Belle will go against the odds. —Meg J. Adonis
Washington
What Washington State’s head coach said after Gonzaga game
Washington State men’s basketball head coach David Riley could point to a few factors that led to Gonzaga pulling away from the Cougars during the second half of Saturday night’s showdown at the McCarthey Athletic Center.
For starters, the Bulldogs’ 15-5 scoring run to start the second half certainly didn’t help the Cougs’ cause. Neither did Ryan Nembhard, who came out of the halftime break even more refreshed after sitting on the bench for the final 9:34 of the first half due to foul trouble. Turnovers and miscues on the defensive end of the floor also started to pile up for WSU, which led by six points in the first half only to trail by three at the break and fall behind by 21 in the second half while the Zags nailed 10 3-pointers and scored 20 points off 16 turnovers.
Consider Saturday night, then, a perfect storm for the Bulldogs (14-4, 5-0 WCC). Led by Graham Ike’s 21 points, Gonzaga pulled away for an 88-75 victory over its in-state rival in a thriller from the Kennel.
Here’s what Riley had to say after the game.
On what changed for WSU in the second half:
“It was a hard-fought game, and I feel like we had it slip away from us early in that second half where we didn’t stay connected as much, and I personally didn’t do a good enough job of having us ready for the fight. They got some 50-50 balls. They got a couple offensive rebounds, just some toughness plays that second half that hurt us. And that comes down to, we have game plan stuff, we’re gonna have X’s and O’s, we’re gonna have great plays from different players and bad plays from different players, but that fight for 40 minutes, I think, was the difference, and they came out with a little more fire than us.”
On Ryan Nembhard’s impact in the second half after sitting most of the first half:
“He did a good job with their pace. I think he gets them up the floor really well. I felt like it was a lot of factors that second half, and he played a part in that and started isolating some of our bigs when we made a couple of adjustments. [Nembhard is a] good player.”
On WSU’s defensive breakdowns that led to 10 3-pointers for Gonzaga:
“A couple of execution errors. I think one of them we didn’t have a ball screen right, one of them we didn’t order our post defense right. Kind of going into the half that was our thing, when things get tough, or they throw in a 25-second possession, we got to execute all 30 seconds of the shot clock. And I think it was more just cover stuff. We didn’t have that many space cadet errors. I think it was more just kind of one guy doing something that wasn’t exactly right in coverage.”
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