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Sumter County Sheriff, SC, SHP Proposal Response for Inmate Medical Services, 2019

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CORRECTIONAL HEALTH CARE SERVICES

PROPOSAL RESPONSE:
DETENTION CENTER INMATE MEDICAL
SERVICES
SUMTER COUNTY

SUMTER, SOUTH CAROLINA
APRIL

2019

Request for Proposals for Detention Center Inmate Medical Services
Sumter County, SC-April 17, 2019

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ISouthern Health
,.,. Partners

April 17, 2019
Bob Galloway, Purchasing Director
Sumter County Purchasing Department
13 East Canal Street
Sumter, SC 29150
Dear Purchasing Director Galloway,
Southern Health Partners, Inc. (SHP) appreciates the opportunity to provide a proposal for the continuation
of health care services to the Sumter County Sheriff's Office Detention Center (SCDC). Since services began in
2007, SHP has appreciated sharing a strong partnership with the entire jail administration staff of SCDC. After
reviewing your Request for Proposals and our data from the last twelve (12) years of service, knowing the
ever-changing inmate patient population, we believe we understand your detention center's need for a highquality, cost-effective healthcare program that meets all needs for those involved. We have therefore designed
a proposal of services for your careful consideration. Our recommendations and offer will reflect continuing
our current program to meet your immediate needs, and we will work closely with your leadership team
members, both current and future, to evaluate and create options based on changing patient needs. SHP
greatly hopes to continue this partnership and high-quality program with SCDC.
SHP has been partnering with jails and prison systems since 1994-specifically in South Carolina since 1998.
Our principal owners, many of whom are based out of our corporate office in Chattanooga, TN, gained
experience as senior managers at a similar correctional medical provider for several years before starting SHP.
As a bonus, SHP believes having managers with extensive experience in law enforcement, jail operations, and
county government is a value to our partners in working toward our mutual goal of a successful correctional
medical program.

As evidenced in our partnership with SCDC, client services will continue to be a daily responsibility. SHP believes
having client service representatives with extensive experience in law enforcement and corrections brings a truly
valuable and unique quality to our customer relationships. I will continue to be your designated Regional Sales
Manager with SHP, and I will work alongside SCDC team to be a resource to your facility. Further, Ms. Tammy
Hemley, our Vice President of Operations, who is also a Certified Correctional Health Professional (CCHP)
through the National Commission on Correctional Health Care (NCCHC), will be designated as the Operations
Leader for your medical program at SCDC. Tammy, along with our regional operations manager, will ensure that
all components of our program are being met and will set the standard for a quality healthcare program.

0

As SCDC knows from experience, SHP and our team are careful stewards of taxpayer funds - we specifically
designed this quality program to offer cost containment solutions for SCDC. For example, SHP partners with several
correctional-minded vendors who provide products and services that SCDC may need to purchase for detention
center operations or staff. These value-added services allow our clients to take advantage of our partner discounts.
Also, as part of these efforts, our accounting team is well-suited to negotiate discounts and apply mandated cost
containment structures to provider billings for any service performed outside of the facility. We work with our
partners' jail administration in identifying, addressing, and preventing potentially expensive and complicated
medical cases. All discounts achieved will continue to be passed back to SCDC: there is no mark-up or percentage
charged by SHP.

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Request for Proposals for Detention Center Inmate Medical Services
Sumter County, SC - April 17, 2019

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lfll Southern Health
V Partners

SHP stands ready to meet with the evaluation committee and leadership of SCDC to clarify our program, along
with the cost of our services, as indicated in our proposal materials. We understand that SCDC may want more
flexibility in its program components to help solidify its goal of building a quality program for all involved.
SHP has prided itself in being a true partner to SCDC, and we understand changes may be warranted as you
move through this process.
SHP appreciates your consideration of this proposal for the continuation of inmate medical services to SCDC.
Please feel free to contact me with any questions. You can reach me by phone at (864) 872-0659 or by email
at chris.hudson@shpjails.com. You may also reach our Senior Vice President of Client Services, Wes
Williamson, at wes.williamson@southernhealthpartners.com or (256) 490-4517 to discuss this proposal in
more detail.
Sincerely,

t£/L
Chris Hudson
Regional Sales Manager

Cc:

Binding Endorsement:

/))M,{)IJ
rsme
ner, President, & CEO

Lacey LaFuze, Vice President & Chief Financial Officer
Wes Williamson, Senior Vice President of Client Services

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Request for Proposals for Detention Center Inmate Medical Services
Sumter County, SC - April 17, 2019

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IPartners
Southern Health

Table of Contents
1. Southern Healtlt Partners•.In·c..- -· -----·. .••••··.................._........,................................_•• il>._.....__ ........................................................._... 1

·-·•-U••-··-..-·•-u••..·•-··•-•··•....................._...................... 2

SHP's South Carolina Partners ............- ...·-····............................- ..

2. Organization / Key Pe:rsonnel ._ ........

<411 . . . . . . . . . . . . . . . . .
:. . . . . . . . . . . . . . _ _ _ . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . .. . . ." '. . . . . . . . . . . . . . . . . . . ._ .

4

3. SHP Qtaalificatfons & Accompliishments. .......................................................... _......................,......................................... 7

Closest Partner Facility to SCDC............................................................- ··-··-··"·- ··•••·•......_.............. _................................... 8

5. Program Support Services._.,.,................................-

.........,....._____.........................................._................___'""__cq......., 11

Administrative Meetings..........................................................................................-........................._...................................... 11

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Standards/ Policy, Procedure, and Pra,ctice .............................................................................................- ......................... 11

Information MaJ\agement Syst·em .., ........ ......

tt+t •• . ...... ..........................................

r••••P■-Pn•■P·P ■HP'PP■•-··········

... ......1 ........... .. . . .. ...... . . . ............... . .....

11

Quality Assurance Program ..................................................-........ - ........-.............................................................................. 12
Cost Containment Program .......................... - ... - ......._................. _. ........................................................................................ 12
Utilization Manag,ement (UM)-...-................... _..............................................................- ..................................._....... 12

Subcontractors and Bulk: Purchasing ........- ................ - ........................................................................................._. ... 13

Verification of Other Payor Sources..................................................................- .......... _. ............................_.............. 13
Bill Scrubbing/ Medical Discount Negotiation - ..................................................................................................... 13
Litigation & Risk Management....... -........._...................................................................................-..............._....................... 13

Receiving/ Screening .............................................. -...........-...........................................................~......-...,.....·-••·•- ··.... -..... 15
Alcohol & Drug Assessment............................. _........................................ •-•·- ··....-,....... _..............................................- ..... 16

Health Appraisal/ Histo,y & Physicals ................................... - .................................................................- ......................... 16
Mental Health services ............................................................................- ................- ................................................................. 17

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Emergency Services ..................... w ...... ......w ••• • _. .............. ....... ..........................w .... ...... - . ••

H . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . ... . . . . . . .

17

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ISouthern Health
V

Request for Proposats for Detention Ceflter Inmate Medic.al Services
Sumter County, SC - April 17, 2019

Partners

Laboratory 5ervices .......·-···•..··.....·....·..................._ ................................................................................................................... 17
Dental Care ...............................................................- .................................................................................................................... 18

[nfection Control ....................4-t+t.Ht+•••··l ♦t••++t•+t••······• ...+++••·••+•uu•• ..•• ....... ........ ..... ................... u, ...... . .....-....................................

N , . ... . ....... ...... .... . .

u ...

18

Medication Passes .......................................................................................... - ............................................................................ 18
Pharmaceuticals and Medical Supplies ................................................................................................................................. 18
Health Records ......................................................•-···••..··..•·······•·····............................................................................................

19

Recruitment Practices ................................................. ........................... ........................... ......................... ... ......... ... ...... ............. 20
Equal Employment OppOftunities ........................................................................................................................................... 20

Drug-Free Workplace............. - ..............................................................................................................._ ................................. 20
Compliance with E-Verify ...._ .................................................................................................................................................... 21
Licensure / Certification Requirements ................................................................................................................................. 21
Staff Training & Development.................................................................................................................................................. 21
In-Services Training for Medical Staff Members................................................................................................................ 22
Potential Staff Vacancies............................................................................................................................................................. 23

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Employee Safefy++•++••-tt++•~+t-nu••··..•·•••··••••••••............,n....-.. ........n, i+•• -t••· ................. u.,, ..... . . . ................. ....T••·······..·· . .................... . ........ . ................... ,..... 23
Background Check ........................................................................................................................................................................ 23
Staffing Matrix ..................................................................................... - ........................................................................................ 24

Pricing .................................................................................._............................................................................................................ 26
ADP Per Diem/ Compensation for lncreases in Inmate Population .......................................................................... 26
Price Responsibility Table ........................................................................................................................................................... 27

Cost Pool Accounting .................................................................................................................................................................. 28

Electronic Medical Records {EMR)...........................- ............................................................................................................... 29
11. Insurance Cov,erag·e............................................ . . . ,.,. ..-----·-·...............___._............................................................_.•..- ... 30
Annual Financial ReportsH.......................................H...........................................

