reglab/statecodes huggingface dataset:
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 1 - Rules and Regulations of Adult Operations and Programs › Subchapter 8 - Pilot Programs › Article 1 - Pilot Programs › Section 3999.21 - Audio/Video Recording Technology Pilot Program. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New section
						(Audio/Video Recording Technology -- Pilot Program) filed 10-19-2016; operative
						10-19-2016 pursuant to Penal Code section
						5058.1(c).
						Submitted to OAL for filing with the Secretary of State and printing only pursuant
						to Penal Code section
						5058.1(b)
						(Register 2016, No. 43). Section shall lapse by operation of law on 10-19-2018
						pursuant to Penal Code 5058.1(d) unless formally adopted as a regulation pursuant to
						Chapter 3.5 (commending with section
						11340) of Part 1 of Division 3 of Title
						2 of the Government Code.
2. Repealed by operation of Government Code
						section
						11346.1(g)
						(Register 2019, No. 3).
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 1 - Rules and Regulations of Adult Operations and Programs › Subchapter 8 - Pilot Programs › Article 1 - Pilot Programs › Section 3999.23 - Enterprise Inmate Communication - Pilot Program. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New section
						filed 5-11-2017; operative 5-11-2017 pursuant to Penal Code section
						5058.1(c).
						Submitted to OAL for filing with the Secretary of State and printing only pursuant
						to pursuant to Penal Code section
						5058.1(b)
						(Register 2017, No. 19). Section shall lapse by operation of law on 5-11-2019
						pursuant to Penal Code section
						5058.1(d)
						unless formally adopted as a regulation pursuant to Chapter 3.5 (commencing with
						section 11340) of Part 1 of Division 3 of Title
						2 of the Government Code.
2. Repealed by operation of Penal Code section
						5058.1(d)
						(Register 2019, No. 33).
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 1 - Rules and Regulations of Adult Operations and Programs › Subchapter 8 - Pilot Programs › Article 1 - Pilot Programs › Section 3999.24 - Indecent Exposure Pilot Program at California State Prison, Corcoran. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New section
						filed 2-7-2018; operative 2-7-2018 pursuant to Penal Code section
						5058.1(c).
						Submitted to OAL for filing with the Secretary of State and printing only pursuant
						to Penal Code section
						5058.1(b).
						(Register 2018, No. 6). Section shall lapse by operation of law on 2-7-2020 pursuant
						to Penal Code section
						5058.1(d)
						unless formally adopted as a regulation pursuant to Chapter 3.5 (commencing with
						section 11340) of Part 1 of Division 3 of Title
						2 of the Government Code.
2. Repealer filed 7-15-2019; operative
						7-15-2019 pursuant to Penal Code section
						5058.1(c).
						Submitted to OAL for filing with the Secretary of State and printing only pursuant
						to Penal Code section
						5058.1(b)
						(Register 2019, No. 29).
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 1 - Rules and Regulations of Adult Operations and Programs › Subchapter 8 - Pilot Programs › Article 1 - Pilot Programs › Section 3999.28 - Body-Worn Camera Technology Pilot Program. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New section
						filed 1-19-2021; operative 1-19-2021 pursuant to Penal Code section
						5058.1(c).
						Submitted to OAL for filing with the Secretary of State and printing only pursuant
						to Penal Code section
						5058.1(b)
						(Register 2021, No. 4). Section shall lapse by operation of law on 1-19-2023
						pursuant to Penal Code section
						5058.1(d)
						unless formally adopted as a regulation pursuant to chapter 3.5 (commencing with
						section 11340) of part 1 of division 3 of title
						2 of the Government Code.
2. Repealed by operation of Government Code
						section
						11346.1(g)
						(Register 2023, No. 4).
Note: Authority cited: Sections
						  5058 and
						  5058.1, Penal Code.
						  Reference: Section
						  5058, Penal
						  Code.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 1 - Health Care Governance and Administration › Article 1 - Statewide Health Care Governance › Section 3999.100 - Governance

