California Correctional Health Care Services - Our Mission
Revised March 2011
To provide constitutionally adequate medical care to patient-inmates of the California Department of Corrections and Rehabilitation (CDCR) within a delivery system the state can successfully manage and sustain.
To reduce unnecessary morbidity and mortality and protect public health by providing patient-inmates timely access to safe, efficient medical care, and coordinate the delivery of medical care with mental health, dental and disability programs.
Strategic Goals to fulfill our mission
- Ensure timely access to health care services.
- Establish a Prison Medical Program addressing the full continuum of health care services.
- Recruit, train, & retain a professional quality medical care workforce.
- Implement a Quality Assurance & Continuous Improvement Program.
- Establish Medical Support Infrastructure.
- Provide for necessary clinical, administrative & housing facilities.
While continuing to follow the Institute of Medicine Organizational Change Strategies to safe, effective, & efficient health care
- Redesign of care processes based on best practices.
- Information technologies for clinical information and decision support.
- Knowledge and skills management.
- Development of effective teams.
- Coordination of care across patient conditions, services and settings over time.
- Incorporation of performance and outcome measurements for improvement and accountability.
Chaotic care that is largely episodic and consists of often untimely and uninformed encounters between patients and clinicians.
A system of proactive, planned, informed, patient-centered and professional care.
Goals and Objectives
Goal 1: Ensure Timely Access to Health Care Services
- Redesign and Standardize Screening and Assessment Processes at Reception/Receiving and Release (IN PROGRESS)
- Establish Staffing and Processes for Ensuring Health Care Access at Each Institution (IN PROGRESS)
- Establish Health Care Scheduling and Patient-Inmate Tracking System (IN PROGRESS)
- Establish A Standardized Utilization Management System (COMPLETED)
Goal 2: Establish a Prison Medical Program Addressing the Full Continuum of Health Care Services
- Redesign and Standardize Access and Medical Processes for Primary Care (IN PROGRESS)
- Improve Chronic Care System to Support Proactive, Planned Care (COMPLETED)
- Improve Emergency Response to Reduce Avoidable Morbidity and Mortality (COMPLETED)
- Improve the Provision of Specialty Care and Hospitalization to Reduce Avoidable Morbidity and Mortality (IN PROGRESS)
Goal 3: Recruit, Train, and Retain a Professional Quality Medical Care Workforce
- Recruit Physicians and Nurses to Fill Ninety Percent of Established Positions (IN PROGRESS)
- Establish Clinical Leadership and Management Structure (IN PROGRESS)
- Establish Professional Training Programs for Clinicians (IN PROGRESS)
Goal 4: Implement a Quality Assurance and Continuous Improvement Program
- Establish Clinical Quality Measurement and Evaluation Program (IN PROGRESS)
- Establish a Quality Improvement Program (IN PROGRESS)
- Establish Medical Peer Review and Discipline Process to Ensure Quality of Care (COMPLETED)
- Establish Medical Oversight Unit to Control and Monitor Medical Employee Investigations (COMPLETED)
- Establish a Health Care Appeals Process, Correspondence Control and Habeas Corpus Petitions Initiative (COMPLETED)
- Establish Out-of-State, Community Correctional Facilities and Re-entry Facility Oversight Program (COMPLETED)
Goal 5: Establish Medical Support Infrastructure
- Establish a Comprehensive, Safe and Efficient Pharmacy Program (COMPLETED)
- Establish Standardized Health Records Practice (COMPLETED)
- Establish Effective Radiology and Laboratory Services (ONGOING)
- Establish Clinical Information Systems (COMPLETED)
- Expand and Improve Telemedicine Capabilities (COMPLETED)
Goal 6: Provide for Necessary Clinical, Administrative and Housing Facilities
- Upgrade administrative and clinical facilities at each of CDCR’s 33 prison locations to provide patient-inmates with appropriate access to care (IN PROGRESS)
- Expand administrative, clinical and housing facilities to serve up to 10,000 patient-inmates with medical and/or mental health needs (IN PROGRESS)
- Complete Construction at San Quentin State Prison (COMPLETED)