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090191 1 (1977-08-05)

handle is hein.gao/gaobacvwv0001 and id is 1 raw text is: UNITED STATES GENERAL ACCOUNTING OFFICE WASHINGTON, D C 20548 GENERAL GOVERNMENT DIVISION August 5, 1977 Mr. Norman A Carlson, Director Federal Bureau of Prisons Department of Justice Dear Mr. Carlson The General Accounting Office recently made a limited survey of health care delivery in Bureau of Prisons facili- ties and is presently conducting a similar survey in State prisons and local jails After we complete the latest survey, we plan to perform an overall review and report on health care delivery in correctional institutions. Before returning to the Bureau as part of our overall review, however, we would like to present to you our observations to date and make some suggestions for your consideration. The following findings illustrate what we believe are gaps in the Bureau's ability to monitor and evaluate the effectiveness of its health care delivery system. Our survey was performed at the Bureau's headquarters, its Southeast Regional Office, and three facilities within that region--the U.S. Penitentiary in Atlanta, Georgia; the Federal Correctional Institution in Tallahassee, Florida, and the Federal Prison Camp at Eglin, Florida We examined records and procedures on a test basis, and discussed our observations with institutional, regional office, and central office officials. Our field work was performed between September 1975 and August 1976. INMATE HEALTH-NEEDS COULD BE BETTER ASSESSED Knowing the health needs of the Bureau's inmates is a prerequisite to determining how well health care services are being provided and identifying areas for improvement. We believe the Bureau's assessment of inmate health needs could be improved by conducting periodic physical 0 0 1

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