Vita Of James C. Welch

Work Experience:

September 17, 2020 – Present: Court Appointed Independent Monitor for the Hampton Roads Regional Jail Board. Responsible for reviewing and reporting to the Court on HRRJB’s implementation of, and assisting with HRRJB’s compliance with, the Settlement Agreement, U.S. vs Hampton Roads Regional Jail Board. The Hampton Roads Regional Jail Board entered into a Settlement Agreement relating to medical, mental health, restrictive housing, and suicide prevention services provided to inmates incarcerated at the Hampton Roads Regional Jail.

September 9, 2019 – Present: Consultant, U. S. Department of Justice, Office of Justice Programs, Civil Rights Division, Section of Disability Rights. Responsible for evaluating and reviewing health care at prison/Jail sites as directed by attorneys with the DOJ.

March 13, 2017 – January 2023: American Correctional Association Auditor. Responsible for reviewing compliance with ACA Standards for both Adult and Juvenile Facilities. Performance-Based Standards are used for accreditation which address services, programs, and operations essential to good correctional management. On the audit team my focus is on life, health and safety standards. Work with ACA nursing committee on certification standards for correctional nursing and correctional nursing management. Trainer for ACA on Hepatitis C and correctional nurse management.

June 1, 2015 – Present: Nurse Consultant, Third Party Jail and Prison Contract Reviewer, Nurse Expert Witness, Nurse Trainer/Educator, Corrections and Public Health.

October 1, 2013 – November 1, 2018: Court Appointed Independent Monitor for the Piedmont Regional Jail Authority. Responsible for reviewing and reporting to the Court on PRJA’s implementation of, and assisting with PRJA’s compliance with, the Settlement Agreement, U.S. vs Piedmont Regional Jail Authority. The Piedmont Regional Jail Authority entered into a Settlement Agreement relating to medical, mental health, and suicide prevention services provided to inmates incarcerated at the Piedmont Regional Jail.

December 9, 2014 – December 30, 2016: Consultant, U. S. Department of Justice, Civil Rights Division, Section of Disability Rights. Responsible for evaluating and reviewing health care at prison sites as directed by attorneys with the DOJ.

January 2009 –June 2015: Chief, Bureau of Correctional Healthcare Services, Delaware Department of Correction. Appointed by Governor Jack Markell. Responsible for day-to-day operation of all physical and mental health care, along with all substance abuse programs provided in all Correctional Institutional settings. Delaware has a unified Correction system. This system includes those who are detentioners, pre-trial and sentenced offenders. I oversaw the creation of the first Bureau of Correctional Healthcare services in the DOC. This new Bureau’s consists of 14 positions including Medical director, advanced practice nurse, compliance coordinator, mental health and substance abuse administrators and quality assurance administrator. The Bureau oversees contracts for Medical, mental health and substance abuse contracts by private vendors. Delaware has been under a Department of Justice Memorandum of Agreement since December 2005. I have overseen the establishment of criteria for assuring that all issues identified by the DOJ MOA were addressed and the quality of care improved. Delaware was released from the MOA December 2012. Spearheaded the effort to create, with the Delaware General Assembly approval, an RFP for an Electronic Medical Record within the Department of Correction. Bureau Budget of 54 million.

April 2012 – July 2012: Acting Deputy Commissioner Delaware Department of Correction Providing assistance to the Commissioner of Correction on day to day operations and activities within the Department. Acting on behalf of the Commissioner as necessary during absences of the Commissioner. Providing legislative assistance for issues related to the Department.

November 2011 – December 2013: Nurse Consultant for Nakamoto Inc. Providing consultation services by evaluating detention centers throughout the US for compliance with ICE standards.

July 2009 – November 2011: Nurse consultant for MGT of America. Provided consultation services by evaluating detention centers throughout the US for compliance with ICE standards.

November 2005 –December 2008: Director Office of Health Services- Appointed by Governor Ruth Ann Minner to oversee the creation of a Medical Unit in the Delaware Department of Correction. This was the first unit that had medical professionals overseeing the care and treatment of Delaware’s incarcerated population. This was a direct result of the Federal Department of Justice investigation into the care and treatment of incarcerated individuals in Delaware. Provided direction for the assessment of the current system and recommended systems for the future merging of care into a medical complex to house over 500 offenders in need of medical and psychiatric treatment. This would include a long term care and assisted living facility.

