Health Services Division
Clinical Services is comprised of the Office of Nursing Administration, Office of Quality Monitoring and Compliance, Office of Mental Health Monitoring and Liaison, Office of the Health Services Liaison, Office of Health Services Monitoring, the Office of Mental Health Services Liaison, the Office of Special Monitoring, and the Office of Public Health.
Office of Nursing Administration
The Director of Nursing Administration provides clinical oversight of all nursing functions for the division and supervises nursing staff within the Office of Professional Standards, Office of Health Services Monitoring, Office of Health Services Liaison, Office of Mental Health Services Liaison, Office of Special Monitoring, and the Office of Public Health.
Office of Professional Standards
The Office of Professional Standards (OPS) is responsible for investigating all medically related offender grievances at the second step of the grievance process. Complaints from third parties concerning medical services are investigated by the OPS Patient Liaison Program staff. In addition, the OPS staff perform the Sick Call Request Verification Audits to ensure sick calls have been handled appropriately by unit staff. The OPS staff are responsible for answering telephone calls for the Family Hotline and directing the concern to the appropriate discipline for review.
Office of Health Services Monitoring
It is the responsibility of the Office of Health Services Monitoring (OHSM) to provide the agency with clinical expertise and guidance. Issues and inquiries requiring clinical investigation, consultation or monitoring including review of offender deaths, are handled by these TDCJ physicians, dentists, psychologists, and nurses.
Operational Review audits are performed by clinical and administrative staff. These audits are comprehensive onsite compliance audits of a unit's health care delivery. The audits are designed to ensure access to care by monitoring across every health care discipline (i.e., medical, nursing, dental and mental health) as well as quality of care. The Operational Review process requires that each facility be audited every three years to ensure compliance with policies, procedures, and standards. Operational Review Audits are scheduled approximately eighteen months from the date of the American Correctional Association audit. This scheduling affords that no unit goes longer than eighteen months without an onsite audit of their health services department.
The statewide health services Quality Improvement and Quality Monitoring (QIQM) Program is coordinated by the Office of Health Services Monitoring staff. The Quality Improvement program is jointly administered by all three partners of the Correctional Managed Health Care programs (i.e. TDCJ, UTMB, and TTUHSC). The program's purpose is to provide an integrated, clinically driven, state-of-the-art QIQM system which adds value to the quality of healthcare services provided to TDCJ offenders, is consistently/continuously applied/measured, and meets or exceeds regulatory requirements.
Office of the Health Services Liaison
This office coordinates the transfer of offenders who require intake and/or reassignment for medical purposes. The Health Services Liaison is also responsible for conducting medical screenings of offenders who are entering facilities or programs where specific medical criteria must be met.
Office of Mental Health Services Liaison and Utilization Review
The Office of Mental Health Services Liaison and Utilization Review is responsible for assisting in screening mentally ill offenders for participation in programs to affect successful integration into general population. This office oversees TDCJ utilization review and management of sub-contracted community hospitals, produces reports regarding hospital and infirmary discharges, and assists in the development of policies and procedures that aid in monitoring the delivery of health care by CMHCC contract providers.
Office of Special Monitoring
Nursing staff monitors and communicates with other divisional staff to identify areas of concern. Audits are developed to ensure that offenders are receiving quality of care, access to care, and continuity of care.
Office of Quality Monitoring and Compliance
The Office of Quality Monitoring and Compliance provides physician supervision of the monitoring of health care services. The Director of Quality Monitoring and Compliance serves as a member of the interdisciplinary Health Services Division team, assists in the development of policies, procedures, audits, guidelines, databases and reports in keeping with best practices and regulatory mandates. This office also monitors, assesses, reviews and evaluates the quality of the managed health care provided to TDCJ offenders based on established standards to ensure the compliance of all federal, state and local laws, bylaws, policies and procedures.
Office of Mental Health Monitoring and Liaison (OMHM&L)
The Office of Mental Health Monitoring and Liaison monitors the mental health care provided to TDCJ offenders. This office also provides mental health expertise and guidance to TDCJ divisions and departments. OMHM&L acts as a liaison between TDCJ and other state and local agencies in matters pertaining to mental health issues. The staff in this office coordinates with Correctional Managed Health Care (CMHC) in developing policies and procedures to ensure that mental health needs of TDCJ offenders are addressed, monitored, and delivered in a timely manner.