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Policy 700Santa Ana Police Department Custody Manual Copyright Lexipol, LLC 2025/04/15, All Rights Reserved. Published with permission by Santa Ana Police Department***DRAFT*** Health Care Administrative Meetings and Reports - 1Health Care Administrative Meetings and Reports 700.1 PURPOSE AND SCOPE The Department recognizes that the delivery of effective health care requires open and frequent communication between the Responsible Physician and the Jail Administrator or designee. This policy provides guidelines for the continuous monitoring, planning, and problem resolution in providing health care that addresses the medical needs of the incarcerated person population and prevents potential outbreaks of communicable and contagious illness. 700.1.1 DEFINITIONS Definitions related to this entire chapter include: Access to care - An incarcerated person should be seen in a timely manner by a qualified health care professional. The incarcerated person should be given a professional clinical diagnosis and receive treatment that is ordered. Clinical practice guidelines - A systematically developed science-based statement designed to assist practitioners and incarcerated persons with decisions about appropriate health care for specific clinical circumstances. Clinical practice guidelines are used to assist clinical decision- making, assess and assure the quality of care, educate individuals and groups about clinical disease, guide the allocation of health care resources, and reduce the risk of legal liability for negligent care. Clinical setting - An examination or treatment room, either on- or off-site, which is appropriately supplied and equipped to address a patient's health care needs. Daily - Seven days a week, including holidays. Direct order - A written order issued by a qualified health care professional specifically for the treatment of an incarcerated person's particular condition. Health appraisal - A comprehensive health evaluation completed within 14 days of an incarcerated person's arrival at the facility. Health authority - The Responsible Physician, health services administrator or health agency responsible for providing all health care services or coordinating the delivery of all health care services. Health care - The sum of all actions, preventive and therapeutic, taken for the physical and mental well-being of the incarcerated person population. The term health care includes medical, both physical and psychological, dental, nutrition, and other ancillary services, as well as maintaining safe and sanitary environmental conditions. HIPAA - Health Insurance Portability and Accountability Act Santa Ana Police Department Custody Manual Health Care Administrative Meetings and Reports Copyright Lexipol, LLC 2025/04/15, All Rights Reserved. Published with permission by Santa Ana Police Department***DRAFT*** Health Care Administrative Meetings and Reports - 2Mental health staff - Qualified health care professionals who have received instruction and supervision in identifying and interacting with individuals in need of mental health services. Physical examination - An objective, hands-on evaluation of an individual. It involves the inspection, palpation, auscultation, and percussion of a body to determine the presence or absence of physical signs of disease. Qualified health care professional - Physicians, physician's assistants, nurses, nurse practitioners, dentists, mental health professionals or other persons who, by virtue of their education, credentials, and experience are permitted by law to evaluate and care for patients within the parameters of their license or certification. Responsible Physician - An individual licensed to practice medicine and provide health services to the incarcerated person population of the facility, or the physician at an institution with final responsibility for decisions related to medical judgment. Sick call - The evaluation and treatment of an ambulatory patient, either on- or off-site, by a qualified health care professional. Special needs - Health conditions that require regular care. Standing order - Written orders issued by a physician that specify the same course of treatment for each patient suspected of having a given condition and the specific use and amount of prescription drugs (e.g., immunizations, insulin, seizure medications). Suicidal ideation - Having thoughts of suicide or of taking action to end one's own life. Suicidal ideation includes all thoughts of suicide when the thoughts include a plan to commit suicide and when they do not. Treatment plan - A series of written statements specifying a patient's particular course of therapy and the roles of qualified health care professionals in delivering the care. Triage - The sorting and classifying of health care requests to determine priority of need and the proper place for health care to be rendered. 700.2 POLICY It is the policy of this facility that the Responsible Physician should meet with the Jail Administrator or designee at least quarterly. The Responsible Physician should be required to submit a report addressing the effectiveness of the health care system, a description of any environmental or access issues that require improvement, and detail any progress that has been made in previously reported areas. The quarterly meeting should be documented through formal minutes, which should include the names of attendees and a list of the topics discussed. The minutes should be retained in accordance with established records retention schedules. The data for the quarterly report should be gathered by the Responsible Physician and should cover the following topics: •Health care services Santa Ana Police Department Custody Manual Health Care Administrative Meetings and Reports Copyright Lexipol, LLC 2025/04/15, All Rights Reserved. Published with permission by Santa Ana Police Department***DRAFT*** Health Care Administrative Meetings and Reports - 3•Quality improvement findings •Infection control efforts •Incarcerated person grievances •Environmental inspections report 700.2.1 STATISTICAL REPORTS In addition to the quarterly report described above, a statistical report will be provided annually to the Jail Administrator or designee. The statistical report will be