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 California Department of Corrections and Rehabilitation shall maintain a
					 standardized governance structure consisting of multi-disciplinary leadership teams
					 at headquarters and institution levels that will guide the statewide health care
					 strategic vision and performance objectives for the organization.
(b) The governance structure shall encompass
					 standardized systems, processes, and procedures for key governance functions
					 including, but not limited to:
(1) Strategic
					 planning at the enterprise, region, and institution levels and within specific
					 programs and departments to ensure that all levels of the organization are aligned
					 in pursuing strategic goals.
(2)
					 Elevation of critical program concerns.
(3) Making decisions, including mechanisms for
					 gathering input from stakeholders and staff at various reporting levels throughout
					 the organization and conflict resolution.
(4) Developing and vetting statewide policies and
					 guidelines to ensure appropriate multi-disciplinary participation, high-quality
					 products, and acceptance among staff implementing the policies or
					 guidelines.
(5) Communicating
					 organizational messages.
(6) Evaluating
					 and improving program performance and holding leadership accountable for
					 outcomes.
(7) Providing orientation,
					 ongoing development, and feedback for leaders within the organization.
(8) Maintaining the quality and safety of patient
					 care through performance evaluation and improvement including peer review, quality
					 management, and patient safety and risk management systems.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 1 - Health Care Governance and Administration › Article 1 - Statewide Health Care Governance › Section 3999.101 - Governing Body

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 Governing Body is the highest-level committee within the Department and is
					 accountable for quality patient care, treatment, and services provided by employees
					 and contractors.
(b) The Governing Body
					 shall evaluate organizational performance on an ongoing basis and set improvement
					 priorities for the organization including, but not limited to, ensuring sufficient
					 resources to accomplish strategic goals; evaluating and improving systems and
					 performance; and ensuring accountability.
1. New section
						filed 7-1-2019 as an emergency; operative 7-1-2019 (Register 2019, No. 27). Pursuant
						to Penal Code section
						5058.3, a
						Certificate of Compliance must be transmitted to OAL by 12-9-2019 or emergency
						language will be repealed by operation of law on the following day.
2.
						New section refiled 12-5-2019 as an emergency; operative 12-10-2019 (Register 2019,
						No. 49). Pursuant to Penal Code section
						5058.3, a
						Certificate of Compliance must be transmitted to OAL by 3-9-2020 or emergency
						language will be repealed by operation of law on the following day.
3.
						New section refiled 3-9-2020 as an emergency; operative 3-10-2020 (Register 2020,
						No. 11). A Certificate of Compliance must be transmitted to OAL by 6-8-2020 or
						emergency language will be repealed by operation of law on the following
						day.
4. Certificate of Compliance as to 3-9-2020 order transmitted to OAL
						6-8-2020 and filed 7-20-2020 (Register 2020, No. 30).
Note: Authority cited: Section
						  5058, Penal Code.
						  Reference: Section
						  5054, Penal Code;
						  and Plata v. Newsom (No. C01-1351 JST), U.S. District Court, Northern District of
						  California.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 1 - Health Care Governance and Administration › Article 2 - Health Care Program Governance › Section 3999.108 - Complete Care Oversight Team Committee

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 California Department of Corrections and Rehabilitation shall maintain a Complete
					 Care Oversight Team (CCOT) committee to oversee statewide management of the Complete
					 Care Model for delivery of patient health care services.
(b) The CCOT is responsible for leading,
					 coordinating, and communicating health care initiatives including the design and
					 deployment of technical tools and systems to support safe, timely, and
					 cost-effective patient care by providing the following:
(1) Strategic direction.
(2) Evaluation and improvement.
(3) Communication and coordination.
(4) Orientation and training.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 1 - Health Care Governance and Administration › Article 2 - Health Care Program Governance › Section 3999.109 - Clinical Guidelines Committee

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 Department shall maintain a Clinical Guidelines Committee that promotes specific
					 guidelines in the application of proven prevention, diagnosis and treatment
					 strategies, and the overall practice of evidence-based medicine.
1. New section
						filed 7-1-2019 as an emergency; operative 7-1-2019 (Register 2019, No. 27). Pursuant
						to Penal Code section
						5058.3, a
						Certificate of Compliance must be transmitted to OAL by 12-9-2019 or emergency
						language will be repealed by operation of law on the following day.
2.
						New section refiled 12-5-2019 as an emergency; operative 12-10-2019 (Register 2019,
						No. 49). Pursuant to Penal Code section
						5058.3, a
						Certificate of Compliance must be transmitted to OAL by 3-9-2020 or emergency
						language will be repealed by operation of law on the following day.
3.
						New section refiled 3-9-2020 as an emergency; operative 3-10-2020 (Register 2020,
						No. 11). A Certificate of Compliance must be transmitted to OAL by 6-8-2020 or
						emergency language will be repealed by operation of law on the following
						day.
4. Certificate of Compliance as to 3-9-2020 order transmitted to OAL
						6-8-2020 and filed 7-20-2020 (Register 2020, No. 30).
Note: Authority cited: Section
						  5058, Penal Code.
						  Reference: Section
						  5054, Penal Code;
						  and Plata v. Newsom (No. C01-1351 JST), U.S. District Court, Northern District of
						  California.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 1 - Health Care Governance and Administration › Article 2 - Health Care Program Governance › Section 3999.110 - Quality Management

