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Naphcare Proposal Cowlitz County, Washington

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Naphcare Proposal Cowlitz County, Washington Attachment G - Naphcare Proposal Cowlitz County, Washington INMATE HEALTH CARE RFP No. 12-2019 December 10, 2019 | 11:00 AM PT ELECTRONIC TABLE OF CONTENTS Section Page # RFP Page # Table of Contents i-ii 28 Letter of Submittal - Consultant Attachment Exhibit A 3.2. Technical Proposal 1-60 28 A. Approach/ Methodology 1-2 28 B. Work Plan 3-48 28 C. Project Schedule 49-55 29 D. Outcomes and Performance Measurement 56 29 E. Risks 57-58 29 F. Deliverables 59-60 29 3.3. Management Proposal 61-68 29 A. Project Management 1. Project Team Structure/Internal Controls 61-67 29 C. Related Infomation 68 29 3.4. Response Items 69-134 30 A. Response Items 30 a) Applicant Capability 69-78 16 b) Program/Design Strategy 78-112 16 c) Pharmacy Issues 113 17 d) Equipment and Supplies 113-124 17 e) Quality Assurance 124-125 18 f) Reporting 125-130 18 g) Budget 130-132 19 h) Third Party Impacts 132-133 19 i) Corporate, Tort Claims, and Litigation 133-134 19 j) References 3.5. Cost Proposal 135-137 30 A. Identification of Costs 135-137 30 Exhibit D Appendix A. Detoxification and Withdrawal Screenshots B. Current Clients List C. Contract Accomplishments D. Key Leadership and Staff Resumes E. Certificate of Insurance RFP #XYZ Number 19/2 i COUNTY, STATE Section Page # RFP Page # F. Audited Financial Letter G. Litigation History RFP #XYZ Number 19/2 ii COUNTY, STATE COWLITZ COUNTY Corrections Department REQUEST FOR PROPOSALS (RFP) Exhibit A—Attachment NaphCare takes exception to Section 2.17 Insurance Coverage outlined in the RFP. NaphCare proposes the county accept NaphCare’s current insurance program described as follows: NaphCare’s Insurance Program NaphCare’s insurance program includes utilization of the following top tier insurance companies: Coverage Carrier Rating Professional/General Liability Ironshore Specialty Insurance A + Employment Practices CNA/Continental Casualty Co A XV Automobile Liability Great American Insurance Co A XIV Workers’ Compensation The Travelers Insurance Co A++ The company’s insurance program includes, but is not limited to, Medical Professional Liability with limits of up to $1,000,000 for each claim and $5,000,000 in the annual aggregate; Commercial General Liability with limits of up to $1,000,000 for each occurrence and $5,000,000 in the general aggregate (Professional and General Liability are provided on a claims made basis); Automobile Liability with $1,000,000 combined single limit (each accident); and Workers Compensation and Employers’ Liability with limits of up to $1,000,000 for each incident. Additionally, NaphCare maintains an umbrella liability policy that provides $5,000,000 per occurrence and a $5,000,000 annual aggregate in excess of expiring limits. With NaphCare’s insurance program, the County is guaranteed as an Additional Insured on NaphCare’s insurance policies as outlined above. 3.2. TECHNICAL PROPOSAL The Technical Proposal must contain a comprehensive description of services including the following elements: A. Project Approach/Methodology – Include a complete description of the Consultant’s proposed approach and methodology for the project. This section should convey Consultant’s understanding of the proposed project. NaphCare’s Medical Service Delivery Plan NaphCare is committed to advancing correctional healthcare through innovative technology, our Proactive Care Model, and revolutionary programs that address the mental health and substance abuse epidemics impacting America’s jails. We understand the challenges that all correctional systems face at this time, and we look forward to working with Cowlitz County to develop a healthcare program that meets your specific areas of need. NaphCare’s medical service delivery plan will include our core programs tailored to the Cowlitz County Correctional Department: Proactive Care Model. NaphCare emphasizes the early identification of medical and mental health issues in order to intervene early and prevent healthcare emergencies and costly off-site trips. Our Proactive Care Model is designed to ensure that comprehensive medical and mental health screenings are conducted at intake and that treatment is initiated in the critical first hours and days following booking. Our proposal provides for 24/7 RN coverage in the booking area to promptly complete an advanced Intake Screening and complete Health Assessment upon entry to the Cowlitz County Jail. Electronic Operating System and Health Records (EHR), TechCare®. NaphCare will immediately implement our top-ranked, corrections-specific electronic operating system, TechCare, at the Cowlitz County Correctional Department facilities. The system will be operational DAY ONE of the contract if the county wishes to utilize