©JASONMcCONNELL 2024/2025 ALL RIGHTS RESERVED 1/28/2025.
NCCHC Practice Exam Study Guide 100%
Verified. 2025
Access to Care - Answer✔In a timely manner, a patient is seen by a qualified health care
professional, is rendered a clinical judgement, and receives care that is ordered. Patients are
given ___________________ for their serious medical, dental and mental health.
Responsible Health Authority (RHA) - Answer✔Responsible for identifying and eliminating any
unreasonable barriers, intentional and unintentional, to inmate patients receiving health care.
They ensure the organization and delivery of all health care services at the facility.
Estelle v. Gamble (1976) - Answer✔U.S. Supreme Court case that NCCHC makes
recommendations for managing Access to Care
Unreasonable Barriers for access to care - Answer✔1) Punishing inmates for seeking care for
their health needs
2) Assessing excessive fees that prevent or deter inmates from seeking care
3) Holding sick call at an unreasonable time (2am)
4) Having an understaffed, underfunded, or poorly organized system
5) Having a utilization review process that inappropriately delays or denies necessary health care
How often must the RHA be on-site? - Answer✔Weekly
Responsible Physician - Answer✔Final clinical judgments rest with a single, designated
_______________________. This individual is a MD or DO available to the facility frequently
enough to fulfill this position's clinical and administrative responsibilities.
Who can a RHA be? - Answer✔Physician, health services administrator or agency
How often must the RHA be present if they are an agency? - Answer✔Weekly - with a
designated individual at the local level to ensure policies are carried out
Health Care - Answer✔The sum of all actions, preventative and therapeutic, taken for the
physical and mental well-being of a population. This includes medical, dental, mental health,
nutrition, and other ancillary services as well as maintaining clean and safe environmental
conditions.
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, ©JASONMcCONNELL 2024/2025 ALL RIGHTS RESERVED 1/28/2025.
Designated Mental Health Clinician - Answer✔A psychiatrist, psychologist, or psychiatric social
worker who is responsible for clinical mental health issues when mental health services at the
facility are under a different authority than medical services
Designated Dental Clinician - Answer✔A DMD or DDS who is responsible for dental issues
when dental services at the facility are under a different authority than medical services
Health Services Administrator - Answer✔A person who by education, experience or certification
(e.g. MSN, MPH, MHA, FACHE, CCHP) is capable of assuming responsibility for arranging all
levels of health care and ensuring quality and accessible health services for inmates
Qualified Health Care Professionals - Answer✔Include physicians, physician assistants, nurses,
nurse practitioners, dentists, mental health professionals, and others who by virtue of their
education, credentials, and experience are permitted by law to evaluate and care for patients
Custody Staff - Answer✔Includes line security as well as correctional administration
Health Staff - Answer✔Includes all full-time, part-time, and per diem qualified health care
professionals as well as administrative and support staff (e.g. health records administrators,
laboratory technicians, nursing and medical assistants, clerical workers)
Administrative Meetings - Answer✔Held at least quarterly and are attended by correctional
administration, RHA and other health care team members as appropriate. Minutes are recorded
and made available for appropriate staff
Health Staff Meetings - Answer✔Should occur MONTHLY (or more frequently) to address
pertinent health care issues. Minutes are recorded and made available for appropriate staff
Statistical Reports - Answer✔Performed Monthly to monitor trends in the delivery of health care
Facility Staff - Answer✔Custody and health staff members
Correctional Administrator - Answer✔A person who oversees the daily operations of federal or
state prisons and county jails. They are responsible for managing the principles and practices of
correction, facilities planning and management, safety and security, social and health services,
staff and inmate management, budgeting, communications, correctional psychology, and
applications to specific types of correctional facilities.
How often should health care policies and procedures be reviewed? - Answer✔At least annually
by the RHA and responsible physician with signatures documenting the interaction.
