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Sri W <br />fi. Any detal nee referred for mental health treatment will receive a comprehensive evaluation by a <br />licensed mental health provider as clinically necessary no cater than 72 hours after the referrals or <br />sooner if necessary. Nap hCare will develop an overall treatment/managerrrent plan that may include <br />transfer to a mental health facility If the detainees mental illness or developmental disability needs <br />exceed the treatment capability of the faculty. <br />NAPUCARE "5ICE EXPERIENCE <br />Nap hCare is experienced In working with Immigration' and Customs Enforcement (ICE), and we ate confident <br />in cur ability to comply with their standards and requirements for service, Thefollowingfsadescrtptionof <br />NaphCaWs most recent experience working with ICE at our client facilities - the Suffolk County House of <br />Corrections in Massachusetts and the Hampton Roads Regional Jail In Virginia, <br />Suffolk County House of Corrections;(SCUC) Ice InspecUmi Hiiistory <br />August 29,2032 <br />In March 2012, NaphCare completed an emergency takeover of the Suffolk County House of Corrections - <br />(SCHC). A major area of deficiency was the sites ICE audits, which were consistently beingfalled, in August <br />2412, prior to NaphCare °s presence In the facility, the fallowing ICE deficiencies were noted: <br />• TB reads were not documented after being administered and not read during prescribed tirneframe, <br />resulting in an inability to accurately verify PPD status of newly arrived ICE detainees; <br />• Five out of 28 randomly selected ICE detainee medical charts did not have any documented PPD <br />readings; <br />• Emergency code hag medical contents were expired; medical examination and trauma rooms were <br />tinder stocked with treatment supply essentials; <br />• Absence of documented follow-up progress rates made continuity of care indiscernible; <br />• Tardiness of urgent care (sickcalll, fallowing initial triage process: five out of 28 randomly selected <br />ICE detainee medical charts were identified as not answering detainee sick call requests in .a timely <br />manner (+S days) following Initial triage; and <br />• Tardiness of Chronic Care Clinic follow-up appointments: three out of twenty eight randomly <br />selected ICE detainee medical charts were identified as net receiving follow -up chronic care <br />appointments In a timely manner ( +90 days ). <br />The auditor's report provided additional details on the measures that had been taken by the facility to <br />resolve Issues: <br />• implementation of an all- encompassing electronic medical records system, TeChCore•"', designed for <br />specific use In the correctional environment, TerhCorem Incorporates all aspects of healthcare; <br />including, but not limited to: a comprehensive documentation and tracking system, follow-up, and <br />quality assurance programs; <br />• implementation of stand -alone laptop computers for nursing staff whose Intended purpose is <br />decentralization of facility healthcare. The laptops provided serve as virtual medical units: they are <br />equipped with imaged sick tail, medical records, and medication administration screens, and <br />promote the enhancement of quality healthcare, and <br />• Initial and ongoing staff orientation pertaining to the intricacies associated with the electronic <br />medical system, Tec'hCorel�. <br />Inmate Medical Services <br />City of Santa Ana <br />25H -89 <br />RFP No, 14 -034 <br />85 <br />