NCCHC Flash Cards Practice with
complete solution.
Access to Care - (correct answer) -In a timely manner, a patient is seen by a qualified
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health care professional, is rendered a clinical judgement, and receives care that is
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ordered. Patients are given ___________________ for their serious medical, dental
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and mental health.
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Responsible Health Authority (RHA) - (correct answer) -Responsible for identifying and
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eliminating any unreasonable barriers, intentional and unintentional, to inmate patients
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receiving health care. They ensure the organization and delivery of all health care
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services at the facility.
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Estelle v. Gamble (1976) - (correct answer) -U.S. Supreme Court case that NCCHC
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makes recommendations for managing Access to Care
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Unreasonable Barriers for access to care - (correct answer) -1) Punishing inmates for ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
seeking care for their health needs
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2) Assessing excessive fees that prevent or deter inmates from seeking care
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3) Holding sick call at an unreasonable time (2am)
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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
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health care
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How often must the RHA be on-site? - (correct answer) -Weekly
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Responsible Physician - (correct answer) -Final clinical judgments rest with a single,
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designated _______________________. This individual is a MD or DO available to the
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facility frequently enough to fulfill this position's clinical and administrative
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
responsibilities.
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Who can a RHA be? - (correct answer) -Physician, health services administrator or
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agency
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How often must the RHA be present if they are an agency? - (correct answer) -Weekly -
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with a designated individual at the local level to ensure policies are carried out
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
Health Care - (correct answer) -The sum of all actions, preventative and therapeutic,
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
taken for the physical and mental well-being of a population. This includes medical,
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, ‘p dental, mental health, nutrition, and other ancillary services as well as maintaining clean
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‘p and safe environmental conditions.
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Designated Mental Health Clinician - (correct answer) -A psychiatrist, psychologist, or
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psychiatric social worker who is responsible for clinical mental health issues when
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mental health services at the facility are under a different authority than medical
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services
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Designated Dental Clinician - (correct answer) -A DMD or DDS who is responsible for
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dental issues when dental services at the facility are under a different authority than
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medical services
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Health Services Administrator - (correct answer) -A person who by education,
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experience or certification (e.g. MSN, MPH, MHA, FACHE, CCHP) is capable of
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assuming responsibility for arranging all levels of health care and ensuring quality and
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accessible health services for inmates
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Qualified Health Care Professionals - (correct answer) -Include physicians, physician
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assistants, nurses, nurse practitioners, dentists, mental health professionals, and others
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who by virtue of their education, credentials, and experience are permitted by law to
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evaluate and care for patients
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Custody Staff - (correct answer) -Includes line security as well as correctional
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administration
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Health Staff - (correct answer) -Includes all full-time, part-time, and per diem qualified
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health care professionals as well as administrative and support staff (e.g. health records
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administrators, laboratory technicians, nursing and medical assistants, clerical workers)
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
Administrative Meetings - (correct answer) -Held at least quarterly and are attended by
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correctional administration, RHA and other health care team members as appropriate.
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Minutes are recorded and made available for appropriate staff
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
Health Staff Meetings - (correct answer) -Should occur MONTHLY (or more frequently)
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
to address pertinent health care issues. Minutes are recorded and made available for
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appropriate staff
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Statistical Reports - (correct answer) -Performed Monthly to monitor trends in the
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delivery of health care
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Facility Staff - (correct answer) -Custody and health staff members
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Correctional Administrator - (correct answer) -A person who oversees the daily
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operations of federal or state prisons and county jails. They are responsible for
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managing the principles and practices of correction, facilities planning and
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
management, safety and security, social and health services, staff and inmate
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
complete solution.
Access to Care - (correct answer) -In a timely manner, a patient is seen by a qualified
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
health care professional, is rendered a clinical judgement, and receives care that is
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
ordered. Patients are given ___________________ for their serious medical, dental
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
and mental health.
