Access to Care - Answer A clinician can see a patient promptly.
Responsible Health Authority (RHA) - Answer The RHA's role is to ensure that
health services are structured, adequate, and efficient. A
Medical Autonomy - Answer Clinical choices are made for clinical reasons,
with no influence from other personnel. (The non-medical considerations
required to carry out such clinical choices are determined in collaboration with
custody personnel).
Administrative Meetings and Reports - ANSWER Administrative meetings
occur at least quarterly. Health staff meetings are held at least once a month.
Statistical reports are issued at least monthly.
Policies and Procedures - ANSWER They are site-specific. Review at least once
a year. Policies cross-reference an NCCHC standard.
CQI Program - Answer The CQI Committee meets no less than quarterly.
Conducts process and/or result CQI research.
Emergency Response Plan: ANSWER Every shift participates in at least one
major disaster and one man-down drill per year, for a total of three years.
(Exercises conducted in the classroom or on a tabletop do not meet the criteria.)
Communication about patients' health requirements. - ANSWER Health and
custodial personnel communicate about inmates with specific needs, including
, health issues that may affect housing, work, program assignments, disciplinary
actions, and admissions to or transfers from institutions.
Privacy of Care: ANSWER Discussions about patient care take place privately.
Clinical treatment meetings take place in private.
Procedure if an inmate dies - ANSWER All fatalities are examined within thirty
days. A death review consists of three components: an administrative review, a
mortality review, and a psychiatric autopsy if the death was suicide.
Grievance Mechanism for Health Complaints - Answer Responses are timely
and based on the principles of appropriate medical care.
Infection Control - Answer An exposure control strategy is reviewed and
modified on an annual basis.
Patient Safety - Answer Systems are in place to avoid unfavorable and near-
miss clinical events.
Staff Safety: ANSWER Health Employees work in a safe setting.
PREA - ANSWER Facilities adhere to the Prison Rape Elimination Act of
2003.
Response to Sexual Abuse - Answer Healthcare workers are trained to preserve
tangible evidence. A history is gathered, and the staff determines whether a
hospital transfer is necessary. Prophylactic therapy is given. A mental health
expert evaluates, and a report is issued.
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