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The discretion of ACDF administrative staff, not the individual psychiatrists or DHS. See page 137 for complete recommendation. ; 39. Achieve Greater Formulary Compliance: Although DHS administrators reported a "managed formulary", more work on formulary compliance and regular meetings on prescribing practices and related costs should be established. The meeting should be part of a pharmacy and therapeutics function for both medical and mental health to assure the best practices in prescribing medications. See page 138 for complete recommendation. ; 40. Increase Awareness of Corrections Mental Health Standards: As outlined throughout this report, mental health services and prescribing practices should be adjusted to accommodate the legal mandates and standards to which the ACDF must adhere instead of reflecting the community standard of care. While DHS has its own standards for the provision of mental health services, development of best practices around VADOC, ACA, and NCCHC standards for jail-based mental health services has not been addressed by DHS. See page 138 for complete recommendation. ; 41. DHS Should Provide Training to Nurses and Medical Director: DHS currently offers suicide prevention training to officers but provides no training to CMS nurses or the Medical Director. In addition, education on medication side effects, and handling mentally ill impaired inmates needs to be provided to Sheriff's officers and Medical staff at hiring and periodically to assure that a comprehensive and consistent approach to mental health treatment is maintained. See page 139 for complete recommendation. ; 42. Establish a Single Mental Health Authority: The recommendation to establish a single Mental Health Authority has been only partially implemented. All positions report to DHS but they report to different individuals who have significant responsibilities away from the ACDF. Three of the DHS officials interviewed identified themselves as the single mental health authority. A single on-site full time Mental Health Authority should interface with the ACDF Health Authority and it should be in control of all facets of mental health care as a mental health team leader. This person should be familiar with.

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Dear Fellow Alumni: We are delighted to welcome you back to Cambridge for our 2nd Annual Alumni Healthcare Conference. A conference of this magnitude takes many months of work and dedication to pull together. It would not have been possible without the leadership and tireless efforts of Bob DeNoble, our Alumni Conference Chair, who has done an exceptional job. Joining Bob this year is the exuberant Wolfgang Klietmann, Conference Biotechnology Chair, who did an outstanding job orchestrating all of the panels and presentations for Friday's sessions. Bob and Wolfgang have produced a two-day program that promises to provide an extraordinary opportunity for academic and social enrichment. This year's conference represents a true partnership among the alumni, faculty, students and HBS administration. We are grateful for the participation of HBS faculty including Professors Gary Pisano, Richard Bohmer, Clayton Christensen, Hank Chesbrough and Juan Enriquez. We could not have attended to so many details without the support of current HBS students, led by Geoffrey Hsu, MBA 2002, the co-president of the HBS Healthcare and Biotechnology Club. We also thank the staff of the Alumni Relations Office for helping us navigate the intricacies of event planning at HBS. The conference would have no substance without the contributions of our esteemed speakers and moderators, many HBS alumni among them. We look forward to the education they will provide and appreciate their generosity in participating. We also wish to thank our corporate sponsors for their support in making this conference a reality. When we started the Harvard Business School Health Industry Alumni Association in November 1999, our goal was to create a global network of HBS alumni that embraced all aspects of the healthcare industry. We hoped to provide a forum for discussing and debating important healthcare issues. Two years later, our organization has grown to over 500 members worldwide and has produced professional events around the country featuring top academic, business, and healthcare leaders. We help our healthcare alumni communicate and interact on topics of mutual interest and provide a valuable resource for staying in touch with HBS. Our 2nd Annual Alumni Healthcare Conference represents the best of what our group can accomplish when the HBS community--alumni, students, professors and administrators--works together. Pharmacologicstudies indicate that there may be additive effects in prolonging av conduction when using beta-blockers or digitalis concomitantly with cardizsm and carisoprodol. Tablet splitting required rosuvastatin CRESTOR Cholesterol Absorption Inhibitor ezetimibe ZETIA PA ; Miscellaneous fenofibrate, micronized TRICOR # gemfibrozil * 600mg only ; LOPID niacin, ext. rel. Requires Rx SLO-NIACIN OTC ; ezetimibe-simvastatin VYTORIN BETA BLOCKERS Non-Cardioselective propranolol * INDERAL pindolol * propranolol, ext. rel. INDERAL LA propranolol, ext. rel. INNOPRAN XL nadolol * CORGARD Cardioselective atenolol * TENORMIN metoprolol * LOPRESSOR metoprolol ext. rel. TOPROL XL carvedilol COREG acebutolol * SECTRAL Beta Alpha labetalol * TRANDATE CALCIUM CHANNEL BLOCKERS verapamil * CALAN verapamil ext. rel * CALAN SR nifedipine ext. rel. * ADALAT CC nisoldipine generic copay ; SULAR amlodipine NORVASC diltiazem * CARDIZEM diltiazem ext. rel. * CARDIZEM CD CARDIAC GLYCOSIDES digoxin * LANOXIN NTI ; DIURETICS Loop Diuretics furosemide * LASIX bumetanide * BUMEX Potassium Sparing Diuretics spironolactone * ALDACTONE triamterene hctz * DYAZIDE triamterene hctz * MAXZIDE Thiazide and Related Diuretics chlorthalidone * HYGROTON 25mg and 50mg only ; hydrochlorothiazide * HYDRODIURIL metolazone * ZAROXOLYN Combination Products atenolol chlorthalidone * TENORETIC lisinopril hctz * ZESTORETIC quinapril hctz ACCURETIC bisoprolol hctz * ZIAC captopril hctz * CAPOZIDE NITRATES Oral isosorbide dinitrate oral * ISORDIL nitroglycerin ext. rel.

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