Health Care Department Operations Manual

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Chapter 5 – Administrative

Article 7 – Fiscal Management Section

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5.7.3, Staffing Allocations

  • Policy

    • California Correctional Health Care Services (CCHCS) is responsible for developing and distributing staffing allocations. Staffing allocations are based on factors that include an institution’s mission, physical plant, clinic considerations, and population by risk level acuity. Staffing allocations are adjusted during the Fall Population and May Revision processes, and these allocations are distributed based on factors that include approved Budget Change Proposals (BCPs), Spring Finance Letters (SFLs), mission changes, program initiatives, and operational needs.

  • Responsibility

    • The Fiscal Management Section is responsible for collaborating with applicable program areas to conduct a comprehensive review of staffing allocations to determine adjustments in accordance with this policy.

    • Program areas are responsible for reviewing pending and approved legislation and court orders to determine the impact on operational needs and identifying required adjustments based on changes within an institution’s mission, physical plant, clinic considerations, patient volume, and population by risk level acuity.

    • The CCHCS Office of Legal Affairs and the Director, Health Care Services, shall review all program area assessments of impact of pending and approved legislation, and court orders.

  • Procedure

    • Staffing Model Ratios and Allocations

      • Staffing model ratio allocations by classification are determined and adjusted based on the following:

        • Risk level acuity that consists of High Risk 1, High Risk 2, Medium Risk, and Low Risk.

          • Special risk factors that increase the acuity level by one, include Female Factor, Age 50 and older, and Americans with Disabilities Act low and medium.

        • Licensed bed counts that consist of Correctional Treatment Center, Hospice, Mental Health Crisis Bed, Outpatient Housing Unit, Psychiatric Inpatient Program (PIP), and Skilled Nursing Facility designations.

          • For the purposes of this policy, PIPs are specific to those located at the California Health Care Facility (CHCF), California Medical Facility, Salinas Valley State Prison, San Quentin Rehabilitation Center, and California Institution for Women.

        • Integrated Substance Use Disorder Treatment Program population changes.

        • Approved new or augmented BCPs/SFLs.

        • Mission changes.

        • Program or operational adjustments that do not exceed the total authority determined through the Fall Population and May Revision processes.

    • CHCF Staffing

      • CHCF staffing allocations are determined by applicable BCPs, except where defined otherwise and based upon population risk level acuity.

  • References

    • California Code of Regulations, Title 22, Division 5, Chapter 1, Article 3, Section 70217 (a)(11)

    • California Code of Regulations, Title 22, Division 5, Chapter 3, Article 3, Section 72329.1

    • California Code of Regulations, Title 22, Division 5, Chapter 12, Article 4, Section 79757

    • California Health and Safety Code, Division 2, Chapter 2, Article 10.6, Section 1339.44

  • Revision History

    • Effective: 06/24/2024