Costs and Constraints in the Arizona Inmate Medical Transport System

Abstract

This is a case about state and local government, where major problems in providing medical services through a county hospital to inmates of a state prison have prompted a review of the process. Susceptible to analysis by Total Quality Management principles or by other more straightforward analysis, the case discussion allows exploration of how the local and state institutions can work better together and across their own departments to save significant time and money. The case allows common sense to be applied in a way that results in a much better system for delivering this internal, interjurisdictional service. The case also raises policy questions related to inmate medical services. This is a very useful case for a service delivery or operations management course. It explores a state-local interjurisdictional issue, examines ways for improved collaboration among professional and managerial level staff, and allows exploration of Total Quality Management concepts in a very atypical area of application.

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