Case Studies

NCCHC Resources, Inc., provides technical and strategic consulting services to all types of correctional health systems and programs. 

With its roots in the National Commission on Correctional Health Care, NCCHC Resources offers unparalleled breadth, depth, experience and perspective to tackle the intricacies of this complex field. Our customers seek training, strategic guidance, subject matter expertise and technical assistance with health care-related issues. Recent projects include:

  • Comprehensive review of health care services with targeted recommendations for improvement
  • Focused analysis of nonemergency health care services at a high-security prison
  • Assessment of a large jail system's readiness for an accreditation survey, including on-site assessments at the system’s many sites and crucial feedback
  • Development of large and complex RFPs for health services
collaborative compliance

A large urban county has retained NCCHC Resources to help navigate the complexities of providing medical, dental and mental health care to the thousands of individuals within its complex correctional system.

As the county’s contract with a private correctional health services provider was nearing its end, NCCHC Resources consultants were brought in to the county jail and House of Correction to conduct an on-site analysis of the care provided, with a goal of improving quality and continuity. The consultants, experts in correctional health care with decades of NCCHC experience, worked with the county to develop an RFP for a new health services contract, ensuring that requirements for bidders and the subsequent contract were complete and thorough. They also conducted an analysis of proposed staffing positions to ensure that professionals with appropriate licenses and credentials were hired, and provided ongoing support throughout the RFP process.

In addition, the county issued an RFP for an independent third-party monitor to assess compliance with the terms of the contract. NCCHC Resources won that RFP, and was hired to monitor the care provided through the health services contactor.

Ongoing oversight is multifaceted and includes analyzing clinical, fiscal and related data to assess performance of provider duties under the health services contract; supporting alignment and continuous compliance with the NCCHC standards; providing health services personnel with technical support aimed at continuous quality improvement; and being responsive to the county and its provider as they strive to meet the challenging health needs of incarcerated patients.

Adding to the complexity of the situation, the county board committed to bringing health care operations in-house, to be provided by county employees, by 2021. The county executive then enlisted NCCHC Resources to complete a comprehensive self-operation implementation analysis, including analysis of the required services, staffing, equipment, IT services and associated costs.

OPIOID USE DISORDER TRAINING

One county jail made a smart move in the fight against opioid addiction: The Sheriff Al Cannon Detention Center hired NCCHC Resources to teach staff members about medication-assisted treatment in the correctional setting.

The all-day, interactive training seminar at the North Charleston, SC, jail included information on the scope of the opioid problem, the role of MAT in treatment and approaches to MAT. The presenters also provided an in-depth review of NCCHC’s Standards for Opioid Treatment Programs in Correctional Facilities and explained how to establish a successful OTP using the Standards.

With an average daily population around 1,300, Al Cannon is not a huge jail. The leadership knows, however, how important it is for the staff to understand the most current thinking in how to treat inmates with opioid use disorder. “With the increase in opioid use in our community and the great risk for return to use or overdose after release from detention, we feel it is critical that MAT be implemented in the detention center,” says Chanda Brown, PhD, LMSW, director of the Charleston Center, the county’s public health provider. “It’s the right thing to do medically and it could potentially save lives.”

NCCHC is the only corrections-specific organization that is federally authorized to accredit opioid treatment programs.

specialized correctional expertise

When Navigant Consulting needed to conduct a benchmarking study of costs in correctional health care systems, the firm turned to NCCHC Resources for its unique expertise.

Seeking state-to-state comparisons of correctional health care practices, staffing and utilization of services, Navigant, a large health care consulting firm, enlisted NCCHC Resources for specialized correctional knowledge, perspective and insight. Our expertise and Navigant’s robust health care analytic skills combined to create a comprehensive study of information from seven state departments of corrections. Our consultants facilitated communications with those states’ DOCs, developed a detailed data request and partnered with Navigant in the fact-gathering interviews.

The study included detailed information and data on health-care staffing and costs; health care utilization by inmates; use of telemedicine to treat patients; private vendors used to provide medical, behavioral health and pharmacy services; electronic health record system use; pharmacy models and costs; and hepatitis C treatment guidelines.

Says Navigant Managing Director Catherine Sreckovich, “NCCHC Resources was an invaluable partner, providing the necessary expertise and credibility to our efforts to collect information from states around the country.”