County of Darlington Sealed Solicitation
Title: Inmate Medical Services
Deadline: 5/26/2023 3:00 PM (UTC-05:00) Eastern Time (US & Canada)
Status: Awarded
Solicitation Number: RFP09-05-26-2023
Description: The County of Darlington is requesting proposals for comprehensive health care delivery system at the W. Glen Campbell Detention Center, located at 2349 Rogers Road, Darlington, SC 29532.
Documents:
| Documents as of 5/30/2023 |
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Addition 1
Posted: 5/26/2023
Type of Addition: In Review
Addition 2
Posted: 7/11/2023
Type of Addition: Award Information
Question 1
Posted: 5/16/2023
Question: 1. Could you please confirm if the County wishes to receive one original hard copy proposal shipped to the Procurement Analyst at the address provided on page 2 of the RFP or one proposal uploaded through Vendor Registry by May 26, 2023? 2. Do you wish to retain any of the current medical staff? 3. Can you provide current staff’s salary range and seniority with the current vendor? 4. How many officers currently work at the Darlington County Detention Center? 5. Is the health services provider responsible for the cost of all drug screenings for employees at the facility? 6. Can we please get a copy of the current staffing matrix with the hours each licensure covers at the facility per day for 2 weeks? 7. Who is/are your current physician(s)? 8. Would you like the vendor to work with this physician if possible? 9. How many days is the current physician in the facility? 10. How long does the physician stay? 11. Is an Advanced Practice Provider (NP/PA) acceptable with oversight by a licensed physician? 12. Is the practitioner required to have a Medicaid Number? 13. Please provide your current nursing schedule noting RN or LPN. 14. What are the current salaries for the nurses? a. Is there a shift differential? 15. Is there a supervising nurse? a. If so, is he or she an RN or LPN? b. Is he or she administrative only? 16. Will the County or the Medical Service Provider be responsible for paying the bills of the current pharmacy company (Contract Pharmacy Services) under the new contract? 17. Please provide the following information about medication administration. a. Who administers medications, e.g., RNs, LPNs, medical assistants? b. How many medication passes per day do you currently have and at what times? c. Are medications passed out in the housing unit and by whom? d. Are any medications sent with inmates/detainees upon discharge? e. Are the medication carts owned by the county? 18. Are any medications allowed to be brought in from home? 19. Are any medications allowed to be “kept on person” within the jail? a. If so, which are allowed? 20. Are there over-the-counter medications on commissary? a. If so, are the inmates/detainees allowed to keep commissary medications on person? 21. Please provide a listing of current medical commissary items. 22. Under the current contract, who is financially responsible for the cost of HIV medications and other AIDS-related drugs? Will this remain the same under the new contract? 23. What time(s) and location(s) are sick call currently conducted? 24. Are there specific times that jail security does not want inmate/detainee movement for sick call? a. If so, when? 25. Is a security officer currently present for every sick call? 26. What on-site specialty clinics are conducted? 27. How many health assessments are performed each week? 28. Do you have a dental room and equipment? 29. Do you currently have a dentist who comes on-site? a. If so, how long is the dentist onsite? b. How many days per week is the dentist on-site? c. Does the dentist have an assistant? 30. If you do not have a dentist on-site, how many inmates/detainees do you take off-site to see the dentist in a month? 31. Please provide a list of medical equipment that is currently on-site for use by the vendor. 32. Do you use a mobile x-ray service? a. If so, who? 33. Do you currently do TB screening by asking questions and/or TB skin test? If you do TB screening, when do you complete the screening or skin tests? How many TB tests did you perform in 2022? How many done so far in 2023? 34. Are there any special business license fees or taxes that are to be paid to the city or county? 35. Do you currently have a financial limit (POOL) with the current contract? a. If so, what does it cover and how much is it? 36. Have you gone over the financial limit (POOL)? a. If so, how many months into the contract was it before you went over the limit? b. If so, how much over the financial limit (POOL) did you go over every year? 37. How much is the current co-pay? 38. Who is your current medical services contractor? 39. Can you please provide a copy of the current medical services contract? 40. Would you like the new contractor to re-price all medical claims? 41. What is your current process for re-pricing medical claims? 42. Do you have a state statute that you reprice to? 43. What is the 3-year average spending on the following: ambulance, in/outpatient, pharmacy, medical supplies, durable medical supplies, mobile x-ray and laboratory? 44. May we provide an alternate proposal? 45. Would the county prefer the vendor to review/verify the inmate/detainee medical bills, apply any discounts and pay the invoice for the county (act as a third-party administrator)? 46. Is there a dedicated fax line to medical? a. If not, is a fax line available? 47. Is there internet connection already in the medical unit? a. Is this provided by the county or the current contractor? b. If the current contractor is providing, do you know the cost? c. What kind of network gear is needed or currently in place for internet at your facility if contractor must supply? 48. How many simultaneous med passes occur? 49. How many desktop computers do the medical staff currently use? a. How many are county owned vs. contractor owned? 50. How many laptops do the medical staff currently use? a. How many are county owned vs. contractor owned? 51. Are there internet capabilities where the medical staff will be seeing patients? Exam rooms? Booking areas? Hardwire? Wireless? 52. How many scanners do the medical staff currently use? a. How many are county owned vs. contractor owned? 53. How many printers do the medical staff currently use? a. Are they county owned, or contractor owned? 54. Can we please have a copy of all questions/answers received by other vendors? 55. Are any members of the jail’s current health service workforce unionized? If yes, please provide the following: a. A copy of each union contract b. Complete contact information for a designated contact person at each union c. The number of union grievances that resulted in arbitration cases over the last 12 months. 56. Is the site accredited? If so, by who and when is the next accreditation date? Can we get a copy of the last audit? 57. When is the desired start date? 58. Is the jail currently subject to any court orders or legal directives? If yes, please provide copies of the order/directive. 59. Of the total population, how many are: County ICE US Marshal Juveniles Native American Federal DOC Work Release Indigent Other 60. Does your jail provide mental health services to inmates/detainees? If no, please proceed to question 68. If yes, please answer questions 62-67. _____ Yes _____ No 61. Can inmates/detainees request mental health services? _____ Yes _____ No a. If yes, are inmates/detainees charged a fee for mental health services? _____ Yes _____ No 62. Indicate who provides mental health services. (Check all that apply) _____ County agency (Human or Social Services, etc.) _____ Contracted provider _____ Jail/sheriff’s department hired staff. _____ Other (please explain) 63. Is your mental health program accredited by any professional organization? (NCCHC, ACA) _____ Yes _____ No 64. What mental health services are available to inmates/detainees in your jail? (Check all that apply) _____ Crisis intervention _____ Medications and their management _____ Psychiatric medications and their management _____ Referral of inmates/detainees to mental health provider _____ Individual counseling/therapy _____ Group counseling/therapy _____ Substance abuse treatment/services _____ In-depth physical evaluation assessment (typically occurs after 14 days in custody – includes mental health issues) _____ Case management _____ Release planning _____ Other (please explain) 65. Is crisis intervention available 24 hours per day/7 days per week? _____ Yes _____ No 66. Indicate the titles of the provider(s) of mental health services in your jail. Please check all that apply and indicate the average number of hours per week for each. _____ Psychiatrist – ______hours/week _____ Psychologist – ______hours/week _____ Masters Level Social Worker – ______hours/week _____ Registered Nurse (RN) – ______hours/week _____ Nurse Practitioner – ______hours/week _____ Licensed Practical Nurse (LPN) – ______hours/week _____ Jail Chaplain – ______hours/week _____ Other (please explain) – _________________________________ ______hours/week 67. Indicate the level of screening for inmates/detainees at your jail. (Check all that apply) _____ Basic intake health screening, generally done at booking for medical and mental health issues by correctional officer. _____ Separate screening tool specific to mental health/suicide prevention issues completed by correctional officer. _____ Separate screening tool specific to mental health/suicide prevention issues completed by RN or mental health professional. _____ Other (please explain) _________________________________________________ 68. Is there a secondary review of screening reports for accuracy, completeness, legibility, and the referral process? (e.g., by first line supervisor, jail nurse, etc.) _____ Yes, by whom? __________________________ _____ No 69. Is staff required to use a prescribed form when making mental health referrals? _____ Yes _____ No 70. Are arresting/transporting officers and probation agents, etc. required to complete a pre-incarceration form identifying mental health risk issues? _____ Yes _____ No 71. Does your jail staff receive ongoing training on mental health issues? _____ Yes, How often? (please explain) ______________________________ ______________________________________________________________________________________________________________________________________________________ How is training delivered? (please explain) ______________________________ ______________________________________________________________________________________________________________________________________________________ _____ No 72. Does your jail staff receive ongoing training on suicide prevention issues? _____ Yes, How often? (please explain) ______________________________ How is training delivered? (please explain) ______________________________ _____ No 73. Will the county want the vendor to do CPR and AED training with their staff at the Jail? 74. Will the County allow for the top 2 or 3 vendors to make oral presentations after the panel scores the responses? 75. Please list the programs offered to inmates/detainees in your jail, such as education, religious, recreation, life skills, substance abuse, etc.
