Correctional Managed Health Care Policy Manual

TABLE OF CONTENTS

 

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SECTION A – GOVERNANCE AND ADMINISTRATION

Access to Care

A-01.1

Responsible Health Authority

A-02.1

Treatment of Injuries Incurred in the Line of Duty

A-02.2

Medical Autonomy

A-03.1

Administrative Meetings

A-04.1

Health Services Statistical Report

A-04.2

Health Services Policies

A-05.1

Quality Improvement/Quality Management Program

A-06.1

Professional and Vocational Nurse Peer Review Process

A-06.2

Emergency Plans and Drills

A-07.1

Decision Making – Mental Health Patients

A-08.1

Transfers of Offenders with Acute Conditions

A-08.2

Referral of Offenders to the Development Disabilities Program (DDP)

A-08.3

Offender Medical and Mental Health Classification

A-08.4

Guidelines for Completing the Health Summary for Classification Form

A-08.4 Attachment A

Coordination with Windham School System

A-08.5

Medically Recommended Intensive Supervision Screening

A-08.6

MRIS Medical Summary A-08.6 Attachment A
MRIS - Standard Operating Procedure for Completing Medical Summary A-08.6 Attachment B

PULHES System of Offender Medical and Mental Health Classification

A-08.7

(A) PULHES Background and Information,

(B) Guidelines For Coding PUHLES

A-08.7 Attachment A

A-08.7 Attachment B

Medical Pass

A-08.8

Referral To The Chronic Mentally Ill Program - Inpatient Treatment Tract

A-08.9

Referral to the Program for the Aggressive Mentally Ill Offender (PAMIO)

A-08.10

Admission Referral Application to Clements Unit PAMIO Psychiatric Center

A-08.10 Attachment A

Privacy of Care

A-09.1

Serious/Critical Medical Condition & Notification of Next of Kin

A-10.1

Procedure in the Event of an Offender Death

A-11.1

Death Summary

A-11.1 Attachment A

Cause of Death Form

A-11.1 Attachment B

Custodial Death Report Information Worksheet

A-11.1 Attachment C

Pronouncement of Death by Licensed Nurses

A-11.2

Grievance Mechanism

A-12.1

Getting Medical Treatment – English

A-12.1 Attachment A

Obtaining Medical Treatment – Spanish

A-12.1 Attachment B

Informal Resolution Process

A-12.1 Attachment C

Patient Liaison Program

A-12.2

Physician Peer Review

A-13.1

 

SECTION B – MANAGING A SAFE AND HEALTHY ENVIRONMENT

Infection Control Program

B-14.1

CMHC Infection Control Committee

B-14.2

Employee TB Testing

B-14.3

TB Fact Sheet B-14.3 Attachment 1
Tuberculosis Certificate B-14.3 Attachment 2

Prevention of Hepatitis B Virus (HBV) Infection in TDCJ Facilities

B-14.4

(A) Information about Hepatitis B Vaccine, (B) Consent/Refusal, 

(C) Immunization Record Card, (D) Exposure Classifications

B-14.4 Attachments A – D

(E) Texas Department of State Health Services First Responders Information Pamphlet

B-14.4 Attachment E

(F) Texas Department of State Health Services First Responders Immunization Registry Request Form

B-14.4 Attachment F

(G) Texas Department of State Health Services First Responders Withdrawal of Consent and Confirmation Form

B-14.4 Attachment G

Occupational Exposure Counseling and Testing for TDCJ and Correctional Managed Health Care Employees

B-14.5

Occupational Exposure Counseling and Testing B-14.5 Attachment A-M
Human Immunodeficiency Virus (HIV) Infection

B-14.11

Environmental Inspections

B-15.1

Kitchen Sanitation and Food Handlers

B-16.1

Ectoparasite Control

B-17.1

 

SECTION C – PERSONNEL AND TRAINING

Licensure and Credential Verification

C-18.1

Continuing Education/Staff Development

C-19.1

Health Services Reference Materials

C-19.2

Sample Health Services Bookshelf

C-19.2 Attachment A

Training for Correctional Officers

C-20.1

Offender Workers

C-22.1

Position Descriptions

C-23.1

Supervising Medical Assistants Performing Tasks Delegated by Physicians

C-23.2

Competency Based Orientation: Medical Assistant

C-23.2 Attachment A

Annual Competency and Training: Correctional Medical Assistants

C-23.2 Attachment B

Staffing Levels

C-24.1

Orientation Training for Health Services Staff

C-25.1

 