0

M .......

H........................................................... 21

13. sample Intake Screening Form/QuestionMire ......................................................................................__..........---- 32

14. Sample Health AppraiAVAs.sessment _....................................,.,.,.._..___...................___._............................_.......... _............ 33

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Request for Proposals for Detention Center Inmate Medical Services
Sumter County, SC - April 17, 2019

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ISouthern Health
v- Partners

15. Sample Monthly Statistics Report ......................................................................................................... 35
16. Sample Bill ............................................................................................................................................... 36

Sample Contract............................................................................................................................................ 37

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Request for Proposals for Detention Center Inmate Medical Services
Sumter County, SC-April 17, 2019

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ISouthern Health
v- Partners

1. Southern Health Partners, Inc.
Southern Health Partners, Inc. (SHP) is a Tennessee-based
business currently celebrating its 25th year of providing health care
services to inmates in jails. We recognized the opportunity to implement
our services in an area desperately needing providers for jail health care needs,
including the state of South Carolina. Our management team has extensive experience in
law enforcement jail operations, and various areas of government. The combination of these key
leaders allows us to be a better resource to our clients in all parts of jail management.
SHP proudly employs 1,000+ personnel across our more than 250 locations, and as we enter our 25th year as
a company working with correctional institutions, we continue to have a proven commitment to flexibility in
working with our partners. Our leadership team, many of whom are based out of our corporate office in
Chattanooga, TN, has more than 100+ years of combined experience working in corrections. We continue to
focus our efforts on providing the best healthcare services to our clients by continually evolving to meet the
ever-changing needs of the healthcare community.

SHP'S NATIONAL PRESENCE

ND

SD
WY

9

Ca1110rat• Hudquanera:
2030 Hamiltan Place Blvd Ste.140

Chattanaop, TN37421

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Request for Proposals for Detention Center Inmate Medical Services
Sumter County, SC - April 17, 2019

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ISouthern Health
.- Partners

SHP'S SOUTH CAROLINA PARTNERS

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Counties:
33 SHP Partners - ■

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Abbeville County, SC

Colleton County, SC

Laurens County, SC

Aiken County, SC

Darlington County, SC

Marion County, SC

Allendale County, SC

Dillon County, SC

Marlboro County, SC

Anderson City, SC

Dorchester County, SC

McCormick County, SC

Anderson County, SC

Edgefield County, SC

Newberry County, SC

Bamberg County, SC

Georgetown County, SC

Oconee County, SC

Barnwell County, SC

Greenwood County, SC

Pickens County, SC

Beaufort County, SC

Hampton County, SC

Saluda County, SC

Cherokee County, SC

Jasper County, SC

Sumter County, SC

Chesterfield County, SC

Kershaw County, SC

Union County, SC

Clarendon County, SC

Lancaster County, SC

WIiiiamsburg County, SC

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Request for Proposals for Detention Center Inmate Medical Services
Sumter County, SC - April 17, 2019

Southern Health

SOUTH CAROLINA & SHP
In addition to providing medical and mental health services to thirtythree (33) facilities throughout South Carolina, SHP takes an active role
in supporting the South Carolina Jail Administrators Association
(SCJAA), South Carolina Sheriff's Association (SCSA), and the SC
Association of Counties (SCAC). For nearly 21 years, SHP has been
actively involved with many events in the state of South Carolina with
each of these groups and others, including:
•
•
•

•

•

Initial and continual sponsorship of the Jerry McDaniel Deputy of the Year Award by the SCSA
Suicide prevention and medication pass training events cosponsored by the SCSA, SCJAA, and SCAC
Charity Golf Tournament Sponsorships that benefited the Horry County Sheriff's Office Scholarship
Fund, Pickens County Sheriff's Office Scholarship Fund, Oconee County Sheriff's Office Crime Watch
Program, Anderson County Sheriff's Office Scholarship Fund, and Marlboro County Sheriff's Office
Scholarship Fund
Jennifer Hairsine, Jennifer Brazier, Wes Williamson, Krystal Souders, and Chris Hudson provided
instructional training during a statewide training event hosted by Newberry County on current inmate
medical topics
Provided qualified instructors to do specialized training in medication pass, suicide prevention,
communications with mental health, intake and booking, medical issues, detoxing issues and concerns,
and diabetics signs and symptoms for numerous detention centers

~
. '. .
•

- ,. •
.
~

;

0

Our Regional Sales
Manager, Chris Hudson, is a
2018 Pioneer Award
Winner.

•

' i.

.

SHP's Chris Hudson receiving the 2018 Pioneer Award From left to right"
Chief Willis Beaty, Major Kevin Jones, Director Kelvin Jones, Chris Hudson, Director Arthur Benjamin, lieutenant Drew Sisco

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Request for Proposals for Detention Center Inmate Medical Services
Sumter County, SC-April 17, 2019

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Southern Health
Partners

2. Organization / Key Personnel
SHP proudly employs over 1,000 personnel across our more than 250 locations. Among these personnel are
some of the best RNs, LPNs, Physicians, and Mental Health Professionals in the business - all of which are
backed by our award-winning administration and corporate support staff. Below is a sampling of work
experiences and compliments achieved by members of our management team and owners that best
highlights our corporate expertise in the areas of healthcare program design, delivery, and administration.
These individuals are available to you and your staff to provide support to our program.
JENNIFER I. HAIRSINE I President & CEO

Ms. Hairsine is responsible for the management of all client contracts and programs,
contract start-up activities, and all corporate administration, professional credentialing,
quality assurance, and continuing education activities for SHP. She had nine (9) years
of experience with PHS before joining SHP in 1994. Jennifer is a Certified
Correctional Health Professional (CCHP).

JENNIFER BRAZIER, RN, CCHP I Chief Nursing Officer

0

Southern Health Partners, Inc. since 2005. Jennifer has over 12 years of nursing
experience with a background in surgery, med-surgery, and critical care. Jennifer has
been a correctional nurse for nine (9) years and began her correctional nursing
career as a staff nurse at a detention center in Kentucky where she started working with
SHP. She holds a degree in Surgical Technology and is a Certified Correctional Health
Professional (CCHP).

LACEY LAFUZE I Vice President & CFO

Southern Health Partners, Inc. since 2008. Lacey began her career in financial
management in 2003 and now oversees the Accounts Payable and Accounts
Receivable Departments and assists with contract administration and site budgeting.
Her education includes a Bachelor's Degree in Accounting and Business Management
as well as a Masters of Accounting and Financial Management.

TAMMY HERNLEY, LPN, CCHP I Vice President of Operations

0

Southern Health Partners, Inc. since 2006. Tammy graduated from West Georgia
Technical College with a Practical Nursing degree. She began working with SHP part
time, but soon left her position on the surgical floor of the hospital to work full time
as an MTA at a local Correctional Institution. In 2010, she stepped into a management
role as Regional Administrator covering South Georgia and has since been promoted
to Regional Director over all Alabama, Virginia, Wisconsin, and Georgia facilities.
Tammy is a CCHP through NCCHC and also a BLS CPR instructor and provides
training to SHP facilities.

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Request for Proposals for Detention Center Inmate Medical Services
Sumter County, SC-April 17, 2019

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ISouthern Health
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KATIE UTZ I Sr. Vice President of Human Resources

Southern Health Partners, Inc. since 2003. Katie began her SHP journey in our
payroll department. Her journey has seen her take on the roles of a professional
recruiter and office manager before stepping into her current position. She brings
16 years of human resources/recruiting experience to the Southern Health Partners
management team.

