2024/2025
access to care standard - ANSWERSinmates have access to care for their serious medical, dental, and
mental health needs
grievance should be review at least - ANSWERSannually or sooner if a trend is noted.
access to care definition - ANSWERSaccess 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 - ANSWERSinmate must have access to care to
meet their serious health needs.
unreasonable barrier to inmate access to care - ANSWERSa. 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 - ANSWERSensures that the facility maintains a coordinated system for health care
delivery.
RHA responsibilities - ANSWERSare documented in a written agreement, contract, job description
RHA must be onsite - ANSWERSweekly
, where there is a separate organizational structure for mental health there is - ANSWERSa designated
mental health clinician
where there is a separate organizational structure for dental there is - ANSWERSa designated dental
clinician
final clinical judgement rest with - ANSWERSa single, designated responsible physician.
RHA arranges for - ANSWERSall 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 - ANSWERSthe position clinical and administrative responsibilities.
RHA may be a - ANSWERSphysician, HSA, agency
when RHA is a state, regional, national, or corporate entity - ANSWERSa designated individual at the
local level who is on site at least weekly to ensure that policies are carried out.
health care - ANSWERSis the sum of all action, preventive and therapeutic, taken for the physical and
mental health being of a population
health care include - ANSWERSmedical, dental, mental health, nutrition, and other ancillary services, as
well as maintaining clean and safe environmental condition.
responsible physician - ANSWERSMD, DO who has the final authority at a given facility regarding clinical
issues.
designated mental health clinician - ANSWERSpsychiatrist, 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.