NCCHC GOVERNANCE AND
ADMINISTRATION QUESTIONS AND
ANSWERS
accessztozcarezstandardz-zanswer--
inmateszhavezaccessztozcarezforztheirzseriouszmedical,zdental,zandzmentalzhealthzneed
s
grievancezshouldzbezreviewzatzleastz-zanswer--annuallyzorzsoonerzifzaztrendzisznoted.
accessztozcarezdefinitionz-zanswer--
accessztozcarezmeanszthatzinzaztimelyzmanner,zazpatientzcanzbezseenzbyzazqualifiedzca
rezprofessional,ziszrenderedzazclinicalzjudgment,zandzreceivedzcarezthatziszordered.
USzsupremezcourtz1976zlandmarkzcasezEstellezv.zgamblez-zanswer--
inmatezmustzhavezaccessztozcareztozmeetztheirzseriouszhealthzneeds.
unreasonablezbarrierztozinmatezaccessztozcarez-zanswer--
a.zpunishingzinmatezforzseekingzcarezforztheirzhealthzneeds.
b.zassessingzexcessivezfeeszthatzpreventzorzdeterzinmateszfromzseekingzcarezforztheirz
healthzneeds.
c.zdeterringzinmatezfromzseekingzcarezforztheirzhealthzneedzs.e.zholdingzsickzcallzatz2za.
m.zwhenzthiszpracticezisznotzreasonablyzrelatedztozthezneedszofzthezfacility.
d.zhavingzanzunderstaffed,zunderfunded,zpoorlyzorganizedzsystemzwithzthezresultzunab
leztozprovidezappropriatezandztimelyzaccess.
e.zhavingzutilizationzreviewzprocesszthatzinappropriatelyzdelayszorzdeniesznecessaryzh
ealth.
RHAzstandardz-zanswer--
ensureszthatzthezfacilityzmaintainszazcoordinatedzsystemzforzhealthzcarezdelivery.
RHAzresponsibilitiesz-zanswer--
arezdocumentedzinzazwrittenzagreement,zcontract,zjobzdescription
RHAzmustzbezonsitez-zanswer--weekly
wherezthereziszazseparatezorganizationalzstructurezforzmentalzhealthztherezisz-
zanswer--azdesignatedzmentalzhealthzclinician
wherezthereziszazseparatezorganizationalzstructurezforzdentalztherezisz-zanswer--
azdesignatedzdentalzclinician
ADMINISTRATION QUESTIONS AND
ANSWERS
accessztozcarezstandardz-zanswer--
inmateszhavezaccessztozcarezforztheirzseriouszmedical,zdental,zandzmentalzhealthzneed
s
grievancezshouldzbezreviewzatzleastz-zanswer--annuallyzorzsoonerzifzaztrendzisznoted.
accessztozcarezdefinitionz-zanswer--
accessztozcarezmeanszthatzinzaztimelyzmanner,zazpatientzcanzbezseenzbyzazqualifiedzca
rezprofessional,ziszrenderedzazclinicalzjudgment,zandzreceivedzcarezthatziszordered.
USzsupremezcourtz1976zlandmarkzcasezEstellezv.zgamblez-zanswer--
inmatezmustzhavezaccessztozcareztozmeetztheirzseriouszhealthzneeds.
unreasonablezbarrierztozinmatezaccessztozcarez-zanswer--
a.zpunishingzinmatezforzseekingzcarezforztheirzhealthzneeds.
b.zassessingzexcessivezfeeszthatzpreventzorzdeterzinmateszfromzseekingzcarezforztheirz
healthzneeds.
c.zdeterringzinmatezfromzseekingzcarezforztheirzhealthzneedzs.e.zholdingzsickzcallzatz2za.
m.zwhenzthiszpracticezisznotzreasonablyzrelatedztozthezneedszofzthezfacility.
d.zhavingzanzunderstaffed,zunderfunded,zpoorlyzorganizedzsystemzwithzthezresultzunab
leztozprovidezappropriatezandztimelyzaccess.
e.zhavingzutilizationzreviewzprocesszthatzinappropriatelyzdelayszorzdeniesznecessaryzh
ealth.
RHAzstandardz-zanswer--
ensureszthatzthezfacilityzmaintainszazcoordinatedzsystemzforzhealthzcarezdelivery.
RHAzresponsibilitiesz-zanswer--
arezdocumentedzinzazwrittenzagreement,zcontract,zjobzdescription
RHAzmustzbezonsitez-zanswer--weekly
wherezthereziszazseparatezorganizationalzstructurezforzmentalzhealthztherezisz-
zanswer--azdesignatedzmentalzhealthzclinician
wherezthereziszazseparatezorganizationalzstructurezforzdentalztherezisz-zanswer--
azdesignatedzdentalzclinician