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 Department shall maintain a statewide Quality Management Program and Quality
					 Management Committee to continuously evaluate and improve the performance of the
					 health care system including clinical operations, clinical practice, program
					 administration, and a Patient Safety Program pursuant to section
					 3999.111. The statewide Quality
					 Management Program shall:
(1) Identify improvement
					 priorities and develop performance improvement plans at statewide and institution
					 levels.
(2) Provide structures, tools,
					 and techniques to analyze and manage changes to health care processes.
(3) Evaluate performance through a statewide
					 system, including a Health Care Services Dashboard and business intelligence to
					 assess critical health care processes and outcomes, and identify areas for
					 improvement.
(4) Provide patient
					 registries, evidence-based guidelines, and training as elements of the performance
					 improvement plan.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 1 - Health Care Governance and Administration › Article 2 - Health Care Program Governance › Section 3999.111 - Statewide Patient Safety Program

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 Department shall maintain a Statewide Patient Safety Program to identify and improve
					 problematic health care processes in conjunction with the statewide Quality
					 Management Program.
(b) The Statewide
					 Patient Safety Program shall encompass:
(1)
					 Patient safety priorities that are reviewed and revised biennially to identify
					 program objectives for statewide interventions and performance improvement
					 activities.
(2) A comprehensive
					 multidisciplinary health care incident reporting and review process for identifying,
					 reporting, and assessing health care incidents including sentinel events.
(3) A committee structure at headquarters to
					 provide oversight to the Statewide Patient Safety Program, review patient safety
					 reports and data, and take action to mitigate patient safety risks and prevent
					 adverse patient outcomes.
(4) A
					 committee structure at each institution that oversees the local implementation of
					 the Patient Safety Program by reviewing patient safety reports and data at the
					 individual institution or care team level.
(5) Regular communication in the form of patient
					 safety alerts, aggregate reporting of findings, and recommendations related to
					 health care incidents or Root Cause Analyses (RCA).
(6) Technical assistance, decision support tools,
					 and staff development and education programs to support problem analysis, RCA, and
					 process redesign.
(7) A patient safety
					 culture that encourages staff to proactively identify and report health care
					 incidents.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 1 - Health Care Governance and Administration › Article 2 - Health Care Program Governance › Section 3999.112 - Patient Safety: Alert Medications

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 Department shall maintain a list of High Alert and Heat Alert Medications.
(b) The High Alert and Heat Alert Medication List
					 shall be reviewed and updated at least annually.
(c) Health care and custody staff shall obtain a
					 Heat Medication Report of all patients currently prescribed a Heat Alert Medication
					 on a daily basis between May 1 and October 31 and whenever temperatures
					 warrant.
1. New section
						filed 7-1-2019 as an emergency; operative 7-1-2019 (Register 2019, No. 27). Pursuant
						to Penal Code section
						5058.3, a
						Certificate of Compliance must be transmitted to OAL by 12-9-2019 or emergency
						language will be repealed by operation of law on the following day.
2.
						New section refiled 12-5-2019 as an emergency; operative 12-10-2019 (Register 2019,
						No. 49). Pursuant to Penal Code section
						5058.3, a
						Certificate of Compliance must be transmitted to OAL by 3-9-2020 or emergency
						language will be repealed by operation of law on the following day.
3.
						New section refiled 3-9-2020 as an emergency; operative 3-10-2020 (Register 2020,
						No. 11). A Certificate of Compliance must be transmitted to OAL by 6-8-2020 or
						emergency language will be repealed by operation of law on the following
						day.
4. Certificate of Compliance as to 3-9-2020 order transmitted to OAL
						6-8-2020 and filed 7-20-2020 (Register 2020, No. 30).
Note: Authority cited: Section
						  5058, Penal Code.
						  Reference: Section
						  5054, Penal Code;
						  and Plata v. Newsom (No. C01-1351 JST), U.S. District Court, Northern District of
						  California.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 1 - Health Care Governance and Administration › Article 2 - Health Care Program Governance › Section 3999.113 - Patient Safety Program Committees

