HomeMy WebLinkAboutItem 03 Correctional Health Contract AGENDA ITEM SUMMARY Meeting Date: 9/4/2018
Meeting Type: Regular Meeting
Staff Contact/Dept.: Richard Lewis/Police Staff Phone No: 541-726-3729
Estimated Time: Consent Calendar
S P R I N G F I E L D C I T Y C O U N C I L Council Goals: Mandate
ITEM TITLE: SPRINGFIELD MUNICIPAL JAIL INMATE MEDICAL, MENTAL HEALTH
AND URGENT DENTAL SERVICES
ACTION REQUESTED: Approve a contract with Correctional Health Partners to provide Springfield Municipal Jail inmates medical, mental health, and urgent dental services.
ISSUE STATEMENT: The City of Springfield must make medical, mental health and dental services available to inmates housed in the Springfield Municipal Jail. Cascade Health
Solutions currently provides said services through September 30, 2018. The Police
Department requests approval to establish a contract with Correctional Health Partners for services as of October 1, 2018.
ATTACHMENTS: 1. ATT1 - Council Briefing Memo
2. ATT2 - Scope of Services – Inmate medical, mental health, and urgent dental services.
3. ATT3 – Correctional Health Partners proposal
DISCUSSION/ FINANCIAL
IMPACT:
The City must provide Springfield Municipal Jail inmates access to care for their serious medical, mental health and dental needs. Cascade Health Solutions
currently provides these services through September 30, 2018 and has elected not to extend their contract. The City proposes to establish a contract with Correctional
Health Partners for medical, mental health, and urgent dental services as of October
1, 2018.
Correctional Health Partners’ proposal for medical, mental health, and urgent dental
services will cost $485,117, approximately $119,000 more than Cascade Health Solutions 2018 fiscal year contract. A majority of the increased cost is associated to
the proposed increase to medical and mental health staffing levels. A supplemental budget request would be necessary to account for the increased cost of inmate medical services. Funding would be from the police and jail levy fund.
Correctional Health Partners’ proposal will allow the Springfield Municipal Jail to fulfill the requirement to provide inmates access to care for their serious medical,
mental health and dental needs.
ATTACHMENT 1, Page 1 of 2
M E M O R A N D U M City of Springfield
Date: 8/27/2018
To: Gino Grimaldi COUNCIL
From: Richard L. Lewis, Chief of Police BRIEFING
Subject: Inmate Medical and Mental Health Services MEMORANDUM
ISSUE: The City of Springfield must make medical, mental health and dental services available
to inmates housed in the Springfield Municipal Jail. Cascade Health Solutions currently provides said services through September 30, 2018. The City requests approval to establish a contract with Correctional Health Partners for services as of October 1, 2018.
COUNCIL GOALS/
MANDATE:
Council Goals: Mandate
BACKGROUND:
The City must provide Springfield Municipal Jail inmates access to care for their serious medical, mental health and dental needs. Cascade Health Solutions currently provides these
services through September 30, 2018 and has elected not to extend their contract. The City
proposes to establish a contract with Correctional Health Partners for medical, mental health, and urgent dental services as of October 1, 2018.
Springfield Police Department management requested proposals for inmate medical, mental health, and urgent dental services from three correctional health service providers that are active
in the region. The attached Scope of Services document was delivered to prospective vendors. Proposals were requested in accordance with Springfield Municipal Code 2.708 General Personal Services Contracts.
Correctional Health Partners submitted the only complete proposal for services within a timeline to allow for implementation of services by October 1, 2018. The proposal fulfilled, and in some
areas exceeded, the City’s service requirements. The proposal includes an enhanced staffing plan in both staff hours and level of medical licensure, administrative and risk oversight, reporting, and established methodology for adherence to National Commission of Correctional
Health Care (NCCHC) and American Correctional Association (ACA) guidelines. The following items highlight key service enhancements based on Correctional Health Partner’s
proposal:
1. Enhanced staffing plan: a. A full-time on-site Registered Nurse acting as the facility’s health services
administrator,
b. An additional 14 hours of weekly medical services, c. An additional 2 hours of weekly mental health services,
2. Physician clinical oversight that incorporates an annual competency review and annual performance enhancement review. 3. Established policy and procedures that align with NCCHC and ACA standards.
