Amendment to Contract between TNDOC and Prison Health Services 2001
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06/25/2001 16:01 615-741-4605 TN CCRR ADMIN SERV FAGE AMENDMENT SIX TO CONTRACT FA-96·11837-00 BETWEEN THE STATE OF TENNESSEE£?'./·. :: DEPARTMENT OF CORRECTION AND PRISON HEALTH SERVICES, INC. 02/ 02 26 !.:l S': �2 This Contract, by and between the State of Tennessee, Department of Correction, hereinafter referred to as the State, and Prison Health Services, Inc., hereinafter referred to as the Contractor, is hereby amended as follows: 1. Delete Section B. 8 in its entirety and insert the fallowing in its place: 8.8. In no event shall the maximum liability of the State under this Contract exceed NINETEEN MILLION SIX HUNDRED NINETY-NINE THOUSAND FOUR HUNDRED SIXTY-ONE DOLLARS ($19,699,461.00). of this Contract not amended hereby shall remain in full force The other terms and conditions and effect. IN WITNESS WHEREOF: PRISON HEALTH SERVICES, INC.: Bruce Teal, Executive Vice President DAT8� DEPARTMENT OF CORRECTION: �� DATE: � I zo, { 6 t APPROVED: DEPARTMENT OF FINANCE AND AD MINISTRATION: DATE: COMP+rLLER / THE iSURY: I .. I I� � I . /LJ'-<. H:\Fisca�ntracts\32900\Contracts\PHS Amendment 6.doc ?/LJ...lo I DATE: :] /1(£ /u7 I (_ TN cc:F1R ADMIN SERV PAGE RFS NO.: 329.00-007 AMENDMENT AVE TO CONTRACT FA-96-11837~O BETWEEN THE STATE OF TENNESSEE DEPARTMENT OF CORRECilON AND PRJSON HEALTH SERVICES, INC. This Contract, by and between the State of Tennessee,Oepartment at" CotTedion,'tierelnafter referred to as the State, and Prison Health Services, Inc.,· hereinafter referred to 8S the Contractor, Is hereby amended as foRows: 1. Delete Section 6.8 In t • ~.' ' Delete Section B.1 1 In its eniirety and insert the following .In its place: 6.11. For the period of November', 1995 through June 30, 2001, If the populations at the Rivemend Maximum Security Institution (RMSI) and/or the Tennessee Prison for Women (TPW) exceed the capacities listed In Attachment 0 of said contract, the State shall pay Prison Health Services. Inc., the following per diem rates for populations over those requested and proposed: . RMSI TPW 3. .. .... In no event shall the maximum liability of the State under this Contract exceed NINETEEN MILLiON FIVE HUNDRED SIXTY-NINE THOUSAND FOUR HUNDRED StxrY-oNE DOLIJ\RS ($19,569.461.00). . .6.B. 2. Its entirety end Insert the following in fts place: $3.12 $4.00 (over 60S) (over 362). Delete Section C.1 In its entirety and Insert the following In its place: Contract TenT\. This Contract shall be effective for the period commencing on November 1; 1995. and ending on June 30. 2001. The state shall have no obligation for services rendered by the Contractor which are not performed within the specified period•. C.1. 4. Delete Attachment A in its entirety and insert the revised Attachment A In its place. 5. Delete Attachment 0 In Its entirety and insert the revised Attachment D in its place. The other terms and conditions of this Contrad not amended hereby shall remain in full force and effect. IN WITNESS WHEREOF: PRJSON HEALTH SERVICES, INC.: .ft 11) ~. DATE: (~.{~. 0 I ~yassee, ben~or v~ce ~res~cent DATE: / I . F;\2000 Medical Amendments\PHS Amendment 5.aoc 3/--cJI 82/el ___ IN ~ ............ yu....J AUM1N PAGE ~'a3IEl ~~~V RFS NO.: 329.00..007 APPROVED: DEPARTMENT OF FINANCE AND ADMINISTRATION: '. /)'1 ~ A (/(L D~~~ C. warr~ Pii.d".. com~1 ).:....> flu I __ DAT[EB 2 2 2001 . CO~~OLLER!F THE TR~5URY: ()~ G1. ;Vf~_~ _ _._....:.....--_ John G: Mo~a~. Comptroller °\11 reasury DATE:~/7}or --:~'- - . .; . . F:\2000 Medical Amendments\PHS Amendment 5.doc 2 I N ~ ADMIN SERV - PAGE RFS NO.: .329.00-007 AITACHMENTA Page 10f 2 CONTRACT BETWEEN THE STATE OF TENNESSEE. DEPARTMENT OF CORRECTION RIVER8END MAXIMUM SECURITY INSmUTION AND PRISON HEALTH SERVICES. INC. STAFFING LEVEL 11/1/956130/97 6/30/01 FrE FTE PHYSICIAN 0.5 0.5 -HEALTH SERVICES ADMINISTRATOR 1.0 1.0 MEDICAL SECRETARY 2.0 2.00 MEDICAL RECORDS CLERK 1.0 1.00 DIRECTOR OF NURSING 1.0 1.00 PA./NP 1.0 1.00 RN 6.2 622 LPN 10.0 10.0 X-RAY TECHNICIAN 0.3 0.3 DENTIST 0.5 0.5 DENTAL ASSiSTANT 0.5 0.5 MHPS (Bachelor's level Bachelor/Social Science Graduate) 1.0 1.0 PSYCHOLOG ICAL EXAMINER 2.0 2.0 PSYCHOLOGIST, DOCTORATE LEVEL 02 PSYCHIATRIST 0.4 TOTAL STAFF 27.6 POSITION F:\2000 Medical Arnendments\PHS Amendment 5.doc 7/1/97- 27.0 134/8! TN OJRR ADMIN SERV PAGE RFS NO.: 329.00-007 AITACHMENT A Page 2 of 2 CONTRACT BETWEEN THE STATE OF TENNESSEE, DEPARTMENT OF CORRECTION TENNESSEE PRISON FOR WOMEN AND PRISON HEALTH SERVICES. INC. STAFFING LEVEL 11/1/956/30/97 FIE 7/1/9i6/30/01 OB/GYN SPECIALIST .. 0.3 0.3 PHYSICIAN 0.5 . 0.5 HEALTH SERVICES ADMINISTRATOR 1.0 1.0 MEDICAL SECRETARY 1.0 1.0 MEDICAL RECORDS CLERK 1.0 1.0 DIRECTOR OF NURSING 1.0 1.0 PAlNF 1.0 1.0 RN 4.2 4.2 LPN 6.6 6.6 DENTIST 0.5 0.5 DENTAL ASSISTANT 0.5 0.5 PSYCHOLOGIST, DOCTORATE LEVEL 0.3 PSYCHIATRIST 0.4 TOTAL STAFF 18.3 POSITION F;\2000 Medical AmendmenlS\PHS Amendment 5.doc FTE 17.6 05/0 TN CORR ADMIN S£RV _ _ • ..JU RFS NO.: 329.00~07 ATTACHMENT 0 Page.! of..1 CONTRACT BE1WEEN . THE STATE OF TENNESSEE, DEPARTMENT OF CORRECTION . TENNESSEE PRJSON FOR WOMEN, RIVERBEND MAXIMUM SECURITY INSTITUTION AND PRISON HEALTH SERVICES, INC. REIMBURSABLE PER DIEM EXPENSE TENNESSEE PRISON FOR WOMEN Bed Capacity 362 Vear1 $9:65 Bed Day Rate Contract Costs by Year $1,279,:165.00 Year2 $10.07 $1,330,332.00 Year 3 $9.20 $1,215,596.00 Total Cost RIVERBEND Year 4 YearS YearS $9.20 $1,215.596.00 S9.20 $1,215,596.00 S9.54 $1.270,882.00 YearS $7.58 $1,682,154.00 YearS $7,527,167.00 MAXIMUM SECURfTY INSTITUTION Bed CapacitySOa Bed Day Rate Contract Costs by Year Year 1 $7.59 $1,688,810.00 Year 2 $7.91 $1,755,388.00 Total Cost Year 3 Year 4 S7.58 $1.682,154.00 $7.58 $1,682,154.00 $7.86 $1.7.ee,628.00 $10,249,288.00 TOTAL CONTRACT COST $17,776,455.00 Note: The contract costs in this attachment do not include amounts for populations in excess of capacity. . which were provided for in Amendment 1. F:\2000 Medical Amendments\PHS Amendment 5.doc S' RFS NO.= 329.00-007 AMENDMENT FOUR TO CONTRACT FA-96-11837"'()3 "~'.~ ~. '" '-- . . _.t ')./ L. J ". i C. r (l , . .; ~I BElWEEN THE STATE OF TENNESSEE DEPARTMENT OF CORRECTION AND PRISON HEALTH SERVICES. INC. This Contract, by and between the State of Tennessee, Department of Correction, hereinafter referred to as the State, and Prison Health Services, Inc., hereinafter referred to as the Contractor, is hereby amended as follows: 1. Delete Section 8.8 in its entirety and insert the following in its place: 8.8. 2. In no event shall the maximum liability of the State under this Contract exceed SEVENTEEN MILLION SEVEN HUNDRED NINETY-NINE THOUSAND SEVEN HUNDRED EIGHTY-EIGHT DOLLARS ($17,799,788.00). Delete Section 8.11 in its entirety and insert the following in its place: 8.11. For the perioo of November 1, 1995 through December 31, 1999, if the popUlations at the Riveroend Maximum Security Institution (RMSI) and/or the Tennessee Prison for Women (TPW) exceed the capacities listed in Attachment D of said contract, the State shall pay Prison Health Services, Inc., the following per diem rates for populations over those requested and proposed: RMSI TPW 3. $3.12 $4.00 (over 608) (over 362). Delete Section C.1 in its entirety and insert the following in its place: C.1. Contract Term. This Contract shall be effective for the period commencing on November 1, 1995, and ending on December 31, 2000. The State shall have no obligation for services rendered by the Contractor which are not performed within the specified period. 4. Delete Attachment A in its entirety and insert the revised Attachment A in its place. 5. Delete Attachment D in its entirety and insert the revised Attachment D in its place. The other terms and conditions of this Contract not 'amended hereby shall remain in full-force and effect. IN WITNESS WHEREOF: I ES,INC.: DATE: J STATE OF TENNESSEE DEPARTMENT OF CORRECTION: PHS Amendment 4.doc.doc 06/21/00 C:. 25 "'CI'/ ::-. '. ': :RfS-NO.: 329.00-007" , . APPROVED: DEPARTMENT OF FINANCE AND ADMINISTRATION: &, w~'1f!frM.. John G, ,Morgan Comptroller the T - of Date --1 ful DATE:' :7·-fJ...;...o D - ury ~ ,.,....". eLl '~, ...... . " ..-.: , . PHS Amendment 4.doc.doc 06/21/00 .' '.~ , . ~. , ~ ' ~. 2 . RFS NO.: 329.00-007 AITACHMENT A Page 10f 2 CONTRACT BETWEEN THE STATE OF TENNESSEE, DEPARTMENT OF CORRECTION RIVERBEND MAXIMUM SECURITY INSTITUTION AND PRISON HEALTH SERVICES, INC. STAFFING LEVEL POSITION 11/1/956/30/97 FTE 7/1/9712131/00 FTE PHYSICIAN 0.5 0.5 HEALTH SERVICES ADMINISTRATOR ~.O 1.0 MEDICAL SECRETARY 2.0 2.00 MEDICAL RECORDS CLERK 1.0 1.00 DIRECTOR OF NURSING 1.0 1.00 PNNP 1.0 1.00 RN 6.2 6.22 LPN 10.0 10.0 X-RAY TECHNICIAN 0.3 0.3 DENTIST 0.5 0.5 DENTAL ASSISTANT 0.5 0.5 MHPS {Bachelor's level Bachelor/Social Science Graduate} 1.0 1.0 PSYCHOLOGICAL EXAMINER 2.0 2.0 PSYCHOLOGIST, DOCTORATE LEVEL 0.2 PSYCHIATRIST 0.4 TOTAL STAFF 27.6 27.0 ./7J - -7 Jet PHS Amendmenl 4.doc.doc 06/21100 3 RFS NO.: 329.00-007 AITACHMENT A Page 2 of2 CONTRACT BETWEEN THE STATE OF TENNESSEE, DEPARTMENT OF CORRECTION TENNESSEE PRISON FOR WOMEN AND PRISON HEALTH SERVICES, INC. STAFFING LEVEL 11/1/956/30/97 711197-· FTE 12131/00 FTE OB/GYN SPECIALIST 0.3 0.3 PHYSICIAN 0.5 0.5 HEALTH SERVICES ADMINISTRATOR 1.0 . 