The article by Glaser and Greifinger [1] and the accompanying correspondence [2] regarding correctional health care interested me because part of my medical practice for the past 4 years has included inmate care. I agree with the concern about lack of adequate medical care for this group as well as the need for accreditation of correctional medical facilities. Several accrediting agencies do exist.

In the Commonwealth of Virginia, all medical facilities at correctional institutions are required to meet state Department of Corrections standards regarding patient care. All facilities are strongly encouraged, but not yet required by law, to be accredited by the National Commission for Correctional Health Care. This organization lists 72 items required for adequate care, ranging from screening for tuberculosis and syphilis to a mandated time limit for performing screening physical and mental health examinations. In addition, the Commission lays down standards for physician availability, nurse staffing, and availability of acute care facilities. The qualifications are quite stringent, as the administrator at my facility constantly notes.

For anyone interested, the Commission's catalog of standards is available for a moderate fee (approximately $14.00). This may be obtained by writing to National Commission for Correctional Health Care, 2105 North Southport Street, Suite #200, Chicago, IL 60614.