4. Administrative oversight for adherence to policies and procedures, continuous quality
improvement opportunities, and quarterly meetings with facility management.
MEMORANDUM 8/30/2018 Page 2
ATTACHMENT 1, Page 2 of 2
5. Vendor’s risk manager conducts onsite evaluations twice a year.
Correctional Health Partners’ proposal for medical, mental health, and urgent dental services
will cost $485,117, approximately $119,000 more than Cascade Health Solutions 2018 fiscal year contract. A majority of the increased cost is associated to the proposed increase to medical
and mental health staffing levels. A supplemental budget request would be necessary to account
for the increased cost of inmate medical services. Funding would be from the police and jail levy fund.
Correctional Health Partners’ proposal will allow the Springfield Municipal Jail to fulfill the requirement to provide inmates access to care for their serious medical, mental health and dental
needs.
RECOMMENDED ACTION: The Police Department requests approval to establish a contract
with Correctional Health Partners for inmate medical, mental health, and urgent dental services as of October 1, 2018. Correctional Health Partners proposal will meet inmate services
requirements and improve the facility’s alignment with NCCHC and ACA standards, improving services for inmates and mitigating risk.
Scope of Services
I. Purpose of Project
The Springfield Municipal Jail is seeking to establish a contract for medical, urgent dental and
mental health services for arrestees and inmates incarcerated at the Springfield Municipal Jail.
The Springfield Municipal Jail, located at 344 “A” Street, Springfield, OR, is a 98 bed facility,
housing males and females. In calendar year 2017, the Springfield Municipal Jail processed
3044 bookings, maintained an average daily population of 48 arrestees and inmates, and an
inmate average length of stay of 7.3 days (length of stay calculation includes arrestees booked
in and out the same day). Inmates with misdemeanor convictions may be sentenced for up to
one year. The Springfield Municipal Jail average daily population is anticipated to increase by
approximately 5-10 inmates in the next year due to an increase in inmates housed for outside
law enforcement agencies contracting with Springfield Municipal Jail for detention services.
The Springfield Municipal Jail is a unique correctional facility when compared to many county
and state facilities, due to the smaller facility size, average daily population, shorter lengths of
stay, and the ability to medically furlough and release inmates from custody, as deemed
necessary and upon court or jail command staff approval.
The Springfield Municipal Jail currently utilizes an independent contractor to provide medical,
urgent dental and mental health services for arrestees and inmates incarcerated at the
Springfield Municipal Jail. The current medical services model is overseen by a licensed
physician. Routine medical services are provided by a nurse practitioner and emergency
medical technicians seven days a week. The nurse practitioner provides a minimum of 12 hours
of on-site clinic support and 13 hours of off-site charting and consultation each week.
Emergency medical technicians provide a minimum of 61 hours of on-site clinic support each
week. Mental health services are provided by an on-site licensed, qualified mental health
professional a minimum of 16 hours per week. Additional medical and mental health services
are authorized, as necessary, based on the needs of the housed population. 24 hour a day on-
call medical consultation is also provided.
Urgent dental services include treatment of abscess or infections and are supported by medical
staff. No on-site specialty dental services are supported.
Persons presented for lodging and found to be in urgent need of medical care are immediately
referred to an outside facility for care before admittance to Springfield Municipal Jail. Inmates
who are housed and subsequently require a comparatively high level of health services may be
medically furloughed and released from jail custody. Medical furloughs are considered in
situations where inmates require a high level of health services, to include urgent medical care
requiring transport to a local hospital, health needs requiring a high amount of medical oversight
or support, multiple health services appointments at an outside facility, or ongoing high cost
medications. As the urgency of each situation permits, inmates requiring high level of health
Attachment 2, Page 1 of 6
services are reviewed jointly by health services staff and jail management to determine the best
course of action for the safety of both the inmate and community.
