Access to Care - ANS-A patient can be seen by a clinician in a timely manner.
Responsible Health Authority (RHA) - ANS-The RHA functions to ensure that health
services are organized, adequate and efficient.
Medical Autonomy - ANS-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 - ANS-Administrative meetings are held at least
quarterly. Health staff meetings occur at least monthly. Statistical reports are made at
least monthly.
Policies & Procedures - ANS-They are site specific. Reviewed at least annually. Policies
cross reference an NCCHC standard.
CQI Program - ANS-CQI Committee meets no less than quarterly. Initiates process
and/or outcome CQI studies.
Emergency Response Plan - ANS-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 - ANS-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.
Privacy of Care - ANS-Discussions regarding patient care occur in private. Clinical
treatment encounters occur in private.
Procedure in the event of an inmate death - ANS-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 - ANS-Responses are timely and based on
principles of adequate medical care.
, Infection Control - ANS-An exposure control plan is reviewed and updated annually.
Patient Safety - ANS-Systems are in place to prevent adverse and near miss clinical
events.
Staff Safety - ANS-Health Staff work in a safe environment.
PREA - ANS-Facilities comply with the Prison Rape Elimination Act of 2003.
Response to Sexual Abuse - ANS-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 - ANS-Qualified health care professionals do not perform tasks beyond
those permitted by their credentials.
Clinical Performance Enhancement - ANS-Performance of direct patient care clinicians
are reviewed at least annually.
Professional Development - ANS-Full time qualified health care professionals obtain 12
hours of continuing education per year or if they are a CCHP
Health Training for Correctional Officers - ANS-Received every 2 years by at least 75%
from each shift
Medication administration training - ANS-Correctional or health staff who administer
medication are permitted to do so and are trained as needed.
Inmate workers - ANS-Inmates do not provide health care services.
Staffing - ANS-The health care delivery system has sufficient numbers and types of
health staff to care for the inmate population. (staffing plan)
Health Care Liaison - ANS-Coordinates health services when no qualified health care
professional is available for 24 hours. May be a CO or other non-licensed person.
Orientation for Health Staff - ANS-Orientation lesson plan is reviewed once every 2
years. Basic orientation on the first day. In depth orientation within 90 days.