Prison Health Care Agency Essay

at that place are many an(prenominal) facets in the wellness plow industry. Examples include hospitals, urgent worry centers, physicians offices, checkup exam exam labs, and more. One not really spoken about, is the prison wellness care system. Prison health care is the medical treatment of inmates in the linked States Correctional Facilities (Means & Cochran, 2012) this is according to the report. The National relegation on Correctional wellness caveat (NCCHC) is a national official agency that everyplacesees the medical needs of prisoners. harmonise to the Bureau of Justice Statistics, In 2012, the number of ad military missions to state and federal prison in the United States was 609,800 offenders (Carson & Golinelli, 2013). With these prison inmate statistics, clearly in that location is a need for health care in the prison system. The NCCHC is a federal agency that was constructed to improve the case of health care in the prison educateting. The NCCHC was fou nded in the early 1970s.The American Medical Association (AMA) executed a study on the conditions of jails. The AMA found inadequate, disorganized health services, and a neglect of national standards (National Commission on Correctional health Care, 2013). The National Commission on Correctional Health Care states their mission is to improve the timber of health care in jails, prisons, and juvenile confinement facilities. They support their mission with the serve up of other national organizations, mirroring the fields of health, and law and corrections, examples include The American Bar Association, The American Medical Association, The Academy of Pediatrics, and The American Dental Association. The NCCHC cannot encounter its mission without the proper structure at heart the agency. This organization is comprised of accreditation and facility services, health lord certification, education and conferences, standards and guidelines, and a board of directors from supporting org anizations. These supporting organizations bid a role in helping the NCCHC fulfill its mission and roles for the prison health care system.The board of directors role is ensuring all guidelines are adhered to and assessing the general direction and strategy of the organization. The NCCHChas many roles and standards for their organization. One of the most important is forbearing safety. Put in place are forbearing safety systems to promise prisoners are receiving proper care. Another role of NCCHC is continuous quality improvement. consecutive quality improvement is the process of requiring each prison facility to thoroughgoing(a) a process study on inmates needing health care services. touch studies examine the effectiveness of the health care delivery process. Outcome quality improvement studies examine whether expected outcomes of patient of care were achieved (Rechtine, D., 2008). There essential(prenominal) be a review in the event of a patients death. Proper procedu res must be followed. The NCCHC requires health care professionals to conserve their education by completing annual certification classes.Initial health assessments must be performed on each new inmate within 7 days of arrival to the facility. These health assessments are to be apt(p) by board certified and trained registered nurses or midlevel practitioners, followed by a physicians review. If a prisoner is at risk for suicide, there is a prevention schedule in place with treatment plans. whatever inmate with special needs requires an individualized treatment plan provided by a doctor. The NCCHC has put in place a chronic infirmity program for inmates, which requires the physicians to document in a patients medical chart, making sure they are following the correct disease procedures. The encounter that NCCHC have on health care is one that relates to their mission. The mission, role, and impact has a direct association with each other.Providing quality health care for incarce rated individuals. The allegiance to continually improve health care in confinement facilities, to help these punitory facilities in improving their inmates health and the communities that they depart return to, increase the efficiency of health services delivery, strengthen organisational effectiveness, and reduce the risk of adverse legal judgments (NCCHC, n.d.). NCCHC offers a broad drift of services and resources to help punitive health care systems provide efficient, effective, and high-quality care (NCCHC, n.d.). An example of the National Commission on Corrective Health Care carrying out a duty is the commitment to treating inmates in a human manner. The NCCHC, in partnership with supporting organizations, including the American College of Physicians, the American Medical Association, the American Nursing Association, the American Bar Association, the American Psychological Association, theAmerican psychiatric Association, and the American Public Health Association.Thro ugh the standards the NCCHC has set, has persistently declared the components of a policy against mistreatment. The Standards for Health operate in Prisons (2008) preclude, for example, health round fight in