HomeMy WebLinkAbout25J - AGMT - MEDICAL SERVICES FOR JAILREQUEST FOR
COUNCIL ACTION
CITY COUNCIL MEETING DATE:
CLERK OF COUNCIL USE ONLY:
AUGUST 5, 2013
TITLE:
AGREEMENT WITH CORRECTIONAL
MANAGED CARE MEDICAL
CORPORATION TO PROVIDE
MEDICAL SERVICES FOR INMATE
POPULATION AT SANTA ANA JAIL
CITY MANAGER
APPROVED
? As Recommended
? As Amended
? Ordinance on 1" Reading
? Ordinance on 2"d Reading
? Implementing Resolution
? Set Public Hearing For
CONTINUED TO
FILE NUMBER
RECOMMENDED ACTION
1.) Authorize the City Manager and Clerk of the Council to execute the attached agreement
with Correctional Managed Care Medical Corporation (CMCMC) to provide basic and
emergency health care services for Santa Ana Jail inmates for a one-year term, in the
annual amount of $1,768,732, subject to non-substantive changes.
2.) Authorize the Police Department to issue a Request for Proposals (RFP) to qualified
companies to provide basic and emergency health care services for Santa Ana Jail
inmates.
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. Since 2007, the Police Department has contracted with Correctional Managed Care
Medical Corporation (CMCMC) to provide these mandated medical services at the Santa Ana
Jail. The current contract, which expires August 31, 2013, has a base agreement amount of
$1,273,732 with an additional $100,000 contingency for unanticipated expenditures, for a total
agreement amount of $1,373,732.
On July 3, 2013, CMCMC gave Jail Administration notice that it would not seek renewal of the
contract as it had done in previous years. Company representatives reported the company could
no longer sustain financial losses it had absorbed over the years as the company attempted to
adapt to the increased medical needs of a changed inmate population. CMCMC reports that
over the past five years it has increased staffing levels and medical supplies beyond originally
contracted amounts, and has seen a drastic increase in lab costs. As a result of these increased
costs, the company is requiring an additional $395,000 annually to provide service beyond
August 31, 2013. The new agreement base amount is $1,668,732 with an additional $100,000
contingency for unanticipated expenditures, for a total agreement amount of $1,768,732.
25J-1
CMCMC Agreement
August 5, 2013
Page 2
The Police Department recommends issuing a Request for Proposals (RFP) to ensure that jail
medical services are provided in the most cost effective manner. The RFP process requires
more time than is available prior to the contract's August 31, 2013 expiration date. This one-year
agreement will provide the additional time necessary to complete the RFP process and continue
medical services until a decision is made regarding the future of the jail.
FISCAL IMPACT
Funds for this agreement and unanticipated incremental portion will be covered with the current
year budget and anticipated fiscal year-end saving. Staff will closely monitor the Police
Department accounts and may request a mid-year budget adjustment if necessary. Funds are
currently available in the Jail Operations Contract Services account (no. 01114475 62300) and
various other Police Department Contract Services accounts (no. 62300).
APPROVED AS TO FUNDS AND ACCOUNT:
Carlos Rojas ranM? rr ?? -'=? -?-
Francisco Gutierrez
Acting Chief of Police Executive Director,
Police Department Finance and Management Services Agency 3tM
Exhibit A: Agreement
Exhibit B: Request for Proposal X13-036
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AGREEMENT FOR THE PROVISION OF
INMATE MEDICAL SERVICES
BETWEEN
CITY OF SANTA ANA
AND
CORRECTIONAL MANAGED CARE MEDICAL CORPORATION
THIS AGREEMENT is made and entered into this 31 st day of August, 2013 by and
between CORRECTIONAL MANAGED CARE MEDICAL CORPORATION, a California
corporation (hereinafter "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
(hereinafter "City").
RECITALS
A. The City desires to retain a Contractor having special skill and knowledge in the field of
providing basic and emergency inmate medical services.
B. Contractor represents that Contractor is able and willing to provide such services to the
City.
C. In undertaking the performance of this Agreement, Contractor represents that it is
knowledgeable in its field and that any services performed by Contractor under this
Agreement will be performed in compliance with such standards as may reasonably be
expected from a professional firm in the field.
NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the
terms and conditions hereinafter set forth, the parties agree as follows:
1. TERM
This Agreement shall commence on August 31, 2013 and terminate on August 31, 2014,
unless terminated earlier in accordance with Section 15, below.
2. SCOPE OF SERVICES
Contractor shall provide basic and emergency medical services to inmates at the Santa
Ana Jail as outlined in Contractor's letter proposal attached hereto and marked as Exhibit "A"
and incorporated herein by reference. The proposal letter outlines the services previously agreed
upon by Contractor as part of Contractor's response to RFP 07-062 and previously provided to
the City from 2007 to 2013.
Exhibit A
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3. COMPENSATION
a. The Total Annual Sum to be expended under this Agreement for staffing,
pharmaceuticals, supplies and other services shall be a base amount of $1,668,732 with an
additional $100,000 contingency for unanticipated expenditures, for a total agreement amount of
$1,768,732 as outlined in the attached Exhibit "B.".
b. One-twelfth of the Total Annual Sum shall be paid monthly by the 30`h day of each
month, after receipt of a complete invoice. Payment for Additional / Chargeback Services shall
be made within thirty (30) days following receipt of proper invoice evidencing work performed,
subject to City accounting procedures. Payment need not be made for work which fails to meet
the standards of performance set forth in the Recitals which may reasonably be expected by City.
c. City shall not reimburse Contractor for services provided beyond the expiration
and/or termination of this Agreement, except as may otherwise be provided under this
Agreement, or specifically agreed upon in a subsequent Agreement.
4. INDEPENDENT CONTRACTOR
Contractor is, and shall at all times be deemed to be, an independent contractor, wholly
responsible for the manner in which it performs the services hereunder. Contractor is entirely
responsible for compensating staff and consultants employed by Contractor. This Agreement shall
not be construed as creating the relationship of employer and employee, or principal and agent,
between City and Contractor or any of Contractor's agents, employees or subcontractors.
Contractor assumes exclusive responsibility for acts of its employees, agents or subcontractors as
they relate to the services provided during the course and scope of their employment. Contractor's
employees, agents or subcontractors shall not be entitled to any rights or privileges of City
employees, nor be considered in any manner to be City employees.
5. EXPENDITURE AND REVENUE REPORT
No later than sixty (60) days following the end of the initial term, or any subsequent term
of this Agreement, Contractor shall submit to City for informational purposes only, an
Expenditure and Revenue Report for that period. Such report shall be prepared in accordance
with the format that is provided by City.
6. FACILITIES PAYMENTS AND SERVICES
City shall compensate Contractor and Contractor agrees to provide the services, staffing
any equipment and supplies, and reports in accordance with Exhibit A to this Agreement.
Contractor shall operate continuously throughout the term of this Agreement with at least the
required number and type of staff which meet applicable City, State and Federal requirements,
and which are necessary for the provision of services hereunder.
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INSPECTIONS AND AUDITS
A. City, any authorized representative of City, any authorized representative of the State
of California, the Secretary of the United States Department of Health and Human Services, the
Comptroller General of the United States, or any of their authorized representatives, shall have
access to any books, documents and records, including but not limited to medical and client
records of Contractor which such person deem pertinent to this Agreement, for the purpose of
conducting an audit, evaluation, examination or making transcripts during the periods of
retention set forth in the Records section of Exhibit A to this Agreement. Such persons may at
all reasonable times inspect or otherwise evaluate the services provided pursuant to this
Agreement, and the premises in which they are provided.
B. Contractor shall actively participate and cooperate with any person specified in
subparagraph A above in any evaluation or monitoring of the services provided pursuant to this
Agreement, and shall provide the above-mentioned persons adequate office space to conduct
such evaluation or monitoring.
C. Following an audit report, in the event of non-compliance with applicable laws and
regulations governing funds provided through this Agreement, City may terminate this
Agreement as provided for in the Termination paragraph or direct Contractor to immediately
implement appropriate corrective action. A plan of correction shall be submitted to City in
writing within thirty (30) days after receiving notice from City.
D. Within fourteen (14) days of receipt by Contractor, Contractor shall forward to City a
copy of any audit report. Such audit shall include, but not be limited to, management, financial,
programmatic or any other type of audit of Contractor's operations, whether or not the cost of
such operation or audit is reimbursed, in whole or in part, through this Agreement.
8. INSURANCE
Prior to undertaking performance of work under this Agreement, Contractor shall
maintain and shall require its subcontractors, if any, to obtain and maintain insurance as
described below:
a. Comprehensive General Liability Insurance. Contractor shall maintain
comprehensive general liability insurance naming the City, its officers, employees, agents,
volunteers and representatives as additional insured(s) and shall include, but not be limited to
protection against claims arising from bodily and personal injury, including death resulting there
from and damage to property, resulting from any act or occurrence arising out of Contractor's
operations in the performance of this Agreement, including, without limitation, acts involving
vehicles. The amounts of insurance shall be not less than the following: single limit coverage
applying to bodily and personal injury, including death resulting there from, and property
damage, in the total amount of $2,000,000 per occurrence. Contractor shall supply City with a
fully executed additional insured endorsement on a form approved by the City Attorney at the
time this Agreement is executed.
b. Worker's Compensation Insurance. In accordance with the provisions of Section
3300 of the Labor Code, Contractor, if Contractor has any employees, is required to be insured
against liability for worker's compensation or to undertake self-insurance. Prior to commencing
2 5J3 5
the performance of the work under this Agreement, Contractor agrees to obtain and maintain any
employer's liability insurance with limits not less than 51,000,000 per accident.
c. Any person providing Physician Services pursuant to this Agreement shall maintain
Professional liability (errors and omissions) insurance against medical malpractice with a
combined single limit of not less than S 1,000,000 per claim and $3,000,000, in the aggregate, per
year.
d. The following requirements apply to the insurance to be provided by Contractor
pursuant to this section:
(i) Contractor shall maintain all insurance required above in full force and
effect for the entire period covered by this Agreement.
(ii) Certificates of insurance shall be furnished to the City upon execution of
this Agreement and shall be approved in form by the City Attorney.
(iii) Certificates and policies shall state that the policies shall not be canceled
or reduced in coverage or changed in any other material aspect without
thirty (30) days prior written notice to the City.
e. If Contractor fails or refuses to produce or maintain the insurance required by this
section or fails or refuses to furnish the City with required proof that insurance has been procured
and is in force and paid for, the City shall have the right, at the City's election, to forthwith
terminate this Agreement. Such termination shall not affect Contractor's right to be paid for its
time and materials expended prior to notification of termination. Contractor waives the right to
receive compensation and agrees to indemnify the City for any work performed prior to approval
of insurance by the City.
9. INDEMNIFICATION
Contractor agrees to and shall indemnify and hold harmless the City, its officers, agents,
employees, Contractors, special counsel, and representatives from any liability for personal
injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims
for personal injury, including health, and claims for property damage, which may arise from the
direct or indirect operations of the Contractor or its subcontractors, agents, employees, or other
persons acting on their behalf which relates to the services described in section 1 of this
Agreement. The Contractor further agrees to indemnify, hold harmless, and pay all costs for the
defense of the City, including fees and costs for special counsel to be selected by the City,
regarding any action by a third party asserting that personal injury, damages, just compensation,
restitution, judicial or equitable relief due to personal or property rights arises by reason of the
direct or indirect operations of Contractor. City may make all reasonable decisions with respect
to its representation in any legal proceeding.
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10. CONFIDENTIALITY
a. Contractor shall maintain the confidentiality of all records, including billings and any
audio and/or video recordings, in accordance with all applicable State and Federal codes and
regulations, as they now exist or may hereafter be amended or changed.
b. Prior to providing any services pursuant to this Agreement, all employees,
subcontractors, and volunteer staff or interns of Contractor shall agree, in writing, with
Contractor to maintain the confidentiality of any and all information and records which may be
obtained in the course of providing such services. The agreement shall specify that it is effective
irrespective of all subsequent terminations of Contractor's employees, subcontractors, volunteers
or interns.
c. All confidential information furnished by Contractor to City hereunder will be kept
confidential by City and shall not, without the prior written consent of Contractor, be disclosed by
City, or by its representatives, contractors, or employees in any manner whatsoever, in whole or
in part, and shall not be used by City or its representatives, contractors or employees who need to
know the Confidential information.
11. CONFLICT OF INTEREST CLAUSE
Contractor covenants that it presently has no interests and shall not have interests, direct
or indirect, which would conflict in any manner with performance of services specified under
this Agreement.
12. NOTICE
a. Any notice, tender, demand, delivery, or other communication pursuant to this
Agreement shall be in writing and shall be deemed to be properly given if delivered in person or
mailed by first class or certified mail, postage prepaid, or sent by telefacsimile or other
telegraphic communication in the manner provided in this Section, to the following persons:
To City: Clerk of the City Council
City of Santa Ana
20 Civic Center Plaza (M-30)
P.O. Box 1988
Santa Ana, CA 92702-1988
telefacsimile (714) 647-6956
With courtesy copies to
City of Santa Ana
Santa Ana Jail
60 Civic Center Plaza
Santa Ana, California 92702
telefacsimile (714) 245-8116
and
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City Attorney
City of Santa Ana
20 Civic Center Plaza (M-29)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 647-6515
To Contractor: Correctional Managed Care Medical Corporation
4211 E. La Palma Avenue
Anaheim, California 92807
telefacsimile (714) 528-5801
Attn: Harmohinder S. Gogia, M.D.
A party may change its address by giving notice in writing to the other party. Thereafter, any
communication shall be addressed and transmitted to the new address. If sent by mail,
communication shall be effective or deemed to have been given three (3) days after it has been
deposited in the United States mail, duly registered or certified, with postage prepaid, and
addressed as set forth above. If sent by telefacsimile, communication shall be effective or
deemed to have been given twenty-four (24) hours after the time set forth on the transmission
report issued by the transmitting facsimile machine, addressed as set forth above. For purposes
of calculating these time frames, weekends, federal, state, County or City holidays shall be
excluded.
b. NOTIFICATION OF DEATH - Upon becoming aware of the death of any person
receiving services hereunder, Contractor shall immediately, in person or by telephone, notify the
on-premises Jail Administrator or his designee, the Orange County Coroner, and the Orange
County District Attorney. In addition, Contractor shall, within sixteen (16) hours after such
death, deliver in person or by facsimile machine, a Written Notification of Death to the above
persons. The telephone report and Written Notification of Death shall contain the name of the
deceased, the date and time of death, the nature and circumstances of death, and the name(s) of
Contractor's officers or employees with knowledge of this matter. Upon request, and to the
extent allowable by law, Contractor shall provide the Coroner, District Attorney, Jail
Administrator or his designee with a complete copy of the deceased patient's medical record.
c. NOTIFICATION OF SPECIAL INCIDENTS - Immediately upon becoming aware of
any occurrence of a serious nature which may expose either party to liability or disrupt the
services hereunder, Contractor shall verbally notify the on-premises Jail Administrator or his
designee. Such occurrences may include but are not limited to accidents, injuries or acts of
negligence, or any incident or circumstance which adversely impacts the capacity of Contractor
to provide the services hereunder. Such verbal notification shall be followed within twenty-four
(24) hours, by written notification to City and the Jail Administrator or his designee.
25J68
13. EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between the City and
Contractor, and supersedes any and all other agreements, oral or written, between the parties. In
the event of a conflict between the terns of this Agreement and any attachments hereto, the
terms of this Agreement shall prevail. This Agreement may not be modified except by written
instrument signed by the City and by an authorized representative of Contractor. The parties
agree that any terms or conditions of any purchase order or other instrument that are inconsistent
with, or in addition to, the terms and conditions hereof, shall not bind or obligate Contractor nor
the City. Each party to this Agreement acknowledges that no representations, inducements,
promises or agreements, orally or otherwise, have been made by any party, or anyone acting on
behalf of any party, which are not embodied herein.