JASON C. JUNKINS, MD I Corporate Medical Director

Southern Health Partners, Inc. since 2012. Dr. Junkins started with SHP as a site
Medical Director in 2006 and later assumed the role of Corporate Medical Director
in 2012. Dr. Junkins obtained his Doctorate of Medicine from the University of
Alabama School of Medicine in 2001. Following medical school, he completed his
residency at the University of South Alabama Medical Center. Dr. Junkins is board
certified in Internal Medicine, a fellow of The American College of Physicians, and
continued to operate his private practice. Dr. Junkins is also actively involved in all
policies and procedural updates that affect the delivery of healthcare in corrections.
CHRIS HUDSON I Regional Sales Manager

Southern Health Partners, Inc. since 2014. Chris began a long career in law
enforcement in 1989. He was named the 2010 South Carolina Jail Administrator of
the Year and has obtained a national certification through the American Jail
Association as a Certified Jail Manager. He was presented the prestigious award of
Kentucky Colonial and named the 2014 Anderson university Criminal Justice Alumni of
the Year. In 2015, he was made a Lifetime Member of the SC Jail Administrator's
Association and is a 2018 Pioneer Award Recipient.
WES WILUAMSON

I Sr. Vice President of Client Relations

Southern Health Partners, Inc. since 2004. Wes proudly served for 15 years as the
Jail Administrator for the Etowah County Detention Center in Etowah County,
Alabama. He reached the rank of Chief of Corrections and led the development and
training during the agency's transition into the first Direct Supervision Jail in the state
of Alabama. He has taught corrections and law enforcement classes at the University
of Alabama, Jacksonville State University, and other regional facilities. He received
his Certified Jail Manager certification from the American Jail Association in 2000. Wes is
also a proud veteran of the Alabama National Guard.

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Request for Proposals for Detention Center Inmate Medical Services
Sumter County, SC-April 17, 2019

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ISouthern Health
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SHP CORPORATE STRUCTURE

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Request for Proposals for Detention Center Inmate Medical Services
Sumter County, SC - April 17, 2019

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Partners

3. SH P Qualifications & Accomplishments
QUAUFICATIONS
⇒

Currently, our contracted facilities range in size from 10 inmates to more than 1,000 inmates.

⇒

SHP partners with 33 facilities in the state of South Carolina.

⇒

We have continuously provided healthcare services across the country since 1994.

⇒

Unlike some competitors' policies. our insurance also covers the corporate entity SHP. our jail partners,
all of our employees, and physician providers.

1' ⇒

We also have general liabmty and other coverages as detailed in this proposal. We do NOT set up

⇒

We not only have individuals from the medical and mental health fields, but also corrections, law,
network development, community relations, and information technology.

⇒

We collaborate with local specialty providers and utilize networks for subcontracted services as needed.

⇒

Our physician provider is on-call to the nurses at all times for phone consultations.

⇒

We order all care, supplies pharmaceuticals, and medical procedures.

⇒

We provide a turn-key system for ordering, billing, and payment of care.

⇒

SHP is a registered Continuing Education (CEU) provider for medical staff.

⇒

We offer extensive officer training either on- site or via WebEx recording.

contracts under an LLC format.

~ ⇒ Our team members provide PREA training to medical employees each year.

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⇒

We work with our partners to develop a site-specific policy and procedures manual.

⇒

Our senior operations team members are Certified Correctional Health Professionals (CCHP) through
the National Commission on Correctional Health Care (NCCHC)

ACCOMPLISHMENTS
⇒

SHP provides speakers and instructors upon request for medical training initiatives for associations,
our own clinical teams, as well as our partner jail operations staff.

⇒

SHP works closely with local health departments on the testing and treatment of communicable and
sexually transmitted diseases.

⇒

SHP holds a CEU certification for nurse training in all states.

t ⇒ SHP networks with local pharmacies to provide back up and support services.

~ ⇒ SHP Coordinates with local mental healthcare providers for continuity upon re -entry.
⇒

SHP team members are certified instructors for officer in-service training.

~ ⇒ SHP has a history of successfully assisting facilities in meeting Department of Justice Review and
Consent Order Compliance.

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*

⇒

SHP consistently achieves 100% compliance in U.S. Immigration and Customs Enforcement (ICE) Audits.

⇒

Several SHP facilities are accredited by the National Commission on Correctional Health Care (NCCHC).

⇒

SH P's Operations Management Team consists of Certified Correctional Health Professionals (CCHP).

⇒

SHP negotiates quick pay discounts on behalf of our clients.

x- ⇒

SHP achieved 35% or more discounts for ancillary services.

⇒

SHP successfully established a correctional travel nurse program to support SHP sites.

⇒

SHP developed a HIPPA compliant telehealth platform.

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Request for Proposals for Detention Center Inmate Medical Services
Sumter County, SC-April 17, 2019

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4. References
In providing references for our company, we provide the following from the state of South Carolina:
- - - - -

- - - - - - - - ------ - -

Site Name

City, State

ADP

SHP Customer
Since

Anderson City

Anderson, SC

120

2016

Cherokee County

Gaffney, SC

170

2012

Greenwood
Countv

Greenwood, SC

200

2010

Laurens County

Laurens, SC

250

2010

Lancaster County

Lancaster, SC

150

2010

Reference Contact Person
Captain Doyle Carpenter
864-231 -7620
Sheriff Steve Mueller
864-489-4722
Major Lonnie Smith
864-943-8059
Captain Kathy Tucker
864-683-4055
Captain Larry Deason
803-283-3388

PARTNER TESTIMONIES
Nothing is more important to use than the satisfaction of those we partner with. Below are just a few of the
many positive messages we've received from our South Carolina partners:

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"Since 2017, Southern Health Partners has been contracted to provide health care services at the W. Glenn Campbell Detention Center.
Southern Health Partners has provided great service, excellent quality ofcare, and has demonstrated the wi/1/ngness to go above and beyond
on several occasions. The staff is prompt, personable, professional, and provide excellent customer service. Southern Health Partners Is
efficient and effective in day-to-day operations, as well as, being a high quality, low-cost provider. I would recommend Southern Health
Partners to any agency requiring such services.•
- Sheriff Tony Chavis, Darlington County, SC
"The ACSO Detention Center uses Southern Health Partners (SHP) and are very pleased with the company. SHP nurses are caring Individuals
who ore on site seven days a week and pass out all medication, and our employees find them a pleasure to work with. If I need any
information, whether it be with the nurses who are assigned to the detention center or the Administrative support staff by phone; that
information is provided professionally and quickly. I consider healthcare to be one of the most important areas of concern at our detention
center and SHP provides professional services while reducing our medical recordkeeping."
- Sheriff Chad McBride, Anderson County, SC
"Prior to partnering with SHP, our facility transported every medical call to the local emergency room. This caused a tremendous financial
and manpower burden far our agency and county. SHP came onboord and streamlined our Inmate medical care. We are now able to handle
most ofour medical needs in-house. During ourfirst year we saved over $100,000.00 in medical ond manpower cost thanks to SHP. •
- Sheriff Clint Shrum, Grundy County, TN

CLOSEST PARTNER FACILITY TO SCDC

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SHP currently provides medical services to 33 different facilities throughout the state of South Carolina. Of
these facilities, we currently provide services to both Clarendon County Detention Center and Kershaw County
Detention Center, both of which are geographically located adjacent to the SCOC.

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Request for Proposals for Detention Center Inmate Medical Services
Sumter County, SC - April 17, 2019

UST OF SIMILARLY SIZED FACILITIES
Since SHP provides medical care to more than 250 different facilities across the United States, we are well
versed in providing medical care to facilities of similar size to that of SCDC. Below, you will find a list of facilities
that are similar in size and population to SCDC. This information is highly confidential and must not be shared
with anyone outside of the evaluation committee.

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Facility

State

ADP

Start date

Albemarle District Jail

North Carolina

200

2004

Breckinridge County

Kentucky

200

2012

Walworth County

Wisconsin

200

2011

Chilton County

Alabama

200

2005

Greenwood County

South Carolina

200

2010

Hoke County

North Carolina

200

2007

Crittenden County

Kentucky

200

2018

Taylor County

Kentucky

200

2008

Washington County

Colorado

200

2016

Jackson County

Alabama

208

2005

Harnett County

North Carolina

210

2010

Darlington County

South Carolina

217

2017

Delaware County

Ohio

220

2019

Beaufort County

South Carolina

"f, 220

2001

Randolph County

North Carolina

220

2006

Rockwall County

Texas

220

2011

Boyd County

Kentucky

220

2019

Johnston County

North Carolina

225

2005

Navarro County

Texas

225

2014

Caldwell County

Texas

230

2018

Wayne County

North Carolina

230

2014

Leslie County

Kentucky

230

2016

Rockingham County

North Carolina

230

2002

Angelina County

Texas

235

2014

Montgomery County

Kentucky

235

2009

1-'r

t

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Request for Proposals for Detention Center Inmate Medical Services
Sumter County, SC -April 17, 2019

