A+ Grade
Access to Care
- correct answer A patient can be seen by a clinician in a timely manner.
Responsible Health Authority (RHA)
- correct answer The RHA functions to ensure that health services are organized, adequate and efficient.
Medical Autonomy
- correct 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
- correct answer Administrative meetings are held at least quarterly. Health staff meetings occur at least
monthly. Statistical reports are made at least monthly.
Policies & Procedures
- correct answer They are site specific. Reviewed at least annually. Policies cross reference an NCCHC
standard.
CQI Program
- correct answer CQI Committee meets no less than quarterly. Initiates process and/or outcome CQI
studies.
Emergency Response Plan
- correct 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
- correct 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
- correct answer Discussions regarding patient care occur in private. Clinical treatment encounters occur
in private.
Procedure in the event of an inmate death
- correct 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
- correct answer Responses are timely and based on principles of adequate medical care.
Infection Control
- correct answer An exposure control plan is reviewed and updated annually.
Patient Safety
- correct answer Systems are in place to prevent adverse and near miss clinical events.
Staff Safety
- correct answer Health Staff work in a safe environment.
PREA
- correct answer Facilities comply with the Prison Rape Elimination Act of 2003.
Response to Sexual Abuse
- correct 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.