The Springfield Municipal Jail also evaluates the ability to utilize inmate’s personal, medically
necessary prescribed medications (upon review and approval by medical staff).
The current health services model identifies base staffing levels and related staffing costs. In
addition, spending limits are established in cost categories such as medical and mental health
staff overtime, pharmacy, and supplies, which are passed through to the Springfield Municipal
Jail at cost. The independent contractor is not responsible for outside facility medical services
costs (hospital services, specialty appointments, etc.).
The Springfield Municipal Jail is a secure facility, and as such, all individuals assigned to work
inside the facility are required to pass a criminal background check and to adhere to the security
policies of the Jail and direction of the staff.
II. Desired Outcomes/Objectives
A. Deliver quality medical, urgent dental and mental health services for the Springfield
Municipal Jail facility in accordance with industry standards of like sized and populated
correctional facilities.
B. Health services will be in compliance with applicable federal, state and local guidelines,
laws, regulations, and general compliance with key standards identified by accrediting
agencies for correctional health care, to include National Commission on Correctional
Health Care (NCCHC) standards.
C. Provide health services whereby arrestees and inmates receive medical treatment that is
cost effective, legally defensible and medically necessary, and does not demonstrate
indifference of the health and safety of arrestees and inmates.
D. To maintain accurate records of care and collect and analyze health statistics on a
regular basis.
E. To implement a written medical service plan with clear objectives, policies, procedures,
to be finalized within six months of the contract effective date.
III. City Responsibilities
A. Provide adequate medical facilities for services rendered at the Springfield Municipal
Jail, as required by ORS 169.076.
B. Provide security, control, and limitation of inmate movement in and around medical
service areas.
C. Provide basic training regarding facility access, radio usage, evacuation procedures, fire
safety, inmate management, jail management system application, and other facility
safety procedures, as they apply to medical and mental health staff.
D. Provide access to accurate and timely information regarding inmates through the jail
management system application.
Attachment 2, Page 2 of 6
E. Provide access to accurate and timely notification of inmate medical requests.
F. Provide radio communication, computers, printers, fax machine, business telephone
services for medical-related business use.
City computers are maintained by the City Information Technology Department (IT). Any
installations or changes to applications, computers or related equipment must be
approved by IT prior to installation.
G. Make jail staff available to receive health services related training, as necessary.
IV. Independent Contractor Responsibilities
1. General
A. Develop and employ health care services that support a coordinated system for health
care delivery in accordance with ORS 169.076, with a focus on cost containment without
compromising the quality of services deemed medically necessary.
B. Identify need, staffing schedule, and coordination of non-emergency and emergency
medical, urgent dental and mental health services to Springfield Municipal Jail arrestees
and inmates. Emphasis shall be placed on health care to meet inmates’ serious medical,
dental and mental health care needs.
C. Provide a qualified health care professional to administer health care to inmates. The
qualified health care professional will review and approve all policies and procedures
regarding health services provided to inmates and have the general responsibility for the
successful delivery of health care for the facility.
D. Recruit, interview, hire, train and supervise all health care staff to meet the requirements
of the health services plan. All staff providing services must be adequately credentialed
in the State of Oregon, comply with all applicable Oregon professional practice act
regulations, be able to pass a criminal background check, and complete all required City
and Department documentation, processes, and training.
1. At the written request of the City Manager or jail management staff, health
services staff must be replaced with a different employee with demonstrated
qualifications and experience as required to successfully perform such duties.
2. Any staffing absences will be filled by a back-up staff and communicated to jail
management.
3. Any significant changes to entire staffing schedule must be communicated in
advance and receive jail management approval.
E. Work cooperatively with other medical and mental health agencies to develop
partnerships in care and treatment alternatives for those in custody and discharge after
care planning.
