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Policy 703Santa Ana Police Department Custody Manual Copyright Lexipol, LLC 2025/04/15, All Rights Reserved. Published with permission by Santa Ana Police Department***DRAFT*** Referrals and Coordination of Specialty Care - 1Referrals and Coordination of Specialty Care 703.1 PURPOSE AND SCOPE This policy establishes a process for referring incarcerated persons who need health care or specialty care that is beyond the resources available in the facility. The policy includes guidelines regarding transportation under appropriate security provisions and the formulation of advance written agreements for alternate services. Specialty care includes specialist-provided health care, such as nephrology, surgery, dermatology, and orthopedics. 703.2 POLICY It is the policy of this department that incarcerated persons have access to necessary hospitalization and specialty services for serious medical needs. This facility will provide, either directly or through contracted sources, specialty care and emergency medical services to incarcerated persons when the need is determined by the Responsible Physician (15 CCR 1206(b); 15 CCR 1206(c)). 703.3 JAIL ADMINISTRATOR RESPONSIBILITY The facilities healthcare provider is responsible for establishing written agreements with outside specialty health care services not available within the facility. In addition, a plan shall be developed for the secure transportation of incarcerated persons to a facility where such care is available. 703.4 REFERRAL TO OFF-SITE MEDICAL CARE A qualified health care professional shall evaluate the incarcerated person, and if indicated, shall recommend specialty appointments in writing on the order sheet in the incarcerated person's medical record. A referral form should be completed and any supporting documentation attached. The written referral shall be reviewed and authorized, if appropriate, by the Responsible Physician and transmitted to the Agency responsible for the inmate's incarceration for approval. 703.5 OFF-SITE COORDINATION The qualified health care professional is responsible for recommending off-site medical and/ or psychiatric care for incarcerated persons, coordinating outside appointments, and making appropriate notifications of off-site transportation needs. The Jail Administrator should establish a written transportation procedure that ensures incarcerated persons are transported securely and in a timely manner for medical, mental health, dental clinic, or other specialty appointments. The procedure shall include the secure transfer of medical information to the receiving health care service. Any conflicts that arise regarding off-site medical transportation will be communicated by the correctional officer responsible for transportation to the Responsible Physician and the Jail Administrator or authorized designee so that modifications may be made. Santa Ana Police Department Custody Manual Referrals and Coordination of Specialty Care Copyright Lexipol, LLC 2025/04/15, All Rights Reserved. Published with permission by Santa Ana Police Department***DRAFT*** Referrals and Coordination of Specialty Care - 2The Responsible Physician shall keep a log of missed appointments to determine if transportation issues are impeding the ability of incarcerated persons to access appropriate medical care. Any issues identified shall be discussed and resolved between the Responsible Physician and the Jail Administrator (15 CCR 1206(c); 15 CCR 1206(n)).