title: Selecting performance indicators for prison health care.
abstract: Improving prison health care requires a robust measurement dashboard that addresses multiple domains of care. We sought to identify tested indicators of clinical quality and access that prison health managers could use to ascertain gaps in performance and guide quality improvement. We used the RAND/UCLA modified Delphi method to select the best indicators for correctional health. An expert panel rated 111 indicators on validity and feasibility. They voted to retain 79 indicators in areas such as access, cardiac conditions, geriatrics, infectious diseases, medication monitoring, metabolic diseases, obstetrics/gynecology, screening/prevention, psychiatric disorders/substance abuse, pulmonary conditions, and urgent conditions. Prison health institutions, like all other large health institutions, need robust measurement systems. The indicators presented here provide a basic library for prison health managers developing such systems.
authors.affiliation: RAND Corporation, Santa Monica, California, USA. sasch@rand.org
authors.forename: Steven M
authors.initials: SM
authors.lastname: Asch
authors.forename: Cheryl L
authors.initials: CL
authors.lastname: Damberg
authors.forename: Liisa
authors.initials: L
authors.lastname: Hiatt
authors.forename: Stephanie S
authors.initials: SS
authors.lastname: Teleki
authors.forename: Rebecca
authors.initials: R
authors.lastname: Shaw
authors.forename: Terry E
authors.initials: TE
authors.lastname: Hill
authors.forename: Rhondee
authors.initials: R
authors.lastname: Benjamin-Johnson
authors.forename: David P
authors.initials: DP
authors.lastname: Eisenman
authors.forename: Sonali P
authors.initials: SP
authors.lastname: Kulkarni
authors.forename: Emily
authors.initials: E
authors.lastname: Wang
authors.forename: Brie
authors.initials: B
authors.lastname: Williams
authors.forename: Ambeshie
authors.initials: A
authors.lastname: Yesus
authors.forename: Corita R
authors.initials: CR
authors.lastname: Grudzen
mesh_terms: D003695:Delivery of Health Care / Q000458:organization & administration / Q000592:standards*; D003697:Delphi Technique; D006297:Health Services Accessibility / Q000592:standards*; D006302:Health Services Research / Q000379:methods; D006801:Humans; D011330:Prisons / Q000458:organization & administration / Q000592:standards*; D019984:Quality Indicators, Health Care / Q000592:standards*