HomeMy WebLinkAboutCORRECTIONAL MANAGED CARE MEDICAL CORPORATION (CMCMC) 7-2014Mf
AGREEMENT FOR THE PROVISION OF
INMATE MEDICAL SERVICES
BETWEEN
CITY OF SANTA AN
AND
CORRECTIONAL MANAGED CARE MEDICAL CORPORATION
THIS AGREEMENT is made and entered into this 1st day of September, 2014 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 company 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:
TERM
This Agreement shall commence on September 1, 2014 and tonninate on September 30,
2014, unless terminated earlier in accordance with Section 15, below.
2. SCOPE OF SERVICES
Contractor shall provide basic and emergency medical services to im ates 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 2014.
3. COMPENSATION
a. The Total Annual Sum to be expended under this Agreement for staffing,
pharmaceuticals, supplies and other services shall be abase amount of $139,061 with an
additional contingency not to exceed $56,500 for costs associated with extended liability
insurance and employee retention to ensure continuous and compliant medical operations, for a
total agreement amount of $195,561.
b. Invoices shall be paid monthly by the 30a' day of each month, after receipt of a
complete invoice, Payment for Additional / Chargeback Services shall be made within thirty
(3 0) 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 tern
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.
7. 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 Htunan
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
the performance of the work under this Agreement, Contractor agrees to obtain and maintain any
employer's liability insurance with limits not less than $1,000,000 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 $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 I 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.
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 whale 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 conmunication in the manner provided in this Section, to the following persons:
To City: Cleric of the City Council
City of Santa Ana
20 Civic Center Plaza (M -30)
P.O. Box 1988
Santa Ana, CA 92702 -1988
Facsimile (714) 647 -6956
With courtesy copies to:
and
City of Santa Ana
Santa Ana Jail
60 Civic Center Plaza
Santa Ana, California 92702
Facsimile (714) 245 -8116
City Attorney
City of Santa Ana
20 Civic Center Plaza (M -29)
F.O. Box 1988
Santa Ana, California 92702
Facsimile (714) 647 -6515
To Contractor: Correctional Managed Care Medical Corporation
4211 E. La Palma Avenue
Anaheim, California 92807
Facsimile (714) 528 -5801
Attn: Hannohinder 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 doceased 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,
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 terms 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 the City 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 irmnediate
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
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:
1. 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
CPR, 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
1990 (42 U.S.C, 12101 et seq.) as they exist now or may be 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 WITI3 ALL LAWS
a. Contractor shall cause all of its activities under this Agreement and all activities at
the Santa Ana Detention Facility to be perfonned 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 -
Minirnum 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.
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:
ALHO
City,
Senior ,ksiistant pity Attorney
RECOMMENDED FO APPROVAL:
CARLOSROJAS
Chief of Police
10
CITY OF SANTA ANA
DAVID CAVAZOS
City Manager
CORRECTIONAL MANAGED CARE
EXIIIBIT A
II
11, MEDICAL SERVICES
CMCiMC's proposal for the Jail is based on a contract start date of
September 1, 2007 and an Initiate population of 480, We understand that
the term of this contract will be for three (3) years with a minimum of two
(2), one (1) year extensions,
CMC'MC will comply with all CAC Title 13 guidelines ittoluding, but not
limited to, the following;
➢ individualized treatment plans
> Vermin control
> Care of pregnant and lactating women
> Management ofcommunloable diseases,
D Decision malting related to special•rieed irunates
➢ Direct orders
Use of restmints
Y Standardized procedures
a Continuity of care
> inmates in segregation
> Safely cell services
> Health lxornotion and disease prevention
In addition to rncetiag the above Title 15 requirements, CMCMC will be
responsible for Identifying, evaluating, treating and, aloultmi.ng all Inmate
medical conditions, including applying, monitoring and removing sutures,
The following details the services that CMCMC will be providing to the
City.
city or3nnta Ana.tna -12-
&opoaal Rar Inniaw Madioal Saving
RM 07 -062
A. RECEIVING G SCREEI ING
CMC ViC reeognizes that the completion and review of the intake
screening form is a critical health enCOVIner. 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 intendod to serve the
ptoventivo health function of protecting the confined population from
infectious diseases through astute rnedi.oal evaluation,
The intake screening form is completed by the Detention Officers and
includes the following;
A. frqui.xy into:
1. Nast history of illnesses and medical conditions,
2, Known allergies,
3. Current illness turd health problems,
A•. Communicable diseases (i.nchiding sexually transmitted diseases),
S. Alcohol/drug abase history (method /typos, as well as date and time
of last usage), and problems related to stoppage,
6. iMcclications currently being tatcen and other special health
requirements,
7, Dental status,
8. Chronic health problems (including behavioral medicine),
9. Dietary restrictions, and
10. Watery of, and retreat possibility o',f, suicide risk.
B, Observation of.
1, State of conselousnoss,
2. Mental status (including sulcidal ideation),
3. Appearance,
City dSan[u Flinn Jnll
Proposal for Innato Medical Servlcns
RRV 07 -062
4,. Cnndaat including humors and or sweating,
5. Bodily deformities and ease of movement, and
6. Condition cf skin and body orifices including signs of tratuna,
braising, lesions, jaundice, rashes, infestations, needle marks,
and/or other sigtts 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 lnmate rewires immediate
medical attention or is identified as having an existing medical condition,
the medical department will be notified. A licensed nurse will than
respond to the intake area to triage the inmate and provide treatment,
and/or mfarral to the appropriate provider, as indicated, lwnatss requiring
wrzasgency medial care, that cmtnot be provided on -site, will be
transferred to either the Change County Jail. or Western Maciical Center,
Santa Ana's emergency room for evaluation and treatment. The intalce
screening process is critical. to insure that the medical liability to the City
of Santa Ana is at a.mmi ntun, CNICIMC'a medical staff works well with
the Detention staff to lasurc that this process is auccessful.