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v

245

2010

Kentucky

250

2009

Bedford County

Tennessee

250

2009

Carter County

Tennessee

250

2012

Craven County

North Carolina

250

2005

Claiborne County

Tennessee

250

2018

Laurens County

South Carolina

250

2010

Oldham County

Kentucky

250

2006

Harlan County

Kentucky

255

2012

Muhlenberg County

Kentucky

260

2019

Dorchester County

South Carolina

270

2008

Nash County

North Carolina

270

2006

Miller County

Arkansas

275

2013

Franklin County

Kentucky

275

2002

Hawkins County

Tennessee

275

2008

Davidson County

North Carolina

275

2007

Roane County

Tennessee

275

2008

Lauderdale County

Mississippi

280

2009

Lenoir County

North Carolina

285

2001

Limestone County

Alabama

288

2010

Bourbon County

Kentucky

300

2017

Cleveland County

North Carolina

300

2002

Forrest County

Mississippi

300

2017

Madison County

Kentucky

300

2014

Dickson County

Tennessee

300

2011

Simpson County

Kentucky

300

2004

Georgetown County

South Carolina

Barren County

)t5

Partners

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Request for Proposals for Detention Center Inmate Medical Services
Sumter County, SC-April 17, 2019

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5. Program Support Services
ADMINISTRATIVE MEETINGS
At each facility, communication between jail staff and healthcare leadership is criticai"Members of our on-site
medical team will regularly meet with the correctional administration to ensure healthcare components are
being completed. We believe in sharing a common and one-team mentality with our partners, which means
that the Sumter County Sheriff's Department Detention Center (SCDC) also has complete access to SHP
company leadership, including President and CEO Jennifer Hairsine. Further, our Regional Representatives will
attend any other meetings with our Medical Team Administrator (MTA) upon request. These meetings provide
an on-going opportunity for both parties to jointly evaluate and fine-tune the healthcare program and to
discuss other health-related aspects of the institution's operations, such as safety, sanitation, disaster
planning, architectural planning, classification, infection control, service processes, etc.
For the healthcare delivery system to function effectively, the healthcare staff and corrections staff must work
together. Our team is well trained and sensitive to the security needs and overall operating policies of the
institution. Your correctional staff act as an Nearly warning" network throughout the institution by assisting
health services in identifying real or potential health problems. This cooperative working relationship between
medical and corrections ensures medical issues are detected early, treated promptly, and then carefully
monitored until recovery or resolution. At the same time, safety and security concerns are addressed.

0

At any other time, on short notice, all other corporate management staff are always available to discuss any
issues, serious problems, and/or concerns to ensure your satisfaction.

STANDARDS/ POLICIES, PROCEDURES, AND PRACTICES
;;,we work closely with officials of SCDC to maintain a quality health care program under reference with the
National Commission on Correctional Health Care's (NCCHC).
Our comprehensive, written policies and procedures detail how our program objectives and standards are
met?ffhe SHP Policy and Procedure Manual will be specific to your facility and will refer to the NCCHC
standards.
We were pleased to have our MTA Amanda Geter, RN, attend the NCCHC conference in Nashville earlier this
month. Building her knowledge, coupled with her expertise of our practices and the facility, will go a long way
to ensuing compliance with a quality program on-site at the facility.

INFORMATION MANAGEMENT SYSTEM
SHP believes that proper data management is the first step to saving money. Data collection begins whenever
a service is rendered and accounts for all types of care statistics - physician, pharmacy, specialty consults,
emergency room, hospitalization, radiology, and others. Once the data is compiled, running a regular health
care activities report will pull the utilization statistics, trends, and health care program results. These figures
are a valuable tool for cost-containment efforts .

.,.

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QUALITY ASSURANCE PROGRAM
At SHP, we are committed to effectively monitoring the health care we provide and have dedicated appropriate
resources to assist in achieving this goal. We actively involve our employees in the Quality Program through
gathering information, evaluation, care and problem resolution. This approach allows us to objectively assess
and monitor the quality and appropriateness of patient care.
We accomplish these objectives with on-site visits, the use of audit tools, outcome studies, and medical chart
reviews based on clinical indicators. Periodic meetings with the facility and SHP allow for these findings to be
shared and the opportunity to provide feedback for modification and implementation. This approach allows
us to objectively assess and monitor the quality and appropriateness of patient care.
Our Quality Assurance Program Includes, but Is not llmlted to:
•
•
•
•
•

Evaluating medication usage
Monitoring cost effectiveness of services delivered
Evaluatlng clinical performance of current program and identifying enhancement needs
Resolving Identified problems and/or weaknesses which may Impact patient care
Constant, objective, and systematic monitoring and evaluation of all health care services for SCDC

There will be site-specific criteria developed to ensure compliance with key service timelines. Each on-site staff
member will have a role in information gathering and/or final process review. Our system is utilized to make
any necessary changes or develop solutions which ultimately improve patient care.

0

COST CONTAINMENT PROGRAM
Our cost containment efforts include several programs which have resulted in substantial savings for our
clients, including SCDC. In the following paragraphs, we briefly describe other programs and activities we
routinely pursue to assist in controlling healthcare costs for your office/budget and the taxpayers.

Utilization Management (UM)
SHP operates contracts with a managed care ideology. We consider Utilization Management (UM) to be a vital
and necessary component of every healthcare program we provide. SHP strives to ensure all care rendered is
medically required and is provided safely in the least costly setting while maintaining the highest quality of care.
We accomplish this with concurrent daily reviews of each admission and retroactive reviews of cases. This
sharing of information, experience, and expertise contribute to the best conservation of available resources
withoutjeopardizing patient safety and the quality of care while saving valuable officer time.
The goal of the UM Program is to provide necessary and appropriate healthcare in the most efficient
manner. Regardless of the payer source, our commitment to monitoring these patients results in the best
use of available resources. The discharge planning program begins upon admission and with coordination
often resulting in a combination of outpatient services or medication adjustment, allowing earlier return
to the detention facility.

On-Site Services
Several on-site services are performed to maintain cost effectiveness fqr the facility both in the
management of the services as well as eliminating outside security issuellab and x-ray services are
coordinated on-site with outside clinical providers. For x-ray services, a clinical provider will be
contracted to come to the medical unit and provider on-site x-rays to patients as ordered by the medical
director and medical staff. All test results are reported via email, fax, or phone. Other services may be
identified for on-site use as additional providers are added to the program.

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Request for Proposals for Detention Center Inmate Medical Services
Sumter County, SC - April 17, 2019
Subcontractors and Bulk Purchasing

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~ We also control costs by negotiating tight. cost-effective agreements with our subcontractors, vendors, and
suppliers. We have been able to deal with national suppliers and enter into bulk-purchasing contracts which
allow us to acquire medical equipment. drugs, supplies, and services at very competitive prices. These
discounts are then passed along to each of our partners saving both time and money for the facility.
Service Reports

Our regular monthly healthcare activity reports containing utilization statistics, trends and healthcare
program results are a valuable tool for cost-containment efforts.

X

Verification of Other Payor Sources

SHP understands the ever-changing needs of the facility, especially in the light of the Affordable Care Act (ACA).
To better serve our customers, we have developed proprietary software that continuously searches for current
insurance products on incarcerated individuals. This allows SHP to provide insurance information to healthcare
providers which will enable those providers to bill insurance products correctly as opposed to charging the
facility for eligible healthcare services. We continue to research and learn all aspects of ACA and how it will apply
to our customers, therefore, ensuring the greatest savings for the counties we serve.
Bill Scrubbing/Medical Discount Negotiation

0

It can be a momentous task to seek and apply discounts to the vast number of claims received by SCDC
for outside health care services. Not only can it be time-consuming administratively and confusing, but
it can also result in lost discounts if appropriate procedures are not applied. SHP has an accounting team
well experienced in this complicated practice, and thoroughly reviews codes for proper billing as well as
application of any mandated state and/or facility negotiated discounts. As part of our administrative
services to SCDC, SHP will review all bills for outside services, and then prepare a statement for SCDC of
all approved payments based on the inmate's actual status within the facility, avoiding the potential
over-payment or payment for unnecessary services.
We will process all claims according to the Myrtle Beach Decision. We are well equipped to adjudicate
medical claims and assure only appropriate claims charges on bills are reimbursed. Individual edits are
performed at the detailed claim line level and include industry-standard edits such as
unauthorized/inappropriate services, incomplete claims, duplicate claims, invalid or excessive codes,
unbundled charges, etc. Our software enables us to ensure the facility is only paying for medical services
during the inmate's incarceration. Once it has been determined as to the responsibility of the claim, we
begin our review and repricing process. We have access to and apply the most updated allowable
reimbursement amounts to each medical claim.