14. ASSIGNMENT
Inasmuch as this Agreement is intended to secure the specialized services of Contractor,
Contractor may not assign, transfer or delegate any interest herein and any such assignment,
transfer or delegation shall be considered null and void. However, obligations undertaken by
Contractor pursuant to this Agreement may be carried out by subcontracts, provided such
subcontracts are approved in writing by City, meet the requirements of this Agreement as they
relate to the service or activity under subcontract, and include any provisions that City may
reasonably require. No subcontract shall terminate or alter the responsibilities of Contractor to
City pursuant to this Agreement. Nothing in this Agreement shall be construed to limit the
City's ability to have any of the services which are the subject to this Agreement performed by
City personnel or by other Contractors retained by City.
15. TERMINATION
a. This Agreement may be terminated by either party without cause, by giving thirty
(30) days written notice of termination.
b. After receiving any Notice of Termination, Contractor shall continue to provide services
and cooperate with City staff until the date of termination in a manner which is consistent with
recognized standards of quality patient care and prudent business practice, and obtain immediate
clarification from City of any unsettled issues of contract performance during the remaining contract
term.
c. The right and remedies of City provided in this Termination paragraph shall not be
exclusive, and are in addition to any other rights and remedies provided by law or this Agreement.
d. City may terminate this Agreement immediately, upon written notice, on the occurrence
of any of the following events:
1. The loss by Contractor of legal capacity.
2. Cessation of services
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3. Delegation or assignment of Contractor's services operation without written
approval by City Of Santa Ana
4. Neglect by any physician or licensed person employed by Contractor of any duty
required pursuant to this Agreement
5. The loss of accreditation or any license required by the Licenses and Law
paragraph of this Agreement
6. The continued incapacity of any physician or licensed person to perform duties
required pursuant to this Agreement
7. Unethical conduct or malpractice by any physician or licensed person providing
services pursuant to this Agreement; provided, however, City may waive this
option if Contractor removes such physician or licensed person from serving
anyone pursuant to this Agreement.
16. NONDISCRIMINATION
A. Employment. Contractor shall not discriminate because of race, color, creed,
religion, sex, marital status, sexual orientation, age, national origin, ancestry, or disability, as
defined and prohibited by applicable law, in the recruitment, selection, training, utilization,
promotion, termination or other employment related activities. Contractor affirms that it is an
equal opportunity employer and shall comply with all applicable federal, state and local laws and
regulations.
B. Services, Benefits and Facilities. Contractor shall not discriminate in the provision of
services, the allocation of benefits or the accommodation in facilities on the basis of ethnic group
identification, race, color, religion, ancestry, creed, sex, national origin, marital status, age,
sexual preference, medical condition or physical or mental disability. For the purpose of this
subparagraph B, "discrimination" means denying a client or potential client any service, benefit
or accommodation that would be provided to another and includes, but is not limited to, the
following:
L Denying a client any service or benefit or availability of a facility.
2. Providing any service or benefit to a client which is different or is provided in a
different manner or a different time from that provided to other clients.
3. Restricting a client in any way in the enjoyment of any advantage or privilege
enjoyed by others receiving any service or benefit.
4. Treating a client differently from another in satisfying any admission requirement or
condition or eligibility requirement or condition, which individuals must meet in
order to be provided any service or benefit.
5. Assignment of terms or places for the provision of services on the basis of ethnic
group identification, race, religion, ancestry, color, creed, sex, marital status, national
origin, age, sexual preference, medical condition or physical or mental disability of
the clients to be served.
C. Persons with Disabilities - Contractor agrees to comply with the provisions of
Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. 794 et seq., as implemented in Title 45
CFR, Section 84.1 et seq.) pertaining to the prohibition of discrimination against qualified
persons with disabilities in all programs or activities, and the Americans with Disabilities Act of
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1990 (42 U.S.C. 12101 et seq.) as they exist now or maybe hereafter amended together with
succeeding legislation.
D. Retaliation - Neither Contractor nor its employees or agents shall intimidate, coerce
or take adverse action against any person for the purpose of interfering with rights secured by
Federal or State laws, or because such person has filed a complaint, certified, assisted or
otherwise participated in an investigation, proceeding, hearing or any other activity undertaken to
enforce rights secured by Federal or State law.
17. JURISDICTION - VENUE
This Agreement has been executed and delivered in the State of California and the
validity, interpretation, performance, and enforcement of any of the clauses of this Agreement
shall be determined and governed by the laws of the State of California. Both parties further
agree that Orange County, California, shall be the venue for any action or proceeding that may
be brought or arise out of, in connection with or by reason of this Agreement.
18. PROFESSIONAL LICENSES
a. Contractor and all of its employees and subcontractors providing services pursuant to
this Agreement shall, throughout the term of this Agreement, maintain all necessary licenses,
permits, approvals, waivers, and exemptions necessary for the provision of the services
hereunder and required by the laws and regulations of the United States, the State of California,
the City of Santa Ana and all other governmental agencies. Contractor shall notify the City
immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals,
waivers, and exemptions. Said inability shall be cause for termination of this Agreement.
b. Contractor warrants that all Contractor physicians providing services under this
Agreement are and will continue to be as long as this Agreement remains in effect, the holders of
currently valid unrestricted licenses to practice medicine in the State of California.
19. COMPLAINCE WITH ALL LAWS
a. Contractor shall cause all of its activities under this Agreement and all activities at
the Santa Ana Detention Facility to be performed in compliance with all applicable federal, state,
and local laws, ordinances, and regulations.
b. All medical services will meet California Administrative Code (CAC), Title 15 -
Minimum Standards for Local Detention Facilities, National Detention Standards of Immigration
and Code Enforcement Bureau as well as all other applicable laws, regulations, codes and
guidelines relating to health care services and programs in adult detention facilities in the State
of California.
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20. MISCELLANEOUS PROVISIONS
a. Neither party intends that this Agreement shall create rights hereunder in third parties,
including but not limited to any subcontractors or any clients provided services hereunder.
b. Each undersigned represents and warrants that its signature herein below has the power,
authority and right to bind their respective parties to each of the terms of this Agreement, and shall
indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to
City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn.
c. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set
forth in the body of this Agreement.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year
first above written.
ATTEST:
MARIA D. HUIZAR
Clerk of the Council
APPROVED AS TO FORM:
SONIA R. CARVALHO
City Attorney
By:
Laura A. Rossini
Assistant City Attorney
RECOMMENDED FOR APPROVAL:
CARLOSROJAS
Acting Chief of Police
CITY OF SANTA ANA
KEVIN O'ROURKE
Interim City Manager
CORRECTIONAL MANAGED CARE
By:
Tax ID#
25Jt°12
(Name)
(Title)
EXHIBIT A
25J"13
Correctional Managed Care
Medical Corporation
25J-14
TABLE OF CONTENTS
TABLE OF CONTENTS
1. CORPORATE SUMMARY
I
1
A. COMPANY QUALIFICATIONS .........- .....................................................................................................................2
E. INSURANCE ......................................................................................................................................................... 10
II. MEDICAL SERVICES ........................................................................................................................................12
A. RECEIVING SCREFNLNG..................................................................... .................................................................. l3
B. TUBERCtJI.OSIS SCREENING......, ................................................. ..... ............... .......... ............................... ........ 15
C. HEN_TFI APPRAISAL ........................................................................... .................................................................. 15
D. DAILY TRIAGF Or MEDICAL, REQUES'TS ............................................ .................................................................. 17
E. SICK CALL ....................................................................................... ................................................................. 17
F. PHAARMACY SERVICES ........................................................................ ................................................................. 19
G. MEDICAL Dims .................................................................................. ................................................................. 22
H. EMERGENCY SERVICES ...................................................................... ................................................................. 23
1. HOSPITAL TRANSFERS ................................................................. .................................................................25
J. DENTAL SERVICES ............................................................................... ................................................................. 25
K. MENTAL, HEALTH SERVICES., .................................................... .................................................................26
L. DETOXIFICATION ......................................................................... ................................................................. 29
M. JAIL STAFF SERVICES ................ ............................................... ......... ................ --.... ......... ........ ........ ............... 29
1. Staff TB testing and hepatitis vaccines ......................................... ................................................................. 29
2. Training for Jail personnel. ... -_- ............... ...... ........................ .................................................... ....... .30
N. LABORATORY SERVICES ............................................................ ................................................................. 30
0. MEDICAL RECORDS ........................................................................... .................................................................. 31
P. POLICY AND PROCEDURES .................................................................. ................................................................. 32
Q. MEETINGS AND REPORTS ...............................
R. QUALITY ASSURANCE PROGRAMS .......................................... .................................................................33
S. RESPONDING TO COMPLAINTS AND INQUIRIES .................... .................................................................34
T. EQUIPMENT, FURNISHINGS, AND SUPPI,IF.iS .............. ....... .....-........... ........ ................,.............. .......................... 34
III. ADDITIONAL SERVICES
35
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A. REPAIR OF DENTURES, DENTAL PLATES, PARTIAL PLATES .................................................................................. 35
B. RADIOLOGY SERVICES ......................................................................................................................................... 35
C. OPHTHALMOLOGY SERVICES .............................................................................................................................. 35
D. 013STEiTRICS AND GYNECOLOGY SERVICES .........................................................................................................36
E. WERGENCY PSYCHIATRIC CRISIS INTERVENTION ............................................................................... 36
r. BILLING SERVICES ................................................................................................................................................ 37
G. OFF-SITE MEDICAL SERVICES .............................................................................................................................. 37
IV, PERSONNEL SERVICES
38
A. EQUAL EMPLOYMENT OPPORTUNITIES ............................................................................................................... 38
B. PRE-EMPLOYMENT PROCESS ............................................................................................................................... 38
C. LlCENSURFJCE.RTT.PICA'IfON RF'QU[REMENTS ...................................................................................................... 38
D. ORIENTATION OF NEW PERSONNEL ...................................................................................................................... 39
E. PERFORMANCE. REVIEW ........................................................................................................................................ 39
F. SECURITY ISSUES ................................................................................................................................................. 40
G. RESPONSIBLE PHYS[CIAN/HEALTH AUTHORITY ................................................... .................. ?.............................. 40
H. SOLE CONTRACTOR .............................................................................................................................................. 41
i
! I. STAFFING REQUIREMENTS ...................................................................................................................................... 41
i
V. BONDS ............................................................................I.....................................................................................45
VI. COST SUMMARY FORM ..............................................................
.................................................................. 46
VII. RFP ADDENDA ................................................................................................................................................ 47
ATTACHMENTS;
I. EXECUTIVE AND MANAGEMENT PROFILES
2. CONTRACT VENDOR INFORMATION
3. PROVIDER CURRICULUM VITAES
4. CERTIFICATION OF NONDISCRIMINATION BY CONTRACTORS AND TOTAL QUALITY
SERVICE
25J-16
I. CORPORATE SUMMARY
Correctional Managed Care Medical Corporation (CMCMC) is submitting
the following proposal for the provision of medical services to the inmates
housed at the City of Santa Ana Jail (Jail). All medical services will meet
California Administrative Code (CAC), Title 15, Minimum Standards for
Local Detention Facilities as well as all other applicable laws, regulations,
codes and guidelines relating to health care services and programs in adult
detention facilities in the State of California.
While there are several companies that provide contracted medical
services to the correctional industry, we believe that there are several
distinct differences between CMCMC and other companies:
1. CMCMC is a private company formed for the exclusive purpose of
providing correctional managed care services to correctional
institutions.
2. CMCMC provides correctional managed care services solely in the
State of California, thereby allowing our management team to
concentrate on familiarizing themselves with the unique problems and
issues of the California correctional system. We are also well versed
in the state laws and regulations governing correctional facilities,
including CAC Title 15.
3. CMCMC's corporate offices are in Orange County, California. We
believe that all successful endeavors begin with open communication
and are maintained by a close partnering relationship and mutual
understanding of objectives. By basing our headquarters in Orange
County (our office is, in fact, only 6.5 miles from the Jail), Ms. Linda
Cardoza, CMCMC's Chief Operating Officer is able to meet regularly
City of Santa Ann Jail
Proposal for Irunate Medical Services
RFP® 07062
25J-17
with the Jail's administrative staff to discuss issues concerning patient
care, the provision of medical services, and any potential problems
and/or concerns. We believe that this style of open communication is
essential to providing quality medical services.
4. CMCMC has been providing medical services to the City since March
1998. Since the inception of the new contract we have added Mental
Health support services and billing services for off-site emergency
medical care. We have added off-site medical services for contracted
U.S. Marshal Prisoners and we added TB testing for all Santa Ana
Police Department personnel.
We are very proud of our existing partnership with the City and with the
level of care and services that are currently being provided and we believe
that CMCMC remains the best choice for providing medical services to
the Santa Ana City Jail.
A. COMPANY QUALIFICATIONS
Formed in 1989, as a physician owned managed care corporation,
CMCMC has been providing inmate's access to comprehensive, high
quality, cost-effective medical care for the past Twenty Four (24) years.
As mentioned above, CMCMC's corporate headquarters are located in
Anaheim, California. Our address is 1475 S. State College Blvd Suite
202, Anaheim, California, 92806. The Corporate staff can be reached by
calling (714) 635-4700.
In March 1998, CMCMC had undergone both a name change and a
restructuring of the company and its management team.
City of Santa Ana Jail 2
Proposal for Innnato bleAical Services
RFP# 07-062
25J-18
Included in this restructuring was an intentional reduction in the number
of existing contracts. This allows CMCMC to concentrate on providing
managed care medical services to county and city correctional agencies
throughout the State of California.
Due to this reduction in contracts, CMCMC's Board of Directors also
eliminated most of the executive and upper-management positions. This
has given the Chief Operating Officer the ability to make contract
decisions, and have a more supportive relationship with the contract
administrators, without having to obtain prior approval from a cadre of
executives. This change also provided correctional administrative
personnel with easier access to the Chief Operating Officer.
Please see the following page for CMCMC's corporate organizational
chart.
Please see Attachment 1 for profiles of CMCMC's Executive and
Management Teams.
B. COMPANY EXPERIENCE
In addition to providing services for the City, CMCMC also provides
specialty medical services to the Orange County Jail, located in Orange
County, California, and we provided comprehensive medical services to
the Madera County Department of Corrections' Adult and Juvenile
Detention Facilities, located in Madera, California,
Please see pages 5 - 7 for descriptive overviews of our contracts.
City of Santa Ana fail .g _
Proposal for Gimate Medical services
RFPH 07-062
25J-19
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25J-20
City of Santa Ana Jail - Santa Ana. California:
Original contract date: 1/28/97
Contract Length: 1/28/97 - 8/31/98
Re-bid contract date: 9/1/98
Contract Length: 9/l/98 - 8/31/01
Contract Renewal: 9/1/01- 8/31/07
Amendment 9/01/08 - 8/31/09
Amendment 9/01/09 - 8/31 /10
Amendment 9/01/10 - 8/31/11
Amendment 9/01/11 - 8/31/12
Amendment 9/01/12 - 8/31/13
CMCMC is providing managed care services for an average daily population of 403 inmates up
to a maximum of 480 for the City of Santa Ana Jail. The prisoner population includes contracted
US Marshall and Federal and Immigration Custom Enforcement (ICE) prisoners. Scope of
services include on-site intake triage; sick call; "man-down" emergency service; on-site psych
clinics; on-site dental clinics; coordination and follow-up on off-site in-patient and out-patient
clinics for all U.S. Marshal prisoners; emergency psychiatric crisis intervention and evaluation;
over the counter medications and supplies; on-site radiology services; off site laboratory
services; pharmacy services; utilization management and supply tracking reporting. CMCMC
processes the billings for emergency medical services for the City of Santa Ana. These services
are integrated with CMCMC's managed care management information system to provide
information management and reporting.
Contact Ann Matulin, Jail Administrator
Santa Ana City fail
62 Civic Center Plaza
Santa Ana, CA 92701
(714) 245-8120
City of Santa Ana laic _5_
Proposal for inmate Medical Services
RRO 07-062
25J-21
Orange County Health Care Agency, Orange County California:
Original contract dates: 7/1/91 - 6/31/96
Contract renews: 7/1/01 - 6/30/04
Contract renewal: 7/1/04 - 6/30/09
Contract renewal: 7/1/09 - 6/30/13
Contract renewal: 7/1/01.3 - 6/30/14
CMCMC provides the Orange County Jail (5,000 inmates), at the
contracted hospital, with primary and specialty physicians; inpatient and
outpatient services; quality assurance and continuous quality improvement
and utilization management activities; and policy and procedure
development. CMCMC provides on-site Radiology services at the Intake
and Release Center (IRC) and at Theo Lacy Jail. We also maintain the
County's Information System database specifically for the contract.
