NCCHC Administration Questions and Correct Answers

Access to care standard - inmates have access to care for their serious medical, dental, and mental health needs Grievance should be review at least - annually or sooner if a trend is noted. Access to care definition - access to care means that in a timely manner, a patient can be seen by a qualified care professional, is rendered a clinical judgment, and received care that is ordered. US supreme court 1976 landmark case Estelle v. Gamble - inmate must have access to care to meet their serious health needs. Unreasonable barrier to inmate access to care - a. Punishing inmate for seeking care for their health needs. B. Assessing excessive fees that prevent or deter inmates from seeking care for their health needs. C. Deterring inmate from seeking care for their health needs e.g. Holding sick call at 2 a.m. When this practice is not reasonably related to the needs of the facility. D. Having an understaffed, underfunded, poorly organized system with the result unable to provide appropriate and timely access. E. Having utilization review process that inappropriately delays or denies necessary health. RHA standard - ensures that the facility maintains a coordinated system for health care delivery. RHA responsibilities - are documented in a written agreement, contract, job description RHA must be onsite - weekly Where there is a separate organizational structure for mental health there is - a designated mental health clinician Where there is a separate organizational structure for dental there is - a designated dental clinician