1.0 MEDICAL SECRETARY 1.0 1.0 MEDICAL RECORDS CLERK 1.0 '1.0 DIRECTOR OF NURSING 1.0 1.0 PAINP 1.0 1.0 RN 4.2 4.2 LPN 6.6 6.6 DENTIST 0.5 0.5 DENTAL ASSISTANT 0.5 0.5 PSYCHOLOGIST, DOCTORATE LEVEL 0.3 PSYCHIATRIST 0.4 TOTAL STAFF 18.3 POSITION PHS Amendment 4.doc.doc 06/21/00 17.6 4 RFS NO.: 329.00...ij07 ATrACHMENT 0 Page..! of..! CONTRACT BETWEEN THE STATE OF TENNESSEE, DEPARTMENT OF CORRECTION TENNESSEE PRISON FOR WOMEN, RIVERBEND MAXIMUM SECURITY INSTITUTION AND PRISON HEALTH SERVICES, INC. REIMBURSABLE PER DIEM EXPENSE TENNESSEE PRISON FOR WOMEN Bed Capacity362 Bed Day Rate Contract Costs by Year Year 1 Year 2 Year 3 Year 4 Year 5 $9.65 $1.279.165.60 $10.07 $1,330,332.00 $9.20 $1,215,596.00 $9.20 $1,215.596.00 $9.20 $1,215.596.00 Total Cost Year 6 $9.54 $635,441.00 $6,891,726.00 RIVERBEND MAXIMUM SECURITY INSTITUTION Bed Capacity608 Bed Day Rate Contract Costs by Year Year 1 Year 2 Year 3 Year 4 YearS $7.59 $1,688,810.00 $7.91 $1,755,388.00 $7.58 $1,682,154.00 $7.58 $1.682.154.00 $7.58 $1,682,154.00 Total Cost TOTAL CONTRACT COST Year 6 $7.86 $879,314.00 $9,369,974.00 $16,2~1,700.00 Note: The contract costs in this attachment do not include amounts for populations in excess of capacity, which were provided for in Amendment 1. PHS AmendmenI4.doc.doc 06/21'00 RFS NO.: 329.00-007 AMENDMENT THREE TO CONTRACT FA-96-11837~3 BETWEEN THE STATE OF TENNESSEE. DEPARTMENT OF CORRECTION AND PRISON HEALTH SERVICES, INC. This Contract. by and between the State of Tennessee, Department of Correction, hereinafter referred to as the State. and Prison Health Services, Inc., hereinafter referred to as the Contractor, is hereby amended as follows: 1. By inserting the following Section in its entirety: A.g. Mental Health Setvices All mental health services provided under this contract shall be in conformance with all policies and American Correctional Association standards, as they may be applicable amended form time to time. If at any time the vendor seeks accreditation from a licensing entity other than those standards set forth by TDOC.· the vendor agrees to assume the financial . indebtedness required to meet those standards. moc a) Provide two (2) licensed Psychological Examiners and one (1) qualified Mental Health professional at RMSI. (at a staffing level no less than that detailed in AlTACHMENT A) b) Provide psychological admission assessments that shall be, if required. the basis for developing an individual treatment plan. When deemed necessary, a full psychological evaluation will be provided under appropriate clinical supervision. c) Treatment intervention and programs shall indude, but are not limited to, the following: Group counseling (short and long term) Individual counseling (short and long term) Sex offender aftercare counseling (per policy) Anger Management (when not provided by the State and must be Substance Abuse Counseling provided by a qualified MO COunselor) d) Provide psychological assessment/evaluation for the purpose of refelTing inmates/patients special needs facility or other TDOC special treatment units. Acceptance of a to the mental health referral shall be based upon clinical justification and availabtTrty of treatment beds at the treating facility. moc e) Provide psychological assessments on each inmate in segregation status within thirty (30) policy dictates. days of placement and each ninety (90) days thereafter as moc f) A treatment team approach shall be utilized, but not limited to, addressing case management, diagnostic impressions. intervention strategies. and treatment referrals. g) The licensed psychological examiner shall provide, or assist in providing. a mental health education program to State's staff or contractor that shall indude, but not be limited to, the following: Ear1y detection of pOtential mental health/psychiatric problems, i.e.. signs and symptoms of mental illness, retardation and alcohol and drug disorders. PHS Amendment 3.doc 02123199 1 RFS NO.: 329.00~07 Crisis intelVentionlsuicide awareness programming 2. h) Provide mental health traige as indicated in IDOC Policy and assisst in the general management of mental health patients. i) Comply with an medical and mental health documentation, record storage, and TOMIS requirements as noted in applicable TDOC policies. j) The licensed psychological examiners and qualified mental health professional shall practice in accordance with professional standards to those of the community and in compliance with State and federal laws. Delete following Section (as amended) in its entirety: B.8. In no event shall the maximum liabifrty of the State under this Contrad exceed lWElVE MIWON FIVE HUNDRED EIGHTY-NINE THOUSAND SIX HUNDRED THIRlY-EIGHT DOlLARS, $12,589,638.00. and insert the following in its place: B.8. 3. In no event shall the maximum liabifrty of the State under this Contract exceed SIXTEEN MIWON THIRlY THOUSAND ONE HUNDRED FIFTEEN DOLLARS, $16,030,115.00. Delete following Section in its entirety: B.11. For the period of November 1, 1995 through June 30, 1999, if the populations at the Rivert>end Maximum Security Institution (RMSI) and/or the Tennessee Prison for Women (1PW) exceed the capacities listed in Attachment D of said contract, the State shall pay Prison Health Services, Inc., the following per diem rates for populations over those requested and proposed: $3.12 (over 608) RMSI TPW$4.oo (over 362). and insert the following in its place: B.11. For the period of November 1, 1995 through June 30,2000, if the populations at the Riverbend Maximum· Security Institution (RMSI) and/or the Tennessee Prison foF-Women (TPW) exceed the capacities listed in Attachment D of said contract. the State shan pay Prison Health Services, Inc., the following per diem rates for populations over those requested and proposed: RMSI $3.12 TPW $4.00 4. (over 608) (over 362). Delete following Section in its entirety: C. CONTRACT TERM: C. 1. Contrad Term. This Contrad shall be effective for the period commencing on November 1,1995, and ending on June 30, 1999. The State shall have no obligation for selVices rendered by the Contrador which are not performed within the specified period. C. 2. Term Extension. The State reselVes the right to extend this Contrad for one (1) additional year, provided that the State notifies the Contrador in writing of its intention to do so at least sixty (50) days prior to the contrad expiration date. An extension of the term of this Contrad will be effected through an amendment to the Contrad. If the extension of the Contrad necessitates additional funding beyond that which was induded in the onginal Contract, the increase in the State's PHS Amendment 3.doc 02123199 2 RFS NO.: 329.00~07 maximum liability will also be effected through an amendment to the Contrad and shall be based upon rates provided for in the original contrad and proposal. and insert the following in its place: CONTRACT TERM: C. c. 1. Contrad Tenn. This Contrad shall be effective for the period commencing on November 1,1995, and ending on June 30, 2000. The State shall have no obligation for services rendered by the Contrador which are not pedormed within the specified period. 5. Delete Attachment A in its entirety and insert the revised Attachment A in its place. 6. Delete Attachment D in its entirety and insert the revised Attachment D in its place. The other terms and conditions of this Contrad not amended hereby shall remain in full force and effect.. IN WITNESS WHEREOF: DATE: '3' \ c?'l~ \ STATE OF TENNESSEE DEPARTMENT OF CORRECTION: £d~~ DATE: ----- APPROVED: DEPARTMENT OF FINANCE AND ADMINISTRATION: l- D. DATE: 4-/u( ~( r I COMPTROllER OF THE TREASURY: Comptroller of Li')e Treasury PHS Amendment 3.doc 02123199 .;: 3 RFS NO.: 329.00..007 AlTACHMENT A Page 1of2 CONTRACT BETWEEN THE STATE OF TENNESSEE, DEPARTMENT OF CORRECTION RJVERSEND MAXIMUM SECURITY INSTITUTION AND PRJSON HEAlTH SERVICES, INC. STAFFING LEVEL 11/1/956130/97 FTE 0.5 POSITION PHYSICIAN 7/1/976130/00 FTE 0.5 HEALTH SERVICES ADMINISTRATOR 1.0 1.0 MEDICAL SECRETARY 2.0 2.00 M~DICAL RECORDS 1.0 1.00 DIRECTOR OF NURSING 1.0 1(10 PAINP 1.0 1.('.0 RN 6.2 6.22 LPN 10.0 10.0 X-RAY TECHNICIAN 0.3 DENTIST 0.5 0.3 0.5 DENTAL ASSISTANT 0.5 0.5 MHPS (Bachelor's level Bachelor/Social Science Graduate) 1.0 1.0 PSYCHOLOGICAl EXAMINER 2.0 2.0 PSYCHOLOGIST, DOCTORATE LEVEL 0.2 PSYCHIATRIST 0.4 TOTAL STAFF PHS Amendment 3.doc 02123199 CLERK 27.6 27.0 4 RFS NO.: 329.00~07 ATIACHMENTA Page 2 of2 CONTRACT BETWEEN THE STATE OF TENNESSEE, DEPARTMENT OF CORRECTION TENNESSEE PRISON FOR WOMEN AND PRISON HEALTH SERVICES, INC. STAFRNG LEVEL 11/1/956130/97 7/1/97- FTE 6130/00 FTE OBIGYN SPECIALIST 0.3 0.3 PHYSICIAN 0.5 0.5 HEALTH SERVICES ADMINISTRATOR 1.0 1.0 MEDICAl SECRETARY 1.0 1.0 MEDICAL RECORDS CLERK 1.0 1.0 DIRECTOR OF NURSING 1.0 1.0 PNNP 1.0 1.0 RN 4.2 4.2 LPN 6.6 PSYCHOLOGIST, DOCTORATE LEVEL 6.6 0.5 0.5 0.3 PSYCHIATRIST 0.4 POSITION DENTIST DENTAL ASSISTANT TOTAL STAFF PHS Amendment 3.doc 02123199 18.3 0.5 0.5 17.6 5 RFS NO.: 329.0~07 ATIACHMENT 0 Page J. of J. CONTRACT BETWEEN THE STATE OF TENNESSEE. DEPARTMENT OF CORRECTION TENNESSEE PRISON FOR WOMEN, RlVERBEND MAXIMUM SECURITY INSTITUTION AND PRISON HEALTH SERVICES, INC. REIMBURSABLE PER DIEM EXPENSE TENNESSEE PRISON FOR WOMEN Bed Capacity362 Year 2 Year 1 Bed Day Rate Contract Costs by Year $9.65 $1,279,165.00 $10.07 $1,330,332.00 Total Cost Year 3 $9.20 $1,215,596.00 Year 4 YearS $9.20 $1,215,596.00 $9.20 $1,635,142.00 $6,675,831.00 RJVERBEND MAXIMUM SECURITY INSTITUTlON Bed Capadty608 Year 2 Year 1 Bed Day Rate Contract Costs by Year $7.59 $1,688,810.00 $7.91 $1,755.388.00 Total <Ast TOTAL CONTRACT COST Year 3 $7.58 $1,682,154.00 Year 4 Year 5 $7.58 $1,682,154.00 $7.58 $1,805.335.00 $8,613,841.00 $15,289,672.00 Note: The contract costs in this attachment do not incfude amounts for popUlations in excess of capacity, which were provided for in Amendment'1. . PHS Amendment 3.doc 02123199 6 AMENDMENT TWO TO CONTRACT :r!'A-96-11837-OO BETWEEN TIlE STATE OF TENNESSEE, DEPARTMENT OF CORREcnON AND PRISON HEALm SERVICES, INC- This Contract. by and between the State of Tennessee. Department of Correction. hereinafter referred to as the State., and Prison Health Services. Inc.