Contact: Ernest Williams, M.D., Medical Director
Orange County Jail
550 N. Flower
Santa Ana, CA 92801
(714) 647-4169
Ciry of Santa Ana fail
Proposal for Inmate Medical Services
RFP9 07-062
25J-22
Madera County Department of Corrections. California:
Original contract dates: 7/1/93 - 6/30/96
Contract renews: 7/1/01 - 6/30/02 (fourth renewal)
Contract renewal: 7/1/02 -10/15/06
CMCMC provided comprehensive health care services for the Adult
Detention Facility (375 inmates) and two (2) Juvenile Detention Facilities
(100 minors) including primary and specialty physicians; inpatient,
outpatient and ancillary services; on-site intake triage; sick call; "man-
down" emergency services; on-site psych clinics; on-site dental clinics;
emergency crisis intervention and evaluation; over the counter and long
term medications and supplies; off-site laboratory services; on-site
radiology services; quality assurance and continuous quality improvement
activities; utilization management; policy and procedure development; and
overall program administration. CMCMC received CMA Accreditation
effective October 1998 and maintained CMA Accreditation
throughout the contract.
Contact: Eric Fleming, Ass't CAO
Madera County Administration
200 West 4ti' Street
Madera, CA 93637
(559) 675-7703
City of Santa Ana Jail _?-
Proposal for Inmate Medical Services
RFPU 07-0Q
25J-23
C. COMPANY ACHIEVEMENTS
CMCMC's contract achievements include:
For the City of Santa Ana:
? F,liminated the use of Registry personnel;
? Initiated the coordination of Mental Health Support Services thereby
reducing the City's liability,
? Initiated the coordination of on-site specialty services, thereby
reducing transportation and security concerns, and
? Initiated Pharmacy contracts between PharMerica and INS and the
U.S. Marshal Service thereby reducing our pharmaceutical costs.
? Initiated off-site medical services for U.S. Marshal Service thereby
improving our ability to increase the number of prisoners housed at the
jail.
For the County of Orange:
? Delivered initial overall cost saving of 15%;
? Delivered an additional 8% cost reduction as part of a two year, fixed
rate contract renewal;
? Reduced inpatient days per thousand inmates by 35%;
? Added extensive prenatal care services without increasing county
costs; and
? Increased specialty clinics at no additional cost to the County of
Orange.
For the Madera County Department of Corrections-,
? Delivered immediate cost savings of 25% over the previous contract
provider;
City of Santa Ana fail _8-
Proposal for [notate Medical Services
UN 07-062
25J-24
? Successfully implemented the medical program in less than 30 days;
? Established improved working relationships with county public health
and mental health departments;
Provided staffing levels exceeding contractual requirements with no
increase in costs to Madera County;
? Eliminated the use of Registry staff through the development of a Per
Diem nursing pool, and
? Awarded CMA Accreditation in October 1998, October 2000, October
2003 and 2006 with CMCMC meeting 100% of the applicable
"Essential" standards.
D.REFERENCES
1. CEO
Western Medical Center Hospital, Anaheim
1025 S. Anaheim Blvd.
Anaheim, California 92805
(714) 563-2881
2. MD
Correctional Medical Services Medical Director
Orange County Jail
550 North Flower Street
Santa Ana, California 92701
(714) 647-4169
3. Division Manager
Orange County Health Care Agency
405 West Fifth Street
Santa Ana, CA 92701
(714) 834-4418
City of Santa Ana Jail
Proposal for Inmate Medical Services
RHO 07-062
25J-25
E. INSURANCE
CMCMC will maintain the following levels of insurance and will require
that all of our subcontractors maintain the same levels of coverage.
Certificates of insurance shall be in duplicate and addressed to the City of
Santa Ana. All insurance shall remain in effect during the life of the
contract. Certificates must indicate that the City shall receive written
notice 30 days prior to any cancellation or reduction in coverage.
1, Comprehensive General Liability insurance to include Completed
Operations, Contractual, Independent Contractors and Personal Injury;
and Automobile Liability, including all auto; with at least the
following combined limits of Liability:
a. Primary Bodily Injury Liability limits of $1,000,000.00 per
occurrence.
b. Primary Property Damage Liability limits of $1,000,000.00 per
occurrence.
c. Primary Bodily Injury and Property Damage Liability combined
single limit of $1,000,000.00 is preferred.
2. Medical malpractice insurance of not less than three million dollars
($3,000,000.00) per occurrence.
3. Employer's Liability with a combined single limit of $1,000,000.00.
4. Worker's compensation insurance, in accordance with the provisions
of the Labor Code of the State of California.
5. No more than 20 days after notification of award, a separate additional
insured endorsement is required for part "1" above. (Commercial
City of Santa Aria fail -to-
Proposal ror Omrato Medical Services
aFPP 07062
25J-26
General Liability insurance) naming the City if Santa Ana, its
officers, agents, employees and volunteers as additional insured.
City of Santa Ana Jail
Proposal for Inmate Medical Services
RFPN 07-062
25J-27
II. MEDICAL SERVICES
CMCMC's proposal for the Jail is based on a contract start date of
September 1, 2007 and an inmate population of 480. We understand that
the term of this contract will be for three (3) years with a maximum of two
(2), one (1) year extensions.
CMCMC will comply with all CAC Title 15 guidelines including, but not
limited to, the following:
? Individualized treatment plans
? Vermin control
? Care of pregnant and lactating women
? Management of communicable diseases
? Decision malting related to special-need inmates
? Direct orders
? Use of restraints
? Standardized procedures
? Continuity of care
? Inmates in segregation
? Safety cell services
Health promotion and disease prevention
In addition to meeting the above Title 15 requirements, CMCMC will be
responsible for identifying, evaluating, treating and monitoring all inmate
medical conditions, including applying, monitoring and removing sutures.
The following details the services that CMCMC will be providing to the
City.
City of Santa Ana.fail -12_
Proposal for Inmate Medical Services
RFPM 07-062
25J-28
A. RECEIVING SCREENING
CMCMC recognizes that the completion and review of the intake
screening form is a critical health encounter. Not only does this process
initiate the health record for the inmate and begin to organize on-going
health care, but also more importantly, it is intended to serve the
preventive health function of protecting the confined population from
infectious diseases through astute medical evaluation.
The intake screening form is completed by the Detention Officers and
includes the following:
A. Inquiry into:
1. Fast history of illnesses and medical conditions,
2. Known allergies,
3. Current illness and health problems,
4. Communicable diseases (including sexually transmitted diseases),
5. AlcohoUdrug abuse history (method/types, as well as date and time
of last usage), and problems related to stoppage,
6. Medications currently being taken and other special health
requirements,
7. Dental status,
8. Chronic health problems (including behavioral medicine),
9. Dietary restrictions, and
10. History of, and current possibility of; suicide risk.
B. Observation of.
1. State of consciousness,
2. Mental status (including suicidal ideation),
3. Appearance,
City of Santa Ann JaiI -13-
Proposal for Inmate Medical Services
RFPR 07.062
25J-29
4. Conduct including tremors and/or sweating,
5. Bodily deformities and ease of movement, and
6. Condition of skin and body orifices including signs of trauma,
bruising, lesions, jaundice, rashes, infestations, needle marks,
and/or other signs of drug usage.
C. Explanations of procedures for accessing health care services.
D. Classification into one of the following categories:
1. Immediate emergency treatment needed,
2. Referral to an appropriate health care service, or
3. Assignment to the general population.
If the Detention Officer believes that an inmate requires immediate
medical attention or is identified as having an existing medical condition,
the medical department will be notified. A licensed nurse will then
respond to the intake area to triage the inmate and provide treatment
and/or referral to the appropriate provider, as indicated. Inmates requiring
emergency medical care, that cannot be provided on-site, will be
transferred to either the Orange County Jail or Western Medical Center,
Santa Ana's emergency room for evaluation and treatment. The intake
screening process is critical to insure that the medical liability to the City
of Santa Ana is at a minimum. CMCMC's medical staff works well with
the Detention staff to insure that this process is successful.
All screening forms will be reviewed by the NP and, if indicated, referred
to the appropriate provider for evaluation and treatment. CMCMC will
make recommendations regarding housing and handling requirements and
will provide follow-up care as indicated.
All inmate encounters will be documented and placed in the inmate's
medical record.
City of Santa Ana Jail -14-
Proposal for Inmate Mdical Services
RFP# 07-062
25J-30
B. TUBERCULOSIS SCREENING
All inmates will be screened for tuberculosis (TB) within four (4) days of
admission into the Jail. The nursing staff will begin by interviewing the
inmate to determine his/her reactivity to the tuberculin skin test (TST).
Inmates who do not have a verifiable positive test result history will have
the TST administered at this time, according to the Mantoux method, with
readings taken in 48 to 72 hours. Immune compromised inmates will be
anergy tested at the time of the skin test to minimize the risk of a false
negative result.
Positive TST results will trigger a more extensive examination to
determine the likelihood of active disease. Individuals considered positive
reactors (by history or skin test) would receive a chest x-ray. The
physician, regardless of the skin test result, will examine HIV positive or
possible positive, individuals whose chest x-rays are abnormal or whose
symptoms are suggestive of active tuberculosis. Sputurn stains and
cultures will be performed on those individuals suspected of being positive
for active tuberculosis. While cultures are pending, the inmate will be
housed in respiratory isolation. Confirmed cases of TB will be reported to
the proper authorities including the Jail Administrator and the Orange
County Department of Public Health. Inmates with inactive tuberculosis
will be given future TB testing instructions and education.
Screening results will be placed in the inmate's medical record and
reviewed and approved by the physician or NP during the health appraisal.
C. HEALTH APPRAISAL
All inmates will receive a comprehensive medical history and physical
examination within fourteen (14) days after admission. The history and
exam will be performed by qualified and trained health professionals (if
City of Sa as Ma Jail - L 5-
Proposal rot hunate Medical Services
RPPN 07-0h?
25J-31
not a physician or NP, the results will be reviewed and initialed by the
physician). The history and examination will include the following:
A. Review of the receiving screening form.
B. Review of any available medical records.
C. Review of TB testing results.
D. Completion of the medical, dental, and mental health histories. The
history will include gender specific inquiries regarding menstrual cycle
and unusual bleeding, the current use of contraceptive medications, the
presence of an IUD, breast masses and nipple discharge, possible
pregnancy for females, and penile discharge for male inmates.
E. Physical examinations including laboratory and/or diagnostic tests to
detect communicable disease (e.g., sexually transmitted diseases).
Additional tests, such as urinalysis and/or blood work, will be ordered
as determined by the examiner. Examinations for females will include
a pregnancy test, and, if indicated, Pap smear and GC cultures. HIV
tests will be completed when indicated and as consented to by the
inmate.
P. Complete vision and hearing screenings.
G. Completion of a dental screening.
11. Mental Health screening (including suicidal ideation).
1. Laboratory and other diagnostic test results.
J. Current diagnosis orders and course of treatment.
K. Referrals for follow-up and specialty care.
L. Recommendations regarding housing, job assignment, and program
participation. All recommendations will be communicated, in writing,
to the detention staff.
City of Santa Ana Jail -16-
Proposal for Inmate Medical Services
RFP# 07-062
25J-32
M. Initiation of treatment, if indicated.
All health appraisals will be documented thoroughly and forms will be
placed in the inmate's medical record.
Please see the following page for a diagrammatic depiction of the
Receiving Screening, TB testing, and Health Appraisal Process.
D. DAILY TRIAGE OF MEDICAL REQUESTS
Daily triaging of medical requests is designed to ensure that inmates have
the ability to request medical attention on a daily basis. This function also
improves the delivery of health care services by ensuring that medical
problems are prioritized and handled in a medically appropriate and timely
manner.
All inmates (including those in segregation) will be able to request
medical services by utilizing the existing written request form (described
in the following section). Requests will be gathered, reviewed and triaged
by the nursing staff seven (7) days a week, including holidays.
Emergencies will be evaluated and treated immediately. Other requests
will be prioritized and referred to the appropriate provider as indicated.
Completed request forms will be placed in the inmate's medical record.
E. SICK CALL
The objectives of sick call are several: (1) to meet the day-to-day needs of
the inmate, (2) to provide care which minimizes the potential for
exacerbation or complications, (3) to maximize the level of services
provided on-site, and (4) to provide patient education.
City or Santa Ana Jail -17-
Proposal for Inmate Medical Services
RFPP 07-062
25J-33
The Registered Nurse (RN) and/or NP a minimwn of five to six (5-6)
days a week, including holidays, will conduct sick call.
The sick call process begins when the inmate completes the
Medical/Dental Request Form. Completed request forms will be delivered
to the medical department on a daily basis. Each request will be date
stamped, reviewed, and handled in one of the following three ways: (1) as
part of daily triaging completed by the LVN, (2) scheduled to see the RN
for further evaluation, or (3) scheduled to the appropriate provider for
evaluation and treatment. All inmates requesting medical services will be
seen within 24 to 48 hours and all urgent and emergent sick calls will be
seen immediately.
Inmates who cannot attend sick call due to custody status will have sick
call services provided in their cell or module.
All sicle call encounters will be documented in the medical record.
Please see the following page for a flow chart describing the sick call
process.
F. PHARMACY SERVICES
Pharmacy services will be provided in accordance with CAC Title 15
guidelines, and all applicable federal and state codes and regulations.
CMCMC shall be responsible to provide routine over-the-counter
medications and routine prescription care for all inmates. Long-term
medication for chronic care, including HIV and psychotropic medications,
shall be the responsibility of the inmate's contracting agency.
Ciry of sma Ma Jail -19-
PRvposal ror Inmate Medical Services
RFPB 07-062
25J-34
Sick Call Process
Category I:
Minor health problems which
appear not to pose a threat to life, limb,
vision or hearing and which are treatable
with fist aid or over-the-counter medication.
This category also includes individuals
being monitored for blood pressure,
blood sugar, wound healing, etc.
Category II:
A significant health problem
which needs physician attention,
but which can be safely delayed
until the next NP/physician sick call
Category III:
A specific health problem
which demands prompt medical
attention to prevent further
compromise.
Inmates submits
sick call request
Sick call request reviewed
and triaged
by nursing staff
[F
Category IF Category II
Ir
Category III
Inmate evaluated and ?R
treatment completed
Inmate receives
medical clearance to
return to the general
population
Inmate referred to
specialist or hospital for
further care as appropriate
All information will be
incorporated into the
inmate's health record
25J-35
THEN Treated during
---> daily triage
Scheduled for next
NP/physician sick call
THEN Inmate treated
immediately by
appropriate medical
Qualified nursing personnel, during regularly scheduled pill call rounds
will administer medications in the modules. Medications will not be
administered without a prescription from the physician, dentist, qualified
mental health staff, and/or NP.
Medical record documentation will include the recording of administration
of medications, the fact that inmates are receiving and ingesting their
medications, and the reason an inmate's ordered medication was not
given, if indicated.
Pharmaceuticals will continue to be provided by Correct Rx Pharmacy
Services
803-A Barkwood Court
Linthicum, MD 21090
In order to receive competitive pricing with the pharmaceuticals CMCMC
has contracted with Correct Rx Pharmacy based out of Linthicum, MD.
Prescriptions will be prepared off site and delivered to the medical
department on a regular Monday-Saturday schedule, excluding holidays.
CMCMC will maintain a supply of STAT medications to help ensure that
inmates needing high-risk medications do not experience a lapse in
treatment.
CorrectRx will provide all medications in bulk unit dose packages.
Medications may be given in tablet, liquid or syringe form. Administering
of syringe medications will be conducted in the medical exam areas only.
Medications will then be administered by qualified nursing personnel as
ordered by the physician and/or other health care providers (i.e. dentist,
NP, Psychiatrist, etc). In most cases medications will be administered in
liquid form to decrease the chance of inmates "checking" medications.
City of Santa Ana Jail -21 _
Protwsal For Tamale Medical Servic.?
