MEDICAL CARE IN FEDERAL PRISON

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BOP COVID-19 Modified Operational Level Indicators are raised or lowered after 48 hours of respective sustained increases or decreases in the following indicators:
· Level 1 Minimal, No isolation required
· Level 2 {Yellow}, Medical isolation rate from 2% to less than 7%...
· Level 3, Medical isolation rate greater than (or equal to) 7%...
BOP CARE LEVELS Range from ‘I’ (the healthiest) to CARE LEVEL ‘IV’ (those needing inpatient care.)
Medical Health CARE LEVEL I

• Inmates are generally healthy but may have limited medical needs that can be easily managed by clinician evaluations every six months.
• Less than 70 years of age.
• Examples: mild asthma or diet-controlled diabetes not requiring medications.
• Community Hospitals may be located over one hour away.

Medical Health CARE LEVEL II (the majority of BOP facilities)

• Inmates are stable outpatients who require at least quarterly clinician evaluations.
• It can be managed in chronic care clinics, including mental health issues.
• Examples: medication-controlled diabetes, epilepsy, and emphysema.
• Hospitals may be located within one hour of the facility.

Medical Health CARE LEVEL III

• Outpatients are those who require frequent clinical contact to prevent hospitalization.
• They may require some assistance with activities of daily living (BOP Program Statement 5200.05, page 2) but do not need daily nursing care.
• Examples: cancer in remission of less than one year, advanced HIV disease, severe mental illness in remission on medication, severe congestive heart failure, and end-stage liver disease.

Medical Health CARE LEVEL IV

• Cannot perform Activities of Daily Living (ADL), such as caring for oneself, performing manual tasks, eating, sleeping, walking, standing, sitting, reaching, lifting, bending, speaking, breathing, learning, reading, concentrating, thinking, communicating, bathing, and cleaning oneself.
• Requires 24-hour skilled nursing.
• Examples: cancer on active treatment, dialysis, quadriplegia, stroke or head injury patients, major surgical patients, acute psychiatric illness requiring inpatient treatment, and high-risk pregnancy.
• BOP’s OMDT does the designation.
• There are seven Federal Medical Centers.
  • FMC Butner (North Carolina),
  • FMC Carswell (Texas) is the only facility just for women.
  • FMC Devens (Massachusetts)
  • FMC Forth Worth (Texas)
  • FMC Lexington (Kentucky) is for lower security.
  • FMC Rochester (Minnesota);
  • FMC, Springfield (Missouri);
    

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