September 1999 – October 2000: Nurse consultant for WESTAT. Provided consultation services by assisting in the development of existing HIV evaluation materials and those that were in development that could be used by diverse organizations. Identified materials appropriate for use by each target audience, identifying gaps, and recommending was to translate materials to a different media, format, or level of comprehensibility appropriate to each target audience.

July 1995 – November 2005: Director HIV/STD/Hep C Programs Division of Public Health & State AIDS Coordinator, Department of Health and Social Services. Responsible for day to day operation of all HIV/STD/Hep C and AIDS Programs including CDC HIV Prevention and STD grants, HRSA Ryan White grants and Medicaid AIDS waiver case management programs conducted by the Division of Public Health. Was appointed as a Liaison to the Responsible for the policy and planning of HIV/STD/Hep C activities. Supervised central office staff of 22. Federal grants total over $10 million. Also, worked with the National Alliance of State and Territorial AIDS Directors as part of their Global Technical Assistance Program in Ethiopia, Cambodia and the Caribbean. During these visits assessments were made of the needs of prevention and treatment programs in each country or region

February 1992 – July 1995: State AIDS Activities Coordinator, Department of Health & Social Services, Division of Public Health. Responsible for the coordination and planning of comprehensive HIV/AIDS service delivery for the State of Delaware. Oversight of Ryan White Care Act, HRSA, and other monies granted Delaware for HIV/AIDS service delivery. Staff the AIDS Advisory Task Force, the HIV Care Consortium and coordinate activities such as the Annual HIV/AIDS Awareness Week Conference. Responsible for creating the HIV/AIDS Comprehensive 5 Year Plan for the state of Delaware.

January 1991 -February 1992: Clinic Manager, Milford Health Unit, Southern Health Services, Division of Public Health, Delaware. Responsible for the general oversight and planning of the Milford Public Health Clinic. Day to day operations and long term planning for community needs in Milford and Public Health’s response. Supervised a staff of 25. Enhanced DPH involvement with Smart Start program for pregnant women. Instituted total quality management program and team building. Continued as the HIV Prevention Program Director

May 1986-December 1990: Director of the AIDS Program Office, Division of Public Health, State of Delaware. Oversaw a staff of 22 in providing: HIV counselling & testing, quality assurance and support, health education & risk reduction including the training of professional staff, case management for people with HIV/AIDS, surveillance, and administering grants to community based organizations. Responsible for writing all grants for the A.P.O., management of resources, evaluation of all programmatic areas, and its finances. Oversaw growth of budget from $35,000 to over $1,160,000.

May 1985- April 1986: State of Delaware, Division of Public Health, Consultant & Coordinator for the Alternate Test Site Program and AIDS related activities. Helped to plan the growth and development of an AIDS Program Office out of the Alternate Test Site Program.

September 1983- May 1985: Sun Refining & Marketing, Marcus Hook, Pennsylvania, Relief Nurse, half-time. Industrial nursing including; ECGs, audiograms, pulmonary function studies, and routine physical exams.

September 1982- May 1985: Pyramid Temporary Services, Wilmington, Delaware. Experience in a variety of settings such as: Pennsylvania Shipbuilding, Chester, Pennsylvania; Allied Chemical, Marcus Hook, Pennsylvania; and Staff Charge positions at Nursing & Convalescent facilities in Delaware & Pennsylvania.

July 1981- August 1982: Veterans Administration Medical Center, Philadelphia, Pennsylvania, Head Nurse of a 40 bed acute General/Vascular Surgical Unit with a staff of 30. In addition to the standard duties of a Head Nurse, I also prepared the quarterly budget for the Unit, evaluated the staff’s performance, managed all discharge planning, and coordinated research projects on the Unit.

December 1979- July 1981: Veterans Administration Medical Center, Wilmington, Delaware, Staff Nurse: Medical, Telemetry, Surgery.

June 1977- December 1979: Veterans Administration Medical Center, Wilmington, Delaware, Nursing Assistant: Medical unit and float to Surgical and other units.

September 1975- June 1977: Veterans Administration Medical Center, Albany, New York, Nursing Assistant, Drug/Alcohol Detox Unit.