All screening forms will be reviewed by the NP and, if indicated, referred
to the appropriate provider for evaluation and treatment. CNtC NIC 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 Anna rail r 14
Proposal for lnnmla Medloal aurvlaaa
RFPA 07.062
B. TUBERCULOSIS SCREENING
All inmates will be screened rot tuberculosis (TB) within 'four (4) days of
admission into the fall. no 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 is 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 ar
possible positive, individuals whose Ghost x�r ys are abnormal or whose
symptoms are suggestive of active tuberculosis. Sputum stains and
cultures will be performed on those individuals suspected of being positive
for active tuberculosis. While oultuwe are pending, the inmate, will bw
I'roused in rospiratery isolation. CwTfirmed cases o't'TB will be reported to
the proper authorities including the Jail Administrator and the Orange
County Dopattment of Pu.blio Health, lnmatas with inactive tuberculosis
will be given future TB testing instructions and education.
Sorcening results will be placed in tyre 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 fourteon (14) days after admission. The history and
exarn will be performed by qualified and trained health professionals (if
c'lty orsanta Ana tall -15-
Propeal fnr hanatn is dial &ervla®n
al' PN 07.O61
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 "178 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 hunatm
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 wont, will be ordered
as determined by the examiner Examinations for females will include
a ,pregnancy test, and, if indicated, 'Pap smear and QC cultures. HIV
tests will be completed when indicated and as consented to by the
harnate.
F, Complete vision and hearing screenings,
t.. Completion of a dental screening,
Ii, Mental Health screening (including suicidal ideation).
1. Laboratory and other diagnostic test res'nlm
d. Current diagnosis orders and course of treatment.
K. Referrals for follow-up and specialty care.
L, Recommendations regarding housing, Job assignment, and program
participation, Ali rworomendations will be conumunicated, in writing,
to the detention staff,
City ONVnlnMOW]
hrorosnl'for 6mraro Mladkal aorOoae
RPf�'ll 07.062
M. irutiarion of treatrttent, if indicated.
All health appraisals will be documented thoroughly and forms will be
placed in tho irmate's medical record.
Please see the following page for a diagrammatic depletion of the
Receiving Screening, TB testing, and Health Appraisal Process.
D, DAILY TRIAGE OF MEDICAL REQUESTS
U-SICK CALL
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 iq a medically appropriate and timely
manner.
All inmates (including those in segregation) will be able to request
medical services by utilizing the oxistirg written '.request :Form (described
in the following section). Requests will be gathered, reviewed, and triaged
by the musing staff seven (7) days a week, including holidays.
Emergencies will be evaluated and treated Immediately. Other rogruests
will be prioritized and referred to the approp:huo provider as indicated,
Completed request forms will be placed ire the inmate's medical record,
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 OfSlmla Aofthil 47-
Pmpusal Rvr Inmate blodical somicos
APN 07402
The Registered Nurse (RN) and /or NI' a minlmutn of lave to six (9.6)
days a week, including holidays, will conduct sick: call,
The sick call process begins when the inmate completes the
Medieal/Denud 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 INN, (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
seers within 24 to 48 hours and all urgent and ernorgent sick', calls will be
seen immediately.
Inmates who cannot attend sick call due to custody status wilt have sick
call services provided in their cell or module,
All sick oat encounters wiA be doeuanented in the medical record.
Please see the following page for a .flow chart describing the sick call
process.
F, PHARMACY SLI RVICES
Pharmacy services will be provided in accordance with CAC Title 15
goidoliaes, and all applicable federal and state codes curd regulations,
CNICNIC shall be responsible to provide routine over- the «counter,
modicatiow and :routine prescription care for all inmates. Long -term
medication for chronic care, including 1 TV and psyohotr'opic medications,
skull be the responsibility of the inmate's contracting agency,
City of SflOi Anti ,U
rl'OPOSO lar Inmara M odloal sevvion
MVIt 07•062
Side CA Process
Category T;
Minor health problams which
appear nor to pose a threat to Ilse, drab,
Vision or hearing and,wbidh are treatable
With. fhist aid or overthe- Counter medication.
This category also includes l adivlduais
beingmunttored for blood. pressure,
blood su f.,a r, wound healing, ote.
Category 11;
A sign tlx4r t health problem
which needs physiolan attention,
bar which can be ioNly belayed
until the next NP /physleian sick call
Category III:
A specific health problem
which demands prompt nrodicat
attentioa to prevent further
oanapromiso.
Inmates submits
sick call request
Sick Gall request re
and triaged
Lp' TY'1�N Treated during
ar
Category [ daily tringo
[fv, I THabr j Scheduled for next
Category 11 Np /phys cltin sielccall.
