>Users:   login   |  register       > email     > people    

Continuous Quality Improvement in Correctional Health Care
By Jan Jolly, BSDH
Published: 12/30/2019

Hospital beds scaled Whether health care is delivered in a large urban hospital, a rural community clinic, a county jail, or a state prison, monitoring the quality of that care is essential for continued success and positive patient outcomes. In our state and federal prisons, meeting the standards set by accreditation agencies, state legislation, and internal policies regarding quality improvement is one of our greatest challenges. But it is a challenge that provides untold rewards when met with a positive attitude and enthusiasm for overcoming barriers to health care improvement.

A robust continuous quality improvement (CQI) program provides an opportunity for every correctional medical department to monitor and improve the services they provide. Following a structured process to evaluate each area of the jail or prison health care services allows for early identification of areas that need improvement. Once identified, a CQI program is the perfect venue to fix internal process weaknesses and improve patient outcomes before they become systemic or lead to grievances and lawsuits.

The scope of an effective CQI program can be broad or narrow. Many facilities have programs that are managed at a corporate level with every facility conducting a standard list of studies each month. But to be truly successful, each facility needs to expand its CQI program to identify its own unique problems. For example, a women’s prison needs to conduct a separate set of studies than a male juvenile facility. Challenges at a maximum-security unit differ from those found at a boot camp. As noted in an article on the NCCHC website, “Simply studying and restudying areas that continuously meet or exceed established thresholds does not meet the intent of this standard” (NCCHC A-06). Consider the following list as a starting point for a CQI program.
  • Adverse patient events
  • Case management / continuity of care
  • Contract compliance
  • Dental
  • Emergencies
  • Environmental inspection reports
  • Grievances
  • Medical records
  • Infection control
  • Laboratory
  • Medication errors
  • Mental health
  • Mortality reviews
  • Peer review
  • Pharmacy
  • Prompt delivery of care
  • Radiology
  • Utilization review
In addition to these common areas, each facility should identify, study, improve, and monitor any service that falls short of the standard of care expected in the community.

To monitor and improve identified deficiencies in the delivery of care requires a committee of diverse disciplines–physicians, nurses, dentists, records clerks, schedulers, physical therapists–to develop action plans for quality improvement. Depending on the issues identified, staff members who work at the front line of care and licensed providers, who provide care as well as oversight, must be involved. It is a waste of time for one administrator to conduct a study and simply report it in a set of meeting minutes. With the supervising physician as captain, the CQI committee must make a team effort to identify problems and develop a plan for improvement.

Identifying weaknesses in health care services that are high-risk, high-volume, or problem-prone by regular monitoring of standard reports represents ground zero for an efficient CQI system. These should become the basis of each meeting of the CQI committee. That committee should monitor those areas for negative trends such as grievances in a certain area rising or the volume of A1C tests going down for three consecutive months. When these types of reports are reviewed by a group of concerned staff members each month, everyone involved becomes aware of potential threats to delivery of optimal care and can develop action plans to correct the problems before they become systemic.

Many states have codified requirements for CQI programs in their prisons while others have developed policies and procedures to ensure compliance. These provide clarity of expectations, continuity of the program in an environment of high personnel turnover and ensure third-party monitoring. However, a healthy CQI system requires providers and administrators who personally believe in the CQI process and have a deep desire–a mission–to make the delivery of high-quality health care to offenders their daily goal. Without buy-in from leadership–wardens, health services administrators, physicians, nurse practitioners–a CQI program can become a dreaded chore rather than an opportunity to improve.

When “inmates” cross the thresholds of our prison medical departments, they become “patients.” Those patients deserve and are, indeed, legally entitled to the best health care we can provide. A vigorous CQI program is the proven way to ensure that we identify potential problems early, that we implement a plan to correct the problem, that we monitor the outcome so that the problem does not recur, and that our patients continue to receive the high-quality of care they need.


Jan Jolly retired as the Director of Quality Improvement and Training with Correct Care Solutions, the medical contractor for the Arkansas Department of Correction, in 2017 after serving in that capacity for over ten years. She is now a freelance writer for the dental and correctional industries.


