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Home My WebLink About25C - AMEND AGMT FOR MEDICAL SERVICESREQUEST FOR COUNCIL ACTION CITY COUNCIL MEETING DATE: SEPTEMBER 15, 2020 TITLE: APPROVE AMENDMENT TO AGREEMENT WITH NAPHCARE, INC. TO PROVIDE INMATE MEDICAL SERVICES FOR THE SANTA ANA JAIL IN THE AMOUNT OF $2,836,417.94 (GENERAL FUND) CLERK OF COUNCIL USE ONLY: APPROVED ❑ As Recommended ❑ As Amended ❑ Ordinance on 1� Reading ❑ Ordinance on god Reading ❑ Implementing Resolution ❑ Set Public Hearing For CK01►111►IN] 0QIto] /s/ Kristine Ridge FILE NUMBER CITY MANAGER RECOMMENDED ACTION Authorize the City Manager to execute a one-year agreement amendment with NaphCare, Inc. to provide basic and emergency inmate health care services for Santa Ana Jail for the period of October 1, 2020 through September 30, 2021, in the amount of $2,836,417.94, including a $200,000 contingency, subject to non -substantive changes approved by the City Manager and City Attorney. DISCUSSION California's 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 17, 2017, the Police Department issued a request for proposals (RFP #17-051) for inmate medical services. NaphCare was the most responsive, capable, and cost effective respondent. A two-year agreement was executed with Naphcare in October 1, 2017, and the first of three one- year renewals was executed on October 1, 2019. This amendment is the second of the three one- year renewal options, and will cover the period of October 1, 2020 through September 30, 2021. NaphCare has enhanced efficiencies, modernized the medical operation and increased preventative 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 consistently made a positive impact on Santa Ana's health care operations, providing the highest quality community -standard health care within the jail. NaphCare provides a full complement of medical staff and mental health professionals, providing comprehensive care for chronic and acute medical conditions, mental health conditions and 25C-1 Agreement with NaphCare September 15, 2020 Page 2 Inc. for Inmate Medical Services substance use disorders. NaphCare has maintained compliance on all the following services: Patient X-ray reports, patient lab reports, inmates in segregation, chronic care treatments, medication administration, detox process, timeliness of intake screenings, and health assessments. NaphCare's quick and aggressive response to the COVID-19 pandemic has resulted in a safe environment for jail inmates and frontline workers. NaphCare has agreed to continue to provide these services for an additional year at a negotiated CPI increase of 4 percent, rather than the most recently published CPI of 5.6% for Bureau of Labor Statistics for Los Angeles, Long Beach, and Anaheim. A $200,000 contingency is included for services not included in the base agreement including, but not limited to, pharmaceuticals, x-rays, dentures, and OB/GYN exams. The FY 2020-21 jail operations budget includes $50,000 for the jail to hire a medical services consultant. The consultant will assess the jail's operational needs to assist in the creation of an inmate medical services RFP, that will include state mandated regulatory issues and that will comply with BSCC standards. The consultant will evaluate proposals, analyze the data, and present findings, to help the City successfully secure an agreement that represents industry best practices and is optimized to our specific needs. Their expertise in this highly specialized and technical area will ensure the outcome is an ideal balance of service and cost. NaphCare has been accommodating, professional and consistent in its services, and staff recommends approval of this one-year agreement amendment. FISCAL IMPACT Funds for this agreement are available and will be budgeted in future budget years in the Jail Operations Contract Services account (No. 01114475 62300) as follows: ADP at or above 176 ADP at or below 175 FY 2020-21 2,127,313.46 1,894,265.88 FY 2021-22 709,104.49 631,421.96 2,836,417.95 2,525,687.84 Fiscal Impact Verified By: Kathryn Downs, CPA, Executive Director— Finance and Management Services Agency Submitted By: David Valentin, Chief of Police - Police Department Exhibit: 1. Agreement Amendment with Naphcare 25C-2 Exhibit 1 SECOND AMENDMENT TO AGREEMENT WITH NAPHCARE, INC. TO PROVIDE INMATE MEDICAL SERVICES THIS SECOND AMENDMENT to the above -referenced agreement is entered into on September 15, 2020, 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'). B. On October 1, 2019, the parties entered into a First Amendment to the Agreement (#A- 2017-249-01) to exercise the first option to extend the Agreement until September 30, 2020, and increase the overall compensation. The Agreement is current and in effect. C. The parties wish to exercise its second 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: 1. Section 1, TERM, is amended to extend the term of the Agreement for the period from October 1, 2020 through September 30, 2021. 2. Section 4, COMPENSATION, is amended to increase the overall compensation per the following: a. The total amount to be expended during this extension shall not exceed $2,836,417.94. This amount includes the base amount listed under the Tier 1 listing below, and includes a contingency amount of $200,000, for services to be provided at the sole discretion of the City and $18,000 to cover parking costs as provided under Section 4 of the Agreement. The total amount to be expended for this Agreement shall not exceed $10,545,614.28. Tier 1 Tier 2 (ADP at or above 176) (ADP at or below 175) Renewal Option Year One $2,618,417.94 2,307,687.83 (10/01/19-09/30/20) 3. Except as modified by this Second Amendment, all terms and conditions of the Agreement, as amended, shall remain in full force and effect. #56925v5 [signature page to follow] 25C-3 IN WITNESS WHEREOF, the parties hereto have executed this Second Amendment to the Agreement on the date and year first written above. ATTEST DAISY GOMEZ Clerk of the Council APPROVED AS TO FORM CARVALHO, City Attorney By: TAMARA BOGOSIAN Senior Assistant City Attorney RECOMMENDED FOR APPROVAL DAVID VALENTIN Chief of Police #56925v5 CITY OF SANTA ANA KRISTINE RIDGE City Manager CONTRACTOR � By: Bradford T. McLane Title: Chief Executive Officer 25C-4