reglab/statecodes huggingface dataset:
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 2 - Patient's Entitlements and Responsibilities › Article 5 - Health Care Grievances › Section 3999.228 - Institutional Level Health Care Grievance Review

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 institutional level is for initial clinical/administrative review of health care
					 grievances.
(b) Health care staff at a
					 level no less than a Registered Nurse, utilizing clinical expertise within the scope
					 of his or her licensure, shall triage each health care grievance within one business
					 day of receipt and:
(1) Determine if the health
					 care grievance identifies a health care issue that may require clinical
					 intervention.
(2) Determine if the
					 health care grievance warrants expedited processing.
(3) Determine if the health care grievance is
					 administrative or clinical.
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 2 - Patient's Entitlements and Responsibilities › Article 5 - Health Care Grievances › Section 3999.229 - Preparation and Submittal of a Health Care Grievance Appeal

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) If
					 dissatisfied with the institutional level health care grievance disposition, the
					 grievant may appeal the disposition by completing and signing Section B of the CDCR
					 602 HC and submitting the health care grievance package to HCCAB via the United
					 States Postal Service within 30 calendar days plus five calendar days for mailing
					 from the date noted on the CDCR 602 HC, in the "Date closed and mailed/delivered to
					 grievant" section on page 1 of 2.
(1) The
					 requirements of sections
					 3999.227(c) through (g) and (j) through
					 (q) apply to this section.
(2) The health care grievance package shall
					 include the original institutional level grievance response.
(3) The grievant shall not include new issues that
					 were not included in the original health care grievance.
(4) For appeals of health care grievances
					 processed on an expedited basis at the institutional level, the grievant shall
					 forward the health care grievance package to the HCGO where the grievant is housed
					 if continued expedited processing is requested.
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 2 - Patient's Entitlements and Responsibilities › Article 5 - Health Care Grievances › Section 3999.230 - Headquarters' Level Health Care Grievance Appeal Review

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 headquarters' level is for review of appeals of institutional level health care
					 grievance dispositions.
(b) Health care
					 staff at a level no less than a Registered Nurse, utilizing clinical expertise
					 within the scope of his or her licensure, shall:
(1) Triage each health care grievance appeal
					 within one business day of receipt and:
(A)
					 Determine if the health care grievance appeal identifies a health care issue that
					 may require clinical intervention.
(B)
					 Determine if the health care grievance appeal warrants continued expedited
					 processing as requested by the grievant pursuant to section
					 3999.229(a)(4).
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 2 - Patient's Entitlements and Responsibilities › Article 5 - Health Care Grievances › Section 3999.231 - Health Care Staff Complaints

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Health care
					 grievances determined to be health care staff complaints after receiving a clinical
					 triage shall be processed pursuant to Subchapter 2, Article 5, and not as a
					 citizen's complaint.
(b) The HCGO shall
					 present health care grievances alleging health care staff misconduct to the
					 reviewing authority within five business days of receipt. The reviewing authority
					 shall review the complaint and determine if:
(1)
					 The allegation will be addressed as a health care grievance or as a health care
					 staff complaint.
(2) The allegation will
					 be processed as a health care staff complaint but does not warrant referral for an
					 allegation inquiry or investigation, or the request for an investigation has been
					 declined, in which case a confidential inquiry report shall be completed pursuant to
					 section 3999.231(f).
(3) The allegation will be processed as a health
					 care staff complaint and warrants referral to the applicable authority for an
					 allegation inquiry or investigation.
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 2 - Patient's Entitlements and Responsibilities › Article 5 - Health Care Grievances › Section 3999.232 - Multiple Health Care Grievances

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each
					 identified multiple health care grievance shall be individually processed.
(1) The grievant who submitted the first accepted
					 multiple health care grievance shall be identified. The identified grievant shall
					 receive an interview pursuant to section
					 3999.228(f)(3). No
					 other grievant will receive an interview unless health care grievance staff needs
					 further clarification related to the issue.
(2) A response to each grievant shall be provided
					 containing a statement to indicate that the health care grievance was processed as
					 one of multiple health care grievances.
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 2 - Patient's Entitlements and Responsibilities › Article 5 - Health Care Grievances › Section 3999.233 - Exceptions to Health Care Grievance Process Time Limits