Response: 1. Could you please confirm if the County wishes to receive one original hard copy proposal shipped to the Procurement Analyst at the address provided on page 2 of the RFP or one proposal uploaded through Vendor Registry by May 26, 2023? Bid can be submitted through Vendor Registry or mail. 2. Do you wish to retain any of the current medical staff? No 3. Can you provide current staff’s salary range and seniority with the current vendor? No 4. How many officers currently work at the Darlington County Detention Center? 55 5. Is the health services provider responsible for the cost of all drug screenings for employees at the facility? Yes 6. Can we please get a copy of the current staffing matrix with the hours each licensure covers at the facility per day for 2 weeks? Med Director: M-W 2hrs., Nurse Admin: M_T 4hrs., Staff Nurse: M,T,W, Th- 10 hrs., Sat and Sun 12hrs. MA, CNA, MED TECH, M-F 2hrs., FNP: 4 hrs. on Fri., Med Clerk M,W, F 4 hrs. 7. Who is/are your current physician(s)? Dr. John W. Trogdon 8. Would you like the vendor to work with this physician if possible? 9. How many days is the current physician in the facility? 10. How long does the physician stay? 2hrs M&W 11. Is an Advanced Practice Provider (NP/PA) acceptable with oversight by a licensed physician? Yes 12. Is the practitioner required to have a Medicaid Number? No 13. Please provide your current nursing schedule noting RN or LPN. See question 6 14. What are the current salaries for the nurses? N/A a. Is there a shift differential? 15. Is there a supervising nurse? N/A a. If so, is he or she an RN or LPN? b. Is he or she administrative only? 16. Will the County or the Medical Service Provider be responsible for paying the bills of the current pharmacy company (Contract Pharmacy Services) under the new contract? Vendor 17. Please provide the following information about medication administration. a. Who administers medications, e.g., RNs, LPNs, medical assistants? RN or LPN b. How many medication passes per day do you currently have and at what times? 2x a day or prescribed by doctor. c. Are medications passed out in the housing unit and by whom? Yes RN or LPN d. Are any medications sent with inmates/detainees upon discharge? Yes, 3-7 day supply until they can see a doctor. e. Are the medication carts owned by the county? Yes 18. Are any medications allowed to be brought in from home? No 19. Are any medications allowed to be “kept on person” within the jail? No a. If so, which are allowed? 20. Are there over-the-counter medications on commissary? Yes a. If so, are the inmates/detainees allowed to keep commissary medications on person? YEs 21. Please provide a listing of current medical commissary items. Orajel, Tylenol, and Vitamins. 22. Under the current contract, who is financially responsible for the cost of HIV medications and other AIDS-related drugs? Will this remain the same under the new contract? Vendor, but County has used CareSouth Carolina and Hope Health for HIV meds. 23. What time(s) and location(s) are sick call currently conducted? Daily Basis 24. Are there specific times that jail security does not want inmate/detainee movement for sick call? Only if staffing is an issue. a. If so, when? 25. Is a security officer currently present for every sick call? Yes 26. What on-site specialty clinics are conducted? No 27. How many health assessments are performed each week? Within 14 days once booked. 28. Do you have a dental room and equipment? No 29. Do you currently have a dentist who comes on-site? No a. If so, how long is the dentist onsite? b. How many days per week is the dentist on-site? c. Does the dentist have an assistant? 30. If you do not have a dentist on-site, how many inmates/detainees do you take off-site to see the dentist in a month? 4 31. Please provide a list of medical equipment that is currently on-site for use by the vendor. Exam table, med cart, and computer. 32. Do you use a mobile x-ray service? No a. If so, who 33. Do you currently do TB screening by asking questions and/or TB skin test? If you do TB screening, when do you complete the screening or skin tests? How many TB tests did you perform in 2022? How many done so far in 2023? Yes 34. Are there any special business license fees or taxes that are to be paid to the city or county? N/A 35. Do you currently have a financial limit (POOL) with the current contract? No a. If so, what does it cover and how much is it? 36. Have you gone over the financial limit (POOL)? N/A a. If so, how many months into the contract was it before you went over the limit? b. If so, how much over the financial limit (POOL) did you go over every year? 37. How much is the current co-pay? $2.00 38. Who is your current medical services contractor? Hartville Medical Enrichment Services 39. Can you please provide a copy of the current medical services contract? Yes 40. Would you like the new contractor to re-price all medical claims? No 41. What is your current process for re-pricing medical claims? No 42. Do you have a state statute that you reprice to? 43. What is the 3-year average spending on the following: ambulance, in/outpatient, pharmacy, medical supplies, durable medical supplies, mobile x-ray and laboratory? N/A 44. May we provide an alternate proposal? Yes 45. Would the county prefer the vendor to review/verify the inmate/detainee medical bills, apply any discounts and pay the invoice for the county (act as a third-party administrator)? No 46. Is there a dedicated fax line to medical? No a. If not, is a fax line available? Yes 47. Is there internet connection already in the medical unit? Yes a. Is this provided by the county or the current contractor? County b. If the current contractor is providing, do you know the cost? c. What kind of network gear is needed or currently in place for internet at your facility if contractor must supply? 48. How many simultaneous med passes occur? N/A 49. How many desktop computers do the medical staff currently use? 1 a. How many are county owned vs. contractor owned? County owned 50. How many laptops do the medical staff currently use? None a. How many are county owned vs. contractor owned? 51. Are there internet capabilities where the medical staff will be seeing patients? Exam rooms? Yes Booking areas? Hardwire? Wireless? 52. How many scanners do the medical staff currently use? 1 a. How many are county owned vs. contractor owned? County 53. How many printers do the medical staff currently use? 1 a. Are they county owned, or contractor owned? County owned 54. Can we please have a copy of all questions/answers received by other vendors? All questions are submitted through Vendor Registry and are public to all vendors when notification is sent from Vendor Registry. 55. Are any members of the jail’s current health service workforce unionized? If yes, please provide No the following: a. A copy of each union contract b. Complete contact information for a designated contact person at each union c. The number of union grievances that resulted in arbitration cases over the last 12 months. 56. Is the site accredited? If so, by who and when is the next accreditation date? Can we get a copy No of the last audit? 57. When is the desired start date? See page 6 and number 9 of RFP. 58. Is the jail currently subject to any court orders or legal directives? If yes, please provide copies of the order/directive. N/A 59. Of the total population, how many are: County: 175 ICE: 2 US Marshal: N/A Juveniles: 17 younger Native American: N/A Federal: 25 DOC: N/A Work Release: N/A Indigent: N/A Other: N/A 60. Does your jail provide mental health services to inmates/detainees? Yes, Provided by South Carolina Department of Mental Health and Pee Dee Mental Health. Mental Health is a separate contract. 61. Will the county want the vendor to do CPR and AED training with their staff at the Jail? Yes 62. Will the County allow for the top 2 or 3 vendors to make oral presentations after the panel scores the responses? Yes 63. Please list the programs offered to inmates/detainees in your jail, such as education, religious, recreation, life skills, substance abuse, etc. The programs are offered, but most of the County inmates are only in short period of time.
