Contract Monitoring Report

AVPCI C.I. 	

December 2021

Page 2



 

Department of Corrections

Office of Health Services

Contract Monitoring Report



Date of Report:       	December 14, 2021

	

Period Reviewed:    	July 1 through September 30, 2021	



Institution:                   Avon Park CI

    		

Contractor:              	Centurion of Florida, LLC	Contract Number: C2930



Report Number           AVPCI A1-11/21 	

Monitoring Type:



	Annual Performance Outcomes, Measures, and Standards    

           	Monitoring

	Semi-Annual Performance Outcomes, Measures, and Standards 

          	Monitoring

	Ad Hoc Monitoring





Monitoring Dates:  October/November 2021





Monitoring Team Members



Skip Tompkins		 	Team Leader



Jerome Noronha, APRN		Clinical Nursing Monitor



Michelle Kimutis, PharmD		Clinical Pharmacy Monitor


Melissa Hurley, Phd			Clinical Mental Health Monitor



John Joffre, DDS			Dental Clinical Monitor























Background:



The Department conducted contract monitoring in accordance with criteria outlined in the Office of Health Services Monitoring Plan.   This monitoring included the following components:



X	desk review of records related to service delivery (including documents and databases)

X	on-site review of records maintained by the Contractor

X	interviews with Contractor and/or Department staff

X	review of grievances filed by inmates regarding Contractor’s service delivery

____	review of monitoring, audits, investigations, reviews, evaluations, or other actions by external agencies (e.g., Correctional Medical Authority, American Correctional Association and/or National Commission on Correctional Health Care, Department of Health, etc.). 

____   Other (explain: ___________________________________________________

	________________________________________________________________

	________________________________________________________________



The monitoring was conducted utilizing random sampling methodology and a standard instrument that was adopted specifically for this contract.       



Summary of Findings:



During the monitoring review, the team identified the following findings.



Performance Measures



A total of 32 performance measures were applicable for this monitoring review.   We found that 8 performance measures reviewed did not meet the required standard in the contract. See attachment A for a detailed list of these 8 measures.  A list of all 32 measures reviewed is provided in attachment B.





Required Contractor Corrective Action:



In accordance with the Contract Monitoring Plan, the Corrective Action Plan (CAP) should be submitted 10 days following the receipt of the final monitoring report.



The CAP closure is expected within 90 calendar days from the date-of-receipt of a written monitoring report.  For all other Corrective Action Plan requirements, see Section II., W. of the contract.



A CAP folder should be maintained at the institution to track progress and keep closure records.  Supporting documentation of training should include:  training attendance sign-in sheets, name of the trainer, documents used for the training, and any documentation from medical records to document that the training corrected the issue or finding.







Laura Carter

Contract Manager