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Exceptions
					 to health care grievance process time limits pursuant to sections
					 3999.228(i) and
					 3999.230(f) shall be
					 permitted only when:
(1) Grievant, staff, or
					 witnesses are not available prior to the expiration of the response time limits to
					 provide information to prepare the health care grievance or health care grievance
					 appeal response.
(2) The complexity of
					 the decision, action, or policy requires additional research.
(3) Involvement of other departments, agencies, or
					 jurisdictions is necessary.
(4) A state
					 of emergency requires the postponement of nonessential administrative decisions and
					 actions pursuant to section
					 3383(a).
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 2 - Patient's Entitlements and Responsibilities › Article 5 - Health Care Grievances › Section 3999.234 - Health Care Grievance and Health Care Grievance Appeal Rejection

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A health
					 care grievance or health care grievance appeal may be rejected for reasons, which
					 include, but are not limited to:
(1) The grievant
					 did not submit the health care grievance or health care grievance appeal pursuant to
					 Subchapter 2, Article 5.
(2) The health
					 care grievance concerns an anticipated action or decision.
(3) The grievant submitted the health care
					 grievance without a prior attempt to obtain health care services through approved
					 processes. In this case, HCGO staff shall submit a request for health care services,
					 if medically necessary, to the appropriate facility clinic on behalf of the
					 grievant.
(4) An individual submitted a
					 health care grievance or health care grievance appeal on behalf of another
					 person.
(5) The grievant is temporarily
					 outside health care jurisdiction for an indeterminate amount of time, including, but
					 not limited to, out-to-court or at an offsite hospital, and not expected to return
					 before the time limits for responding to the health care grievance or health care
					 grievance appeal have expired.
(6) The
					 health care grievance duplicates the grievant's previous health care grievance upon
					 which a decision was rendered or is pending and the grievant has not provided any
					 new information that would indicate additional review is warranted.
(7) A health care grievance is submitted as a
					 group grievance by more than one grievant related to a policy, decision, action,
					 condition, or omission affecting all members of the group.
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 2 - Patient's Entitlements and Responsibilities › Article 5 - Health Care Grievances › Section 3999.235 - Health Care Grievance and Health Care Grievance Appeal Withdrawal

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) With the
					 exception of health care grievances determined to be health care staff complaints,
					 the grievant may withdraw a health care grievance or health care grievance appeal by
					 requesting to have the processing stopped at any point up to receiving a signed
					 response.
(b) The request to withdraw a
					 health care grievance or health care grievance appeal shall identify the reason for
					 the withdrawal in Section E of the CDCR 602 HC, and shall be signed and dated by the
					 grievant. The grievant may also submit a written request to the reviewing authority,
					 including the reason for withdrawal, grievant signature, and date.
(c) If there is agreed-upon relief noted in
					 writing at the time of a withdrawal and the relief is not provided, the grievant may
					 submit a new separate health care grievance on that issue within 30 calendar days of
					 the failure to receive relief.
(d) The
					 withdrawal of a health care grievance or health care grievance appeal does not
					 preclude further administrative action regarding the issues being grieved.
(e) The decision to accept a request to withdraw a
					 health care grievance or health care grievance appeal is at the discretion of the
					 HCGO or HCCAB.
(1) The grievant shall be provided a
					 response of acceptance of the request to withdraw a health care grievance or health
					 care grievance appeal.
(2) If the
					 request to withdraw a health care grievance or health care grievance appeal is not
					 accepted, the processing of the health care grievance or health care grievance
					 appeal shall continue and a response shall be issued, unless the grievant is
					 paroled, deceased, or discharged pursuant to section
					 3999.237.
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 2 - Patient's Entitlements and Responsibilities › Article 5 - Health Care Grievances › Section 3999.236 - Abuse of the Health Care Grievance Process