Question 2
Posted: 5/16/2023
Question: 1. Please provide the specified data/total number of services during the past two years and year-to-date for each site for the following: ADP Intake Screenings Conducted Deaths (that occurred in the facility) Deaths (that occurred w/in 2 days of arriving at hospital) On-Site Care Nurse Sick Calls Healthcare Provider Encounters (Doctor and mid-level providers) In house X-rays Medical Housing Admissions Dental Care Medications – number of patients receiving prescription medications Grievances – founded and unfounded Onsite specialty clinics Optometrist OB/GYN Nephrologist Other (please specify type) Dialysis treatments** HIV treatment Hepatitis C treatment Inpatient hospitalizations* Days in Hospital Emergency room visits Outpatient admissions (including surgeries) Specialist office visits Other off-site referrals Ambulance transportations 2. a. Please verify whether the Jail holds weekenders. b. If yes, please indicate the average number per week for 2021, 2022 and 2023 year-to-date. 3. a. Who (staff member) is completing the 14-day assessments currently? b. Are 14-day assessments current? (Completed within the 14-day time frame) If not, how far behind? 4. a. How many med carts currently? b. How long does med pass typically take to complete? 5. a. Is chronic care, provider sick call, and nurse sick call all current? b. If not, how far behind are each? 6. What specialty care services are currently provided onsite? Please provide the volume of these services for the past two years. 7. Please provide your monthly health service reports for the past two years to include all items listed on page 11, as well as the number of healthcare encounters, if any, completed via telehealth, and the number of medical grievances. 8. Does the County currently have a backlog of any medical services covered under this procurement? 9. Please provide the monthly costs for all offsite healthcare services covered by the current medical vendor. Behavioral Health 1. In what fashion are behavioral health patients seen (at their cell door, in an interview room, in the counselor’s office, etc.)? 2. Is there a behavioral health unit? 3. Where are patients held who are on suicide watch (intake, medical, the pod)? 4. How will psychotropic medications be managed? (i.e., who prescribes, who pays for meds, who administers, who monitors?) 5. a. How many inmates are currently on psychotropic medications? b. Please confirm your current ADP. c. What is the average number of inmates who were given psychotropic medications during 2022? What was the average ADP during that time? d. What is the average number of inmates who were given psychotropic medications during 2021? What was the average ADP during that time? 6. How will suicide watch be managed? (i.e., initial suicide risk evaluation, daily suicide watch follow-up and evaluations, discontinuation of precautions and post-discontinuation follow-ups, monitoring while on precautions for acute/constant) 7. Confirm the responsibility of the 15-minute checks for suicide watches. 8. In case of the need for one-to-one monitoring for an actively suicidal patient, who does the one-to-one monitoring? 9. How will patient information/records be shared? NCCHC requires a “complete” medical record, meaning all physical and mental health documentation together. 10. How frequently will the mental health provider be on site? a) Are they available for urgent situations/crises, or do we rely on our nursing staff for crisis management? 11. Will the mental health providers follow our policies and NCCHC standards? 12. What is the scope of mental health services and treatment modalities provided onsite by the South Carolina Department of Mental Health? a) Do they provide onsite psychiatric providers, licensed master’s level clinicians, and psychologists? b) Are they on call 24/7 for any behavioral health related emergencies? 13. Describe the process for making referrals to behavioral health provider and vice versa? Is there currently a mechanism in place to quickly determine if referrals to or from behavioral health providers are completed timely as requested? 14. Do medical staff triage all resident sick call requests, including those for the behavioral health provider, or does the behavioral health provider receive and triage their own sick call requests? 15. Please provide the number of referrals to an outside psychiatric facility over the past two years, the average wait time from referral to transfer to the facility, and how these residents are kept safe while awaiting hospitalization? 16. Does the medical provider and behavioral health provider currently have in place a shared healthcare record system with easy access by both providers? If not, what is the County’s plan to remedy this situation to comply with NCCHC standards? Pharmacy 1. Please provide pharmaceutical data for the past two years and year to date to include: • number of inmates on HIV medications each month or an annual average/year (2021, 2022 and 2023 to date) • number of inmates on Hep C medications each month or an annual average/year (2021, 2022 and 2023 to date) • blood or plasma factoring medications each month or an annual average/year (2021, 2022 and 2023 to date). 2. How many medication carts are you currently using for medication administration pass? 3. On average, how long does each medication administration pass take? 4. Who is currently providing the Covid-19 vaccines? 5. Please provide the monthly costs for pharmaceutical services for the past two years. Staffing 1. Please provide a staffing matrix that your current provider is supposed to deliver. Please include the schedule for a 7-day week (Monday – Sunday); per shift, where it shows the total FTEs for all position types including self-employees and subcontractors that would include: • Health Services Administrator (HSA) • Director of Nursing (DON) • registered nurses (RN), • licensed practical nurses (LPN) • physician/Medical Director, • advanced practice clinician (nurse practitioner/NP or physician assistant/PA) • administrative assistant • medical records clerk • dentist • dental assistant • certified personnel (i.e., medication administration technician/MAT, certified medical technician/CMT, Emergency Medical Technician/EMT, Certified Medical Assistant/CMA, Certified Nurse Assistant/CNA, etc.) • psychiatrist • behavioral health counselors 2. a. 1. Please provide how many current nursing staff vacancies, by position and shift, the Jail is currently experiencing. 2. What percentage of staffing does this represent? 3. How many of these positions are filled by agency nurses currently? b. Please provide the average amount of nursing shifts covered by agency nurses per year for the past two years. 3. a. Please specify whether you have experienced a vacancy in the physician position at any facility for the past two years. b. If yes, how long was this position vacant? Was this position filled by an agency physician? 4. a. Please specify whether you have experienced a vacancy in the midlevel provider (nurse practitioner/physician assistant) position at any facility for the past two years. b. If yes: 1. How long was this position vacant? 2. Was this position filled by an agency provider? 5. Would the Sheriff’s office be agreeable to upgrading the licensure requirements on the Matrix submitted in the RFP? Example upgrading from an LPN to an RN, or a Medical Technician to an LPN. 6. Please provide the salary ranges for the current staff. 7. Do you want the cost proposal to include salary ranges for the projected staff so you can identify how a company compensates your onsite resources? 8. The RFP indicates that Darlington County would like vendor’s policies and RFP proposal to be based on NCCHC jail standards. Would Darlington County like vendors to propose sufficient staff to meet all NCCHC standards? If so, this may require significantly more staffing than the minimum levels shown on page 11, under Staffing. Information Technology 1. What EMR system is currently used? Who owns the licensure of the system? 