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. 2024 Jun 24;36:100825. doi: 10.1016/j.lana.2024.100825

Table 2.

Call for increased publicly reported health metrics.

Examples of Recommended Reported Health Metrics
General Principles of Reporting
  • Publicly available

  • Frequent (i.e. monthly)

  • Timely (i.e. within 30 days of event)

  • Granular (i.e. on facility level, or when appropriate, individual level)

  • Independent (i.e. gathered by objective outside agency)

Facility Characteristics
  • Facility capacity and average daily population

  • Number of medical staff by specialty, level of training, licensing status, basic/advanced cardiovascular life support certification

  • Staffing ratios, including number of individuals responsible for as well as number of medical oversight

  • Facility protocols including activation of 911, 24-h emergency care plans, onsite medical care, onsite psychiatric care, care for vulnerable populations, quality assurance, offsite referrals, and discharge

Individual Characteristicsa
  • Gender, age, race, primary language spoken, county of origin

  • Number of individuals with medical conditions, including communicable disease, non-communicable disease, severe mental illness

  • Number of individuals in vulnerable groups, including LGBTQIA+b, disabilities, pregnant, victim of prior assault/trauma

Process Metrics
  • Number of requests for medical evaluations, by illness/injury

  • Number of medical evaluations, by illness/injury

  • Number of individuals held in medical units, by illness/injury, average length of time

  • Number of individuals held in solitary confinement, by reason (administrative/disciplinary), medical, average length of time

  • Number of individuals with medical emergencies, by illness/injury

  • Number of individuals hospitalized, by illness/injury

  • Number of medical related complaints

Quality Metrics
Access to Care
  • Number of individuals offered preventative screening (i.e. pap smear)

  • Length of time between admission and medical screening, initiation of appropriate medications, and mental health evaluation

  • Training level of health care provider seen for health care request

  • Length of time from request for health care/mental health to being seen by health care provider

  • Length of time from placement of referral for specialty/mental health care to time of appointment

  • Number of referrals missed, reason why referral missed

  • Access to HIV medications (% missed medication, with reason)

  • Access to psychiatric medication (% missed medication, with reason)

Health Outcomes
  • Hemoglobin A1c for individuals with diabetes

  • Blood pressure for individuals with hypertension

  • Number of suicide attempts with comprehensive review

  • Number of deaths with comprehensive review (including individuals released within 30 days)

a

Reportable when the aggregate number is sufficiently large such that individual identities are protected, otherwise recommend reporting on regional level.

b

Lesbian, gay, bisexual, transgender, queer, intersex, or asexual.