a6/25/2a81

16:81

615-741-4685

TN CCRR ADMIN SERV

FAGE

82/82

AMENDMENT SIX
TO CONTRACT FA-96-11837-00
BETWEEN THE STATE OFTENNESSEE£C~~ ~'.':;
DEPARTMENT OF CORRECTION
AND
PRISON HEALTH SERVICES, INC.

26 :'.:1 ~: ~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 following in its place:
B.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-QNE DOLLARS ($19,699,461.00).

The other terms and conditions of this Contract not amended hereby shall remain in full force
and effect.
IN WITNESS WHEREOF:
PRISON HEALTH SERVICES, INC.:

DAT'2~

~

Bruce Teal, Executive Vice President

DATE:~
APPRoveD:
DEPARTMENT OF FINANCE AND ADMINISTRATION:
DATE:

tLJ..,1o I

DATE: "]

H:\FlSca~ntrads\32900\Contracts\PHS Amendment

6.doc

II <i 107

I

t.

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

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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.

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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

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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.

,-

-,'

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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

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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

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19

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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