The vendor required to provide to operate the health care program with adequate staffing for no less than 24 hours per day, seven (7) days per week, 365 days a year.
- Medical staff:
• Provider must recruit, interview, hire, train, and supervise all health care staff and said health care staff must be adequate to meet all conditions and specifications of this contract.
• All medical staff providing services under this contract must be licensed to practice in the state.
• One (1) full-time, on-site health care administrator shall be provided who will have general responsibility and knowledge of operations and facility for the successful delivery of health care for the county.
• One (1) 30-hour per week, on-site medical doctor.
- Receiving and screening:
• Current illnesses and health problems including those specific to females;
• Medications taken and special health requirements;
• Screening of other health problems designated by the responsible physician;
• Behavioral observation, including state of consciousness and mental status;
• Notation of body deformities, trauma markings, bruises, lesions, eye movement, jaundice;
• Condition of skin, including rashes and infestations;
• Disposition, if applicable;
• Document referral of prisoners to qualified medical personnel for emergency treatment;
• Notation of personal physician and medical needs; and
• Assessment of suicidal risk.
- Screening:
• Current illness and health problems including mental, dental and communicable diseases;
• Medications taken and special health requirements;
• Alcohol and drug use, including types, methods, amount, frequency, date or times of last use and history of problems related to stoppage.
• For females, a history of gynecological problems and pregnancies;
• Behavior, including state of consciousness, mental status, appearance, conduct, tremors, sweating;
• Notation of body deformities, trauma, markings, ease of movement;
• Condition of skin and body orifices, including rashes and infestations, needle marks, or other indications of drug abuse.
- Health appraisal:
• Each inmate held for 72 or more hours shall be given a health appraisal, including a physical examination by qualified health care personnel within 14 days after admission to the facility.
• Review of intake screening forms;
• Collection of additional data regarding complete medical, dental, and psychiatric histories;
• Appropriate laboratory and diagnostic tests to detect suspected communicable diseases;
• Documentation of height, weight, pulse, blood pressure, temperature;
• Physical examination with comments about mental and dental status;
• Gynecological assessment must be included for females;
• Physician review of physical examination and test results for problem identification;
• Initiation of therapy as medically indicated;
• Other tests and examinations as appropriate and indicated, including but not limited to, pregnancy tests, communicable disease screening, HIV screening, and chest x-rays.
- Health assessment of females must include documentation of the following:
• Menstrual cycle and unusual bleeding, the current use of contraceptive medications, the presence of an IUD, breast masses and nipple discharge, and possible pregnancy;
• Pelvic and breast examination and pap smear initiated when medically indicated by the physician.
• Abnormal results of the health appraisal shall be reviewed by a physician for appropriate disposition.
• Health assessment of federal prisoners and ice detainees must include all of the above plus verification and administration within 24 hours of intake.
- Nursing services:
• Routine nursing services will be required 24 hours per day, seven (7) days per week.
- Sick call:
• Routing diagnosis and treatment of minor health problems will be handled through a sick call system.
• Sick call shall be held seven (7) days per week.
- Clinic:
• A physician on call 24 hours per day.
• Supervision of the clinic by a charge nurse on a daily basis, must be a RN, when the healthcare administrator is not available.
• Daily nursing services, with a minimum of three (3) LPNs, or above, on duty to adequately cover the inmate population.
• A manual of nursing care procedures.
• A separate and complete medical record for each inmate.
• Electronic health records are required.
- Medical records:
• All inmate medical records must be always kept up to date.
• The record shall accompany the inmates at all health encounters.
• Pertinent information must be forwarded to the gaining facility in the event of inmate transfer.
• Access to medical and dental records must be always controlled by health care personnel.
• All rights concerning the confidentiality of the medical records must be followed.
• The transcription and filing of information in medical and dental records will be done by professional nurses and trained medical records clerks.
• Under no circumstance is any inmate allowed access to medical, mental health and dental records.
• The provider shall give the designee access to records on a need-to-know basis, and provide copies, consistent with confidentiality laws upon request.
- Contract Period/Term: 3 years
- Mandatory Pre-Proposal Meeting Date: January 20, 2026
- Questions/Inquires Deadline: January 30, 2026
