Access to Care - ANSWER A patient can be seen by a clinician in a timely manner.
Responsible Health Authority (RHA) - ANSWER The RHA functions to ensure that
health services are organized, adequate and efficient.
Medical Autonomy - ANSWER Clinical decisions are made for clinical purposes
and without interference from other personnel. (The non medical considerations
needed to carry out such clinical decisions are made in cooperation with custody
staff).
Administrative Meetings & Reports - ANSWER Administrative meetings are held at
least quarterly. Health staff meetings occur at least monthly. Statistical reports are
made at least monthly.
Policies & Procedures - ANSWER They are site specific. Reviewed at least
annually. Policies cross reference an NCCHC standard.
CQI Program - ANSWER CQI Committee meets no less than quarterly. Initiates
process and/or outcome CQI studies.
Emergency Response Plan - ANSWER At least one mass disaster and one man
down drill is conducted annually so every shift participates within 3 years.
(Classroom or tabletop exercises do not meet the standard.)
Communication on patients' health needs - ANSWER Health and custody staff
communicate about inmates with special needs conditions, including health needs
that may effect housing, work, program assignments, disciplinary measures and
admissions to or transfers from institutions.
Privacy of Care - ANSWER Discussions regarding patient care occur in private.
Clinical treatment encounters occur in private.
Procedure in the event of an inmate death - ANSWER All deaths are reviewed
within 30 days. A death review consists of: An administrative review; A mortality
review; and a psychological autopsy if the death was a suicide.
Grievance mechanism for health complaints - ANSWER Responses are timely and
based on principles of adequate medical care.
Infection Control - ANSWER An exposure control plan is reviewed and updated
annually.
Patient Safety - ANSWER Systems are in place to prevent adverse and near miss
clinical events.
, Staff Safety - ANSWER Health Staff work in a safe environment.
PREA - ANSWER Facilities comply with the Prison Rape Elimination Act of 2003.
Response to Sexual Abuse - ANSWER Health staff are trained in how to preserve
physical evidence. A history is taken and staff determine if a transfer to a hospital is
indicated. Prophylactic treatment is provided. A MH professional evaluates and a
report is filed.
Credentials - ANSWER Qualified health care professionals do not perform tasks
beyond those permitted by their credentials.
Clinical Performance Enhancement - ANSWER Performance of direct patient care
clinicians are reviewed at least annually.
Professional Development - ANSWER Full time qualified health care professionals
obtain 12 hours of continuing education per year or if they are a CCHP
Health Training for Correctional Officers - ANSWER Received every 2 years by at
least 75% from each shift
Medication administration training - ANSWER Correctional or health staff who
administer medication are permitted to do so and are trained as needed.
Inmate workers - ANSWER Inmates do not provide health care services.
Staffing - ANSWER The health care delivery system has sufficient numbers and
types of health staff to care for the inmate population. (staffing plan)
Health Care Liaison - ANSWER Coordinates health services when no qualified
health care professional is available for 24 hours. May be a CO or other non-licensed
person.
Orientation for Health Staff - ANSWER Orientation lesson plan is reviewed once
every 2 years. Basic orientation on the first day. In depth orientation within 90 days.
Pharmaceutical operations - ANSWER Complies with all DEA and federal
regulations. Formulary, Dispensing and Administering.
Medication services - ANSWER Prescription medications are administered only on
the order of a physician, dentist or legally authorized individual.
Clinic space, equipment and supplies - ANSWER Facilities have minimal and basic
space, equipment and supplies.
Diagnostic services - ANSWER There is a procedure manual for each service.