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saga �!daPagdanrasaNkmoe Chefoa. <br />treatment. Inmates have the tools necessary to improve treatment prognosis and minimize <br />recidivism through self-care. <br />2. CONCURRENT REVMW— Bogirui immediately after admission and continues thneughoot hospital <br />stay, ensuring that an appropriate treatment plan, efficient delivery of services, and timely <br />preparation for discharge are established. <br />For health concerns requiring inpatient admission, Utilization Management nurses retrain In <br />daily contact with hospital case managers and the attending physician to ensure that the length <br />of stay is no longer than medically appropriate. Regular communication helps NaphCare develop <br />appropriate discharge plans and maximize on -site infirmary capabilities, <br />3. RETROSPECTIVE REVIEW— Occurs on all ER trips and for any questions or concerns that may <br />arise regarding the quality and appropriateness of an inmate's care. As part of our quality <br />initiative, our UR nurses and Chief Medical Officer review all emergency'room visits and monitor <br />the site Medical Director's appropriate use of the on -site facilities: <br />Case Matiagienient <br />NaphCare provides Case Managemenand Utilization Review efforts for hospitalized Inmates, We <br />recognize thevalue of on -site nurses in the facilitation of care in the hospltal setting, our nurses are <br />dedicated to and have extensive expertise In the above areas Responsibilitiesfaron -site nurses in the <br />hospital setting'inicude the following..; <br />* Assistance with direct admissions— prevents lengthy & costly emergency room visits <br />• Discharge planning — ensures that all medical needs are met prior to discharge <br />• Increased communication between medical disciplines during complex hospital stays <br />• Esta€ 3fi shmentot collaborative long & short term goals for treatment <br />• Discharge planning —use of formulary drugs <br />• Optimization of infirmary beds — ensures proper assignment& level of care for inmates <br />NaphCare's discharge and release team has the off-site healthcare experlence: needed to best meet <br />Inmates' needs. At the onset of care for each hospitalization, our UM nurses prepare a customized <br />plan. N'aphCare's °nurses are well informed of all available infirmary services and health service units <br />within the priion system, as well as community resources in your rogtori, allowing our personnetto <br />optimize Internal resources while simultaneously minimizing off -site trips. <br />Utilization Management Quality l iitiativ s <br />NaphCare's Utilization Management Depaiimentconducts arnonthly Utilization Management <br />Committee Meeting to identify and implement quality Inititatives such as the readmission review <br />process. Research Is performed and shared with the committee, resulting in Implementation of quality <br />Improvement processes, When necessary, cases are referred back to the Chief Medical Officer for peer <br />review and further recommendations quality improvement. Utilization Management education is an <br />ongoing process throughout the life of the contract. <br />Utilization Management Reports <br />NaphCare has unlimited reporting capabilities based on the data captured in TechCore'. We analyze <br />costs, trends, and provide reports in any format you request. €n addition to providing the above services, <br />inmate Medical Services RFp No. 14 -034 <br />City of Santa Ana. 71 . <br />25H -75 <br />