F. Maintain a complete and proper medical record on each inmate who receives health
care in the facility. In the event electronic medical records are used, they are maintained
in accordance with applicable regulations and best practice standards.
G. Attend regular scheduled meetings with jail management to review the health service
program and provide the opportunity for planning and problem resolution.
H. Communicate with jail management regarding any issues and/or unusual incidents, at
earliest possible opportunity, with consideration to criticality.
Attachment 2, Page 3 of 6
I. Comply with all applicable federal, state and local guidelines, laws, regulations, and be
generally compliant with accrediting agencies for correctional health care, to include
National Commission on Correctional Health Care (NCCHC) standards.
J. In the event of a business process change, proposed process changes are defined and
developed in a mutually agreeable process between Independent Contractor and jail
staff.
K. Identify and define any portion of the health care services model that may be performed
by jail staff. Provide applicable procedures and training to jail staff.
L. Provide reports identifying the number of inmates served and general categorization of
the type of health services provided, on a routine basis (i.e. quarterly, annually).
M. Cooperate with the City in their review of claims and/or complaints.
N. Medical staff will appear and attend all investigations and related proceedings where
medical staff testimony or assistance is determined to be required or requested by the
City.
O. Identify any technical equipment or infrastructure that the Independent Contractor may
require of the City.
P. Identify any facility needs or equipment that the Independent Contractor may require of
the City.
1. Springfield Municipal Jail owns existing medical and office equipment.
Q. Satisfy liability insurance coverage, professional liability insurance, fidelity bond (if
applicable) and Worker’s Compensation coverage, per minimum insurance amounts to
be established by the City.
2. Medical and Urgent Dental Services
A. Provide a responsible physician who is licensed to practice medicine in the State of
Oregon and shall be responsible for the facility’s medical services.
B. Provide onsite services and oversite, by an Oregon Licensed nurse practitioner or
equivalent.
C. Provide medical care services, to include sick call, clinic care, physical examinations and
urgent dental services to arrestees and inmates at the Springfield Municipal Jail.
D. Provide medical supervision and establish medical polices & procedures for the following
medical services, at minimum:
1. Initial intake screening,
2. Rejection criteria,
3. Initial medical assessment,
4. Medical evaluation and treatment,
5. Medical exams,
6. Medical screening,
7. Medical call requests and sick call care,
8. Medical rounds and clinic care,
9. Segregation rounds,
10. Diagnostic services,
11. Referrals (treatment specialist, health care facility, dental treatment, psychiatric
evaluations, etc.)
Attachment 2, Page 4 of 6
12. Pharmaceutical and medication administration procedures,
13. Intoxication or withdrawal,
14. Communicable and infectious diseases,
15. Blood borne pathogen exposure,
16. Pregnant arrestees/inmates,
17. Chronic illness and special needs inmates,
18. Suicide prevention protocols, subject to approval by jail management,
19. Special dietary requirements for food service,
20. Discharge planning for serious health needs,
21. Emergency dental evaluation, treatment, and discharge after care planning.
22. Emergency services and response plan
23. Records management,
24. Confidentiality of medical information,
25. Provide on-call service on a 24/7 basis for consultation.
E. Maintain adequate medical supplies onsite to guarantee emergency and non-emergency
medical needs are met.
F. Oversee all medically necessary prescription medications and over-the-counter
medications for arrests and inmates.
1. Prescription medications shall be prescribed by an authorized licensed provider.
2. Establish a process to ensure arrestees/inmates receive their necessary
medication within 24 hours of being booked into the facility.
3. Medical staff shall administer medications, when possible. Jail staff may facilitate
inmate consumption of medication in accordance with prescription instruction or
under the direction of medical staff.
4. Medical staff shall verify prescription medications obtained from arrestees and
inmates, as appropriate.
5. Maintain medications in a locked cabinet.
6. Routinely inventory medications in accordance to best practice principles and
audited in accordance with applicable laws and regulations.