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 following are abuse of the health care grievance process and may lead to health care
					 grievance restriction:
(1) The submission of more
					 than one health care grievance for initial review within a 14 calendar day period,
					 unless it is accepted as an expedited grievance.
(2) The repeated filing of a health care grievance
					 or health care grievance appeal that has been rejected and resubmitted without
					 complying with rejection response instructions pursuant to section
					 3999.234(b).
(3) The grievant continues to submit health care
					 grievances or health care grievance appeals contrary to section
					 3999.227.
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 2 - Patient's Entitlements and Responsibilities › Article 5 - Health Care Grievances › Section 3999.237 - Changes in Health Care Jurisdiction

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) If the
					 grievant is temporarily outside health care jurisdiction for an indeterminate amount
					 of time, including, but not limited to, out-to-court or at an offsite hospital, and
					 not expected to return before the time limits for responding to the health care
					 grievance or health care grievance appeal have expired, the health care grievance or
					 health care grievance appeal may be rejected pursuant to section
					 3999.234(a). Upon
					 return to health care jurisdiction, the grievant may resubmit the health care
					 grievance or health care grievance appeal pursuant to section
					 3999.234(b).
(b) Paroled. If the grievant paroles before the
					 time limits expire for responding to a health care grievance or health care
					 grievance appeal, the grievant shall not receive a response.
(c) Deceased or Discharged. If the grievant is
					 deceased or discharged before the time limits expire for responding to a health care
					 grievance or health care grievance appeal, a response will not be
					 prepared.
1. Change
						without regulatory effect renumbering and amending former section
						3087.12 to new section
						3999.237 filed 8-6-2018 pursuant to
						section 100, title 1, California Code of
						Regulations (Register 2018, No. 32).
2. Amendment of subsection (b) and
						NOTE filed 3-12-2019 as an emergency; operative 3-12-2019 (Register 2019, No. 11).
						Pursuant to Penal Code section
						5058.3, a
						Certificate of Compliance must be transmitted to OAL by 8-19-2019 or emergency
						language will be repealed by operation of law on the following day.
3.
						Change without regulatory effect amending NOTE filed 4-15-2019 pursuant to section
						100, title 1, California Code of
						Regulations (Register 2019, No. 16).
4. Certificate of Compliance as to
						3-12-2019 order transmitted to OAL 8-14-2019 and filed 9-24-2019 (Register 2019, No.
						39).
Note: Authority cited: Section
						  5058, Penal Code.
						  Reference: Section
						  5054, Penal Code;
						  Civil Rights of Institutionalized Persons Act, Title
						  42 U.S.C. Section
						  1997 et seq.,
						  Public Law
						  96-247, 94 Stat. 349; Section
						  35.107, Title 28, Code of Federal
						  Regulations; Armstrong v. Newsom (No. C-94-2307-CW), U.S. District Court, Northern
						  District of California; Coleman v. Newsom (No. S
						  90-0520 LKK JFM P) U.S. District Court,
						  Eastern District of California; and Plata v. Newsom (No. C01-1351 JST), U.S.
						  District Court, Northern District of California.
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 2 - Patient's Entitlements and Responsibilities › Article 6 - Health Care Directives › Section 3999.240 - Advance Directive

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) California
					 Department of Corrections and Rehabilitation (CDCR) shall promote the utilization of
					 advance directives to determine patients' health care preferences, including, but
					 not limited to treatment decisions regarding medications, surgeries, and life
					 support treatments.
(b) Patients may
					 request a CDCR 7421, Advance Directive for Health Care, at any time.
(c) Patients shall be given an opportunity to
					 complete or revise the CDCR 7421 during admission to a CDCR health care setting
					 including Correctional Treatment Center, Outpatient Housing Unit, Skilled Nursing
					 Facility, hospice, or an outside medical facility.
(d) A patient may orally designate an agent or
					 legally recognized decision-maker to make health care decisions by personally
					 informing the supervising health care staff.
(1)
					 This appointment is only effective during the course of treatment, illness, stay in
					 the health care facility, or for 60 calendar days, whichever period is
					 shorter.
(2) An oral designation of an
					 agent or legally recognized decision-maker supersedes a previous written directive,
					 including a designated agent or legally recognized
					 decision-maker.
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 2 - Patient's Entitlements and Responsibilities › Article 6 - Health Care Directives › Section 3999.241 - Physician Orders for Life Sustaining Treatment

