NCCHC Practice Exam Questions with Correct Answers, A+

Access to Care - In a timely manner, a patient is seen by a qualified health care professional, is rendered a clinical judgement, and receives care that is ordered. Patients are given ___________________ for their serious medical, dental and mental health. Responsible Health Authority (RHA) - Responsible for identifying and eliminating any unreasonable barriers, intentional and unintentional, to inmate patients receiving health care. They ensure the organization and delivery of all health care services at the facility. Estelle v. Gamble (1976) - U.S. Supreme Court case that NCCHC makes recommendations for managing Access to Care Unreasonable Barriers for access to care - 1) Punishing inmates for seeking care for their health needs 2) Assessing excessive fees that prevent or deter inmates from seeking care 3) Holding sick call at an unreasonable time (2am) 4) Having an understaffed, underfunded, or poorly organized system 5) Having a utilization review process that inappropriately delays or denies necessary health care How often must the RHA be on-site? - Weekly Responsible Physician - Final clinical judgments rest with a single, designated _______________________. This individual is a MD or DO available to the facility frequently enough to fulfill this position's clinical and administrative responsibilities. Who can a RHA be? - Physician, health services administrator or agency How often must the RHA be present if they are an agency? - Weekly - with a designated individual at the local level to ensure policies are carried out Health Care - The sum of all actions, preventative and therapeutic, taken for the physical and mental well-being of a population. This includes medical, dental, mental health, nutrition, and other ancillary services as well as maintaining clean and safe environmental conditions. Designated Mental Health Clinician - A psychiatrist, psychologist, or psychiatric social worker who is responsible for clinical mental health issues when mental health services at the facility are under a different authority than medical services Designated Dental Clinician - A DMD or DDS who is responsible for dental issues when dental services at the facility are under a different authority than medical services Health Services Administrator - A person who by education, experience or certification (e.g. MSN, MPH, MHA, FACHE, CCHP) 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 - Include physicians, physician assistants, nurses, nurse practitioners, dentists, mental health professionals, and others who by virtue of their education, credentials, and experience are permitted by law to evaluate and care for patients Custody Staff - Includes line security as well as correctional administration Health Staff - Includes all full-time, part-time, and per diem qualified health care professionals as well as administrative and support staff (e.g. health records administrators, laboratory technicians, nursing and medical assistants, clerical workers)