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Extracted from Consolidated Report
This investigation was originally published as part of a larger consolidated report containing multiple investigations. View the consolidated PDF for the complete document.
Los Angeles County Grand Jury
• 2011-2012
Aging-out of the Foster Care System
⚠️ Translation Notice: This content has been automatically translated. The original English text is the official version. Translation may contain errors.
⚠️ Este contenido ha sido traducido automáticamente. El texto original en inglés es la versión oficial. La traducción puede contener errores.
Findings 8 findings
F1
Page 181
The CGJ found that the per-inmate cost of medications at LASD was higher than the surveyed counties in all but one county.
F2
Page 181
The procurement of medications is through a contract provider (drug wholesaler) via the Electronic Countywide Accounting Purchasing System (ECAPS). ECAPS does not provide the capability for use of a perpetual inventory system. A perpetual in- ventory is an ongoing count of medications, on hand, at any particular point in time. Control drugs are inventoried on a perpetual system called the C-2 PYXIS System.
F3
Page 181
The total LASD pharmacy services staff was 119 people at the time of inspection. This includes: 1 chief pharmacist 2 pharmacy supervisors 1 procurement pharmacist 51 general pharmacists 60 pharmacy technicians 2 pharmacy helpers 2 typist clerks
F4
Page 181
The configurations of personnel at the three licensed pharmacies were: Twin Towers: 1 pharmacy supervisor, 2 pharmacists, 2 pharmacy technicians, 1 pharmacy helper per shift Men’s Central Jail: 1 pharmacy supervisor, 2 pharmacists, 2 pharmacy techni- cians, 1 pharmacy helper per shift CRDF: 1 pharmacy supervisor, 2 pharmacists, 2 pharmacy technicians, 1 phar- macy helper per shift
F5
Page 181
LASD pharmacies use the AutoMed System manufactured by Amersource-Bergen Company. 57% percent of all prescriptions dispensed by the LASD pharmacies are via automation.
F6
Page 181
The transmittal of medication orders was performed electronically.
F7
Page 181
Verification of medications dispensed from the C-2PYXIS system was done by pharmacists and recorded manually.
F8
Page 181
The pharmacies at MCJ and CRDF have limited space for the storage and dispens- ing of all items necessary to provide medications for inmates. 2011-2012 LOS ANGELES COUNTY CIVIL GRAND JURY FINAL REPORT 159 INMATE MEDICATIONS
Recommendations 6
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R1Page 175The Los Angeles County Sheriff’s Department should provide a system similar to the C-2 PYXIS system for maintaining a perpetual inventory system for all medica- tions supplied to the Los Angeles County Sheriff’s Department Pharmacies.
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R2Page 175The Los Angeles County Sheriff’s Department pharmacy personnel should re- duce the daily costs of medications prescribed by doctors for inmate needs through the increased use of generic drugs as they become available.
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R3Page 175The Los Angeles County Sheriff’s Department pharmacy personnel should in- crease the use of automated dispensing of medications via the AutoMed System to a staff-recommended level of 75% of all medications to provide better control and accuracy of dispensed medications.
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R4Page 175The Los Angeles County Sheriff’s Department pharmacy should use an automat- ed system for monitoring and recording all medications dispensed via the AutoMed System.
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R5Page 175The Los Angeles County Sheriff’s Department should provide additional space to maintain adequate working areas for the pharmacy personnel and storage of all medications at Men’s Central Jail and Century Regional Detention Facility.
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R6Page 175The Los Angeles County Sheriff’s Department should continue its plans to open a State-licensed pharmacy at Pitchess Detention Center within the next fiscal year.