| Program Summary |
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| Title: |
Addendum II |
| GovCB Opps ID : |
ADP12062041280000317 |
| FSC Code: |
24 - Tractors
r - Professional, Administrative and Management Support Services
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| Solicitation No.: |
28-008 |
| Source: |
http://www.hallcounty.org/bids/details.asp?ID=558 |
Posted Date:
|
Mar 21, 2008 |
| Due Date: |
May 01, 2008 |
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| Description |
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Details of Bid Request:
Request for Proposal for Comprehensive Healthcare Services for Hall County Jail
RFP #28-008
Addendum II
March 21, 2008
A. Change to Request for Proposal:
-The opening date for this RFP has been extended to May 1, 2008. We will continue to accept questions for this RFP until April 21, 2008.
B. Questions from March 19, 2008 Pre-Bid Conference
(Answers in Italics)
1. Please describe the current plans for occupying the new jail facility. When will inmates move into the facility? Please provide a description of the timeframe and expected ADP as inmates are moved into the new facility. For example, will expected ADP be 1026 from Contract Start Date or does the County expect ADP to climb gradually from the current level of over 500 ADP to 1026 ADP?
Jail is in full operation at the present time. The population should hover around the 975 mark most of the time as they will make allowance for beds for immediate needs if they arise. Presently, they are climbing to the level of 975 as inmates from other jurisdictions are being brought to Hall County to be housed.
2. Sect. VI.1 B (Pg 10): Please describe the expected demographics/acuity of the additional inmates expected to increase the ADP from the current levels to 1026 ADP. For example, does the County expect these inmates to be older or younger, sick or healthy, similar mix of males and females, etc.? Age demographics are not maintained and would not change, sick / healthy will not change from current inmates, the facility male and female housing assignment is 84 % male 16% female.
3. What is the current ratio of male to female inmates? 87 % males / 13 % females
Contract
4. Please clarify the contract terms and renewal options. Contracts are generally let for a one year period with two (2) possible one (1) year extensions before the next re-bidding process
5. What is the start date and the initial term of the contract? Approximate start date would be between July 1 and Sept 1, 2008
6. Is the contractor responsible for any off-site services? If so, please clarify. No
7. (Pg. 2) - No proposal may be withdrawn for a period of (60) sixty days after time has been called on the date of opening. Section VIII 5 (Pg. 12) - No bid may be withdrawn for a period of ninety (90) days after time has been called on the date of opening. Please clarify which withdrawal period is in force for this contract.
The clarify the withdrawal period for this proposal, both should have read sixty (60) days after time has been called on the date of opening
8. Sect. I - Paragraph 3 (Pg. 5) mentions that in addition to ACA accreditation, the site intends to obtain "National Certification and Accreditation." Please clarify through which specific organization(s) the County is seeking national certification and accreditation. American Correction Association and National Commission on Correctional Health Care.
Staffing
9. Sect. III - C (Pg. 6): Please provide the Current Staffing Plan for the new facility by position, day, and shift.
1 Doctor 2 hours daily 4 days a week (contract)
1 Nurse Director (County Employee)
1 Nurse (County Employee)
Multiple Nurses to fill 24 hour a day 7 day a week coverage (contract)
10. What positions are currently vacant? None
11. Sect. III - C (Pg 6): Does the County expect the selected vendor to retain all of the current staff? No
12. Please provide:
Current salaries (or salary ranges) for each employee Not Available at present
Information regarding the current fringe benefits package, including paid leave, insurance, retirement plan, and any other non-salary items Not Available at present
13. Has there been difficulty in recruiting RNs, LPNs or other professional staff? If so, please clarify for which positions. No, they are Contract nursing
14. It is our understanding that the County has a contract with a nursing staffing agency. Please provide a copy of the current nursing staffing agency contract. Not Available
15. Will any medical positions be filled by County employees? No
Financial
16. What population does the County want used in the base bid? 800 or 1000? 1026
17. Will the County accept annual contract renewals by mutual agreement or a 120-day without cause termination clause? The county will accept annual contract renewals up to a 3 year period, however the Termination Clause length of time has yet to be determined for this bid.
18. Please explain the rationale for the 5% retainage. Will the County will willing to waive this requirement? This is not applicable to this proposal.
19. Sect. VI.1- A (Pg. 10): Please clarify the requested format for pricing of the proposed program. Is the County seeking a separate price from proposers for each of the services listed in this section? The proposers can either bid for the services as a whole or by each individual service. We have left the decision up to each individual vendor and also to be fair to those who only want to bid on one or two individual services.
