Specifications include, but are not limited to: Provider will operate under the following specifications with regard to the resulting contracted program, unless other terms are agreed to by each of the parties. 1. Health care services must be provided in substantial compliance with the Standards for Health Services in Jails, 2018 Edition, published by the National Commission on Correctional Health Care (NCCHC). 2. Health care services must be provided in compliance with North Carolina Jail Standards Section .1000, Health Care of Inmates. 3. The provider must explain in detail how medical care for inmates at the Transylvania County Detention Center will be delivered and provide alternate plans and costs for the following arrangements: a. Onsite – 8 hours a day (Sunday – Saturday) with other hours covered remotely or on an on-call basis. b. Onsite – 10 hours a day (Sunday – Saturday) with other hours covered remotely or on an on-call basis. 4. Provider must recruit, interview, hire, train and supervise all health care staff and such health care staff must be adequate to meet all conditions and specifications as set forth in this RFP, the proposal selected, and the resulting contract. All medical staff providing services under this contract must be licensed to practice in the State of North Carolina. All employees hired must be approved by the Transylvania County Sheriff, Chief Deputy or Jail Administrator. 5. Provider shall review the Initial Observations, Initial Medical Observations, Medical and Mental Health Questionnaires that are completed by officers in the Jail Management System on all new commitments within twenty-four (24) hours of arrival in the jail. Such review shall be conducted by a licensed medical professional. This review will be documented in the inmate’s electronic medical record. 6. Provider shall perform a comprehensive Health Assessment on any inmate within 24 hours (or such other stricter time limit as required by statute or controlling authority) of the arrival of the inmate at the Detention center. Such assessment shall be performed by a qualified medical professional. The extent of the health appraisal, including the physical examination, is defined by the responsible health authority, however, will include at a minimum: a. Review of intake screening forms. b. Collection of additional data regarding complete medical, dental, psychiatric and immunization histories. c. Appropriate laboratory and diagnostic tests to detect communicable diseases such as Venereal Disease and Tuberculosis. d. Recording vital signs (height, weight, pulse, blood pressure, temperature). e. Physical examination with comments about mental and dental status. f. Review of physical examination and test results by a physician for problem identification must take place. g. Other tests and examinations as appropriate, including but not limited to, pregnancy tests, voluntary HIV screening and chest x-rays.
