Topic 5 – Risk Reduction/Risk Management


-Health Care Standards of the Joint Commission on Health Care Organizations (JCAHO) – trial access to the Standards
JCAHO is one accrediting body, used primarily by BOP.  Sample accreditation standards are presented in class.  These standards are generic for any health care organization.  They were designed for the community.  The set of standards most likely to be of interest to jails and prisons are the “Ambulatory” standards.  However, if the jail or prison were primarily an infirmary or hospital, their “Hospital” standards might be more appropriate.

To obtain free access to the full electronic set of standards (“E-ditions”) for 60 days, go to:
http://www.surveymonkey.com/s/DGNFF7M , and select “Ambulatory Health Care Setting.”
The JCAHO website is a little daunting to navigate.  If you want to get more information from a live person, you can contact: Darryl Anderson (630) 792-5292 danderson@jointcommission.org or
Mike Dye (630)792.5259 mdye@jointcommission.org

-Marshal Service Standards

-Immigration and Customs Enforcement (ICE) Standards: Performance Based National Detention Standards 2011
http://www.ice.gov/detention-standards/2011/ (click on “Part 4 – Care)

-Public Health Standards: Standards for Health Services in Correctional Institutions
American Public Health Association Standards 2003

-John Jay Patient Safety Standards (click for document)
These standards were developed by an expert panel in 2009.  They are based on corresponding patient safety standards used in community health care, but modified for corrections.  They complement the Rand Patient Safety standards: these standards are mostly not about specific diseases, but rather the general operation of a correctional health care operation. 

-Rand Patient Safety Standards {will need to get copyright permission} (click for document)
These standards were developed by an expert panel in 2009.  They are based on corresponding patient safety standards used in community health care, and though specifically developed for use in corrections, were not significantly modified from their original (community) wording.
  
-Lawyers’ Standards: Standards on Treatment of Prisoners
American Bar Association

-Nursing Standards: Corrections Nursing: Scope and Standards of Practice
American Nurses Association 2007
Available at www.nursesbooks.org, search for “corrections”; $16  

-Psychiatry Standards: Psychiatric Services in Jails and Prisons
American Psychiatric Association 2000
Available from book vendors; $30

-Psychology Standards: Standards for Psychology Services in Jails, Prisons, Correctional Facilities, and Agencies
International Association for Correctional and Forensic Psychology 2010

-Correctional Health Outcomes and Resource Data Set (CHORDS)
Still under development by NCCHC.  Will allow facilities to benchmark clinical data against other facilities.

-Corrections-specific clinical guidelines - NCCHC

-National Guideline Clearinghouse
The best compilation of guidelines in clinical medicine.  Operated by the Agency for Healthcare Research and Quality, National Institute of Health.

-National Heart Lung and Blood Institute Guidelines
Excellent source for guidelines on major health problems, like cholesterol and high blood pressure

- National Institutes of Health (NIH) for HIV/AIDS

-National Commission on Correctional Health Care Guidelines
American Diabetes Association
   
-Articles about reduction in law suit-related expenses by health care systems who have taken a pro-active approach towards patients who have adverse outcomes in their hospital

-Managing Risks in Jail
NIC Resource – 2008
Addresses risk management in general, but has sections on risk as it relates to health care

This is a very well tested and universally used form to monitor someone going through narcotic withdrawal.  With training and supervision, it could be administered by an officer.

-Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised (CIWA)
This is a very well tested and universally used form to monitor someone going through alcohol withdrawal.  With training and supervision, it could be administered by an officer.