Policy - Answer✔A facility's official position on an issue related to its operations
Procedure - Answer✔Describes in detail, sometimes in sequence, how a policy is to be carried
out
Continuous Quality Improvement (CQI) program - Answer✔Monitors and improves health care
delivered in the facility
2|Page
NCCHC Practice Exam Study Guide 100%
Verified. 2025
Access to Care - Answer✔In a timely manner, a patient is seen by a qualified health care
professional, is rendered a clinical judgement, and receives care that is ordered. Patients are
given ___________________ for their serious medical, dental and mental health.
Responsible Health Authority (RHA) - Answer✔Responsible for identifying and eliminating any
unreasonable barriers, intentional and unintentional, to inmate patients receiving health care.
They ensure the organization and delivery of all health care services at the facility.
Estelle v. Gamble (1976) - Answer✔U.S. Supreme Court case that NCCHC makes
recommendations for managing Access to Care
Unreasonable Barriers for access to care - Answer✔1) Punishing inmates for seeking care for
their health needs
2) Assessing excessive fees that prevent or deter inmates from seeking care
3) Holding sick call at an unreasonable time (2am)
4) Having an understaffed, underfunded, or poorly organized system
5) Having a utilization review process that inappropriately delays or denies necessary health care
How often must the RHA be on-site? - Answer✔Weekly
Responsible Physician - Answer✔Final clinical judgments rest with a single, designated
_______________________. This individual is a MD or DO available to the facility frequently
enough to fulfill this position's clinical and administrative responsibilities.
Who can a RHA be? - Answer✔Physician, health services administrator or agency
How often must the RHA be present if they are an agency? - Answer✔Weekly - with a
designated individual at the local level to ensure policies are carried out
Health Care - Answer✔The sum of all actions, preventative and therapeutic, taken for the
physical and mental well-being of a population. This includes medical, dental, mental health,
nutrition, and other ancillary services as well as maintaining clean and safe environmental
conditions.
1|Page
, ©JASONMcCONNELL 2024/2025 ALL RIGHTS RESERVED 1/28/2025.
Designated Mental Health Clinician - Answer✔A psychiatrist, psychologist, or psychiatric social
worker who is responsible for clinical mental health issues when mental health services at the
facility are under a different authority than medical services
Designated Dental Clinician - Answer✔A DMD or DDS who is responsible for dental issues
when dental services at the facility are under a different authority than medical services
Health Services Administrator - Answer✔A person who by education, experience or certification
(e.g. MSN, MPH, MHA, FACHE, CCHP) is capable of assuming responsibility for arranging all
levels of health care and ensuring quality and accessible health services for inmates
Qualified Health Care Professionals - Answer✔Include physicians, physician assistants, nurses,
nurse practitioners, dentists, mental health professionals, and others who by virtue of their
education, credentials, and experience are permitted by law to evaluate and care for patients
Custody Staff - Answer✔Includes line security as well as correctional administration
Health Staff - Answer✔Includes all full-time, part-time, and per diem qualified health care
professionals as well as administrative and support staff (e.g. health records administrators,
laboratory technicians, nursing and medical assistants, clerical workers)
Administrative Meetings - Answer✔Held at least quarterly and are attended by correctional
administration, RHA and other health care team members as appropriate. Minutes are recorded
and made available for appropriate staff
Health Staff Meetings - Answer✔Should occur MONTHLY (or more frequently) to address
pertinent health care issues. Minutes are recorded and made available for appropriate staff
Statistical Reports - Answer✔Performed Monthly to monitor trends in the delivery of health care
Facility Staff - Answer✔Custody and health staff members
Correctional Administrator - Answer✔A person who oversees the daily operations of federal or
state prisons and county jails. They are responsible for managing the principles and practices of
correction, facilities planning and management, safety and security, social and health services,
staff and inmate management, budgeting, communications, correctional psychology, and
applications to specific types of correctional facilities.
How often should health care policies and procedures be reviewed? - Answer✔At least annually
by the RHA and responsible physician with signatures documenting the interaction.
Policy - Answer✔A facility's official position on an issue related to its operations
Procedure - Answer✔Describes in detail, sometimes in sequence, how a policy is to be carried
out
Continuous Quality Improvement (CQI) program - Answer✔Monitors and improves health care
delivered in the facility
2|Page
