CCHP general questions with answers updated 2023

How often is RHA onsite? - Weekly How often do health staff meetings occur? - At least monthly How often are policies and procedures reviewed? - Annually How often are statistical reports made? - At least monthly How often does CQI meet? - Quarterly How many mass disaster drills should occur over a three year period so that each shift has participated? - Annually How often should man down drills occur? - Once a year on each shift Estelle v Gamble 1976 - Unreasonable barriers to inmate access to health services Examples of unreasonable barriers - Holding sick call at 2am, being understaffed or poorly organized in a way that results in untimely care, assessing excessive fees, or assessing fees for treatments arising from sexual abuse RHA - Responsible Health Authority When should initial assessments (physicals) occur? - Prisons-- within 7 days Jails--within 14 days if full population assessments are done Juveniles - Need greater opportunity to work large muscles, more food, more rec How long should health records be retained? - According to the legal requirement of the jurisdiction the facility is in Final clinical judgment - Single, designated licensed responsible physician RHA when there is a separate organizational structure for MH services - Designated MH clinician Health Administrator - A person by virtue of education, experience, or certification 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 - Physicians, PAs, nurses, NPs, dentists, MHPs, and others who are permitted by law to evaluate and care for patients Health care liaison - Correction officer or other person without a health care license who is trained/instructed by the responsible physician in limited aspects of health care coordination and coordinates services on days when no qualified health care professionals are available for 24 hours Examples of interference with medical autonomy - Cancellation of scheduled community consultants' appointments, discontinuance of necessary medical diets without QHP approval Policy - Official position on a particular issue related to operations Procedure - Describes in detail how a policy is to be carried out How often are health care polices and procedures reviewed? - At least annually, signed by the RHA and responsible physician CQI Thresholds - Expected level of performance stabled by the quality improvement committee CQI committee meets how often to review the effectiveness of the CQI program? - Annually Is Hepatitis C a special need? - No Chronic disease - An illness or condition that affects an individual's wellbeing for an extended interval, usually at least 6 months Safety concerns, full privacy lacking? - Alternative strategies for partial visual privacy and partial auditory privacy to be considered Primary method of infection control - Standard precautions When can health care professionals father forensic evidence from a victim? - With a sexual abuse victim's permission What type of license is not in compliance with NCCHC credentialing standards? - Restricted license that limits practice to correctional institutions Amount of required continuing education for NCCHC re-certification for an indvidual - 18 hours per year, 6 related to correctional health care Licensing requirements for staff if an institution wishes to be accredited by NCCHC - 12 hours per year of continuing ed, or a current license that meets basic requirements for that state Factors for the amount and type of qualified health care professionals in a facility - Size of facility, types and scope of health services delivered, needs of the inmate population, organizational structure Dispensing - Placing of one or more doses of a prescribed medication into containers that are correctly labeled to indicate the name of the patient, the contents, and all other vital information Who maintains documentation that onsite diagnostic services are certified and licensed? - RHA Waiting times - Should not exceed average waiting times in the community Communication with local hospitals or offsite specialty services - Written agreement outlining terms of care to be provided, summary from offsite providers should include assessment/testing and treatment provided/diagnosis/findings/recommended treatment plan Information about availability of and access to health care services communicated orally and in writing - To inmates on their arrival at the facility, within 24 hours regarding access of emergency and routine medical, dental, MH, fees, and grievance process Medical Clearance - Clinical assessment of physical and mental status before an individual is admitted into a facility Sufficient escorting staff - Provided by facility to ensure that patients can attend scheduled health care appointments Discharge planning - Linkages between facility and community based organizations, discussions with the inmate regarding the importance of aftercare, appointments and discharge medications, timely exchange of information and medication Health hazards of tobacco - Information should be available to inmates Minimum frequency of contacts for outpatients receiving MH services - No less than every 90 days Treatment for patients with substance use problems - Assessed and properly managed by a physician or other qualified health care professional