Forensic Patient Action Plan
Identified Problem/Concern Plan of Action Individual(s) Responsible Target Date of Implementation Evaluation of Effectiveness
 
Forensic Patient Policy, re: Correctional officer escorts for all Forensic Patients not being followed.  Review policy, discuss with Health System, meet with correctional facility administration Administration, Security Department, Nursing, Contracting Office - others as determined by Hospital Administration
Security does not consistently know who and where forensic patients are within hospital. Request daily report listing  all admitted inmate/forensic patients Security Director, IT Department, Registration
Hospital contracts with correctional facilities do not always contain "security clauses" addressing specific hospital security requirements and policies. All agreements/contracts need to be negotiated with proper security clauses defining hospital security requirements. Contracting Office, Director of Security
Correctional officers do not have a consistent orientation to hospital per JCAHO requirement under HR 2.10 #8 Develop an educational / orientation program for all correctional officers.  Require participation of any officer who will be guarding forensic patients in facility, offer on a regular schedule. Ed Services, Security Department, Hospital JCAHO/Regulatory Affairs Department
Forensic Patient Action Plan
Identified Problem/Concern Plan of Action Individual(s) Responsible Target Date of Implementation Evaluation of Effectiveness
 
Security and supervisory staff do not have a current list of correctional facility contacts for inmate or correctional officer concerns. Require correctional facilities to provide 24 hour contact information for hospital security and supervisory staff. Security Department, Nursing, Hospital Administration, Correctional Facility Administration
Forensic patients on isolation must have correctional officers who have been oriented and fit tested, if necessary, to the isolation procedures. Request Infectious Disease Department develop guidelines for correctional officers guarding forensic patients placed on isolation.  Eemploy "just in time" learning for correctional staff along with written materials.  Document their training. Infectious Disease Department and Security Department
Lack of consistent flow of information, policy and procedure changes, administrative changes between hospital and correctional facility Establish quarterly or semi-annual meetings with all correctional facility administration to improve communication, reinforce expectations, and be alerted to any changes in their policies and procedures. Hospital Administration. Contracting Office, Security Department, Nursing
Hospital does not know correctional institutions definitions, policies and procedures for medically furloughed inmates. Request this information on consistent basis. Administration, Security
Forensic Patient Action Plan
Identified Problem/Concern Plan of Action Individual(s) Responsible Target Date of Implementation Evaluation of Effectiveness
 
There is no communication with hospital nursing staff or security when a forensic patient has their charges dropped or bail posted. Currently, the detention officers simply leave the patient at the hospital.  Communicate expectations and requirements to Correctional Facility Administration.  Contracts should also specify the payer in these situations. Administration and Security Staff, Contracting Office, Finance Department