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 California Department of Corrections and Rehabilitation (CDCR) shall make the CDCR
					 7465, Physician Orders for Life Sustaining Treatment (POLST), available to all
					 patients. CDCR health care staff shall discuss end of life decision-making and goals
					 of care, as well as patients' right to name a legally recognized decision-maker and
					 to specify their end of life preferences with patients who are elderly, frail, have
					 serious medical or surgical conditions, or who have less than six months life
					 expectancy.
(b) In the event a patient
					 requests medical treatment contrary to accepted medical standards, or if the
					 requested medical care would be medically ineffective, or for reasons of conscience,
					 the health care provider or facility may decline to comply with the preferences of
					 the patient or the patient's legally recognized decision-maker.
(c) If a patient with a completed POLST transfers
					 to or from another CDCR institution or outside health care facility, the receiving
					 institution or facility shall accept the POLST.
(d) Do not resuscitate.
(1) If the patient requests "Do Not Attempt
					 Resuscitation/Do Not Resuscitate (DNR)" status, every effort shall be made to
					 relieve the patient's suffering and maintain comfort (e.g., palliative treatment for
					 pain, dyspnea, major hemorrhage, or other medical conditions).
(2) In the absence of a CDCR 7465 specifying DNR,
					 full Cardiopulmonary Resuscitation shall be initiated for any patient experiencing
					 cardiac or respiratory arrest unless otherwise indicated.
(3) If there is suspicion that a patient's
					 cardiorespiratory arrest is not a part of a natural or expected death (e.g.,
					 attempted suicide or possibly suffering harm by another), then resuscitation shall
					 be attempted despite the presence of a CDCR 7465 stating no attempt at
					 resuscitation.
(4) The PCP shall be
					 responsible for discussing with the patient and, if necessary, legally recognized
					 decision-maker and documenting in the health record whether the POLST/DNR orders are
					 to be maintained or suspended during anesthesia and surgery.
(5) A DNR order written without a POLST means only
					 that the patient is not to receive resuscitative measures in the event of a full
					 arrest. Any other limits on medical interventions, such as "do not intubate" or "no
					 blood products," must be specifically ordered.
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 3 - Health Care Operations › Article 1 - Complete Care Model › Section 3999.300 - Complete Care Model

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 California Department of Corrections and Rehabilitation (CDCR) shall manage and
					 deliver medically necessary health care services to the CDCR patient
					 population.
(b) The Complete Care Model
					 shall serve as the foundation for health care services delivery and shall include
					 continuous care, comprehensive care, coordination of care, patient-centered care,
					 preventive care, accessible care, use of health information, and continuous
					 improvement.
(c) The Department shall
					 maintain interdisciplinary care teams at each institution, accountable for the care
					 of defined patient panels.
(d) The
					 Department shall maintain programs for patients by risk stratification, provide care
					 management services to patients commensurate with their individual needs and risk
					 levels, and identify and manage subpopulations of patients per evidence-based
					 guidelines.
(e) Health care staff shall
					 provide preventive care to the patient population based on age, gender, and clinical
					 community standards.
1. New article
						1 (sections 3999.300-3999.310) and 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 article 1 (sections
						3999.300-3999.310) and 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 article 1 (sections
						3999.300-3999.310) and 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 3 - Health Care Operations › Article 1 - Complete Care Model › Section 3999.301 - Scope of Patient Care Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The Primary
					 Care Team (PCT) shall be responsible for coordinating care for patients within the
					 assigned panel, including other health care staff, as necessary, to meet the needs
					 of the patient.
(1) The Department shall ensure
					 patients are provided timely access to laboratory services that are medically
					 necessary to assist the PCT in establishing diagnoses and making recommendations for
					 additional diagnostic work-up.
(2) The
					 Department shall ensure patients are provided timely access to safe and
					 cost-effective medical imaging services that are medically necessary in order to
					 establish diagnoses, make recommendations for additional diagnostic work-up, and
					 establish treatment plans.
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 3 - Health Care Operations › Article 1 - Complete Care Model › Section 3999.302 - Care Team and Patient Panels