• hereinafter referred to as the Contractor. is hereby amended as follows: 1. Delete following Section in its entirety: A.9. Mental Health Services All mental health services provided under this contract shall be in conformance with all applicable TDOC policies and American Correctional Association standards. as they may be amended fonn time to time. If at any time the vendor seeks accreditation from a licensing entity other than those standards set forth by TDOC. the vendor agrees to assume the fmancial indebtedness required to meet those standards. a) Provide licensed qualified mental health professionals at each of the 1DOC institutions at a staffmg level no less than that detailed in AITACHMENT B. b) Develop and provide an inmate psychological/psychiatric admission assessment program that shall be, if required, the basis for developing an individual treatment plan. When deemed necessary. a full psychological/psychiatric evaluation will be provided. c) Treaanent programs shall include. but are not limited to,"the following: Group therapy (short and long tenn) Individual therapy (short and long tenn) Sex offender aftercare counseling (per policy) d) When clinically indicated. provide a full psychological and/or psychiatric assessment/evaluation OD inmates referred by TDOCIcontraet staff or as policy dictates. e) Provide psychological and/or psychiatric assessment/evaluation for the purpose of referring inmates/patients to the TDOC special needs facility or other TDOC special treatment units. Acceptance of a mental health referral shall be based upon clinical justification and availability of treatment beds at the treating facility. PHS Amendment 2 f) Provide psychological/psychiatric assessments on each inmate in segregation . status within thirty (30) days of placement and each ninety (90) days thereafter as TDOC policies dictate. g) Provide medication management to all TDOC patients receiving psychotropic medication. h) The psychologist shall provide direct clinical supervision to the licensed psychological examiner(s), and when applicable., to student interns as required. i) The psychologist shall provide clinical supervision to the licensed psychological examiners, mental health program specialists, and substance abuse counselors, as well as providing program consultation. j) A treatment team approach shall be ut:iliz,e(L but not limited to, addressing case management, diagnostic impressions, intervention strategies, and treatment referrals. k) Provide for 24 hours per day 7 days per week emergency availability by the 'psychiatrist and/or psychologist for consultation with mental health. medical staff, or those designated by the Warden. Such availability may be by telephone unless circumstances necessitate on-sit service delivery. I) The psychologist shall conduct psychological evaluations on State's inmates as requested by the Tennessee Board of Parole. The psychologist shall not perform a psychological evaluation on an inmate that he/she has dealt with in the capacity of a therapisL m) The Contractor shall provide a mental health education program to State's staff that shall include, but Dot be limited to, the following: Early detection of potential mental health/psychiatric problems, i.e., signs and symptoms of mental illness, retardation and alcohol and drug disorders. Crisis intervention/suicide awareness programming 2. 0) Comply with all medical and mental health documentation/record storage requirements as DOted in applicable TDOC policies. 0) Practice in accordance with professional standards to those of the community and in compliance with State and federal laws. Delete following Section (as amended) in its entirety: B.S. PHS Amendment 2 In no event shall the maximum liability to the State under this Contract exceed NINE MILLION AVE HUNDRED EIGHTY-FOUR TIIOUSAND EIGfIT HUNDRED FORTY-ONE DOLLARS. $9.584.841.00. 2 and insert the following in its place: B.8. In no event shall the maximum liability of the State under this Contract exceed TWELVB MILLION FIVE HUNDRED EIGHTY-NINE THOUSAND SIX HUNDRED THIRTY-EIGHT DOLLARS, $12,589.638.00. 3. Delete following Section in its entirety: B.ll. For the period of November I, 1995 through June 30,1998, if the populations at the Riverbend Maximum Security Institution (RMSI) and/or the Tennessee Prison for Women (TPW) exceed the capacities listed in Attachment D of said contract, the State shall pay Prison Health Services, Inc. the following pet diem rates for populations over those requested and proposed: RMSI lYW $3.12 $4.00 (over 608) (over 362). and insert the following in its place: B.11. For the period of November I, 1995 through June 30. 1999, if the populations at the Riverbend Maximum Security Institution (RMSI) and/or the Tennessee Prison for Women (TPW) exceed the capacities listed in Attachment D of said contract, the State shall pay Prison Health Services, Inc., the following pet diem rates for populations over those requested and proposed: RMSI TPW 4. $3.12 $4.00 (over 608) (over 362). Delete following Section in its entirety: C. TERM: This Contract shall be effective for a period of three years, commencing on November 1. 1995 and ending on June 30. 1998. The State shall have no responsibility for services rendered by the Contractor which are not perfonned within the specified period. The State shall have the right to an option to renew the Contract for an additional two years. and insert the following in its place: CONTRAcr TERM: . C. C. 1. Contract Term. This Contract shall be effective for the period commencing on November 1. 1995. and ending on June 30. 1999. The State shall have no obligation for services rendered by the Contractor which are not performed within the specified period. c. 2. Tenn Extension. The State reserves the right to extend this Contract for one (1) additional year. provided that the State notifies the Contractor in writing of its PHS Amendmc:nl 2 3 intention to do so at least sixty (60) days prior to the contract expiration date. An extension of the tenn of this Contract will be effected through an amendment to the Contract. If the extension of the Contract necessitates additional funding beyond that which was included in the original Contract, the increase in the State's maximum liability will also be effected through an amendment to the Contract and shall be based upon rates provided for in the original contract and proposal. 5. Delete following Section in its entirety: D. 3. The State may terminate this Contract by giving the Contractor at least 90 days written notice before the effective tennination date. In that event, the Contractor shall be entitled to receive equitable compensation for satisfactory, authorized services completed as of the termination date. and insert the following in its place: D. 3. Tennination for Convenience. The State may tenninate the Contract by giving the Contractor at least thirty (30) days written notice before the effective tennination date. In that event, the Contractor shall be entitled to receive equitable compensation for satisfactory, authorized services completed as of the termination date. 6. Delete Attachment A in its entirety and insert the revised Attachment A in its place. 7. Delete Attachment B in its entirety and insert the revised Attachment B in its place. 8. Delete Attachment D in its entirety and insert the revised Attachment D in its place. The other tenns and conditions of this Contract not amended hereby shall remain in full force and effect. PHS Amendmenr 2 4 IN WITNESS WHEREOF: STATE OF TENNESSEE DEPARTMENT OF CORRECTION: ~~tfa~~- DATE: 5-3-9eF- APPROVED: DEPARTMENT OF FINANCE AND ADMINISTRATION: "L6i_ 0 ~~,~ rd~_ v ~rguson, Co~iober --,-->trf\. DATE: 5ILD/~ T ' COl\1PTROLLER OF THE TREASURY: DATE: 5-c21-q-8 William R. Snodgrass, Comptroller of the Treasury PHS Amendmenc 2 5 ATIACHMENTA Page lot 2 CONTRACT BETWEEN THE STATE OF TENNESSEE, DEPARTMENT OF CORRECTION RIVERBEND MAXIMUM SECURITY INsmunON AND PRISON HEAlTH SERVICES, INC. STAFFING LEVEL 1111/95- 7/1/97· 6130197 6130199 posmON RE FTE PHYSICIAN 0.5 0.5 HEAlTH SERVICES ADMINISlRATOR 1.0 1.0 MEDICAL SECRETARY 2.0 2.0 MEDICAL RECORDS CLERK 1.0 1.0 DIRECTOR OF NURSING 1.0 1.0 fAlNP 1.0 1.0 RN 6.2 6.2 LPN 10.0 10.0 X-RAY TECHNICIAN 0.3 0.3 DENTIST 0.5 0.5 DENTAL ASSISTANT 0.5 0.5 MHPS (Bachelor's level Bachelor/Social SCience Graduate) 1.0 PSYCHOLOGICAL EXAMINER 2.0 PSYCHOLOGIST, DOCTORATE LEVEL 0.2 PSYCHlAlRlST 0.4 TOTAL STAFF 27.6 PHS Amendment 2 24.0 6 ATIACHMENTA Page 2 of 2 CONTRACT BE1Vv1:EN THE STATE OF TENNESSEE, DEPARTMENT OF CORRECTION TENNESSEE PRISON FOR WOMEN AND PRISON HEALTH SERVICES, INC. STAFFING LEVEL 1111195- 6130197 711/97· 6130199 PosmON FTE FIE OB/GYN SPECIAliST 0.3 0.3 PHYSICIAN 0.5 0.5 HEAlTH SERVICES ADMINISTRATOR 1.0 1.0 MEDICAL SECRETARY 1.0 1.0 MEDICAL RECORDS CLERK 1.0 1.0 DIRECTOR OF NURSING 1.0 1.0 PNNP 1.0 1.0 RN 4.2 4.2 LPN 6.6 6.6 DENTIST 0.5 0.5 DENTAl. ASSISTANT 0.5 0.5 PSYCHOLOGIST, DOCTORATE LEVEL 0.3 PSYCHIATRIST 0.4 TOTAl. STAFF 18.3 PHS Amendment :'. 17.6 7 ATTACHMENT B Page~of~ CONTRACT THE STATE OF TENNESSEE, DEPARTMENT OF CORRECTION RIVERBEND MAXIMUM SECURITY INSTlTUTION AND PRISON HEALTH SERVICES Proposed Staffing SChedule for the RIVERBEND MAXJMUM SECURrTY INSTTTUTlON PROFESSIONAL STAFF Medical Director 5 5 Dentist 4 4 9 SUbtotal Hours o 9 5 5 4 4 4 4 9 9 o 20 20 0.5 0.5 40 1.0 MEDICAL SUPPORT STAFF 112 108 104 24 576 14.4 RMSI Staffing Confinued on Next Page PHS Amendment 2 8 ATTACHMENT B Page .,g of .A RIVERBEND MAXIMUM SECURllY INSTITUTION, Continued TOTAL FOR RMSI D = Doys/lst Shift 64 191 E = Evenings/2nd Shift 1.0 FTE = 40 hrs./wk. PHS Amendmenr 2 187 198 203 191 64 960 18.3 N·= Nlghts/3rd Shift S = SwlngShift 1.4 FTE = 56 hrs./wk. 9 ATTACHMENT B Poge ~of A CONTRACT THE STATE OF TENNESSEE, DEPARTMENT OF CORRECTION TENNESSEE PRISON FOR WOMEN AND PRISON HEALTH SERVICES Proposed Staffing SChedule for the TENNESSEE PRISON FOR WOMEN PROFESSIONAL STAFF Medical Director OB/GYN Specialist Dentist Subtotol Hours 4 0 4 4 4 4 4 4 6 10 6 7 17 6 7 17 0 20 12 20 0.5 0.3 0.5 52 1.3 Medical Support Stoff 20 20 20 20 140 3.5 TPW Staffing Continued on Next Page PHS Amendment 2 10 ATTACHMENT B Page~of.A TENNESSEE PRISON FOR WOMEN. Continued TOTAL FOR TPW D =Days/1st Shift PHS Amendmenl 2 I 56· 108 108 E =Evenings/2nd Shift 1.0 FTE = AO hrs./wk. 124 140 140 56 704 17.6 N =Nights/3rd Shift S =Swing Shift 1.4 FTE = 56 hrs./wk. II ATTACHMENT D Poge~of~ CONTRACT BETWEEN THE STATE OF TENNESSEE, DEPARTMENT OF CORRECTlON TENNESSEE PRISON FOR WOMEN, RIVERBENO MAXIMUM SECURITY INSTITUTION AND PRISON HEALTH SERVICES, INC. REIMBURSABLE PER DIEM EXPENSE TENNESSEE PRISON FOR. WOMEN Bed Capacity 362 ., Year 1 Bed Day Rate Contract Costs by Year Year 2 510.07 $9.65 $1.279.165.00 $1,330.332.00 Year 3 Year 4 $9.20 $1.215.596.00 $9.20 $1.215.596.00 Year 4 $5,040,689.00 Total Cost RIVERBENO MAXIMUM SECURITY INSTITUTION Bed Capacity Bed Day Rate Contract Costs by Year 608 Year 1 Year 2 Year 3 $7.59 $1.688.810.00 $7.91 $1.755.388.00 $7.58 $1.682154.00 Total Cost TOTAL CONTRACT COST $7.58 S1.682154 $6,808,506.00 $11,849,195.00 Note: The contract costs in this attachment do not include amounts for populations in excess of capaci1y. which were provided for in Amendment 1. PHS Amendment :! 