LITIGATION AND RISK MANAGEMENT
Our Risk Management Department handles incident reports and legal matters. We also answer legal questions
SHP staff may have or provide training on legal compliance and risk reduction. We subscribe to an "Open
Door Policy" will all of our staff.
The process of risk management is designed to reduce or eliminate the risk of certain kinds of events happening
or having an impact on our business while protecting both SHP and our partners. Risk management is a process
for identifying, assessing, and prioritizing of various events. Upon identification of risks, the Risk Management
Department will create plans to minimize or eliminate the impact of negative events to protect SCDC.
These plans include training topics such as:

0

•
•

Performing quality patient care
Follow through with treatment care plans

•

Good documentation skflls

•

Review of previous incidents

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Correctional nursing is a professional specialty area that is becoming recognized around the world. It offers
the opportunity to practice nursing in a unique atmosphere with other multi-disciplinary health care providers.
While correctional nurses may deal with the same issues as the public sector, they have the added
responsibility and challenge of providing quality nursing care to a challenging population.
SHP promotes patient safety through review of processes and symptoms regarding adverse and/or possible
near-miss clinical events in an effort to reduce risk and/or harm to patients, SHP encourages medical staff
members are trained as to incident reporting upon their orientation and mortality reviews are performed after
negative outcomes. An open forum is encouraged to properly identify problems, risks, and the potential for
risks within the jail medical unit. Critical Incident Stress Debriefing is a process that prevents or limits the
development of post-traumatic stress in people exposed to critical incidents. Debriefings help people cope
with and recover from an incident's after effects. We want staff to understand they are not alone in their
reactions to a distressing event, and this process provides them with an opportunity to discuss their thoughts
and feelings. SHP encourages this process with our medical staff and jail officers.

k

For legal matters that may arise, Ms. Shira Crittendon serves as our General Counsel. Ms. Crittendon, along
with our in-house risk management department staff, work closely with our insurer, SCDC, and our local
counsel to manage claims and cases which may arise, to evaluate and address potential areas of future legal
exposure, and to ensure our health services program is conducted and administered in a legally appropriate
and defensible manner.

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6. SH P Scope of Services
As the current provider for SCDC, the following is a summary of our services. Should the facility need more
specific information on services not outlined in this proposal, SHP is happy to provide it.

The following topics are outlined briefly to show understanding and compliance with standards:
•
•
•
•
•
•
•
•

Receiving Screening
Comprehensive Appraisal and Examination
Daily Triaging of Complaints
Clinical Pathways
Sick Call
Segregation Checks
Coordination of Hospital Care
On-Site Specialty Services

•
•
•
•
•
•
•
•

Emergency Services
Dental Care
Mental Health
Laboratory Services
Female Healthcare Services
Pharmaceuticals and Medical Supplies
Chronic Care
Inventory Control Measures

RECEIVING/SCREENING
Upon the formal booking of each inmate by the Correctional
Officers, SHP medical staff will review all intakes in the intake area. A receiving screen will be performed within 24 hours, or sooner, "
of the initial booking process for any definite medical answers.
Dental screens will be conducted at the time of History and
Physical. Where needed, the appropriate level of treatment (i.e.
treatment in-house by a member of the professional health
services or referral to a hospital or other community-based health
services) will be made after a thorough evaluation of the inmates'
condition by the medical staff.

0

This initial patient-provider interaction is the most critical encounter that we as providers have with a patient. It
allows us to quickly identify any medical issues so that they can be swiftly handled. We believe that the sooner
identified issues are addressed, the better for the patient. This also minimizes exposure to "delay-in-care" issues.
Information regarding access to health care services is to be communicated orally and in writing to inmates upon
their arrival at the correctional facility. SHP will use notices, printed in both English and Spanish, that will be posted
in the intake area and the Medical Department advertising to detainees how to access the health care delivery
system. This is in addition to the verbal and written/documented notification which is provided at booking, in the
facility's Inmate Handbook, by the facility.
Patients will be asked for information regarding prior treatment and medication history to promote continuity of
care. Verification of information will be performed by medical staff with review of such information by the ~ider.

X-RAY SERVICES

0

We plan to use a portable x-ray service to perform any required procedures inside the facility. This eliminates
the cost of transporting inmates and affords savings in officer time and potential overtime. Some procedures
may need to be performed with equipment at a hospital or other radiology facility.

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Request for Proposals for Detention Center Inmate Medical Services
Sumter County, SC -April 17, 2019

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ALCOHOL AND DRUG ASSESSMENT

;J

1

•'

Upon intake, patients will be screened for current intoxication levels using the CIWA scale. Indications of
withdrawal will be treated under evaluation or assessment of our providers and their protocols. Patients
assessed with possible emergent or life-threatening symptoms will be referred to the local emergency room.
Most withdrawal patients can be managed effectively on-site. Consistent monitoring of the patient's process
through withdrawal will be important, and therefore all medical staff will have a role in monitoring the patient's
vital signs to ensure the patient is progressing through withdrawal. We would also rely on the officers to alert
medical staff of any decompensating behavior in between medical staff checks so the patient's condition can
be quickly addressed.

r.,..,HtALTH APPRAISAL / HISTORY AND PHYSICALS
A comprehensive medical history and physical examination will be performed on all inmates within !~calend¾
~i:,S of arrival.
The health appraisal will include at minimum, as required or if clinically indicated, the following:

•

Review of preliminary health screening done at intake
Testing for airborne infectious conditions
Height, weight pulse, blood pressure and temperature

•
•
•

Mental health, dental and vision screenings
Additional tests and examinations as appropriate
Initiation of therapy and immunizations as appropriate

Inmates will be scheduled for annual physica~examinations as indicated by their age and physical condition.
If at the time of the physical, it is determined an inmate requires further medical treatment. the inmate will be
referred either for immediate medical treatment or to see the physician/provider at the next scheduled sick call.
If the health assessment finds an inmate has a chronic health condition including but not limited to, AIDS,
asthma, diabetes, epilepsy, cardiac, pregnancy or other, the Provider will initiate a specialized treatment plan
for the patient. This treatment plan will include information and direction for other medical staff, as well as
pertinent information for correctional staff.
~cree_ning and testing will be performed on all patients at their physical. Any positive reads will be handled
under protocol and in conjunction with the local health department.

SICK CALL
To ensure inmate health problems and requests are addressed promptly, appropriately, and efficiently, SHP
will use a structured triage procedure that has been tested and proven effective in other correctional settings.
\_/All patients requesting sick call services are to be seen.

As a first step in the triage system, the inmate is seen by a member of the professional nursing staff and appropriate
treatment is administered within the scope of the nurse's ability and license. For non-urgent complaints, our nurses
will schedule the inmates to be seen within 24 hours, or 72 hours if over a weekend. Those inmates in need of
more urgent higher level service will be referred to the physician or another appropriate professional practitioner
promptly.

0

If the physician provider determines the patient's medical needs are more extensive or specialized, an
appropriate referral to outside medical services will be made. Appropriate documentation will be recorded
and maintained for all inmates seen at sick call and incorporated into the inmate's permanent medical record.

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V MENTAL HEALTH SERVICES
SHP uses a team aeproach for mental health services on-site, starting at the patient intake. Our medical staff
will work asa bridge in caring for those in our custody and assist with discharge planning as they transition
back to the community with follow-up and public health resources.

~4P
•
•

will arrange for the mental health services for inmates including:

Effective crisis intervention
Suicide prevention and screening
Referrals as necessary

•
•
•

Mental Health Assessments and evaluations
Monitoring Mental Health Medications
Mental Health Court reporting, upon request

SHP has established a written plan for identifying and responding to suicidal individuals within the facility. All
iHP medical personnel and facility correctional officers will be trained in suicide prevention techniques. Both
the training and treatment plans will incorporate recognizing and responding to suicidal individuals, while the
components of each program will include but not be limited to training, intake screening, monitoring,
communication, intervention, and crit,ical incident debriefing.

i/

. / SHP is in negotiations with Michele Reeder, Chief of Staff, of the Santee-Wateree Community Health Center,
the local mental health resource agency, to provide not only on -site services of a Psychiatrist and Mental
Health Worker, but also extens ion of services for after care upon the patient's discharge from the facility.
Further, these services will include the involuntary commitment services, as needed, based on their assessment
of patient treatment regimens.

v

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HOSPITAL CARE

,,--

When it is medically necessary to transfer an inmate to a local hospital for treatment, SHP will utilize the
facilities and services of a hospital which meet the approval of the facility. All hospital charges for both
inpatient and outpatient care, as well as physician charges outside the facility, ,Y!'.ill be the facility's
responsibility. To help control expenses and utilization of costly inpatient hospital services, we will conbnualFy
review the medical necessity for, and give prior approval to, all planned inpatient admissions. We will seek to
have the inmate discharged as soon as his/her condition permits, as our Utilization Management Department
will work with the hospital providers as to which services can be completed within the medical infirmary.