RFPB 07-062
25J-36
All medications and supplies will be secured, accessible only to
i
designated staff, and administered solely by nursing personnel unless
directed otherwise by the prescribing physician. Prompt collection of
expired non-controlled medications, unused a medication remaining after
an inmate leaves the Jail, as well as timely disposal of all Class II, III, IV,
and V medications will be monitored by the NP and the pharmacist.
A licensed pharmacist will perform quarterly pharmacy audits to ensure
contract compliance, compliance with CAC Title 15 guidelines and state
and federal regulations.
G MEDICAL DIETS
As mandated by CAC Title 15, CMCMC's responsible physician will
review and approve all diet manuals to ensure that they incorporate the
four (4) basic food groups (based on the Manual of clinical Dietetics and
Manual of the American Dietetic Association) and accommodate special
therapeutic diets, the medical staff may, upon request due to religious
and/or personal preference, advise inmates who are on restricted diets on
how to meet their nutritional needs while incarcerated. (Non-medically
restricted diets must have the approval of the Santa Ana City Jail's
Administration).
The physician and/or other qualified providers will prescribe medical
diets, as indicated. The food services department will be notified, in
writing, when a medical diet has been ordered.
Please see (page 23) for the Nutritional Guidelines Food Guide Pyramid.
City of Santa Ana Jail _22_
Proposal for Inmate Medical services
RFPN 07-062
25J-37
H. EMERGENCY SERVICES
Emergency services, including first aid and the treatment of injuries, will
be provided on-site, whenever possible. Care will be initiated, and/or
supported, by the physician, the dentist, and nursing staff. The physician
will be available 24 hours a day, seven (7) days a week.
CMCMC's medical staff will provide emergency treatment for Detention
Officers who are injured or become ill while on the job. Treatment will
consist of stabilization and referral to the individual's physician or local
emergency room.
First response medical care will also be provided to all visitors.
City of Santa Ana Jail -23-
Proposal for Gimate Medical Services
RFPH 07-062
25J-38
Food Guide Pyramid
Fats, DIIS & $udaets KEY
Fat (naturally ly occurring and added)
USE SPARINGLY 13 0 Sugars (added)
Thew symbols show fate and added sugars in foods.
Nik, Yogun & ?? W Meat, Poultry, Irish, Dry Beans,
Cheese Group Eggs & Nuts Group
2-3 SER NGS 24 SERVINGS
vegetable Group ll it Fruit {group
34 SERVINGS 2.4 SERVINGS
Bread, Cereal,
Ries & Pasta
Group
L 6.1 1
Source: USDA/DHHS
CMCMC W2006
25J-39
I. HOSPITAL TRANSFERS
If an inmate requires a level of care that cannot be provided on-site,
CNICMC will, in coordination with Jail Detention Staff, arrange for
transfer to Western Medical Center, Santa Ana's emergency department
for evaluation and treatment.
J. DENTAL SERVICES
Dental services will meet all standards set by the American Dental
Association, the Centers for Disease Control and Prevention, and
Occupational Safety and Health Administration.
On-site dental services were established at the Jail effective September 1,
1998. CMCMC contracts with Helen Ninh, DDS and Maria Mayo, DDS
for the provision of the dental services detailed below. Dr. Ninli is the
lead dentist and her business address is 48 Sunset Circle, Westminster,
California, 92683. Please see
1jiffffi"?p for a copy of Dr. Ninh's and
Dr. Mayo's Curriculum Vitae.
Inmates will receive a dental screening and instruction on basic hygiene
during the health appraisal. Identified problems will be referred to the
dentist for evaluation and treatment. On-site dental clinics will be held
once per week for a minimum of four (4) hours per clinic (depending on
the number on inmates scheduled to see the dentist).
Requests for dental services will be made available through the sick call
process (, =). Requests will be triaged and prioritized according
to acuity. All inmates needing dental care will be seen by the dentist
within three (3) weeks of submission of request.
City or Sanra Ana Jail -25-
Proposal for Inmate Medical Services
RFP4 07-062
25J-40
Dental services will include, but not be limited to:
? Extractions
X-Rays
? Temporary fillings
Y Teeth cleaning and gum care
`v 24 hour emergency services
CMCMC understands that we will not be responsible for periodontal,
endodontics, oral surgery, and the provision of orthodontic appliances.
Please see the section entitled III. Additional Services (1" P
for information regarding the repair of dentures, dental plates and
partial plates.
K. MENTAL HEALTH SERVICES
All mental health policies and procedures will meet CAC Title 1.5
guidelines, the legal and ethical guidelines of mental health professional
organizations, and federal, state, and county laws and regulations.
CMCMC will continue to utilize the services of Ravinder P. Singh, M.D.,
for the provision of mental health services. Dr. Singh has been providing
these services since January 1997. Her business address is 1905 N.
College Ave., Ste. G, Santa Ana, California, 92706. Please see
for a copy of Dr. Singh's Curriculum Vitae.
Mental health services will include:
Psychiatric assessment and evaluation:
Initial identification or inmates with mental health care needs will take
place during the receiving screening process. Inquiries into past and
present mental health problems, as well as suicidal ideation will be made.
City of Santa Ana Jail -26-
Proposal for lowate Medical Services
RFP# 07-062
25J-41
Inmates needing further treatment will be referred to the mental health
staff for evaluation and treatment. If the innate is currently receiving, or
has received treatment from an outside agency, the agency will be
contacted and the necessary mental health information will be requested.
Inmates identified as suicidal will immediately be evaluated and treated,
as needed (please see section below entitled Emergency crisis,
intervention and suicide prevention services).
Routine/non-emergent services:
Inmates can make a routine request for non-emergency mental health
services by use of the sick call request process (210*0 , ?. Detention
Officers can also refer inmates for evaluation and assistance. Routine
requests will be triaged and scheduled for the next available mental health
clinic.
Mental health clinics will be held twice a month for a minimum of four (4)
hours per clinic (depending on the number of inmates scheduled for each
clinic).
Emergency, crisis intervention and suicide prevention services:
Requests for emergency mental health services can be made by Detention
Officers and/or inmates 24 hours a day, seven (7) days a week. A member
of the medical staff will immediately respond to all emergency- requests.
CMCMC contracts with College Hospital Costa Mesa (CHCM) for the
provision of crisis intervention and mental health support services. Please
see FAIRIfiM, for CHCM vendor information.
Mental health support services include:
Y Licensed mental health professionals trained in emergency
psychiatric crisis intervention and evaluation.
City of Santa Ana Jail -27-
Proposal for Innate Medical Services
JUN 07-062
25J-42
? 24 hour, 7 days a week availability.
? Response time to the Santa Ana Jail will be 30-45 minutes.
Y Licensed staff will provide crisis intervention and evaluation of
inmates demonstrating behaviors and/or symptoms related to
psychiatric distress, i.e., severe depression and psychotic episodes
? The CHCM Mobile Response Team will continue to provide
evaluation of persons for 5150 Hold when appropriate and
facilitate transfer of clients to designated psychiatric facility. This
service will continue to be operated in compliance with Orange
County Health Care Agency policies and procedures outlined in
the Mobile Psychiatric Assessment Team Standards of Practice.
If a Federal Hold inmate is found to be acutely mentally disturbed, as well
as a danger to self and/or others, and/or gravely disabled, he will be
transferred to an inpatient psychiatric facility by the contracting agency.
Suicide prevention services will include assessment (as outlined above),
intervention, and treatment by members of the mental health and medical
staff. The scope of intervention services will include close observation,
suicide watch, emergency medications, and therapeutic restraints.
Appropriate use of ysvchotropie medications:
The psychiatrist and/or the physician will prescribe psychotropic
medications for the sole purpose of treatment of mental and emotional
disorders. Medications will be administered on a voluntary basis unless
the psychiatrist declares an emergency situation.
With the exception of emergency situations, the psychiatrist will provide
patient education at the time the medication is prescribed. The psychiatrist
City of Santa Ana Jail -28-
Proposal for Oimate Medical Services
RFPlt 07-062
25J-43
will explain to the inmate in simple language the anticipated risks and
benefits of tatting the medication. The inmate will then sign the Informed
Consent Form, acknowledging an understanding of this information.
Psychotropie medications will be ordered for no more than 30 days
without a face-to-face evaluation by the psychiatrist,
L. DETOXIFICATION
CMCMC will be responsible for the proper disposition and care of
inmates undergoing detoxification from drugs and/or alcohol. Inmates
will be individually evaluated as to the need for medically supported
detoxification treatment during the receiving screening process.
The medical staff will evaluate all inmates upon admission into and, when
notified, prior to leaving the detoxification cell. Once admitted to the
detoxification cell, a nurse will check on the inmate at a minimum of once
every six (6) hours.
Inmates, who, according to existing standardized procedures, appear to
need acute medical attention will be transferred to an appropriate setting
for treatment.
M. JAIL STAFF SERVICES
1. Staff TB testing and hepatitis vaccines
CMCMC will provide baseline tuberculosis testing to all Jail personnel
every six (6) months and immediately after any exposure incident.
Testing will be via the two (2) step Mantoux technique; intradermal
injection of 0.1 ml of purified protein derivative (PPD) containing five (5)
tuberculin units.
City ol'Sanra Ana Jail .29-
Proposal for Innate Medical Services
RFP# 07-062
25J-44
CMCMC will offer the three (3) step hepatitis B vaccinations to all Jail
personnel. The immunization series will be Recombivax HB'
manufactured by Merck, Sharpe & Dohme or as stated by the most current
regulations. Antibody testing to evaluate seroconversion and appropriate
booster injections, if indicted, will be provided after three (3) years.
Documentation regarding administering of tests, lab results and signed
consent forms will be forwarded to the Jail Administrator for inclusion
into existing personnel files.
2. Training for Jail personnel
CMCMC currently provides the Detention Officers with a minimum of
five (S) two (2) hour sessions on Blood borne Pathogens, TB, Universal
Precautions, and other topics as deemed necessary by the Jail and by
CMCMC.
N. LABORATORY SERVICES
CMCMC will continue to utilize Quest Diagnostic located in Santa Ana
for the provision of laboratory services.
All routine and non-cultured test results will be returned to the medical
department within 24 hours. Results will be reviewed upon receipt.
STAT results will be phoned into the medical department with the written
report to follow. All STAT results will be communicated to the NP and/or
physician upon receipt.
Test results along with documentation of review and plan of action will be
placed in the medical record.
City orSantn Ann Jail -30.
Proposal for Inmate Medical services
RrP# 07-062
25J-45
Laboratory logbooks will be maintained to ensure timely collection and
reporting of results. Logbooks will also be used to evaluate the utilization
of services.
0. MEDICAL RECORDS
CMCMC will maintain all medical records in accordance with, CAC Title
15 guidelines, and all other applicable codes and regulations. A complete
medical record will be initiated for each inmate.
CMCMC requires accurate and timely reporting from all members of its
medical staff and enforces policies requiring thorough documentation of
all patient encounters (including mental health encounters). Each record
will include, but not be limited to, a problem list, progress notes, receiving
screening, health assessment forms, record of medication administration,
and diagnostic test reports.
Medical records will accompany the inmate to on-site health care
encounters and will be secured separately from confinement records. A
transfer summary form and copies of pertinent medical records will
accompany inmates transferred to other correctional facilities, as well as to
off-site medical appointments and/or hospital transfers. Copies of medical
records generated off-site will be requested for inclusion in the inmate's
medical file.
CMCMC acknowledges that all medical records are the property of the
City and will be maintained by CMCMC only while its contract is in
force. All records will be kept confidential, but will be accessible to
authorized medical personnel (including dental and mental health). Files
City of Santa Ana Jail -3 t-
Proposel for Inmate Medical Services
UP 07-062
25J-46
will also be made available to other authorized individuals, as required by
law.
CMCMC will maintain inactive health records for a minimum of seven (7)
years and will follow established procedures for archival storage.
P. POLICY AND PROCEDURES
CMCMC will continue to adhere to the procedure manuals already in
existence at the Jail. These manuals comply with all CAC Title 15
guidelines and have been reviewed and approved by the Jail Administrator
and the Orange County Public Health Department. CMCMC maintained a
100% compliance for the 2007 O.C. Public Health Department audit.
All manuals will be reviewed and updated, on an annual basis. All
updates and revisions will be reviewed and approved by the Jail
Administrator, prior to implementation.
Q. MEETINGS AND REPORTS
CMCMC's Chief Operating Officer meets regularly through formal and
informal meetings with the Jail's Administration. CMCMC's ability to
meet quickly has developed prompt problem solving and pro-active dialog
to insure issues are resolved quickly before they become problems.
The medical staff will meet on a monthly basis and minutes will be kept
on file as well as distributed to all employees.
CMCMC will also be available to attend Jail and/or City meetings as
requested.
ON OF Santa Ana Jail -32-
Pr4usal for Inmate Medical services
1UN 07-062
25J-47
To ensure timely and accurate reporting of events, a comprehensive
Statistical and Activity Report will be provided to the Jail Administrator
and/or designee on a monthly basis. This report will include, but not be
limited to, statistical workload data on:
? Sick call visits
? Health appraisals
? Dental visits
Mental health clinics
? Laboratory services
? Prescribed medications
? Medical diets
D Additional services
R. QUALITY ASSURANCE PROGRAMS
Within CMCMC, quality assurance and utilization management are
viewed as codependent activities that are driven by the same purpose.
This purpose being to provide a systematic vehicle for the review,
evaluation, remediation, and monitoring of medically necessary care in a
way that provides all inmates with equal access to cost effective medical
care, that meet or exceed, community standards.
Quality Assurance (QA) mechanisms shall encompass all aspects of
medical care including, but not limited to, diagnostic studies, treatment
modalities, appropriate health resource utilization, medical record
accuracy and confidentiality, and an assessment of the patient's perception
of quality of care.
The QA Committee will be responsible for developing and implementing
QA mechanisms. The Chief Operating Officer for CMCMC has the
City or Santa Ana Jail -33-
Proposal for Inmate Medical Services
RFN 07.062
25J-48
responsibility to ensure that the Committee addresses and accomplishes
the program goals.
S. RESPONDING TO COMPLAINTS AND INQUIRIES
CMCMC will investigate all inmate-related inquiries, writs, and
complaints in accordance with the Jail's policy and procedures.
The Chief Operating Officer will investigate each complaint, develop a
response and, if indicated, a recommended course of corrective action.
This recommendation and the rationale behind it will be provided, in
writing, to all concerned parties.
If the inmate disputes the outcome of an investigation, CMCMC will
implement recommendations made by the Jail Administrator or his/her
designee.
CMCMC's staff will also testify in court concerning writs of habeas
corpus filed by inmates, as required by subpoena.
T. EQUIPMENT, FURNISHINGS, AND SUPPLIES
CMCMC understands that the City will be responsible for providing food,
linen, and other maintenance services to the inmates housed at the Jail.
CMCMC further understands that we will continue to be responsible for
all other office and routine pharmaceuticals, medical supplies, forms,
instruments, uniforms, tools, and equipment needed to provide medical
and dental services.
City of Santa Ana Jail _3q_
Proposal for Inmate Medical Services
RPPII 07-062
25J-49
III. ADDITIONAL SERVICES
The following services will be scheduled and paid for on a per-use basis.
These services will not be connected or billed together with any other
services in this proposal..
A. REPAIR OF DENTURES, DENTAL PLATES, PARTIAL PLATES
CMCMC will utilize the services of Glidewell Laboratories located in
Newport Beach, California, for all repairs of dentures, dental plates and
partial plates.
B. RADIOLOGY SERVICES
CMCMC will, if at all possible, perform all routine radiology services on-
site at the Jail. On-site services will include chest x-rays to rule out TB
and x-rays to rule out routine fractures. These services will continue to be
provided through Diagnostic Lab X-Ray. All x-rays will be taken by a
registered technician and read by a licensed Radiologist.
Emergency radiology services or services that cannot be provided on-site
will be provided by Western Medical Center, Santa Ana.
Reports will be delivered to the medical department within 24 hours.
Upon receipt, all STAT results will be communicated to the on-call
physician/NP, All results will be reviewed and placed in the medical
record. Documentation will include both the review and plan of action, if
indicated.
C. OPHTHALMOLOGY SERVICES
CMCMC has obtained the services of Margaret Taw, M.D. and Triet
Nguyen, M.D., for the provision of emergency ophthalmology services,
City of Santa Ana Jail -35-
Propasal for Inmate Medical Services
Rf N 07-062
25J-50
Le., foreign objects, possible orbital fractures, etc. Dr, Taw's business
address is 3356 W. Ball Road, #206, Anaheim, California, 92804 and Dr.
