OCDC Task Force - Health Care Review

Corrections

Ottawa-Carleton Detention Centre Taskforce

Comprehensive Health Care Service Review

Executive Summary

The Correctional Services Corporate Health Care Unit completed a review of health care services at OCDC between May 31, 2016 and June 2, 2016. The health care service review resulted in 72 recommendations, both short and long term that fell under the following categories:

  1. Staffing, Scheduling and Workload Capacity (8 recommendations)
    • Recommendations included addressing staffing pressures and improving patient access to health care staff. These recommendations were identified as the highest priorities for OCDC.
  2. Governance: Responsibility and Oversight  (5 recommendations)
    • Recommendations included reviewing the governance model for health care at OCDC, including decision-making processes and authority, to improve and support autonomy for regulated health professionals and improve patient outcomes. In particular, the importance of appropriate consultation with health care professionals for all decisions that impact the health of inmates was emphasized.
  3. Management of Health Information (11 recommendations)
    • Recommendations included strengthening documentation practices to ensure documents are readily available to inform clinical decision-making.
  4. Staff Training (4 recommendations)
    • Recommendations identified challenges, including staffing pressures, in meeting training requirements, completing orientation, and pursuing professional development.
  5. Patient Access  (5 recommendations)
    • Recommendations included the development of a plan directed at operations, to facilitate and improve inmate access to health care.
  6. Safety (3 recommendations)
    • Recommendations included specific internal procedures for improving and maintaining safety for health care staff and inmates.
  7. Emergency Equipment and Response (6 recommendations)
    • Recommendations were based on a review of the availability, monitoring, use and training associated with emergency equipment. This included ensuring epinephrine kits are available when injections are given and ensuring health care staff are aware of all medical directives needed in emergency situations.
  8. Health Assessments (5 recommendations)
    • Recommendations focused on the efficient use of resources to improve and ensure timely completion of medical assessments and documentation at admission, during periods of segregation, and for inmate health care requests.
  9. Infection Prevention and Control (4 recommendations)
    • Recommendations focused on staff training with respect to infection prevention, control procedures, and equipment.
  10. Suicide Prevention (4 recommendations)
    • Recommendations included improved inter-professional collaboration, communication and processes for suicide prevention practices.
  11. Mental Health Care (2 recommendations)
    • Recommendations included using an integrated and inter-professional approach when delivering mental health care to inmates.
  12. Medication Safety (12 recommendations)
    • Recommendations included an electronic solution to manage pharmacy and medication processes. Additionally, recommendations were made to enhance medication safety and alleviate workload pressures.
  13. Authorizing Mechanisms/Medical Directives (3 recommendations)
    • Recommendations included training in medical directives and monitoring for policy compliance.