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 Department shall maintain a Statewide Patient Safety Committee to provide oversight
					 of the Patient Safety Program at the statewide level, identify and communicate
					 program priorities, and manage implementation of patient safety
					 initiatives.
(b) The Department shall
					 maintain a Statewide Health Care Incident Review Committee as a subcommittee of the
					 Statewide Patient Safety Committee to provide oversight of the health care incident
					 reporting system and Root Cause Analysis process at the statewide level, and
					 identify and communicate related data and trends.
1. New section
						filed 7-1-2019 as an emergency; operative 7-1-2019 (Register 2019, No. 27). Pursuant
						to Penal Code section
						5058.3, a
						Certificate of Compliance must be transmitted to OAL by 12-9-2019 or emergency
						language will be repealed by operation of law on the following day.
2.
						New section refiled 12-5-2019 as an emergency; operative 12-10-2019 (Register 2019,
						No. 49). Pursuant to Penal Code section
						5058.3, a
						Certificate of Compliance must be transmitted to OAL by 3-9-2020 or emergency
						language will be repealed by operation of law on the following day.
3.
						New section refiled 3-9-2020 as an emergency; operative 3-10-2020 (Register 2020,
						No. 11). A Certificate of Compliance must be transmitted to OAL by 6-8-2020 or
						emergency language will be repealed by operation of law on the following
						day.
4. Certificate of Compliance as to 3-9-2020 order transmitted to OAL
						6-8-2020 and filed 7-20-2020 (Register 2020, No. 30).
Note: Authority cited: Section
						  5058, Penal Code.
						  Reference: Section
						  1279.1,
						  Health and Safety Code; Section
						  5054, Penal Code;
						  and Plata v. Newsom (No. C01-1351 JST), U.S. District Court, Northern District of
						  California.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 1 - Health Care Governance and Administration › Article 2 - Health Care Program Governance › Section 3999.114 - Death Reporting and Review

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 Department shall maintain a Death Reporting and Review Program responsible for
					 completing an independent review of every patient death which occurs within the
					 Department.
(b) The Department shall
					 maintain a Death Review Committee which shall discuss all reports and the listed
					 findings; make referrals to the appropriate peer review committees; vote on
					 preventability; determine causes of death; and provide notifications to headquarters
					 programs/committees.
1. New section
						filed 7-1-2019 as an emergency; operative 7-1-2019 (Register 2019, No. 27). Pursuant
						to Penal Code section
						5058.3, a
						Certificate of Compliance must be transmitted to OAL by 12-9-2019 or emergency
						language will be repealed by operation of law on the following day.
2.
						New section refiled 12-5-2019 as an emergency; operative 12-10-2019 (Register 2019,
						No. 49). Pursuant to Penal Code section
						5058.3, a
						Certificate of Compliance must be transmitted to OAL by 3-9-2020 or emergency
						language will be repealed by operation of law on the following day.
3.
						New section refiled 3-9-2020 as an emergency; operative 3-10-2020 (Register 2020,
						No. 11). A Certificate of Compliance must be transmitted to OAL by 6-8-2020 or
						emergency language will be repealed by operation of law on the following
						day.
4. Certificate of Compliance as to 3-9-2020 order transmitted to OAL
						6-8-2020 and filed 7-20-2020 (Register 2020, No. 30).
Note: Authority cited: Section
						  5058, Penal Code.
						  Reference: Section
						  5054, Penal Code;
						  and Plata v. Newsom (No. C01-1351 JST), U.S. District Court, Northern District of
						  California.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 1 - Health Care Governance and Administration › Article 2 - Health Care Program Governance › Section 3999.115 - Utilization Management Program

