St. Anthony Work Camp, ID
November 12, 2010
UPDATE REPORT
The National Commission on Correctional Health Care is dedicated to improving the quality of
correctional health services and helping correctional facilities provide effective and efficient care.
NCCHC grew out of a program begun at the American Medical Association in the 1970s. The
standards are NCCHC’s recommended requirements for the proper management of a correctional
health services delivery system. These standards have helped correctional facilities improve the
health of their inmates and the communities to which they return, increase the efficiency of their
health services delivery, strengthen their organizational effectiveness, and reduce their risk of
adverse patient outcomes and legal judgments.
The St. Anthony Work Camp was surveyed under the NCCHC 2008 Standards for Health
Services in Prisons on May 27-28, 2010. On June 25, 2010, NCCHC granted continuing
accreditation with verification. Subsequently, the RHA has submitted corrective action, which
brought the facility into compliance with an additional essential standard. This report focuses
primarily on issues that required corrective action for compliance with the standards and is most
effective when read in conjunction with NCCHC's June 25, 2010 report.
There are 37 essential standards; 33 are applicable to this facility and 33 (100%) were found to be
in compliance. One hundred percent of the applicable essential standards must be met. The
St. Anthony Work Camp has now met this condition.
Essential Standards Not in Compliance
None
Essential Standards Not Applicable
P-E-02
Receiving Screening
P-E-09
Segregated Inmates
P-G-03
Infirmary Care
P-G-07
Care of the Pregnant Inmate
There are 31 important standards; 30 are applicable to this facility and 29 (97%) were found to be
in compliance. Eighty-five percent or more of the applicable important standards must be met.
The St. Anthony Work Camp has met this condition.
Important Standard Not in Compliance
P-F-02
Medical Diets
Important Standard Not Applicable
P-G-10
Pregnancy Counseling
We commend the facility staff for their professional conduct in coming into compliance with
NCCHC's Standards for Health Services in Prisons. The St. Anthony Work Camp is awarded
accreditation.

St. Anthony Work Camp, ID
Update Report
November 12, 2010

2

P-A-06 Continuous Quality Improvement Program (E). The basic CQI program monitors
major aspects of health care through a multidisciplinary committee that meets monthly. The
membership includes the RN, responsible physician, HSA, nurse practitioner, and others. A
process CQI study was completed on charting weight, height, and vital signs during sick call. An
annual review of the program’s effectiveness was performed in 2009.
However, a CQI study examining compliance with a new DOC policy requiring that all the inmates
had to be cleared for kitchen duty was categorized as an outcome study. The facility implemented
a process by which to comply, made a video, and developed handouts informing inmates of the
process. This is not an outcome study. The standard is not met.

Corrective action is required for Compliance Indicator #3b At least one process and one
outcome study should be performed each year. Outcome studies examine whether
expected outcomes of patient care were achieved. D ocumentation is required to
demonstrate thata plan is in place to implementthe remaining outcome study. Acceptable
documentation includes a copy of CQI meeting minutes demonstrating that problem
identification has taken place and there is a planned date of implementation. In order to
receive accreditation, verification that this standard has been met is required.
On July 26, 2010, the RHA submitted documentation of an outcome study on diabetic patients.
The questions to be answered included verifying that diabetic patients are being tracked in chronic
care clinics at least every 90 days, that the results of tests have been reviewed and initialed by the
provider, that HgbAIC levels fall below the acceptable range of 7.0, and that the patient had been
informed of the test results and educated or counseled appropriately, with the development of a
treatment plan. Compliance was indicated to have increased to 100%. The study’s results were
also discussed during the medical audit committee meeting of January, 2010. The standard is
now met.
P-F-02 Medical Diets (I). Inmates may self select the diet that they wish to be on and stay on it
for a month. Their options include vegetarian, lactose intolerant, no pork, healthy heart, and
moderate consistency.
However, a registered dietitian last reviewed the menus in April 2009. The standard is not met.
Corrective action is required for Compliance Indicator #2 A registered or licensed dietitian
should review medical diets for nutritional adequacy at least every six months, and
whenever a substantial change in the menu is made, through a documented on-site visit
or by written consultation. The following is acceptable documentation for compliance: (a)
a copy of written documentation/consultation that includes the date, signature, and title of
the consulting dietitian; or (b) a copy of the most recently dietitian approved and signed
medical diet menu. Corrective action is required in order to meet this standard.
This standard was not addressed. The standard is not met.