The Vendor shall provide and deliver comprehensive health care and mental health services for all detainees committed to the custody of the Detroit Detention Center, regardless of the reason or source authority for such commitment. The Vendor shall be the sole decision-making authority and coordinator for all reasonable and necessary medical care and its delivery in a manner consistent with the standard of medical practice in the state of Michigan. The program shall meet constitutional and community standards of healthcare and, at a minimum, meet the standards of the National Commission on Correction Heath Care (NCCHC), the American Correction Association (ACA). Medical Services A. Inmate Health Screening (Intake Screening) Medical staff completes a Medical and Mental Health Intake Assessment on all inmates in booking within four (4) hours of their arrival at the holding facility in accordance with the current NCCHC standards. The Proposer must provide a written report on all screenings received, such as referral for appropriate healthcare services, placement into medical segregation with referral to appropriate Healthcare services, or concurrence with placement into the general population. For any health screenings not completed in the established timeframe, the Proposer must provide a written report documenting the reason for delay. B. Medication Administration and Management The vendor shall provide a total pharmaceutical system for the holding facility, including physicians or licensed practitioners prescribing the medication, filing the prescription, the dispensing of medication, and necessary record keeping. The prescription, dispensing, and administration of medications shall comply with all applicable federal, state and local laws, ordinances, rules and regulations, and shall be dispensed under the supervision of appropriately licensed or certified healthcare professionals. The vendor shall use best efforts to dispense pharmaceuticals to inmates within the timeframe dictated by the prescriber, generally twenty-four (24) hours from the time the prescription or order was written. The system must include prescription and over-the-counter medications storage and distribution of prescribed medication including but not limited to: Methadone, Naltrexone, Naloxone and Buprenorphine, etc. All prescription medications must be administered by a state licensed individual. All controlled substances, syringes, needles and surgical instruments used in the dispensing of medication shall be stored by the vendor under security conditions acceptable to the Detroit Police Department. The vendor shall provide staff to oversee and maintain the storage and security of on-site medications and equipment 24/7/365. The vendor shall establish a medication formulary utilizing primarily generic medications unless otherwise medically indicated. Pharmacological support (the administration and issuance of prescribed medications) must be determined by the vendor’s healthcare staff. The vendor must review any requests for renewal of medication orders, including psychotropic medications, to ensure renewal is medically necessary. The re-evaluation must be documented in the inmate’s health record. The vendor has the responsibility to record the administration in a manner and on a form approved by the DPD to include documentation of the fact that inmates are receiving and ingesting their prescribed medications, and to maintain those records. Documentation is also required when an inmate’s ordered medication is not administered and the reason for non-administration must be noted. The vendor shall develop a system for tracking and reporting medication errors. Medications must be maintained under proper conditions and in a secure area. A log indicating the use of stock medications shall be maintained. Medical staff shall distribute medications seven (7) days a week to inmates as ordered by a physician. Medical staff must sign a Medication Administration Record when they administer medication. The vendor shall provide policies and procedures for removal and disposal of any and all outdated, unneeded or surplus medications. The policies and procedures for medical waste storage and disposal must be in compliance with all laws and regulations mandated by the City of Detroit and the State of Michigan. Upon release from custody the vendor shall comply with NCCHC standards for discharge planning which require that an inmate have a sufficient supply to be able to continue taking medication until seen by a community provider. Individuals that are released from custody receive vouchers that give them the ability to receive fourteen (14) days’ worth of prescribed psychotropic medication and/or seven (7) days’ worth of all other prescribed medication. Inmates that are transferred to a residential treatment program shall be provided with vouchers for 5-7 days of medication. C. STAFFING (MEDICAL STAFF) The DPD requires medical staffing for twenty-four (24) hours a day, for seven (7) days a week, 365 days a year (366 days in a leap year). Treatment is provided for emergent, urgent and chronic medical conditions in consultation with Physicians, and registered nurses. Registered Nurses are required twenty-four (24) hours daily to assess, treat and refer inmates as necessary. Additionally, the medical staff may be required to: • Notify DPD / 911 of all emergency medical situations. • Provide on-site emergency care pending 911 response. • Follow up assessments and care of acute or chronic conditions as well as any health problems identified by any screening, test or physician while in custody. • Administer CPR. • Use of Automated External Defibrillator (AED). • Use of tourniquets and / or other medical equipment. • Distribution of medications as stipulated by a responsible physician. • Provide / oversee alcohol and drug detoxification as needed. • Re-assess detainee medical issues each shift daily.