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 Department shall maintain a Utilization Management (UM) Program to eliminate
					 unnecessary cost and maintain consistency in the delivery of health care
					 services.
(b) The UM Program shall
					 review high cost, high risk, exceptional, and complex patient cases. This process
					 includes up to three levels of review and shall cover prospective, concurrent, and
					 retrospective reviews.
(c) Headquarters
					 and institution committee structures shall be maintained to provide oversight of the
					 UM Program.
(d) Records of committee
					 proceedings shall be kept at a secure, accessible medical program site for a period
					 of three years. At a minimum, the record shall describe all committee actions and
					 recommendations.
1. New section
						filed 7-1-2019 as an emergency; operative 7-1-2019 (Register 2019, No. 27). Pursuant
						to Penal Code section
						5058.3, a
						Certificate of Compliance must be transmitted to OAL by 12-9-2019 or emergency
						language will be repealed by operation of law on the following day.
2.
						New section refiled 12-5-2019 as an emergency; operative 12-10-2019 (Register 2019,
						No. 49). Pursuant to Penal Code section
						5058.3, a
						Certificate of Compliance must be transmitted to OAL by 3-9-2020 or emergency
						language will be repealed by operation of law on the following day.
3.
						New section refiled 3-9-2020 as an emergency; operative 3-10-2020 (Register 2020,
						No. 11). A Certificate of Compliance must be transmitted to OAL by 6-8-2020 or
						emergency language will be repealed by operation of law on the following
						day.
4. Certificate of Compliance as to 3-9-2020 order transmitted to OAL
						6-8-2020 and filed 7-20-2020 (Register 2020, No. 30).
Note: Authority cited: Section
						  5058, Penal Code.
						  Reference: Section
						  5054, Penal Code;
						  and Plata v. Newsom (No. C01-1351 JST), U.S. District Court, Northern District of
						  California.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 1 - Health Care Governance and Administration › Article 2 - Health Care Program Governance › Section 3999.116 - Systemwide Pharmacy and Therapeutics Committee

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 California Department of Corrections and Rehabilitation's (CDCR) Systemwide Pharmacy
					 and Therapeutics (P&T) Committee shall provide oversight to Pharmacy Services at
					 all CDCR institutions.
(b) The
					 Systemwide P&T Committee is responsible for the approval of policies and
					 procedures related to all aspects of medication use within the Department including,
					 but not limited to:
(1) Approving
					 medications.
(2) Reviewing procurement
					 and medication selection processes to ensure cost-effective management.
(3) Ensuring that pharmacy services meet the
					 medical and security needs of the institution.
(4) Reviewing and monitoring drug usage and
					 therapeutic use of medications.
(5)
					 Evaluating medication use and promoting safe medication
					 practices.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 1 - Health Care Governance and Administration › Article 3 - Health Care Workforce Governance › Section 3999.125 - Health Care Executive Committee

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 Department shall maintain a Health Care Executive Committee (HCEC) to oversee all
					 peer review matters referred from the Medical Peer Review Committee
					 (MPRC).
(b) The HCEC shall:
(1) Make final decisions on licensed medical
					 provider credentialing, privileging, and reappointment pursuant to section
					 3999.134.
(2) Have the authority to independently take
					 privileging action against a medical provider.
(3) Act on all recommendations and proposed
					 privileging actions submitted by the MPRC which may include:
(A) Accepting the factual findings and
					 recommendations.
(B) Accepting the
					 factual findings but determining a different privileging action.
(C) Remanding the matter back to the MPRC for
					 additional investigation or deliberation.
(D) Rejecting the privileging action, thus
					 terminating peer review or privileging proceedings.
(4) Ensure that medical providers subject to HCEC
					 clinical review are provided due process.
(5) Not act in an arbitrary or capricious
					 manner.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 1 - Health Care Governance and Administration › Article 3 - Health Care Workforce Governance › Section 3999.126 - Medical Peer Review Committee

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 California Department of Corrections and Rehabilitation (CDCR) shall maintain a
					 Medical Peer Review Committee (MPRC) to conduct non-routine or for cause peer
					 reviews of the clinical practice and professional conduct of licensed medical
					 providers within CDCR institutions and the regional and headquarters
					 offices.
(b) The MPRC shall make
					 determinations which it deems necessary to remediate deficiencies in clinical
					 practices or professional misconduct.
1. New section
						filed 7-1-2019 as an emergency; operative 7-1-2019 (Register 2019, No. 27). Pursuant
						to Penal Code section
						5058.3, a
						Certificate of Compliance must be transmitted to OAL by 12-9-2019 or emergency
						language will be repealed by operation of law on the following day.
2.
						New section refiled 12-5-2019 as an emergency; operative 12-10-2019 (Register 2019,
						No. 49). Pursuant to Penal Code section
						5058.3, a
						Certificate of Compliance must be transmitted to OAL by 3-9-2020 or emergency
						language will be repealed by operation of law on the following day.
3.
						New section refiled 3-9-2020 as an emergency; operative 3-10-2020 (Register 2020,
						No. 11). A Certificate of Compliance must be transmitted to OAL by 6-8-2020 or
						emergency language will be repealed by operation of law on the following
						day.
4. Certificate of Compliance as to 3-9-2020 order transmitted to OAL
						6-8-2020 and filed 7-20-2020 (Register 2020, No. 30).
Note: Authority cited: Section
						  5058, Penal Code.
						  Reference: Section
						  5054, Penal Code;
						  and Plata v. Newsom (No. C01-1351 JST), U.S. District Court, Northern District of
						  California.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 1 - Health Care Governance and Administration › Article 3 - Health Care Workforce Governance › Section 3999.127 - Health Care Ethics Committee

