The Federal Bureau of Prison's Efforts to Manage Inmate Health Care

Audit Report 08-08
February 2008
Office of the Inspector General

Appendix VII
Results of the OIG’s Testing of the Provision
of Medical Care at BOP Institutions29

United States Penitentiary – Atlanta

Medical Service Tested Inmates
Tested		 Yes No
1. Inmate medical history provided by inmate at intake 191 99% 1%
2. Medical assessment completed by medical practitioner at intake 191 96% 3%
3. New inmate tested for tuberculosis or previous test for transferred inmate confirmed, within 48 hours of intake 191 97% 3%
4. Inmate received rapid plasma regain test during intake screening to test for syphilis 34 94% 6%
5. Female inmate tested for chlamydia 0 Test not applicable for any inmates at this facility
6. Female inmate received a measles/mumps/rubella vaccine 0 Test not applicable for any inmates at this facility
7. Inmate received a complete physical within 14 days of intake 191 94% 5%
8. Inmate received a pneumococcal vaccine 31 90% 7%
9. Inmate received an annual influenza vaccine 46 83% 17%
10. Inmate born after 1956 received a measles/ mumps/rubella vaccine 167 7% 93%
11. Inmate received a tetanus vaccine in the last 10 years 191 94% 5%
12. Inmate received a hepatitis A vaccine 30 97% -
13. Inmate received a hepatitis B test or vaccine 50 96% 2%
14. Inmate received a hepatitis C test 45 98% -
15. Inmate received an HIV-1 test 77 100% -
16. Inmate received an HIV-2 test 4 100% -
17. Inmate received a tuberculosis test in the past year 171 99% 1%
18. Inmate received a chronic care evaluation in the last 6 months 64 95% 3%
19. Inmate received a cholesterol check in the last 5 years 135 70% 29%
20. Inmate received a cardiovascular risk calculation in the last 5 years 82 - 100%
21. Inmate received a fasting plasma glucose test in the last 3 years 67 45% 34%
22. Inmate received a current blood pressure check 190 95% 5%
23. Inmate received a current body mass index calculation 190 4% 96%
24. Inmate received a fecal occult blood test 34 12% 88%
25. Inmate received a vision screening test 5 100% -
26. Inmate received a hearing screening test 5 - 100%
27. Inmate received an abdominal ultrasound test 0 Test not applicable for any inmates at this facility
28. Female inmate received a papanicolaou test (PAP smear) 0 Test not applicable for any inmates at this facility
29. Female inmate received a current mammogram 0 Test not applicable for any inmates at this facility
30. Female inmate received a bone density screening test 0 Test not applicable for any inmates at this facility

United States Penitentiary – Lee

Medical Service Tested Inmates
Tested		 Yes No
1. Inmate medical history provided by inmate at intake 133 99% 1%
2. Medical assessment completed by medical practitioner at intake 133 99% 1%
3. New inmate tested for tuberculosis or previous test for transferred inmate confirmed, within 48 hours of intake 133 99% 1%
4. Inmate received rapid plasma regain test during intake screening to test for syphilis 58 91% 7%
5. Female inmate tested for chlamydia 0 Test not applicable for any inmates at this facility
6. Female inmate received a measles/mumps/rubella vaccine 0 Test not applicable for any inmates at this facility
7. Inmate received a complete physical within 14 days of intake 133 90% 50%
8. Inmate received a pneumococcal vaccine 2 - 50%
9. Inmate received an annual influenza vaccine 8 50% 50%
10. Inmate born after 1956 received a measles/ mumps/rubella vaccine 127 - 99%
11. Inmate received a tetanus vaccine in the last 10 years 133 27% 72%
12. Inmate received a hepatitis A vaccine 43 26% 72%
13. Inmate received a hepatitis B test or vaccine 40 68% 30%
14. Inmate received a hepatitis C test 30 73% 23%
15. Inmate received an HIV-1 test 53 74% 25%
16. Inmate received an HIV-2 test 4 75% -
17. Inmate received a tuberculosis test in the past year 105 96% 3%
18. Inmate received a chronic care evaluation in the last 6 months 21 86% 10%
19. Inmate received a cholesterol check in the last 5 years 69 30% 68%
20. Inmate received a cardiovascular risk calculation in the last 5 years 46 - 98%
21. Inmate received a fasting plasma glucose test in the last 3 years 5 60% 40%
22. Inmate received a current blood pressure check 133 90% 10%
23. Inmate received a current body mass index calculation 133 1% 99%
24. Inmate received a fecal occult blood test 17 71% 29%
25. Inmate received a vision screening test 0 Test not applicable for any inmates at this facility
26. Inmate received a hearing screening test 1 100% -
27. Inmate received an abdominal ultrasound test 0 Test not applicable for any inmates at this facility
28. Female inmate received a papanicolaou test (PAP smear) 0 Test not applicable for any inmates at this facility
29. Female inmate received a current mammogram 0 Test not applicable for any inmates at this facility
30. Female inmate received a bone density screening test 0 Test not applicable for any inmates at this facility

