NCCHC Flash Cards Practice Exam
Questions with 100% Correct Answers |
Graded A+
Access to Care - ✔✔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) - ✔✔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) - ✔✔U.S. Supreme Court case that NCCHC makes
recommendations for managing Access to Care
Unreasonable Barriers for access to care - ✔✔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
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,5) Having a utilization review process that inappropriately delays or denies
necessary health care
How often must the RHA be on-site? - ✔✔Weekly
Responsible Physician - ✔✔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? - ✔✔Physician, health services administrator or agency
How often must the RHA be present if they are an agency? - ✔✔Weekly - with a
designated individual at the local level to ensure policies are carried out
Health Care - ✔✔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 - ✔✔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
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©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
, Designated Dental Clinician - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔Includes line security as well as correctional administration
Health Staff - ✔✔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)
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©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
Questions with 100% Correct Answers |
Graded A+
Access to Care - ✔✔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) - ✔✔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) - ✔✔U.S. Supreme Court case that NCCHC makes
recommendations for managing Access to Care
Unreasonable Barriers for access to care - ✔✔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
1|Page
©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
,5) Having a utilization review process that inappropriately delays or denies
necessary health care
How often must the RHA be on-site? - ✔✔Weekly
Responsible Physician - ✔✔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? - ✔✔Physician, health services administrator or agency
How often must the RHA be present if they are an agency? - ✔✔Weekly - with a
designated individual at the local level to ensure policies are carried out
Health Care - ✔✔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 - ✔✔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
2|Page
©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
, Designated Dental Clinician - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔Includes line security as well as correctional administration
Health Staff - ✔✔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)
3|Page
©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