2. Are there any existing networks that are available to be used- either wired, wireless or both? 3. Does the facility have Wi-Fi capability dedicated for use by the medical department? 4. What is the extent of Wi-Fi in the facility? 5. What Jail Management System do you currently use? 6. Will there be any restrictions on the computers that the Contractor chooses to use? Accreditation 1. a. Is the County interested in pursuing NCCHC and/or ACA accreditation? b. If yes, to what extent is the vendor financially responsible for the application and accreditation fees? General 1. On average, what percent of your resident population is from jurisdictions other than Darlington County? 2. Would the County like vendors to include in their proposal salary ranges for each position to ensure that vendors are aware of the salaries required to effectively recruit and retain qualified healthcare staff for this procurement? 3. Does the County currently have in place any court ordered healthcare injunctions, consent decrees or any active litigation that involves the provision of healthcare services? If so, please describe the consent decree requirements and/or nature of the healthcare compliant/litigation. 4. Does the County anticipate any change in the number of residents or any other legislation or mandated requirements that might impact the scope or volume of provided healthcare services in the next two or three years? 5. Does the County currently provide any type of Medication Assisted Treatment (MAT) or Medications for Opioid Use Disorder (MOUD) treatment services for Darlington County incarcerated residents? 6. What type of alcohol and drug treatment services, besides withdrawal services, are currently available to incarcerated County residents?
Response: 1. Please provide the specified data/total number of services during the past two years and year-to-date for each site for the following: N/A 2. a. Please verify whether the Jail holds weekenders. Yes b. If yes, please indicate the average number per week for 2021, 2022 and 2023 year-to-date 3. a. Who (staff member) is completing the 14-day assessments currently? Current Inmate Medical Provider. b. Are 14-day assessments current? (Completed within the 14-day time frame) If not, how far behind? Yes, but some inmates are only housed for 2-3 days and released. 4. a. How many med carts currently? 1 Med Cart b. How long does med pass typically take to complete? Time Varies 5. a. Is chronic care, provider sick call, and nurse sick call all current? Yes What specialty care services are currently provided onsite? Please provide the volume of these services for the past two years. N/A 7. Please provide your monthly health service reports for the past two years to include all items listed on page 11, as well as the number of healthcare encounters, if any, completed via telehealth, and the number of medical grievances. N/A 8. Does the County currently have a backlog of any medical services covered under this procurement? N/A 9. Please provide the monthly costs for all offsite healthcare services covered by the current medical vendor. Behavioral Health is Handled by South Department of Mental Health and Pee Dee Mental Health and is separate contract and is separate. 1. Please provide pharmaceutical data for the past two years and year to date to include: N/A 2. How many medication carts are you currently using for medication administration pass? 1 Med Cart 3. On average, how long does each medication administration pass take? Depends on the inmate population. 4. Who is currently providing the Covid-19 vaccines? Current Inmate Medical Provider. 5. Please provide the monthly costs for pharmaceutical services for the past two years. Current cost for pharmaceuticals was included in current Vendors bid. Staffing 1. Please provide a staffing matrix that your current provider is supposed to deliver. Please include the schedule for a 7-day week (Monday – Sunday); per shift, where it shows the total FTEs for all position types including self-employees and subcontractors that would include: Current schedule for current provider is as follows: Med Director M-W 2hrs. a day, Nurse Admin: M-T 4hrs a day, Staff Nurse: M-F 10 hrs. a day and 12 hrs. Sat and Sun, MA, CNA, MED Tec, 2 hrs. a day M-F, FNP 4hrs on Fri, and Med Clerk 4 hrs. M, W, F. 2. a. 1. Please provide how many current nursing staff vacancies, by position and shift, the Jail is currently experiencing. None 2. What percentage of staffing does this represent? N/A 3. How many of these positions are filled by agency nurses currently? Staff is filled by current Vendor. b. Please provide the average amount of nursing shifts covered by agency nurses per year for the past two years. Nursing staff for the past two years was 12 hrs. 3. a. Please specify whether you have experienced a vacancy in the physician position at any facility for the past two years? No 4. a. Please specify whether you have experienced a vacancy in the midlevel provider (nurse practitioner/physician assistant) position at any facility for the past two years. No 5. Would the Sheriff’s office be agreeable to upgrading the licensure requirements on the Matrix submitted in the RFP? Example upgrading from an LPN to an RN, or a Medical Technician to an LPN. This could be an option, but an RFP would have to be issued. 6. Please provide the salary ranges for the current staff. N/A 7. Do you want the cost proposal to include salary ranges for the projected staff so you can identify how a company compensates your onsite resources? No 8. The RFP indicates that Darlington County would like vendor’s policies and RFP proposal to be based on NCCHC jail standards. Would Darlington County like vendors to propose sufficient staff to meet all NCCHC standards? If so, this may require significantly more staffing than the minimum levels shown on page 11, under Staffing. Yes Information Technology 1. What EMR system is currently used? Who owns the licensure of the system? Current Vendor handles medical records 2. Are there any existing networks that are available to be used- either wired, wireless or both? Both 3. Does the facility have Wi-Fi capability dedicated for use by the medical department? Yes 4. What is the extent of Wi-Fi in the facility? Facility has Wi-Fi 5. What Jail Management System do you currently use? Southern Software 6. Will there be any restrictions on the computers that the Contractor chooses to use? No Accreditation 1. a. Is the County interested in pursuing NCCHC and/or ACA accreditation? Not at this time 1. On average, what percent of your resident population is from jurisdictions other than Darlington County? N/A 2. Would the County like vendors to include in their proposal salary ranges for each position to ensure that vendors are aware of the salaries required to effectively recruit and retain qualified healthcare staff for this procurement? No 3. Does the County currently have in place any court ordered healthcare injunctions, consent decrees or any active litigation that involves the provision of healthcare services? If so, please describe the consent decree requirements and/or nature of the healthcare compliant/litigation. No 4. Does the County anticipate any change in the number of residents or any other legislation or mandated requirements that might impact the scope or volume of provided healthcare services in the next two or three years? No 5. Does the County currently provide any type of Medication Assisted Treatment (MAT) or Medications for Opioid Use Disorder (MOUD) treatment services for Darlington County incarcerated residents? A committed is being formed, but not complete. 6. What type of alcohol and drug treatment services, besides withdrawal services, are currently available to incarcerated County residents? Pee Dee Mental Health.