12 RFS No.: 329.00-96-007 ADDENDUM NO.1 TO CONTRACT NO. BETWEEN THE STATE OF TENNESSEE, DePARTMENT OF CORRECTION AND PRISON HEALTH SERVICES, INC. WHEREAS. the State of Tennessee, Department of Correction. Prison Health services. Inc.. entered Into Contract No. FA-96-11837~, on November 1. 1995, relating to the provision of comprehensive health services. Including certain mental health services. and WHEREAS. the said parties desire to amend said Contract in the manner described below. NOW I THEREFORE. the said parties hereby incorporate by reference all the terms and provisions of that said Contract, except for those provisions expressly modified hereby, and supplement said Contract with the following provisions: Section B, "Payment Terms and Conditions" the foDowing shaD be added and shall read In Its entirety: 1. 01/ IV" •B.ll. For the period of November 1. 1995 through June 30, 1998. if the populations at the Riverbend Maximum security Institution (RMSI) and/or the Tenl'1essee Prison for Women (TPW) exceed the capacities listed in Attachment D of said contract. the State shall pay Prison Health services. Inc. the following ~a( per diem rates for populations over those requested and proposed: RMSI TPW $3. 12 $4.00 (over 608) (over 362).· - 2. The maximum State liability under this Contract is herein increased by $321,141.00 to $9.584,841.00. 3. The other terms and provisions not amended hereby shall remain in full force and effect. IN WITNESS WHEREOF, the parties have by their duly authorized representatives set their signatures. 'A ./~~ f?bt.Q PRISON HEA H SERVICES, INC.! BY: ~~d& onald O. Miler. Vice President of Operations FED ID NO. 2 3 2 1 08 8 5 3 - 0 0 STATE OF TENNESSEE DEPARTMENT OF CORREjlON BY: . . ~ .) DATE ) ()~ c:f .41J~L!//-;t;;{) l, Donai Campbell. CommiSsioner ./ DATE .. ~ " '., ..... APPROVED: STATE OF TENNESSEE DEPARTMENT OF FINANCE AND ADMINISTRATION . ·~C~ BY:- Bob Corker, commiSSiOf1ef'7~ f sICf h.'.' . . f, I ---.~ dATE . .....-. APPROVED: COMPTROLLER OF THE TREASURY BY: .. ?:: ~!f~l-~r~ , William R. Snodgrass, Comptroller . ~. .r [DATE·' . "~" ..- '.' RFS NO. 329.00-96-007 CONTRACT BETWEEN THE STATE OF TENNESSEE, DEPARTMENT OF CORRECTION TENNESSEE PRISON FOR WOMEN, RIVERBEND MAXIMUM SECURITY INSTITUTION AND PRISON HEAlTH SERVlCES, INC. THIS CONTRACT. by and between the State of Tennessee. Department of Correction (Tennessee Prison for Women and Riverbend Maximum Security Institution), hereinafter referred to os the State. and Prison Health Services. hereinafter referred to os the Contractor, Is for the provision of comprehensive health services. including certain mental health services as defined in the "Scope of Services· below. . WHEREAS. the State Is reqUired to provide all necessary health services to Its inmates and: THEREFORE, the State desires to contract for the professional. medical. dental and similar health care services and related administrative services of the Contractor for these purposes. WITNESSETH, In consideration of the mutual promises herein contained. the parties have agreed and do hereby enter into this Contract according to the provisions set out herein: A SCOPE OF SERVICES: 1. All health services provided under this Contract shall be in conformance with all lOOC policies the respective institutional policies. American Correctional Association (ACA) standards. as they may be amended from time to time. and applicable State and federal laws and regUlations. a) said policies are available for review at each facility in the Warden's office. b) The lOOC shall be responsible for notifying the Contractor of policy changes within the lOOC policy change process. c) said notification shall be sent to the Contractor's on site Administrator. 2. Contractor shall provide licensed and or credentialed health care professionals at a staffing level no less than that for the positions detailed in ATIACHMENT A. (prepare a separate form for each institution.) 3. Contractor Shall Provide General Health Services As Follows: a) Provide scheduled 24 hour. 7 days per week on-site health care personnel at no less than that detailed in ATIACHMENT B. ( Prepare a separate form for each institution.) b) Provide daily 24 hour emergency medical care including. but not limited to. 24 hour medical on-call services. 4. c) Maintain an updated health record on all inmates that adheres to the IDOC's modified problem-oriented medical record format and standards including aU Tenne53ee Offender Management Information System (TOMIS) requirements. All on-site health encounters shall be documented in the health record. which shall accompany the inmate if he/she Is transferred to another IDOe facility. All State's policies and procedures conceming the confidentiality of the medical records must be followed. Sold medical records shall remain the sole and exclusive property of the State. Medical record forms and Jackets shall be provided by the State. d) Develop a written IndMdualiZed treatment plan for Inmates with special medical conditions requiring close medical supervision. Including chronic and convalescent care. The treatment plan shall be developed by the responsible physician. The plan shall include directions to health care and other personnel regarding their roles In the care and supervision of the patient. e) Perform a receiving screening on all inmates immediately upon their arrival at State's facility in accordance with moc policy. f) Complete an initial health appraisal and dental examination for each intake inmate. who is not an intrasystem transfer. within fourteen (14) calendar days after arrival at the facility in accordanc~ with IDOC policy. Contractor Shall Provide Primary Care services As Follows: a) The vendor shall be responsible for the provision of on-site primary health care services to include: daily triage of Inmate health complaints. including weekends and holidays. sick call by a licensed health care provider. routine diagnostic procedures. identification and referral of conditions requiring secondary and tertiary services and medication administration and monitoring. b) All triage and screening activities must take- place through direct contact with the inmate-patient. Over-the-counter medications may be administered by licensed health care providers according to protocols approved by the contractor's Medical Director. Any unresolved diagnostic or therapeutic problems are referred to a midlevel provider (Nurse Practitioner or Physicians Assistant) if available. or to the physician. Sick call shall take place 5 days/week at each facility. 1) pns9COO7.doC Sick call shall be held as follows: a. Sick call will be held at the clinic for population inmates. b. For those inmates in maximum security. segregation or an Annex. services shall be provided in the unit in so for as it is practical. Those inmates who must be seen at the clinic. shall be escorted to the clinic by Correctional Officers. 2 2) 3) 4) phs96CC7.dOC Infirmary Services a. Provide for the operation of State1s infirmaries. AITACHMENT C for site specific information. See b. Infirmary beds shall be utilized for those inmates in need of nursing care and/or observation. including care required by the chronically III. c. Infirmary beds shall also be utilized for the provision of convalescent care to inmates recovering from an illness or those retuming to the facility from communtty hospitals and where they shall remain until their health condition warrants their rerum to the general population. d. The Contractor shall provide the Infirmary, when one or more inmates are there. with the following services: (1) Twenty-four hour. seven days per week. nursing coverage under the direction of an on-site registered nurse (2) Nursing rounds. at least once each shift (3) Daily physician or practitioner rounds physician assistant/nurse Specialty services shall be as follows: a) Provide all necessary services of specialty physicians. (All female inmates in the custody of TDOC shall be transferred to TPW for specialty services.) Specialty physicians utilized by the contractor shall be either board certified or board eligible in the specialty they are providing. b) Provide on-site specialty services wRen at all possible (telemedicine is an applicable method). Physical therapy services shall be provided on site whenever possible. c) The State may. if it chooses. agree to negotiate with the Contractor to provide specialty care services at the Lois M. DeBerry Special Needs Facility on a fee-for-service basis. Ancillary Services a) Provide all necessary radiology. laboratory and other ancillary services as required and indicated. The Contractor shall be required to use the on site X-ray equipment whenever possible. b) Provide for the coordination of the delivery of all ancillary services maximizing on-site delivery where at all possible. 