Correctional facilities, whether they be privately or publicly run, must carefully balance a range of competing objectives surrounding offender health. Correctional health is the literal example of a captive population. Every decision about how to provide that care affects offender health, public safety, and tax payer dollars and is the sole responsibility of the custodians. Offenders can’t choose their providers, and that makes operators heavily liable for outcomes, good and bad.
Transporting an offender outside of a facility for medical care is a risky and expensive thing to do. It impacts the work schedule of the other correctional offers on shift, drives overtime pay, incurs transportation cost, and exposes transporting officers and the public to potential of escape or violent act. Gross lapses of judgement or simple accidents can cause severe political ramifications. Failing to transport an offender when medically necessary is inhumane, and is certain to result in criminal or civil penalties.
So how do you reduce outtakes while providing top-notch care from the best physicians available? You eliminate the risk and inconvenience all parties incur whenever you send a doctor into a prison, or an offender to a hospital. You use telemedicine technology to be the eyes, ears, and hands of the doctor.