Nguyen's address is 9286 Bolsa Ave., Westminster, CA 92683. Please
see for a copy of Dr. Taw's and Dr. Nguyen's Curriculum
Vitae.
D. OBSTETRICS AND GYNECOLOGY SERVICES
CMCMC will continue to utilize the services of Joseph Khan, M.D. and
Nandi Wijesinge, M.D., for the provision of obstetrics and gynecology
services for the Jail. Dr. Khan has been providing these services since
January 1998. His business address is 1629 W. 17s' St., Ste. C, Santa Ana,
California, 92706. Dr. Wijesinge has been providing services since April
2005. His business address is 1211 W. La Palma Ave., Suite 101,
.v,a.
Anaheim, CA 92801. Please see ,, c for a copy of Dr. Kahn's
and Dr. Wijesinge's Curriculum Vitae.
E. EMERGENCY PSYCHIATRIC CRISIS INTERVENTION
CMCMC currently contracts with College Hospital Costa Mesa for the
provision of emergency psychiatric crisis intervention and evaluation. The
mental health support team will be utilized as needed for imnates in
psychiatric distress, i.e., severe depression (suicidal ideation) and
psychotic disorders (schizophrenia). CHCM provides a complete
evaluation with findings and suggested disposition for safe care of the
inmates. Their services are provided with a 30-45 minute response time.
They also provide the evaluation for 5150 holds for the local arrestees.
Please see ????' for a copy of their vendor information.
City or Santa Alin Jail -36-
Proposal for Wmate Medical Services
RPPN 07-062
25J-51
F. BILLING SERVICES
CMCMC currently provides billing services, through our claims
adjudication system, for the City of Santa Ana. This service extends to the
billing of off-site emergency medical care. CMCMC currently processes
claims for both. Hospital and Physicians providers. CMCMC includes a
complete accounting of all services that includes the following:
> Complete claims report; report includes name of patient, date of
service, provider of service and amount billed and amount to be
paid,
> Copy of each claim paid,
> Invoice for the monthly administrative fee.
> The Chief Operating Officer reviews all hospital and provider
claims to insure that the City pays for only what they are
responsible for and all other claims are directed to the appropriate
law enforcement agency.
G OFF-SITE MEDICAL SERVICES
CMCMC, in-conjunction with Western Medical Center, Anaheim,
contracts with the U.S. Marshal Service for the provision of out-patient
specialty services and hospitalization. CMCMC coordinates all out-
patient services and monitors all in-patient services to insure that
appropriate utilization of care is accomplished and the patient returns,
timely, to the jail.
City of Santa Ana Jail .37-
Propo,al for Inmate Modical Services
RFP# 07-062
25J-52
IV. PERSONNEL SERVICES
A. EQUAL EMPLOYMENT OPPORTUNITIES
CMCMC promotes a drug free work place and is an equal opportunity
employer. We do not discriminate on the basis of age, sex, race, color,
religion, sexual preference, and national origin or handicap status.
B. PRE-EMPLOYMENT PROCESS
CMCMC believes that to most effectively interact with inmates and
provide them with quality care; all staff must be capable of clear thinking,
exercising good judgment and quick decision-making and have adequate
experience in the delivery of correctional medical services (all potential
employees will have at least three (3) years health care experience).
CMCMC also believes that it is imperative that staff members serve as
healthy, stable role models and exhibit sound professional judgment.
Therefore, once CMCMC has identified a potential employee, the pre-
employment process will begin. This process includes reference checks,
verification of licensing and credentialing.
C. LICENSURE/CERTIFICATION REQUIREMENTS
All CMCMC personnel are required to possess licenses, certifications and
qualifications appropriate to their positrons. Credentials are verified with
the issuing institution before employment, or contracting, and are re-
verified annually in conjunction with regular performance reviews and
contract renewals. CMCMC personnel are also required to meet minimum
criteria for their job description and participate in initial and ongoing
training programs.
City of Santa Ana jail -3 g-
Proposat for Inmate Nledical Services
UPit 07.062
25J-53
D. ORIENTATION OF NEW PERSONNEL
All new employees will be required to complete a two (2) week
orientation program.
In addition to data and materials regarding their employment with
CMCMC, the New Employee Orientation Program will provide
employees with information on the business commitment to the City as
well as knowledge about the unique operating guidelines within the Jail.
We also work with the Jail so that all CMCMC employees receive an
orientation to the Jail's security practices, and policies and procedures
including the pamphlet "Anatomy of a Set Up".
CMCMC will also provide an adequate number of reference books for use
by the medical staff. Reference books will include, but not be limited to,
current medical dictionary, current Physician's Desk Reference, Drug
Handbooks and physical assessment manuals.
CMCMC will provide job descriptions for all staff positions. All
employees will receive a copy of their respective job description, and
signed acknowledgment of receipt will be placed in all personnel files.
Job descriptions will be reviewed and updated annually to ensure
compliance with standards and contract requirements.
E. PERFORMANCE REVIEW
Performance reviews are completed as follows:
)?, 90-Day Review:
This review is solely for the purpose of evaluating an employee's
continued employment by CMCMC.
City of Santa Ana Jail
Proposal for Inmate Medical Services
HFP# 07-062
25J-54
? Annual Review:
Generally given each year on the anniversary of an employee's
date of hire.
? Non-Scheduled Review:
From time to time a supervisor may administer non-scheduled
reviews of an employee's performance. These reviews may be the
result of prior disciplinary action, recognition of outstanding
performance, or as part of CMCMC's continued efforts to provide
timely feedback on an employee's effectiveness.
F. SECURITY ISSUES
All potential employees will be required to successfully complete a
background investigation conducted by the Jail.
CMCMC understands that the company, and its staff, are subject to, and
will comply with, all Jail security regulations and procedures. It is also
understood that the jail Administrator and/or his/her designee has the right
to deny and/or rescind facility access to any employee who does not pass
the background investigation or who violates facility policies, rules and/or
regulations.
G. RESPONSIBLE PHYSICIAN/HEALTH AUTHORITY
Dr. Gogia, CMCMC's Chairman of the Board is the Responsible
Physician and the Health Authority for the Jail. As such, Dr. Gogia is
responsible for all clinical judgments related to inmate treatment.
City of Santa Ana Jail •40-
Proposal for banate Medical Services
RPPH 07-052
25J-55
H. SOLE CONTRACTOR
CMCMC understands that the City intends to award this contract to a
single contractor. We further understand that if our contract is renewed,
CMCMC will have sole responsibility for all company business issues
including, but not limited to, subcontractor affairs; salaries; licensing;
training; administration and management issues; and bookkeeping and
benefits.
1. STAFFING REQUIREMENTS
CMCMC will maintain adequate levels of on-site staff to fulfill the health
care needs of the inmates housed at the Jail.
Full time (FTE) staff schedules will be based on 40-hour workweek.
CMCMC will observe those holidays recognized by the City. Holidays
will be staffed as weekend coverage. Each FTE will be credited with eight
(8) hours of work for each holiday.
Due to the close proximity of CMCMC's corporate office, Linda Cardoza,
Chief Operating Officer, will oversee the daily operations of this contract
with the on-site supervisor, Tera Jiron. Ms. Cardoza will be on-site as
often as needed and will be available on-call 24 hours a day, seven (7)
days a week.
RN's and/or LVN's will be on-site 24 hours a day, seven (7) days per
week and will provide the majority of on-site medical services. The NP
will be on-site to conduct sick call and complete inmate health appraisals
for the Jail. The NP will be on-site 4-5 hours per day, five (5-6) days per
week. Medical Records Clerk will also be available Monday - Friday to
assist the medical staff as needed. In addition to on-site visits, the
City of Santa Ana Jail 41-
Proposal for Inmate Medical Services
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25J-56
physician will be on-call 24-hours a day, seven (7) days per week for
emergency services.
CMCMC is submitting the staffing plans that meet the requirements
detailed in the RFP. Please see the following pages for the required
staffing plans.
On-call staff including physicians and administrative staff will be required
to carry pagers and/or cell phones at all times, and will be required to
respond to calls within 30 minutes, and to arrive at the Jail within two (2)
hours of a request to respond.
City of Santa Ana Jail -42-
Proposal for Inmate Medical Services
RGPYI 07-062
25J-57
MEDICAL STAFFING PLAN "B"
MINIMUM REQUIREMENTS
Position Sunda Monday Tuesda Wednesda --Thursday Friday Saturday
Chief On-call On-call On-call On-call On-call On-call On-call
Operating
Officer 24 hr. 24 hr. 24 hr. 24 hr. 24 hr. 24 hr. 24 hr,
On-call On-call On-call O n-call O n-call O n-call O n-ca Il
MD 24 hr. 24 hr. 24 hr. 24 hr. 24 hr. 24 hr. 24 hr.
NP 1700-2100 1.700-2100 1700-2100 1700-2100 08004200
RN 0900-2t00 0900-2100 0900-2100 0900-2100 0900-2100 0900-2100 0900.2100
RN 2100-0900 2100-0900 2100-0900 2100-0900 2100-0900 2100-0900 2100-0900
LVN 0800-2000 0800-2000 0800-2000 0800-2000 0800-2000 0800-2000 0800-2000
2000-0900 2000-0900 2000-0900 2000-0900 2000-0900 2000-0900 2000-0900
Med. Rec.
Clerk 0830.1700 0830-1700 0830-1700 0830-1700 0830-1700
Chief Operating Officer: On-call 24 hours a day, 7 days per week
MD Position: On-call 24 hours a day, 7 days per week -
(On-site sick call once a week or as needed)
NP Position: 4-5 hours per day, 5-6 days per week
RN Position: 24 hours per day (2 Day shift& 1 on night shift), 7 days per week
LVN Position: 24 hours per day (2 Day shift& 1 on night shift), 7 days per week
Medical Records Clerk: 8 hours per day, 5 days per week (40-hour work week)
Dentist: I clinic a week (Wednesdays), minimum 4-hour clinic
Dental Ass't: 4 hours a clinic, as needed
Psychiatrist: Two 4-hour clinics per month, I" and 4th Monday
25J-58
V. BONDS
If chosen as the successful bidder, CMCMC will maintain a yearly
performance and payment bonds in the amounts equal to the proposer's
annual charge for services. The performance bond shall be executed in a
manner provided by law. This bond will be submitted to the City within
20 days of notification of award.
City of Santa Ana Juil -45-
Proposal For Inmate Medical Services
RFP# 07-062
25J-59
COST SUMMARY FORM
Total annual cost for inmate medical services. $1,663.732.00
(Including Staffing Cost)
Breakdown information:
Staffing Cost $1,181,214
Pharmaceutical cost $85,000.00
Supply cost 8625M
Other $311.268.00
Additional Services (Section 13.0)
Per unit repair cost for Dentures, Plates & Partials 200.00
Per study cost for mobile x-ray service 85.00
(Including Radiologist interpretation, transcription
and delivery)
Cost per patient visit for Ophthalmology $150.00
Cost per patient visit for OB/G YN 150.00
Cost per visit for Emergency Psychiatric Crisis $50.00
Intervention & Evaluation
Monthly administrative fee for billing services 500.00
BIDDERS STATEMENT: I have read, understood and agree to the terms and conditions
on all pages of the Request for Proposal. Upon request, I will transfer and deliver goods
or services to the City in accordance with said terms and conditions.
Correctional Managed Care Medical Corporation (714) 635-4700
Complete Legal Name of Company Phone Number
1475 S. State College Blvd Anaheim, California 92806
Zip Code
Director of Finance Niza Guerrero
Signature of Authorized Agent - Title Printed Name
25J-60
CURRICULUM VITAE
Maria T. L. Gonzalez-Mayo DMD
10 13 Maertzweiler Dr
Placentia, CA 92870
(714) 572-3198
Work Experience:
2/1999 to Present: Dentist
1-lealth Care Agency, County of Orange
Correctional Medical Services
550 N. Flower St.
Santa Ana, CA 92701
Phone No (714) 647-4601
Performs General Dentistry at Orange County Jails and Juvenile
Hall
5/1999-8/2000: Dentist
Adult & Children's Dental Group
4444 Tweedy Blvd.
South Gate, CA 90280
Phone No (323) 564-2444
Performed General Dentistry
2/1999-5/1999: Dental Hygienist
Mesa Dental Center
267 E. 17"' St.
Costa Mesa, CA 92627
Phone No (949) 646-2411
P'erlormed oral prophylaxis, subgingival scaling and root
planning, coronal polish. Educated patients on soft tissue
management
11/1998-5/1999: Dentist
Jocelyn A. Soliven, DMD
8055 Van Nuys Blvd. Ste G
Van Nuys, CA 91402
Phone No (818) 787-9012
Performed General Dentistry
25J-61
Maria T.L. Gonzalez-Mayo DMD
Page 2
11/1998-5/1999: Dental Hygienist
Burton D. Schnierow, DDS, Inc
13450 Hawthorne Blvd.
Hawthorne, CA 90250
Phone No (310) 679-0106
Performed oral prophylaxis, subgingival scaling and root
planning, coronal polish. Educated patients on soft tissue
management.
10/1991-11/1998: Registered Dental Assistant
Azita Adelynia DDS
Anaheim Hills Dental Center
8170 E. Santa Ana Canyon Rd. Ste 192
Anaheim Hills, CA 92808
Phone No (714) 283-0815
And
Kagihara & Shiba Dental Office
16311 Ventura Blvd. Ste 1075
Encino, CA 91436
Phone No (818) 783-2770
Licenses:
Education:
Training:
References:
Chair side assisting: Prepared patients for examination, treatment
or surgery; took, developed and mounted dental x-rays; did
coronal polishing and sealants; took impressions and made study
models, bleaching stints and soft splints; maintained dental
supplies and equipment; removed post-extraction and periodontal
dressings; and instructed patients on oral care and hygiene.
Dentist
Registered Dental Assistant
Corona] Polishing
Dental Radiology
Doctor of Dental Medicine
Centro Escolar University
Manila, Philippines
The Art of Endodontics-Dental Education Laboratories
Dental Waste Compliance-Stericycle, Inc.
Furnished upon request
25J-62
e a
Helen Tran Ninh, D.D.S.
48 Sunset Circle
Westminster, CA 92683
Telephone: (714) 875-2319
helenninha,vahoo.com
EDUCATION:
1999-2000: University of California, San Francisco
Advanced Education in General Dentistry
Award: Certificate of Completion
1995-1999: Case Western Reserve University
School of Dentistry-Cleveland, Ohio
Degree: Doctor of Dental Surgery
1989-1994: University of California, Irvine
Biological Sciences
Degree: Bachelor gfScience
LICENSES:
California and Western Regional States
PROFESSIONAL EXPERIENCES:
Current County of Orange-Healthcare Agency
Institutional Health Services-Dental Officer
Current Cosmetic Dentistry Center
Private Practice-General Dentistry
Current City of Santa Ana-Correctional Managed Care
Contract Dentist
2001-2003: California Smile Dental Group
Private Practice-General Dentistry
2000-2001: Patricia Donnelly, DDS
Private Practice-General Dentistry
1999-2000: Buchanan Dental Clinic
General Dentistry
25J-63
1999-2000: Highland General Hospital/Alameda County Med. Center
Fixed and Removable Prosthodontics
Oral Maxillofacial Surgery
1999-2000: San Francisco General Hospital
Oral Maxillofacial Surgery
1999-2000: UCSF Mott Hospital-San Francisco
Dental Emergency/Primary on-call doctor
Acute dental care delivered in emergency room
Medical-legal documentation of phone consultations
1999-2000: UCSF Surgery Center
Hospital Dentistry
General Dentistry provided for the medically and/or developmentally
compromised patients under General Anesthesia
1999-2000: UCSF Oral Medicine Clinic Stomatelogy
Oral Pathology-Diagnosis and Treatment
1999-2000: UCSF Temporomandibular Disorder Clinic
TMD and Oralfacial Pain- Diagnosis and Treatment
TEACHING EXPERIENCES:
1996-1998: Tutoring-Case Western Reserve University
Courses: Dental Anatomy, Prosthodontics, Removale Partial
Dentures and Basic Principle of Restorative Dentistry
COMMUNITY SERVICE:
1999-2000: Home Care-San Francisco
General Dentistry - provided for the disabled and indigent elderly with
mobile units in the facilities of their own home.