3 · c) 5) 6) 7) Supplies and Non-Medical Services a) Provide for the procurement and costs of all medical and dental supplies. b) Provide for the procurement and costs of necessary non-medical operating supplies except medical record forms. Soid forms shall be provided by the State. c) Provide for the procurement and costs of all necessary communication services such as pagers, telephone long distance charges. etc. Dental services a) Provide the services of a licensed dentist and qualified dental support staff. b) Provide dental screening within fourteen (14) days of the inmate's admission to State's facility. Soid screening shall be in conformance with moc's policies and ACA Standard 3-4347. as they may be from time to time amended. c) Provide dental examination within ninety (90) days of the inmate's Soid examination shall be in admission to State's facility. conformance with mac's policies and ACA Standard 3-4347. as they may be from time to time amended. d) Dental treatment as determined by the dentist and in conformance with moC's policies as they may be from time to time amended. e) All inmates must have a dental record (a section of the health record) which shall be maintained according to IDOC's dental record format and standards. All IDOe's policies and procedures concerning the confidentiality of the medical records must be followed. Soid dental records shall remain the sole and exclusive property of the IDOC. Dental record forms shall be provided by the State. f) Provide daily 24 hour emergency dental care including. but not limited to. 24 hour dental on-eall seNices. Specialty Dental Services a) phs96007.doc Patients recommended for dialysis services shall be evaluated at Lois M, DeBerry Special Needs Facility. If required. dialysis treatments will be provided by DSNF at the State's expense. Provide all necessary complex dental procedures beyond the capability of the Contractor's staff dentist in compliance with moC's policies. 4 b) 8) Dental Prosthetics a) 9) S. Provide for the procurement and cosrn of all dental prosthetics when. In the opinion of the Contractor's dentist the health of the inmate would adversely be affected should the prosthetic not be provided. Prosthetics will be provided in compliance with IDOes policies. Dental Supplies a) Provide for the procurement and com of all dental supplies. b) Provide for the procurement and com of necessary non-dental operating supplies except medical record fonns. Soid foons shall be provided by the State. Contractor shall provide all required pharmaceutical services. prescription medications and non-prescription medications as follows: a) phs<f6007.doc Provide for the coordination of the delivery of all dental specialty servicesr:naximizing on-site delivery where at all possible. Pharmaceutical Services (1) Provide that all prescription medications sholl be prescribed only by a physician. dentist. or PA-e/NP as allowed by Tennessee law. (2) The Contractor shall either use the medications approved in the IDOC formulary or the Contractor may use its own formulary upon approval by the State. (3) Provide that an inventory control system shall be implemented and maintained. that ensures the availability of all necessary drugs and providing tor the protection against the loss ot. or misuse of. pharmaceuticals and controlled substances. (4) Provide that all medications shall be reviewed. and renewed if necessary. at least every thirtY (30) days. (5) Provide that all records. with respect to drugs. shall be preparec. maintained and retained in accordance with IDOC's policies and all State and federal laws and regulations. (6) Provide that all medication shall be dispensed/administered/ distributed according to IDOC's policies and State law. (7) Provide that medication shall be dispensed utilizing the unit dose administration system or according to IDOC's policies as they may be amended from time to time. (8) Provide that psychotropic medication and/or controlled substances are appropriately administered in liquid torm. crushed. 5 under water or in injectable form when deemed necessary by the prescriber. b) 6. 7. 8. Pharmaceutical Prescription and Non-Prescriptive Medications. (1) Provide for the procurement and costs of all prescriptions and non-prescription medications. (2) Costs for AZT. or other (AIDS) anti-viral medication shall be excluded from this Contract. This medication shall be provided by the IDOC Central Pharmacy. Certain health services shall be provided to the State's staff and visitors as follows: . a) Umited health screening of all of State's new non-Gorrectional Officer employees in conformance with ACA Standard 3-4060. as it may Pe from time to time amended. and IDOC Policies. (Form CR-3300 should be utilized) b) Initial and annual Mantoux tuberculin screening for Sfate's employees and administration of Hepatitis B vaccinations for employees and onsite subcontractors who are at risk for potential exposure as outlined in the ""IDOC Health services Exposure Control Plan to Prevent Occupational Exposure to Bloodbome Pathogens." The vaccine will be provided by the State. (See Attachment C for number of employees at each site). c) The Contractor shall be responsible for the taking of urine samples from State's correctional officer applicants and the processing of said samples for delivery to a clinical laboratory of State's choice. The Contractor shall not be responsible for the costs of any analysis ordered by State. d) Emergency health services as required to protec.t life or limb and relieve undue suffering. Treatment shall be provided as necessary to stabilize the employee until they can be transported to a private physician or emergency room. Provide coordination services for the delivery of all required ambulance services. a) The Contractor shall be responsible for authorizing each service delivery. b) The Contractor shall be responsible for all costs relating to the use of an ambulance. c) All non-emergency ambulance services must be coordinated with the Warden or his designee. Provide all required hospitalization services. 6 phs96007.ace . R@.®U .h.t..em.&1 g. ! as&6.aw ..m. necessary ,,,,,,PJt.4W;iQWWl. ...tt..M.t.SU( ... .1XW.m.J.tMWC;q ... u.c.am.a.s::", .. ARabi ~.4;i%M.t.$.:t.%u ;::::;;;:;;;:::,VJ%! a) Hospitalization services (1) The Contractor shall make arrangements to utilize the same community hospital as contracted by Lois M. DeBerry Special Needs Facility (DSNF) for non-emergency admissions. Other community hospital facilities shall only be utilized as necessary according to services availability. (2) Non-emergency hospital admissions shall be coordinated with the medical director at DSNF or his designee to insure bed availability on the secure unit at the contract hospital. (3) Arrangements shall be made with a local hospital to provide emergency care. Hospital admissions that result from emergency situations shall be reviewed and approved by the Contractor's medical director within twenty-four (24) hours of said admission. (4) The Contractor sholl not be responsible for hospitalization costs that occur as a result of certain catastrophic events. These events are: - Rre - Explosion - Riot - Natural events (5) b) 9. The Contractor sholl be responsible for all other hospitalization costs according to the following: (0) S25.<XX) per inmate. per each contract year. for hospitalization and off-site treatment costs resulting from on injury or illness. This includes treatment of HIV patients. (b) S50.<XX) in the aggregate for contagious illnesses or injuries affecting two or more inmates arising from the same occurrence. Provide for the coordination of the delivery of all hospitalization services. Mental Health Services All mental health services provided under this contract shall be in conformance with all applicable moc policies and American Correctional Association (ACA) standards. as they may be amended from time to time. If at any time the vendor seeks accreditation from a licensing entity other than those standards set forth by IDOC. the vendor agrees to assume the financial indebtedness required to meet those standards. a) pns96007.doc Provide licensed qualified mental health professionals at each of the IDOC institutions at a staffing level no less than that detailed in ATTACHMENT 8. 7 b) Develop and provide an inmate psychological/psychiatric admission assessment program that shall be. if required. the basis for developing an individual treatment plan. When deemed necessary. a full psychological/psychiatric evaluation will be provided. c) Treatment programs shall include. but are not limited to, the following: Group therapy (short and long term) IndMdual therapy (short and long term) sex offender aftercare counseling (per policy) phs96007.doC d) When clinically indicated. provide a full psychological and/or psychiatric assessment/evaluation on Inmates referred by moC/contract staff or os poRcy dictates. e) Provide psychological and/or psychiatric assessment/evaluation for the purpose of referring inmates/patients to the IDOC special needs facility or.other IDOC special treatment units. Acceptance of a mental health referral shall be based upon clinical justification and availability of treatment beds at the treating facility. f) Provide psychological/psychiatric assessments on each inmate in segregation status within thirty (30) days of placement and each ninety (90) days thereafter as lDOC policies dictate. g) Provide medication management to all IDOe patients receMng psychotropic medication. h) The psychologist shall provide direct clinical supervision to the licensed psychological examiner(s). and when applicable. to student interns as required. i) The psychologist shall provide clinical consultation to the psychological examiners. mental health program specialists. and substance abuse counselors. as well as providing program consulkJtion. J) A treatment team approach shall be utilized. but not limited to. addressing case management. diagnostic impressions. intervention strategies. and treatment referrals. k) Provide for 24 hours per day 7 days per week emergency availability by the psychiatrist and/or psychologist for consultation with mental health. medical staff. or those designated by the Warden. Such availability may be by telephone unless circumstances necessitate on-site service delivery. I) The psychologist shall conduct psychological evaluations on State's inmates as requested by the Tennessee Boord of Parole. The psychologist shall not perform a psychological evaluation on an inmate that he/she has dealt with in the capacity of a therapist. 