ANNUAL REPORT OF THE PUBLIC DEFENDER OF GEORGIA 2013 On 1 January 2013, a new Center for the Treatment and Rehabilitation of TB Patients was opened. A project of repairing and re-equipping the Treatment Facility for Remand and Sentenced Prisoners has been ongoing since September 2013 and its opening is scheduled by April or May 2014. Record keeping; statistical data; reporting procedures Outpatient record keeping is governed by the Order of the Minister of Labor, Health and Social Protection no. 01-41/N dated 15 August 2011 approving “Rules of producing and maintaining outpatient medical documentation”. In addition, because of the special nature of the penitentiary system, outpatient medical cards for prisoners additionally include some more information as determined by the Order of the Minister of Corrections and Legal Assistance No. 82 dated 10 May 2011. Inpatient record keeping is governed by the Order of the Minister of Labor, Health and Social Protection No. 108/N dated 19 March 2009 approving “Rules of producing and maintaining inpatient medical documentation in medical establishments”. Medical records of dental services provided to remand and sentenced prisoners are governed by the Order of the Minister of Labor, Health and Social Protection No. 01-55/N dated 25 November 2011 approving the “Rules of producing and maintaining dental medical documentation”. When required, the penitentiary healthcare personnel uses, for guidance, the Order of the Minister of Labor, Health and Social Protection No. 338/N dated 9 August 2007 approving “Rules of filling out a health certificate and a template for a health certificate”. Penitentiary statistical data are produced and maintained according to the Order of the Minister of Labor, Health and Social Protection No. 01-27/N dated 23 May 2012 approving “Rules of producing and reporting medical statistics”. The medical personnel of penitentiary institutions are producing and submitting their activity reports to the Medical Department every month. Each report covers 16 issues, which the medical staff of the institutions are required to elaborate on. Every report contains information about the medical personnel of the relevant penitentiary institution, number of inmates in the institution, number of inmates admitted during the month, number of primary medical check-ups conducted, and information about any medical services provided. The reporting template contains separate sections about dental services, services provided within the national programs for the treatment of tuberculosis and HIV/AIDS control, number of medical tests on hepatitis and sexually transmitted diseases, number of cases of infliction of self-injuries, number of suicide attempts, and number of prisoners transferred to various medical establishments for additional diagnostic tests or specialized treatment. The reporting template further includes information about monthly expenditure on medications and other medical supplies and data about prisoner deaths. It should be noted that the reporting template contains a separate section about any problems related to provision of inmates with medical services and a section for additional comments. Each report is usually accompanied by the following forms: Form No. 1-9.1 (annual morbidity data in the penitentiary system) broken down into sections by months and another form – which has no number – about medical assistance provided during the year in the penitentiary system (with sections arranged by months); Form No. 1-9.2 (diseases revealed by medical specialists through medical consultations provided, broken down by sex and age; a form with no number about prisoner deaths in each penitentiary institution per annum (broken down into months); a form with no number, which is a TB Programme monthly report; Form No. IV-25 (for registering patients who have been diagnosed for the first time in Tbilisi outpatient clinics. Other than Form No. IV-25, the above-mentioned reporting forms are not envisaged by the Order of the Minister of Labor, Health and Social Protection No. 01-27/N dated 23 May 2012. The monthly reports contain only general data, which make full-fledged processing of statistical data impossible. The Order of the Minister of Labor, Health and Social Protection No. 01-27/N dated 23 May 2012 approving “Rules on producing and reporting medical statistics” envisages Form No. IV-01 (medical establishments’ reporting template). The reporting template requires entry of detailed information about medical services provided and consists of 78 issues. Having in mind the special nature of the penitentiary healthcare, we recommend using the NPM Report 34