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each patient
					 shall be assigned a care team and informed of their assigned care team members at
					 intake or upon request.
(b) The care
					 team shall:
(1) Monitor changes to the patient
					 panel, such as transfers to and from the panel, and take action to continue or
					 coordinate care for patients.
(2)
					 Discuss recent health care events, problems, and trends that impact patients within
					 the assigned patient panel, identify services that may need to be provided to
					 patients, and determine how and when services will be provided.
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 3 - Health Care Operations › Article 1 - Complete Care Model › Section 3999.303 - Scheduling and Access to Care

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 Department shall maintain an effective and efficient scheduling system to ensure
					 timely patient access to health care services.
(b) Access to health care services.
(1) All California Department of Corrections and
					 Rehabilitation (CDCR) inmates shall have access to medically necessary health care
					 services 7 days per week, 24 hours per day.
(A)
					 Registered Nurses (RN) shall be onsite at the institution 7 days per week, 24 hours
					 per day.
(B) Each institution shall
					 establish hours of operation for Primary Care Clinics.
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 3 - Health Care Operations › Article 1 - Complete Care Model › Section 3999.304 - Population and Care Management Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 Department shall maintain an automated system that continuously updates a patient's
					 risk status based on the most current clinical information, including demographic,
					 diagnostic, medication, specialty services, and inpatient data.
(b) The Department shall offer four levels of
					 population management services.
(1) Primary
					 prevention: services to promote health, prevent onset of disease, and maintain
					 current health status such as immunization and screening.
(2) Secondary prevention: services to treat one or
					 more well-controlled diseases to avoid serious complications.
(3) Tertiary prevention: services to treat the
					 advanced stages of one or more diseases and minimize disability and includes complex
					 care management services.
(4)
					 Catastrophic/complex care: services may range from restoring health to only
					 providing comfort care and includes complex care management
					 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 3 - Health Care Operations › Article 1 - Complete Care Model › Section 3999.305 - Reception Center Health Care

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 Department shall conduct a Reception Center (RC) health care assessment as part of
					 the RC initial intake process for each person newly committed to the Department's
					 custody.
(b) Reception center initial
					 health screening and triage.
(1) Each patient
					 newly committed shall have an RC initial health screening and triage conducted by
					 licensed health care staff upon arrival at the RC to identify immediate needs and to
					 ensure continuity of care, including medications, treatments, and accommodations.
					 Patient interviews and assessments shall be conducted pursuant to section
					 3999.303.
(A) The RC initial health screening and triage
					 shall be accomplished prior to the patient being placed in
					 housing.
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 3 - Health Care Operations › Article 1 - Complete Care Model › Section 3999.306 - Health Care Transfer

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 Department shall perform each patient transfer in a manner that ensures the
					 continuity of care.
(b) Each transfer of
					 care within California Department of Corrections and Rehabilitation (CDCR) shall be
					 facilitated through a handoff process where information is provided by the
					 designated sending care team member to the designated receiving care team member.
(1) Handoffs shall occur prior to the time of
					 transfer.
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 3 - Health Care Operations › Article 1 - Complete Care Model › Section 3999.307 - Specialized Health Care Housing