Federal Correctional Complex – Terra Haute

Medical Service Tested Inmates
Tested		 Yes No
1. Inmate medical history provided by inmate at intake 248 100% -
2. Medical assessment completed by medical practitioner at intake 248 100% -
3. New inmate tested for tuberculosis or previous test for transferred inmate confirmed, within 48 hours of intake 248 99% -
4. Inmate received rapid plasma regain test during intake screening to test for syphilis 48 98% 2%
5. Female inmate tested for chlamydia 0 Test not applicable for any inmates at this facility
6. Female inmate received a measles/mumps/rubella vaccine 0 Test not applicable for any inmates at this facility
7. Inmate received a complete physical within 14 days of intake 248 98% 1%
8. Inmate received a pneumococcal vaccine 21 91% 9%
9. Inmate received an annual influenza vaccine 51 86% 14%
10. Inmate born after 1956 received a measles/ mumps/rubella vaccine 223 1% 99%
11. Inmate received a tetanus vaccine in the last 10 years 248 40% 60%
12. Inmate received a hepatitis A vaccine 86 48% 52%
13. Inmate received a hepatitis B test or vaccine 75 91% 9%
14. Inmate received a hepatitis C test 69 96% 4%
15. Inmate received an HIV-1 test 89 99% 1%
16. Inmate received an HIV-2 test 70 99% 1%
17. Inmate received a tuberculosis test in the past year 215 98% 2%
18. Inmate received a chronic care evaluation in the last 6 months 102 100% -
19. Inmate received a cholesterol check in the last 5 years 187 87% 13%
20. Inmate received a cardiovascular risk calculation in the last 5 years 98 18% 82%
21. Inmate received a fasting plasma glucose test in the last 3 years 120 95% 5%
22. Inmate received a current blood pressure check 248 98% 2%
23. Inmate received a current body mass index calculation 248 36% 64%
24. Inmate received a fecal occult blood test 55 80% 20%
25. Inmate received a vision screening test 21 100% -
26. Inmate received a hearing screening test 18 78% 22%
27. Inmate received an abdominal ultrasound test 4 100% -
28. Female inmate received a papanicolaou test (PAP smear) 0 Test not applicable for any inmates at this facility
29. Female inmate received a current mammogram 0 Test not applicable for any inmates at this facility
30. Female inmate received a bone density screening test 0 Test not applicable for any inmates at this facility

