CCHP MH CORE MAIN QUESTIONS AND
ANSWERS SURE A+
✔✔Deadline for an initial mental health screening for a new admission? - ✔✔14 days
✔✔Deadline for oral screening by the dentist or quality health care professionals trained
by the dentist? - ✔✔Within 7 days of admission
✔✔Frequency of pick up for oral or written requests for health care? - ✔✔Daily by
qualified health care professionals and triaged within 24 hours
✔✔When does a face to face encounter have to happen between a patient and QHCP
after noting that a written/oral request describes clinical symptoms? - ✔✔Within 48
hours or 72 hours on weekends
✔✔Who is responsible for identifying and eliminating any barriers to inmates receiving
health care? - ✔✔Responsible Health Authority
✔✔Access to Care - ✔✔In a timely manner, a patient can be seen by a clinician, be
given a professional clinical judgment,and receive care that is ordered
✔✔Health care - ✔✔Sum of all actions, preventive and therapeutic, taken for the
physical and mental wellbeing of a population. Includes dental, medical, mental health,
nutrition, and other ancillary services, as well as maintaining a clean and safe
environment
✔✔Medical autonomy - ✔✔Clinical decisions and actions regarding health care are the
sole responsibility of the QHCPs--no interference from other personnel
✔✔How to address specific problems that arise with medical autonomy? - ✔✔Revised
policies and/or reviewed as part of the CQI program
, ✔✔Administrative Meetings - ✔✔Quarterly, facilitate health care delivery through joint
monitoring, planning, and problem resolution by health and correctional administrators
✔✔Changes to individual health service policies--documentation needs - ✔✔Dated and
signed individually by the RHA and responsible physician
✔✔CQI Program - ✔✔Identifies health care aspects to be monitored, implemented,
monitor corrective action, and studies effectiveness of CAP
✔✔Process CQI - ✔✔Examines the effectiveness of the health care delivery process.
Baseline of facility problem, developing an implementing a CAP, then restudying the
problem.
✔✔Outcome CQI - ✔✔Examines whether expected outcomes of patient care were
achieved by identifying a clinical care problem, conducting a baseline study, developing
and implementing a CAP, and restudying the problem
✔✔Essential element of CQI - ✔✔Monitoring of high risk, high volume, or problem-
prone aspects of health care. Success measured by relevance of study and
effectiveness of CAP.
✔✔NCCHC Performance Measures for evaluating health care programs -
✔✔Accessibility, Appropriateness of clinical decision making, continuity, timeliness,
effectiveness (outcomes), efficiency, quality of clinician-patient satisfaction, and safety
✔✔Most efficient way of measuring timeliness - ✔✔Logs/other tracking mechanisms
✔✔Measuring appropriateness of care - ✔✔Record license status, credentials,
CME/CEUs, required certification
✔✔Measuring continuity of care - ✔✔The extent to which pre-existing conditions are
identified and addressed during intake, follow up services, and timeliness of follow up
✔✔Measuring effectiveness of care - ✔✔Monitor clinical outcomes
✔✔Measuring efficiency - ✔✔Cost efficiency
✔✔Measuring quality of clinician-patient satisfaction - ✔✔Surveys, number/type of of
grievances, questions about knowledge of their diseases for patients with chronic
disease
✔✔Measuring safety - ✔✔Inspections to identify safety concerns related to sanitation,
trip hazards, and other potential problems. Root Case Analysis for all deaths and
adverse events.
ANSWERS SURE A+
✔✔Deadline for an initial mental health screening for a new admission? - ✔✔14 days
✔✔Deadline for oral screening by the dentist or quality health care professionals trained
by the dentist? - ✔✔Within 7 days of admission
✔✔Frequency of pick up for oral or written requests for health care? - ✔✔Daily by
qualified health care professionals and triaged within 24 hours
✔✔When does a face to face encounter have to happen between a patient and QHCP
after noting that a written/oral request describes clinical symptoms? - ✔✔Within 48
hours or 72 hours on weekends
✔✔Who is responsible for identifying and eliminating any barriers to inmates receiving
health care? - ✔✔Responsible Health Authority
✔✔Access to Care - ✔✔In a timely manner, a patient can be seen by a clinician, be
given a professional clinical judgment,and receive care that is ordered
✔✔Health care - ✔✔Sum of all actions, preventive and therapeutic, taken for the
physical and mental wellbeing of a population. Includes dental, medical, mental health,
nutrition, and other ancillary services, as well as maintaining a clean and safe
environment
✔✔Medical autonomy - ✔✔Clinical decisions and actions regarding health care are the
sole responsibility of the QHCPs--no interference from other personnel
✔✔How to address specific problems that arise with medical autonomy? - ✔✔Revised
policies and/or reviewed as part of the CQI program
, ✔✔Administrative Meetings - ✔✔Quarterly, facilitate health care delivery through joint
monitoring, planning, and problem resolution by health and correctional administrators
✔✔Changes to individual health service policies--documentation needs - ✔✔Dated and
signed individually by the RHA and responsible physician
✔✔CQI Program - ✔✔Identifies health care aspects to be monitored, implemented,
monitor corrective action, and studies effectiveness of CAP
✔✔Process CQI - ✔✔Examines the effectiveness of the health care delivery process.
Baseline of facility problem, developing an implementing a CAP, then restudying the
problem.
✔✔Outcome CQI - ✔✔Examines whether expected outcomes of patient care were
achieved by identifying a clinical care problem, conducting a baseline study, developing
and implementing a CAP, and restudying the problem
✔✔Essential element of CQI - ✔✔Monitoring of high risk, high volume, or problem-
prone aspects of health care. Success measured by relevance of study and
effectiveness of CAP.
✔✔NCCHC Performance Measures for evaluating health care programs -
✔✔Accessibility, Appropriateness of clinical decision making, continuity, timeliness,
effectiveness (outcomes), efficiency, quality of clinician-patient satisfaction, and safety
✔✔Most efficient way of measuring timeliness - ✔✔Logs/other tracking mechanisms
✔✔Measuring appropriateness of care - ✔✔Record license status, credentials,
CME/CEUs, required certification
✔✔Measuring continuity of care - ✔✔The extent to which pre-existing conditions are
identified and addressed during intake, follow up services, and timeliness of follow up
✔✔Measuring effectiveness of care - ✔✔Monitor clinical outcomes
✔✔Measuring efficiency - ✔✔Cost efficiency
✔✔Measuring quality of clinician-patient satisfaction - ✔✔Surveys, number/type of of
grievances, questions about knowledge of their diseases for patients with chronic
disease
✔✔Measuring safety - ✔✔Inspections to identify safety concerns related to sanitation,
trip hazards, and other potential problems. Root Case Analysis for all deaths and
adverse events.
