2026\2027 A+ Grade
A patient can be seen by a clinician in a timely manner.
- correct answer Access to Care
The RHA functions to ensure that health services are organized, adequate and efficient.
- correct answer Responsible Health Authority (RHA)
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).
- correct answer Medical Autonomy
Administrative meetings are held at least quarterly. Health staff meetings occur at least monthly.
Statistical reports are made at least monthly.
- correct answer Administrative Meetings & Reports
They are site specific. Reviewed at least annually. Policies cross reference an NCCHC standard.
- correct answer Policies & Procedures
CQI Committee meets no less than quarterly. Initiates process and/or outcome CQI studies.
- correct answer CQI Program
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.)
- correct answer Emergency Response Plan
, 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.
- correct answer Communication on patients' health needs
Discussions regarding patient care occur in private. Clinical treatment encounters occur in private.
- correct answer Privacy of Care
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.
- correct answer Procedure in the event of an inmate death
Responses are timely and based on principles of adequate medical care.
- correct answer Grievance mechanism for health complaints
An exposure control plan is reviewed and updated annually.
- correct answer Infection Control
Systems are in place to prevent adverse and near miss clinical events.
- correct answer Patient Safety
Health Staff work in a safe environment.
- correct answer Staff Safety
Facilities comply with the Prison Rape Elimination Act of 2003.
- correct answer PREA
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.
- correct answer Response to Sexual Abuse
Qualified health care professionals do not perform tasks beyond those permitted by their credentials.
- correct answer Credentials