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Control Number: 401.06.03.053 Version: 2.0 Title: Care for the Terminally Ill Page Number: 2 of 5 Idaho Department of Correction RESPONSIBILITY Health Authority The health authority is responsible for: • Monitoring and overseeing all aspects of healthcare services, and • The implementation and continued practice of the provisions provided in this SOP. When healthcare services are privatized, the health authority will also be responsible for: • Reviewing and approving (prior to implementation) all applicable contract medical provider policy, procedure, and forms; and • Monitoring the contract medical provider’s performance, to include but not limited to reviewing processes, procedures, forms, and protocols employed by the contract medical provider to ensure compliance with all healthcare-related requirements provided in respective contractual agreements, this SOP, and in National Commission on Correctional Health Care (NCCHC) standard P-G- 11,Care for the Terminally Ill. (See section 2 of this SOP.) Contract Medical Provider Nothing in this SOP shall be construed to relieve the contract medical provider(s) of any obligation and/or responsibility stipulated in respective contractual agreements. When healthcare services are privatized, the contract medical provider is responsible for: • Implementing and practicing all provisions of this SOP, unless specifically exempted by written contractual agreements; • Ensuring that all aspects of this SOP and NCCHS standard P-G-11 are addressed by applicable contract medical provider policy and procedure; • Ensuring facility health authorities utilize all applicable contract medical provider policy, procedure, forms, and educational information to fulfill all healthcare- related requirements provided in this SOP, NCCHC standard P-G-11, or as indicated in their respective contractual agreement(s); and • Ensuring all applicable contract medical provider policy, procedure, and forms are submitted to the health authority for review and approval prior to implementation. Facility Medical Director The facility medical director (or designee) will be responsible for: • Completing a symptom or system specific examination and plan of clinical care detailing treatment, pain control, and resuscitation status for each offender diagnosed with a terminal illness; • Having, at a minimum, weekly contact with an offender diagnosed with a terminal illness and making complete progress notes on all of the offender’s hospice care; • Recording (a) all changes regarding the plan of clinical care in the progress notes and, (b) the attending physician’s orders exactly as indicated (no exceptions); and