california state prison, solano medical inspection results ... of the inspector general california...

Download California State Prison, Solano Medical Inspection Results ... of the Inspector General CALIFORNIA STATE PRISON, SOLANO Medical Inspection Results Cycle 4 Robert A. Barton Inspector

If you can't read please download the document

Post on 06-Mar-2018

213 views

Category:

Documents

0 download

Embed Size (px)

TRANSCRIPT

  • Medical Inspection Unit Page 1

    Office of the Inspector General State of California

    California State Prison, Solano

    Medical Inspection Results

    Cycle 4

    December 2015

    Robert A. Barton

    Inspector General Office of the Inspector General

  • Office of the Inspector General

    CALIFORNIA STATE PRISON, SOLANO

    Medical Inspection Results

    Cycle 4

    Robert A. Barton

    Inspector General

    Roy W. Wesley

    Chief Deputy Inspector General

    Shaun R. Spillane

    Public Information Officer

    December 2015

  • California State Prison, Solano, Cycle 4 Medical Inspection Table of Contents

    Office of the Inspector General State of California

    TABLE OF CONTENTS

    Executive Summary ....................................................................................................................................... i

    Overall Assessment: Inadequate .............................................................................................. iii Clinical Case Review and OIG Clinician Inspection Results................................................... iii Compliance Testing Results ...................................................................................................... v Population-Based Metrics ........................................................................................................ xi

    Introduction ................................................................................................................................................... 1

    About the Institution ..................................................................................................................................... 1

    Objectives, Scope, and Methodology ........................................................................................................... 4

    Case Reviews ......................................................................................................................................... 5

    Patient Selection for Retrospective Case Reviews .......................................................................... 5

    Benefits and Limitations of Targeted Subpopulation Review ......................................................... 6

    Case Reviews Sampled .................................................................................................................... 7

    Compliance Testing ................................................................................................................................ 8

    Sampling Methods for Conducting Compliance Testing ................................................................. 8

    Scoring of Compliance Testing Results ........................................................................................... 8

    Dashboard Comparisons .................................................................................................................. 9

    Overall Quality Indicator Rating for Case Reviews and Compliance Testing ....................................... 9

    Population-Based Metrics .................................................................................................................... 10

    Medical Inspection Results ......................................................................................................................... 11

    Primary (Clinical) Quality Indicators of Health Care .......................................................................... 11

    Access to Care ............................................................................................................................... 13

    Case Review Results ............................................................................................................... 13 Compliance Testing Results .................................................................................................... 17 CCHCS Dashboard Comparative Data ................................................................................... 18 Recommendations ................................................................................................................... 19

    Diagnostic Services ........................................................................................................................ 20

    Case Review Results ............................................................................................................... 20 Compliance Testing Results .................................................................................................... 22 Recommendation ..................................................................................................................... 22

    Emergency Services ....................................................................................................................... 23

    Case Review Results ............................................................................................................... 23 Recommendations ................................................................................................................... 25

    Health Information Management (Medical Records) .................................................................... 26

    Case Review Results ............................................................................................................... 26 Compliance Testing Results .................................................................................................... 28 CCHCS Dashboard Comparative Data ................................................................................... 29 Recommendation ..................................................................................................................... 30

    Health Care Environment .............................................................................................................. 31

    Compliance Testing Results .................................................................................................... 31 Recommendations ................................................................................................................... 33

    Inter- and Intra-System Transfers .................................................................................................. 35

    Case Review Results ............................................................................................................... 35 Compliance Testing Results .................................................................................................... 38 Recommendations ................................................................................................................... 39

    Pharmacy and Medication Management ....................................................................................... 41

    Case Review Results ............................................................................................................... 41

  • California State Prison, Solano, Cycle 4 Medical Inspection Table of Contents

    Office of the Inspector General State of California

    Compliance Testing Results .................................................................................................... 43 CCHCS Dashboard Comparative Data ................................................................................... 46 Recommendations ................................................................................................................... 47

    Preventive Services ........................................................................................................................ 48

    Compliance Testing Results .................................................................................................... 48 CCHCS Dashboard Comparative Data ................................................................................... 49 Recommendations ................................................................................................................... 49

    Quality of Nursing Performance .................................................................................................... 50

    Case Review Results ............................................................................................................... 50 Recommendations ................................................................................................................... 53

    Quality of Provider Performance .................................................................................................. 55

    Case Review Results ............................................................................................................... 55 Recommendations ................................................................................................................... 60

    Specialized Medical Housing (OHU, CTC, SNF, Hospice) ........................................................... 61

    Case Review Results ............................................................................................................... 61 Compliance Testing Results .................................................................................................... 64 Recommendations ................................................................................................................... 64

    Specialty Services........................................................................................................................... 65

    Case Review Results ............................................................................................................... 65 Compliance Testi

Recommended

View more >