('p 1 "faLN Tomare aeated
Category Tt1 immediately by
aonrouriate medical staff
farnate evnluatad and OR
treatment completed
Innate receives
medical clearance to
rotura to the General
All information will be
incorporated info the
inmate's health record
.inrnato referred to
specialist or hospital for
further Cara as aormopriate
Qualified nursing personnel, during regularly scheduled pill call rounds
will administer medications in the modules. Medications will not be
administered without a preacription from the ,physician, dentist, qualified
mental health staff, and /or NP,
Medical record docurrientation 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 Pharnmoy
services
803•A Barkwood Court
I,inthioum, MD 21090
In order to receive competitive pricing with die pharntaceutioals CMCMC
has contracted with Correct Rx. Pharmacy based out of l,inthicum, MD.
Presoriptions wilt be pmpared off silo and delivered to the medical
dopartntent on a regular Monday�,Saturday schedule, excluding holidays,
CMCMC will maintain a supply of STMT inedications to help ensure that
inmates needing lrlgh•ri.sk medications do not experience a lapse in
treatrncnt.
CorrectRx will provide all medications in bulk unit dose packages.
Medications may be given in tablet, liquid or •syriu.ge farm. 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 (Le. dentist,
NP, Psychiatrist, etc). In most cases medications will be administered in
liquid farm to decrease the chance of inmates "cheeking;" medications.
City GNAnta Ana Jail .2 t-
Pmpoaal a)r hrmato Ma&al •Servic"
RPM 07-)62
All medications and supplies will be seoured, accessible only to
designated staff, and administored 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 11, 111, IV,
and V medications will be iramitarod by the NP and the pharmacist.
A licensed pharmacist will perform quarterly pharmacy audits to ensure
contract compliance, compliance wide 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 inoorporate the
four, (4) basic food groups (based on the Manual of clinical Dietetics and
Manual of the American Dietetic Association) and awcommoilate special
therapeutic diets, the medical staff may, upon request due to religious
and/or ,personal preference, advise inmates who are on restricted dicta on
how to meet their nuttitional needs while rncarcorated. (NcnMmcdically
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 araodioai diet has been ordered.
Please see (page 23) for the Nutritional Guidelines Food Guide Pyramid.
Cky oP Saida Am, Jail _22_
Proposal rar llunaie'luodical SmAccs
RETO 07.062
H. EMERGENCY SERVICES
Fnaergenoy sotvioes, inchtdiag 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
wilt be available 24 hours a day, seven (7) Clays a week,
CMCMC's medleal staff will provide emergency hratment for Detention
Officers who are injured or becorne lK 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 QtSuntu Ana ruit .23,
Praposnl $v Gimin Mcdlcal Seevlres
Gera 07462,
L HOSPFIALTRANSIVERS
If an inmate requires a level of care that cannot be provided art -site,
CMCMC 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 moot all standards set by the American Dental.
Assooiation, the Centers for Diseasc Control and Prevention, and
QcoupatLpnal Safety and Health Administration,
Ori -site dental services were established at the Jail effective September 1,
1998. CMCMC contracts with Fielen Minh, DDS and Maria, Mayo, DDS
for the provision of the dental services detailed below, Dr. Minh is the
lead dentist and her businoss address is 61.8 Sunset Circle, Westralaster,
Callforrria, 92533. Please see 111INXIM for a copy of Dr, Niah'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, bn, sito dental clinics will be hold
once per week for a nnlnimum of form (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 (3101M), Requests will bo triaged and prioritized according
to acuity. All himates needing dental pare will be seen by the dentist
within threo (1) weeks of submission of request,
City d8anta Aae lniI ,75„
PV'oynso Poe Inmate iWQ(Nal $Orrvlans
RYPI 07062
Dental services will include, but not be limited for
> .Extraotians
> X£ Rays
> T'omporary fillings
D Teeth cleaning and gum care
rr 24 hour emergency services
CMCMC understands that we will not be responsible for periodontal,
eadodontics, oral surgery, and the provision of orthodontic appliances,
Please see the seotton entitled.&gl. Additional ,Sarvieea (12ORMA
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 €oderal, state, and county laws and regulations.
CMCMC will continue to utilize the services of Rav'tnder P. Singh, M.D.,
for the provision of mental health servi.oes. Jar. dtngh has been providing
these services ulnae January 1997. Her basiness address is 1305 X
College Ave, Sto, G, Santa Ana, California, 92706. Please see
for a copy of Dr. Siagh's Cutdoulam Vitae.
Mental health sotTlces wilt include:
!'��1G, aestg,�erac�n»�,��6?uatiia �
laitiat identification of inmates with mental :health care needs will take
place duthtg the receiving screening process, ingtkies into past and
present mental health problems, as well as suicidal ideation will be made.
City or'iata Ana Jail .26-
Proposal for 6unato Wadlo"I Services
RFP4 07.062
Lrm.ates needing further treatment will be referred to the mental health
staff for evaluation and treatment, If the innate is currently receiving, ov
has received treatment from an outside agency, the agency will be,
contacted and the necessary mental health information w ll 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).
Inmates 'pan make a routine request for nonwcmergency mental health
services by use of the sick call request. process ( , 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).
Emetrp rl, eravis is'tc� ventitrn agrtia% „s }taaisle ir�venti zt e, �sl
Requests for ernergency mental health services can be made by Detention
Officers and /or inmates 24 hours a day, seven (7) days a week, A membor
of the medical staff will immodi,ately respond to all emergency requosts,
CMCMC contracts with Collage Hospital Costa Mesa (CPSCM) for the
provision of crisis intervention arid mental health support services, Please
see for CHCNt vendor information.
Mental health support services include:
> Licensed man7tat health professionals trained in emergency
psychiatric crisis intervention and evaluation.
