NCCHC CCHP EVALUATION EXAM 2026 QUESTIONS AND
SOLUTIONS GRADED A+
1. Which of the following best defines a "procedure"?
✔✔What is the fundamental principle on which all National Commission on Correctional
Health Care standards based? - ✔✔Inmates must have access to care to meet their
serious health needs.
✔✔List five examples of unreasonable barriers to inmates' access to health services. -
✔✔1. punishing inmates for seeking care for their health needs
2. assessing excessive fees that prevent or deter inmates from seeking care
3. deterring inmates from seeking care, such as holding sick call at 2AM
4. having understaffed, underfunded, poorly organized system resulting in inability to
provide appropriate and timely access to care
5. having a utilization review process that delays or denies necessary care
✔✔List 5 unreasonable barriers to inmates' access to health services. - ✔✔1. punishing
2. excessive fines
3. deterring
4. understaffed, underfunded, poorly organized system
5. utilization review that delays or denies care
✔✔What Standard is defined as: in a timely manner, a patient is seen by a qualified
health care professional, is rendered a clinical judgment, and receives care that is
ordered? - ✔✔access to care
✔✔which U.S. Supreme Court case set the standard for inmate access to care? -
✔✔1976 Estelle v. Gamble
✔✔What is the Responsible Health Authority (RHA) standard? - ✔✔The responsible
health authority (RHA) ensures that the facility maintains a coordinated system for
health care delivery.
✔✔Responsible Health Authority compliance indicators include that the RHA arranges
for .... - ✔✔RHA arranges for all levels of health care and ensures quality, accessible,
and timely health services for inmates.
✔✔The RHA's responsibilities are documented where? - ✔✔RHA's responsibilities are
documented in a written agreement, contract, or job description.
✔✔How frequently must the RHA be on-site? - ✔✔weekly
✔✔With whom do final clinical judgments rest? - ✔✔A single, designated, licensed
*responsible physician*
, ✔✔When there is a separate organizational structure for mental health services, what
else must there be? - ✔✔a designated mental health clinician
✔✔When there is a separate organizational structure for dental services, what else
must there be? - ✔✔a designated dental clinician
✔✔The responsible physician (and designated mental health clinician and dental
clinician, if applicable) is available to the facility frequently enough to fulfill what two
responsibilities? - ✔✔the position's clinical and administrative responsibilities
✔✔How are all aspects of the RHA standard addressed? - ✔✔by written policy and
defined procedures
✔✔Define the Responsible Health Authority - ✔✔a designated individual or entity that is
tasked with ensuring the organization and delivery of all health care in the facility
✔✔List three entities that can fill the role of responsible health authority. - ✔✔a
physician, health services administrator, or agency
✔✔When the RHA is a state, regional, national, or corporate entity, what also must be
designated? - ✔✔an individual at the local level who is on-site at least weekly to ensure
that policies are carried out
✔✔How is "health care" defined in the RHA standard? - ✔✔Health care is the sum of all
actions, preventative and therapeutic, taken for the physical and mental well-being of a
population. Health care includes medical, dental, mental health, nutrition, and other
ancillary services, as well as maintaining clean and safe environmental conditions.
✔✔How is "responsible physician" defined in the RHA standard? - ✔✔a designated MD
or DO who has the final authority at a given facility regarding clinical issues
✔✔How is "designated mental health clinician" defined in the RHA standard? - ✔✔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
✔✔How is "designated dental clinician" defined in the RHA standard? - ✔✔a DMD or
DDS who is responsible for dental issues when dental services at the facility are under
a different authority than medical services
✔✔How is "health services administrator" defined in the RHA standard? - ✔✔a person
who by education, experience, or certification (e.g. MSN, MPH, MHA, FACHE, CCHP)
SOLUTIONS GRADED A+
1. Which of the following best defines a "procedure"?
✔✔What is the fundamental principle on which all National Commission on Correctional
Health Care standards based? - ✔✔Inmates must have access to care to meet their
serious health needs.
✔✔List five examples of unreasonable barriers to inmates' access to health services. -
✔✔1. punishing inmates for seeking care for their health needs
2. assessing excessive fees that prevent or deter inmates from seeking care
3. deterring inmates from seeking care, such as holding sick call at 2AM
4. having understaffed, underfunded, poorly organized system resulting in inability to
provide appropriate and timely access to care
5. having a utilization review process that delays or denies necessary care
✔✔List 5 unreasonable barriers to inmates' access to health services. - ✔✔1. punishing
2. excessive fines
3. deterring
4. understaffed, underfunded, poorly organized system
5. utilization review that delays or denies care
✔✔What Standard is defined as: in a timely manner, a patient is seen by a qualified
health care professional, is rendered a clinical judgment, and receives care that is
ordered? - ✔✔access to care
✔✔which U.S. Supreme Court case set the standard for inmate access to care? -
✔✔1976 Estelle v. Gamble
✔✔What is the Responsible Health Authority (RHA) standard? - ✔✔The responsible
health authority (RHA) ensures that the facility maintains a coordinated system for
health care delivery.
✔✔Responsible Health Authority compliance indicators include that the RHA arranges
for .... - ✔✔RHA arranges for all levels of health care and ensures quality, accessible,
and timely health services for inmates.
✔✔The RHA's responsibilities are documented where? - ✔✔RHA's responsibilities are
documented in a written agreement, contract, or job description.
✔✔How frequently must the RHA be on-site? - ✔✔weekly
✔✔With whom do final clinical judgments rest? - ✔✔A single, designated, licensed
*responsible physician*
, ✔✔When there is a separate organizational structure for mental health services, what
else must there be? - ✔✔a designated mental health clinician
✔✔When there is a separate organizational structure for dental services, what else
must there be? - ✔✔a designated dental clinician
✔✔The responsible physician (and designated mental health clinician and dental
clinician, if applicable) is available to the facility frequently enough to fulfill what two
responsibilities? - ✔✔the position's clinical and administrative responsibilities
✔✔How are all aspects of the RHA standard addressed? - ✔✔by written policy and
defined procedures
✔✔Define the Responsible Health Authority - ✔✔a designated individual or entity that is
tasked with ensuring the organization and delivery of all health care in the facility
✔✔List three entities that can fill the role of responsible health authority. - ✔✔a
physician, health services administrator, or agency
✔✔When the RHA is a state, regional, national, or corporate entity, what also must be
designated? - ✔✔an individual at the local level who is on-site at least weekly to ensure
that policies are carried out
✔✔How is "health care" defined in the RHA standard? - ✔✔Health care is the sum of all
actions, preventative and therapeutic, taken for the physical and mental well-being of a
population. Health care includes medical, dental, mental health, nutrition, and other
ancillary services, as well as maintaining clean and safe environmental conditions.
✔✔How is "responsible physician" defined in the RHA standard? - ✔✔a designated MD
or DO who has the final authority at a given facility regarding clinical issues
✔✔How is "designated mental health clinician" defined in the RHA standard? - ✔✔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
✔✔How is "designated dental clinician" defined in the RHA standard? - ✔✔a DMD or
DDS who is responsible for dental issues when dental services at the facility are under
a different authority than medical services
✔✔How is "health services administrator" defined in the RHA standard? - ✔✔a person
who by education, experience, or certification (e.g. MSN, MPH, MHA, FACHE, CCHP)
