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Home My WebLink About25B - AGMT - INMATE MED SRVSREQUEST FOR COUNCIL ACTION CITY COUNCIL MEETING DATE: OCTOBER 1, 2019 TITLE: APPROVE AGREEMENT EXTENSION WITH NAPHCARE, INC. TO PROVIDE INMATE MEDICAL SERVICES IN THE AMOUNT OF $2,717,709.56 (STRATEGIC PLAN NO. 1, 3A) CLERK OF COUNCIL USE ONLY: APPROVED ❑ As Recommended ❑ As Amended ❑ Ordinance on 1s' Reading ❑ Ordinance on 2od Reading ❑ Implementing Resolution ❑ Set Public Hearing For CONTINUED TO /s/ Kristine Ridge FILE NUMBER CITY MANAGER RECOMMENDED ACTION Authorize the City Manager to execute a one-year agreement extension with NaphCare, Inc. to provide basic and emergency inmate health care services for Santa Ana Jail for the period of October 1, 2019 September 30, 2020, in the amount of $2,717,709.56 (including a $200,000 contingency), subject to non -substantive changes approved by the City Manager and City Attorney. DISCUSSION The California Board of State and Community Corrections (BSCC) requires agencies to provide basic and emergency health care services for all incarcerated individuals held within their custody. In addition, the City's federal contracts require that medical services be provided to contract inmates. On April 25, 2017 the Police Department issued a request for proposals (RFP #17-051) for inmate medical services. NaphCare, Inc. and Correctional Managed Care Medical Corporation (CMCMC) each submitted proposals for consideration. An evaluation committee consisting of representatives from the Santa Ana Jail and the Santa Ana Police Department Fiscal Section reviewed and rated the two proposals. The proposals were evaluated according to Responsiveness to RFP (20%), Experience of Firm and Personnel (40%), and Cost of Proposal (40%), as stated in the RFP. 25B-1 Agreement with NaphCare, Inc. for Inmate Medical Services October 1, 2019 Page 2 The results of the RFP evaluation were as follows: Vendor Score NaphCare, Inc. 350 CMCMC 282 400 point maximum NaphCare was the most responsive, capable and cost effective respondent. NaphCare has enhanced efficiencies, modernized the medical operation and increased preventive care measures, reducing the need for outside or specialized medical care. NaphCare has provided routine and emergency inmate medical services, including but not limited to providing prescription and over the counter medications, physical examinations, dental care and psychiatric services. NaphCare has also provided recurring CPR training and Tuberculosis screening for Jail employees. Naphcare has agreed to continue to provide these services for a third year without increasing their base rate above year two rates. The original two-year term (October 1, 2017 through September 30, 2019) has expired and the Police Department is proposing to exercise the first of three one-year options. In addition to the one-year extension, NaphCare is requesting to add an additional four hours of psychiatric services per week. In 2017, when the previous agreement was proposed by NaphCare the Jail's average daily population (ADP) was 125. Over the past two years, the Jail has maintained an ADP of 400. With the increase in the inmate population, the need for additional psychiatric care also significantly increased. The additional cost for this care is $35,822.18. A $200,000 contingency is included for services not included in the base agreement including, but not limited to, pharmaceuticals, x-rays, dentures, and other medical exams. The amendment contains a stepdown mechanism by which the contract cost is reduced should the inmate average daily population fall below 176. In addition, the agreement can be terminated by the City by providing a 30-day written notice of cancellation. The proposed (1) year extension with NaphCare will ensure the continued medical services are provided to inmates in the custody of the Santa Ana Jail facility. Naphcare has been accommodating, professional and consistent in its services, and staff recommends a one-year agreement extension with NaphCare, Inc. effective October 1, 2019 through September 30, 2020. STRATEGIC PLAN ALIGNMENT Approval of this item allows the City to meet Goal #1 Community Safety, Objective #3 (promote fiscal accountability to ensure financial responsibility at all levels of the organization), Strategy A (continuously evaluate and assess fiscal aspect of service delivery to ensure that the Police Department provides programs and services efficiently and effectively). 25B-2 Agreement with NaphCare, Inc. for Inmate Medical Services October 1, 2019 Page 3 FISCAL IMPACT Funds for this agreement are available in the Jail Operations Contract Services account (no. 01114475 62300). ADP at or above 176 ADP at or below 175 FY 2019-20 $1,811,807.04 $1,612,621.07 FY 2020-21 $905,902.52 $806,309.54 Total $2,717,709.56 $2,418,930.61 Note: Figures include $200,000 contingency to be used at City's discretion APPROVED AS TO FUNDS AND ACCOUNT: David Valentin Kathryn Downs, CPA Chief of Police Executive Director Santa Ana Police Department Finance and Management Services Agency Exhibit: 1. Agreement with Naphcare 25B-3 Exhibit 1 FIRST AMENDMENT WITH NAPHCARE, INC. TO PROVIDE INMATE MEDICAL SERVICES THIS FIRST AMENDMENT to the above -referenced agreement is entered into on October 1, 2019, by and between NaphCare, Inc., an Alabama corporation ("Contractor"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City"). RECITALS A. The parties entered into Agreement No. A-2017-249, dated September 19, 2017, by which Contractor agreed to provide basic and emergency inmate medical services ("Agreement"). The Agreement's term is scheduled to expire on September 30, 2019, and is currently in effect. S. The parties wish to exercise its first option to extend the term of the Agreement for one year and to increase the overall compensation to pay for services during the extension. The Parties therefore agree: Section 1, TERM, is amended to extend the term of the Agreement for the period from October 1, 2019 through September 30, 2020. 2. Section 4, COMPENSATION, is amended to increase the overall compensation per the following: a. Tier 1 RFP Staffing-176 ADP and Up in Exhibit S shall be deleted in its entirety and replaced with Tier 1 RFP Staffing-176 ADP and Up attached hereto which increases the required Psychiatrist hours from four to eight hours. b. Compensation for the renewal option year shall be adjusted by $35,822.18, which is the amount required to increase the Psychiatrist hours from four (4) to eight (8) hours. Compensation for renewal option year one beginning October 1, 2019, through September 30, 2020, shall be as follows: Tier 1 Tier 2 (ADP at or above 176) (ADP at or below 175) ----- ----------------------------- Renewal Option Year One $2,517,709.56 $2,218,930.61 (10/01 /19-09/30/20) c. The total amount to be expended during this extension shall not exceed $2,717,709.56. This amount includes the base amount listed under the Tier 1 listing above, and includes a contingency amount of $200,000, for services to be provided at the sole discretion of the City. The total amount to be expended for this Agreement shall not exceed $7,709,196.34. #7433v1 1 25B-4 3. Except as modified by this First Amendment. all terms and conditions of the Agreement shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to the Agreement on the date and year first written above. ATTEST DAISY GOMEZ Clerk of the Council APPROVED AS TO FORM CITY OF SANTA ANA KRISTINE RIDGE City Manager SOy:N CARVALHO, City Attorney NAPHCARE, INC. B_ /f �C TAMARA BOGOSIAN y: James S. McLane Assistant City Attorney Title: Chief Executive Officer RECOMMENDED FOR APPROVAL DAVID V,ALENTIN Chief of Police #7433v1 25B-5 Total FLIES 18.100 r