this service. TechCare not only provides electronic health records, but also acts as a medical management system built to automate compliance with NCCHC and ACA standards. Developed by correctional healthcare experts, TechCare tracks the healthcare activities of each patient, creating standardized treatment processes with transparent reporting from intake through discharge. STATCare 24/7 Telehealth. NaphCare’s STATCare model provides the site with 24/7 access to a centralized telehealth team that supports the onsite intake process. STATCare provides the onsite clinical staff with access to a centralized team of Washington-licensed Nurse Practitioners who take crucial steps within hours of booking to stabilize patients and initiate treatments. The STATCare team complements the care provided by the onsite medical team, collaborating on clinical decision-making and treatment planning to ensure continuity of care and add a layer of quality assurance. For Cowlitz County, STATCare will be available to initiate medications, treatment orders, referrals and detox, typically within one hour after completion of the Intake Screening. STATCare will also review Intake Screenings for the first 90 days of the contract, with periodic audits thereafter to ensure continued clinical quality. Additionally, the STATCare team is on-call 24/7 to assist with patient care issues that arise when an onsite provider is not available, including nights and weekends. Through TechCare, the STATCare team has real- time access to a patient’s complete medical record, allowing for quick decision-making and follow-up on orders. Onsite providers can easily access and review orders placed by STATCare via the STATCare queue RFP #12-2019 Inmate Health Care Services 1 Cowlitz County, Washington in TechCare. Providers may choose to continue, change or discontinue any orders, as they deem necessary. STATCare support for onsite clinicians: Review intake screenings for quality control Set flags in TechCare for patients with chronic conditions, mental health needs and substance use disorder Schedule referrals for provider follow-up Verify and initiate medications within 24 hours of intake Create treatment orders to stabilize patients quickly Initiate withdrawal treatment protocols Advanced Protocols for Managing Withdrawal and Substance Use Disorders. The opioid crisis and the high rates of substance use disorders among the incarcerated population impose increased risks and liability on local governments and correctional healthcare providers. NaphCare reduces liability and risk by staying on the cutting edge of substance use disorder treatment. NaphCare offers a superior approach to managing drug and alcohol withdrawal, including our pioneering work on a protocol using a taper of buprenorphine to reduce the risks and symptoms associated with opioid withdrawal. NaphCare also has a growing body of experience with Medication Assisted Treatment (MAT) programs to assist patients with opioid use disorder in preparing to abstain from misuse of opioids upon release. We believe in the promise of MAT programs, and we will work with Cowlitz County to operate a MAT program tailored to your needs. NaphCare has worked with our clients in Washington State to obtain over $1.5 million in grant funding and in-kind contributions to support MAT programs, and we will continue to work diligently to help our clients find necessary funding and support to maintain and expand these important programs. Managing Off-site Trips. NaphCare actively manages off-site patient trips through our proactive approach to care and comprehensive Utilization Management (UM) program. We prioritize onsite care whenever possible and educate our onsite staff to handle more issues onsite and improve outcomes. Our Network Management Department will supply onsite specialty services, when deemed to be appropriate based in part on patient volume needs. When off-site care is required, our UM Department focuses on minimizing burden to custody by consolidating trips and reducing send-outs. While each client facility is different, NaphCare approaches our programs with an emphasis on proactive, preventive care that leads to fewer off-site and emergency trips. Examples of reductions in off-site trips and costs include: o In Hillsborough County, Florida, the cost of off-site care dropped by 18% from year one to year two of our contract and dropped another $130,000 from year two to year three. o In Montgomery County, Ohio, NaphCare reduced overall trips by 40%, ER trips by 14% and inpatient admissions by 58%. In addition, off-site expenditures decreased by 30%. Quality Assurance, Compliance and Accountability. NaphCare understands the importance of providing quality healthcare services in compliance with the highest correctional healthcare standards, so we have built our program around
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