7. All unused medications shall be reimbursed, as permitted by law, regulation,
and/or pharmacy standards for return and re-use.
8. Utilize generic medications to be substituted for brand name medications
whenever possible.
9. Maintain and track pharmacy budgetary costs, alert jail management of inmates
with high cost medication needs, and identify monthly cost of medications.
G. Supply medications for inmates transferred to another facility, ranging from 1 to 3 days
of supply, depending on the facility receiving the inmate.
H. In accordance with state and local regulations, assume responsibility for handling and
disposal of medical and contaminated waste, including needles, syringes, and other
materials used in the treatment of inmates.
I. Evaluate, recommend, and arrange for laboratory services, as approved by Springfield
Municipal Jail management staff. This includes specimen collection and delivery to the
appropriate laboratory for processing.
Attachment 2, Page 5 of 6
J. As requested by the City, screen and/or vaccinate arrestees and inmates for
communicable diseases, including but not limited to TB, HIV, Hepatitis A & B, Meningitis,
STD, and Ectoparasites.
K. Provide training to correctional officers to enable them to refer inmates to health care
providers and the identify need for and provide emergency care, if needed.
L. Review jail policies and procedures, and make recommendation to jail management
staff.
M. When medical staff is on-site, provide emergency medical services in case of an
emergency or disaster to include but not limited to triage, first aid, resuscitation of the
critically injured, and coordination of direct off-site medical referrals.
N. When medical staff is on-site, respond immediately to medical emergencies, with the
appropriate equipment to assess the patient’s condition and determine the course of
treatment. If treatment is beyond the on-site capabilities, provider will notify jail
management to request transfer to another site and will specify the mode of
transportation. Inmates awaiting emergency transfer will be under constant care by
medical service provider or provider’s representative.
3. Mental Health Services
A. Provide mental health services to ensure inmates have access to care to meet their
serious mental health needs.
B. Provide a licensed, qualified mental health professional responsible for mental health
services, with experience working with incarcerated clients.
C. The mental health professional is on-site at least three days each week, with a minimum
of 16 hours per week.
D. Address all arrestees/inmates who are segregated from the general population for
psychiatric reasons.
E. Provide a process to assess and screen incoming and current arrestees and inmates, to
identify those at greater risk for self-harm, offer remediation strategies for emergent
mental health issues, and to offer individual counseling, as appropriate.
F. Consultation with jail staff to determine appropriate housing.
G. Provide suicide prevention training for medical and jail staff.
H. Provide oversight of mental health services and establish polices & procedures for the
mental health services in the following areas, at minimum:
a. Initial intake screening,
b. Rejection criteria,
c. Mental health evaluation and treatment, as deemed appropriate due to initial
intake screening or subsequent inmate behavior,
d. Referral and discharge after care planning,
I. Mental health services are appropriately linked to the facility’s health services to ensure
inmate’s health and mental care are appropriately coordinated.
J. Communicate concerns regarding mental health status with jail
K. Provide Emergency mental health evaluation, treatment, and discharge after care
planning.
L. Coordinate psychological testing and additional reporting, as required.
Attachment 2, Page 6 of 6
1
Springfield Municipal Jail
Inmate Medical Services
August 2018
Attachment 3, Page 1 of 18
Correctional Health Partners (CHP) provides
comprehensive healthcare services for county
jails and state departments of corrections across
the U.S. including Colorado, Oregon, Idaho,
Montana, and Maine. The clients we serve have
average daily population (ADP) ranging from 80
to 18,000 inmates.
2
About CHP
Attachment 3, Page 2 of 18
CHP is able to
support the
Springfield
Municipal Jail with
cost effective
inmate medical
care that meets
national standards.
Comprehensive medical care onsite
Offsite care coordination
Medication administration/management
Mental healthcare and suicide prevention
Urgent dental care
Utilization management
Prior authorization
Claims payment/processing
Reporting and Analytics
3
Inmate Services
Attachment 3, Page 3 of 18
CHP was created by primary care physicians, and we’ve brought
primary care best practices to the correctional setting. Our
clinical program will include:
Appropriate staffing levels, with physician oversight and
Oregon licensed professionals.
