Welcome to Scribd. Sign in or start your free trial to enjoy unlimited e-books, audiobooks & documents.Find out more
Standard view
Full view
of .
Look up keyword
Like this
0 of .
Results for:
No results containing your search query
P. 1
Review of Health Care Services in Ontario Correctional Services

Review of Health Care Services in Ontario Correctional Services

|Views: 2,141|Likes:
Published by cbcottawa
A province-wide internal review of health care in Ontario jails.
A province-wide internal review of health care in Ontario jails.

More info:

Published by: cbcottawa on Aug 21, 2013
Copyright:Attribution Non-commercial


Read on Scribd mobile: iPhone, iPad and Android.
download as PDF, TXT or read online from Scribd
See more
See less





1June 11, 2013
Province wide Review of Health Care Services in Ontario Correctional Services
Action Item
Raise profile of health care professionals in
through updates on health careissues, Health Care Manager (HCM) participationin senior management meetings, e-learningprograms and training for all front-line staff without a health care background.
Corporate Health Care is working with others to improve learning and developmentopportunities for nurses:
Provincial Nursing Advisory Committee (PNAC) and the Ontario CorrectionalServices College (OCSC) to focus on learning and development for nurses. Thecommittee will report to the Deputy Minister by Fall 2013. PNAC is chaired by CHCand includes a representative from each of the four regions and the youthministry.
MCSCS Nurses have been engaged in several nursing research initiatives funded bythe MOHLTC Nursing Secretariat. Manager, CHC is a member of Research AdvisoryCommittees for these projects.
The Registered Nurse Association of Ontario (RNAO) has an Ontario CorrectionalNu
interest group. Many correctional nurses belong to the RNAO, includingManager, CHC.
Will identify joint learning opportunities for Superintendents and health care managers.
Fall 2013.
Clarify roles and expectations:
develop standardized orientation manual, mentorshipprogram for new nurses and medical observationinformation sheets for correctional staff.
Work on an orientation manual and development of a mentorship program is in progress.A report back status report to be submitted to the Deputy Minister by
Summer 2013.
HCMs to provide medical observation information sheets to correctional staff on anongoing basis.
Spring 2013
. Best practices can be shared between HCMs and CHC.
Transfer of medical records:
Ensure that recordsthat arrive after an inmate is transferred areforwarded to the inmate's health care file assoon as feasible.
Direction to Superintendents to be issued by the ADM IS to ensure that all medical recordsare properly filed. In cases where the inmate has been transferred, and the record arrivespost-transfer, these records are to be forward to the new facility without delay. Wherenecessary, Superintendents will assign staff to ensure this is completed. Re-enforceexisting policy.
Spring 2013.
Compliance with this directive is to be reviewed on an
annual basis
by the facility with theresults being reported to the ADM IS.
Strengthen the contractual relationship
between the Ministry and physicians.
Professional and Shared Services (PSS) within the Strategic Operations and InitiativesBranch (SOIB) to review the existing contractual relationship with physicians to examineopportunities to standardize services and improve communication.
2June 11, 2013
Staffing Levels
Improve recruitment strategies for health care
outlining core expectations of nurses with a generic job description; HR Ontarioto work with superintendents to ensureinformation on MOHLTC website is current andup-to-date; recruitment campaigns; and, NursePractitioners in underserved areas.
A general nurse description with core duties and expectations will be created.
Fall 2013.
HCMs to continue to discuss targeted recruitment of nurses and to ensure thatopportunities for on-line postings, such as on the MOHLTC website are maximized.
Current practice.
Senior Medical Advisor (SMA) to explore opportunities to recruit for physician care whenrecruitment through traditional methods are not successful.
Address staffing capacity:
filling vacant positions and look at adding MCP nursing positions.Examine whether critical care standards can bemet by changed reporting times.
Address staffing capacity within CHC.
Fall 2013. Facilities with no HCM, Spring 2014.
Examining management vacancies that can be assigned to facilities with no HCM tofacilitate implementation of other recommendations, as well as perform managementfunctions in the facility.
Superintendents to examine nursing schedules to see if frequency of missed assessmentscan be addressed by changing shift schedule.
