Our regional jail accepts inmates from many surrounding cities. With regard to the initial health assessment, does a physical assessment need to be repeated at our regional jail if the inmate coming from another facility already had a physical assessment and it was done within 14 days at the other jail?
There are a couple of standards to consider. First, E-04 Initial Health Assessment has requirements for what the health assessment should include and who may perform each component of the assessment (history vs. physical examination). You would need to determine if the health assessments being done at the surrounding jails meet this standard. The second standard to consider is E-03 Transfer Screening. Health staff at the regional jail would need to confirm that the initial health assessment was completed at the intake jail when transfer screening is completed. If not, it would need to be completed at the regional jail as soon as possible. If the health assessments that are done at the surrounding jails meet the standard, then it would not need to be repeated at the regional jail.
— From CorrectCare Volume 28, Issue 4, Fall 2014
We have an electronic medical records system in our two facilities, which are located several miles apart. The electronic records are not separate for the two locations; it is one record that contains all appointments for sick call, labs, X-ray, etc. Is it necessary to complete an intrasystem transfer form?
Standard E-03 Transfer Screening requires that qualified health care professionals review each transferred inmate’s health record or summary with 12 hours of arrival to ensure continuity of care. Since the standard allows for the review of the health record or summary, an intrasystem transfer form would not be necessary in your situation since the complete health record is available. However, there must be a way for staff at each facility to know that new inmates have arrived so that a record review may be completed and documented within 12 hours.
— From CorrectCare Volume 28, Issue 3, Summer 2014
Standard E-03 Transfer Screening says that “qualified health care professionals review each transferred inmate’s health record or summary within 12 hours of arrival.” Does it mean within 12 hours after the inmate arrives at the new jail and is in housing? Or does it mean within 12 hours of the chart’s arrival at the new jail?
The standard intends that within 12 hours of the inmate’s arrival at the facility (emphasis added), a qualified health care professional should be reviewing the health record or summary to ensure continuity of care.
— From CorrectCare Volume 25, Issue 4, Fall 2011