Posted: 5/26/2023
Type of Addition: In Review
Posted: 7/11/2023
Type of Addition: Award Information
Posted: 5/16/2023
Question: 1. Could you please confirm if the County wishes to receive one original hard copy proposal shipped to the Procurement Analyst at the address provided on page 2 of the RFP or one proposal uploaded through Vendor Registry by May 26, 2023? 2. Do you wish to retain any of the current medical staff? 3. Can you provide current staff’s salary range and seniority with the current vendor? 4. How many officers currently work at the Darlington County Detention Center? 5. Is the health services provider responsible for the cost of all drug screenings for employees at the facility? 6. Can we please get a copy of the current staffing matrix with the hours each licensure covers at the facility per day for 2 weeks? 7. Who is/are your current physician(s)? 8. Would you like the vendor to work with this physician if possible? 9. How many days is the current physician in the facility? 10. How long does the physician stay? 11. Is an Advanced Practice Provider (NP/PA) acceptable with oversight by a licensed physician? 12. Is the practitioner required to have a Medicaid Number? 13. Please provide your current nursing schedule noting RN or LPN. 14. What are the current salaries for the nurses? a. Is there a shift differential? 15. Is there a supervising nurse? a. If so, is he or she an RN or LPN? b. Is he or she administrative only? 16. Will the County or the Medical Service Provider be responsible for paying the bills of the current pharmacy company (Contract Pharmacy Services) under the new contract? 17. Please provide the following information about medication administration. a. Who administers medications, e.g., RNs, LPNs, medical assistants? b. How many medication passes per day do you currently have and at what times? c. Are medications passed out in the housing unit and by whom? d. Are any medications sent with inmates/detainees upon discharge? e. Are the medication carts owned by the county? 18. Are any medications allowed to be brought in from home? 19. Are any medications allowed to be “kept on person” within the jail? a. If so, which are allowed? 20. Are there over-the-counter medications on commissary? a. If so, are the inmates/detainees allowed to keep commissary medications on person? 21. Please provide a listing of current medical commissary items. 22. Under the current contract, who is financially responsible for the cost of HIV medications and other AIDS-related drugs? Will this remain the same under the new contract? 23. What time(s) and location(s) are sick call currently conducted? 24. Are there specific times that jail security does not want inmate/detainee movement for sick call? a. If so, when? 25. Is a security officer currently present for every sick call? 26. What on-site specialty clinics are conducted? 27. How many health assessments are performed each week? 28. Do you have a dental room and equipment? 29. Do you currently have a dentist who comes on-site? a. If so, how long is the dentist onsite? b. How many days per week is the dentist on-site? c. Does the dentist have an assistant? 30. If you do not have a dentist on-site, how many inmates/detainees do you take off-site to see the dentist in a month? 31. Please provide a list of medical equipment that is currently on-site for use by the vendor. 32. Do you use a mobile x-ray service? a. If so, who? 33. Do you currently do TB screening by asking questions and/or TB skin test? If you do TB screening, when do you complete the screening or skin tests? How many TB tests did you perform in 2022? How many done so far in 2023? 34. Are there any special business license fees or taxes that are to be paid to the city or county? 35. Do you currently have a financial limit (POOL) with the current contract? a. If so, what does it cover and how much is it? 36. Have you gone over the financial limit (POOL)? a. If so, how many months into the contract was it before you went over the limit? b. If so, how much over the financial limit (POOL) did you go over every year? 37. How much is the current co-pay? 38. Who is your current medical services contractor? 39. Can you please provide a copy of the current medical services contract? 40. Would you like the new contractor to re-price all medical claims? 41. What is your current process for re-pricing medical claims? 42. Do you have a state statute that you reprice to? 43. What is the 3-year average spending on the following: ambulance, in/outpatient, pharmacy, medical supplies, durable medical supplies, mobile x-ray and laboratory? 44. May we provide an alternate proposal? 45. Would the county prefer the vendor to review/verify the inmate/detainee medical bills, apply any discounts and pay the invoice for the county (act as a third-party administrator)? 46. Is there a dedicated fax line to medical? a. If not, is a fax line available? 47. Is there internet connection already in the medical unit? a. Is this provided by the county or the current contractor? b. If the current contractor is providing, do you know the cost? c. What kind of network gear is needed or currently in place for internet at your facility if contractor must supply? 48. How many simultaneous med passes occur? 49. How many desktop computers do the medical staff currently use? a. How many are county owned vs. contractor owned? 50. How many laptops do the medical staff currently use? a. How many are county owned vs. contractor owned? 51. Are there internet capabilities where the medical staff will be seeing patients? Exam rooms? Booking areas? Hardwire? Wireless? 52. How many scanners do the medical staff currently use? a. How many are county owned vs. contractor owned? 53. How many printers do the medical staff currently use? a. Are they county owned, or contractor owned? 54. Can we please have a copy of all questions/answers received by other vendors? 55. Are any members of the jail’s current health service workforce unionized? If yes, please provide the following: a. A copy of each union contract b. Complete contact information for a designated contact person at each union c. The number of union grievances that resulted in arbitration cases over the last 12 months. 56. Is the site accredited? If so, by who and when is the next accreditation date? Can we get a copy of the last audit? 57. When is the desired start date? 58. Is the jail currently subject to any court orders or legal directives? If yes, please provide copies of the order/directive. 59. Of the total population, how many are: County ICE US Marshal Juveniles Native American Federal DOC Work Release Indigent Other 60. Does your jail provide mental health services to inmates/detainees? If no, please proceed to question 68. If yes, please answer questions 62-67. _____ Yes _____ No 61. Can inmates/detainees request mental health services? _____ Yes _____ No a. If yes, are inmates/detainees charged a fee for mental health services? _____ Yes _____ No 62. Indicate who provides mental health services. (Check all that apply) _____ County agency (Human or Social Services, etc.) _____ Contracted provider _____ Jail/sheriff’s department hired staff. _____ Other (please explain) 63. Is your mental health program accredited by any professional organization? (NCCHC, ACA) _____ Yes _____ No 64. What mental health services are available to inmates/detainees in your jail? (Check all that apply) _____ Crisis intervention _____ Medications and their management _____ Psychiatric medications and their management _____ Referral of inmates/detainees to mental health provider _____ Individual counseling/therapy _____ Group counseling/therapy _____ Substance abuse treatment/services _____ In-depth physical evaluation assessment (typically occurs after 14 days in custody – includes mental health issues) _____ Case management _____ Release planning _____ Other (please explain) 65. Is crisis intervention available 24 hours per day/7 days per week? _____ Yes _____ No 66. Indicate the titles of the provider(s) of mental health services in your jail. Please check all that apply and indicate the average number of hours per week for each. _____ Psychiatrist – ______hours/week _____ Psychologist – ______hours/week _____ Masters Level Social Worker – ______hours/week _____ Registered Nurse (RN) – ______hours/week _____ Nurse Practitioner – ______hours/week _____ Licensed Practical Nurse (LPN) – ______hours/week _____ Jail Chaplain – ______hours/week _____ Other (please explain) – _________________________________ ______hours/week 67. Indicate the level of screening for inmates/detainees at your jail. (Check all that apply) _____ Basic intake health screening, generally done at booking for medical and mental health issues by correctional officer. _____ Separate screening tool specific to mental health/suicide prevention issues completed by correctional officer. _____ Separate screening tool specific to mental health/suicide prevention issues completed by RN or mental health professional. _____ Other (please explain) _________________________________________________ 68. Is there a secondary review of screening reports for accuracy, completeness, legibility, and the referral process? (e.g., by first line supervisor, jail nurse, etc.) _____ Yes, by whom? __________________________ _____ No 69. Is staff required to use a prescribed form when making mental health referrals? _____ Yes _____ No 70. Are arresting/transporting officers and probation agents, etc. required to complete a pre-incarceration form identifying mental health risk issues? _____ Yes _____ No 71. Does your jail staff receive ongoing training on mental health issues? _____ Yes, How often? (please explain) ______________________________ ______________________________________________________________________________________________________________________________________________________ How is training delivered? (please explain) ______________________________ ______________________________________________________________________________________________________________________________________________________ _____ No 72. Does your jail staff receive ongoing training on suicide prevention issues? _____ Yes, How often? (please explain) ______________________________ How is training delivered? (please explain) ______________________________ _____ No 73. Will the county want the vendor to do CPR and AED training with their staff at the Jail? 74. Will the County allow for the top 2 or 3 vendors to make oral presentations after the panel scores the responses? 75. Please list the programs offered to inmates/detainees in your jail, such as education, religious, recreation, life skills, substance abuse, etc.