‘p ‘p ‘p
Responsible Health Authority (RHA) - (correct answer) -Responsible for identifying and
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
eliminating any unreasonable barriers, intentional and unintentional, to inmate patients
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
receiving health care. They ensure the organization and delivery of all health care
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
services at the facility.
‘p ‘p ‘p ‘p
Estelle v. Gamble (1976) - (correct answer) -U.S. Supreme Court case that NCCHC
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
makes recommendations for managing Access to Care
‘p ‘p ‘p ‘p ‘p ‘p ‘p
Unreasonable Barriers for access to care - (correct answer) -1) Punishing inmates for ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
seeking care for their health needs
‘p ‘p ‘p ‘p ‘p ‘p
2) Assessing excessive fees that prevent or deter inmates from seeking care
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
3) Holding sick call at an unreasonable time (2am)
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
4) Having an understaffed, underfunded, or poorly organized system
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
5) Having a utilization review process that inappropriately delays or denies necessary
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
health care
‘p ‘p
How often must the RHA be on-site? - (correct answer) -Weekly
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
Responsible Physician - (correct answer) -Final clinical judgments rest with a single,
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
designated _______________________. This individual is a MD or DO available to the
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
facility frequently enough to fulfill this position's clinical and administrative
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
responsibilities.
‘p
Who can a RHA be? - (correct answer) -Physician, health services administrator or
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
agency
‘p
How often must the RHA be present if they are an agency? - (correct answer) -Weekly -
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
with a designated individual at the local level to ensure policies are carried out
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
Health Care - (correct answer) -The sum of all actions, preventative and therapeutic,
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
taken for the physical and mental well-being of a population. This includes medical,
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
, ‘p dental, mental health, nutrition, and other ancillary services as well as maintaining clean
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
‘p and safe environmental conditions.
‘p ‘p ‘p
Designated Mental Health Clinician - (correct answer) -A psychiatrist, psychologist, or
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
psychiatric social worker who is responsible for clinical mental health issues when
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
mental health services at the facility are under a different authority than medical
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
services
‘p
Designated Dental Clinician - (correct answer) -A DMD or DDS who is responsible for
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
dental issues when dental services at the facility are under a different authority than
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
medical services
‘p ‘p
Health Services Administrator - (correct answer) -A person who by education,
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
experience or certification (e.g. MSN, MPH, MHA, FACHE, CCHP) is capable of
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
assuming responsibility for arranging all levels of health care and ensuring quality and
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
accessible health services for inmates
‘p ‘p ‘p ‘p ‘p
Qualified Health Care Professionals - (correct answer) -Include physicians, physician
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
assistants, nurses, nurse practitioners, dentists, mental health professionals, and others
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
who by virtue of their education, credentials, and experience are permitted by law to
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
evaluate and care for patients
‘p ‘p ‘p ‘p ‘p
Custody Staff - (correct answer) -Includes line security as well as correctional
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
administration
‘p
Health Staff - (correct answer) -Includes all full-time, part-time, and per diem qualified
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
health care professionals as well as administrative and support staff (e.g. health records
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
administrators, laboratory technicians, nursing and medical assistants, clerical workers)
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
Administrative Meetings - (correct answer) -Held at least quarterly and are attended by
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
correctional administration, RHA and other health care team members as appropriate.
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
Minutes are recorded and made available for appropriate staff
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
Health Staff Meetings - (correct answer) -Should occur MONTHLY (or more frequently)
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
to address pertinent health care issues. Minutes are recorded and made available for
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
appropriate staff
‘p ‘p
Statistical Reports - (correct answer) -Performed Monthly to monitor trends in the
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
delivery of health care
‘p ‘p ‘p ‘p
Facility Staff - (correct answer) -Custody and health staff members
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
Correctional Administrator - (correct answer) -A person who oversees the daily
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
operations of federal or state prisons and county jails. They are responsible for
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
managing the principles and practices of correction, facilities planning and
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
management, safety and security, social and health services, staff and inmate
‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p ‘p
