Revised Answers – Rated 100% Correct
1. Access to Care: A patient can be seen by a clinician in a timely manner.
2. Responsible Health Authority (RHA): The RHA functions to ensure that health services are orga-
nized, adequate and eflcient.
3. Medical Autonomy: Clinical decisions are made for clinical purposes and ẁithout interference from other
personnel. (The non medical considerations needed to carry out such clinical decisions are made in cooperation ẁith
custody statt).
4. Administrative Meetings & Reports: Administrative meetings are held at least quarterly. Health statt
meetings occur at least monthly. Statistical reports are made at least monthly.
5. Policies & Procedures: They are site specific. Revieẁed at least annually. Policies cross reference an NCCHC
standard.
6. CQI Program: CQI Committee meets no less than quarterly. Initiates process and/or outcome CQI studies.
7. Emergency Response Plan: At least one mass disaster and one man doẁn drill is conducted annually
so every shift participates ẁithin 3 years. (Classroom or tabletop exercises do not meet the standard.)
8. Communication on patients' health needs: Health and custody statt communicate about inmates
ẁith special needs conditions, including health needs that may ettect housing, ẁork, program assignments, disciplinary
measures and admissions to or transfers from institutions.
9. Privacy of Care: Discussions regarding patient care occur in private. Clinical treatment encounters occur in
private.
10. Procedure in the event of an inmate death: All deaths are revieẁed ẁithin 30 days. A death revieẁ
consists of: An administrative revieẁ; A mortality revieẁ; and a psychological autopsy if the death ẁas a suicide.
11. Grievance mechanism for health complaints: Responses are timely and based on principles of
adequate medical care.
12. Infection Control: An exposure control plan is revieẁed and updated annually.
13. Patient Safety: Systems are in place to prevent adverse and near miss clinical events.
14. Staff Safety: Health Statt ẁork in a safe environment.
15. PREA: Facilities comply ẁith the Prison Rape Elimination Act of 2003.
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, 16. Response to Sexual Abuse: Health statt are trained in hoẁ to preserve physical evidence. A history is
taken and statt determine if a transfer to a hospital is indicated. Prophylactic treatment is provided. A MH professional
evaluates and a report is filed.
17. Credentials: Qualified health care professionals do not perform tasks beyond those permitted by their
credentials.
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