Response: 1. Could you please confirm if the County wishes to receive one original hard copy proposal shipped to the Procurement Analyst at the address provided on page 2 of the RFP or one proposal uploaded through Vendor Registry by May 26, 2023? Bid can be submitted through Vendor Registry or mail. 2. Do you wish to retain any of the current medical staff? No 3. Can you provide current staff’s salary range and seniority with the current vendor? No 4. How many officers currently work at the Darlington County Detention Center? 55 5. Is the health services provider responsible for the cost of all drug screenings for employees at the facility? Yes 6. Can we please get a copy of the current staffing matrix with the hours each licensure covers at the facility per day for 2 weeks? Med Director: M-W 2hrs., Nurse Admin: M_T 4hrs., Staff Nurse: M,T,W, Th- 10 hrs., Sat and Sun 12hrs. MA, CNA, MED TECH, M-F 2hrs., FNP: 4 hrs. on Fri., Med Clerk M,W, F 4 hrs. 7. Who is/are your current physician(s)? Dr. John W. Trogdon 8. Would you like the vendor to work with this physician if possible? 9. How many days is the current physician in the facility? 10. How long does the physician stay? 2hrs M&W 11. Is an Advanced Practice Provider (NP/PA) acceptable with oversight by a licensed physician? Yes 12. Is the practitioner required to have a Medicaid Number? No 13. Please provide your current nursing schedule noting RN or LPN. See question 6 14. What are the current salaries for the nurses? N/A a. Is there a shift differential? 15. Is there a supervising nurse? N/A a. If so, is he or she an RN or LPN? b. Is he or she administrative only? 16. Will the County or the Medical Service Provider be responsible for paying the bills of the current pharmacy company (Contract Pharmacy Services) under the new contract? Vendor 17. Please provide the following information about medication administration. a. Who administers medications, e.g., RNs, LPNs, medical assistants? RN or LPN b. How many medication passes per day do you currently have and at what times? 2x a day or prescribed by doctor. c. Are medications passed out in the housing unit and by whom? Yes RN or LPN d. Are any medications sent with inmates/detainees upon discharge? Yes, 3-7 day supply until they can see a doctor. e. Are the medication carts owned by the county? Yes 18. Are any medications allowed to be brought in from home? No 19. Are any medications allowed to be “kept on person” within the jail? No a. If so, which are allowed? 20. Are there over-the-counter medications on commissary? Yes a. If so, are the inmates/detainees allowed to keep commissary medications on person? YEs 21. Please provide a listing of current medical commissary items. Orajel, Tylenol, and Vitamins. 22. Under the current contract, who is financially responsible for the cost of HIV medications and other AIDS-related drugs? Will this remain the same under the new contract? Vendor, but County has used CareSouth Carolina and Hope Health for HIV meds. 23. What time(s) and location(s) are sick call currently conducted? Daily Basis 24. Are there specific times that jail security does not want inmate/detainee movement for sick call? Only if staffing is an issue. a. If so, when? 25. Is a security officer currently present for every sick call? Yes 26. What on-site specialty clinics are conducted? No 27. How many health assessments are performed each week? Within 14 days once booked. 28. Do you have a dental room and equipment? No 29. Do you currently have a dentist who comes on-site? No a. If so, how long is the dentist onsite? b. How many days per week is the dentist on-site? c. Does the dentist have an assistant? 30. If you do not have a dentist on-site, how many inmates/detainees do you take off-site to see the dentist in a month? 4 31. Please provide a list of medical equipment that is currently on-site for use by the vendor. Exam table, med cart, and computer. 32. Do you use a mobile x-ray service? No a. If so, who 33. Do you currently do TB screening by asking questions and/or TB skin test? If you do TB screening, when do you complete the screening or skin tests? How many TB tests did you perform in 2022? How many done so far in 2023? Yes 34. Are there any special business license fees or taxes that are to be paid to the city or county? N/A 35. Do you currently have a financial limit (POOL) with the current contract? No a. If so, what does it cover and how much is it? 36. Have you gone over the financial limit (POOL)? N/A a. If so, how many months into the contract was it before you went over the limit? b. If so, how much over the financial limit (POOL) did you go over every year? 37. How much is the current co-pay? $2.00 38. Who is your current medical services contractor? Hartville Medical Enrichment Services 39. Can you please provide a copy of the current medical services contract? Yes 40. Would you like the new contractor to re-price all medical claims? No 41. What is your current process for re-pricing medical claims? No 42. Do you have a state statute that you reprice to? 43. What is the 3-year average spending on the following: ambulance, in/outpatient, pharmacy, medical supplies, durable medical supplies, mobile x-ray and laboratory? N/A 44. May we provide an alternate proposal? Yes 45. Would the county prefer the vendor to review/verify the inmate/detainee medical bills, apply any discounts and pay the invoice for the county (act as a third-party administrator)? No 46. Is there a dedicated fax line to medical? No a. If not, is a fax line available? Yes 47. Is there internet connection already in the medical unit? Yes a. Is this provided by the county or the current contractor? County b. If the current contractor is providing, do you know the cost? c. What kind of network gear is needed or currently in place for internet at your facility if contractor must supply? 48. How many simultaneous med passes occur? N/A 49. How many desktop computers do the medical staff currently use? 1 a. How many are county owned vs. contractor owned? County owned 50. How many laptops do the medical staff currently use? None a. How many are county owned vs. contractor owned? 51. Are there internet capabilities where the medical staff will be seeing patients? Exam rooms? Yes Booking areas? Hardwire? Wireless? 52. How many scanners do the medical staff currently use? 1 a. How many are county owned vs. contractor owned? County 53. How many printers do the medical staff currently use? 1 a. Are they county owned, or contractor owned? County owned 54. Can we please have a copy of all questions/answers received by other vendors? All questions are submitted through Vendor Registry and are public to all vendors when notification is sent from Vendor Registry. 55. Are any members of the jail’s current health service workforce unionized? If yes, please provide No the following: a. A copy of each union contract b. Complete contact information for a designated contact person at each union c. The number of union grievances that resulted in arbitration cases over the last 12 months. 56. Is the site accredited? If so, by who and when is the next accreditation date? Can we get a copy No of the last audit? 57. When is the desired start date? See page 6 and number 9 of RFP. 58. Is the jail currently subject to any court orders or legal directives? If yes, please provide copies of the order/directive. N/A 59. Of the total population, how many are: County: 175 ICE: 2 US Marshal: N/A Juveniles: 17 younger Native American: N/A Federal: 25 DOC: N/A Work Release: N/A Indigent: N/A Other: N/A 60. Does your jail provide mental health services to inmates/detainees? Yes, Provided by South Carolina Department of Mental Health and Pee Dee Mental Health. Mental Health is a separate contract. 61. Will the county want the vendor to do CPR and AED training with their staff at the Jail? Yes 62. Will the County allow for the top 2 or 3 vendors to make oral presentations after the panel scores the responses? Yes 63. Please list the programs offered to inmates/detainees in your jail, such as education, religious, recreation, life skills, substance abuse, etc. The programs are offered, but most of the County inmates are only in short period of time.
