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Selecting performance indicators for prison health care.

Steven M Asch¹, Cheryl L Damberg, Liisa Hiatt

¹RAND Corporation, Santa Monica, California, USA. sasch@rand.org

Journal of Correctional Health Care : the Official Journal of the National Commission on Correctional Health Care

|April 29, 2011

Summary

This study identified 79 key performance indicators for prison health care, covering clinical quality and access across various health domains. These indicators help correctional health managers measure performance and improve patient care.

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Area of Science:

Correctional Health
Health Services Research
Quality Improvement

Background:

Prison healthcare systems require robust measurement tools to address diverse patient needs.
Existing quality indicators may not adequately cover the unique challenges within correctional facilities.

Purpose of the Study:

To identify and validate a comprehensive set of clinical quality and access indicators for correctional health.
To provide prison health managers with a reliable toolkit for performance assessment and quality improvement initiatives.

Main Methods:

Utilized the RAND/UCLA modified Delphi method, a rigorous consensus-building technique.
Convened an expert panel to rate 111 potential indicators based on validity and feasibility.

Main Results:

A core library of 79 validated indicators was selected for correctional health.
Indicators cover critical areas including access, chronic diseases (cardiac, metabolic, pulmonary), infectious diseases, geriatrics, obstetrics/gynecology, mental health/substance abuse, screening, and urgent care.

Conclusions:

The developed indicator set offers a foundational library for prison health managers to establish robust measurement systems.
Implementing these indicators can help identify performance gaps and drive targeted quality improvement in correctional healthcare settings.