1997-1999: The Free Medical-Dental Clinic of Greater Cleveland, Ohio
Oral Surgery -provided dental treatments to
Low income populations, e.g. extractions, alveoloplasty, and L&D
Summer 93 Fairview Development Center-Dental Clinic-Costa Mesa
Provided assistance to dentists in treating individuals with
developmental disabilities
LANGUAGES:
English
Vietnamese
25J-64
HONORS/AWARDS;
May 1999 CWRU-Dean's Award
May 1999 CWRU-Preceptor Achievement Award
May 1999 Psi Omega Fraternity-Fraternal Achievement Award
May 1999 Psi Omega Fratemity-Epsilon Chapter Award
may 1998 The Free Med-Dental Clinic of Greater Cleveland
May 1994 Fairview Development Center Recognition
PROFESSIONAL ORGANIZATION
Since 1997 Academy of General Dentistry
Since 1995 American Dental Association
Since 2001 California Dental Association
Since 2001 Orange County Dental Society
REFERENCES
Available upon request
25J-65
MAPITIYAGE N. WIJESINGHE, M.D., F.A.C.O.G.
OBSTETRICS & GYNECOLOGY
1211 West La Palma Avenue, Suite 101
Anaheim, CA 92801
(714) 774-8870
CURRICULUM VITAE
PERSONAL INFORMATION:
Date of Birth: December 30, 1938
Place of Birth: Kandy, Ceylon
SCHOOL EDUCATION:
1946- 1959
1953
1955
1959
1959
ACADEMIC DEGREE:
Mahinda College, Galle, Ceylon
Junior School Certification
Senior School Certification Honors
High School Certification Honors
General Certificate of Education 1959
Principal: Edgar Wijesooriya
June 1960-March 1965 Bachelor of Medicine and Bachelor of Surgery (M.B.B.S.)
With Honors
Faculty of Medicine, University of Ceylon
Colombo, Ceylon
Dean: Dr. S. Abeyratna
April 1965-October 1965
Intern, Pediatric Medicine
Lady Ridgeway Hospital
Colombo, Ceylon
Director: Dr. Stella de Silva
November 1965-April 1966 Intern, Obstetrics and Gynecology
De-Soyza Hospital for Women
Colombo, Ceylon
Director: Dr. S. Wedanda
July 1966-December 1968 Resident, General Medicine
Royal Ceylon Air Force Hospital
Katunayalcc, Ceylon
Director: Dr. S. Puvimanasinghe
M.N. Wijesinghe, M.D.
Page l
25J-66
January 1969-Dec 1969 Rotating Intern
The Bronx-Lebanon Hospital Center
Bronx, New York
Director: Dr. Milton J. Goodfriend
PRACTICE HISTORY:
1979 to 1998 1801 W. Romneya Drive, Suite 506
Anaheim, CA 92801
1998 to Present 1211 W. La Palma Avenue, Suite 101
Anaheim, CA 92801
CERTIFICATIONS:
Registry# 1306422 March 7, 11968
November 7, 1975 Diplomat, American Board of Obstetrics and Gynecology,
Inc.
February 15, 1979 Diplomat, American Board of Maternal Fetal Medicine
Registry # 3674
May 2, 1966 Member Ceylon. Medical Council
SOCIETIES:
December 31, 1976 Fellow, American College of Obstetricians and
Gynecologists
Fellow, American College of Maternal Fetal Medicine
Fellow, International College of Surgeons
1981 American Association of Gynecological Laparoscopists
Association of Professors of Gynecology and Obstetrics
1973 to 1979 Bronx OB/GYN Society
1973 to 1979 Bronx County Medical Society
1974 to 1979 Medical Society of the State of New York
Member of the OCMA
M.N. Wijesinghe, M.D.
Page 2
25J-67
Member of CMA
Member of Orange County Gynecological Society
Member General Medical Council of United Kingdom
PUBLICATIONS:
Casthely, S., Wijesinghe, M.A., and Kleiner, G.J:
Decompressing the Hydrocephalic Head in Breech
Delivery. Contemp. ZOb-Gyn 4:89,1974
January 1, 1970 to Resident, Elective - General Surgery
March 31, 1970 The Bronx - Lebanon Hospital
With emphasis of female urology and pelvic surgery
Bronx, New York
Director: Dr. Paul Gherst
April 1, 1970 to Resident, Elective - Anesthesiology
June 30, 1970 The Bronx, - Lebanon Hospital Center
With emphasis on OB/GYN anesthesia
Bronx, New York
Director: Dr. David Chadwick
July 1, 1970 to June 30 1973 Resident, Obstetrics and Gynecology
The Bronx - Lebanon Hospital Center
Bronx, New York
Director: Dr. Robert S. Neuwirth.
FELLOWSHIP:
July 1, 1973 to Fellow, Obstetrics and Gynecology
June 30, 1973 The Bronx - Lebanon Hospital Center
Bronx, New York
Director: Dr. Solan Chao
ACADEMIC APPOINTMENTS:
January 1, 1974 to Instructor
June 30, 1978 Department of Gynecology and Obstetrics
Albert Einstein College of Medicine
Bronx, New York
M.N. Wijesinghe, M.D.
Page 3
25J-68
July 1, 1978 Assistant Professor
June 30, 1979 Department of Gynecology and Obstetrics
Albert Einstein College of Medicine
Bronx, New York
1980 to 1988 Assistant Professor
Department of Obstetrics and Gynecology
University of California of Irvine Medical Center
Orange, California
1988 to 2000 Associate Clinical Professor
Department of Obstetrics and Gynecology
University of California at Irvine Medical Center
Orange, California
2000 to Present Clinical Professor
Department of Obstetrics and Gynecology
University of California at Irvine Medical Center
Orange, California
HOSPITAL APPOINTMENTS:
August, 1973 to Assistant Adjunct Attending, Obstetrics and Gynecology
December 31, 1974 The Bronx - Lebanon Hospital Center
Bronx, New York
January 1, 1975 to Associate Attending, Obstetrics and Gynecology
July 1979 The Bronx - Lebanon Hospital Center
Bronx, New York
August 1979 to Associate Attending, Obstetrics and Gynecology
September 1999 Martin Luther Hospital Center
Anaheim, California
(Hospital Closed -September 1999)
August 1979 to Present Associate Attending, Obstetrics and Gynecology
Anaheim Memorial Hospital Medical Center
Anaheim, California
1982 to Present Associate Attending, Obstetrics and Gynecology
Western Medical Center - Anaheim
Anaheim, California
January 1982 to Chairman, Tissue/Blood Committee
December 1983 Martin Luther Hospital Center
Anaheim, California
M.N. Wijesinghe, M.D.
Page,[
25J-69
January 1986 to Chairman, Department of Obstetrics and Gynecology
December 1988 Martin Luther Hospital Center
Anaheim, California
January 1990 to Chairman, Department of Obstetrics and Gynecology
December 1991 Martin Luther Hospital Center
Anaheim, California
December 1992 to Present Chairman, Department of Obstetrics and Gynecology
Western Medical Center-Anaheim
Anaheim, California
December 1992 to Present Director of Maternity Services
Western Medical Center - Anaheim
Anaheim, California
1992 to 2000 Co-Director of Maternal Fetal Medicine
Martin Luther Hospital
Anaheim, California
December 1994 to Present Director of Maternal Fetal Medicine
Anaheim Memorial Hospital
Anaheim, California
August 1994 to Present Director of Maternity Services
Anaheim Memorial Hospital
Anaheim, California
April 1994 -April 1996 Member of Board of Directors
Western Medical Center - Anaheim
Anaheim, California
January 1993 to Present President, Orange County Women's Medical Group
Anaheim, California
LICENSES:
January 22, 1973 New York State Education Department
# 115503
April 16, 1979 California Board of Medical Quality Assurance
#A33740
Certification of Full Registration as Medical Practitioner
United Kingdom
M.N. Wijesinghe, M.D.
Page 5
25J-70
CURRICULUM VITAE
MARGARET TAW, M.D.
OPHTHALMOLOGIST
3356 West Ball Road # 206
Anaheim, CA 92804
(714) 828-5919
EDUCATION:
1963-1964 University of Rangoon, Rangoon, Burma
1964-1970 Institute of Medicine I, Rangoon, Burma (M.D.)
PROFESSIONAL BACKGROUND:
1974-1975 Rotating Internship
Greater Baltimore Medical Center
1975-1976 Fellow and Resident in Anesthesiology
Johns Hopkins University and Hospital
1976-1980 Resident in Ophthalmology
Sinai Hospital of Baltimore and U.S.
Public Health Hospital, Baltimore
1980-1982 Major, U.S. Army Medical Corps
Walter Reed Army Medical Center
Fellow in Retinal and Vitreous Surgery and General Staff
Ophthalmologist
1983-1991 General Ophthalmologist, Kaiser Permanente
1991-present Ophthalmology Private Practice
PROFESSIONAL ASSOCIATION:
Member of American Academy of Ophthalmology
BOARD STATUS:
Board Eligible
25J-71
Margaret Taw, M.D.
Page 2 of 2
LICENSURE:
States of California # A33315 and Maryland
PERSONAL:
Date of Birth: March 8, 1947
Marital Status: Married, one child
INTERESTS:
Singing, Cooking and helping the disadvantaged
25J-72
CURRICULUM VITAE
H. JOSEPH KHAN, M.D.
Obstetrics & Gynecology
1629 W. 17`x' Street, Suite C
Santa Ana, CA 92706
(714) 972-2111
EDUCATION
Private Practice Obstetrics and Gynecology
July 1, 1994 to Present
Chief Resident Department of Obstetrics and Gynecology
PGY III & IV Harbor/UCLA Medical Center
1000 Carson Street
Torrance, California 90509
July 1, 1992 to June 30, 1994
Resident Department of Obstetrics and Gynecology
PGY I & 11 St. Vincent Medical Center/New York
Medical College
355 Bard Avenue
Staten Island, New York 10310
July 1, 1990 to June 30, 1992
Medical School
Pre-Professional
LICENSURE
Wayne State University
School of Medicine
Detroit, Michigan
M.D,
Wayne State University
Detroit, Michigan
B.S., Biology
State of California
State of New York
MEMBERSHIPS American College of OB/GYN (ACOG)
Daniel Morton Society (OB/GYN) - UCLA
Orange County Medical Association
REFERENCES
Furnished upon request
25J-73
CURRICULUM VITAE
Ravinder P. Singh, M.D.
Psychiatry
12555 Garden Grove Boulevard, Suite 202 Garden Grove, CA 92843
(714) 537-7722
PREMEDICAL:
1963 Punjab, India
MEDICAL SCHOOL:
Jan 1968 MBBS Gomco, Patiala, India
INTERNSHIP IN PSYCHIATRY:
Jan-Dee 1975 UCI Medical Center, Orange, California
RESIDENCY IN PSYCHIATRY:
Jan 1976 to UCI Medical Center, Orange, California
Dec 1977
BOARD CERTIFICATION:
1981 Psychiatry
PSYCHIATRIST CONSULTANT:
April 1978 to Orange County Medical Health Clinic
Aug 1989 14180 Beach Blvd
Westminster, California
(714) 896-7650
JAMISON - FARABEE REVIEWER:
Aug 1985 to Metropolitan State Hospital
June 1992 Norwalk, California
25J-74
Ravinder P. Singh, M.D,
Page 2
PRIVATE GENERAL PRACTICE:
12555 Garden Grove Boulevard, Suite 202
Garden Grove, California 92843
(714) 537-7722
MEDICAL DIRECTOR:
April 1990 to Adult Psychiatric Services Western Medical Center, Anaheim, CA
Present
1991-1993 Adolescent Unit Western Medical Center, Anaheim, CA
Jan 1995 to Partial Psychiatric Hospital
Present
April 1994 to Western Medical Center Santa Ana Gero-Psychiatric Services
Jan 1995
CHAIR PERSON OF DEPARTMENT OF PSYCHIATRY:
Jan 1991 to Western Medical Center, Anaheim, CA
Present
PRESENTATION OF TEEN PREGNANCY CRISIS AND PREVENTION:
KHJ - TV Channel 9
November 12, 1987
25J-75
CURRICULUM VITAE
SAMIR AZZA.M, M.D.
American Board offamily Practice
2100 W. Lincoln Ave. Ste. B
Anaheim, CA 92801
Telephone: (714) 776-2100
Fax: (714) 776-1226
RESIDENCY: Genesis Regional Medical Center, St Joseph Campus
Flint, Michigan, affiliate to Michigan State University, Family
Practice Program 1990-1993
MEDICAL Damascus University Medical School
EDUCATION:
Doctor of Medicine (M.D.) 1981-1987
EXPERIENCE: - "Chief Resident," Family Practice Residency Program.
- Associate clinical professor at UCI medical school
- Family Medicine Practice in Anaheim: 1993-present
- Chief of Medicine-Tustin Hospital: 2004-2007
- Vice Chief of Medicine-Westem Medical Center, Santa Ana:
2007
- Medical Director-Santa Ana Jail
LICENSURE: Medical License of Family Practice
BOARD American Board of Family Practice.
CERTIFICATION:
FMGEMS/ECFMG, FLEX, BLS, ACLS
Certified as OME: Oualified Medical Evaluator
RESEARCH: Detecting and treating early stages of Lung Cancers, using LASER
beams. Importance of Myoglobin levels in. detecting Myocardial
Infarction.
PUBLICATION: Ilemodialysis and its complications in acute and chronic renal
failure
PRACTICE: Family Practice, Hospital coverage
REFERENCES: Furnished upon request
25J-76
EXHIBIT B
25J-47
COST SUMMARY FORM
Total annual cost for inmate medical services. $1,663,732.00
(Including Staffing Cost)
Breakdown information:
Staffing Cost $1,181,214
Pharmaceutical cost $ 85,000.00
Supply cost $ 86,250.00.
Other $311,268.00
Additional Services (Section 13.0)
Per unit repair cost for Dentures, Plates & Partials 200.00
Per study cost for mobile x-ray service $85.00
(Including Radiologist interpretation, transcription
and delivery)
Cost per patient visit for Ophthalmology $150.00
Cost per patient visit for OB/GYN 150.00
Cost per visit for Emergency Psychiatric Crisis 5$ 0.00
Intervention & Evaluation
Monthly administrative fee for billing services $500.00
BIDDERS STATEMENT: I have read, understood and agree to the terms and conditions
on all pages of the Request for Proposal. Upon request, I will transfer and deliver goods
or services to the City in accordance with said terms and conditions.
Correctional Managed Care Medical Corporation (714) 6354700
Complete Legal Name of Company Phone Number
1475 S. State College Blvd Anaheim, California 92806
Business Address City/State Zip Code
Director of Finance Niza Guerrero
Signature of Authorized Agent - Title Printed Name
25J-78
REQUEST FOR PROPOSAL
RFP # 13-036
INMATE MEDICAL SERVICES FOR
THE SANTA ANA JAIL
CITY OF SANTA ANA
CALIFORNIA
KEY RFP DATES
Issue Date: August 8, 2013
Job Walk: August 20, 2013, 10:00 a.m.
Proposal Due Date: September 10, 2013 on or before 5:00 p.m.
Exhibit B
25J-79
REQUEST FOR PROPOSAL
INMATE MEDICAL SERVICES FOR
THE SANTA ANA JAIL
The City of Santa Ana Jail (City) is seeking qualified vendors to provide written proposals for inmate medical
services.
All inquiries concerning this Request For Proposal (RFP) should be directed to:
City of Santa Ana
Santa Ana Jail
62 Civic Center Plaza
Santa Ana, CA 92701
Attn: Chris Laugenour
Email: CLaugenour(csanta-ana.org
Envelopes containing proposals are to be marked "Proposal: Inmate Medical Services 13-036."
One (1) original and two (4) copies of each proposal are to be delivered or mailed to:
City of Santa Ana
Purchasing Division M-16 (41h floor)
20 Civic Center Plaza
Santa Ana, CA 92701
Facsimile transmission (FAX) copies are not acceptable.
