NCCHC governance and administration Study Guide With Complete Questions & Answers.

access to care standard - correct answer inmates have access to care for their serious medical, dental, and mental health needs grievance should be review at least - correct answer annually or sooner if a trend is noted. access to care definition - correct answer access to care means that in a timely manner, a patient can be seen by a qualified care professional, is rendered a clinical judgment, and received care that is ordered. US supreme court 1976 landmark case Estelle v. gamble - correct answer inmate must have access to care to meet their serious health needs. unreasonable barrier to inmate access to care - correct answer a. punishing inmate for seeking care for their health needs. b. assessing excessive fees that prevent or deter inmates from seeking care for their health needs. c. deterring inmate from seeking care for their health need s.e. holding sick call at 2 a.m. when this practice is not reasonably related to the needs of the facility. d. having an understaffed, underfunded, poorly organized system with the result unable to provide appropriate and timely access. e. having utilization review process that inappropriately delays or denies necessary health. RHA standard - correct answer ensures that the facility maintains a coordinated system for health care delivery. RHA responsibilities - correct answer are documented in a written agreement, contract, job description RHA must be onsite - correct answer weekly where there is a separate organizational structure for mental health there is - correct answer a designated mental health clinician where there is a separate organizational structure for dental there is - correct answer a designated dental clinician final clinical judgement rest with - correct answer a single, designated responsible physician. RHA arranges for - correct answer all level of health care and ensures quality, accessible, and timely health service for inmates the responsible physician (designated mental health, dentist) is available to the facility frequently enough to fulfill - correct answer the position clinical and administrative responsibilities. RHA may be a - correct answer physician, HSA, agency when RHA is a state, regional, national, or corporate entity - correct answer a designated individual at the local level who is on site at least weekly to ensure that policies are carried out. health care - correct answer is the sum of all action, preventive and therapeutic, taken for the physical and mental health being of a population health care include - correct answer medical, dental, mental health, nutrition, and other ancillary services, as well as maintaining clean and safe environmental condition. responsible physician - correct answer MD, DO who has the final authority at a given facility regarding clinical issues. designated mental health clinician - correct answer psychiatrist, psychologist, psychiatric social worker who is responsible for clinical mental health issue when mental health services at the facility are under a different authority than medical services. a designated dental clinician - correct answer DDS, DMD who is responsible for dental issue when dental services at the facility are under a different authority than medical services. health service adminustrator - 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 accessibility health services for inmates. RHA function - correct answer ensure that health services are organized, adequate, and efficient. responsible physician supervised - correct answer clinical care provided to inmates. medical autonomy standard - correct answer health care decisions are made by a qualified health care professional for clinical purposes. Custody staff duty - correct answer support the implementation of clinical decisions. health staff duty - correct answer recognize and follow security regulations qualified health care professional - correct answer physician, PA, NP, RN, dentists, mental health professionals and others who by virtue of their education, credential, and experience are permitted by law to evaluate and care for patients. custody staff - correct answer line security as well as correctional administration health staff - correct answer includes all full time, part time, and per diem qualified health care professional as well as administrative support staff. administrative meeting - correct answer a. attended by correctional administrator, RHA, and other members of medical, dental, mental health and correctional staff as appropriate. b. held quarterly health staff meeting - correct answer held at least monthly statistical reports of health services are made - correct answer monthly facility staff - correct answer custody and health staff monthly statistical report includes - correct answer service volume referral to specialist death incident of certain illness infect. disease monitoring emergency service and hospitalization access, timeliness of health services, and follow up missed appointment grievance statistic correctional administrator - correct answer a person who oversees the daily operations of federal or state prisons and county jail. policy - correct answer a facility's official position on an issue related to its operation procedure - correct answer describes in detail, sometimes in sequence, how a policies is to be carried out. Continuous Quality Improvement program standard - correct answer monitor and improves health care delivered in the facility QI commitee - correct answer oped by RHA b. identifies aspect of health care to be monitor and develop threshold. ned QI monitor activities d. analyzed the result for factor that may contribute to below threshold. e. designs and implement improvements strategies to correct the identified health concerns. f. monitor the performance after implementation of improvement syratefies. QI studies - correct answer at least one process/ outcome study is completed per year. QI commitee consist of - correct answer health staff from various diciplines threshold stimulus - correct answer expected level of performance health record review - correct answer a. done under guidance of responsible physician b. a systematic review of health record using a standardized form or audit tool to determine wheather specific element related to quality of care provided or adequately documented. QI studies examine the effectiveness of delivery health care by - correct answer a. identifying health care concern b. determining the threshold c. conducting baseline study d. developing and implementing a corrective action plan f. restudying the problem to assess the effectiveness of the corrective action plan. QI commitee meeting - correct answer quarterly quality performance measures - correct answer accessibility appropriateness continuity timeliness effectiveness efficiency prescriber patient interaction safety clinical encounter - correct answer interaction between patient and health staff that involve an assessment, examination, treatment, and or exchange of protected health information. clinical mortality review conducted - correct answer within 30 days administrative review - correct answer assessment of correctional and emergency response action surrounding inmate death