June 1973- July 1975: Peace Corps, Ethiopia, Middle School Science Teacher, and Research Assistant handling the clinical end of a study on the treatment of Gonorrhoea at the Addis Ababa Clinic in cooperation with NAMRU & WHO, listed as an author of the paper from the study. Also assisted with a study on Relapsing Fever.

Educational Background:

May 1998: Completed all requirements for and received, Certification in Holistic Nursing, American Holistic Nurses’ Credentialing Association

May 1998: Completed Phase IV of Certification Program in Holistic Nursing, American Holistic Nurses’ Association

August 1997 – May 1998: Completed Phase III of Certification Program in Holistic Nursing, American Holistic Nurses’ Association.

February 1997 – May 1997: Completed Phases I & II of Certificate Program in Holistic Nursing, American Holistic Nurses’ Association.

September 1982- December 1985: University of Delaware, Newark, Delaware, 12 credits towards a MEd with an emphasis in science education, life sciences in particular.

January 1977- December 1978: Nursing School of Wilmington, Delaware, Nursing Diploma.

September 1969- May 1973: Valparaiso University, Valparaiso, Indiana, Bachelors in Life Sciences, Minors in Biology & Chemistry.

September 1965-June 1969: Pascack Hills High School, Montvale, N J, Diploma.

Licenses and Certifications:

Delaware, Registered Nurse, License # L1 0013547 ’80-’25

Pennsylvania, Registered Nurse, License # RN 256060 L ’80-’25

Holistic Nurse Certified (HNB-BC), American Holistic Nurses’ Certification

Corporation, # 294, ’99 – ‘24

U.S. Immigration and Customs Enforcement (ICE) Compliance Reviewer Certification. (Required for review of ICE Detention facilities.) July 2011

Human Subjects Reviewer Certification. (Required for anyone sitting on a Human Subjects Review Panel) March 2011

Accomplishments, & Activities:

Board of Directors, Secretary, American Holistic Nurses Credentialing Corporation, 2022 – 2025
Equality, Equity, Diversity, Inclusion, and Social Justice Committee AHNCC Co-Chair 2022 – Present
Reviewer, Accreditation Board for Specialty Nursing Certification, 2022 – present
Associate Member, Coalition of Correctional Health Authorities, American Correctional Association, 2016-Present
Chair, Coalition of Correctional Health Authorities, American Correctional Association, 2013 – 2015
Chair, Health Committee, American Correctional Association, 2010- 2013
Coalition of Correctional Healthcare Authorities (CCHA), American Correctional Association. This is a peer group appointed by each State or jurisdiction as the responsible Health Authority for that particular jurisdiction. 2006 – 2015
Consultant Nakamoto Group, to provide ICE detainee inspections. 2011 – 2014
Consultant MGT International, Consultant to provide ICE Detainee inspections. 2009 – 2011
Co-Chair Practice Committee, American Holistic Nurses’ Association 2012 – 2014, member 2011 – present
Human Subjects Review Board, Department of Health and Social Services, Delaware,