Key RFP Dates:
Pre-Proposal Job Walk:
August 20, 2013 10:00 a.m.,
Meet at:
Santa Ana Jail Lobby
62 Civic Center Plaza
Santa Ana, CA 92702
Proposal due date and time: September 10, 2013 5:00 p.m.
z
25J-80
RFP INSTRUCTIONS
1. ALTERNATIVES: Any changes or alternatives must be set forth in a letter attached to this offer. The City has the
option of accepting or rejecting any alternative offer. Brand names, if any, are given for quality control only. Bids
on "equals" are encouraged; however, the bidder must give evidence of equal utility and quality.
2. REJECTION: The City reserves the right to reject any or all offers and to waive any informality in any proposal.
3. PERIOD OF ACCEPTANCE: Unless otherwise stated, bids shall be subject to acceptance by the City for a period
of ninety (90) calendar days following the opening of bids.
4. SAMPLES: When required, bidder shall furnish samples of items free of expense to the City, and if not destroyed
by test may, upon request made at the time the sample is furnished, be returned at the bidder's expense.
5. TAX: The City is exempt from Federal Excise Tax. Bidder shall show as a separate item California State Sales
and/or Use Tax.
6. ALL OR NONE PROPOSALS: The City reserves the right to make an award based on partial items unless the
proposal submitted by the bidder is marked "ALL OR NONE."
7. BONDS: When deemed necessary by the City, Bid Bonds shall be furnished by all bidders in the amount of at
least 10% of the bid, to guarantee that bidders will enter into contract to furnish goods at prices stated. Likewise, a
Performance Bond shall be required of the successful bidder when stated in the Specification. (Cash deposit,
Certified or Cashier's check or Money Order may be submitted in lieu of either Bond).
8. TERMS OF PAYMENT: Payment terms will be considered "NET 30 days" unless a cash discount is offered for
earlier payment. Cash discounts may be considered in evaluating the proposal.
*Note: The City is unable to process discounts with terms for less than 20 days.
9. PROHIBITED INTEREST: Bidder agrees it shall disclose to the City in writing any financial interest, direct or
ndirect, in Bidder's business or in this transaction held by any City Council member or any City officer or
employee. City reserves the right to refuse any offer if City determines a conflict of interest exists. A conflict of
interest may be determined to exist in any instance where the City officer or employee participates in or influences
any decision-making process affecting a proposal or contract in any way whatsoever.
10. LOCAL VENDOR PREFERENCE: For RFP evaluation purposes, a 1 % preference will be applied to all offers for
taxable goods submitted by vendors located within the City limits of Santa Ana.
Effective 3-5-12, the Santa Ana City Council adopted Ordinance Number NS-2828 for a LOCAL PERFERENCE
PROGRAM. Full details are available on the City's web site, under Finance & Mgmt Services (located on the left
hand side, under "departments"). For bid evaluation purposes, a 7% preference for small Santa Ana businesses,
and a 4% preference for small Orange County businesses, is given respectively on all qualifying bids for materials,
supplies, labor, equipment or services.
The explanation on the City's web site covers Santa Ana Business and Orange County Business definitions.
25J-81
GENERAL TERMS AND CONDITIONS OF THIS BID
AND ANY RESULTING CONTRACT
1. PAYMENT: Payment by City will be processed within thirty (30) days following receipt of proper invoice
evidencing work performed and subject to City accounting procedures. No additional charge will be paid by the
City unless expressly included and itemized herein.
2. DELIVERY: Time of delivery, as shown herein, must be adhered to. All goods shall be shipped F.O.B.
destination designated by the City. Vendor assumes full responsibility for packing, crating, marking, transportation
and liability for loss and/or damage. All transportation charges to be prepaid by Vendor.
3. LATE DELIVERY ASSESSMENT: The Vendor agrees to pay late-delivery assessment for any delay in delivery
(except those beyond its reasonable control) beyond the date agreed to and shown in the purchase order or
contract in an amount equal to the expenses incurred by the City due to the delay, including but not limited to
expenses such as rental of like equipment to fulfill the need while awaiting late delivery, added cost of manpower
or other resources, or other costs as can be shown to have resulted from delaying receipt of the ordered goods or
services. The penalty will be deducted from the amount due to the Vendor under the purchase order or contract.
4. INSPECTION: City shall be under no obligation to unpack or inspect the products and/or service. The Vendor
shall be responsible for the consequences of negligent manufacture and packing, and for the consequences of
negligent handling prior to point where City assumes ownership. The expense of subsequent tests due to failure of
goods first offered will be charged against the Vendor.
5. GENERAL GUARANTEE: The Vendor guarantees that a) Vendor owns all rights, title and interest in the products
and services and has the legal authority to sell, license or otherwise transfer the right to use to the City; b) the
products and services are free from defects in material and workmanship for a minimum period of one (1) year
from the date of acceptance by the City, unless otherwise stated as part of the bid; and c) Vendor shall repair or
replace all such defective goods F.O.B. destination
6. NONDISCRIMINATION: Vendor agrees that the "Certification of Nondiscrimination by Contractors" attached and
executed by Vendor or on file with the City, is specifically made a part of the bid by this reference.
7. INDEMNIFICATION: The Vendor guarantees and agrees to indemnify, defend and hold harmless the City against
any or all loss, liability damages, demands, claims or costs alleged by third parties arising out of Vendor's
performance. This includes defective material and products, faulty work performance, negligent or unlawful acts,
and noncompliance with any applicable local, state or federal codes, ordinances, orders or statutes including, but
not limited to, the Occupational Safety and Health Act (OSHA) and the California Industrial Safety Act. This
guarantee is in addition to and not intended as a limitation on any other warranty, expressed or implied.
8. TERMINATION: The City reserves the right to terminate the order or delay delivery or acceptance of any products
and/or services ordered resulting from this RFP without penalty upon ninety (90) days written notice to the Vendor.
9. ASSIGNMENT: Vendor may not assign, transfer, delegate, or subcontract any right, obligation, performance
herein without the prior written consent of the City's Purchasing Manager and any such assignment, transfer,
delegation or subcontract without the Purchasing Manager's prior written consent shall be considered null and
void.
10. DEFAULT: In case of default by the Vendor of any of the conditions of this RFP or contract resulting from this
RFP, the Vendor agrees that the City may procure the articles or services from other sources and may deduct
from the unpaid balance due the Vendor, or collect against the bond or surety, or may invoice the Vendor for
excess costs so paid plus reasonable administrative costs. Prices paid by the City shall be considered the
prevailing market price at the time such purchase is made.
11. LAW AND JURISDICTION: The validity, performance and construction of this order shall be governed by the laws
of the State of California. Both parties further agree that Orange County, California, shall be the venue for any
action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement.
12. ADDITIONAL TERMS: No additional term specified in the RFP shall be part of the contract unless affirmatively
accepted by the City in writing.
25J-82
13. PROTESTS
Vendors may file a Bid "protest" with the City's Purchasing Department. In order for a Bidder's protest to be
considered valid, the protest must:
1. Be filed in writing within five (5) business days after the proposal issue date or before 5:00 p.m. of the
5th business day following the posting of Proposal Results/Notice of Intent to Award Contract on the
City's website;
2. Clearly identify the specific irregularity or accusation;
3. Clearly identify the specific City staff determination or recommendation being protested;
4. Specify, in detail, the grounds of the protest and the facts supporting the protest; and
5. Include all relevant, supporting documentation with the protest at time of filing.
If the protest does not comply with each of these requirements, it will be rejected as invalid. If the
protest is valid, the City's Purchasing Manager, or other designated City staff member, shall review
the basis of the protest and all relevant information. The Purchasing Manager will provide a written
decision to the protestor within fourteen (14) calendar days.
25J-83
TOTAL QUALITY SERVICE
The City of Santa Ana is committed to the principles of Total Quality Service (TQS) in serving its customers.
All aspects of the City's service are affected including our commitment to making on time payment for
material and services received.
Since vendors, who provide services and/or material to the City are indirectly serving the same customers, it is
important for the City to expect vendors to share the same commitment to quality including price, delivery
and product quality, as well as timely response and service quality.
Therefore, prepare a statement of your "quality commitment" to accompany your bid. The statement should
address the following five items in regard to services and/or material provided to the City for your quoted price:
1. ON-TIME DELIVERY: a commitment to delivering material & services
on or before the promised time.
2. TIMELY RESPONSE: a commitment to consistent timely response
to all service requests.
3. QUALITY AS SPECIFIED: a commitment to provide products and/or
service meeting or exceeding the specification at your quoted price.
4. QUALITY CONTROL: a commitment to use methods or procedures
to assure quality control of service, material and invoicing.
5. CUSTOMER SATISFACTION: a commitment to resolve customer concerns
regarding the quality of service or material supplied.
The quality statement should be included with your bid. It is required as a prerequisite to making your
bid responsive and therefore must be submitted before your bid is evaluated. To the extent that
your statement enhance the quality of service or material provided to the City, your statement will be
incorporated in the terms and conditions of the contract
Please Complete This Self-Rating of Delivery (complete) Performance:
Circle One: on time 4 • late
Previous Orders: 5 4 3 2 1
Service Response Performance: 5 4 3 2 1
Order for items on this bid: 5 4 3 2 1
Write your statement below or on an enclosed separate sheet.
Signed:
Date:
6
25J-84
CERTIFICATION OF NONDISCRIMINATION
BY CONTRACTORS
As suppliers of goods or services to the City Of Santa-Ana, the Firm listed below certifies that it will not
discriminate in its employment practices against any employee or applicant for employment because of such
person's race, religion, national origin, ancestry, sex, sexual orientation, age, physical handicap, mental
disability, marital status, domestic partner status or medical condition; that it is in compliance with all federal,
state and local directives and executive orders regarding nondiscrimination in employment; and that it
agrees to demonstrate positively and aggressively the principle of equal opportunity in employment.
WE AGREE SPECIFICALLY:
1. To take affirmative steps to hire minority employees within the company.
2. To establish or observe employment policies which affirmatively promote
opportunities for minority persons at all job levels.
3. To communicate this policy to all persons concerned, including all company
employees, outside recruiting services, especially those servicing minority
communities, and to the minority communities at large.
FIRM
TITLE OF PERSON SIGNING
SIGNATURE
DATE
Please include any additional information available regarding equal opportunity
employment programs now in effect within your company.
7
25J-85
Table of Contents
Rules of Preparation ...................................................................................................................9
Evaluation Criteria ........................................................................................13
1.0 Introduction ...........................................................................................................................13
2.0 Medical Services Plan .......................................................................................................14
3.0 Proposer Qualifications .............................................................................................................15
4.0 Staffing ..................................................................................................................................15
5.0 Qualifications of Staff .............................................................................................................16
6.0 Responsible Physician/Health Authority ...............................................................16
7.0 Sole Contractor .....................................................................................................................16
8.0 Equipment & Supplies ...............................................................................................................16
9.0 Pharmaceuticals ...........................................................................................16
10.0 Dental Care ................................................................................................17
11.0 Psych Clinic ................................................................................................17
12.0 Jail Staff Services ..........................................................................................17
13.0 Additional Services .......................................................................................18
14.0 Costs .........................................................................................................19
15.0 Term .........................................................................................................19
16.0 Termination .................................................................................................19
Appendices
Appendix A: Cost Summary Form .........................................................................................................22
Appendix B: Sample Insurance Forms ............................................................................23
8
25J-86
RULES GOVERNING COMPETITION
INTRODUCTION: This is an RFP conducted in accordance with the regulations of the City of Santa Ana. Non-
compliance with any instructions may render they proposal nonresponsive and may result in the rejection of a
proposal. This RFP is not a formal bidding process governed by State statute and the term 'bidder' should mean
'proposer'.
ACCEPTANCE OF PROPOSALS: The City reserves the right to reject any or all proposals and to waive any
informality, technical defect or clerical error in any proposal as the City may deem prudent.
ORAL COMMUNICATIONS: Any oral communications by any City employee concerning the RFP are not
binding on the City and shall in no way modify the RFP or any obligation to the City or the proposer
RFP AS BASIS FOR PROPOSAL: This RFP represents the most definitive statement the City will make
concerning the information upon which the proposals are based. Any additional information, whether written or
oral, which is not contained in the RFP, or in Addenda to the RFP, should not be considered by any proposers in
preparing their proposals.
Any person contemplating the submission of a proposal should thoroughly examine all of the UP documents.
If there is any doubt as to the meaning or intent of these documents, the proposer shall request clarification via
e-mail to: Eva Goods, at egoods@santa-ana.org. Requests for clarification must be received by the
Purchasing Division no later than 5:00 p.m., August 23, 2013. Any interpretation or change in the RFP will
be made in writing in the form of an Addenda to the RFP and will be furnished to all proposers receiving the
RFP. Proposers shall submit all addenda with their proposals, or indicate receipt of all Addenda.
In addition to the above, the City may issue Addenda to clarify or to add or subtract from the RFP. In such an
event, additional time to respond to the RFP may be provided to proposers if the City deems it necessary
PROPOSER'S UNDERSTANDING: Each proposer must inform him/herself of the conditions relating to the
execution of the work, and it is assumed that he/she will make him/herself thoroughly familiar with the RFP.
Failure to do so will not relieve the successful proposer of his/her obligation to enter into a contract and
complete all work in accordance with the proposal documents.
9
25J-87
PROPOSAL COSTS: The cost of preparing and delivering the proposal is the sole responsibility of the proposer
and is not chargeable to the City
PRE-PROPOSAL MEETING: All persons wishing to submit a proposal should attend the pre-proposal meeting
to be held August 20, 2013 at 10:00 a.m. at the Santa Ana Jail lobby, 62 Civic Center Plaza, Santa Ana, CA,
92701. The jail lobby is at the southeast corner of the building. Attendance to the pre-proposal meeting is
strongly encouraged. Proposals submitted by vendors who did not attend will be considered nonresponsive.
Parking is available immediately adjacent to the jail, parking validation is not available.
PROPOSAL SUBMISSION: Delivery of the proposal package is the sole responsibility of the proposer.
Proposals may be delivered in person, by U.S. Mail or commercial messenger and must be received during
normal business hours (Monday through Friday from 8:00 a.m. until 5:00 p.m.). Delivery and mailing address
for proposals is: City of Santa Ana, Purchasing M-16, 20 Civic Center Plaza, Santa Ana, CA 92701. Mark
envelopes "Proposal: Inmate Medical Services R TP 13-036". Proposals received after September 10, 2013,
5:00 p.m. will be returned to proposer unopened.
WITHDRAWAL AND MODIFICATION OF PROPOSALS: A proposal may be withdrawn at any time prior to
the submission deadline by an authorized representative of the proposer by formal written notification of
withdrawal. Another proposal may then be submitted prior to the submission deadline. Submitted proposals
shall become the property of the City after the submission deadline. Withdrawn proposals will not be mailed
back to proposers, proposers may pick up withdrawn proposals or the City shall destroy withdrawn proposals
upon written request from the proposer.
CONTRACTUAL OBLIGATIONS: The City shall require certain contractual obligations. These may include
but are not limited to the following:
Inclusion of Proposal: The proposal submitted in response to this RFP will be required to be included as part
of the final contract with the selected proposer.
Inclusion of REP: This RFP will be required to be included as part of the final contract with the selected
proposer.
io
25J-88
Insurance: The successful proposer shall not start work until all insurance requirements meet the approval of
the City. The proposer is also responsible for all subcontractor insurance requirements.
Certificates of insurance shall be in duplicate and addressed to the City of Santa Ana. All insurance shall
remain in effect during the life of the contract. Certificates must indicate that the City shall receive written
notice thirty (30) days prior to any cancellation or reduction in coverage.
1. Comprehensive General Liability insurance to include Completed Operations, Contractual, Independent
Contractors and Personal Injury; and Automobile Liability, including all auto; with at least the following
combined limits of Liability:
(a) Primary Bodily Injury Liability limits of $1,000,000.00 per occurance
(b) Primary Property Damage Liability limits of $1,000,000.00 per occurance
(c) Primary Bodily Injury and Property Damage Liability combined single limit of $1,000,000.00 is
preferred
2. Medical malpractice insurance of not less than three (3) million dollars per occurrence.
3. Employer's Liability with a combined single limit of $1,000,000.00
4. Worker's compensation insurance, with limits established and required by the State of California.
5. No more than twenty (20) days after notification of award, a separate additional insured endorsement is
required for part "1" above (Commercial general liability insurance) naming the City of Santa Ana, its
officers, agents, employees and volunteers as additional insured.
