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The Latest Column
Questions are from the latest Standards Q&A column, posted in September 2017.
Does Partial Compliance Count?
Our jail is preparing for its first NCCHC accreditation survey. What percentage of compliance is required to “pass” a standard?
We are pleased that you are preparing for initial NCCHC accreditation and our staff is ready to assist with your questions. Each standard is classified as either essential or important. For accreditation purposes, 100% of applicable essential standards must be met, and at least 85% of applicable important standards.
Accreditation is not based on partial compliance; each compliance indicator must be met in order to meet the standard. Some standards have only one compliance indicator, while others have more than 10. However, not every standard may apply to your facility. For example, if your facility houses only men, the standard regarding pregnancy would not apply.
Now that you’ve applied for initial accreditation, you should contact us to schedule a free webinar on how to prepare for accreditation. This webinar shares preparation tips and discusses what to expect during a survey. It also allows health staff the opportunity to ask questions.
Diagnoses for Chronic Care Clinics
Our state prison system has implemented a chronic care clinic program. What chronic conditions should we include in our program?
The information you seek is found in standards G-01 Chronic Disease Services and G-02 Patients With Special Health Needs. From NCCHC’s standpoint, any health condition that is considered chronic or that requires multidisciplinary care also requires that an individual treatment plan be developed for regular, ongoing care. Examples of such conditions are listed in G-02. Standard G-01 specifies nine conditions for which the facility is expected to follow national clinical guidelines in treating these diseases. These nine are a first step. The eventual goal is for providers to follow clinical protocols for all chronic conditions.
To find national clinical guidelines, visit www.ncchc.org/federal-clinical-guidelines. Here, links will direct you to various guidelines current in community care, such as those from the Centers for Disease Control and Prevention and the Department of Veterans Affairs, as well as guidelines from the Federal Bureau of Prisons.
Timing for Encounters After Sick Call
When conducting sick call and a face-to-face encounter is required, should the encounter occur within 48 hours of (a) picking up the request or (b) triaging the request?
Standard E-07 Nonemergency Health Care Requests and Services requires that oral or written requests for health care are picked up daily by qualified health care professionals and triaged within 24 hours. When a request describes a clinical symptom, a face-to-face encounter between the patient and a qualified health care professional occurs within 48 hours (72 hours on weekends). The intent is that a patient is seen within 48 hours (72 hours on weekends) from the time the request is picked up. The requests should be triaged in the first 24 hours and the face-to-face encounter should be conducted within the next 24 hours.