  1. contactkizzytucke.r on 03/19/2020:

    CompTIA Exams Best for IT Career SY0-501 CS0-001 CLO-001 RC0-501 N10-007 220-902 N10-006 CAS-002 CV0-002 PK0-004 CAS-003 LX0-103 LX0-104 FC0-U51 FC0-U61 PT0-001 SK0-004 220-1001 220-1002 XK0-004 CLO-002

  2. contactkizzytucke.r on 03/19/2020:

    Best and Latest Microsoft Exam Codes for the Preparation of IT Certification Exams and Pass your Exams at First Shot 70-461 70-462 70-463 70-410 70-486 70-764 70-483 70-744 98-365 70-762 70-339 70-411 MB2-716 70-333 70-765 98-369 98-364 70-740 70-761 98-361 70-412 MB6-894 70-705 70-778 70-768 70-743 98-349 98-366 70-767 70-413 70-741 70-487 98-375 70-480 70-742 70-779 98-381 70-357 98-380 98-383 62-193 AZ-203 70-466 AZ-301 MS-300 AZ-300 MS-900 AZ-103 AZ-900 MB-300 AI-100 MB-200 MS-101 MS-500 MS-100 MS-301 MB-210 MD-101 DP-100 MB-310 70-334 70-345 AZ-400 DP-201 MB-230 MB-330 MD-100 DP-200 MS-200 MS-201 70-414 70-464 70-537 70-745 77-725 77-727 77-731 98-367 98-368 98-388 MB-320 AZ-500 MB-220 AZ-120 MB-400 MS-700 PL-900 MB-901 70-417 98-382

  3. rdx on 03/15/2020:

    I really appreciate this wonderful post that you have provided for us. I assure this would be beneficial for most of the people. medical mask machine 10

  4. dejaolsone on 03/09/2020:

    Human health is a very concerned issue today. Selecting information, food sources, water sources to ensure our own safety. the impossible quiz

  5. gateswhite on 02/28/2020:

    Those patients deserve and are, indeed, legally entitled to the best health care we can provide here check Here

  6. gateswhite on 02/28/2020:

    Those patients deserve and are, indeed, legally entitled to the best health care we can provide here https://returpolicypro.com

  7. Meryl on 02/15/2020:

    Excellent information on your blog, thank you for taking the time to share with us. Amazing insight you have on this, it's nice to find a website that details so much information about different artists. massage therapy

  8. joanmelda on 02/14/2020:

    When students seek our Nursing Research Paper Writing Services from us, they are assured to receive the best Custom Nursing Writing Services that meets all their writing needs and Professional Nursing Writing Services one that has been written following all the instructions.

  9. joanmelda on 02/14/2020:

    Through our experts, we offer all kinds of Biology Writing Services and Biology Coursework Writing Help to suit the needs of every student when they are given any Biology Research Paper Writing Services.

  10. Sam on 02/14/2020:

    I hope that as much as they are concerned of the inmate's physical health, they will also be concerned for their spiritual health. Study shows that if the spirit of a person is well, the body follows. One proof is if you are downcast and sorrowful, you tend to be weaker. On the other hand if you are cheerful, you feel like you can do all things. Sam - roofing repair

  11. Gtechwebindia on 02/12/2020:

    With data entry work taking up so much time, it gets difficult for companies to concentrate on their core tasks leading to lack of productivity. The best solution to this problem is to outsource the Data Entry Services to an experienced third-party service provider in USA. Here Gtechwebindia comes in the play.

  12. joanmelda on 02/11/2020:

    Through our experts, we offer all kinds of Biology Writing Services and Biology Coursework Writing Help to suit the needs of every student when they are given any Biology Research Paper Writing Services.

  13. Maryam Khatri on 02/11/2020:

    One of the most significant Improvement in Correctional Health Care is that they have started using medical marijuana. I read about it on www.weednews.co which provided a lot of details.

  14. Satya Prakash on 02/11/2020:

    One stop for SEO services, SEO services is a company with complete solution for all your digital marketing and local SEO requirements. They are specialized in services like making online presence, PPC, Search Engine optimization, Social media optimization, SEM, website design, e-commerce solutions and email marketing. Submit your Posts free here....
    myarticleposts and Tours & Travel Blogs

  15. joanmelda on 02/10/2020:

    When students seek our Nursing Research Paper Writing Services from us, they are assured to receive the best Custom Nursing Writing Services that meets all their writing needs and Professional Nursing Writing Services one that has been written following all the instructions.

  16. james_brown on 02/06/2020:

    I have read your article, it is very informative and helpful for me. I admire the valuable information you offer in your articles. Thanks for posting it. wuxiaworld

  17. Fancypants on 02/05/2020:

    It's relieving that health care centers and facilities are being monitored well. Good job for this team. As they say you cannot give what you do not have, hospitals and medical centers should also focus on their quality to offer quality service to patients. Regards, house painters

  18. enable on 02/03/2020:

    It is advertising and marketing offers advertisments so as to practical research ahead of placing. In other words to jot down more appropriate area in this way. plumber in Thatcham

  19. jonesmark on 02/03/2020:

    Thank for sharing visit this site: https://onetipout.com/

  20. amnaseo on 01/31/2020:

    Business leaders want to be certain that the needs of the consumers are met and they are satisfied with the products and services that they offer. NC Strippers For Hire

  21. florahmelda on 01/31/2020:

    We not only provide Psychology Writing Services for our clients but help them understand Psychology Coursework Writing Help procedures so that they can gain Custom Psychology Writing Services knowledge.