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 Department shall maintain a Health Care Ethics Committee to provide
					 multidisciplinary consultation, guidance, and education about the ethical aspects of
					 providing health care.
(b) The Health
					 Care Ethics Committee shall consult on and review institutional cases referred by
					 individuals from throughout the Department to the Health Care Ethics Committee
					 wherein staff has identified ethical dilemmas and when staff, patients, or
					 surrogates have questions or are in conflict.
(1)
					 The Health Care Ethics Committee shall not make health care treatment
					 decisions.
(2) The Health Care Ethics
					 Committee shall make recommendations in specific cases in a prospective manner but
					 shall not judge past events or decisions.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 1 - Health Care Governance and Administration › Article 4 - Professional Workforce › Section 3999.130 - Medical Provider Onboarding

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 California Department of Corrections and Rehabilitation (CDCR) shall provide all
					 newly appointed civil service Physician and Surgeons, Physician Assistants, and
					 Nurse Practitioners who provide patient care services with relevant and job-specific
					 orientation and training during the probationary period.
(b) All newly appointed medical providers shall:
(1) Comply with all credentialing and privileging
					 requirements, pursuant to section
					 3999.134.
(2) Participate in the standardized onboarding
					 process which includes classroom orientation, on-the-job training, and support
					 during the initial three months of employment. Additional orientation and training
					 may be required and provided as needed.
(3) Have a focused professional practice
					 evaluation at two months and at four months after the appointment date to assess
					 clinical competency and to determine the granting of active privileges.
(4) Complete the CDCR New Employee Orientation
					 within the probationary period.
(5)
					 Complete a minimum of two weeks of orientation and shadowing of health care staff in
					 patient care settings.
(6) Proctored
					 patient care duties shall begin no earlier than three weeks after the appointment
					 date.
(7) On-call duties shall begin no
					 earlier than eight weeks after the appointment date.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 1 - Health Care Governance and Administration › Article 4 - Professional Workforce › Section 3999.131 - Nursing Onboarding

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 California Department of Corrections and Rehabilitation (CDCR) shall provide all
					 newly hired civil service Registered Nurses (RN), Licensed Vocational Nurses (LVN),
					 Psychiatric Technicians (PT), Certified Nursing Assistants (CNA), Office Technicians
					 (OT), Medical Assistants (MA), and Nursing Registry/Contracted personnel who provide
					 clinical and support services within the Department with orientation and
					 training.
(b) Nursing Staff Onboarding
					 orientation and training shall, at a minimum, include:
(1) An initial introduction to the institution
					 including Human Resources and Information Technology departments, overview of the
					 institution's missions and physical layout, overview of the new employee's work
					 space, and issuance of the new employee's identification card and other essential
					 work items.
(2) Non-Custody New Employee
					 Orientation (NEO) for all employees.
(3)
					 Nursing civil service staff onboarding for nursing employees to be completed prior
					 to performing patient care duties.
(4)
					 Electronic Health Record System training and competency validation, to be completed
					 prior to providing and documenting patient care or scheduling in the
					 system.
(5) For staff providing direct
					 patient care, a minimum of four weeks of orientation and shadowing of nursing staff
					 in patient care settings based upon the institution's health care
					 missions.
(6) Orientation and shadowing
					 of nursing staff in the specific areas and on the specific watches the new staff
					 will be working.
(7) Transition to
					 independent direct patient care duties shall begin no earlier than eight weeks after
					 the hire date.
(8) An abbreviated
					 onboarding plan may be developed for nursing staff who transfer from another CDCR
					 institution that takes into account the onboarding, clinical competency, and
					 professional performance evaluations conducted and the training provided for that
					 staff at another institution.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 1 - Health Care Governance and Administration › Article 4 - Professional Workforce › Section 3999.132 - Authorized Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Only
					 facility-employed health care staff, contractors paid to perform health services for
					 the facility, or persons employed as health care consultants shall be permitted,
					 within the scope of their licensure, to diagnose illness or prescribe medication and
					 health care treatment for patients.
No other personnel or inmates may do so.
1. Change
						without regulatory effect adopting new subchapter 1, article 4 (section
						3999.132) and renumbering former
						section 3554(a) to new section
						3999.132 filed 4-15-2019 pursuant to
						section 100, title 1, California Code of
						Regulations (Register 2019, No. 16).
2. Editorial correction of
						subsection (a) (Register 2019, No. 19).
Note: Authority cited: Section
						  5058, Penal Code.
						  Reference: Section
						  5054, Penal
						  Code.
The amended version of this section by
						Register
						2024, No. 28, effective 7/1/2024 is not yet
						available.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 1 - Health Care Governance and Administration › Article 4 - Professional Workforce › Section 3999.133 - Advanced Practice Providers