MERGENCV SERVICES
Our MTA and site provider will have twenty-four (24) hour on-call responsibility
for any emergency that may arise, to respond by phone to speak with our onsite staff or facility personnel. We also encourage training for officers to make
determinations where 911 should be called first and then our healthcare staff.

LABORATORY SERVICES

0

SHP will use a correctional Laboratory Service for those procedures which cannot reasonably be conducted onsite. When using laboratory services, our healthcare personnel will draw specimens and prepare them for
transport to the appropriate laboratory. All samples will be collected by accepted laboratory standards and will
be sorted appropriately and labeled before being sent out for processing. The results of these test can be quickly
transmitted back to the site and are communicated to our staff provider who then filed them as part of the
inmate's medical record. The provider is notified immediately by the medical staff of any abnormal lab value.

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t/sPECIAL DIET PLANS
SHP medical staff will evaluate all inmate stated food allergies, and upon verification, will submit information
to kitchen services to avoid any patient specific food allergy reactions. Further, additional diet plans may be
submitted for patients who have certain medical conditions, such as diabetics or hypertensives, who are need
of diet management and/or control of calories. Diet plans will be reviewed with kitchen services upon request,
or at least on a bi-annual basis.

'--"'DENTAL CARE
SHP will screen all inmates within 14 da s of admission for d~mtal issues as part of History and Physical. Dental
treatment is provided through an establish trea ment plan with painful conditions receiving priority treatment.
All treatment records are to be kept in the patient's medical record and will chart decayed, missing, and filled
teeth. Oral hygiene and patient teaching are a part of every SHP dental program.

VJNFECTION CONTROL
SHP realizes all communicable diseases require special attention in inmate populations. We have developed
an Infection Control Program that incorporates education, diagnosis, and treatment. Diseases with particular
significance include HIV, TB, Hepatitis, and MRSA. If an inmate is diagnosed with a communicable disease,
steps are taken towards isolation and/or treatment as indicated SHP also assures we will provide a clean, safe,
and healthy environment in the medical unit and will work with corrections administration to develop and implement
a comprehensive environmental health program at the facility.

_/4EDICATION PASS
SHP medical staff will prepare and pass all prescribed medication to patients within the facility. Practices will
be developed, along with SCDC administration, to ensure a streamlined process to deliver medications to the
patients, as well as checks for ensuring medications are taken/swallowed. Any refusals of medications will be
documented and the provider will be consulted.

vPHARMACEUTICALS AND MEDICAL SUPPUES
SHP has designed a program tailored specifically to SCDC for the ordering, dispensing, and administering of
prescription drugs, under the guidance and oversight of Clinical Solutions Pharmacy. We have developed a formulary
of pharmaceuticals-whicl=I i5 usa:l ni 001 feeilitie5 which is used in our facilities, and we currently hold the Board of
Pharmacy licensure as current for our program. The intent is to provide the safest, most efficient, and cost-effective
medication appropriate to each individual's treatment Together we are continually searching for opportunities to
J;, improve medication delivery whether at the pharmacy, facility, or cell-side level. At SHP, we leave nothing to chance.
~ For immediate needs, we always use a local pharmacy for stat medications and will assure any medication will be
available within 8 hours if needed.
Our general guidelines for pharmaceuticals are:

•
•

0

Prescriptions brought in by the inmate or their family, including mental health medications and medicatedassisted treatment (MAT) medications, will be reviewed by SHP staff and continued or substituted with
formulary medications as necessary by our physician
Verification will be performed by the medical staff of an inmate's current medication(s)
The minimum amount of psychotropic or narcotic medication is prescribed based on need
No more than a single dose will be administered at any given time
Refusals of medication by an inmate must be documented
Counseling will be provided to the consequences of non-adherence of the prescribed medication

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A:i'EALTH RECORDS
Any healthcare delivery system is only as good as the quality of its health records. We ensure all health records
are maintained in compliance with state regulations and are consistent with community standards of practice.
SHP will assist SCDC with the fulfillment of requests regarding the records and serve as the Records Custodian
in all medical record matters.
The following general policies and procedures concerning health records will apply:
•
•

•
•

All health records will be kept locked and secured
Information necessary for classification, security,
and control of inmates will be provided to the
appropriate corrections personnel
Inmates will not have access to health records
SHP will follow jail recommendations for archival

•
•
•

All records will be retained for a minimum of seven
(7) years, or as long as legally required
Medical summaries will be prepared and sent with
inmates transferred to other facilities or jurisdictions
Each inmate will have a separate and complete
medical record

0

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7. Personnel Services
RECRUITMENT PRACTICES
SHP recognizes that change is hard. That's why we will continue to use our current nursing staff to serve
SCDC's clinical needs. We invite SCDC's input into the valuable work done by those currently employed and
recognize the final selection for retention and our selection shall continue to be subject to approval by SCDC.
Physicians and other practitioners are usually recruited through contacts with the local medical or dental
society, and/or professional contacts within the community. Local autonomy in hiring will be maintained, and
corporate resources will be used for recruiting when necessary. We have been fortunate to find medical
professionals who are willing to practice good correctional managed care. These providers support the
elimination of unnecessary trips outside the facility, as well as impact pharmacy costs.
SHP has been successful in nurse recruiting with a unique approach. We not only use word of mouth but have
found that offering PRN positions and training those interested in the corrections field provides for a variety
of qualified staff and a pool from which to utilize those at other facilities both in training and in staffing.

0

All site personnel are interviewed by the Medical Team Administrator (MTA) and/or Regional Representative.
We also require an application form and evidence of a current license. Past work and educational histories are
verified. Once recruited, the credentialing procedure and licenses are verified through the professional issuing
board. The prospective employee will then be subjected to a background investigation conducted by SCDC
in accordance with SCDC's existing policies and procedures. When hired, the employee must complete a job
specific orientation program and security training.
In addition to the credentialing information provided to us by the respective boards of medicine for licensed
personnel, all SHP personnel are further subjected to individual screening search in the US Department of
Justice National Sex Offender Public Website (NSOPW) registry. This registry is the only government system
that exists to link public state, territory, and tribal sex offender registries allowing for a more comprehensive
search tool and safety resource. These jurisdictions include the 50 states, U.S. Territories, the District of
Columbia, and participating tribes. This national search further increases our ability to ensure patient safety
and facility security from potential sexual predators who might seek employment.

EQUAL EMPLOYMENT OPPORTUNmES
SHP is an Equal Opportunity Employer and follows established policy in all hiring and employment practices.
It is the policy of SHP to comply with all local, county, state, and federal laws prohibiting discrimination in
employment and to make all personnel decisions without regard to race, color, religion, sex, age, or national
origin. SHP is committed to maintaining places of employment that are safe, productive, and free from sexual
harassment.

DRUG-FREE WORKPLACE
SHP performs a drug screen on 100% of new employees as a final condition to employment. In compliance
with our national and multi-state drug-free workplace certifications, all employees are subject to preemployment, post-accident, and random drug screening to ensure we maintain a drug-free workplace.

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COMPLIANCE WITH E-VERlFY
SHP has maintained its utilization of the Department of Homeland Security's E-Verify program requirements
for screening of all its employees since November 7, 2007. Compliance with the Department of Homeland
Security and the Social Security Administration regulations ensures our ability to protect the rights of
employees and avoid possible discrimination.

UCENSURE / CERTIFICATION REQUIREMENTS
We require that all members of the healthcare staff be certified and hold current licensure. SHP verifies all
professional healthcare licenses before the employment of an individual and will keep them on file where they
can be readily inspected.

STAFF TRAINING AND DEVELOPMENT
SHP is a strong believer in providing training and development to all staff members. We understand the
importance of developing individuals and invest time and attention in them - many of our staff have moved up
to leadership positions within our company. In addition to the training our new hires receive, SHP also offers
monthly training topics that allow nurses to obtain CEUs as well as training for professional development.