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 Department shall ensure appropriate specialized health care housing is available to
					 meet the level of care needed for each patient. These services shall include access
					 to both community and institution-based specialized health care housing.
(b) Nursing, medical, and mental health services
					 shall be:
(1) Available 24 hours per day, 7 days
					 per week.
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 3 - Health Care Operations › Article 1 - Complete Care Model › Section 3999.308 - Outpatient Dietary Intervention

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 Department shall provide meals based on a California Department of Corrections and
					 Rehabilitation (CDCR) Standardized Master Menu consistent with the CDCR Heart
					 Healthy Diet. Diet instruction, texture modified diets, nourishments, supplements,
					 and outpatient therapeutic diets shall be provided if clinically indicated.
					 Outpatient therapeutic diet meals may not be modified for religious reasons pursuant
					 to section 3054(d) or for other
					 personal requests.
(1) If a patient is allergic or
					 intolerant to readily identified food, the patient shall be educated to avoid the
					 food, but no food substitution shall be given.
(2) Patients may refuse an outpatient therapeutic
					 diet and the refusal shall be documented in the health record. Patients who refuse
					 an ordered diet shall be offered the CDCR Heart Healthy Diet.
(3) Patients requiring an outpatient therapeutic
					 diet or texture modified diet shall be housed at institutions that have the
					 capability to prepare these diets under the direction and supervision of a
					 Registered Dietitian and trained dietary staff.
(A) Patients receiving an outpatient therapeutic
					 diet or texture modified diet shall not be housed in a Correctional Treatment
					 Center, Skilled Nursing Facility, hospice, or any other licensed bed or Outpatient
					 Housing Unit for the sole purpose of receiving an ordered diet unless medically
					 indicated as ordered by a provider.
(4) The patient shall meet one or more of the
					 following criteria to qualify for nourishments or supplements, unless otherwise
					 approved by the institution Chief Medical Executive or Supervising Dentist:
(A) Pregnancy and lactation.
(B) Patients with type one diabetes mellitus or
					 brittle diabetes.
(C) Patients with
					 impaired mastication or dysphagia.
(D)
					 Moderate to severe protein/calorie malnutrition due to metabolic deficiency or
					 metabolic response to injury/illness evidenced by:
1. Significant weight loss of ten percent or more
					 over the prior six months.
2. Body Mass
					 Index less than 18.
(E)
					 Decompensated end stage liver disease.
(F) Bariatric
					 surgery.
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 3 - Health Care Operations › Article 1 - Complete Care Model › Section 3999.309 - Patient Care During Pregnancy and Childbirth

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 California Department of Corrections and Rehabilitation (CDCR) shall provide
					 obstetrical (OB) services, to include care for women with high-risk pregnancies.
					 CDCR shall provide OB services 24 hours per day including, but not limited to:
(1) Emergency treatment and management of preterm
					 and precipitous delivery.
(2) Hospital,
					 surgical, and neonatal services.
(3)
					 Social and educational services pertaining to pregnancy, childbirth, and health
					 promotion.
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 3 - Health Care Operations › Article 1 - Complete Care Model › Section 3999.310 - Patient Health Care Education

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 Department shall provide health care orientation information to each patient within
					 14 business days upon arrival at any institution and the information shall be
					 available in each institution law library pursuant to section
					 3124.
(b) The Department shall determine the patient's
					 specific health educational requirements and provide health education materials to
					 patients regarding disease prevention, recommended treatment modalities, and
					 available health care resources.
(c)
					 Health care staff shall utilize every patient visit for therapeutic intervention and
					 education.
(1) Health care staff who provide
					 patient education shall document in the health record the education provided, the
					 patient's understanding of the information provided, and any effective communication
					 accommodations used.
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 3 - Health Care Operations › Article 2 - Medication Management › Section 3999.315 - Medication Management