SECTION D – HEALTH CARE SERVICES SUPPORT

Pharmaceuticals

D-27.1

Heat Stress D-27.2
Drugs Associated With Heat Stress D-27.2 Attachment A
Comorbidities That May Affect Heat Tolerance D-27.2 Attachment B
Heat-Related Illness Reporting Form D-27.2 Attachment C

Photosensitivity

D-27.3

Clinic Space, Equipment, and Supplies

D-28.1

Sharp, Needle and Syringe Control

D-28.2

Facility Repairs and Renovations

D-28.3

First Aid Kits

D-28.4

Equipment, Supplies and Inventory

D-28.5

Access to Diagnostic Services

D-29.1

Hospital and Specialized Ambulatory Care

D-30.1

Scheduling Approved Consultations to Specialty Health Services

D-30.2

 

SECTION E – INMATE CARE AND TREATMENT

Information on Health Care Services

E-31.1

Organ or Tissue Donation

E-31.2

Donor Information Sheet

E-31.2 Attachment A

Retraction of Tissue and Organ Donor Status

E-31.2 Attachment B

Access to Off-Site Hospitalization Offender Information

E-31.3

Management Of Offenders Who Have Received Solid Organ Transplants

E-31.4

Receiving, Transfer and Continuity of Care Screening

E-32.1

SAFPF Detoxification Medications List

E-32.1 Attachment A

Health Appraisal of Incoming Offenders

E-34.1

Periodic Physical Examinations

E-34.2

Use of Force Procedures

E-34.3

Reporting Suspected Abuse

E-34.4

Mental Health Appraisal for Newly Admitted Offenders

E-35.1

Mental Health Evaluation

E-35.2

Dental Treatment Priorities and Appendix I, II, and Dental Sealants

E-36.1

Inprocessing Offenders – Dental Examination, Classification, Education and Treatment

E-36.2

Recording and Scheduling Dental Patient Visits

E-36.3

Dental Prosthodontic Services

E-36.4

Medically Necessary Dental Prosthetics Referral Form

E-36.4 Attachment A

Completed Dental Prosthesis Requisition Form

E-36.4 Attachment B

Dental Utilization/Quality Review Committee

E-36.5

Periodontal Disease Program

E-36.6

Dental Clinic Operations Reporting

E-36.7

Daily Processing of Health Complaints and Sick Call

E-37.1

Sick Call Procedure For Offenders Unable To Write

E-37.1 Attachment A

Guidelines for Clipper Shave Pass

E-37.2

Medical Lay-Ins

E-37.3

Lockdown Procedures

E-37.4

Interpreter Services – Monolingual Spanish-Speaking Offenders

E-37.5

Cosmetic Surgery

E-37.6

Health Evaluation and Documentation – Offenders in Segregation

E-39.1

Direct Medical Orders

E-40.1

Emergency Services

E-41.1

Emergency Response During Hours of Operation

E-41.2

Inventory List

E-41.2 Attachment A

Offender Transport and Transfer

E-42.1

Missed Clinic Appointment

E-42.2

SLC Missed Appointment Audit/Survey

E-42.2 Attachment A

Transportation of Infirmary and Assisted Living Patients

E-42.3

Authorization to Leave the Inpatient Setting

E-42.3 Attachment A

Advanced Practice Nurse/Physician Assistant Protocols

E-43.1

Drug Therapy Management By A Pharmacist and Appendix A, B, C

E-43.2

Continuity of Care

E-44.1

Examination of Offenders by Private Practitioners

E-44.2

Request and Consent for Examination by Private Practitioner E-44.2 Attachment A

 

SECTION F – HEALTH PROMOTION AND DISEASE PREVENTION

Health Education and Promotion

F-46.1

Therapeutic Diets

F-47.1

Counseling Sheet for Therapeutic Diet Refusal

F-47.1 Attachment A

Exercise Program

F-48.1

Personal Hygiene

F-49.1

Tobacco Free Environment

F-50.1

 

SECTION G – SPECIAL NEEDS AND SERVICES

Offenders with Special Needs

G-51.1

Admission to A Geriatric Center

G-51.2

Admission Health Appraisals: Physically Handicapped

G-51.3

(A) Speech Pathology Referral Criteria for TDCJ, (B) Level of Care Assessment

G-51.3 Attachment A & B

Wheelchair Repair and Maintenance

G-51.4

Certified American Sign Language (ASL) Interpreter Services

G-51.5

Referral of an Offender for Admission into a Mental Health Inpatient Treatment Facility

