Monthly Medical Services Report

Idaho
Department
of Correction Standard
Operating
Procedure
Title:
Monthly Medical Services Report

1 of 3

401.088
Version:
4
Adopted:
12/28/2008

Kim Brown, Chief of the Division of Management Services, approved this
document and it was published on 10/14/2026.
Open to the public: Yes No
SCOPE
This standard operating procedure (SOP) applies to all Idaho Department of
Correction health care services staff and contract medical providers.
Version Summary
Version 4: This SOP renumbers and replaces previous SOP 401.06.03.088 v3.0,
Health Services Reports. Clarified how monthly medical services report is gathered
and methodology is determined. Updated role of medical audit to review report.
TABLE OF CONTENTS
Scope ....................................................................................................... 1
Table of Contents ........................................................................................ 1
A. Statutory Authority ................................................................................. 1
B. Board of Correction IDAPA Rule ................................................................. 2
C. Governing Policy Statement ...................................................................... 2
D. Purpose ................................................................................................ 2
E. Responsibility ......................................................................................... 2
F. Definitions .............................................................................................. 2
G. Standard Procedures ............................................................................... 3
1. Health Services Report ........................................................................ 3
2. Medical Audit Committee Meetings ........................................................ 3
H. References ............................................................................................ 3

A. STATUTORY AUTHORITY
1. Idaho Code § 20-217A, Appointment of Director – Salary – Powers and Duties
2. Idaho Code § 20-244, Government and Discipline of the Correctional Facility –
Rules and Regulations
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401.088
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Title:
Monthly Medical Services
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Idaho Department of Correction

3. Additional laws or rules, as applicable
B. BOARD OF CORRECTION IDAPA RULE
06.01.01.401, Medical Care
C. GOVERNING POLICY STATEMENT
1. It is the policy of IDOC and its contractors to provide proper medical, dental,
psychiatric, and psychological services and treatment to residents under its
jurisdiction. All health care must be provided in accordance with the National
Commission on Correctional Health Care (NCCHC) Standards for Health Services
in Prisons.
2. Nothing in this SOP relieves contract medical providers of any obligation or
responsibility stipulated in their respective contractual agreements.
D. PURPOSE
To establish a process to ensure accurate, monthly reporting of medical services.
E. RESPONSIBILITY
1. Health Services Director
a. Monitor the contract medical provider’s performance to ensure compliance
with all healthcare-related requirements provided in respective contractual
agreements and this SOP.
2. Contract Medical Provider
a. Implement and practice all provisions of this SOP unless specifically
exempted by written contractual agreements.
b. Ensure that all aspects of this SOP are addressed by applicable contract
medical provider policies and procedures.
c. Submit all applicable contract medical provider policies, procedures, and
forms to the health services director, or designee, for review and approval
prior to implementation.
d. Compile data into the monthly medical services report.
F. DEFINITIONS
1. Medical Audit Committee: Committee of both contract and IDOC staff,
including the site medical director, facility health services administrator, facility
director of nursing, qualified mental health professional, IDOC health services
director or designee, IDOC chief psychologist or designee, facility head or
designee, facility mental health clinical supervisors, and other personnel as
deemed appropriate. The purpose is for contract medical provider staff and
IDOC staff to discuss the healthcare delivery system through joint monitoring,
planning, and problem resolution.
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Number:
401.088
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Title:
Monthly Medical Services
Report

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Number:
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Idaho Department of Correction

2. Resident: A person who has been convicted of a crime against the laws of the
state and ordered into the care and custody of the Board of Correction.
Resident includes any use in Idaho law, Board of Correction rule, or IDOC policy
or procedure of the terms “offender(s),” “prisoner(s)”, “inmate(s)”,
“incarcerated person(s)”, or any other term referring to a person residing in a
correctional facility in the care and custody of the Board of Correction.
G. STANDARD PROCEDURES
1. Monthly Medical Services Report
a. The Monthly Medical Services Report is site-specific and captures data and
statistics for healthcare services, infection control, concern forms and
grievances, and staffing. The report is used to monitor trends in the delivery
of health services.
b. The content of the Monthly Medical Services Report is determined by the
IDOC health services director. Modifications to the report may only be made
with the written consent of the IDOC health services director.
i. The methodology used to gather data reported in the statistical summary
of services will be discussed and agreed upon by the IDOC health
services director and the medical contract provider at contract
commencement, upon any report modification, and annually.
c. The contract medical provider must train staff members to gather accurate
data, according to the agreed upon methodology.
d. The contract medical provider must send the completed monthly medical
services report to the IDOC health services director by the 15th day of the
month following the reporting period (per their contractual agreement).
2. Medical Audit Committee Meetings
a. The contract medical provider must make the monthly medical services
report available for review by all attendees at the Medical Audit Committee
meeting.
b. The contract medical provider must document the Medical Audit Committee
review of the Monthly Medical Services Report in the attendance record and
meeting minutes which must be provided to the IDOC health services
director.
H. REFERENCES
1. Forms
a. The forms for the Monthly Medical Services Report are maintained and kept
by IDOC Health Services.
– End of Document –