From: Quality indicators and performance measures for prison healthcare: a scoping review
 | Source |
---|---|
SECTION 1: HEALTHCARE | |
 1. Routine health assessments | |
  Percentage of people receiving physical health examination within first week following admission | (Greifinger, 2012; Laffan, 2016; Stone et al., 2006; Watts, 2015) |
  Percentage of people dental examination within first month following admission | |
  Percentage of people receiving a mental health evaluation within 24 h of admission | |
 2. Access to care | |
  Percentage of people with urgent sick calls accessing primary care the same or the following day | |
  Percentage of people referred to urgent specialty care accessing care within 14 days | (Teleki et al., 2011) |
  Percentage of people with non-urgent sick calls being seen within 48–72 h (Watts) or 14 days (Teleki) | |
 3. Infectious diseases | |
  Receipt of influenza vaccination for people deemed high-risk (age and/or chronic conditions) | |
  Receipt of pneumonia vaccination for people deemed high-risk (age and/ or chronic conditions) | |
  Receipt of hepatitis B vaccine or documented immunity for people with hepatitis C infection or HIV | (Teleki et al., 2011) |
  Pre- and post- HCV RNA testing of people with a diagnosis of hepatitis C who are receiving anti-viral treatment | (Teleki et al., 2011) |
  Percentage of HIV positive people with viral load counts under 50,000 | (Stone et al., 2006) |
  Percentage of people with HIV/AIDS prescribed potent ARV therapy | (Teleki et al., 2011) |
  Percentage of people with HIV/AIDS who were prescribed PCP prophylaxis within 3 months of low CD4þ cell count | (Teleki et al., 2011) |
  Percentage of people with HIV/AIDS for whom a CD4þ cell count or CD4þ cell percentage was performed at least once in the previous 6 months | |
  Percentage of new admissions with documented tuberculosis screening in accordance with guidelines | (Teleki et al., 2011) |
  Percentage of people with positive test for tuberculosis completing curative therapy within 12 months | (Stone et al., 2006) |
  Percentage of people with syphilis, gonorrhoea or chlamydia receiving medication within 3 days of lab reports | (Greifinger, 2012) |
 4. Mental health care | |
General: | |
  Treatment planning for all people with mental health needs | |
  Monitoring of medication adherence | (Hoge et al., 2009) |
Condition-specific: | |
 a) Depression | |
  Percentage of people meeting criteria for major depressive disorder (MDD) | (Teleki et al., 2011) |
  Percentage of people with MDD received at least 3 follow up contacts with a mental health practitioner during the acute treatment phase | |
  Percentage of people who remained on an anti-depressant during the acute treatment phase | |
  Percentage of people who remained on an anti-depressant during the treatment continuation phase | |
 b) Bipolar 1 disorder | |
  Percentage of people with bipolar 1 disorder who have evidence of use of a mood stabilizing or antimanic agent during the first 12 weeks of pharmacotherapy treatment | |
  Percentage of people with bipolar 1 disorder with documented lithium levels in the therapeutic range | |
  Percentage of people on lithium treatment with a record of serum creatinine and TSH | |
  Percentage of people presenting with depression who were assessed for the prior or current symptoms and/or behaviors associated with mania or hypomania | (Teleki et al., 2011) |
  Pre- and post-treatment initiation liver function tests for people prescribed valproic acid | |
  Percentage of people receiving tegretol whose levels are in the therapeutic range | (Stone et al., 2006) |
 c) Schizophrenia | |
  Monitoring of abnormal involuntary movements | |
  Percentage of people on antipsychotic medication receiving between 300 and 600 CPZ equivalents per day` | (Teleki et al., 2011) |
  Percentage of people referred to weekly therapy who have received it | (Watts, 2015) |
  Percentage of people receiving a dosage of antipsychotic medication outside the recommended range whose medical record documents the dosage given | |
 d) Suicide |  |
  Annual incidence of suicide | (Teleki et al., 2011) |
  Percentage of people who attempted suicide who had an MH score of > = 3 | (Stone et al., 2006) |
  Universal screening recommended on admission using validated tool; people deemed at risk should be put on suicide watch and immediately referred to the mental health team. All serious attempts at suicide should be reviewed | |
 e) ADHD | |
  Percentage of people treated with stimulant medication who had at least three follow-ups with a prescribing practitioner in the acute treatment phase | (Watts, 2015) |
  Percentage of people treated with stimulant medication who had at least one follow-up with a prescribing practitioner during the continuation phase | (Watts, 2015) |
5. Physical health conditions care | |
 a) Cardiometabolic | |