Medical supervision under CHP policies and procedures.
Oversight over offsite care, ensuring only necessary care is
referred offsite.
Continuous quality improvement efforts to ensure safe,
accurate, and efficient care.
4
Comprehensive Clinical Program
Attachment 3, Page 4 of 18
Medical Care/Urgent Dental
CHP’s policies and procedures for the following services have been created to
meet the most recent NCCHC and ACA standards. We will work with jail
administration to approve all policies and procedures before implementing.
5
Pre-booking screen
Intake/receiving screening
Medical review (including
infectious diseases, history,
and medication review
Medical furlough when deemed
appropriate by medical and jail
staff
Detox and substance abuse
protocols
Segregation, when appropriate
14-day health assessments
24/7 on call medical support
Pharmacy and medication management
Medication passes (2x per day)
Daily nurse sick call
Mid-level rounds/clinics
Emergency care and procedures
Urgent dental care
Referral to an offsite dental
provider or hospital for
emergencies
Attachment 3, Page 5 of 18
Mental Health Care
CHP is practiced in implementing a standardized mental health and suicide
prevention program. It’s vital that the medical team and jail staff work
together to recognize and respond to mental health issues.
Mental health assessment upon intake
Crisis intervention
Referral to CHP mental health professional
Suicide prevention training for security and medical staff
Suicide watch protocols assigned by risk level
Release from suicide watch by a mental health
professional
Mental health and substance abuse re-entry coordination
Attachment 3, Page 6 of 18
We recommend CorEMR as an alternative option to paper
medical records.
Excellent partner with a very functional EMR.
Nurses, providers, and others using CorEMR find it easy to
learn and use.
customized CorEMR with CHP policies, procedures, forms, and
problem oriented records (POR), all of which facilitate
compliance.
CorEMR has a one-time installation fee of $15,000 and $200-300
per month.
Electronic Medical Records
Attachment 3, Page 7 of 18
MONTHLY QUARTERLY AD HOC
CHP will determine which
monthly reports SMJ needs
prior to start-up.
Inmates seen at sick call
Inmates seen by provider
Inmates seen by dentist
Inmates seen by psychiatrist
Medical specialty consultation
referrals
Off-site hospital admissions
Emergency Room visits
Inpatient admissions, patient
days, average length of stay
Intake screens
Health assessments (14 day)
Prescription medication report
Mental health case load
Staff vacancies
Grievance and outcome
reports
Quarterly, CHP leadership,
your HSA, and SMJ jail
administrators will review a
reporting package
customized for your facility.
Together, we will apply our
findings to develop medical
management solutions
that drive overall system
improvement for care
delivery.
We can respond quickly if
staff has a specific and
non-recurring question.
This would include reports
required by local elected
officials. We are available
to interpret and analyze
requested reports.