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 California Department of Corrections and Rehabilitation (CDCR) shall provide
					 prescribed medically necessary medications to all patients.
(b) Medication orders and renewals. All
					 medications shall be ordered as Keep-on-Person (KOP), unless the prescriber
					 specifically orders Nurse Administered (NA) or Directly Observed Therapy (DOT).
(1) An order shall be obtained from a health care
					 provider before any prescribed medication is withheld from a patient, unless
					 administration is clinically contraindicated. Blanket orders withholding medications
					 from groups of patients are not permissible.
(2) When prescribing medications, the prescriber
					 shall explain to the patient how to take the medication.
(3) The prescriber shall renew medication orders
					 to facilitate medication continuity.
(4)
					 Patients may request medication renewals by submitting a CDCR 7362, Health Care
					 Services Request Form.
(5) Non-urgent
					 new medication orders received by pharmacy on any business day shall be available to
					 the patient no later than three business days later unless otherwise ordered (e.g.,
					 order specifies medication to start today).
(6) Non-urgent renewed medication orders received
					 by pharmacy on any business day shall be available to the patient no less than one
					 business day prior to exhaustion of medication supply unless otherwise ordered
					 (e.g., order specifies medication to start today).
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 3 - Health Care Operations › Article 3 - Health Care Classifications › Section 3999.320 - Medical Classification

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) California
					 Department of Corrections and Rehabilitation shall utilize a Medical Classification
					 System to match patients' medical needs with the capabilities of facilities and
					 programs.
(b) A Medical Classification
					 Chrono (MCC) shall be issued:
(1) At the time of
					 the physical examination at a Reception Center.
(2) Whenever the patient's medical condition
					 changes in a way that would change their medical classification.
(3) Upon admission to or discharge from an outside
					 hospital.
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 3 - Health Care Operations › Article 4 - Nursing Care › Section 3999.325 - Nursing Scope of Service

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Registered
					 Nurses (RN) within the Department assume accountability and responsibility for
					 delivering care as defined by the California Nurse Practice Act and professional
					 standards.
(b) Licensed Vocational
					 Nurses (LVN) within the Department assume responsibilities, duties, and performance
					 of care within the scope of the LVN license as defined in the Business and
					 Professions Code (BPC) and Title 16 of the California Code of Regulations (CCR),
					 within their educational background, delegated by and under the supervision of the
					 RN. These nursing activities include, but are not limited to:
(1) Performing basic assessment/data collection
					 (e.g., obtaining patient histories).
(2)
					 Communicating findings to the RN or a higher licensure.
(3) Following and contributing to the
					 interdisciplinary plan of care.
(4)
					 Providing patient education.
(5)
					 Providing patient interventions (e.g., dressing changes, emergency response,
					 medication management, phlebotomy, and skin tests).
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 3 - Health Care Operations › Article 4 - Nursing Care › Section 3999.326 - Nursing Standardized Protocols and Order Sets

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 Department shall maintain standardized procedures, protocols, order sets, clinical
					 pathways, guidelines, and standing orders to allow nursing staff to perform direct
					 and indirect patient care utilizing evidence-based nursing practices consistent
					 within the scope of practice of each nursing classification.
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 3 - Health Care Operations › Article 4 - Nursing Care › Section 3999.327 - Registered Nurse Pronouncement of Death

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 California Department of Corrections and Rehabilitation (CDCR) shall permit
					 Registered Nurses (RNs) to make the determination and pronouncement of patient death
					 when all of the following conditions are met:
(1)
					 A Primary Care Provider (PCP), or an Advanced Practice Provider (APP) has determined
					 and documented that the patient has a condition or illness whose natural course is
					 expected to end in death and the patient's life expectancy is six months or
					 less.
(2) The patient signed a CDCR
					 7465, Physician's Orders for Life Sustaining Treatment, as provided in section
					 3999.99, indicating "Do Not
					 Resuscitate." The CDCR 7465 must be signed and dated by a physician, or an APP
					 acting under the supervision of the physician, and the patient or legally recognized
					 health care decision maker.
(3) The
					 patient's PCP or an APP has documented in a progress note in the health record that
					 death is expected and has completed an order in the Electronic Health Record System
					 stating that an RN may pronounce death.
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 3 - Health Care Operations › Article 5 - Mental Health Care › Section 3999.342 - Placement in a Department of State Hospitals Hospital

