Summary and Analysis of the First 17 Medical Inspections of California Prisons

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Medical Component: Access to Health Care Information Profile Page 2 of 2

Areas Requiring Significant Improvement Due to Scores of 60 Percent or Less Question 19.150

Prisons’ medical records offices routinely failed to file all loose documents into inmates’ unit health records within the specified time frame following medical services to the inmate. (CDCR policy requires the filing of all loose documents no later than the close of business each day. However, given the difficulty of complying with this requirement, we used a four-day criterion for this question.) All 17 prisons failed the question and received zero percent.

Question 19.243

The prisons were unable to account for all requested medical files. In requesting such files, we stress to medical records personnel that if they cannot provide a requested file, they must explain why. However, 11 of the 17 prisons’ medical records staff failed to explain why files were missing. For this question, the 17 prisons had an average score of only 35 percent.

Areas Achieving High Adherence with Scores of 86 Percent or More Question 19.169

Medical records staff performed very well in making unit health records available to clinic staff for inmates ducated for medical appointments the next day. With the exception of ASP, which scored zero percent, all prisons received 100 percent on this question.

See Appendix C-9 for detailed information on questions and scores for this component.

State of California • August 2010

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