Spring 2013.
Professional oversight in recruitment:
mandate oversight of CHC in health care managementrecruitment processes.
All health care competitions must have a nurse manager involved in the process fromengagement with central recruitment, to hiring.
Spring 2013
In locations without a health care manager, CHC will need to be engaged or will assist inassigning appropriate support.
Spring 2013
All recruitment of health care managers in correctional facilities will include involvementof CHC.
Spring 2013
Inmates with mental illness:
re-allocate vacantresources to expand complement of mentalhealth nurses.
CHC and local HCMs are engaged in examining opportunities to enhance the complementof mental health nurses on an ongoing basis.
Identifying opportunities to enhance service delivery to mentally ill inmates. Work to becompleted by Professional and Shared Services Unit by
Fall 2013.
Increased training opportunities for HCMs and
develop curriculum to address uniqueneeds of HCMs, increase knowledge throughconferences and e-learning, facilitate monthlyforums using Adobe Connects and maximizetelemedicine equipment for education.
CHC to identify training and development needs for HCMs to assist Superintendents in thedevelopment of learning plans.
Superintendents to review and develop learning plans for each HCM and supportattendance.
Superintendents to submit summary and report back to the Deputy Minister by
Spring 2013
on the status.
Comparative study of efficiencies in health care.
Complete a cross jurisdictional review examining staffing levels, governance, oversight andother best practices.
Report to be submitted to the Deputy Minister in
Spring 2014.
3June 11, 2013
Strengthen governance:
HCMs attend Superintend
Management Committeemeetings; streamline decision approval process.
HCMs to be invited to regional superintendent meetings on an ongoing basis. Spring 2013
An options paper for streamlining decision approval process for both CHC and health carein the facilities to be presented to ADM OS by
Summer 2013.
Communication between institutions and CHC:
 develop measures to outline communicationaccountabilities.
Direction to Superintendents to be issued by the ADM IS to ensure HCM
’s a
re in regularcommunication with CHC without impediment to ensure professional oversight.
Direction to Superintendents to be issued ensuring that CHC is made aware throughstandard reporting mechanisms of all medical incidents.
Spring 2013
Improve oversight and compliance:
involve CHC at early stage in investigations; ensure that earlyand effective detection of difficulty or conflict ina HCU is identified and addressed; that the localHCM ensures that critical care standards aremeet; that where serious concerns regarding thefunctioning of a health care unit exists,immediate action is taken; and, CHC improvesoversight of Physician Fee for Service contracts.
Direction to be provided to the Correctional Investigation and Security Unit to ensure CHCis involved at an early stage in investigations with health care implications.
Spring 2013 /
Professional and Shared Services to establish a committee to review physician contractsincluding examination of level of service, remuneration, communication, competitiveprocurement and other areas.
Spring 2013.
The Director, SOIB to re-issue direction on the standards of care related to opioidwithdrawal.
Spring 2013.
health issues
Coordinated care for pregnant inmates:
develop standardized practises and procedures forworking with female offenders pre- andpostnatal.
A Report outlining best practices guideline and implementation plan is to be completed by
Summer 2013.
Plan of care for pregnant inmates:
 multidisciplinary team of correctional staff toengage with pregnant inmates, ensure linkageswith local hospitals and support agencies.
Each facility housing females to review on an annual basis, beginning in spring 2013, thestandard operating policies regarding pregnant inmates and those who have recentlygiven birth. Topics will include, planning for care, breast feeding and contact visits.
Provide materials to inmates to support these initiatives.
Fall 2013 / ongoing.
Support for female inmates likely to self-harm:
 ensure corrections staff identify and supportfemale inmates at greater risk of self-harm.
Facilities will ensure that multi-disciplinary team will develop a case plan when self-abusive female inmates begin exhibiting such behaviours. The plan will addressinterventions to minimize risk and creative plans for re-integration.
Fall 2013.
The OCSC to create training materials to assist correctional and health care staff identifyand support female inmates at risk of self-harm.
Winter 2014.

You're Reading a Free Preview

/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->