8 m) The Contractor shall provide a mental health education program to State's staff, that shall include. but not be limited to. the following: Eariy detection of potential mental health/psychiatric problems. Le.• signs and symptoms of mental illness. retardation and alcohol and drug disorders. Crisis intervention/suicide awareness programming 10. n) Comply with all medical and mental health documentation/record storage requirements as noted In all applicable IDOC policies. 0) Practice in accordance with professional standards to those of the community and In compliance with State and federal laws. Comply with the following general operational requirements: a) Staff Recruitment (1) (2) (3) The Contractor. at a minimum. shall include the following in its employment review: pr~ (a) Ucensure verification (b) Prior employment verification from prior employers (c) Re-hire eligibility (d) A health screening to insure freedom from communicable disease (e) Background investigation through the use of a finger print check by the NCIC (National Criminal Information Center). Said check shall be State's responsibility The Contractor shall not hire any of the following: (a) Ex-felons. (b) Relatives of currently incarcerated felons (c) Should a relative. who is a felon. of an employee be assigned to this facility for incarceration. then the Warden's approval must be gained prior to continued employment of said employee An on-site visit to State's facility must be made by all screened candidates prior to a formal offer of employment. (4) p~6007.doc A formal offer of employment can be made only atter the Contractor receives approval from the State. Said approval shall not be unreasonably withheld. 9 b) Orientation of New Employees (1) The Contractor shall be responsible for ensuring that all of their fuJltime staff complete a forty (40) hour orientation program regarding health care practices, protocols and operating rules at State's facility and also the Institution's and State's rules. policies and procedures. Soid orientation will be the responsibility of the State. (2) Part-time employees are not required to have orientation training at the Tennessee Correction Academy but they shall receive an institutional orientation at their assigned institution as defined by that institution's Warden. (3). The Contractor shall prepare and distribute a written. functional job description to each member of the Contractor's health care staff which clearly delineates the assigned responsibilities of that individual. The Contractor shall monitor performance of its health care staff to ensure adequate job performance in accordance with these job descriptions. c) d) In-service Training (1 ) The Contractor shaJl provide appropriate in-service educational programs in coordination with the State. (2) All full time health care staff. except for physicians and dentists. shall receive 40 hours of in-service training per year. (3) Physicians and dentists shall also meet the 40 hour. non IDOC provided. in-service training requirement. This training shall be at the Contractor's or sub-contractor's expense. (4) selected topics which require staff training shall be identified on an on-going basis through the Continuous Quality Improvement Program. Dress Code (1) The Contractor's employees shall be required to dress in such a manner that it enhances their professionalism. (2) The Contractor's employees shall be required to wear uniforms. lab coats. etc. that are standard for all said employees. (3) The Contractor's employees shall be required. at all times. to wear an identification badge fumished by the State. Said badge shall indicate the employee's name and job titfe. pns96007.doC -" .. t i JiWUiWith U .Witt it iJItIJMJi&4i 10 . g.. ti5.t. Jd.tt.t .t.. t..t.ps.n.S.J..m.sxa..t.t..t..QZ..h t.t..i.e.e.¥.&.t.J.v:.PM Q.&5,S".Q.dxa.J.dle.;Q&tMXtJA$.Q..ov.M,d,Q.$...,..ttt=.aJ.& .%iW.Q,:;."':; Q.!"Oi .• J.b :m Q; (;;::::g:::;;;;:::s;;;;;;;;+ e) security The Contractor's personnel shall be subject to all of the security regulaffons and procedures of the State. t) g) h) phs96C07.doc Administrafion (1) The Contractor's staff. In conjunction with the State's staff shall design and Implement policies. procedures and protocols for the health care unit and staff. (2) The Contractor shall be responsible for ensuring that Its staff report any problems and/or unusual inddents to the State's Warden or designee as soon as possible. (3) The Contractor's staff shall represent the health care unit in discussions with local cMc groups or visiting officials as mutually agreed upon by the parnes. (4) The Contractor's staff shall provide evidence of inmates health status at State's request. (5) The Contractor shall be expected to cooperate fully in maintaining State's mission and program development. SChedule of Services (1) All hours of service shall be provided on-site at State's facility. except as is otherwise expressly agreed to by both parties. The Contractor's schedules may be modified upon the parties' mutual agreement. (2) The Contractor's full-time employees shall be on-site for at least 40 hours per week. (3) The Contractor's employees shall be required to sign-in/sign-out according to State's check-point procedures. Continuous Quality Improvement Program (1) The Contractor shall provide periodic in-service training at the State's facility and shall otherwise meet ACA training requirements for health care staff. Contractor's Health Administrator shall participate in State's annual in-service training at the Tennessee Correction Academy. (2) The Contractor shall maintain personnel tiles in the health care unit on the Contractor's personnel which will be made available to the State upon request. 11 i) (3) The Contractor shall participate in the TDOC Health services Continuous Quality Improvement program as outlined in the annual Activity/Guideline Manual. (4) Monthly meetings shall be held between State's officials. facility staff. and appropriate personnel of the Contractor to review significant issues and changes and to provide feedback relative to the State's health care delivery system so that any deficiencies or recommendations may be acted upon. Also, when requested by the State. the Contractor shall provide appropriate personnel to participate in State's meetings and on State's committees. Health Education (1) The Contractor. in compliance with State's requests. shall Implement a comprehensive trOining program for State's staff. Training subjects shall include. but are not limited to: 1 - First aid for medical emergencies 2 - CPR technique/certification 3 - Communicable diseoses/infection control 4 - Signs and symptoms of mental illness. retardation and chemical dependency. (2) phS96007.doc The Contractor. in compliance with State's requests. shall implement a comprehensive health education program for State's inmates. 11. The ContraCtor shall be required to prepare contingency plans. in conjunction with State's staff. for the delivery of health services in the event of a natural disaster. riot. etc. 12. The Contractor shall comply with all pertinent ACA Standards under its control. The State shall be responsible for- supporting the Contractor's efforts in the above. 13. Provide professional/general liability insurance as follows: a) The Contractor shall maintain suitable professional and general liability insurance containing S1,CXXJ.CXXl single and S3.COJ.CXXl in aggregate limits. In addition. the Contractor will ensure that all physicians. dentists and nurses rendering medical services to persons committed to the custody of the State's facility will have suitable professional liability insurance. b) The Contractor shall provide Workers' Compensation Insurance containing S300.COJ single and aggregate limits for its employees. 12 B. 14. Invoice the State monthly. by no later than the fifteenth work day of the month following the month of seNice. Said invoice shall be as follows: costs for each institution (See Attachment D) shall be invoiced. 15. Contractor agrees that if the State. through its review and evaluation. determines that the health services as being provided are at an unacceptable level the State will provide written notice to the Contractor's on-site administrator stating the health service level deficiencies. Said notice shall also state the remedies that are acceptable to the State. Contractor. upon receipt of said written notice shall have seven (1) calendar days to correct said deficiencies. Should the deficiencies not be corrected by the Contractor within this time period then the Contractor shall implement the corrective action detailed In State's written notice. Said Implementation shall take effect on the day following the end of the above noted seven (1) calendar day time period and said actions shall be at the Contractor's expense. 16. The Contractor shall establish a performance bond equal to one-half (1/2) of the total"annualized first year cost of this Contract. Said performance bond' shall be in the form of a bond issued by an insurance company that is acceptable to the State. The following shall be the contractual terms controlling this performance. a) Said performance bond shall be in force for the life of this Contract. b) Should the State be forced to terminate this Contract for cause then the Contractor shall continue to fully provide the services required under this Contract during the ninety (90) day termination period as . provided in this Contract. c) Should the Contractor fail to provide these seNices.during the ninety (90) day termination period. then the State will be entitled to recover actual damages against the performance bond. PAYMENT TERMS AND CONDITIONS: 1. Compensation to the Contractor shall be as described in ATTACHMENT D (Summary of Contrayt Costs) to this Contract. • Hospitalization costs shall be paid directly by the Contractor. 