NCCHC Flash Cards Practice Guide Questions And Answers 100% Verified.

Access to Care - correct answer 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) - correct answer 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) - correct answer U.S. Supreme Court case that NCCHC makes recommendations for managing Access to Care Unreasonable Barriers for access to care - correct answer 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? - correct answer Weekly Responsible Physician - correct answer 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? - correct answer Physician, health services administrator or agency How often must the RHA be present if they are an agency? - correct answer Weekly - with a designated individual at the local level to ensure policies are carried out Health Care - correct answer 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 - correct answer 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 - correct answer 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 - correct answer 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 - correct answer 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 - correct answer Includes line security as well as correctional administration Health Staff - correct answer 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) Administrative Meetings - correct answer Held at least quarterly and are attended by correctional administration, RHA and other health care team members as appropriate. Minutes are recorded and made available for appropriate staff Health Staff Meetings - correct answer Should occur MONTHLY (or more frequently) to address pertinent health care issues. Minutes are recorded and made available for appropriate staff Statistical Reports - correct answer Performed Monthly to monitor trends in the delivery of health care Facility Staff - correct answer Custody and health staff members Correctional Administrator - correct answer A person who oversees the daily operations of federal or state prisons and county jails. They are responsible for managing the principles and practices of correction, facilities planning and management, safety and security, social and health services, staff and inmate management, budgeting, communications, correctional psychology, and applications to specific types of correctional facilities. How often should health care policies and procedures be reviewed? - correct answer At least annually by the RHA and responsible physician with signatures documenting the interaction. Policy - correct answer A facility's official position on an issue related to its operations Procedure - correct answer Describes in detail, sometimes in sequence, how a policy is to be carried out Continuous Quality Improvement (CQI) program - correct answer Monitors and improves health care delivered in the facility How often should the quality improvement committee meet? - correct answer As required by no less than quarterly. How many quality improvement studies need to be completed within a year? - correct answer At least one process and/or outcome study 8 Quality performance Measures - correct answer Accessibility, appropriateness of clinical decision making, continuity, timeliness, effectiveness (outcomes), efficiency, prescriber-patient interaction, safety Major service areas - correct answer Intake processing, acute care, medication services, chronic care services, intra-system transfer services, scheduled off-site services, un-scheduled on-site and off-site services (urgent/emergent care), mental health services, dental services, ancillary services (lab/x-ray), dietary services, infirmary services Clinical encounter - correct answer Interactions between patients and health staff that involve an assessment, examination, treatment, and /or exchange of protected health information Health record contents - correct answer Include the following: Identifying info (name, ID #, DOB, sex) Problem list containing medical, dental, and mental health diagnoses and treatments as well as allergies Receiving screening and health assessment forms Progress notes Prescriber orders for medications, current list of meds, MAR records Many more How soon should a clinical mortality review be conducted? - correct answer Within 30 days When would it be appropriate to conduct a psychological autopsy? - correct answer On all deaths by suicide within 30 days Clinical mortality review - correct answer An assessment of the clinical care provided and the circumstances leading up to a death Administrative mortality review - correct answer An assessment of correctional and emergency response actions surrounding an inmate's death How often should grievances be reviewed? - correct answer At least annually or sooner if a trend is noted. Health education - correct answer Information on preventing illness, self-care for an existing health condition, and maintaining a health lifestyle Self-care - correct answer Care for a condition that can be treated by the patient and may include OTC medications Nutritionally adequate diet - correct answer Incorporates current American Heart Association diet and lifestyle recommendations and the U.S. Department of Agriculture dietary guidelines, consistent with the current Dietary Reference Intakes for age, gender and activity levels of the population How often should the exposure control plan be reviewed/updated? - correct answer Annually How often should an environmental inspection of health services areas be conducted? - correct answer Monthly to verify that equipment is inspected and maintained, the unit is clean and sanitary, measures are taken to ensure the unit is occupationally and environmentally safe Exposure control plan - correct answer Describes staff actions to be taken to eliminate or minimize exposures to pathogens Medical isolation - correct answer Housing in a separate room with separate toilet, handwashing facility, soap, and single-use towels, and with the appropriate accommodations for showering Standard precautions - correct answer Combine the major features of universal precautions (designed to reduce the risk of transmission of bloodborne pathogens) and body secretion isolation (designed to reduce the transmission of pathogens from moist body substances) and apply them to all patients receiving care, regardless of their diagnosis or presumed infection status Ectoparasites - correct answer Pediculosis and scabies are parasites that live on the skin and are communicable and may lead to secondary infections Acutely suicidal (active) inmates - correct answer Those who are actively engaging in self-injurious behavior and/or threaten suicide with a specific plan Non-acutely suicidal (potential or inactive) inmates - correct answer Those who express current suicidal ideation (e.g. expressing a wish to die without a specific threat or plan) and/or have a recent history of self-destructive behavior How should an acutely suicidal inmate be monitored? - correct answer By facility staff via CONSTANT observation How should a non-acutely suicidal inmate be monitored? - correct answer By facility staff at unpredictable intervals with no more than 15 minutes between checks True or false. Women (to be incarcerated) should have access to emergency contraception to reduce their chance of pregnancy. - correct answer True - women may have had sex to put them at increased risk for unintended pregnancy prior to incarceration. When would it be "okay" to temporarily discontinue combined hormonal contraception? - correct answer If the sentence for the woman is longer than 90 days - however the therapy should be offered prior to release