Correctional institutions XX  A financial incentive is required in particular to attract medical experts to work in prisons. XX  The vacant positions in the medical area shall be filled as soon as possible. 2.5.3.4 Electronic Patient Record Module needs optimisation Outdated software All of the detainees’ medically relevant data (examinations, diagnoses, treatments, appointments etc.) are stored in the Electronic Patient Record Module of the Integrated Prison Administration system. It was evident last year that this module cannot be expanded due to system limitations. It was thus not possible to install a programme for examining the interaction of medications. It is also not possible to automatically schedule a (mandatory) follow-up appointment to discuss the results with the patient after a blood test. Furthermore, the doctors reported repeatedly that learning to use the Electronic Patient Record Module is very time-consuming and the application is not user-friendly. Replacement should be installed soon The NPM considers the speedy replacement of the Electronic Patient Record Module in its current form urgently necessary. Regrettably, the Federal Ministry of Constitutional Affairs, Reforms, Deregulation and Justice is unable to provide a timeframe for the installation of a successor system. In addition, the NPM recommends the installation of computer systems for examining the interaction of medications as soon as possible. Such systems are used as standard medical practice outside of the prison service. Currently, only the office of the medical superintendent in the Federal Ministry of Constitutional Affairs, Reforms, Deregulation and Justice has such software. XX  The Electronic Patient Record Module shall be replaced quickly. XX  A mandatory automatic follow-up appointment with the patient to discuss the results shall be scheduled after a blood test. XX  Computer programmes for examining the interaction of medications shall be installed in all correctional institutions. 2.5.3.5 Hepatitis C virus (HCV) therapy The NPM already focussed on the therapy programmes for detainees with chronic hepatitis C on its monitoring visits last year. It was examined whether detainees are offered a therapy with Direct Acting Antivirals (DAA) medication (see NPM Report 2018, pp. 112 et seq.). Regrettably, the NPM found this year once again that detainees who are infected with hepatitis C do not receive 115

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