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 Department shall recruit, train, evaluate, and integrate Advanced Practice Provider
					 (APP) staff into the Department's Medical Services Program.
(b) APP staff may diagnose, treat, perform minor
					 procedures, and provide primary care services to patients designated as low to
					 moderate risk and those patients with common primary care conditions. APP staff may
					 also provide primary care services to patients designated as high risk, but they
					 must document co-management of these patients with a physician.
(c) In circumstances when medically necessary for
					 the preservation of life and limb, APP staff shall provide emergency health care
					 services in accordance with their training and experience.
(d) The hiring authority shall obtain verification
					 of credentials from the headquarters Credentialing and Privileging Support Unit
					 (CPSU) prior to making a formal job offer to an APP applicant.
(1) APP staff hired by the Department (civil
					 service and contract employees) shall comply with the minimum professional
					 requirements for credentialing and privileging approval.
(2) For Physician Assistant (PA) staff only,
					 additional qualifications include proof of completion of an approved controlled
					 substance education course. A certificate of completion shall be retained at the
					 hiring institution for the duration of employment. An electronic copy of the
					 certificate shall be submitted to the headquarters CPSU for retention in the
					 credentialing file.
(A) PA staff who successfully
					 complete a controlled substance education course are authorized to write medication
					 orders for Schedule II through V controlled substances without prior approval from a
					 physician.
(3) APP staff who
					 treat Substance Use Disorder patients are required to obtain a Drug Abuse Treatment
					 Act Medication-Assisted Treatment waiver from the Substance Abuse and Mental Health
					 Services Administration.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 1 - Health Care Governance and Administration › Article 4 - Professional Workforce › Section 3999.134 - Credentialing and Privileging

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 Department shall ensure patients receive health care services from licensed or
					 credentialed health care providers.
(b)
					 The Department shall verify credentials and grant privileges to all licensed medical
					 providers who provide patient care services at California Department of Corrections
					 and Rehabilitation (CDCR) institutions and Department regional and headquarters
					 offices to ensure they meet minimum credentials, privileging, and performance
					 standards.
(1) Licensed medical providers shall
					 not provide any direct patient care services to CDCR patients prior to having their
					 credentials approved and privileges granted.
(A)
					 Credentialing. The credentials reviewed for all providers shall include, but not be
					 limited to, licensure, certification, education, training and experience, current
					 competence, and physical and mental ability to provide patient care services in a
					 correctional setting.
1. Credentials for civil
					 service providers and telemedicine providers may be approved on a statewide
					 basis.
2. Registry and contract
					 providers must have credentials reviewed at each facility where the licensed medical
					 provider intends to provide services.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 1 - Health Care Governance and Administration › Article 4 - Professional Workforce › Section 3999.135 - Professional Practice Evaluation

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 Department shall maintain a Professional Practice Evaluation (PPE) program to ensure
					 patients receive health care services from competent and qualified practitioners.
					 Licensed medical providers are assessed on their general clinical knowledge, skills,
					 and professional judgment.
(b) PPEs
					 shall be:
(1) Conducted during the probationary
					 period and completed at no more than 60 calendar days and again at no more than 120
					 calendar days after appointment.
(2)
					 Conducted when current licensed medical providers request new clinical privileges
					 and completed no later than 60 calendar days after provisional new privileges were
					 granted.
(3) On-going and conducted at
					 least every six months.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 1 - Health Care Governance and Administration › Article 4 - Professional Workforce › Section 3999.136 - Medical Peer Review Referrals

