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444#Lh area ,v fndopoM.a hwhhmrs choice. Newly diagnosed patients are seen for the first clinic within 45 days of diagnosis and then scheduled for follow-up as clinically appropriate. Chronic care clinics are built into the TechCare© system, which creates consistent documentation and standardizes the provision of care. Inmates are placed into the correct chronic care clinic by diagnostic category "TechCare° provides a to ensure proper follow-up at their scheduled dates. TechCare® is designed more efficient, effective for the classification of inmates with chronic diseases and allows the t following clinics to be easily scheduled: Heart Disease, Asthma, Cancer, High method of monitoring Blood Pressure, Diabetes, Hepatitis, Seizures, Sexually Transmitted Diseases the inmates. We can (STD), HIV, and Thyroid. Instantly accessible, TechCare° allows medical ensure that the inmate treatment to be monitored and ensures compliance with ACA and NCCHC has been placed in the requirements. Another benefit of the system is the "alert" feature, which prompts healthcare providers to schedule a follow-up for any missed inmate I appropriate chronic screenings. care clinic, an appointment has been NaphCare has education about chronic diseases available for chronically ill made with the inmates. Disease -specific information can be easily selected from a list in TechCare® and printed to give the inmate the knowledge to help take care of appropriate provider, him or herself. blood sugar checks have been initiated, Another mode of identifying chronic care patients and ensuring their etc., all from looking at continued treatment is through NaphCare's internal pharmacy team. Using TechCare®, the pharmacy team analyzes profiles with chronic care the inmate's record in medications, identifies chronic care patients who may not have been the computer, " identified yet, and updates the patient medical record. If a patient has been incarcerated for more than 30 days and has been receiving a chronic care Dyni Brookshire, RN, medication but has not been flagged as a chronic care patient, then the pharmacy sends out a second request for the patient to be re -assessed. They Director of will enroll patients in need of chronic care in the proper clinic and make sure Accreditation and they receive the appropriate labs and scheduled followups. This is a quality Compliance assurance activity that NaphCare regularly provides as part of our Proactive Care Model. Individual Treatment Plans Individual treatment plans are developed by the responsible physician for inmates with special medical conditions requiring close medical supervision, including chronic care. The plan includes directions to healthcare personnel regarding their roles in the care and supervision of the patient. Before the treatment plan is implemented, it is approved by a physician. Individual treatment plans include, at a minimum: a. Frequency of follow-up for medical/mental health evaluation and adjustment of treatment modality; b. Type and frequency of diagnostic testing and therapeutic regimens; and when appropriate, instructions about diet, exercise, adaptation to the correctional environment, medication, etc; c. Reasonable accommodations for persons with diagnosed medical or mental health Inmate Medical Services RFP No. 17-051 City of Santa Ana 37