Table 1: Summary of High and Low Scores by Medical Component, Sorted by Order of Importance High
Low
Average
Variation Between High/Low
Chronic Care
84 percent
45 percent
64 percent
39 percentage points
Clinical Services
87 percent
47 percent
66 percent
40 percentage points
Health Screening
87 percent
61 percent
75 percent
26 percentage points
Specialty Services
74 percent
43 percent
60 percent
31 percentage points
Urgent Services
89 percent
63 percent
79 percent
26 percentage points
Emergency Services
90 percent
48 percent
77 percent
42 percentage points
Prenatal Care/Childbirth/ Post-Delivery
61 percent
61 percent
61 percent
N/A
Diagnostic Services
87 percent
43 percent
69 percent
44 percentage points
Access to Health Care Information
82 percent
20 percent
59 percent
62 percentage points
Outpatient Housing Unit
86 percent
63 percent
77 percent
23 percentage points
Internal Reviews
100 percent
60 percent
76 percent
40 percentage points
Inmate Transfers
100 percent
43 percent
86 percent
57 percentage points
Clinic Operations
100 percent
82 percent
90 percent
18 percentage points
Preventive Services
82 percent
7 percent
37 percent
75 percentage points
Pharmacy Services
100 percent
58 percent
85 percent
42 percentage points
Other Services
100 percent
55 percent
86 percent
45 percentage points
Inmate Hunger Strikes
100 percent
11 percent
46 percent
89 percentage points
Chemical Agent Contraindications
100 percent
65 percent
91 percent
35 percentage points
Staffing Levels and Training
100 percent
80 percent
94 percent
20 percentage points
Nursing Policy
100 percent
36 percent
74 percent
64 percentage points
Medical Component
This inconsistency is further illustrated by Table 1, which shows the high and low scores that contributed to each component’s average score. Clearly, some prisons understood and carried out relevant medical policies and procedures while others did not. Beginning in the next section, we present profiles of each of the 20 components. In these profiles, we summarize the prisons’ individual and average scores, including the average of the top two prisons’ scores and the variation from the top score to the lowest score, expressed in percentage points. The average of the top two scores is important because it shows that a higher level of performance by other prisons is possible. We also identify areas requiring significant Bureau of Audits and Investigations, Office of the Inspector General
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