Graded A+
Access to Care - Correct answer-A patient can be seen by a clinician in a timely manner.
Responsible Health Authority (RHA) - Correct answer-The RHA functions to ensure that health services
are organized, adequate and efficient.
Medical Autonomy - Correct answer-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 - Correct answer-Administrative meetings are held at least quarterly.
Health staff meetings occur at least monthly. Statistical reports are made at least monthly.
Policies & Procedures - Correct answer-They are site specific. Reviewed at least annually. Policies cross
reference an NCCHC standard.
CQI Program - Correct answer-CQI Committee meets no less than quarterly. Initiates process and/or
outcome CQI studies.
Emergency Response Plan - Correct answer-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 - Correct answer-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 - Correct answer-Discussions regarding patient care occur in private. Clinical treatment
encounters occur in private.
Procedure in the event of an inmate death - Correct answer-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.
1. Which of the following best defines a "procedure"?
A. Detailed description for carrying out policy
B. A measurable objective to be achieved
C. Official position on a work-related issue
D. Rules and regulations
A. Detailed description for carrying out policy
2. This standard is based on the basic principle established by the U.S. Supreme Court in the 1976
landmark case Estelle v. Gamble.
A. Access to care
B. Inmate workers
C. Medical autonomy
D. Privacy of care
A. Access to care
3. Which of the following is least important in determining the number of health staff needed to deliver
services in a correctional setting?
A. Needs of inmate population
B. Approved budget
C. Delivery system
D. Proportion of female inmates