City of Sar.ta Ann Jail .27„
Proposal ti,t Im ato Mcd'ioal Suvlcos
REN 07.062
F� 24 hour, 7 days a week availability,
yw Response time to the Santa Ana Jail will be 30-45 minutes.
D Licensed staff will provide crisis intervention acrd evaluation, of
inmates demonstrating behaviors and/or symptorns related to
psychiatric distress, i.e., severe doprossion and psychotic episodes
b The CHCM Mobile Response Team will continue to provide
evaluation of persons for 51% Mold 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 Practioe,
If a, Federal Hold inmate is found to be acutely mentally disturbed, as well
as a danger, to self and /or others, andot gravely disabled, ire will be
transferred to an lnpatienh psychiatric facility by the contracting agency.
Suicide 'prevention services will lncludt assesamerit (as outlined above),
hrteavoatioa, and treatment by members of the mental health end medical
staff, The wopo of intervention services will include close observation,
suicide watch, ornergoney medications, and therapeutic restraints,
Anuroori ato use o'f tisychotronic mo'dicadonsl;
The psychiatrist and /or the physician will prescribe psychouopie
medications for the sole purpose of treatment of mental and emotional
disorders. Medications will be adminletered on a voluntary basis unless
the psychiatrist declares an emergency situation.
With the exception of emergency situations, the psychiatrist: will provide
patient education at lire time the medication is .prescribed. The psychiatrist
City of ama An¢Tell -28-
proposal ror 6unnle Medical, services
RFN OM62
will explain to the inmate in simple language the anticipated, rides and
benefits of taking the medication. The inmate will Chen sign the Infortneit
Consent Form, acknowledging an understanding of this information.
Psychotropic medications will be ordered for no more than 30 days
without a face- to4acc evaluation by the psychiatrist,
L. ICE TOXIMA'T'IO
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
dotox11e4tion 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
dotoxification cell, a nurse will check on the inmate at a tnlnimtua Of once
every six (6) hours,
Itunates, who, according to existing standardized procedures, appear to
need acute medical attention will be transferred to an appropriate setting
for trea.tmett.
M. SAIL STAFF SERVICES
1.. Staff TR testing aad lteaattis vend r
CMCMC will provide baseline tuberculosis testing to all ]'ail personnel
every six. (6) months and immediately after any exposure incident.
Testing will be via the two (2) step Mantoux teohnldue; httradermal
injection of 0.1 ail of pa`ified protein derivative (??D) containing five (S)
tuberculin units.
City orSWUL Ana Jan „yg,
Proposal Ibr tunata Modioal 5oivicas
RV111107,062
CMCMC will offer the three (3) step hepatitis B vaodmitious to all Tail
personnel. The immunization se dos will be Rccornbivax b1B'
manufactured by Merck, Sharpe & Dohme or as stated by the most current
regulations, Antibody testing to evaluate ser000nversion and appropriate
booster injections, if indicted, will be provided after three (3) years.
Documautation .regaading administering of tests, lab results and signed
consent forms will be forwarded to the Tail Adri nistrator for inclusion
into existing personnel files,
3, TE4111jag for Jail Derionnel
CMCMC currently provides the Detention Officers with a minimum of
five (5) two (2) hour sessions on .Blood borne ;pathogens, T11, Universal
Precautions, and other topics as doomed necessary by the Jail and by
CMCMC.
N. LABORATORY ORY SERVICES
CMCMC will continue to utilize Quest Diagnostic located in Santa Ana
for the provision of laboratory services.
All roWne and non�eultured test re cults will be returned to the medical
department within 24 hours. Results will be reviewed upon. rooeipt,
STAT results will be phoned into the medical department with the written
report to follow, All STAT results will be communicated to the N? and /or
phywleian lapon receipt.
Test results along with documentation of review and plan of action will be
placed in the medical record.
City orSanta Anti Jail
Propma a,r Immune Medical sorvlwn
U-N 07-062
Laboratory logbooks will be maintalned to ensure timely collection and
reporting of results, Logbooks will also be used to evaluate the' utilization
of services.
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 camunters (including mental health encounters), Faeh record
will include, but not be limited to, a problem list, progress notes, receiving
screening, health assessment fonns, record of medication administration,
and diagnostic test reports.
Medical records will accompany the innate to on�sito health care
encounters and will be socured separately from confitionwat records, A
transfer summary fom and copies of portin.ent 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 irunate'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
Poroa. All records will be kept confidential, but will be accessible to
authorized medical personnel (including dental and mental health). Piles
City,frSMW Alla Jail I.
Peornsal fur Inmute wdlual services
2018 07062
will also be made available to other authorized individuals, as required by
law.
CMCMC will maintain inactive health records for a minirauen of seven (7)
years and will Follow established procedures for archival storage,
A POLICY AND PROCEDURE S
CMCMC will continue to Whom 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 u'pdat'ed, on an annual basis. All
updates and revisions will be reviewed and approved by the Jail
Adrnhrietmtor, prior to implementation.
CMCMC's Chief Operating Officer meets regularly through formal and
informal meetings with the Jail °s. Adminisira.tion" CMCMC's ability to
meet quieldy'hm developed prompt problem solving and, pro - active dialog
to insure issues are resolved quickly before they become problems.
The medical stall" will meet on a monthly basis and minutes will be kept
on rile as well as distributed to all employees.
CMCMC will also be available to attend Jail and/or City meetings as
requested.
