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Off -site Request In TechCare'" <br />inmate Tracicing through the UM Process <br />We use TachCarrelwto track all off -site requests throughout the Utilization ivtanagamentprocess, On <br />average, NaphCsre "s corporate Utilization Management nursesreview afPaite requests in less than one <br />day, and when appropriate, approve requests. <br />Requests refereed to the physician are reviewed within one business day, The average time frame for <br />approved service schedulingwith community based providers is one day; Emergency cases are <br />Immediately referred off -site and are reviewed retrospectively. For continuity of care, the Health <br />Servlces Admini5tratoror designee svbmits a notifloatlon immediately. Upon return from an emergency <br />room visit, including psychiatric visits, the appropriate Advanced Clinical provider or designated staff will <br />seethe inmate, review the discharge irrformatlan' and treatment recommendations, and issue follow up <br />orders as clinically Indicated. Documentation of ER visits Is tracked and monitored via 1'echCfara* to <br />identify outliers and further ensure continuity of care. At NaphCare, our goal Is to provide inmates with <br />the care they need when they need it; rare is not delayed within our Utiliratlon Management process'. In <br />most cases, NaphCare completes the process —from the time of the Initial request to the scheduling of <br />the appointment —in less than two days; <br />Inmate Medical5ervlces <br />City of Santa Rna <br />25H -73 <br />RFP Nm 14-034 <br />69 <br />