OFFICER TRAINING

Q

Correctional officers are a vital part of our health care delivery process and are our partners in delivering
health care to inmates. SHP has developed tailored and customized correctional officer training programs to
meet the changing needs of the inmate population throughout our partner agencies.
Not only do they facilitate the work flow, but correctional officers represent the eyes and ears throughout a facility
to alert health care staff to inmates with possible health issues. Because correctional personnel are often the first
to respond to problems, they must be aware of the potential for emergencies, know the proper response to these
situations and understand their part in the early detection of illness and injury. SHP offers training programs in a
variety of methods, including classroom training, via web or electronically or any combination of these methods.
SHP's Correctional Healthcare Consultants are experienced in the management of jail operations and along with
SHP healthcare team members, instruct on a variety of the necessary topics.
SHP provides a variety of components in our training programs. Effectively trained correctional officers are able to
assist SHP medical personnel in recognizing the need to refer an inmate to a health care professional and to
provide emergency care. Additional topics include: Infectious and communicable diseases, medication
management first aid training, and CPR. It is not uncommon for inmates who take medication or who have chronic
illnesses to be housed in general population, away from healthcare staff. Therefore, it is imperative that officers are
able to recognize certain chronic illnesses such as asthma, seizures and diabetes as well as adverse reactions to
medications. Officers also assist and alert healthcare staff to inmates with symptoms of intoxication and withdrawal.
Another important part of training is recognizing mental health symptoms in inmates with mental illnesses. SHP
offers officer training on recognizing the signs and symptoms of mental illness and procedures for suicide
prevention. Training for appropriate referral of inmates with health complaints to health staff is also important.

0

Overall, SHP's team of healthcare and operational professionals deliver a well-developed health training
program for our numerous partners and offer correctional officers the information and knowledge to assist
SHP health staff in preventing, and responding to adverse events within the facility. While we offer most
training session for free to our partners, CPR training does cost an additional fee. All training must be
requested and scheduled in advanced.

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V IN-SERVICES TRAINING FOR MEDICAL STAFF MEMBERS
SHP believes professionalism in nursing is enhanced through the continuous updating of knowledge and
skills. We provide in-service programs for our on-site staff geared specifically to healthcare delivery in the
correctional setting. These programs are designed to promote the continued development of knowledge,
skills, and practices that are consistent with contemporary standards for nursing practice.

The following are topics SHP offers:
•
•
•
•

Withdrawal Signs and Symptoms
Infection Control - Universal Precautions
Physical Assessment
Cardiac, Neurological, and Respiratory
Systems

•
•
•
•

Nursing Management
Infectious diseases - A.I.D.S. and
tuberculosis
Prison Rape Elimination Act (PREA)
Mental Health Screening

Extensive training for all staff on bloodborne pathogens, PREA, and related patient safety topics are
mandatory. These trainings are completed on an annual basis with copies of completed certificates available
to SCDC's compliance training officer. CPR and use of AEDs are required training for new hires, and thereafter
annually held.

✓ SHP is an approved Nursing CEU provider licensed with the Alabama Board of Nursing, and these CEU units
are honored by the nurse licensing boards in all the states where we operate.

0

Initial training for new hires will be established through on- site and online TalentLMS training modules. Online
training has become a necessity when helping our customers deal with the challenges of scheduling flexibility
for staff often working on all shifts as well as the ability to record training for use on an ongoing basis when
orienting new employees at your facility. TalentLMS allows participants to register their attendance
individually and watch the full duration of training, tracking their attention and attendance electronically. In
many locations, we have been able to offer CE credits for this format of training with prior approval from the
crediting institution for class content. At any time, SHP can view an employee's training history and print such
for accreditation review meetings.
Development of new training will be worked through review of on-site trends and needs. We find our ability
to tailor training specific to site areas has been most helpful to our staff.

v ORIENTATION OF SHP STAFF
All employees will complete an orientation process which starts with our online onboarding program. Staff
members are introduced to various learning topics through our TalentLMS system. This allows us to see their
progress and ensures their completion of required training prior to their actual "on-site" orientation.
SHP is committed to providing an organized training process so that we always set the expectations of quality
health care programs. Employees will have on-site training with a staff member who is knowledgeable at site
level, as well as the SHP site services. Employee manuals will also be available for resources and guidance.
Individual job descriptions and duty lists are available for review for each of the positions described in our
staffing plan.

0
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Request for Proposals for Detention Center Inmate Medical Services
Sumter County, SC - April 17, 2019

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mr
V

IPartners
Southern Health

· /POTENTIAL STAFF VACANCIES
Any vacancies of positions will be filled by PRN nurses, regular staff working extra hours, or by other
arrangements made by the nurse administrator, until the position is filled. All scheduled shifts will be filled.
Vacant shifts will be covered to the extent which nurses can be provided and will vary depending on the leadtime given for the shift vacancy.
V

/

SHP has trained travel nurses that are available to any new facility to provide support and staffing during the
initial and start up orientation. This additional level of qualified individuals, along with the Regional
Representatives, builds the work force of qualified nurses in local jails.

EMPLOYEE SAFETY
Employee safety is of paramount importance at SHP. We take a great deal of pride in our employee safety
program. This program was developed to reflect the unique needs of a correctional work environment and to
maintain compliance with OSHA Standards and Training Guidelines. We continually offer training to each
employee in order to prepare for and adapt to the unique challenges of each correctional facility.

/

BACKGROUND CHECK
All SHP employees are subject to a thorough background check before hiring. SHP wilt provide SCDC all of the
relevant information needed to perform criminal background checks on all submitted prospective applicants
who have passed all previous interview processes.

0

•

0
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Southern Health
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Request for Proposals for Detention Center Inmate Medical Services
Sumter County, SC-April 17, 2019

8. Proposed Staffing
STAFFING MATRIX
After careful review of SCDC's current staffing plan, we have proposed the following staffing plan for your
consideration. Our staffing plans are based on the county's current staffing levels and our experiences in
similarly sized facilities.

Sumter County Detention Center, SC
Staffing: 24/7 Staffing
ADP= 250

5-

POSITION

M

I

W

I

E

5-

HRS/WK

Professional Staff

0

TOTAL HOURS

362

0
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Request for Proposals for Detention Center Inmate Medical Services
Sumter County, SC-April 17, 2019

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ISouthern Health
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PROPOSED STAFFING
Our proposed medical staffing plan for SCDC is based on our twelve (12) years of experience of working with
the facility, our professional experience in similarly sized facilities, and our evaluation of SCDC's needs.

Medical Director
(Physician/Physician
Extender):

0

Our Medical Director will be scheduled to visit the facility every week. The primary
purpose will be for sick call but also to provide ongoing guidance for chronic care.
A Physician Extender (mid-level practitioner) or Nurse Practitioner (NP} may be used
as the Medical Director with a collaborating Physician.
Our Medical Director will be expected to participate in the direct care of inmates, or
in reviewing the direct care provided by nurses. There will also be time required to
respond to calls from nurses, and for administrative duties such as formulary review,
protocols, quality assurance, and education and training.

Psychiatrist:

SHP is in negotiations with the Santee-Wateree Community Health Center to help
supplement our on-site mental health program by providing a Psychiatrist to
perform services such as evaluations and medication therapy review. This time may
be done via teleconnection with the Provider.

QMHP:

As with the Psychiatrist. once negotiations are completed, a Qualified Mental Health
Professional (QMHP) will be onsite weekly for counseling services, limited crisis
intervention, and evaluation of special mental health inmates. This staff member will
work in conjunction with other medical staff to provide a comprehensive mental
health program on-site.

Medical Team
Administrator
(RN - MTA):

The Medical Team Administrator will be our on-site manager with a background in
medical administration and will serve as the primary liaison between SHP and SCDC
administrative staff. The MTA will be responsible for the administrative responsibilities of
the contract such as reporting and quality improvement processes. He/she will work a
fulltime schedule weekly (excluding holidays and reasonable time off for illness and
vacation). SHP will continue to use Amanda Geter, RN, as our MTA for SCDC.

Ancillary Staff:

Our staffing plan allows for additional nurses and other ancillary support staff (such
as LPNs, Administrative Assistants, and Medical Records Clerks} to ensure adequate
coverage. Each member of our healthcare staff at SCDC will be appropriatly licensed,
and new employees will receive appropriate orientation and training before assuming
duties within the facility.

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Request for Proposals for Detention Center Inmate Medical Services
Sumter County, SC-April 17, 2019

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Southern Health
Partners

9. Price Proposal
EXPLANATION
Most of our contracts with our customers are designed to allow for comprehensive services, meaning SHP
manages the usage and costs of all services outside the facility as well as inside facility. We have attempted in
this proposal to identify all of the services we will provide and furthermore those for which we will ultimately
pay, and those that will be covered by SCDC separately.
Price Summary - Sumter County, SC

1

Pricing Conditions

0

Cost Pool Limitation

$75,000

ADP

250

Per Diem Charge

$1.25

PRICING
After careful review of SCDC's request, SHP has devised the following pricing option for the county's
consideration.
Staffing Option 1's proposed annualized base price to furnish 24 hours a day, 7 days per week coverage is
$823.680 annually ($68.640 per month) for the first year.
Payment by SCDC will be made in twelve (12) equal monthly installments as indicated above. SHP will send
an invoice to SCDC approximately thirty (30) days prior to the month in which services are provided. SCDC
agrees to pay SHP by the tenth (10th) day of the month in which services are rendered.