CITY Of SAW Marall .32.
Proposal for laatalc Medical Services
RPrH 07 -062
To ensure 'timely and accunue reporting of events, a enrol >rehetrsive
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
A Health appraisals
> Dental. visits
r, Mental health clinics
➢ Laboratory services
r Rrosoribed medications
➢ M odioal diets
r Additional services
P. QUA1,1TYASSURANCE 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 systornatie 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 at
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 patlont's perception
of quality of care.
The QA Committee will be responsible for developing and implementing
QA mochanisms, The Chief Operating Officer [or CMCMC. has the
City oBwita Ana Jail ,33..
proposal for inmate Modica(sarviox
RpP# 07.062
responsibility to ensuro that the Committee addresses and aerwtnpllshos
the program goals.
S. IIESPO NVIiNG TO C(I1VI LAIINTS 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 end, 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 ,fail Administrator or his /her
designee,
CN[CMC's staff will also testify in court ooncorning writs of habeas
corpus filed by inmates, as regtdred by subpocna.
"I, EQUIPMENT FURNISHINGS,, AND SUPPLIES
CMCMC utulerstarl& that the City will be responsible for providing food,
linen, and other maiutena,rice services to the inmates housed at the Jail.
CMCMC Rixther understands that we will continue to be responsible for
all other office and routine pharmaceuticals, medical supplies, forms,
instruments, uniEirrms, tools, and equipment needed to provide medical
and dcrual services,
Clly of Sania Ann Jail �34-
Proposal rorInute M060al 30rvirus
RM (17.06+
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 OIL DENTURES, MENTAL 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 Diagnostio Lab X -Ray. All x -rays will be taken by a
rugistomd technician and read by a licensed Radiologist.
Cmergency radiology services or services that cannot be provided, on -site
will be provided by Wostera Medical Center„ Santo, Ana,
Reports will be delivered to the medical departmcat within 24 hours,
Upon reocipt, all SCAT mutts will be communicated to the on -call
physiolan/ R All results will be reviewed, slid placed in the ntedi,cal
record. Documentation will laolude both the tevl.ow and plan of action, if
indicated.
C. OPHTHALMOLOGY SERVICES
CMCMC has obtained the services of Margaret Taw, M.D. and Triet
Nguyen, M.A., for 'the provision of emergency ophthalmology services,
my orsoam MaJull -35•.
rmpo &al air Wmat3 MG(11041 Sao ;Cos
UPI 07-062
i.e., 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 $olsa Ave., Westminster, CA 92683 Please
see I M for a copy of TX Taw's and Dr. Nguyen's Curriculum
Vitae.
D. OBSTETRICS AND GYNECOLOGY SERVICES
CM.CMC will continue to utilize the services of loseph Khan, M.D. and
Nandi Wijesinge, M.D., for the provision of obstetrics and gynecology
services for the Jail, Dr. 1{hau has been providing these services since
January 1998. His business address is 1629 W. 17`h St., Ste, C, Santa Ana,
California, 92706. Dr. Wijesinge [Las bacn'providing services since April
2005. His business address is 1211 W, La Palnaa Ave., Suite 101,
Anaheim, CA 92801, Please see M' for a copy of Dr. Kabn's
and Dr. W ijesinge's Curriculum Vitae.
E. EMERGENCY PSYCHIATRIC CRISIS INTERVENTION
CNICMC currently contracts with College [dospind Costa Mesa i'or Clio
provision o:P emergency psychiatric crisis intervention and evaluation. The
mental health support team will be utilized as needed for inmates in
psychiatric distress, Le,, severe depression (suicidal ideetion) and
psychotic disorders (schizophrenia). CEC'M provides a complete
evaluation with findings and suggested disposition for safe care of the
immutes. Tleeir services are provided with a 30-45 minute response time.
They also provide the evaluation for 5150 holds for the local arrestees.
Please see &J0,, „ for a copy of their vendor infonnatio.n.
C'Ity of Santa Ain Jall •36-
Proposal for bmare Mudlcaf 5orvluon
IMS 07462
R BILLING SERVICES
CMCMC currently provides billing services, through our claltns
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:
D Complete claim 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 Officcr reviews all hospital and provider
claims to insure that the City pays for only what they are
responsible for and all other olairns are ditocied to the appropriate
law Ord rrcrment agency.
C. O F- SdTF, MEDICAL SERVICES
CMCMC, in- oorjunotten with Western Medical Center, Anahem,
contracts with the U.S. Marshal Service for the provision of out - patient
specialty services zstd 'hospitalization. CMCMC coordinates all out-
patient services and monitors all in- patient services to insrua that
appropriate utilization of coo is accomplished and the patient returns,
timely, to the jail.
('try of Snma Agin Jail .37..
Proposal r er Inmate Nlediral Samiees
Rr'9H 07-062
N. PERSONNEL SERVICES
A. EQUAL EMPLOYMENT OPPORTUNITIES
CMCMC promotes a drug flee work place and is an equal opportunity
employer. We, do not discriminate on the basis of ago, sex, race, color,
religion, sexual preference, and national origin ar 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,
exeroising 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 rxperieaco),
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, dw pre-
employment process will begin. This process includes reference checks,
verification of licensing and crodential ag,
All CMCMC personnol are required to possess licenses, oettificadons and
qualifications appropriate to their positions. Credentials are verified with
the issuing institution befero 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
orkoria for their job description and participate in initial and ongoing
training programs.
