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NCCHC-CCHP Exam Format | NCCHC-CCHP Course Contents | NCCHC-CCHP Course Outline | NCCHC-CCHP Exam Syllabus | NCCHC-CCHP Exam Objectives

QAs Cover the Following Topics of Exam:



I. GOVERNANCE AND ADMINISTRATION

- Access to care

- Responsible health authority

- Medical autonomy

- Administrative meetings and reports

- Policies and procedures

- Continuous quality improvement program

- Privacy of care

- Health records

- Procedure in the event of an inmate death

- Grievance process for health care complaints





II. HEALTH PROMOTION, SAFETY, AND DISEASE PREVENTION (10%-15%)

- Healthy lifestyle promotion

- Infectious disease prevention and control

- Clinical preventive services

- Medical surveillance of inmate workers

- Suicide prevention and intervention

- Contraception

- Communication on patients health needs

- Patient safety

- Staff safety



III. PERSONNEL AND TRAINING (5%-10%)

- Credentials

- Clinical performance enhancement

- Professional development

- Health training for correctional officers

- Medication administration training

- Inmate workers

- Staffing

- Health care liaison

- Orientation for health staff



IV. ANCILLARY HEALTH CARE SERVICES (8%-14%)

- Pharmaceutical operations

- Medication services

- Clinic space, equipment and supplies

- On-site diagnostic services

- Medical diets

- Patient escort

- Emergency services and response plan

- Hospital and specialty care



V. PATIENT CARE AND TREATMENT (15%-20%)

- Information on health services

- Receiving screening

- Transfer screening

- Initial health exam

- Mental health screening and evaluation

- Oral care

- Nonemergency health care requests and services

- Nursing exam protocols and procedures

- Continuity, coordination and quality of care

- Discharge planning



VI. SPECIAL NEEDS AND SERVICES (12%-18%)

- Patients with chronic disease and other special needs

- Infirmary-level care

- Mental health services

- Medically supervised withdrawal and treatment

- Counseling and care of the pregnant inmate

- Response to sexual abuse

- Care for the terminally ill



VII. MEDICAL-LEGAL ISSUES (8%-14%)

- Restraint and seclusion

- Segregated inmates

- Emergency psychotropic medication

- Therapeutic relationship, forensic information, and disciplinary actions

- Informed consent and right to refuse

- Medical and other research

- Executions (prisons only)



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- Health Care Delivery in Correctional Settings

- Structure of Correctional Health Care: Understanding the hierarchy and roles within correctional health services, including public vs. private systems.

- Continuity of Care: Strategies for ensuring ongoing care for inmates, including release planning and community resources.

- Access Issues: Barriers to health care access, including transportation, security concerns, and scheduling.



- Legal and Ethical Issues

- Constitutional Rights: Key cases like Estelle v. Gamble that outline inmate rights to health care.

- Informed Consent: Importance of clear communication and ensuring that inmates understand procedures and treatments.

- Confidentiality: HIPAA regulations and their application in correctional settings.



- Clinical Services

- Chronic Disease Management: Protocols for managing diabetes, hypertension, and other chronic conditions in a correctional environment.

- Acute Care: Guidelines for addressing urgent medical issues, including triage protocols.

- Mental Health Services: Integration of psychiatric services within the correctional health care framework.



- Public Health Issues

- Infectious Disease Control: Strategies for managing outbreaks of diseases like tuberculosis, HIV, and hepatitis.

- Health Promotion: Initiatives aimed at educating inmates on healthy lifestyles, including smoking cessation and exercise programs.

- Nutrition: Guidelines for providing balanced meals that meet dietary needs of diverse populations.



- Behavioral Health

- Assessment Tools: Use of standardized exams for mental health and substance abuse disorders.

- Therapeutic Interventions: Evidence-based therapies for treating mental health issues in corrections.

- Crisis Management: Techniques for managing suicidal ideation and self-harm behaviors among inmates.



- Pharmacy and Medication Management

- Medication Administration: Policies for safe dispensing and storage of medications within facilities.

- Psychotropic Medications: Special considerations for managing mental health medications and monitoring effects.

- Withdrawal Protocols: Best practices for managing withdrawal from substances like alcohol and opioids.



- Quality Improvement and Risk Management

- Quality Metrics: Understanding key performance indicators for evaluating health care effectiveness.

- Incident Reporting: Procedures for documenting adverse events and implementing corrective actions.

- Risk Management Strategies: Identifying potential risks and developing plans to mitigate them in a correctional setting.



- Interdisciplinary Teamwork

- Team Roles and Responsibilities: Detailed breakdown of responsibilities among nurses, doctors, mental health professionals, and correctional staff.

- Effective Communication: Techniques for facilitating communication among team members and with inmates.

- Conflict Resolution: Strategies for resolving disputes and misunderstandings within the team.



- Cultural Competence

- Diversity Training: Importance of training staff to understand cultural differences and their impact on health care delivery.

- Health Disparities: Awareness of how socioeconomic status, ethnicity, and other factors affect health outcomes in corrections.

- Tailored Health Programs: Developing health programs that address the specific needs of diverse inmate populations.



- Emergency Preparedness

- Emergency Response Plans: Development of comprehensive plans for medical emergencies, including roles and responsibilities.

- Training and Drills: Importance of regular training for staff on emergency protocols and procedures.

- Coordination with External Services: Collaboration with local health services and emergency responders.



- Documentation and Record Keeping

- Standards for Documentation: Best practices for maintaining accurate and timely medical records.

- Legal Implications: Understanding the legal ramifications of poor documentation practices.

- Technology in Record Keeping: Utilizing electronic health records to streamline documentation processes.



- Regulatory Compliance

- Accreditation Standards: Familiarity with NCCHC and ACA standards for correctional health care facilities.

- Policy Development: Creating policies that comply with federal, state, and local regulations.

- Audit and Review Processes: Understanding the processes for internal and external audits to ensure compliance with standards.

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