  Percentage of people with coronary artery disease prescribed antiplatelet or beta-blocker medication | (Teleki et al., 2011) |
  Percentage of people with chest pain who have an ECG | |
  Monitoring and treatment (e.g. ACE inhibitors, beta-blockers) of people with heart failure | (Teleki et al., 2011) |
  Percentage of people receiving aspirin or beta-blockers after acute myocardial infarction | |
  Cholesterol screening after acute cardiovascular events | |
  Percentage of people with atrial fibrillation at high risk of thromboembolism prescribed warfarin | (Teleki et al., 2011) |
  Number of months in which people on warfarin for atrial fibrillation had at least one International Normalised Ratio measurement | |
  Blood pressure monitoring for people with hypertension, diabetes, CKD, coronary arterial disease, cardiovascular disease | (Greifinger, 2012; Raimer & Stobo, 2004; Stone et al., 2006; Teleki et al., 2011; Watts, 2015) |
  Percentage of people with chronic kidney disease referred for AV fistula | (Teleki et al., 2011) |
  Offloading (pressure relief) treatment for diabetic foot ulcers | |
  Cholesterol and blood glucose monitoring for people with diabetes / chronic kidney disease | |
 b) Respiratory | |
  Percentage of people with persistent asthma referred to outside facility or emergency department | |
  Percentage of people with bronchitis not treated with antibiotics | (Watts, 2015) |
  Percentage of people with asthma evaluated by the primary care provider within the designated follow-up time frames | (Teleki et al., 2011) |
  Percentage of people with COPD receiving appropriate care | |
  Percentage of people with chronic obstructive pulmonary disease (COPD) with spirometry results documented | |
  Number of visits for people with a chronic skin ulcer without a prescription or recommendation to use wet to dry dressings | (Teleki et al., 2011) |
 c) Musculoskeletal | |
  Back pain assessment of those with diagnosis of back pain | |
  Osteoarthritis assessment | (Teleki et al., 2011) |
 d) Screening and prevention | |
  Smoking cessation treatment or advice | (Watts, 2015) |
  Colorectal cancer screening | (Teleki et al., 2011) |
  Breast cancer screening and follow-up evaluation | |
  Cervical cancer screening | |
  Percentage of people with a history of falls who have a documented care plan for falls | (Teleki et al., 2011) |
  Retinal screening for people with diabetes | |
 e) Reproductive health | |
  Pregnancy tests | (Teleki et al., 2011) |
  Pre-natal care | |
  Percentage of live births delivered by Caesarean section | (Stone et al., 2006) |
  Post-natal care | |
 f) Wound care | |
  Number of visits for people with a chronic skin ulcer without a prescription or recommendation to use wet to dry dressings | (Teleki et al., 2011) |
 6. Substance use | |
  Percentage of people with a diagnosed substance abuse disorder receiving Screening, Brief Intervention and Referral to Treatment (SBIRT), group or individual substance abuse treatment | (Watts, 2015) |
  Average daily rate of inmates receiving substance abuse treatment | (K. N. Wright, 2005) |
  Opioid use monitoring | (Watts, 2015) |
SECTION 2: ORGANISATION-LEVEL INDICATORS | |
 1. Grievances and adverse events | |
  Number of medical grievances filed in a month that are handled at the facility level | (Teleki et al., 2011) |
  Percentage of prisoner grievances related to health care services found in favour of the prisoner in the past 12 months | (Teleki et al., 2011) |
  Percentage of grievances appropriately addressed within 5 working days | (Greifinger, 2012) |
  Percentage of non-emergency grievances resolved within 20 business days | (Watts, 2015) |
  Percentage of emergency grievances resolved within 10 calendar days | (Watts, 2015) |
  Number of grievances received and resolved | (Laffan, 2016) |
  Percentage of adverse events (including deaths) reviewed within 30 days | |
  Inappropriate prescribing (i.e. prescribing drugs to be avoided for older people) to people over the age of 65 | (Teleki et al., 2011) |
 2. Inclusivity | |
  Provision of interpreters where needed; sick call slips and patient education in other languages | (Greifinger, 2012) |
  Assessment for and provision of assistance with the activities of daily living for people with disabilities | (Greifinger, 2012) |
 3. Co-ordination and transfers | |
  Percentage of people whose medication list was received within 4 h of admission Monday-Saturday 9 am-8 pm, or 24 h outside of that timeframe | |
  Percentage of people receiving an off-site service who were seen for a follow-up appointment after an offsite visit | |
  Percentage of people discharged from hospital with unique discharge diagnoses | (Watts, 2015) |
  Percentage of timely routine or urgent medication administration | |
  Proportion of people whose health records reviewed within 12 h of transfer | (Watts, 2015) |
  Completeness of medical-record keeping | (Greifinger, 2012) |