NCCHC-CCHP Exam Study Guide COMPELETE SOLUTION!!

NCCHC-CCHP Exam Study Guide

COMPELETE SOLUTION!!

Access to Care

 ANSWER : Inmates have access to care to meet their serious medical, dental, and mental health

needs.

Unreasonable barriers are to be avoided:

1. punishing inmates for seeking care.

2. assessing excessive co-payments that deter inmates

3. deterring inmates by holding sick call at 2 a.m., etc.

Estelle v. Gamble (1976)

 ANSWER : -Deliberate indifference to serious medical needs of prisoners constitutes the

unnecessary and wanton infliction of pain, thus violating the 8th Amendment.

-Prison officials have a duty to provide proper inmate medical care

CLIA

 ANSWER : Clinical Laboratory Improvement Amendments of 1988.

 -This law requires any facility performing examinations of human specimens (e.g., tissue, blood,

urine, etc.) for diagnosis, prevention, or treatment purposes to be certified by the Secretary of the

Department of Health and Human Services.

Responsible Health Authority

 ANSWER : -The RHA arranges all levels of health care and assures quality, accessible, and

timely health services.

-The RHA is on site at least weekly.

-The RHA may be a physician, health administrator, or agency.

-Clinical judgments rest with a single, designated, licensed, responsible physician

Medical Autonomy

 ANSWER : Clinical decisions and actions regarding health care provided to inmates to meet

their serious medical needs are the sole responsibility of qualified health care professionals.

Administrative Meetings and Reports

 ANSWER : 1. Administrative meetings are attended by the facility administrator and the RHA,

and other members of the health and correctional staffs.

2. Administrative meetings are held quarterly

3. Health staff meetings occur at least monthly

4. Statistical reports are made at least monthly.

Topics of discussion are quality improvement findings, infection control efforts, inmate

grievances, and environmental inspection reports

Policies and Procedures

 ANSWER : 1. Health care policies are site specific

2. Each policy and procedure in the health care manual is reviewed at least annually.

3. Other policies don't conflict with health care policies.

4. The manual is accessible to all health staff.

When changes to individual health services policies are made, they must be dated and signed

individually by the RHA and responsible physician.

Continuous Quality Improvement Program

 ANSWER : 1. A CQI identifies problems, implements and mointors corrective action, and

studies its effectiveness.

2. The responsible physician is involved in the CQI

3. Facilities with an average daily population of 500 or less have a basic CQI

4. Facilities with an average daily population of greater than 500 inmates have a comprehensive

CQI

Privacy of Care

 ANSWER : 1. Clinical encounters and discussions occur in private, without being observed or

overheard.

2. Security personnel are present only if the patient poses a probable risk to the safety of the

health care professional or others.

3. Instruction on maintaining confidentiality is given to security staff and interpreters who

observe or hear health encounters.

Health Records

 ANSWER : -Health records stored in the facility are maintained under secure conditions

separate from correctional records.

-Access to health records and health information is controlled by the RHA.

-Evidence exists that health staff receive instruction in maintaining confidentiality.

-If records are transported by nonhealth staff, the records are sealed.

-Evidence exists that the health record is available and used.

-When an inmate is transferred to another correctional facility: a copy of the current health

record or a comprehensive health summary accompanies the inmate

-The jurisdiction's legal requirements regarding records retention are followed.

-There is a system for the timely reactivation of records when requested by a treating health

professional.

Procedure in the Event of an Inmate Death

 ANSWER : -All deaths are reviewed within 30 days

-A death review consists of an administrative review (correctional and emergency response

surrounding the death); a clinical mortality review (the clinical care provided and the

circumstances leading up to the death); and a psychological autopsy if by suicide (reconstruction

of an individual's life with an emphasis on factors that contributed to the death)

-Treating staff are informed of the findings of the above reviews.

-Corrective actions are implemented and monitored through the facility's CQI program for

systemic issues.

Grievance Mechanism for Health Complaints