Posted: 5/16/2023
Question: 1. Please provide the specified data/total number of services during the past two years and year-to-date for each site for the following: ADP Intake Screenings Conducted Deaths (that occurred in the facility) Deaths (that occurred w/in 2 days of arriving at hospital) On-Site Care Nurse Sick Calls Healthcare Provider Encounters (Doctor and mid-level providers) In house X-rays Medical Housing Admissions Dental Care Medications – number of patients receiving prescription medications Grievances – founded and unfounded Onsite specialty clinics Optometrist OB/GYN Nephrologist Other (please specify type) Dialysis treatments** HIV treatment Hepatitis C treatment Inpatient hospitalizations* Days in Hospital Emergency room visits Outpatient admissions (including surgeries) Specialist office visits Other off-site referrals Ambulance transportations 2. a. Please verify whether the Jail holds weekenders. b. If yes, please indicate the average number per week for 2021, 2022 and 2023 year-to-date. 3. a. Who (staff member) is completing the 14-day assessments currently? b. Are 14-day assessments current? (Completed within the 14-day time frame) If not, how far behind? 4. a. How many med carts currently? b. How long does med pass typically take to complete? 5. a. Is chronic care, provider sick call, and nurse sick call all current? b. If not, how far behind are each? 6. What specialty care services are currently provided onsite? Please provide the volume of these services for the past two years. 7. Please provide your monthly health service reports for the past two years to include all items listed on page 11, as well as the number of healthcare encounters, if any, completed via telehealth, and the number of medical grievances. 8. Does the County currently have a backlog of any medical services covered under this procurement? 9. Please provide the monthly costs for all offsite healthcare services covered by the current medical vendor. Behavioral Health 1. In what fashion are behavioral health patients seen (at their cell door, in an interview room, in the counselor’s office, etc.)? 2. Is there a behavioral health unit? 3. Where are patients held who are on suicide watch (intake, medical, the pod)? 4. How will psychotropic medications be managed? (i.e., who prescribes, who pays for meds, who administers, who monitors?) 5. a. How many inmates are currently on psychotropic medications? b. Please confirm your current ADP. c. What is the average number of inmates who were given psychotropic medications during 2022? What was the average ADP during that time? d. What is the average number of inmates who were given psychotropic medications during 2021? What was the average ADP during that time? 6. How will suicide watch be managed? (i.e., initial suicide risk evaluation, daily suicide watch follow-up and evaluations, discontinuation of precautions and post-discontinuation follow-ups, monitoring while on precautions for acute/constant) 7. Confirm the responsibility of the 15-minute checks for suicide watches. 8. In case of the need for one-to-one monitoring for an actively suicidal patient, who does the one-to-one monitoring? 9. How will patient information/records be shared? NCCHC requires a “complete” medical record, meaning all physical and mental health documentation together. 10. How frequently will the mental health provider be on site? a) Are they available for urgent situations/crises, or do we rely on our nursing staff for crisis management? 11. Will the mental health providers follow our policies and NCCHC standards? 12. What is the scope of mental health services and treatment modalities provided onsite by the South Carolina Department of Mental Health? a) Do they provide onsite psychiatric providers, licensed master’s level clinicians, and psychologists? b) Are they on call 24/7 for any behavioral health related emergencies? 13. Describe the process for making referrals to behavioral health provider and vice versa? Is there currently a mechanism in place to quickly determine if referrals to or from behavioral health providers are completed timely as requested? 14. Do medical staff triage all resident sick call requests, including those for the behavioral health provider, or does the behavioral health provider receive and triage their own sick call requests? 15. Please provide the number of referrals to an outside psychiatric facility over the past two years, the average wait time from referral to transfer to the facility, and how these residents are kept safe while awaiting hospitalization? 16. Does the medical provider and behavioral health provider currently have in place a shared healthcare record system with easy access by both providers? If not, what is the County’s plan to remedy this situation to comply with NCCHC standards? Pharmacy 1. Please provide pharmaceutical data for the past two years and year to date to include: • number of inmates on HIV medications each month or an annual average/year (2021, 2022 and 2023 to date) • number of inmates on Hep C medications each month or an annual average/year (2021, 2022 and 2023 to date) • blood or plasma factoring medications each month or an annual average/year (2021, 2022 and 2023 to date). 2. How many medication carts are you currently using for medication administration pass? 3. On average, how long does each medication administration pass take? 4. Who is currently providing the Covid-19 vaccines? 5. Please provide the monthly costs for pharmaceutical services for the past two years. Staffing 1. Please provide a staffing matrix that your current provider is supposed to deliver. Please include the schedule for a 7-day week (Monday – Sunday); per shift, where it shows the total FTEs for all position types including self-employees and subcontractors that would include: • Health Services Administrator (HSA) • Director of Nursing (DON) • registered nurses (RN), • licensed practical nurses (LPN) • physician/Medical Director, • advanced practice clinician (nurse practitioner/NP or physician assistant/PA) • administrative assistant • medical records clerk • dentist • dental assistant • certified personnel (i.e., medication administration technician/MAT, certified medical technician/CMT, Emergency Medical Technician/EMT, Certified Medical Assistant/CMA, Certified Nurse Assistant/CNA, etc.) • psychiatrist • behavioral health counselors 2. a. 1. Please provide how many current nursing staff vacancies, by position and shift, the Jail is currently experiencing. 2. What percentage of staffing does this represent? 3. How many of these positions are filled by agency nurses currently? b. Please provide the average amount of nursing shifts covered by agency nurses per year for the past two years. 3. a. Please specify whether you have experienced a vacancy in the physician position at any facility for the past two years. b. If yes, how long was this position vacant? Was this position filled by an agency physician? 4. a. Please specify whether you have experienced a vacancy in the midlevel provider (nurse practitioner/physician assistant) position at any facility for the past two years. b. If yes: 1. How long was this position vacant? 2. Was this position filled by an agency provider? 5. Would the Sheriff’s office be agreeable to upgrading the licensure requirements on the Matrix submitted in the RFP? Example upgrading from an LPN to an RN, or a Medical Technician to an LPN. 6. Please provide the salary ranges for the current staff. 7. Do you want the cost proposal to include salary ranges for the projected staff so you can identify how a company compensates your onsite resources? 8. The RFP indicates that Darlington County would like vendor’s policies and RFP proposal to be based on NCCHC jail standards. Would Darlington County like vendors to propose sufficient staff to meet all NCCHC standards? If so, this may require significantly more staffing than the minimum levels shown on page 11, under Staffing. Information Technology 1. What EMR system is currently used? Who owns the licensure of the system? 