G-51.6

Inpatient Treatment for SAFPF Offenders

G-51.7

Care of Offenders With Terminal Conditions

G-51.8

Consent to TDCJ Hospice Care

G-51.8 Attachment A

Hospice Guidelines

G-51.8 Attachment B

Wheelchair Use

G-51.9

Special Wheelchair Committee - Treatment Plan of Offender Refusing to Walk

G-51.9 Attachment A

Chronic Care Program

G-51.10

Treatment of Offenders with Gender Disorders

G-51.11

Consent Form for Therapy with Male Hormones

G-51.11 Attachment A-1

Consent Form for Therapy with Female Hormones

G-51.11 Attachment A-2

Special Needs Offenders Releasing From TDCJ

G-51.12

Continuity of Care Information Form

G-51.12 Attachment A

Infirmary Care

G-52.1

Admission To The Chronic Mentally Ill (CMI) Outpatient Sheltered Housing

G-52.2

Suicide Prevention Plan

G-53.1

Management of Offenders Hunger-Strikes

G-53.3

Detoxification

G-54.1

Pregnant Offenders

G-55.1

Alcohol or Other Drug Dependent Offenders

G-56.1

Sexual Assault

G-57.1

Penal Code, Chapter 22. – Assaultive Offenses

G-57.1 Attachment A

Code of Criminal Procedure, Chapter 56. – Rights of Crime Victims, Subchapter A. – Crime Victims’ Rights

G-57.1 Attachment B

Optical Prostheses and Appliances

G-59.2

Medical Prostheses and Orthotic Devices

G-59.3

Medical Conditions Not Suitable for B&L Referral

G-59.3 Attachment A

 

SECTION H – HEALTH RECORDS

Health Records – Organization and Maintenance

H-60.1

Outpatient Health Record Format

H-60.1 Attachment A-1

List of EMR Chart Sections

H-60.1 Attachment A-2

Chart Lookup For Patient

H-60.1 Attachment B

Abbreviated Job Titles

H-60.1 Attachment C

Inpatient Health Records

H-60.2

History and Physical Examination H-60.2 Attachment A
Discharge Summary H-60.2 Attachment B
Approval To File an Incomplete Medical Record H-60.2 Attachment C

Health Services Forms Control and Design

H-60.3

Confidentiality and Release of Information

H-61.1

Affidavit of Personal Representative

H-61.1 Attachment A

Calculation of Costs for Patient Health Information (2/2005) Facilities

H-61.1 Attachment B

Calculation of Costs for Patient Health Information (2/2005) Health Services Archives

H-61.1 Attachment C

Transfer of Health Records

H-64.1

Breach of Confidentiality Incident Log H-64.1 Attachment A
Breach of Confidentiality Form H-64.1 Attachment B

Retention/Destruction of Health Records

H-65.1

 

SECTION I – MEDICAL-LEGAL ISSUES

Medical Therapeutic Restraints

I-66.1

Therapeutic Restraint of Mental Health Patients

I-66.2

Psychiatric Inpatient Seclusion

I-66.3

Compelled Psychoactive Medication for Mental Illness

I-67.1

Correctional Managed Health Care - Mental Health Services Certificate of Emergency Compelled Psychoactive Medication In A Mentally Ill Person

I-67.1 Attachment A

Blood and Urine Testing for Forensic Purposes

I-68.1

DNA Specimen Collection

I-68.2

Forensic Information

I-68.3

Medical Consultation for the Offender Drug Testing Program

Offender Controlled Substance Testing Information Form

Prescription Drugs Giving Positive Results for the Sure-Screen Test

I-68.4

I-68.4 Attachment A

and Attachment B

Participation in Executions

I-69.1

Informed Consent

I-70.1

Request / Consent for Treatment or Services

I-70.1 Attachment A

Consent For Admission to Inpatient Psychiatric Care

I-70.2

Offender’s Right to Refuse Treatment, Department’s Right to Compel Treatment

I-71.1

Request for Compelled Treatment

I-71.1 Attachment A

Refusal of Treatment or Services

I-71.1 Attachment B

Instructions For Completing The Refusal Of Treatment Form

I-71.1 Attachment C

Patient Self-Determination Act, Natural Death Act, Advance Directives Act

I-71.2

Directive To Physicians

I-71.2 Attachment A

Standard Out-Of-Hospital Do-Not-Resuscitate Order

I-71.2 Attachment B

Patient Information About Advance Directives

I-71.2 Attachment C

Medical Research

I-72.1