Clinical Guidelines

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Our state prison system has implemented a chronic care clinic (CCC) program. I remember NCCHC having a list of proposed diagnoses for CCC eligibility. What diagnoses should we include in our program?

The information you seek is found in standards P-G-01 Special Needs Treatment Plans and P-G-02 Management of Chronic Disease. From NCCHC’s standpoint, any health condition that is considered chronic or that requires multidisciplinary care also requires development of an individual treatment plan for regular, ongoing care. Examples of such conditions are listed in P-G-01.

To sharpen the focus on chronic care, P-G-02, new to the 2003 Standards, specifies seven conditions for which the facility is expected to have identified national clinical guidelines to follow in treating these diseases. To assist facilities, NCCHC has developed correctional clinical guidelines for these conditions. Alternatively, facilities may choose any of the national clinical guidelines current in community care, such as those from the American Diabetes Association, the American Society of Internal Medicine, etc. (See the National Guideline Clearinghouse at www.guideline.gov.)

The eventual goal is for practitioners to follow specific clinical protocols for all chronic conditions. The current seven are a first step.
— From CorrectCare Volume 19, Issue 2, Spring 2005

 
 

Why are the NCCHC clinical guidelines not included in the standards manuals?

The standards are revised periodically, usually every three to five years. In contrast, clinical guidelines must be timely, reflecting the latest developments in the field and current treatment recommendations. NCCHC’s guidelines for disease management are revised as often as necessary to keep them current and are available online.
— From CorrectCare Volume 17, Issue 2, Spring 2003; updated February 2010