Specifications include, but are not limited to: •Consultation and technical assistance on a full range of factors that impact the health of justice-involved individuals.•Periodic medical records audits using quality indicators as determined by the DOC, which are based on National Committee on Correctional Health Care Standards (NCCHC). For each audit, the DOC shall provide the Contractor with a list of complex medical, mental health, and/or substance abuse cases. The Contractor will review each patient chart and use the results of the analysis to describe the quality, efficiency, efficacy and cost effectiveness of health and mental health services provided to individuals in the custody of the DOC. This may include determination of medical necessity and appropriateness. Audits will be conducted via direct access to the Electronic Health Record (EHR). •Conducting, as requested, an independent case review of serious events (mortality, morbidity, and sentinel event review) for the purpose of identifying systemic issues and process shortcomings. This may include follow-ups completed at three, six, and 12 month intervals, as requested. Review of all sentinel events must occur in a timely fashion as per NCCHC standards 2008 P-A-10.•Peer Reviews will be referred to the Contractor as required after initial review by the DOC HSD and VitalCore or its successor. •Recommend performance improvement initiatives based upon sentinel event reports, audits, and summary reports from the DOC and VitalCore or its successor(s).
