Perf-Based Stds, Adult Corr. Inst. 5th ed March 2021

Part 6: Healthcare

(12) Number of offender specialty consults completed during the past twelve (12) months divided by Number of specialty consults (on-site or off-site) ordered by primary health care practitioners in the past twelve (12) months. (13) Number of selected hypertensive offenders at a given point in time with a B/P reading > 140 mmHg/ >90 mm Hg divided by total number of offenders with hypertension who were reviewed. (14) Number of selected diabetic offenders at a given point in time who are under treatment for at least six months with a hemoglobin A1C level measuring greater than 9 percent divided by Total number of diabetic offenders who were reviewed. (15) The number of completed dental treatment plans within the past twelve (12) months divided by the average daily population during the reporting period. Access to Care

5-ACI-6A-01 (Ref. 4-4344)

(MANDATORY) At the time of admission/intake all inmates are informed about procedures to access health services, including any copay requirements, as well as procedures for submitting grievances. Medical care is not denied based on an inmate’s ability to pay. This information is communicated orally and in writing, and is conveyed in a language that is easily understood by each inmate. When a literacy or language problem prevents an inmate for under- standing written information, a staff member or translator assists the inmate. Comment : No member of the correctional staff should approve or disapprove offenders’ requests for health care services. The facility should follow the policy of explaining access procedures orally to offenders unable to read. When the facility frequently has non-En- glish speaking offenders, procedures should be explained and written in their language.

Protocols : Written policy and procedure. Offender handbook. Grievance procedure.

Process Indicators : Documentation that offenders are informed about health care and the grievance system. Offender grievances. Interviews.

4-4344-1

(MANDATORY) Deleted January 2016

5-ACI-6A-02 (Ref. 4-4345)

When medical copayment fees are imposed, the program ensures that, at a minimum, the following are observed:

• all offenders are advised, in writing, at the time of admission to the facility of the guidelines of the copayment program. • needed offender health care is not denied due to lack of available funds. • copayment fees shall be waived when appointments or services, including follow-up appointments, are initiated by medical staff. Comment : Offenders should receive appropriate health care based on need, without regard to financial status. Fees imposed should not be so excessive as to discourage offenders from seeking needed medical care.

Protocols : Written policy and procedure. Offender handbook.

Process Indicators : Forms. Interviews. Financial records.

170 Adult Correctional Institutions, Fifth Edition