City of Santa Ann Jail -38-
Proposal for [nmale Mddioai Smites
RFP@ 07,062
D. ORIENTATION OF NEW PERSONNEL
All new empl'oyeew 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 ootrunitrritent to the City as
well as knowledge about the unique operating guidelines within the Tail,
We also work with the Jail so that all CMCMC employees receive an
orientation to the ,Tail's security practices, and pollclos 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 inelude, but not be limited to,
current nredlcal dictionary, current Physician's Dealt: Reference, Drug
Piandbooks and physical assessmont manuals.
CMCMC will provide job descriptious for all stuff positions, All
employees will reoeivo a copy of their respective job description, and
signed acknowledgment of receipt will be placed in all personnel files.
Job descriptions will be reviowed and updated annually to ensare
compliance with standards and oontract requirernents.
L PE RIVORMANCE REVIEW
Performance reviews are completed as fellows,
➢ 40 -Day Review;
This review is solely for the purpose of evaluating an ernployce's
continued emplaym,ent by CMCMC.
City oMonra Ana Jail ,2g„
Proposal for Inmate Madlaal 5ervicra
RFPN 07,062
9 Annual Review:
Generally given each year on the anniversary of an employee's
date of hire.
> Non-Schedated Review:
rrom time to time a supervisor may administer non-scheduled
reviews of an emplayee's performanco, Theso reviews may be the
result of prior disciplinary actiory recognition of outstanding
perfortnamoe, or as part of QMCNIC's continued efforts to provide
timely feedback on an employee's effectiveness,
F. SECURITY ISSUES
All potential employees will be required to suooessflaly, complete a
background investigation Conducted by the Jail,
CNICNIC understands that the comparty, 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 desigace has the right
to deny and/or rescind facility accass to any employee who (toes not ,pass
the background investigation or who v olates facility pahcles, rules and/or
regulations,
Cti; RESPONSIBLE PHYSI CIA/ /HEI A11 AU'F ORITY
Dr, Gogia, CIACNiC's Chairman of the Board is the R,espoasiblc
Physician and the Health Authority for the Jail. As such, Dr, Gogiit is
responsibte.for all clin cal,judgments related to inmate treatment,
City of Santa Apo AH 40n
Proposnl llxr Ltmate Medical services
nrl+u 07.062
TIL SOLE CONTRACTOR
CMCNf..0 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.
L STAFFING RE, QUIREMENTS
CMCMC will maintain adequate levels of on -site staff to fulfill, the health
care needs of the Inmates housed at the Tail,
Pull time (PTE) 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 PTE will be credited with eight
(8) hours of work for each holiday.
Due to the close proxirnity of C1vlCMC's corporate office, Linda Cardoza,
Chief Operating Officer, will oversee the daily operations of this contract
with the on-site supervisor, 'Tera Stroll. Ms. Cardoza, will be on -site as
often as needed and will be available on -call 24 hours a shay„ seven. (7)
days a week.
RN's and/or INN's will be oa -site 24 klotws 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 apptaisals
for the Jail. The NP wilt be on sito 4 -5 hours per day, five (5,6) days pet
week, Medical Records Cleric will also be available Monday -. Friday to
assist the medical stag as needed, In addition to on-site visits, the
CRY of SentaAna Jill
Pn)Pbaal for Inmate Ylediad somoos
UP# 07-062
physician will be ou -Qall 24 -hours a day, seven (7) days per week,, for
omagency services,
i
i
CMCMC is submitting the staffing plans that meet the requirements
detailed in the R.FY, 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 w oalis within 30 minutes, and to arrive at the ,Tail within two (2)
hours of a request to respond,
My orHaota Ana ivil .42„
Proposal for Tomato Modical savluu
UPI 07462
MEDICAL STAFFING PLAN "B"
Position
it
Mouft
Wednesday
Th,ured ,,,
Friday
5aGurdn
Chief
011•sah
Qweall
011 -call
00.07111
On -Call
00 -Fall
Operating
24 hr,
24 hr.
24 hr.
24 hr.
24 hr.
24 hr.
Officer
On -call
pn•call
;f11
MD
24 hr,
24 hr.,
24 hr.
24 hr,
241 hr,
24 hr,
NP
17002100
17002100
17002100
0800 -1200
RN
0900.2100
09000211)0
09002100
09002100
0900.1100
0900 -2100
RN
21000900
2.100 -0900
2100 -0900
2100,0900
21,00.0900
21000900
2100.0900
L;VN
0800 -2000
0800•2000
0800.2000
0800 -2000
0800.2600
0800.2000
G80tl -2000
:Clerk
2000.0900
�
2000.0900
2000.0900
2000 -0900
2000 -0900
2000.0900
2000.0906
od. Roo.
