HomeMy WebLinkAboutItem 17 - Amendment with NaphCare for Medical Services for the Santa Ana Jail Police Department
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Item # 17
City of Santa Ana
20 Civic Center Plaza, Santa Ana, CA 92701
Staff Report
September 21, 2021
TOPIC: Agreement Amendment with NaphCare for Medical Services for the Santa Ana
Jail
AGENDA TITLE:
Approve Amendment to Agreement with NaphCare, Inc. to Provide Inmate Medical
Services for the Santa Ana Jail in the Amount of $2,854,746.87 (General Fund)
RECOMMENDED ACTION
Authorize the City Manager to execute a one-year agreement amendment with
NaphCare, Inc. to provide basic and emergency inmate health care services for the Santa
Ana Jail for the period of October 1, 2021 through September 30, 2022 in the amount of
$2,854,746.87, including a $200,000 contingency, subject to non-substantive changes
approved by the City Manager and City Attorney.
DISCUSSION
California's Board of State and Community Corrections (BSCC) mandates that agencies
provide essential and emergency health care services to incarcerated individuals within
their custody. Additionally, the City's federal contracts require that the City provide
medical services to contract inmates. The Police Department issued a Request for
Proposals (RFP#17-051) for inmate medical services on April 17, 2017. Among the
responses, NaphCare was the most responsive, capable, and cost-effective. On October
1, 2017, a two-year agreement was executed with NaphCare. This agreement
amendment is the last of three one-year renewal options and will cover the period of
October 1, 2021 through September 30, 2022.
NaphCare has improved efficiencies, modernized medical operations, and increased
preventive health measures, reducing the need for outside medical care. NaphCare has
provided routine and emergency inmate medical services, including, but not limited to,
the following: providing prescription and over-the-counter medications, physical
examinations, dental care, and psychiatric services. Additionally, NaphCare has provided
CPR and tuberculosis screening to Jail employees. NaphCare has consistently improved
Santa Ana's health care operations by providing high-quality, community-standard health
care within the Jail. NaphCare also provides comprehensive care for medical conditions,
Agreement Amendment with NaphCare for Medical Services for the Santa Ana Jail
September 21, 2021
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mental health conditions, and substance abuse disorders. NaphCare has maintained
compliance on all the following services:
Patient X-ray reports
Patient lab reports
Inmates in segregation
Chronic care treatments
Medication administration
Detox process
Timeliness of intake screenings
Health assessments
COVID-19 screening
In the wake of the COVID-19 pandemic, NaphCare responded quickly and aggressively
to provide a safe environment for Jail inmates and frontline workers.
NaphCare has agreed to continue to provide these services for an additional year at a
negotiated CPI increase of 0.7 percent, the published CPI for Bureau of Labor Statistics
for Los Angeles, Long Beach, and Anaheim as of June 2021. A $200,000 contingency is
included for services not included in the base agreement including, but not limited to,
pharmaceuticals, x-rays, dentures, and OB/GYN exams. The agreed upon parking
reimbursement amount of $18,000 has also been added to the total agreement amount.
The new rates for Tier 1 and Tier 2, based upon the Jail’s population, are listed below. At
the current average daily population (ADP) of approximately 400 inmates, the Jail
anticipates paying the Tier 1 rate for this amendment.
Tier 1 (ADP at or above
176)
Tier 2 (ADP at or below
175)
Renewal Option Year 3 $2,636,746.87 $2,323,841.64
Parking $18,000 $18,000
Contingency $200,000 $200,000
Total $2,854,746.87 $2,541,841.64
A medical consultant has been hired to assess the Jail's operational needs to create an
inmate medical services RFP for FY 2022-23, including regulatory issues mandated by
state law and complyiance with BSCC standards. To help secure an agreement
representing industry best practices and specific needs, the consultant will analyze
proposals, analyze data, and present findings. Using their expertise in this highly
specialized and technical area, they will ensure the outcome is an ideal balance between
cost and quality.
NaphCare has been accommodating, professional and consistent in its services, and staff
recommends approval of this one-year agreement amendment.
Agreement Amendment with NaphCare for Medical Services for the Santa Ana Jail
September 21, 2021
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ENVIRONMENTAL IMPACT
There is no environmental impact associated with this action.
FISCAL IMPACT
Funds for this agreement are available and will be budgeted in future budget years in the
Jail Operations Contract Services account (no. 01114475 62300) as follows:
Fiscal Year Accounting Unit-
Account #
Accounting Unit, Account
Description Amount
FY 2021-22 01114475 62300 Jail Operations - Contract Services 2,141,060.15
FY 2022-23 01114475 62300 Jail Operations - Contract Services 713,686.72
Total 2,854,746.87
EXHIBIT(S)
1. Agreement Amendment with NaphCare, Inc.
Submitted By: David Valentin, Police Chief
Approved By: Kristine Ridge, City Manager
Exhibit 1