Member, ’04 – 2015

Sussex Technical High School, School Based Wellness Center Advisory Board, ’95- ‘15
Consultant, Assessment of HIV Care and Prevention Programs, Ethiopia, Cambodia, Guyana, Jamaica, Barbados National Alliance of State and Territorial AIDS Directors, ’00 – ‘05
Chair, National Alliance of State and Territorial AIDS Directors, ‘00 – ’01
Executive Committee, National Alliance of State and Territorial AIDS Directors, ‘97 – ’05
Executive Committee, National Coalition of STD Directors, “98-“99
Consultant – CDC – Developing national HIV Counselling and Testing Guidelines, ’98-’99
Board of Trustees, Delaware HIV Care Consortium, ‘92- ‘01
Secretary, Delaware HIV Consortium, ‘94 – ’99
Co-chair, Prevention Committee, Delaware HIV Consortium, ‘95 – ’99, ’03 –‘05
Secretary, Assembly of the Sacred Wheel, High Priest Troupe of the Starry Door, ’90 – present
HRSA, DHS, Title I supplemental external grant reviewer, ‘96 – ‘97, ’00, ‘01
Staff for Steering Committee- Delaware HIV/AIDS Comprehensive Planning Committee
Member, Community Advisory Board, CPCRA, Medical Center of Delaware, ‘92- ‘96
Chair, Delaware Nurses’ Association Division on Legislation, ‘93-’95
Chair, Delaware Nurses’ Association Ethics & Human Rights Committee, ‘92-’94
Delaware Nurses’ Association, Corresponding Editor The Reporter , ’89-’91, Ad Hoc Committee on Human Rights, Chair 8/85- 8/86, Ethics and Human Rights Committee 2/92- 10/04, Treasurer, 9/81-11/84. Delaware Impaired Nurse Task Force, 3/83- 9/84. Legislative Cabinet 10/83-6/86, 6/88-10/93, Finance Committee 9/81- 10/86, DNA Board of Directors 1/81 – 11/84 & 4/90 – 10/93.
Delaware Dept. of Health & Social Service,Management Intern, 1/91-6/91
Westside Health Center (Delaware Nursing Centers, Inc.), Board Member 10/83- 1/85. Health care on a sliding scale in a medically underserved area in downtown Wilmington.
ACLU Of Delaware, Board member ’88 – ’96, ’00 – 05. Vice President ’97 – ‘99
Delaware Board of Nursing, NCLEX Exams, Proctor, ’83-’85
Delaware’s Sixth Annual HIV/AIDS Conference, Chair/Moderator, Oct. 13, 1992
National Commission on AIDS, presenter on AIDS Care and Financing, Nov. 2, 1989.
AIDS Advisory Task Force, State of Delaware, Member 1/86- 10/88;

Consultant 10/88-2/92; staff: 2/92-’95

American Nurses’ Association, Cabinet on Human Rights, Member, 6/84- 6/88, Chair of the Cabinet on Human Rights Sub-committee on AIDS activities, 10/85-6/88.
DHSS/HRSA Multidisciplinary Taskforce On HIV & Medical Education, DC, ’87-’88
A.N.A.’s representative in meetings with former Surgeon General C.E. Koop as part of the preparation of the Surgeon General’s Report On AIDS, ’87
Medical Society of Delaware’s Blue Ribbon AIDS Commission, ’87-’88
Del. Dept. Serv. for Children, Youth, & Their Families, AIDS Task Force, Member ’86-’89.
J.B. Lippincott Co. publishing house, reviewer of AIDS/HIV manuscripts ’87- ’97.

Honors:

Inducted as a Scholar in the Global Academy of Holistic Nursing, June – 2023
ACA, Coalition of Correctional Health Authorities Leadership Award – 2014
Employee of the Year, Department of Correction – 2007
Red Ribbon Award for community Service Beautiful Gate Outreach Center – 2006
HRSA Nicholas Rango Award for Title II State Service to PWA’s, 2004
HRSA Professional service award for excellence in program service delivery, 1996
Professional Service Award for outstanding commitment to the fight against HIV/AIDS, 9th Annual HIV/AIDS conference 1995
Delaware Award for Excellence and Commitment in State Service, group recipient HIV C/T services 1992
Award for Excellence in Nursing Practice, October 22, 1987. Nominated for Delaware Nurse of the Year ’89.
Immanuel Metropolitan Community Church Founders Day Award 1986
Eagle Scout, Order of the Arrow and God and Country Award, Boy Scouts of America ’69.

Sample Of Programs and Published Articles:

Conversation Corners, AHNCC, Correctional Nursing, Is It Public Health Nursing in an Institution; February 21, 2023
Management Withdrawal and CIWA/COWS Assessment, training for nurses, L.A. County Jail; March 3, 4, 2020
Hepatitis C training for nurses, American Correctional Association; January 5, 2018 – December 31, 2019
Health Care Reform, 141^st Congress on Correction, American Correctional Association; August 8, 2011
Hepatitis C A state perspective, American Correctional Association, Congress of Correction, January 2012
6 for 1 Correctional Recovery Program for Detentioners, American Correctional Association Spring Conference, August 13, 2013
Discharge Planning for the Chronically Ill Offender, 144^th Congress on Correction, American Correctional Association, August 16, 2014
Developing Connectivity: Innovations in Discharge Planning and Re-entry, National Commission on Correctional Healthcare Spring Conference; April 13, 2015
The Perfect Path for Me, American Holistic Nurses Association Beginnings; Vol. 29, No. 1Winter 2009, 19-19
STD/HIV Programs in Department of Correction Facilities, American Correctional Association Congress, 01/08
HRSA All Titles Meeting, Best Practices for Delivering ADAP Services, 08/04
ReAwakening The Heart of Nursing, Georgetown, DE, 05/03
HRSA All Titles Meeting, Delaware Model for Case Management, 08/02
HRSA All Titles Meeting, ADAP Challenges for Adherence, 08/02
CDC Client Centered HIV Counseling and Testing Training,10/00
Ethics and AIDS, Medical Scholars program, University of Delaware, “96-’99
HIV Update, The Whole Spectrum, Division of Alcoholism, Drug Abuse and