Federal Medical Center – Carswell

Medical Service Tested Inmates
Tested		 Yes No
1. Inmate medical history provided by inmate at intake 127 100% -
2. Medical assessment completed by medical practitioner at intake 127 100% -
3. New inmate tested for tuberculosis or previous test for transferred inmate confirmed, within 48 hours of intake 127 100% -
4. Inmate received rapid plasma regain test during intake screening to test for syphilis 126 91% 9%
5. Female inmate tested for chlamydia 24 38% 62%
6. Female inmate received a measles/mumps/rubella vaccine 116 80% 19%
7. Inmate received a complete physical within 14 days of intake 127 100% -
8. Inmate received a pneumococcal vaccine 14 50% 50%
9. Inmate received an annual influenza vaccine 39 59% 41%
10. Inmate born after 1956 received a measles/ mumps/rubella vaccine 117 80% 20%
11. Inmate received a tetanus vaccine in the last 10 years 127 80% 19%
12. Inmate received a hepatitis A vaccine 25 24% 76%
13. Inmate received a hepatitis B test or vaccine 87 97% 3%
14. Inmate received a hepatitis C test 37 84% 16%
15. Inmate received an HIV-1 test 48 92% 8%
16. Inmate received an HIV-2 test 1 - 100%
17. Inmate received a tuberculosis test in the past year 111 100% -
18. Inmate received a chronic care evaluation in the last 6 months 84 100% -
19. Inmate received a cholesterol check in the last 5 years 72 92% 8%
20. Inmate received a cardiovascular risk calculation in the last 5 years 45 2% 98%
21. Inmate received a fasting plasma glucose test in the last 3 years 74 93% 7%
22. Inmate received a current blood pressure check 127 100% -
23. Inmate received a current body mass index calculation 127 23% 77%
24. Inmate received a fecal occult blood test 29 52% 48%
25. Inmate received a vision screening test 26 96% 4%
26. Inmate received a hearing screening test 5 20% 80%
27. Inmate received an abdominal ultrasound test 0 Test not applicable for any inmates at this facility
28. Female inmate received a papanicolaou test (PAP smear) 123 99% 1%
29. Female inmate received a current mammogram 77 100% -
30. Female inmate received a bone density screening test 6 50% 50%

Federal Correctional Complex – Victorville

Medical Service Tested Inmates
Tested		 Yes No
1. Inmate medical history provided by inmate at intake 345 99% 1%
2. Medical assessment completed by medical practitioner at intake 345 99% 1%
3. New inmate tested for tuberculosis or previous test for transferred inmate confirmed, within 48 hours of intake 344 100% -
4. Inmate received rapid plasma regain test during intake screening to test for syphilis 137 91% 9%
5. Female inmate tested for chlamydia 1 - 100%
6. Female inmate received a measles/mumps/rubella vaccine 12 83% 17%
7. Inmate received a complete physical within 14 days of intake 345 92% 5%
8. Inmate received a pneumococcal vaccine 25 60% 36%
9. Inmate received an annual influenza vaccine 66 61% 38%
10. Inmate born after 1956 received a measles/ mumps/rubella vaccine 298 6% 94%
11. Inmate received a tetanus vaccine in the last 10 years 345 32% 68%
12. Inmate received a hepatitis A vaccine 79 79% 19%
13. Inmate received a hepatitis B test or vaccine 91 89% 9%
14. Inmate received a hepatitis C test 86 93% 5%
15. Inmate received an HIV-1 test 114 95% 4%
16. Inmate received an HIV-2 test 51 100% -
17. Inmate received a tuberculosis test in the past year 267 98% 2%
18. Inmate received a chronic care evaluation in the last 6 months 68 99% 1%
19. Inmate received a cholesterol check in the last 5 years 215 64% 36%
20. Inmate received a cardiovascular risk calculation in the last 5 years 131 2% 98%
21. Inmate received a fasting plasma glucose test in the last 3 years 58 95% 5%
22. Inmate received a current blood pressure check 345 96% 4%
23. Inmate received a current body mass index calculation 338 - 100%
24. Inmate received a fecal occult blood test 54 20% 80%
25. Inmate received a vision screening test 6 50% 50%
26. Inmate received a hearing screening test 6 33% 67%
27. Inmate received an abdominal ultrasound test 2 100% -
28. Female inmate received a papanicolaou test (PAP smear) 19 95% 5%
29. Female inmate received a current mammogram 12 100% -
30. Female inmate received a bone density screening test 2 - 100%


Footnotes

  1. Some percentages in the charts total less than 100 percent because documentation was not available to determine if the test was performed for some inmates.


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