📋
Extracted from Consolidated Report

This investigation was originally published as part of a larger consolidated report containing multiple investigations. View the consolidated PDF for the complete document.

Santa Cruz County Grand Jury • 2014-2015

Medical Services at the Jails

9 pages
View PDF View Full Original

Findings and Recommendations 6 findings

F1 Page 212
The office of the Sheriff­Coroner has exercised minimal oversight of its contract with California Forensic Medical Group.
Related Recommendations (1)
R1
Page 213
The Sheriff­Coroner should designate qualified personnel to oversee the medical services contract provisions and compliance with standards. (F1)
F2 Page 212
The office of the Sheriff­Coroner lacks independent medical expertise to oversee California Forensic Medical Group’s delivery of medical services to county detention facilities.
Related Recommendations (1)
R2
Page 213
The Sheriff­Coroner should obtain independent oversight of its jail medical services by medically qualified personnel. (F2)
F3 Page 212
The absence of quality assurance findings and corrective actions in the California Forensic Medical Group Annual Report of Medical Services compromises the ability of the Sheriff­Coroner to oversee and ensure the quality of care in the county jails.
Related Recommendations (1)
R4
Page 213
The Sheriff­Coroner should direct its medical care services contractor to include in its annual report quality assurance findings and corrective actions taken as required in the current contract for medical services. These annual reports should be available for review by authorized agencies. (F3)
F4 Page 212
Current procedures for monitoring inmates younger than age 65 do not identify their potential need for a higher level of care.
Related Recommendations (1)
R6
Page 213
The Sheriff­Coroner should direct the medical care services contractor to develop and implement procedures to identify at intake and then monitor medically fragile inmates younger than 65 years of age. (F4)
F5 Page 212
The contract with California Forensic Medical Group lacks provisions for external review by authorized investigative persons or agencies.
Related Recommendations (1)
R3
Page 213
The Sheriff­Coroner should, upon contract renewal, require its contractor for jail medical services to provide site specific policy and procedure manuals to the County Health Officer and other authorized reviewers. (F5)
F6 Page 213
Without accreditation, contractual adherence to California Medical Association­ Institute for Medical Quality accreditation standards cannot be verified.
Related Recommendations (1)
R5
Page 213
The Sheriff­Coroner should require, at the time of contract renewal, that the jail medical services provider obtain and maintain California Medical Association­Institute for Medical Quality accreditation for the Main Jail, Blaine Street, and Rountree detention facilities. (F6)