2. The payment calculated in Paragraph 1. of this Section. shall constiMe the entire compensation due the Contractor for the seNice and all 'of the Contractor's obligations hereunder regardless of the difficulty. materials or equipment required. The Contract Price includes. but is not limited to. aff applicable taxes. fees. overheads profit and all other direct and indirect costs incurred or to be incurred. by the Contractor. except as noted in this Section of the Contract. 3. The payment calculated in Paragraph 1 of this section is firm for the duration of the Contract and is not subject to' escalation for any reason unless this Contract is amended. phs96007.doc Q «41&.65 .. 13 . . .1 . .. ... M:;:. .... do ' • •, •• """J)",;:;Jt"zmt.t.bitivIQ"'M,tvZP4?4MM.&. t .. .2..PUt.J.6.&) ... W.. .l ... JA .k.tJ.hc.. w•.• .t.tmz;;;.i4.&t..MJ, ( EUF,'· 4. The Contractor shall not be compensated for travel. meals. and/or lodging. 5. The Contractor shall submit all invoices on a monthly basis. upon completion of work. in a form acceptable to the State and with all the necessary suppomng documentation. prior to any reimbursement of allowable costs. 6. The payment of an invoice by the State shall not prejudice the State's right to object to or question any invoice or matter in relaffon thereto. SUch payment by the State shall neither be construed as acceptance of any port of the work or service provided nor as an approval of any of the costs invoiced therein. Contractors invoice shall be subject to reduction for amounts included in any invoice or payment theretofore made which are determined by the State. on the basis of audits conducted in accordance with the terms of this contract. not to constitute allowable costs. Any payment shall be reduced for over-payments. or increased for under-payments on subsequent invoices. 7. The State of Tennessee reserves the right to deduct from amounts which are or shall -become due and payable to the Contractor under this or any Contract between the parties any amounts which are or shall become due and payable to the State of Tennessee by the Contractor. 8. In no event shall the maximum liability to the State under this Contract exceed NINE MIWON rwo HUNDRED SIXTY lHREE THOUSAND SEVEN HUNDRED DOLLARS. $9,263.700.00 9. The Contractor shall complete and sign an "Authorization Agreement for Automatic Deposits (ACH Credits) Form". This form shall be provided to the Contractor by the State. Once this form has been completed and submitted to the State by the Contractor. all payments to the Contractor. under this or any other Contract the Contractor. has with the State. shall be made through the State's Automated Clearing House wire transfer system. The Contractor shall not commence worl< or invoice the State for services until he has completed this form and submitted it to the State. The debit entries to correct errors authorized by the Authorization Agreement for Automatic Deposits Form" shall be limited to those errors detected prior fo the effective date of the credit entry. The remittance advice shall note that a correcting entry wcs made. All corrections shall be made within two banking days of the effective date of the original transaction. All other errors detected at a later date shall take the form of a refund. or in some instances. a credit memo if additional payments are to be made. M 10. C. The State anticipates that there may be expansions and increases in population at the institutions in this RFP as outlined in ATIACHMENT C. In that event. the State shall negotiate with the Contractor for any needed additions to the Contractor's payment. TERM: This Contract shall be effective for a period of three years. commencing on November 1. 1995 and ending on June 30. 1998. The State sholl have no responsibility for services rendered by the Contractor which are not performed phs?6007.doc 14 within the specified period. The State shall have the right to an option to renew the Contract.for an additional two years. D. STANDARD TERMS AND CONDITIONS: 1. The State is not bound by this Contract until it is executed by the appropriate parties and is approved by the appropriate State officials os indicated on the signature page of this Contract. 2. This Contract may be modified only by a written amendment which has been executed and approved by the appropriate state officials as indicated on the signature page of this Contract. ,- -,' r -k,. --:I" 3. The State may terminate this Contract by gMng the Contractor at least 90 days written notice before the effective termination date. The Contractor shall be entitled to receive equitable compensation for satisfactory authorized services completed as of the termination date. 4. If the Contractor fails to properly perform its obliga1ions under this Contract or violates any terms of this Contract the State shall have the right to immediately terminate the Contract and withhold payments in excess of fair compensation for completed services. The Contractor shall not be relieved of liability to the State for damages sustained by virtue of any breach of this Contract by the Contractor. 5. The Contractor shall not assign this Contract or enter Into a subcontract for any of the services performed under this Contract without obtaining the prior written approval of the State. If such subcontracts are approved by the State. they shall contain. at a minimum. Paragraphs D.6. and 0.8. of this Contract. 6. The Contractor warrants that no part of the total Contract amount shall be paid directly or indirectly to any employee or official of the State of Tennessee as wages. compensation. or gifts in exchange for acting as officer. agent. employee. subcontractor. or consultant to the Contractor in connection with any work contemplated or performed relative to this Contract. 7. The Contractor shall maintain documentation for all charges against the State under this Contract. The books. records and documents of the Contractor. insofar as they relate to work performed or money received under this Contract. shall be maintained for a period of three (3) full years from the date of the final payment. and shall be subject to audit at any reasonable time and upon reasonable notice. by the State or the Comptroller of the Treasury. or their duly appointed representatives. These records shall be maintained in accordance with generally accepted accounting principles. 8. phs96C07.dOC No person on the ground of handicap. age. race. color. religion. sex.. national origin. or any other classification protected by Federal and/or Tennessee State constitutional and/or statutory law shall be excluded from participation in. or be denied benefits of. or be otherwise subjected to discrimination in the performance under this Contract. or in the employment practices of the Contractor. The Contractor shall. upon request show proof of such non- 15 discrimination. and shall post in conspicuous places. available to all employees and applicants. notices of non-discrimination. E. 9. The Contractor. being an :ndependent Contractor. agrees to cony adequate public liability and other appropriate forms of insurance. 10. The Contractor agrees to pay all taxes incurred in the performance of this Contract. 11. The State shall have no liability except as specifically provided in the Contract. 12. The Contractor shall comply with all applicable Federal and State laws and regulations in the performance of this Contract. 13. The Contract shall be governed by the laws of the State of Tennessee. SPECIAL TERMS AND CONOmONS: 1. Should any of these special terms and conditions conflict with any other terms . and conditions of this Contract, these special terms and conditions shall control. 2. The State agrees to provide the following: a) Provide clinic and office space. b)· Provide fumiture and equipment as described in State's Personal Property Usting. A copy of said listing can be obtained from State's Associate Warden of Administration at each institution. Said fumiture and equipment shall remain the property of the State. c) The State is contracting for staff and seNices to be provided by the Contractor. Should the level of services to inmates. as required by the Contract decline due to a position vacancy. !.he Contractor shall be responsible for immediate replacement of personnel (by temporaiY contract if necessary) d) Provide all necessary utilities. except long distance toll seNice. required for the provision of health seNices at State's facility. e) Provide for the security for all inmate off-site health care services except specialty appointments. f) Provide security to the Contractor's staff who are required to deliver health seNices in State's facility other than the Clinic and the Infirmary. Provide access and security for all services delivered by Contractor pursuant to this. Contract. . g) h) Provide for the removal' of medical waste produced by Contractor in the performance of this Contract. 16 phs96007.dOC ,alia ill add dmi .gggg. #5..5.. ... .3i&lC.:&!Wi£.i.Q£&5#.,Si£.t.t. .3' .. . ..... ..( .... W&&.M4.t.t.t.iti...t&.5.. ...£.. . b.3t ,t, .,thL/hM:·· phs9CJ:1J7.coe 3. The Contractor shall agree that strict standards of confidentiality ot records will be maintained in accordance with the law and TOOC policy. 4. The Contractor shall not publish any finding based on data obtained from the operation ot this contract without the prior written consent ot the State. 5. Should the IDOC Directo~ of Health Services determine that a second opinion is required In the evaluation or treatment olan inmate. he can request and require that the Contractor proVide said second opinion and at the Contractor's expense. said requests shall not be unreasonable. 6. No research projects involving Inmates shall be conducted without the prior written consent of the State. The conditions under which the research shall be conducted shall be agreed upon by the Contractor and the State and shall be governed by written guidelines. In every case. the written informed consent of each inmate who is a subject of a research project shall be obtained prior to the inmate's participation in medical. pharmaceutical. or cosmetic.experiments. 