8
Reporting
Attachment 3, Page 8 of 18
9
On-site Data Collection
Medical Statistical Summary
Facility Name
Submitted By
Month
Year
1 2 3 4 5 6 7 8 9 10 21 22 23 24 25 26 27 28 29 30 31 Total
ADP ……0
Receiving Screenings ……0
Health Assessments (14 day exams)……0
NURSING
Sick Call/Kytes ……0
Scheduled Visits ……0
Emergency Encounters ……0
MEDICAL
Provider Line ……0
# Related to Mental Health ……0
Chart Reviews ……0
MENTAL HEALTH
Psychiatrist/Psych NP Line ……0
Mental Health Worker Encounters ……0
DENTAL
Dental Screenings ……0
Dental Exams ……0
OFF SITE
Emergency Room Sendouts ……0
ER to Hospital Admissions ……0
Specialist Sendouts ……0
Procedures and Diagnostics ……0
Planned Hospital Admissions ……0
CHRONIC DISEASES
Hypertension/CAD ……0
Diabetes ……0
Asthma/Pulmonary ……0
HIV ……0
Seizures ……0
SIGNIFICANT EVENTS
Deaths (in the Jail)……0
Suicide Watches ……0
Attempted Suicides ……0
Medical Grievances - Total ……0
Founded - Access to Health Care ……0
Founded - Quality of Health Care ……0
Inmate Onsite Injuries ……0
INFECTIOUS DISEASE
Tuberculosis 0
PPD Placed ……0
Positive PPDs ……0
CXR for Positive PPDs ……0
Active TB ……0
TB on INH ……0
HIV Testing ……0
Hepatitis A Testing ……0
Hepatitis B Testing ……0
Hepatitis C Testing ……0
MRSA ……0
SEXUALLY TRANSMITTED DISEASES
Gonorrhea Testing ……0
Number Positive ……0
Chlamydia Testing ……0
Number Positive ……0
Syphilis Testing ……0
Number Positive ……0
MEDICATIONS
Total Inmates on Medication ……0
Total Prescriptions ……0
Total Inmates on Psychotropics ……0
Total Psychotropic Prescriptions ……0
Non-Formulary Requests ……0
OTHER
……0
……0
……0
Internally Gathered Data on
Medical Activity
In a paper-based or electronic
medical records system, data on
medical activity, including types
of medical conditions seen or
tracked, will be gathered by the
nursing staff each day and then
compiled monthly and returned
to the home office for further
analysis.
Attachment 3, Page 9 of 18
Insurance Requirements
CHP insurance coverage includes:
Malpractice: $5M per occurrence
and $5M aggregate
PL and GL: Combined with $5M per
occurrence and $5M aggregate
Hired/Non- Owned Auto Liability
Sublimit is $1M per incident and
aggregate ( CHP does not own any
vehicles)
Workers compensation is $1M
occurrence and aggregate
Exception: CHP has lower
aggregate coverage for medical
malpractice based on industry
standards in the correctional
setting. We are confident that
this amount covers the medical
risk for SMJ and CHP.
Attachment 3, Page 10 of 18
Late August:
Notice of the Award
Early September:
CHP internal review/planning session
Early September:
Kick-off meeting with Springfield jail leadership
Early September
through start-up: Staffing , recruiting, background checks
Mid-September: Medical program set-up
including inventory, policies,
protocols, procedures, and
medical records
Mid-September:
Establish provider network
and negotiate contracts
Late September
through start-up:
Reporting options and
timing
Early September
through :start-up:
Utilization management for
offsite care
October 1st:
Start-up with CHP leadership support onsite
to ensure a smooth transition
11
30 Day Implementation
Attachment 3, Page 11 of 18
12
Staffing Matrix
Complies with NCCHC
and ACA standards
Increased RN/LPN hours
to support medication
passes, sick-call, and 14-
day health assessments
HSA on call 24/7
Increased mental
health hours to include
suicide prevention and
release from suicide
watch
MD oversight from CHP
home office
Springfield
Proposed staffing
Position Shift
Scheduled Hours Total Hours FTEs Total FTEs SUN MON TUE WED THU FRI SAT
H.S.A* (RN)
Day 4.00 12.00 12.00 12.00 40.00 1.00
1.00 Evening
Night
LPN
Day 12.00 12.00 12.00 12.00 48.00 1.20
1.20 Evening
Night
MD
Day
Evening
Night
PA-C or
Midlevel *
Day 6.00 6.00 12.00 0.30
0.30 Evening
Night
LCSW
Day 6.00 6.00 6.00 18.00 0.45
0.45 Evening
Night
Totals 12.00 22.00 18.00 18.00 18.00 18.00 12.00 118.00 2.95 2.95
Attachment 3, Page 12 of 18
13
Pricing Proposal
Staffing to meet all
required needs in scope of
work
Recruitment and retention
Competitive salaries
Excellent benefits for FTEs
Overtime, on-call, and
vacancy support
Pharmacy management
and administration
Offsite care coordination
Prior authorization and
utilization management
Term Annual Monthly
10/01/18 -
09/30/19 $ 485,117 $ 40,426.42
10/01/19 -
09/30/20 $ 499,671 $ 41,639.23
10/01/20 -
09/30/21 $ 514,661 $ 42,888.41
Monthly payments commence on the
contract start date, which is October 1,
2018. CHP will submit the first invoice to
SMJ in September, to be paid to CHP
early October.