Statistics
20. Sect. VI.1 - B (Pg 10): Please provide utilization statistics for the last 12 months for the following:
Average Daily Population 731 for January will rise as More Outside Prisoners are Housed
Intakes (Screenings) average 35 (24 hour period)
Physicals 351.5
Nurse Sick Call Visits 541.25
MD/PA Sick Call Visits 99
Inmates on Prescription Meds 60
Inmates on HIV Meds 2
Inmates on Psychotropics 30
Pregnant Inmates/Deliveries 15.6
X-rays On-Site/Off-Site 33
Dental Visits 3.75
Mental Health Visits no mental health
Infirmary Admissions 3
Infirmary Days 3
Average Infirmary Census 3
Inpatient Hospital Days 3
Inpatient Hospital Admissions 6
Emergency Room Visits 4.3
ER Visits Resulting in Admission 4
Ambulance Transports 3
Dialysis Visits 2
Outpatient Surgeries 2
Outpatient Specialty Visits none
Outpatient Radiology Visits 2.9
Other Outpatient Visits (Specify) 22 (6 std clinic) (15 OB clinic)
Inmate Deaths none
Inmate Suicide Attempts none
21. What percentage of inmates are HIV positive? 2%
22. What percentage of inmates are Hepatitis C positive? What are the community standards for treatment? 20% +/- not on treatment
23. What is the average number of inmates receiving Hep C medications? Zero (0)
24. What percentage of inmates are on psychotropics by drug type? 30% - Types not available
Providers
25. Identify whether the following services are available on-site or off-site, the frequency (hours or visits per week/month), and who provides the service:
Specialty Clinics (please specify which clinics and frequency) off site monthly see list above
Dental off site- twice monthly
Oral Surgery none
Pharmacy off site monthly
Optometry, (annual amount of glasses provided and cost) none
Laboratory on site
Radiology (specify mobile or fixed equipment) on site and off site
Fluoroscopy none
Mammography none
Physical Therapy off site weekly (rare)
Dialysis off site (rare)
Chronic Care Clinics (please specify which clinics and frequency) none
26. What hospitals are currently being utilized by the facility? For each hospital please provide the following:
Contact Person Northeast Georgia Medical Center
Telephone Number (770)535-3553
Distance from facility 5 miles
Availability of secure ward yes
27. Who is the current ambulance provider? Hall County EMS
Pharmacy
28. Who is your current pharmacy supplier? McElveens
29. Please provide the most recent three months of drug utilization. See list in RFP for frequently used drugs
30. How many inmates receive Hep C treatment? What is the nature of the treatment? None
31. How are medications delivered and dispensed: patient-specific or stock/pill line? patient specific
32. Where are medications administered? Are medications administered by nurses or correctional staff? How often? Pods and Infirmary by Nursing staff
33. Is there a self-administration or keep-on-person medication system? Yes
34. How many med passes are conducted per day? Twice
35. Are OTCs available through the commissary? If so, please provide a listing. yes attached
36. What form of psychotropic medications is currently being used liquid or tablet? Please address the use of atypical antipsychotics. Tablet
37. Can pharmacy techs administer medication? No
38. What is the ability to use stock medications? yes
Mental Health
39. What mental health services are currently available to inmates? Who provides these services? None
40. Does the current mental health program provide therapy and psychiatry or just intervention/assessment and psychiatry? None
41. What is the average number of inmates receiving mental health services? None
42. What is the percentage of inmates seen in MH who require medication and the average number of prescriptions per inmate? no mental health
43. Are any beds designated for mental health observation? If so, how many? No
44. What is the procedure for inpatient mental health confinement of an inmate outside of the facility? Who pays for this? Northwest Georgia in Rome , State of Georgia
45. Are there special mental health centers (housing units) staffed by mental health professionals and levels of care specific to inmate s acuity? No
46. Is there an expectation that psychological evaluations for parole or probation be conducted? If yes, how many are done per month and what is the time frame from the request to the need to produce the written evaluation? What qualifications are required of the person doing the evaluation? No
47. When required to use County Mental Health facilities, how is the requirement funded? For example, would the vendor be required to use county staff? no county mental health
48. How is the mental health provider expected to interface with the Hall County Mental Health Court? Is that process spelled out or has a policy been developed? not expected
49. Is there a special management unit for the Chronically Mentally Ill or for those inmates being adjudicated by the Mental Health Court? no
Services
50. Describe the scope of services desired. medical, dental, mental health service as required by law
51. Sect. IV.1 - A & B (Pg. 7): Please provide clarification of the County's expectation for these two requirements. Is it the County's expectation that the vendor staff the intake area 24/7 with RNs? It appears to be the requirement of items A & B that intakes be performed immediately upon the inmate's arrival to the facility. Also, is the comprehensive physical assessment (required by standard to be performed within 14 days) to be performed immediately upon intake as well? no; no
52. Is there an infirmary? If yes, please describe (# of beds, level of care, etc.) 8
53. How many days per week is nurse sick call available? How many days per week by the physician? 7; 4
54. Where does sick call occur - in the medical unit, the housing units, or another location (please specify)? both locations
55. How do inmates access sick call? Is there a co-pay? turn in request; yes co-pay through state law
56. What level of dental service is available to inmates? extraction only
57. What is the facility s medical grievance procedure? answered by nurses using current facility grievance procedures.
58. Who is responsible for medical waste disposal? private company - Stericycle; vendor will be responsible
59. Are there any special programs that you would like us to initiate or continue? Mental Health (possibly)
60. Are the following medical services performed on-site or off-site:
Mental Health off site
Dental off site
Radiology on and off site
Dialysis off site
Equipment And Supplies
61. Please provide an existing equipment inventory for the medical unit. Will all existing equipment be made available at no charge to the contractor? Attached; yes
62. What is the general condition of all major medical equipment? Who is responsible for the repair and maintenance of existing medical equipment? new; Hall County
63. Who is responsible for the purchase of new medical equipment? Is there a cost amount that defines whether a purchase is considered equipment? Are there any equipment needs of which you are aware? Vendor; no; no
64. Will the existing inventory of supplies be available at no charge to the contractor at the beginning of the contract? If not, will the vendor be expected to purchase the supplies? At what cost? yes
65. Will the agency provide PHS with office equipment and inmate waiting room chairs? chairs yes; office equipment no
66. Is the vendor required to maintain maintenance agreements on equipment and pay for facility licenses? yes
67. Who will own the equipment if purchased by the vendor? vendor
Due Date: May 1, 2008
Hall County Purchasing Division is the only official release site for this Invitation or any addenda that may be issued for same.
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