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Patients
					 considered for placement in a Department of State Hospitals (DSH) hospital pursuant
					 to Penal Code section
					 2684 shall be
					 informed of their rights to a hearing on the placement and to waive such a hearing.
					 Except as provided in subsection (b) below, patients who do not waive their right to
					 the hearing shall be provided the following:
(1) A
					 written notice of the placement hearing at least 72 hours prior to the
					 hearing.
(2) An independent and
					 qualified staff member to assist the patient with their preparation for the hearing.
					 Any costs or expenses incurred related to independent assistance obtained by the
					 patient on their own shall be the sole responsibility of the patient.
(3) An opportunity to present documentary evidence
					 and the oral or written testimony of witnesses, and to refute evidence and cross
					 examine witnesses unless the hearing officer indicates a good cause for prohibiting
					 such evidence or witnesses.
(4) A
					 hearing officer who shall be the institution head or a designee which shall be a
					 correctional administrator, physician, Psychiatrist, or Psychologist who is not
					 involved with treating the patient.
(5)
					 A copy of the written decision within 72 hours after the hearing, which shall
					 include the reason for the decision and the evidence relied upon in making the
					 decision.
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 3 - Health Care Operations › Article 5 - Mental Health Care › Section 3999.348 - Electroconvulsive Therapy

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Shock
					 therapy is the only form of organic therapy, as defined by law, which may be used in
					 the treatment of persons committed to the custody of the Secretary. No patient who
					 is competent and capable of giving informed consent will be administered any form of
					 shock therapy without having given his or her consent. Prior authorization of a
					 superior court is also required before shock therapy may be administered for any
					 treatment purpose other than as an emergency lifesaving measure.
(1) Shock therapy as a lifesaving emergency
					 medical measure may be administered to a patient who is competent and capable of
					 giving informed consent and who has given consent, or a patient who is incompetent
					 or incapable of giving informed consent, without prior court authorization. However,
					 all pertinent clinical data relating to the nature of the emergency and the
					 treatment given will be presented to the court for review within ten days of the
					 first instance of emergency shock treatment.
(2) When a patient is competent and capable of
					 giving informed consent and has done so, and the court has authorized such
					 treatment, shock therapy may be administered in a nonemergency course of treatment.
					 No form of shock therapy may exceed three months of continuous treatment nor more
					 than three months in any 12-month period.
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 3 - Health Care Operations › Article 5 - Mental Health Care › Section 3999.349 - Psychosurgery

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Psychosurgery, including lobotomy, stereotactic surgery,
						chemical or other destruction of brain tissue, or implantation of electrodes into
						brain tissue, is not and will not be performed on persons committed to or in the
						custody of the Department.
1. Change
						without regulatory effect renumbering former section
						3367 to new section
						3999.349, including amendment of
						section, filed 4-15-2019 pursuant to section
						100, title 1, California Code of
						Regulations (Register 2019, No. 16).
Note: Authority cited: Section
						  5058, Penal Code.
						  Reference: Section
						  5054, 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 3 - Health Care Operations › Article 5 - Mental Health Care › Section 3999.350 - Aversive Therapy

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The use of any drug, electronic stimulation of the brain, or
						infliction of physical pain when used as an aversive or reinforcing stimulus in a
						program of aversive, classical or operant conditioning is not and will not be
						performed on persons committed to or in the custody of the Secretary. Nothing in
						this section prohibits the administration of drugs intended to cause negative
						physical reactions to the ingestion of alcohol or drugs unless part of a program of
						aversive conditioning.
1. Change
						without regulatory effect renumbering former section
						3368 to new section
						3999.350, including amendment of
						section, filed 4-15-2019 pursuant to section
						100, title 1, California Code of
						Regulations (Register 2019, No. 16).
Note: Authority cited: Section
						  5058, Penal Code.
						  Reference: Section
						  5054, Penal
						  Code.