7. The Contractor shall make available to the State. at Its request all records. documents and other data relating to the direct and indirect delivery of health care services to inmates hereunder; provided. however. that the State understands that the systems. methods. procedures. written materials. other than inmate medical records. and other controls employed by the Contractor In the performance of its obligations hereunder are proprietary In nature and will remain the property of and may not at any time. be used. distributed. copied or otherwise utilized by the State. except In connection with the delivery of health care seNices hereunder. unless such disclosure is approved in advance in writing by the Contractor or as specified in Section II. (A) 13.. of the State's RFP and the Contractor's proposal in response to said RFP. 8. During the term of this Contract and for a reasonable time thereafter. the State shall provide the Contractor. at Contractor's request State's records relating to the provision of health care seNices to inmates as may be requested by the Contractor or as are pertinent to the investigation or defense of any claim related to Contractor's conduct. The State shall make available to the Contractor such records as are maintained by the State. hospitals and other outside health care providers involved in the care or treatment of inmates (to the extent that State has access or claim to said records) as the Contractor may reasonably request consistent with applicable law; provided. however. that any such information released by the State that State considers confidential shall be kept confidential by the Contractor and shall not. except as may be required by law. be distributed to any third party without prior written approval by the State. 9. Periodic. scheduled and unscheduled inspections of the health care facility shall be conducted during the term of the Contract by the State. During the inspection. the Contractor shall provide the employees or representatives of the State prompt access to all pertinent files. records. staff. and patients. as requested. 17 phs96007.doc 10. The Contractor shall be responsible for the correct use. maintenance. and protection of all equipment furnished by the State under this contract. Upon termination of this contract. all equipment furnished sholl be retumed to the State in good order and condition as when received. reasonable use and wear thereof expected. Should the equipment be destroyed. lost or stolen. the Contractor shall be responsible to the State for the residual value of the equipment at the time of loss. 11. The Contractor agrees to Indemnify and hold harmless the State as well as its officers. agents and employees from all claims. losses or suits accruing or resulting to any person. firm. corporation or other entity which may be Injured or damaged as a result of acts or omissions of the Contractor relating to this Contract. The State shall give the Contractor written notice of each such claim or suit and full right and opportunity to conduct the Contractor's own defense. 12. The sovereign immunity of the State shall not apply to the Contractor nor any subcontractor. agent. employee or insurer of the Contractor. Neither Contracfor nor any subcontractor. agent. employee or insurer of the Contractor may plead the defense of sovereign immunity in any action arising out of the performance of or failure to perform any responsibility or duty under this Contract. 13. The Contractor shall agree that. In the event either porty deems it necessary to take legal action to enforce any provision of this Contract and in the event the State prevails. the Contractor shall pay all expenses of such action. including the State's attomey fees and costs at all stages of the litigation. 14. This Contract shall be construed to be in accordance with the laws of the State of Tennessee. Any legal proceedings against the State regarding this Contract sholl be brought in the State of Tennessee administrative or judicial forum. Venue shall be in Davidson County. Tennessee. 1S. No term or provision of this Contract shall be deemed waived and no breach excused. unless such waiver or consent shall be in writing and signed by the party claimed to have waived or consented. Any consent by any party to. or waiver of. a breach of the other. whether express or implied. sholl not constiMe a consent to. waiver of. or excuse for any other different or subsequent breach. 16. This Contract shall not make it binding upon the State to agree to arbitration should irreconcilable differences arise. 17. The RFP. RFS - in its' entirety shall be deemed as an essential part of this Contract. 18. Where a term in the Contract differs from the RFP and/or the Proposal. the Contract shall rule. Where a term in the RFP differs from the Proposal. the RFP shall rule. 19. The second and third years of this Contract shall be subject to the allotment and availability of funds. 18 20. ,AJI notices or other communications required or permitted to be given hereunder. or necessary or convenient in connection herewith. shall be in writing. and shall be deemed to have been duly given if mailed certified mail - retum receipt requested. postage prepaid. on the date posted - or if personally delivered. when delivered. In either case, such notices should be addressed as follows or to such other addresses as may be given in writing to the other porty: To the State: Commissioner Donal Campbell Department of Correction 320 Sixth Avenue North 4th Floor, Rachel Jackson Building. Nashville, TN 37243-0465 AND Name of Contractor's Designated Contact Person Street Address . City, State Zip Code To the Contractor: PRISON ~ERV1cp;~C. /" BY: Y "'~./~ ,fA--e~ /~ Rbf1OldO:Miler. Vice President of Oper6tlons FED 1.0. NO. DAlE 232108853-00 APPROVED: TENNESSEE DEPARTMENT OF FINANCE AND ADMINISTRATION ~ BY: ~ /(4,DATE BOB CORKER. COMMISSIONE!31' APPROVED: COMPTROLLER OF THE TREASURY BY: ;r~~i~,,-~~~ WIWAM R. SNODGRASS. COMPTROLLER pr-s96C07.coc ···....ss.s.w.n.s.£J.SJ.i3£. .... 5•. £..t. DAlE 19 .M.vS.t.O.4M.&. tx,Q.v.t..51.m.&.&J..t.. .t&t&h.k.. tt.Mq:;~MM .... AnACHMENTA Page.l ot.l CONTRACT BETWEEN THE STATE OF TENNESSEE, DEPARTMENT OF CORRECTION TENNESSEE PRISON FOR WOMEN AND PRISON HEALTH SERVICES, INC. STAFFING LEVEL PosmON OB/GYN SeECIAUST PHYSICIAN HEALTH SERVICES ADMINISTRATOR MEDICAL SECRETARY MEDICAL RECORDS CLERK DIRECTOR OF NURSING PA/NP RN LPN DENTIST DENTAL ASSISTANT 1.0 1 1 1 1 4.2 6.6 .5 .5 PSYCHOLOGIST. DOCTORATE LEVEL .3 PSYCHIATRIST .4 TOTAL STAFF p~6007.aoc .3 .5 18.3 ATTACHMENT A Page ~ ot.1 CONTRACT BETWEEN THE STATE OF TENNESSEE, DEPARTMENT OF CORRECTION RIVERBEND MAXIMUM SECURITY INSTITU1l0N AND PRISON HEALTH SERVICES, INC. STAFFING LEVEL PQsmONS PHYS1CIA~ HEALTH SERVICES ADMINISTRATOR 1 MEDICAL SECRETARY MEDICAL RECORDS CLERK 2 1 DIRECTOR OF NURSING 1 PA/NP 1 RN 6.2 LPN 10 X-RAY TECHNICIAN DENTAL ASSISTANT .3 .5 .5 MHPS (Bachelor's level. Bachelor/Social Science graduate) PSYCHOLOGICAL EXAMINER 1 2 PSYCHOLOGIST. DOCTORATE LEVEL .2 PSYCHIATRIST .4 DENTIST TOTAL STAFF phs96007.doc .5 27.6 ATTACHMENT B Page ~ot~ CONTRACT THE STATE OF TENNESSEE, DEPARTMENT OF CORRECTION RIVERBEND MAXIMUM SECURITY INSTITUTION AND PRISON HEAlTH SERVICES Proposed Staffing SChedule for the RlVERBEND MAXIMUM SECURITY INSTITUTION PROFESSIONAL STAFF Medical Director Dentist MHPS Psychological Examiner Psychological Examiner Psychologist Ph.D. .Psychiatrist SUbtotal Hours 5 5 - 5 5 4 4 4 4 4 - 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 - 0 2 4 39 2 4 37 2 4 39 2 4 39 - - 30 - - 20 20 40 40 40 8 0 16 184 - 0.5 0.5 1.0 1.0 1.0 0.2 0.4 4.6 MEDICAL SUPPORT STAFF .Health services Administrator (HSA) Director of Nursing' PN~e'. ,,;.;,;. Medical secretary' Medical.Secretary·....•. MediCqlReeords ge~:>~.: Dental Assistant'~ ~~ayTec.~ni~~n~F:{;f.;/·i' RN.,iC ~....'?"' :,·c'\.: RtpN . N ..•. :.•.~:.-. .'. :•.•:•_>.. . .•. •. •'.----. . ::.E->-:~;'. LPN':";:: LPN ,LPN LPN ....:~.. < :,<,,',.', . :\t~p;::~"X!~~:l;S,,: . .~'. : .~.:, -... . " Subtotal Hours pnsY6C07.dOC . :.':' i" 0 D 24 104 100 112 108 104 24 576 14.4 RMSI Staffing Continued on Next Page ATTACHMENT B Page.l of ~ RIVERBEND MAXIMUM SECURllY INSTITUTION, Continued Subtotal Hours 16 24 16 24 24 16 16 136 3.4 TOTAL FOR RMSI 64 197 187 198 203· 191 64 1104 27.6 o oh.sY6007.aoc =Days/l st Shift E =Evenings/2nd Shift N =Nights/3rd Shift S =Swing Shift 1.0 HE =40 hrs./wI<. . 1.4 HE =56 hrs./wI<. ATTACHMENT B Page ~ofA CONTRACT THE STATE OF TENNESSEE, DEPARTMENT OF CORRECTION TENNESSEE PRISON FOR WOMEN AND PRISON HEALTH SERVICES Proposed Staffing SChedule for the lENNESSEE PRISON FOR WOMEN PROFESSIONAL STAFF Medical Director OB/GYN Specialist Dentist Psychologist. Ph.D. PsYchiatrist Subtotal Hours .- · 4 - 4 - 4 4 4 - 6 7 6 - 4 4 8 14 29 · · · · · · · · · · 6 4 0 4 4 8 · · 20 12 20 12 12 0.5 0.3 0.5 0.3 0.4 29 0 80 2.0 7 · - Medical Support Staff Subtotal Hours Dns96007.dOC 20 20· 20 20 20 20 1.40 3.5 TPW Staffing Continued on Next Page ATTACHMENT B Page.A ot.A TENNESSEE PRISON FOR WOMEN. Continued o =Days/l st Shiff E =Evenings/2nd ShIft 1.0 FTE = 40 hrs./wk. phs96007.C:oc N =Nights/3rd Shift S =Swing Shift 1.4 FTE = 56 hrs./wk. ATIACHMENTC . Page ~of ~ STAFF POSITIONS and AUTHORIZED BEDS RMSI lPW Staff Positions 335 175 Bed Capacity 608 362* Infirmary Beds 12 • Female beds at other moc facilities CCSC 20 phs96007.doc DSNF· 32 ·. ATTACHMENT D Page ~of~ CONTRAcr BETWEEN THE STATE OF TENNESSEE, DEPARTMENT OF CORRECTION TENNESSEE PRISON FOR WOMEN, RIVERBEND MAXIMUM SECURITY INSTITUT10N AND PRISON HEALTH SERVICES, INC. REIMBURSABLE PER DIEM EXPENSE TENNESSEE PRISON FOR WOMEN Bed Capacity 362 Bed Day Rate Contract Costs by Year Year 1 Yeor2 Year 3 S9.65 S1.279.165.oo S10.07 Sl.33O.332.00 S1.383.546.00 Totcl Cost S10.47 $3,993,043.00 RIVERBEND MAXIMUM SECURITY INSTITUTION Bed Capacity 608 Bed Day Rate Contract Costs by Year Year 1 Year 2 Yeor3 57.59 S1.688.81O.oo S7.91 Sl.755.388.oo S8.23. $1.826.402.00 Total Cost TOTAL CONTRACT COST phs96007.coe $5,270,600.00 $9,263.643.00