centurion has managed the tennessee contracts since september 2013. we have efficiently decreased the numbermissions to the hospital and e.r. by treating on site by getting in earlier with the model to decrease hospitalizations and trying to set up program before we get to patient before we have an exacerbation that requires an e.r. run. we've also trayed to install what we've done. across the state we've installed -- telehealth, excuse me, and telehealth, just to kind of really quickly refresh is a mechanism by which you can use an internet connection or video and telephone to centrally discuss with a professional on one side and an inmate patient on the other with a nurse and have a facilitated medical visit and it allows you to get to the patient much sooner because in the past you'd have to transfer outside the walls. we brought that onboard and it also decreases the -- reduces the risk to the public safety of transferring and it saves money standpoint of transportation and security. we've also developed in some new on-site services which are cont

we provide cradle to the grave service on -- as well as behind the bars with centurion.e provide local solutions to some of the most difficult situations our partners face. we also use evidence-based medicine, which i probably something that ises a newer term but evidence-based solutions, leveraging technology, predictive modeling, innovative preventive health models to limit severity of disease. some issues to note. so, tennessee -- welcome to tennessee, everyone. we are a department of corrections, 21,000 inmates across the state. roughly 11 facilities. small subunits but roughly 11 facilities, and we do have some challenges. each state has its own unique challenges and obstacles related to correctionalhawk heck, and we have -- correctional health care and we have worked hard to improve those issues and make them more manageable. the population as a whole, just in general -- the general population has diseases that affect it. right? and those same issues mirror in the correctional population. often times, sometimes it's magnified. like we talked about, hepatitis~c, inf

we provided critical day-to-day service on the same team side as those behind bars with centurion. we provide local solutions to some of the most difficult situations our partners on face. but we also use evidence-based medicine which is probably something, it's a newer term always evidence-based solutions launching technology, predictive modeling, to limit the incidents and the severity of the disease. that's just some issues to note. so tennessee, welcome to tennessee, everyone. we are a department of correction, 21,000 inmates across the state. roughly 11 facilities at the small subunit but roughly 11 facilities. we do have some challenges each state has its own unique challenges and obstacles that are late to health care and we've worked really hard to improve some of those issues and make them more manageable. the population as hell, just in general, the general population, those same issues mirror in the correctional population. oftentimes come sometimes it's magnified, like we talk about hepatitis c as an infectious disease, or mental health illness. you have a significantly

centurion has managed the tennessee contract since september of 2013. we have efficiently decreased the number of admissions to the hospital and er by treating on site, by getting in earlier with our preventive health model to decrease the need for hospitalizations and trying to set up programs where we get to patients before they have an exacerbation that requires an er run. we've also tried to install what we've done can, actually, across the state we've installed, i'm sorry, telehealth, excuse me. and just to quickly refresh, that's a mechanism by which you can use an internet connection and, you know, video or telephone to, essentially, discuss with a professional on one side and an inmate patient on the other with a nurse, have a facilitated medical visit. and it allows you to get to the patient much sooner son that -- because in the past you'd have to transfer outside the walls. so we've brought that onboard. and it also decreases the, it reduces the risk to the public safety of transferring, and it saves money from the standpoint of transportatio

centurion has managed the tennessee contracts since september 2013. we have efficiently decreased the numbermissions to the hospital and e.r. by treating on site by getting in earlier with the model to decrease hospitalizations and trying to set up program before we get to patient before we have an exacerbation that requires an e.r. run. we've also trayed to install what we've done. across the state we've installed -- telehealth, excuse me, and telehealth, just to kind of really quickly refresh is a mechanism by which you can use an internet connection or video and telephone to centrally discuss with a professional on one side and an inmate patient on the other with a nurse and have a facilitated medical visit and it allows you to get to the patient much sooner because in the past you'd have to transfer outside the walls. we brought that onboard and it also decreases the -- reduces the risk to the public safety of transferring and it saves money standpoint of transportation and security. we've also developed in some new on-site services which are cont

asher turney who is the medical director for centurion of tennessee which is a joint venture of centene with which tennessee contracts to provide health care services for its correctional system. dr. turney is board certified in both urgent care and occupational medicine and he's got a special interest in health inequalities in the health of vulnerable workers. welcome to both of you, and i would ask -- i guess we need to pass the clicker to the lady who is next. dr. lewis. >> good afternoon. as you all heard, i am a board-certified pediatrician, so i tell folks that i have 55,000 bad kidses under my care. what i'd like to do is to give you an overview of the georgia department of corrections which i think is a reflection of a lot of other correctional departments throughout the -- throughout the united states. fortunately, we've had lots of success in improving the health care that is being delivered to the inmates in our custody and fully respect theestel versus gamble ruling with mandated health care. to start out, georgia has a little bit of a difference here. we're the ninth larges