detention of mentally ill offenders for quality assurance purposes. The
NPM has long requested the establishment of an office of a medical
superintendent, equipped with wide-reaching authority.
The Federal Ministry of Justice has only partially complied with this
request. The position of “medical superintendent in the prison
administration” was advertised in January 2014. However, the
procedure had still not been completed in early November 2014. For
this reason, the office of a medical superintendent has only been
established on a provisional basis for the present and its authority is
governed by decree. A medical superintendent is available to
correctional institutions for 20 hours per week.
Medical superintendent
only provisional
arrangement
As an employee of the Care Department, the medical superintendent
has access to the Federal Electronic File Management Project. Work
orders are assigned by the department head.
The medical superintendent primarily assumes the healthcare tasks to
be performed by the highest prison authority (Section 66 et seq. of the
Penitentiary System Act). This includes developing guidelines for the
medical treatment of inmates, standards for equipping practising
rooms, for medication and for the practice of prescribing medicines
that require approval.
Centralised control
Another area of responsibility is providing (operational and strategic)
advice to the Federal Ministry of Justice and the prison administration
on medical care matters. The medical superintendent is the contact
person for the physicians working in correctional institutions and is
responsible for approving the prescription of specific medicines,
rehabilitation measures and prosthetics. To ensure efficient use, audits
of the consumption of medicines and the billing of medical services
are conducted on an ongoing basis.
Advising
Under a centralised country-wide hospital bed management system,
the medical superintendent makes authorisations and decides
whether a particular inmate should be placed into a public medical
facility, into the locked sections of the Krems or Vienna Barmherzige
Brüder medical facilities or into the special medical facilities at the
Stein and Vienna-Josefstadt correctional institutions. It also supervises
and controls the recovery progress of prisoners (duration of
stay/external costs).
Management
The tasks to be performed by the medical superintendent also include
drafting and approving the statements regarding the medical care of
inmates made by correctional institution medical services to courts,
authorities, the NPM and diplomatic representatives. The development
of a controlling system and collaboration on refinements to the
Electronic Patient Record Module are additional areas of responsibility.
Technical opinions
91
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