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 Department shall maintain a process for referring actual or suspected instances of
					 substandard clinical performance to for cause peer review so that action can be
					 taken to ensure patient safety.
(b) Any
					 person may submit referrals to the Professional Practice Evaluation Support Unit
					 (PPESU) regarding the conduct, performance, or competence of licensed medical
					 providers.
(c) All referrals, from any
					 source, involving any potential or perceived imminent danger to the health of
					 patient(s) or staff shall be made within one business day of discovery.
(d) The following referral sources shall refer
					 known or suspected instances of substandard clinical performance within five
					 business days of discovery:
(1) Safety Assessment
					 Panel.
(2) Institutional, regional, and
					 headquarters health care leadership.
(3)
					 Nursing Professional Practice Council.
(4) Mental Health Peer Review Committee.
(5) Dental Peer Review Committee.
(6) Death Review Committee.
(7) Statewide Health Care Incident Review
					 Committee.
(8) Office of Internal
					 Affairs.
(9) Federal Receiver or
					 designee(s).
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 1 - Health Care Governance and Administration › Article 4 - Professional Workforce › Section 3999.137 - Medical Peer Review Process

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 Department shall maintain a process to conduct peer review evaluations for licensed
					 medical providers with known or suspected substandard clinical practices or clinical
					 misconduct which includes acts, demeanor, or conduct likely to be detrimental to
					 patient safety or the delivery of medical care.
(b) These non-routine, for cause evaluations shall
					 be conducted:
(1) Based upon referrals, pursuant
					 to section 3999.136 or the outcome of safety
					 assessments, pursuant to section
					 3999.138.
(2) By the Medical Peer Review Committee (MPRC) to
					 determine when privileges should be suspended, revoked, restricted or modified.
(A) The MPRC shall consider all available relevant
					 information in peer review evaluations including, but not limited to:
1. The licensed medical provider's actions,
					 conduct, or decision(s) under consideration and the extent to which they did or
					 could have affected patient care, patient safety, or the delivery of safe and
					 effective medical care in the facility.
2. The licensed medical provider's prior history
					 of similar conduct.
3. The licensed
					 medical provider's prior peer review history, whether routine or non-routine, and
					 relevant prior history with administrative discipline.
4. Any physical, medical, or mental health
					 condition suffered by the licensed medical provider that affects the licensed
					 medical provider's ability to provide safe, effective, and competent care.
5. The licensed medical provider's willingness to
					 accept and incorporate corrective measures to prevent future occurrences of similar
					 conduct, actions, or decision-making.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 1 - Health Care Governance and Administration › Article 4 - Professional Workforce › Section 3999.138 - Safety Assessments

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) All health
					 care staff are responsible for referring safety concerns involving clinical
					 performance or conduct to the attention of the institutional supervisor or regional
					 or headquarters executive leadership.
(b) Requests for safety assessments shall
					 immediately be submitted to the Professional Practice Evaluation Support Unit
					 (PPESU) if failure to take action may result in imminent danger to the health of any
					 patient or staff.
(c) When a safety
					 assessment is requested or being conducted, the licensed medical provider's
					 privileges shall temporarily be modified to eliminate imminent danger and ensure
					 patient safety.
(d) Within two business
					 days of receiving a referral, the Safety Assessment Panel (Panel) shall make an
					 initial determination:
(1) If the Panel finds that
					 the clinical performance in question does not or is not likely to pose an imminent
					 danger to the health of patient(s) or staff, the Panel shall:
(A) Refer the matter to the Medical Peer Review
					 Committee (MPRC) for further review and disposition as warranted.
(B) Provide the hiring/contracting authority with
					 written notice of the following:
1. The Panel's
					 initial determination.
2. The referral
					 to the MPRC for further review and action, as warranted.
(C) The hiring/contracting authority shall
					 immediately terminate any privilege modifications in effect.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 1 - Health Care Governance and Administration › Article 4 - Professional Workforce › Section 3999.139 - Privilege Modifications

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Privilege
					 modifications may include, but are not limited to, restrictions, suspensions, or
					 revocations of some or all of a licensed medical provider's privileges.
(b) A summary suspension of privileges may occur
					 as a result of either of the following:
(1) A
					 licensed medical provider's failure to comply with credentialing and privileging
					 requirements as set forth in section
					 3999.134.
(2) Disciplinary action taken against the medical
					 provider's license or Drug Enforcement Administration
					 registration.