tl830.1700
08301700
0890 -1700
0890.1700
08301700
Chief Operating Officer, On-call 24 hours a day,'7 days per weak
MD Position: On -call 24 hours a day, 7 days per week -
(On,site sick call once a weok or as needed)
MCP Position: 4-I5 flours per day, 5-6 days per week
RN Position: 24 hours per day (2 Day shlf & l on night shift), 7 days per week
LVN :Position: 24 hours per day (2 Day shift& i on night shift), 7 days per week
Medioal Rewords Clerk: 8 hours per day, 5 days per woek (4 P -hour work week)
Dentist: 1 Dinka a week (Wednesdays), minimum 4 -hour ohnic
Dantal Ass 't: 4 hours a of inio, as needed
Psychiatrist: Two 44hour clinks per month, 1' and 4'''' Monday
CORRMAN -01 SEMORY
14cC110MLa° CERTIFICATE OF LIABILITY INSURANCE
DATE(MM /DoNYYY)
s/6/2o1 a
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the forms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder In lleu of such endorsement(s),
PRODUCER
PhySiclans Risk Associates Insurance
26891 Plaza Drive Suite 220
Mission Viejo, CA 92691
CONTACT
NAME:
_
PNONE FAX
VG Na y(800) 910 -6536 iuc. Nor: (949 ) 306.6166
ADDRESS:
INSVRERINµ,A,FFORDING COVERAGE
NATO 9
FLP00456 79.03
MISURERIN Arch Speciatiy InSU[anCe Company
EACHOCCURRENCE
0910912016 P REMISES aces
$ 2,000,000
INSURED
INSURERS: Hanover Insurance Company
_
INSURERC: Everest National Ins Co
10120
Correctional Managed Care Medical Corporation
INSURERD:
1475 South State College Blvd. Suite 202
Anaheim, CA 92606
INSURER E
INSURER F: —
COVERAGES CERTIFICATE NUMBER: - REVISION NUMBER:
THIS I$ TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
iTR
TYPE OFINSURANCE
Santa Ana CA 92702
POLICY NUMBER
MM i
WDONYYY UMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAWS-MADE F, OCCUR
FLP00456 79.03
0910172014
EACHOCCURRENCE
0910912016 P REMISES aces
$ 2,000,000
$, 106,00q
$ 6,�
MED EXP (Any one pereon)
$ 2,000,000
PERSONAL &ADV INJURY
AGGREGATE LIMIT APPLIES PER:
POLICY❑ JEC 7 LOG
$Y 3,000,00
GEN'L
GENERAL AGGREGATE
PRODUCTS- COMP /OP AGO
$m 3,000,000
$ 1,000,000
OTHER,
ABUSE OR MOLEST
AUTOMOBILE LIABILITY
COMBINED BINDLE, LIMIT
Eaeceldent
$ 1,000,000
B
ANY AUTO �
OB3A20740500
02/04/2014
0210M2016 BODILY INJURY (Par person)
$
ALL OS SCHEDULED
AUTOS NON OWNED
X HIRED AUTOS X AUTOS
BODILY INJURY Per axldern
(Per
PROPERTY DAMAGE
ParaccideN
$
§
UMBRELLA UAe
OCCUR
-
EACH OCCURRENCE
a
$
EXCESS LIAR
CLAIMS -MADE
AGGREGATE
OF
RETENTION$
§
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVE YIN
OFMOER/MEMBER EXCLUDED?
(Mandatory in NH)
If yyae, deaoribo under
DESCRIPnONOFOPERATIONSbelow
NIA
CA20010965 -141
07101/2014
x STATUTE ER
STATUTE
07/0112016 E.L EACH ACCIDENT
E.L. DISEASE EA EMPLOYEE
-
E.L, DISEASE POLICY LIMIT
$ 1,000,00
$ 1,000,00
-- ----
$ 1,000,00
A
Professional Liab.
FLP0046679.03
0910112014
09101/2016 See Limits Below
DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe aaaonetl if more space is regained)
•30 Days notice of cancellation, 10 days for non - payment of premium.
Limits: Professional Liability & Managed Caro Errors and Omission $1,000,000 per Event $6,000,000 Policy Aggregate. General Liability Retroactive date:
0911112002, Professional Liability& Managed Care Errors and Omissions Retroactive date: 0310111998. Included under General Liability: $1,000,000 Each Claim
Sub.Limit forAbuse or Molestation 1$1, 000,000 Policy Aggregate Sub -Limlt for Abuse or Molestation.
Certificate Hostler is Additional insured for General & Professional Liability per endorsements (Additional Insured - Designated Person or Organization &
Waiver of Transfer of Rights of Recovery Against Others To Us) attached.
CERTIFICATE HOLDER . nanfrrrrllr'w ♦ Q ern F[linV6,NCELLATION
IrOrrt't'' "G �-1 rra(
.�tlural
/`CEU EXPRATTIIONN DATEV THEREOF,E NOTICEEWI LCBEC DELIVERED RIN
ACCORDANCE WITH THE POLICY PROVISIONS. '
♦ rf^.�a..t'2.® ♦,L3SIQl1
Assistant City A tOrBe
City of Santa Ana
AUTHORIZED REPRESENTATIVE
62 Civic Center Plaza
Santa Ana CA 92702
01988 -2014 ACORD CORPORATION. All rights reserved.
^.ORD 26120141011 The ACORD name and loco are renistered marks of ACORD
TH15.END6RSEMEIV7 CHAN0I:58 THE PQLIGY, PLEASE READ IT CAREFULLY.
`WAIVER OF TRANSFER OF RIO TS Or ECOVERY AGAINST OTHERS TO US'
This ehdorsemelitlnodlfles Insurance provided undarthe following:
All Common Policy Conditions.
