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25F - AGMT - AMND JAIL MED SVC
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25F - AGMT - AMND JAIL MED SVC
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Last modified
9/14/2017 4:17:42 PM
Creation date
9/15/2017 1:05:00 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Police
Item #
25F
Date
9/19/2017
Destruction Year
2022
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a h are <br />your independent healthcare choice, <br />• Inpatient & outpatient statistical report—by service and location <br />• Specialty services—consults, procedures, and diagnostic services <br />• ER trips—by service and location <br />• Utilization Review—by disease classification <br />• Reports of all catastrophic claims incurred—any amount greater than $25,000 <br />Case Management <br />NaphCare provides Case Management and Utilization Review efforts for hospitalized inmates. We <br />recognize the value of on-site nurses in the facilitation of care in the hospital setting; our nurses are <br />dedicated to and have extensive expertise in the above areas. Responsibilities for on-site nurses in the <br />hospital setting inlcude 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 />• Establishment of 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 experience needed to best meet <br />inmates' needs. At the onset of care for each hospitalization, our utilization nurses prepare a <br />customized plan. NaphCare's nurses are well informed of all available infirmary services and health <br />service units within the prison system, as well as community resources in your region, allowing our <br />personnel to optimize internal resources while simultaneously minimizing off-site trips. For provision of <br />continuity of care, discharge summary information and instructions are provided to inmate healthcare <br />staff. Following off-site treatment, inmates returning to the correctional facility return with <br />documentation of treatment received in the form of a discharge summary, consult follow-up, or other <br />progress note. All patients returning from an inpatient hospital stay are evaluated by a registered nurse <br />prior to placement in the general population. In addition to this evaluation, inmates meet with an on- <br />site provider who ensures appropriate orders and follow-up. <br />Quality Initiatives <br />NaphCare's Utilization Management Department conducts a monthly 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 backto the Chief Medical Officer for peer <br />review and further recommendations for quality improvement. Utilization Management education is an <br />ongoing process throughout the life of the contract. <br />CENTRALIZED MEDICAL SCHEDULING <br />We coordinate off-site appointments for the SAJ through the Medical Scheduling Department at our <br />corporate office. By using TechCore®, we facilitate the exchange of important healthcare and financial <br />information between the correctional facility and NaphCare. This system has several key features that <br />are beneficial to Santa Ana: <br />• Customized reporting <br />• Ability to track inmate healthcare (off-site specialty appointment by type) <br />Inmate Medical Services <br />City of Santa Ana <br />25F-77 <br />RFP No. 17-051 <br />78 <br />
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