Selection: The final award of a contract is subject to approval by the Santa Ana City Council.
Contract: A resulting contract may include any written material made as part of your proposal. This material
may include but is not limited to; answers to questions contained in this RFP letters, telegrams, facsimile and
product literature.
STATUTES AND RULES: The terms and conditions of the RFP, the resulting services, and furnishing of
commodities based on the RFP shall conform to the statutes, rules and regulation of the Federal Government,
State of California, City of Santa Ana and the Santa Ana Police Department.
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PROPOSAL INCLUSIONS: Five (5) copies of the proposals and one electronic copy, all information requested
in this RFP and the following items must be submitted in writing:
• A declaration of the proposer's ability to perform the services requested and meet all qualifications, terms
and conditions outlined.
• A description of the vendor's correctional medical experience.
• A reference list that includes all of the proposers correctional clients, located in the State of California, for
the previous three (3) years, whether they are currently clients or not. References should include name,
location and size of each facility and name and phone number of a knowledgeable contact person for each.
• Proposals must clearly indicate the legal name, address and telephone number of the proposer. Proposals
shall be signed above the typed or printed name and title of the signatory. The signatory shall have the
authority to bind the proposer to the submitted proposal.
• Any changes or modifications to the terms and conditions the proposer wishes the City to consider.
Proposers are encouraged to offer any other options that may be of interest to the City, with the
understanding that their proposal must first address the RFP requirements. Options are to be identified as
such.
PROPOSAL OPENING AND VALIDATION CHECK: Proposals will be opened and checked for the presence
of the required information outlined in this RFP. Absence of required information may render the proposal
nonresponsive and may be cause for rejection.
VENDOR'S ABILITY TO PERFORM: If, during the evaluation process, the City is unable to determine the
proposer's ability to perform under the contract if awarded, the City may request from the proposer any
information which the City deems necessary to determine the proposer's ability to perform. If such information
is requested, the proposer will be so notified and will be allotted five (5) business days from the date of
notification to submit the requested information. If the information submitted by the proposer or available from
sources other than the proposer is insufficient to satisfy the City as to the proposer's ability to satisfactorily
perform the required services or fulfill the terms of the contract, the City may reject the proposal. The City's
determination of proposer's ability to perform shall be final.
BONDS: Prior to executing a contract with the selected proposer the City shall require the proposer to submit
performance and payment bonds in amounts equal to the proposers annual charge for services. Cash deposit,
certified check, cashier's check or money order may be submitted in lieu of a bond. Bonds must be submitted
within twenty (20) calendar days of notification of award.
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EVALUATION CRITERIA: Evaluation of proposals will be completed within thirty (30) days of the proposal
due date. An evaluation team composed of representatives of the City will evaluate proposals on a variety of
criteria. The criteria upon which the evaluation of the proposals will be based on the following:
• Past Performance on similar contracts 20%
• Experience and expertise of proposer's staff. 20%
• Attention to the requests and requirements stated in this RFP. 20%
• Cost 40%
PROPOSAL BINDING: Proposals shall be binding on the proposer for one hundred eighty (180) days from the
proposal due date and shall state such.
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SPECIFIC CONDITIONS
SANTA ANA JAIL INMATE MEDICAL SERVICES
1.0 INTRODUCTION
The Santa Ana Jail is a Type II direct Supervision jail with a maximum capacity of 512 inmates. The jail houses
short term pre-arraignment inmates as well as longer term federal prisoners. The average daily inmate
population for the first half of 2013 has been 470 consisting of the following breakdown:
Male - 350
Female - 88
LBGT-32
Low Term Contract Inmates
I.N.S. - 189
I.N.S (LBGT) - 32
U.S. Marshall - 248
Short Term Inmates
Santa Ana Arrestees - 1
LAPD - 1
2.0 MEDICAL SERVICES PLAN
The Santa Ana Jail medical services plan calls for properly licensed medical personnel to:
• Identify, evaluate, treat and monitor inmate medical conditions.
• Pre-screen all incoming inmates to determine medical needs and ability to provide adequate care.
• Review Inmate Medical Request forms and provide appropriate medical care. The jail strives to provide
response for inmate medical requests within 24 hours.
• Prescribe and dispense approved medications (tablet, liquid and syringe).
• Prescribe medical diets.
• Conduct physical examinations.
• Provide first aid and treat injuries. Apply, monitor and remove sutures.
• Provide weekly dental clinics.
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• Provide biweekly psych clinics.
• Provide staff TB testing and Hepatitis vaccinations.
• Provide annual staff training required by law.
• Maintain detailed, accurate and confidential medical records, logs and files in accordance with California
Board of Corrections, Title 15 and the National Detention Standards of Immigration and Code Enforcement
Bureau
• Review and approve jail medical policies and procedures.
• Present timely and accurate reports to the Jail Administrator.
• All medical services will meet California Administrative Code (CAC), Title 15 - Minimum Standards for
Local Detention Facilities, National Detention Standards of Immigration and Code Enforcement Bureau as
well as all other applicable laws, regulations, codes and guidelines relating to health care services and
programs in adult detention facilities in the State of California.
3.0 PROPOSER QUALIFICATIONS
To be eligible to submit a proposal in response to this RFP a proposer must;
• Be organized for the purpose of providing contractual health care services.
• Possess no less than three (3) years experience providing correctional health care services with proven
effectiveness.
• Possess prior experience providing health care services to correctional facilities of similar size.
• Comply with all applicable California Board of Corrections, Title 15 standards.
4.0 STAFFING
Medical staff shall be present 24 hours daily, every day of the year. Minimum staff requirements are as follows:
Staffing Plan "A"
• Physician - One (1) on call 24 hours daily.
• NP - One (1); eight (8) hours per day, five (5) days per week.
• RN - Three (3); twelve (12) hours per day, seven (7) days per week.
(2 Dayshift/1 Nightshift)
• LVN - Four (4); twenty-four hours per day (two each shift), seven (7) days per week.
• DDS - Four (4) hours per week.
• Dental Assistant - Four (4) hours per week, if necessary.
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• Psychiatrist - Eight (8) hours per month.
• Medical Records Clerk - One (1); forty (40) hours per week, five (5) days per week.
One (1) physician shall be on call twenty-four (24) hours daily for phone consultation and or response to the
Jail. A physician must be available by cell phone and shall be required to telephone the jail within thirty (30)
minutes of a call. A physician shall be required to arrive at the jail within two (2) hours of a request to respond.
In the instance of a medical emergency, medical staff shall be required to provide medical services until
paramedics arrive.
5.0 QUALIFICATIONS OF STAFF
Medical staff shall possess no less than three (3) years of correctional medical experience as a state licensed
medical practitioner. All medical staff shall maintain current licensing from the State of California to practice
medicine.
6.0 RESPONSIBLE PHYSICIAN / HEALTH AUTHORITY
Proposer shall appoint one (1) physician as the Responsible Physician for the Santa Ana Jail. The Responsible
Physician for the jail shall perform all duties and functions of the Responsible Physician as described and
referred to in California Board of Corrections, Title 15 Standards.
Proposer shall appoint one (1) physician or medical administrator as the Health Authority for the Santa Ana Jail.
The Health Authority for the jail shall perform all duties and functions of the Health Authority as described and
referred to in California Board of Corrections, Title 15 Standards.
The physician appointed as the Responsible Physician for the jail may also be appointed as the Health Authority
for the jail.
7.0 SOLE CONTRACTOR
Should a contract be executed as a result of this RFP, it will be with a single contractor. The contractor shall be
responsible for all of its business issues including but not limited to, subcontractor affairs, salaries, licensing,
training, administration and management, bookkeeping and benefits.
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8.0 EQUIPMENT AND SUPPLIES
Contractor shall purchase, own and maintain all medical equipment and consumable supplies. Contractor shall
ensure that adequate supplies of pharmaceuticals and consumable medical supplies are maintained at all times.
9.0 PHARMACEUTICALS
Contractor shall provide routine over-the-counter pharmaceutical and routine prescription care for all inmates.
Long-term medication for chronic care, including HIV and psychotropic medications shall be the responsibility
of the inmate's contracting agency.
10.0 DENTAL CLINIC
The Santa Ana Jail medical services plan requires the contractor to provide dental services in the form of one (1)
weekly dental clinic. Each clinic shall last no less than four (4) hours, unless there is an insufficient number of
patients in need of care. Dental clinics shall provide a range of dental care including but not limited to x-rays,
extraction, teeth cleaning and gum care. Dental clinics shall not be required to provide oral surgery, orthodontic
services or devices.
11.0 PSYCH CLINIC
The Santa Ana Jail medical services plan requires the contractor to provide psychiatric services in the form of
one (1) psych clinic every other week. Each clinic shall last no less than four (4) hours, unless there is an
insufficient number of patients in need of care. Psych clinics shall provide a range of services including psych
evaluations, counseling and prescription of psychotropic medications.
12.0 JAIL STAFF SERVICES
Contractor shall provide baseline tuberculosis testing to all Santa Ana Jail personnel every six months and
immediately after any exposure incident. Baseline skin test must be via the Mantoux technique: intradermal
injection of 0. 1 ml of purified protein derivative (PPD) containing five (5) tuberculin units.
Contractor shall provide a three (3) injection hepatitis immunization series to all Santa Ana Jail personnel
(unless already done). Immunization series must be Recombivax HB' manufactured by Merck, Sharpe &
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Dohme or as stated by the most current regulations. Contractor shall provide a blood test to all immunized
employees three (3) years after initial immunization and shall administer a booster to those employees that have
diminished immunity.
Contractor shall maintain accurate and detailed records of all employees' immunization and baseline history.
Contractor shall provide four (4) hours of annual training to Santa Ana Jail personnel. Training consists of two
(2) hours of blood-borne pathogens training and two (2) hours of tuberculosis awareness training in accordance
with State mandate.
13.0 ADDITIONAL SERVICES
All services contained in this section shall be called for and paid for on a per-use basis. These services shall not
be connected to or billed together with any other services in this RFP. Contractor must be able to provide each
of these services, either internally or via subcontractor, and must detail their plan for provision of each of these
services in their proposals, including complete data on any subcontractors indicated.
• Repair of dentures, dental plates and partial plates. This service must be available on an as needed basis and
billed one flat rate per repair.
• Mobile X-ray services. This service must be available on an as needed basis and billed one flat rate per
study. Contractor must be capable of responding to the jail to provide service and must be capable of
providing x-ray study, technical component, radiologist interpretation, transcription and delivery on the
same day when necessary.
• Ophthalmology services. This service must be available on an as needed basis and billed one flat rate per
patient visit.
• OB-GYN services. This service must be available on an as needed basis and billed one flat rate per patient
visit.
• Emergency Psychiatric Crisis Intervention and Evaluation. This service will be on an as needed basis for
inmate in psychiatric distress, i.e. severe depression (suicidal ideation) and psychotic disorders
(schizophrenia). Upon completion of evaluation, a finding and suggested disposition for safe care of the
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inmate will be provided. Services will be provided with a response time of 30 - 45 minutes and will be
billed one flat rate per visit.
• Billing services for off-site emergency medical care (Optional). Such billing services shall include a
complete accounting of all services performed in addition to a detailed report of the cost of such services.
Billing services shall include a monthly administrative fee.
14.0 COSTS
Proposers shall declare the fees for inmate medical services, excluding additional services listed in section 13.0,
in the form of one flat annual fee. Cost data must be sealed in separate envelopes from proposals and be
provided using the attached Cost Summary Form
15.0 TERM
The term of any contract executed as a result of this RFP shall be three (3) years with a maximum of two (2),
one-year extensions upon mutual agreement of the proposer and the City.
16.0 TERMINATION
Should the City enter into a contract with a proposer, each shall retain the right to terminate said contract with
ninety (90) days written notice.
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BONDS
1. Bid Bond: A Cashier's Check/Certified Check/Bid Bond properly made payable to the City of Santa Ana in
an amount equal to ten percent (10%) of the total amount of this proposal is required to be attached to the
bid sheet and is given as a guarantee that the bidder will execute the Agreement and furnish the required
bonds and Certificate of Insurance, if awarded the contract, and in case of failure to do so within the time
provided, (a) the proceeds of said check shall be forfeited to the City; or (b) surety's liability to the City for
forfeiture off the face amount of the bond shall be considered as established.
2. Performance and Payment Bonds: The successful Proposer shall furnish at its own expense a Faithful
Performance Bond satisfactory to the City in the amount of one hundred percent (100%) of the full amount
of the contract as a guarantee of good faith on behalf of the Contractor that the terms of the contract,
including all warranty provisions, shall be complied with in every particular, and a Payment Bond in the
amount of one hundred percent (100%) of the full amount of the contract. Such bonds shall be in effect
during the entire term of the contract and warranty and shall be issued by a corporate surety (not an
individual surety) registered in the State of California and registered to do business in the County of
Orange.
Bonds shall specifically provide that if the Contractor or its subcontractor fails to fully perform (i.e., the-
Faithful Performance Bond) or fail to pay for amounts due under the Employment Insurance Act, (i.e., the
Payment Bond) that the surety or sureties will pay for the same in an amount not exceeding the amount
specified in the bond and in case suit is brought against the City, that the surety will undertake the defense
of same.
LABOR DISCRIMINATION
Attention is directed to Section 1735 of the Labor Code, as added by Chapter 643, Statutes of 1939, which reads
as follows:
No discrimination shall be made in the employment of persons upon public works because of the race,
religion, creed, color, national origin, ancestry, physical handicap, medical condition, marital status, or sex
of such persons, except as provided in Section 1420, and every contractor for Public Works violating this
Section is subject to all penalties imposed for a violation of the Chapter."
A copy of the Certification of Nondiscrimination by Contractors, as provided with this specification, shall be
executed by Proposer and submitted with the Proposal and Contract.
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Exhibit A
COST SUMMARY FORM
Total annual cost for inmate medical services.
(Including Staffing Cost Option "A")
Breakdown information:
Staffing Cost "A"
Staffing Cost "B" (optional)
Pharmaceutical cost
Supply cost
Other
Additional Services (Section 13.0)
Per unit repair cost for Dentures, Plates & Partials
Per study cost for mobile x-ray service
(Including Radiologist interpretation, transcription
and delivery)
Cost per patient visit for Ophthalmology
Cost per patient visit for OB/GYN
Cost per visit for Emergency Psychiatric Crisis
Intervention & Evaluation
Monthly administrative fee for billing services
(Optional)
PROPOSER'S STATEMENT: I have read, understood and agree to the terms and conditions on all pages of the
Request for Proposal. Upon request, I will transfer and deliver goods or services to the City in accordance with
said terms and conditions.
Complete Legal Name of Company
Business Address
Phone Number
City/State Zip Code
Signature of Authorized Agent - Title Printed Name
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EXHIBIT B
ADDITIONAL INSURED ENDORSEMENT
FOR COMMERCIAL GENERAL LIABILITY POLICY
Insurance Company
This endorsement modifies such insurance as is afforded by the provisions of Policy
relating to the following:
The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees,
agents, volunteers, and representatives are named as additional insureds ("additional insureds") with
regard to liability and defense of suits arising from the operations and uses performed by or on behalf of
the named insured.
2. With respect to claims arising out of the operations and uses performed by or on behalf of the named
insured, such issuance as is afforded by this policy is primary and is not additional to or contributing
with any other insurance carried by or for the benefit of the additional insureds.
This insurance applies separately to each insured against whom claim is made or suit is brought except
with respect to the company's limits of liability. The inclusion of any person or organization as an
insured shall not affect any right which such person or or organization would have as a claimant if not so
included.
4. With respect to the additional insured, this insurance shall not be cancelled, or material reduced in
coverage or limits except after thirty (30) days written notice has been given to the City of Santa Ana, 20
Civic Center Plaza, Santa Ana, California 92701.
(Completion of the following, including countersignature, is required to make this endorsement effective.)
Effective
Policy #_
Issued to
this endorsement form as part of
Named Insured
Countersigned by
Authorized Representative
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