2. Are there any existing networks that are available to be used- either wired, wireless or both? 3. Does the facility have Wi-Fi capability dedicated for use by the medical department? 4. What is the extent of Wi-Fi in the facility? 5. What Jail Management System do you currently use? 6. Will there be any restrictions on the computers that the Contractor chooses to use? Accreditation 1. a. Is the County interested in pursuing NCCHC and/or ACA accreditation? b. If yes, to what extent is the vendor financially responsible for the application and accreditation fees? General 1. On average, what percent of your resident population is from jurisdictions other than Darlington County? 2. Would the County like vendors to include in their proposal salary ranges for each position to ensure that vendors are aware of the salaries required to effectively recruit and retain qualified healthcare staff for this procurement? 3. Does the County currently have in place any court ordered healthcare injunctions, consent decrees or any active litigation that involves the provision of healthcare services? If so, please describe the consent decree requirements and/or nature of the healthcare compliant/litigation. 4. Does the County anticipate any change in the number of residents or any other legislation or mandated requirements that might impact the scope or volume of provided healthcare services in the next two or three years? 5. Does the County currently provide any type of Medication Assisted Treatment (MAT) or Medications for Opioid Use Disorder (MOUD) treatment services for Darlington County incarcerated residents? 6. What type of alcohol and drug treatment services, besides withdrawal services, are currently available to incarcerated County residents?
Response: 1. Please provide the specified data/total number of services during the past two years and year-to-date for each site for the following: N/A 2. a. Please verify whether the Jail holds weekenders. Yes b. If yes, please indicate the average number per week for 2021, 2022 and 2023 year-to-date 3. a. Who (staff member) is completing the 14-day assessments currently? Current Inmate Medical Provider. b. Are 14-day assessments current? (Completed within the 14-day time frame) If not, how far behind? Yes, but some inmates are only housed for 2-3 days and released. 4. a. How many med carts currently? 1 Med Cart b. How long does med pass typically take to complete? Time Varies 5. a. Is chronic care, provider sick call, and nurse sick call all current? Yes What specialty care services are currently provided onsite? Please provide the volume of these services for the past two years. N/A 7. Please provide your monthly health service reports for the past two years to include all items listed on page 11, as well as the number of healthcare encounters, if any, completed via telehealth, and the number of medical grievances. N/A 8. Does the County currently have a backlog of any medical services covered under this procurement? N/A 9. Please provide the monthly costs for all offsite healthcare services covered by the current medical vendor. Behavioral Health is Handled by South Department of Mental Health and Pee Dee Mental Health and is separate contract and is separate. 1. Please provide pharmaceutical data for the past two years and year to date to include: N/A 2. How many medication carts are you currently using for medication administration pass? 1 Med Cart 3. On average, how long does each medication administration pass take? Depends on the inmate population. 4. Who is currently providing the Covid-19 vaccines? Current Inmate Medical Provider. 5. Please provide the monthly costs for pharmaceutical services for the past two years. Current cost for pharmaceuticals was included in current Vendors bid. Staffing 1. Please provide a staffing matrix that your current provider is supposed to deliver. Please include the schedule for a 7-day week (Monday – Sunday); per shift, where it shows the total FTEs for all position types including self-employees and subcontractors that would include: Current schedule for current provider is as follows: Med Director M-W 2hrs. a day, Nurse Admin: M-T 4hrs a day, Staff Nurse: M-F 10 hrs. a day and 12 hrs. Sat and Sun, MA, CNA, MED Tec, 2 hrs. a day M-F, FNP 4hrs on Fri, and Med Clerk 4 hrs. M, W, F. 2. a. 1. Please provide how many current nursing staff vacancies, by position and shift, the Jail is currently experiencing. None 2. What percentage of staffing does this represent? N/A 3. How many of these positions are filled by agency nurses currently? Staff is filled by current Vendor. b. Please provide the average amount of nursing shifts covered by agency nurses per year for the past two years. Nursing staff for the past two years was 12 hrs. 3. a. Please specify whether you have experienced a vacancy in the physician position at any facility for the past two years? No 4. a. Please specify whether you have experienced a vacancy in the midlevel provider (nurse practitioner/physician assistant) position at any facility for the past two years. No 5. Would the Sheriff’s office be agreeable to upgrading the licensure requirements on the Matrix submitted in the RFP? Example upgrading from an LPN to an RN, or a Medical Technician to an LPN. This could be an option, but an RFP would have to be issued. 6. Please provide the salary ranges for the current staff. N/A 7. Do you want the cost proposal to include salary ranges for the projected staff so you can identify how a company compensates your onsite resources? No 8. The RFP indicates that Darlington County would like vendor’s policies and RFP proposal to be based on NCCHC jail standards. Would Darlington County like vendors to propose sufficient staff to meet all NCCHC standards? If so, this may require significantly more staffing than the minimum levels shown on page 11, under Staffing. Yes Information Technology 1. What EMR system is currently used? Who owns the licensure of the system? Current Vendor handles medical records 2. Are there any existing networks that are available to be used- either wired, wireless or both? Both 3. Does the facility have Wi-Fi capability dedicated for use by the medical department? Yes 4. What is the extent of Wi-Fi in the facility? Facility has Wi-Fi 5. What Jail Management System do you currently use? Southern Software 6. Will there be any restrictions on the computers that the Contractor chooses to use? No Accreditation 1. a. Is the County interested in pursuing NCCHC and/or ACA accreditation? Not at this time 1. On average, what percent of your resident population is from jurisdictions other than Darlington County? N/A 2. Would the County like vendors to include in their proposal salary ranges for each position to ensure that vendors are aware of the salaries required to effectively recruit and retain qualified healthcare staff for this procurement? No 3. Does the County currently have in place any court ordered healthcare injunctions, consent decrees or any active litigation that involves the provision of healthcare services? If so, please describe the consent decree requirements and/or nature of the healthcare compliant/litigation. No 4. Does the County anticipate any change in the number of residents or any other legislation or mandated requirements that might impact the scope or volume of provided healthcare services in the next two or three years? No 5. Does the County currently provide any type of Medication Assisted Treatment (MAT) or Medications for Opioid Use Disorder (MOUD) treatment services for Darlington County incarcerated residents? A committed is being formed, but not complete. 6. What type of alcohol and drug treatment services, besides withdrawal services, are currently available to incarcerated County residents? Pee Dee Mental Health.