non-clinically ordered restraint and seclusion, except to monitor health precondition (P-I-01 Restraint and Seclusion), or in the collection of forensic information (P-I-03 rhetorical Information). They require informed consent of the patient for all examinations, treatments, and procedures and recognize the patients right to refuse treatment (P-I-05 Informed Consent and good to Refuse), and protect inmates as subjects in human research (P-I-06 Medical and opposite Research) (NCCHC, 2012). Other standards require medical autonomy in clinical conclusion making (P-A-03 Medical Autonomy), maintenance of confidentiality of health information (P-H-02 Confidentiality of Health Records), and patient privacy (P-A-09 Privacy of Care).NCCHC standards require documentation of patie nts health status at each encounter (P-H-04 Management of Health Records), with special attention to the medical and mental health of inmates under close confinement (P-E-09 Segregated Inmates) (NCCHC. 2012). In regard to health care, the NCCHC has the best standards of care and are the most acknowledge and accepted. Medical personnel for the prison system must follow the policies and procedures set in each facility. These policies and procedures allow guidance, standardization, and consistency in practices, a nonfulfillment to observe with these rules and regulations places the nurses, patients, and institutions at risk. The NCCHC has the authority to establish that these policies and procedures are followed by all correctional medical personnel. Policy topics are wide ranging. Applicable laws and standards should be interconnected into institutional policies, procedures and protocols for the correctional nurse.For example, they should reflect federal and state regulations for r eporting globe health concerns, conditions of abuse, rape, communicable diseases, trauma, unexpected and expected deaths and care of the mentally ill. Regarding standards, NCCHC standards spread over topics such as access to care, quality improvement, grievance mechanisms, patient and staff safety, medication services, screening and assessment, patient restraint and much more (NCCHC, 2012). The NCCHC has a process for accreditation, certification, and authorization. The NCCHC offers avoluntary accreditation health services program. They have offered this program since the 1970s. The NCCHC has standards in place as a guide for any correctional facility to follow. The process of accreditation involves an external peer review to determine if the correctional institutions can meet the standards in their provision of health services.The NCCHC renders a professional judgment and assists in the improvement of services provided (NCCHC, 2012). NCCHC provides an Opioid Treatment Programs (O TP) for accreditation. OTP accreditation allows OTPs to achieve legally required certification from the Substance Abuse and Mental Health Services Administration (SAMHSA) of the United States part of Health and Human Services. The only SAMHSA classic accrediting body that focuses on corrections, NCCHC has developed standards that are based on federal regulations but tailored for this field (NCCHC, 2012). The NCCHC has accreditation beors that are formed of nurses, experienced doctors, health administrators and other health care professionals who have knowledge of the correctional system.The survey team reviews any medical records, including policies and procedures, interviewing of staff personnel, and inmates are included, along with touring the facility. There is an exit conference conducted at the end of the survey to talk over the primary outcomes. Specially trained surveyors visit correctional facilities seeking accreditation to prize compliance with NCCHC standards. These individuals share their time and knowledge be get to they are committed to the cause of improved quality in correctional health care (NCCHC, 2012).To locomote an NCCHC surveyor, one must complete 5 years of experience in correctional health care, a CCHP certification (or receiving one in a year), and the drive to participate in preparatory and follow on training. Surveyors must be health care professionals. Examples include, Medical make (MD), Doctor of Optometry (DO), Doctor of Dental Surgery (DDS) Doctor of Dental Medicine (DMD), Nurse practician (NP), Physician Assistant (PA), and Registered Nurse (RN), or have a overcomes degree. The utmost important requirement of a NCCHC surveyor is the need of loyalty and obligation to improving the quality of correctional health care.ReferencesCarson, A., & Golinelli, D. (2013). Prisoners in 2012 Trends in Admissionsand Releases, 1991-2012. Retrieved from http//www.bjs.gov/index.cfmNational Commission for Correctional Health Care. (2012) . Promoting Excellence in Health Care About NCCHC. Retrieved from http//www.ncchc.org/about/index.html Rechtine, D. (2008). NCCHCs New Standards and the Role of the Physician. Retrieved from http//societyofcorrectionalphysicians.org/corrdocs/corrdocs-archives/summer-2008/ ncchcs-new-standards-and-the-role-of-the-physicianU.S. Department of Justice. (2012). About the Bureau of Prisons. Retrieved from http//www.bop.gov/about/index.jsp