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<br />Chronic Disease Management within TechCare®
<br />NaphCare has a proven history of reducing off-site costs through our proactive Chronic Care system
<br />within TechCare®. Using TechCoreO, we strive to enhance the level and quality of the care within the
<br />SAJ by scheduling inmates with chronic illnesses to be seen by a provider before they become acutely ill
<br />and require off-site transport or hospitalization. In addition, we greatly reduce liability by identifying
<br />this high-risk population during the intake process.
<br />Collection of Pertinent Healthcare Information
<br />Prior to incarceration, many inmates had limited contact with healthcare providers and may lack critical
<br />information about their illnesses. Our chronic care program aims to actively monitor, educate, and
<br />motivate patients to be responsible for their own health maintenance. We have established protocols
<br />and practice guidelines to provide guidance on the diagnosis, monitoring, and treatment of common
<br />chronic illnesses. Our process ensures compliance with standards established for the care and
<br />treatment of chronic illnesses.
<br />The first opportunity to identify, enroll, and refer an inmate to an advanced level provider is during the
<br />Intake Screening. If the inmate's responses during intake indicate that he or she requires additional
<br />medical care, then the inmate's medical record is electronically flagged for follow-up and, typically, their
<br />chronic issues are addressed by the provider during that initial health assessment. If a patient is on
<br />pharmacologic therapy, continuity will be maintained. If there is a patient whose chronic condition is
<br />unstable, he/she will be seen promptly. In the case where a patients' chronic disease is stable, he/she
<br />will be scheduled for a first chronic disease visit in approximately one month. NaphCare is flexible and
<br />will work on custody -related issues to reduce interruption of chronic care medications or appointments
<br />when patients with chronic disease are transferred between institutions or moved for housing, court or
<br />release issues.
<br />Before the appointment, we collect medical records and current diagnostic test results so an evidence -
<br />based treatment plan may be created. Patients enrolled in chronic care clinics will be seen by a
<br />qualified healthcare professional at appropriate intervals, or more frequently if clinically indicated.
<br />Inmate Medical Services
<br />City of Santa Ana
<br />25F-35
<br />RFP No. 17-051
<br />36
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<br />NaphCare has a proven history of reducing off-site costs through our proactive Chronic Care system
<br />within TechCare®. Using TechCoreO, we strive to enhance the level and quality of the care within the
<br />SAJ by scheduling inmates with chronic illnesses to be seen by a provider before they become acutely ill
<br />and require off-site transport or hospitalization. In addition, we greatly reduce liability by identifying
<br />this high-risk population during the intake process.
<br />Collection of Pertinent Healthcare Information
<br />Prior to incarceration, many inmates had limited contact with healthcare providers and may lack critical
<br />information about their illnesses. Our chronic care program aims to actively monitor, educate, and
<br />motivate patients to be responsible for their own health maintenance. We have established protocols
<br />and practice guidelines to provide guidance on the diagnosis, monitoring, and treatment of common
<br />chronic illnesses. Our process ensures compliance with standards established for the care and
<br />treatment of chronic illnesses.
<br />The first opportunity to identify, enroll, and refer an inmate to an advanced level provider is during the
<br />Intake Screening. If the inmate's responses during intake indicate that he or she requires additional
<br />medical care, then the inmate's medical record is electronically flagged for follow-up and, typically, their
<br />chronic issues are addressed by the provider during that initial health assessment. If a patient is on
<br />pharmacologic therapy, continuity will be maintained. If there is a patient whose chronic condition is
<br />unstable, he/she will be seen promptly. In the case where a patients' chronic disease is stable, he/she
<br />will be scheduled for a first chronic disease visit in approximately one month. NaphCare is flexible and
<br />will work on custody -related issues to reduce interruption of chronic care medications or appointments
<br />when patients with chronic disease are transferred between institutions or moved for housing, court or
<br />release issues.
<br />Before the appointment, we collect medical records and current diagnostic test results so an evidence -
<br />based treatment plan may be created. Patients enrolled in chronic care clinics will be seen by a
<br />qualified healthcare professional at appropriate intervals, or more frequently if clinically indicated.
<br />Inmate Medical Services
<br />City of Santa Ana
<br />25F-35
<br />RFP No. 17-051
<br />36
<br />
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