Medical Category: Primary Care Provider Responsibilities Page 2 of 3
responsibilities was 74 percent. This score ties that of continuity of care as the second highest average score in the five general medical categories. The 74 percent average score does not meet the 75 percent minimum score for moderate adherence to policies and procedures. However, ten prisons’ scores met or exceeded the 75 percent minimum score for moderate adherence, with SCC’s 85 percent the highest score. HDSP’s score of 55 percent and RJD’s score of 54 percent stand out as exceptionally low. The lower-performing prisons’ scores are driven largely by poor performance in response to questions in the chronic care component, which represents 61 percent of the total point value for primary care provider responsibilities. Impact of Primary Care Provider Judgment To determine if the primary care provider judgment questions were more problematic for the prisons than the process questions, we eliminated the process questions for the data sort shown in Chart 29 and analyzed the results of the judgment questions exclusively. Judgment functioned far better than process. As shown in Chart 29, the 17 prisons’ average score on judgment questions was 77 percent, a score that by itself meets the 75 percent minimum score for moderate adherence. However, the prisons’ performance on the process questions reduced the category score three percentage points to the 74 percent score achieved Chart 29: Primary Care Provider Judgment Scores by Institution, Sorted Highest to Lowest Score 100% 95% 90% 86%
85%
88%
86%
85%
84%
84%
84% 80%
79%
79%
78%
78%
78% 76%
75%
75%
74% 72%
71%
69%
68% 66%
65%
66%
66%
64% 61%
59%
55%
57%
58% 56%
54%
45% 39%
35%
CMF CCWF SQ
CEN
DVI
SCC SAC LAC
Primary Care Provider Judgment Score Average Primary Care Provider Judgment Score = 77% Primary Care Provider Process Score Average Primary Care Provider Process Score = 63% Minimum Moderate Adherence = 75%
CCI
CRC PVSP CIW
Bureau of Audits and Investigations, Office of the Inspector General
43%
35%
ASP CMC CCC RJD HDSP
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