The fdllovying is odded to 18,.Transfer ofAlghts Of Recovery Against Others7o Us,
We waive 1ha right, of recovery we may, have agamstthe person ororganlzatlon named'below beoouse of
payments we make for I iJury'gr damage arising out o(your 0ngolhg operations or "'your work" done under
s. contract with that tsars tYf dr,organl�atign and lholtldod9h.the "products - completed Operations hazalyd"
Thaveivar appliesonly to the person or organ(zotlon shOW1 be)OW
Tha City, Of $ante Alin) It's Officers, Employees, Agents - ;,Volunteers and-Rep rosontiatives
62 Civic 0ontdr Ploza
$onto Ana, CA.'QV,02
county of Orange
Its efeatetd and, appalnSad of d4ls,, officers, employees, agents and Chet @e special d)strlots and
800914a kt which 0,601y$ Board Of $Upervisors act's. as the ,governing $Parr#, °Health Rare
Agency Madl l & Inst {tutl4nal Health Sa v car, Operations,
406 West5th Street, 7th Floor
Santa Ana, RA 82701,
All other terms of'yqur policy remain unchanged.
APPROVED AS To FORM
ts.t,rl,�
Laura ra ARossRossin►
Assistant City Attorney
Endorsement Number: 10
Policy-Number PLP40460M03
Homed insured: Correctlonal Monaged Care Medical ',pPp
This ortdgrsement Is effective ,on the lnoaptlon data of'thle Policy unless otherw se stated Bereft:
Endoreemeht PffeCtiva;D.ate; $eptembarOt, 2014
0.11M[4049, q0 03 of Includes copyrighted material of Insuronco Services gfflcb, Inc,; Page 1 Of 1
with, Its perfrtlsslon:
THIS ENDORSEMENT CHANGES THE POLICY, PLEASE REAR IT CAREFULLY:
ADDITIONAL PROTECT ER PERSa7NS' ENDORSEMENT
This' endorsemeht modifies insurance provided u der'the t911dtNing;,
Healthcare General Liability Coverage Form or
HeaJthoore Galteml Lleblllty Coverage Form — Clalms- Made; '
wHlahever appllas,
The Individuals ororgpnlaltoria, listed, IY3lq� -ere add'ad to Sectton'll —tNho IAn, Insured of your Polley, 1. Coverage is rovldod for them' only far the work you p�Horen orghnuld Havtt.p�rrfI r d on Ir behelf,
They wi11 here In your limits of Inaurpnce fnr atuy dpvered "ctal01, Dam gas paid on tMelr nahalf will
reduce 9hd may exhaust your jimlts of l'kse,yYehca uridaP thta policy.
The 0fly pfSppip Aha, Itls C1fFieers, Employees, Agents, Volunteers.and Representatives:
s2 CMG Centar Playa
Santa Ana, CA 92702
County ofOranpd:'
Its aieeted and agppinted offl es, officers, employees„ agents and those special distrieta aYtd,agenGias'foY
which County's aaYd pCSuparvtsoYSaots asthe gpvarnfng Bnard;Hoalth Garp 4ganey MadIGal $
institutlonaf Health Servidos Cperallons
409 West 9th Street, 7th Fluor
Santa Ana, CA 92701
All other terms of your policy remain unchanged.
APPROVED AS TO FORM
Laura A. Rossini
Assistant City Attorney
Endgrsamarrt NUYnbar; 1
Poilcy w*sra r-I P00000,0
Named Insured: Correctional Managed Qons Medical C'4Cp
This andorsement'Is effective on the Ihcaptlgn data 0f h($ PGllcy 4hfess dtherWIdd atattd heReih"
fWarsarnenteffeetiva.C),ate; September01,,i2D14
Q2 HGL0g0 , 00 02 07 IncIud0s popyrIghIed material' of, Ineuranae Services offica, Inc,, Page 1 of 1
Withita :permipsion
THIS ENDORSEMENT CHANGES-THE POLICY, PLEASE BEAU IT CAREFULLY,
API)fTIONAL.PROTECTED PER$ON$ ENDORSEMENT
This: endorsement modities inauranca prgVided under the following;
Healthaareprofasslanai, LlabClity Cgyefaga F'armu or
Healthcare Profasslona6 Liability Ooveiage Form Cocurtenoe;
Heetiheare proVlder Liabllity Coverage Form;
whlal'1'avef applies,:
The Individuals or organf;%tiahs lfstad below are added to Section, II ^ Vitho is An In'sutad of Your
policy. Coverage, js proylded; fpr them only #or the wotk you performed or should have porformed on tf oV
behalf. They will share fn your limits 10011011rance br Any covered "Male. Damages pald on thait behalf
will reduce and may .exhaust your limits of- lnsgrance under Chia policy.
The Olty:gf Santa Ane, WO Officers, Employees, Agent$,'Volunteors and Representatives
&2 OIUIe Oahter plaza,
Satnta.Arta, CA 9702
county Of Orooge
t "s el%ted and 9 olnted jbfflqlolsi officers, •employees, agents aetd those special dlsteldts and agehcles
for whtahl County $ . BIq, of SUpervlsprs <acts as the.governln a $o
Institutional atd Haaltti Caro Agency Medical. &
Health' S vlges dperatlbns
405West Sf4btra,et; 7th Floor
Sant na,OA ,22709
All oiher,terrrls of your polloy ra:maln unchanged.
Enddrsemeht NudlHer; 11
Poupy'MurOW! a
Named Insured; Correctional Managed Cate Modloal Corp
Thls:ehdorsement Is effective on tna inception *0:011114 P0110y unless otherwise stated herein;
Endorsement Effective.ate; "September 01 MA
02 HPLOWS 00 0& 1$ InaltCdas. 4opy11ghtadmateal: al; oflhsurarn aeServloeaafflce,ine.,,- page lot
With Its; perm)ssla'n,