BOP PHARMACY

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BOP PHARMACY
Chris A. Bina, Pharm.D. Captain, US Public Health
Service Director, Pharmacy Program Federal Bureau
of Prisons Health Services Division 320 First
Street NW Washington, DC 20534 202-353-4653 202-3
05-0862 (fax) cbina_at_bop.gov
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BOP Mission Statement

• It is the mission of the Federal Bureau of
  Prisons to protect society by confining offenders
  in the controlled environments of prisons and
  community-based facilities that are safe, humane,
  cost-efficient, and appropriately secure, and
  that provide work and other self-improvement
  opportunities to assist offenders in becoming
  law-abiding citizens.

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BOP Core Values

• Correctional Excellence
• Respect
• Integrity

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BOP Health Services DivisionMission Statement

• The health care mission of the Bureau of
  Prisons is to deliver medically necessary health
  care to inmates effectively in accordance with
  proven standards of care without compromising
  public safety concerns inherent to the Bureau's
  overall mission.

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BOP Regions
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Western Region
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North Central Region
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South Central Region
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Northeast Region
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Mid-Atlantic Region
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Southeast Region
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Under Development or Activation

• FCI, Mendota (Fresno County), California (WXR)
• FCI, Berlin (Coos County), New Hampshire (NER)
• FCI, McDowell County, West Virginia (MXR)

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BOP Institution Quick Facts

• 114 institutions
• 200,328 inmates as of Feb 08 (1996
  90,000)
• 34,177 located in non-BOP facilities (e.g.
  contract state DOC (Department of Corrections)
• 6 Federal Medical Centers
• 13 institutions w/ female inmates
• 7 Protective Custody Units (i.e. Witsec)

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Inmate Breakdown (2005)

• Male 93.2 Female 6.8
• White 56.7 Black 40.1 Asian 1.6 Native
  American 1.6
• United States 71.2 Mexico 16.7 Colombia
  2.0 Cuba 1.3 Dominican Republic 2.0
  Other/Unknown 6.8
• Drug Offenses 54.3
• Average Inmate Age 38
• Sentences
• 5-15 years 46.3
• Life 3.2
• Death Row 30

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Inmate Medical Issues

• 1 are HIV
• 15 are Hep B or C carriers
• Liver and kidney damage are common because of
  self-destructive lifestyles.

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Health Services Overview

• Warden
• AW

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CLINICAL PHARMACY PRACTICE

• Newly created position of Chief, Clinical
  Pharmacy Programs, CDR Mike Shiber
• Pharmacist Immunizers
• Pharmacist Practitioners
• Anticoagulation, Hyperlipidemia, Diabetes, etc.

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A Typical Day for a BOP Staff Pharmacist

• Get ready for morning pill line
• Receive and review charts, fill orders
• Prepare for Mid-day pill line
• Receive and review charts, fill orders
• Communicate with providers on medication issues
  (theyre just down the hall!)
• Consult on formulary issues, drug abuse
  questions, lab test interference for illegal
  drugs, drug interactions, etc.
• Participate in data collection for Drug
  Utilization Evaluations
• You get to eat lunch!
• No insurance rejections!

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Pharmacist Positions in BOP

• Staff Pharmacist (both inpatient and outpatient
  ambulatory or medical center)
• Assistant Chief Pharmacist
• Chief Pharmacist
• Regional HIV Pharmacist Consultant
• Regional Pharmacist Consultant
• Central Processing Staff, Chief, and Clinical
  Pharmacists

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Where to Get More Information

• http//www.hhs.gov/pharmacy/bop/index.htm
• BOP Pharmacy Homepage
• http//dcp.psc.gov
• vacancy list PHS Pharmacy Job Listserv
• http//www.bop.gov
• http//www.usphs.gov

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Initiatives

• Central Fill with VA
• Virtual Central Processing by BOP Pharmacists
• Immunization Delivery
• Disease State Management Clinical Pharmacy
  Programs
• Anticoagulation Clinics
• Antihyperlipidemic Clinic

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BOP Pharmacy Contact Information

• CAPT Chris Bina, PharmD
• Chief Pharmacist, cbina_at_bop.gov
• 202-353-4753
• CDR Mike Shiber, RPh
• Chief, Clinical Pharmacy, mjshiber_at_bop.gov
• 202-353-4758
• LT Hollie Cook, PharmD
• Drug Utilization Specialist/Program Management
  Officer, hcook_at_bop.gov
• 202-353-4748

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BOP Pharmacy Recruitment Workgroup

• AKA Chain Gang

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