Mental Health May ’99

Legal Issues, AIDS and Confidentiality, Client Centered Counselling, ‘96-“01
Wholism, Whole Living, Retreat, Assembly of the Sacred Wheel 10/98
Ethical Issues in Holistic Healing, Sacred Space Conference 7/98
HIV/AIDS 1996, Families in Crisis Conference, 5/96
Perspectives on Quality, Delaware Association for Healthcare Quality,4/94
AIDS in the Family, Family in Crisis Conference, Delaware Technical & Community College, 5/93
Ethics in the Hospital Setting, Riverside Hospital, Wilmington, DE. 4/93
AIDS Update, Widener Law School, 11/92
Ethical Issues Facing Delaware educators, Delaware Society For Healthcare Education

and Training, 10/92

HIV: Cutting Edge Issues, Delaware Nurses’ Association/Army Reserves,7/92
Health Issues for Delawareans, Candidate Caucus for Democratic Challengers, 7/92
HIV Seroprevalence Survey, Delaware, Ward, F Myers, JC Welch, PR Silverman, M Moyer, LWright, Delaware Medical Journal 1991; 63: 19-26
Ethics & Human Rights, DNA Spring Convention, 5/91
Workshop: Effectuating Change, AIDS Awareness Week Conf.,U. of DE., 10/89
AIDS & the IVDU, The Drug & Alcohol Nursing Association, King of Prussia,PA 9/89
Public Participation: Effectuating Change,HIV/AIDS Minority Conference Wash.D/C 8/89
Fighting The HIV Epidemic In Rural America, NLGHF Conference 4/89
AIDS- Beyond The Basics, AIDS Awareness Week Conference, U. of D., Coordinated conference, ’87 & ’88
AIDS and Minority Youth, 50001 Club, Wilmington, DE, 9/88
AIDS in the Mid Atlantic, American Chemical Society, Millersville College, PA., 5/88
Forum On Issues In Delaware, Delaware Paralegal Association, Wilmington, DE., 5/88
The Psychological Aspects of AIDS, Delaware Psychological Assoc., Newark, DE., 3/88
Nursing & Politics-Being a Politically Active Nurse, Wilmington College, 3/88
AIDS in the Long Term Care Facility, Del. Hospital for the Chronically Ill, Smyrna DE.
Civil Liberties & AIDS, ACLU Annual Meeting, 1/88
AIDS In The Acute Care Setting, Beebe Hospital,Lewes, Delaware, 7/87.
Presentation On Homosexuality, U. of D. Foundations of Human Sexuality course ’82, ’84, ’87, ’88
Update On AIDS, for the Mid-Atlantic Region of the Nat’l Assoc. of Disability Examiners, 6/87.
The Black Community & AIDS,Delta Sigma Theta & local Minority Physicians, 5/87.
HIV Counselling Issues for Health Care Providers, Md. Dept. of Public Health,4/87.
AIDS:Implications For Maternity & Pediatric Nursing, Medical Center of Del., 3/87.
Legal Issues, Confidentiality, & AIDS,APIC Conference on AIDS, De., 2/87.
The Effects Of The AIDS Crisis On The Wellness Paradigm, Public School Educators, 1/87.
Communicating AIDS Information Effectively, Wilmington, De., 7/86.
AIDS in the Acute Care Facility, the Medical Center of Delaware, 5/86.
AIDS: Emerging Ethical Issues, Delaware State College, 4/86.
AIDS Seminar For Social Workers, Buena Vista, Delaware, 12/85.

References:

Available upon request for any of my areas of activity.