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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
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 |
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
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
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 |
Offenders Right to Refuse Treatment, Departments 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 |
|
I-71.2 Attachment C |
Medical Research |
I-72.1 |
|