  22. Top Online Casino on 01/28/2020:

    Just what I needed! Thank you for sharing! nba 생중계 스포츠 생중계

  23. keatonjefferson on 01/27/2020:

    The continuous Quality Improvement in correctional health care services seem to be getting these things in order, well I would believe that natural health doctor gets the patients the sufficed products. And surely the medicines are hope to work.

  24. Cford on 01/19/2020:

    At some point or another, we've all said yes when a site asked if we wanted push notifications. However, we're guessing you've grown tired of your phone getting pinged from the sites you've visited around the web. Here's what you need to turn off push notifications in Chrome on both your phone and laptop. How to turn off push notification on Android and desktop

  25. Steffan876 on 01/18/2020:

    https://pradhanmantri-yogana.in/beti-bachao-beti-padhao-scheme-in-hindi/Beti Bachao, Beti Padhao is a campaign of the Government of India that aims to generate awareness and improve the efficiency of welfare services i

  26. Roger Fox on 01/17/2020:

    Excellent Blog! I would like to thank for the efforts you have made in writing this post. I am hoping the same best work from you in the future as well. I wanted to thank you for this websites! Thanks for sharing. Great websites! saddlebrookeprogress

  27. BestOnlineCasino on 01/17/2020:

    토토사이트 토토사이트추천

  28. polcelery on 01/16/2020:

    This web site is really a walk-through for all of the info you wanted about this and didnt know who to ask. creditos rapidos con asnef

  29. Sohailkhatri on 01/11/2020:

    The term "super food" gets used a lot, but when it comes to these berries and their aronia juice health benefits, the term is well-deserved.

  30. talksarahbyer.s on 01/08/2020:

    AI-100 Exam Questions with latest AI-100 exam dumps. All the AI-100 questions are create by Microsoft experts. You can get easily AI-100 Dumps pdf questions

  31. chibi1994 on 01/08/2020:

    Your article content is being very much interested, I am very impressed with your post. I hope to receive more great posts. powerline io

  32. John on 01/06/2020:

    When “inmates” cross the thresholds of our prison medical departments, they become “patients.” Those patients deserve and are, indeed, legally entitled to the best health care we can provide. Inmates are getting better healthcare than small business owners because we cannot afford the cost of medical insurance. As a business owner I find this difficult to wrap my head around. Johnny - air conditioning company

  33. MariyaDorothy on 01/06/2020:

    Quality improvements is an essential thing. Here from this article, I got a lot of information from the continuous quality improvement in correctional health care. most efficient electric car I have read the article and it contains all the information regarding the correctional health care.

  34. joker123 on 01/01/2020:

    I’m truly enjoying the design and layout of your blog. It’s a very easy on the eyes which makes it much more pleasant for me to come here and visit more often. Did you hire out a developer to create your theme? Exceptional work!Thanks information ^_^

  35. jinky1234 on 12/31/2019:

    Jail inmates reported a wide-range of medical problems, with arthritis as the most common (13%), followed by hypertension (11%), and asthma (10%) (table 2). Heart problems (6%), followed by kidney problems and tuberculosis (4%) were the next most frequently reported medical conditions by office fitout services melbourne, furthermore, conditions in corrections are sometimes overlooked with another priorities excluding health.

  36. Jane Smith on 12/30/2019:

    Quality improvements in health care field is essentially important as they have a full potential of harming some things ferociously. Read more on health care on Google. The du home internet offers faster google search which saves your valuable time.

  37. Dona on 12/30/2019:

    This article on Health Care of inmates is really salubrious. more helpful hints It is very much informative. Good nutrition is an important part of leading a healthy lifestyle. Combined with physical activity, your diet can help you to maintain your overall health.

Login to let us know what you think

User Name:   


Forgot password?

correctsource logo

Use of this web site constitutes acceptance of The Corrections Connection User Agreement
The Corrections Connection ©. Copyright 1996 - 2022 © . All Rights Reserved | 15 Mill Wharf Plaza Scituate Mass. 02066 (617) 471 4445 Fax: (617) 608 9015