Attachment 3, Page 13 of 18
Description Amount
Medical Staff $ 267,815
Mental Health Staff $ 39,563
Medical / Office Supplies $ 7,223
Hazardous Waste $ 4,013
Pharmacy $ 14,400
Travel $ 10,210
Licenses / Permits $ 3,342
Performance Bond $ 1,000
Insurance Premium $ 6,000
Legal $ 4,800
Hardware (Laptop) $ 1,800
Training $ 5,375
Overhead (*) $ 87,841
Margin $ 31,737
Total $ 485,117
14
Pricing Breakdown
*Overhead includes:
Medical director oversight
HR
Payroll
Recruiting
Policies and procedures based on
NCCHC and ACA guidelines
Updated at least once a year
to stay relevant and accurate
Provider network management
Risk Management
Continuous Quality Improvement
Two CQI audits a year to
ensure standards are met
Prior Authorization based on
Milliman Care Guidelines
Reporting & Analytics
Attachment 3, Page 14 of 18
Cost Containment Strategies
Pharmacy management – Monitoring utilization and formulary adherence.
CHP utilizes a generic-based formulary and monitors prescribing patterns
and utilization.
Clinical protocols – Optimizing on-site services and patient education to
prevent conditions from escalating. Quickly assessing medical conditions at
the point of booking is key to managing inmate health conditions and
minimizing expensive send outs.
Open communication – Springfield and Correctional Health Partners staff
will work together to provide and monitor quality of care.
Staffing – Retention programs help minimize turnover to provide more
reliable coverage. We’ll adapt the staffing plan as appropriate to meet the
city’s requirements.
Utilization Management – Our prior authorization team ensures only
appropriate offsite care is sent out. This is vital to preventing escalation of
treatment and managing offsite expenses.
Attachment 3, Page 15 of 18
16
References
Oregon Department of Corrections
2575 Center St. NE, Salem, OR 97301
Christy McCammond, Fiscal Analyst III
503.378.6428 Office
503.602.0351 Cell
Multnomah County Jail (Oregon)
11540 North Inverness Dr. Portland, OR
Dr. Michael Seale, Chief Medical Officer
503.988.4825
Garfield County Jail Center (Colorado)
107 8th Street Glenwood Springs, CO
Lt. Jim Myers, Commander
970.945.0453 X1053
Clear Creek County Jail (Colorado)
405 Argentine St, Georgetown, CO 80444
Matt Brown, Lieutenant
720.409.8400
Kootenai County Jail (Idaho)
5500 N Government Way, Coeur d'Alene, ID 83815
Lee Richardson, Captain
208.446.1403
Attachment 3, Page 16 of 18
Contact Information
17
Madison Barr, Manager of Business Development and Communications
Madison.barr@chpdelivers.com
Jeff Archambeau, President & CEO
jeff.archambeau@chpdelivers.com
Darlene Butler, VP of Clinical Services
Darlene.butler@chpdelivers.com
Greg Lockman, VP of Business Operations
Greg.Lockman@chpdelivers.com
Melissa Wagner, Oregon Facility Care Supervisor and Account Manager
Melissa.wagner@chpdelivers.com
Attachment 3, Page 17 of 18
Our goal is to work with Springfield Municipal Jail and
the City to develop a program that meets the needs of
the facility. We are willing to discuss and negotiate the
contents in this presentation. We appreciate the
opportunity to work with you.
18
Thank you!
Attachment 3, Page 18 of 18