Access to Care - ANSWER A patient can be seen by a clinician in a timely manner.
Responsible Health Authority (RHA) - ANSWER The RHA functions to ensure that health
services are organized, adequate and efficient.
Medical Autonomy - 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 - ANSWER Administrative meetings are held at least
quarterly. Health staff meetings occur at least monthly. Statistical reports are made at least
monthly.
Policies & Procedures - ANSWER They are site specific. Reviewed at least annually.
Policies cross reference an NCCHC standard.
CQI Program - ANSWER CQI Committee meets no less than quarterly. Initiates process
and/or outcome CQI studies.
Emergency Response Plan - 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 - 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.
1
, Privacy of Care - ANSWER Discussions regarding patient care occur in private. Clinical
treatment encounters occur in private.
Procedure in the event of an inmate death - 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 - ANSWER Responses are timely and based
on principles of adequate medical care.
Infection Control - ANSWER An exposure control plan is reviewed and updated annually.
Patient Safety - ANSWER Systems are in place to prevent adverse and near miss clinical
events.
Staff Safety - ANSWER Health Staff work in a safe environment.
PREA - ANSWER Facilities comply with the Prison Rape Elimination Act of 2003.
Response to Sexual Abuse - 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.
Credentials - ANSWER Qualified health care professionals do not perform tasks beyond
those permitted by their credentials.
Clinical Performance Enhancement - ANSWER Performance of direct patient care
clinicians are reviewed at least annually.
2
Responsible Health Authority (RHA) - ANSWER The RHA functions to ensure that health
services are organized, adequate and efficient.
Medical Autonomy - 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 - ANSWER Administrative meetings are held at least
quarterly. Health staff meetings occur at least monthly. Statistical reports are made at least
monthly.
Policies & Procedures - ANSWER They are site specific. Reviewed at least annually.
Policies cross reference an NCCHC standard.
CQI Program - ANSWER CQI Committee meets no less than quarterly. Initiates process
and/or outcome CQI studies.
Emergency Response Plan - 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 - 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.
1
, Privacy of Care - ANSWER Discussions regarding patient care occur in private. Clinical
treatment encounters occur in private.
Procedure in the event of an inmate death - 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 - ANSWER Responses are timely and based
on principles of adequate medical care.
Infection Control - ANSWER An exposure control plan is reviewed and updated annually.
Patient Safety - ANSWER Systems are in place to prevent adverse and near miss clinical
events.
Staff Safety - ANSWER Health Staff work in a safe environment.
PREA - ANSWER Facilities comply with the Prison Rape Elimination Act of 2003.
Response to Sexual Abuse - 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.
Credentials - ANSWER Qualified health care professionals do not perform tasks beyond
those permitted by their credentials.
Clinical Performance Enhancement - ANSWER Performance of direct patient care
clinicians are reviewed at least annually.
2
