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c��49re <br />your independent hwhhmm choim, <br />f Critical Incident Review <br />o Morbidity and Mortality Committee reviews occur both locally and at the corporate <br />level. They analyze and review critical incidents and develop corrective actions plans <br />when necessary. <br />o The committee is made up of clinical, administrative, and legal personnel. <br />o The site receives and implements the action plan and provides feedback to the <br />corporate level. <br />® Critical Incident Debriefing — Any staff who have been negatively affected by the self -harm <br />or suicidal act will be provided assistance by trained mental health professionals in a timely <br />manner <br />Alerts for Suicide Risks <br />Our initial Receiving Screen and Mental Health Screen include automatic prompts to assist <br />healthcare staff in the decision making process when an inmate is identified or reports a <br />potential for suicidal behavior. At intake, each inmate is asked a standard set of comprehensive <br />questions about the possibility of suicidal thoughts. The interviewer is guided through the <br />questions and prompted to select the appropriate referral and triage for the suicidal inmate. <br />The mental health screening questionnaire has been carefully researched by mental health <br />experts and is based on the latest research regarding suicide risk factors. <br />A positive response to specific questions automatically alerts the healthcare staff of the need for <br />an immediate referral to mental health services, communication and coordination with security <br />staff, and a requirement for special housing. This process provides easy, quick, and legible <br />documentation of suicidal risks and behaviors. Clear communication between medical, mental <br />health, and correctional staff keeps the program effective. We maintain open verbal and <br />written communication with the inmates, medical and mental health staff, and the correctional <br />staff. Any difficulties in communication are addressed immediately. <br />Suicide Watch Tracking <br />Our innovative EHR system includes a feature called the Admissions Management Module. One <br />portion of this module is devoted to Suicide Watch tracking and documentation. Once a patient <br />is placed on suicide watch, their name is electronically entered ("admitted") into this tracking <br />module. The module keeps track of all patients who are on Suicide Watch and also manages <br />their documentation. This assists mental health clinicians and providers by telling them exactly <br />who is on watch, what their status is, and provides thorough electronic forms for proper <br />documentation of Suicide Watch monitoring. When a patient is ready to be released from <br />Suicide Watch the proper documentation is readily available, and once released, the patient's <br />name is removed ("discharged") from this list. <br />Through the use of this module the entire mental health staff is kept aware of all patients on <br />Suicide Watch. In addition, it provides the site management (HSA, etc.) with the ability to also <br />monitor these high acuity patients and ensure their care is being delivered in a manner <br />consistent with NaphCare expectations. NaphCare does not use other inmates to substitute for <br />staff in supervising suicidal patients. <br />Inmate Medical Services RFP No, 17-051 <br />City of Santa Ana 54 <br />