ADP PER DIEM/ COMPENSATION FOR INCREASES IN INMATE POPULATION
This proposal is based upon an Average Daily Population (ADP) of 250 inmates. If for any month that month's
average of daily inmate population counts exceeds the inmate population limit of 250, SCDC will pay a per
diem (per inmate per day) amount of $1.25 on the excess above the limit of 250 upon submission of a separate
invoice by SHP and verification by SCDC.
This additional charge is designed to address a temporary fluctuation above the anticipated maximum for
which this proposed program is developed. The charges paid to SHP will cover those items that are affected
by the temporary excess population such as supplies, insurance, etc. Longer term population changes beyond
the average of 250 should lead to a renegotiation of contract terms.

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.V. IPartners
Southern Health

Request for Proposals for Detention Center Inmate Medical Services
Sumter County, SC-April 17, 2019

0

PRICE RESPONSIBILTY TABLE
SHP specifies below the responsibility of each of the two parties to the contract with respect to covering costs.
This allows the County to know what SHP is responsible for, and not get confused on cost-plus models or
additional fees outside of the base fee-which we sometimes see in other competitors pricing model. Further,
given the size of our many jail locations, SHP is able to negotiate much deeper discounts on products, at a
much lower cost, as the county gets the full effect of our volume buying power. Please note these items will
also be covered in the final negotiated contract agreement as well.
-

-

-

--

SHP

--

-- -

--

-

-

-

Sumter County Sheriff's Office
SCDC pays for any medical equipment over $250

Nurse wages and benefits
Physician / Medical Director

SCDC pays for any equipment repair on SCDC -owned
equipment.

Minor equipment (under $250 per single item or unit) ifSHP

Phone, Fax, Internet - lines, calls, and connections
Any necessary licenses/permits for inmate medical

requests the equipment

services in the jail facility

Repairs on existing SHP equipment

Emergency kits and restocking supplies for kits

Office supplies

Repairs to SCDC owned equipment

Policies and Procedures development

SHP Renal Dialysis and other major chronic care is

Over-the-counter medications

SCDC's responsibility

* All Prescription Medications
* Off-Site Medical Services

Medical supplies
Medical waste disposal

0

* Off-Site Mental Health Services
* X-Ray services on-site/ off-site
* Dental Services on-site / off-site
* Clinical Lab Procedures

Folders and forms
Travel expenses
Publications and subscriptions
All required insurance as offered
Administrative services (cell phone)
Training for officers in the jail on various topics
All other specific on-site services, including basic on-site
mental health services

- - -

-

-

* These services are included in the Cost Pool:

All Prescription Medications
Off-site medical services
Off-site mental health services
X-ray services on-site / off-site
Dental services on-site/ off-site
Clinical lab procedures

Cost Pool Accounting Feature

$75,000

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Request for Proposals for Detention Center Inmate Medical Services
Sumter County, SC - April 17, 2019

v

Partners

FUTURE YEAR'S PRICING
If SCDC elects to continue to contract with SHP, annual renewals beyond the initial 12-month contract period
will be based on a 3% value for both years 2 and 3. This price increase will apply to the base fees and per diem
rate. For years past the third year, we would plan to discuss any price adjustments for $CDC's consideration in
advance of the contract year end, and work toward a reasonable increase, as warranted.

Future Years Pricing Chart
Year

% Increase

Estimated Amount

2nd Year

3%

$848,390

3rd Year

3%

$873,842

Staffing Option

Staffing Option 1

As previously stated, the above chart is not meant to represent an exact pricing. The above chart is only
meant to serve as an estimation of future vears pricing.

COST POOL ACCOUNTING

0

The base price includes a $75,000 Cost Pool to cover the cost of weekly visits by the QMHP, on-site labs,
on/off site x-ray services, on/off-site dental services, all prescription medications, and all medical services that
cannot be performed on-site. Should SCDC not deplete the total budgeted cost pool amount of $75,000, SHP
agrees to refund SCDC 100% of any unused monies (up to $75,000). If the total budgeted amount of $75,000
is reached in any year (12 months), SCDC will be responsible to cover 100% of the excess costs through a
reimbursement procedure to SHP.

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Request for Proposals for Detention Center Inmate Medical Services
Sumter County, SC - April 17, 2019

WI.!'
ISouthern Health
,,. Partners

10. Value Added Options
ELECTRONIC MEDICAL RECORDS (EMR)- $14,802.75 Annually
We strive to incorporate advanced technology into our delivery of health services. This includes Electronic
Medical Records (EMR). An EMR system not only significantly improves the quantity and quality of information
available to both providers and clients, but it also increases the efficiency of staff resources.
SHP currently partners with one of the leading systems in the industry, Health Care Systems, Inc. (HCS), for
EMR systems in the facilities we serve. If the current equipment is not compatible, SHP and HCS will install an
EMR system in the facility for use by SHP medical staff. With our EMR, all communication for the inmate is
stored electronically in the chart and is accessible at the point of care. This will eliminate the need to move
paper charts between the units, often leading to misplaced or lost paperwork.
The EMR will integrate with many Jail Management Systems. This integration will enable our nursing staff to
see the housing and classification of inmates, the proximity of inmates with chronic or communicable diseases,
and assist in passing prescription medications in each housing unit. This is a HIPPA compliant. web-based
system. All information stored in cloud storage is arranged through HCS. HCS will take the lead in
transitioning to our system. They will provide an on-site implementation of the system, as well as on-site
training for SHP employees and for supervising detention staff.
Below are Counties contracted with SHP using the HCS EMR system:

0

•
•
•

Cumberland County, NC
la Plata County, CO
Madison County, Al
Miller County, AR
Campbell County, KY
Sumner County, TN

•
•
•
•
•
•

Walworth County, WI
Daviess County, KY
Oldham County, KY
Henderson County. KY
Smith County, TX
Corrections Center of NW Ohio, OH

The County would be required to outfit wi-fi connectivity in the medical office(s) and pod areas to ensure
full usage of the EMR by the medical staff.
Should the County choice this option, the cost will be $14,802.75 annually ($1,233.56 monthly) in addition
to the base compensation rate. This pricing includes the basic computer equipment necessary to facilitate and
access the program along with the annual monthly maintenance and hosting expenses. If there are any
additional cost associated with integrating the system, these unpredictable costs will be the responsibility of
the County.

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Request for Proposals for Detention Center Inmate Medical Services
Sumter County, SC - April 17, 2019

••
ISouthern Health
...,. Partners

11. Insurance Coverage
Throughout the term of our contract with SCDC, we will continue to maintain insurance coverage by
companies licensed to write business with an A.M. Best Rating of "A" or higher, in full compliance with the
terms of the contract, as summarized below.

Insurance Coverage for SCDC

Malpractice/ Professional Liability

Worker's Compensation
Automobile Liability
General Liability

•
•
•

$1,000,000 per medical incident
$5,000,000 annual aggregate
Jail named as an additional insured under the policy,
Including Civil Rights Coverage per 42 USC 1983

•
•
•

$1,000,000 per accident
$1,000,000 per loss
$1,000,000 per occurrence of bodily injury and property
damage.

Southern Health Pattners shall indemnify and hold harmless SCOC for medical services covered by the
resulting contract

The above chart is reflective of our current standard coverage.

0
Please note: SHP does not operate our co1poration in LLC format, nor under a previous entity
name, and we do not inco,porate a separate company for each contract location in order to
create liab,!i(v pmtection, and indeinnity !ttnitatwns.
We operate all contracts under our one co,porate entity - Southern Health Partners, Inc.

0

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Request for Proposals for Detention Center Inmate Medical Services
Sumter County, SC - April 17, 2019

liW
ISouthern Health
,,. Partners

12. General Considerations
The primary responsibility for inmate custody and security within the facility rests with the staff of SCDC. SHP
shall have primary responsibility in all matters pertaining to medical care of inmates under the terms of
resulting contract. Everyone who works in the facility has a responsibility for security, and SHP shall be
responsible for security of all material and equipment in our work area, which in hands of an inmate, would
be considered contraband and could present a danger to staff, other inmates, or to him/herself.
On matters of mutual concern, detention center staff shall support, assist, and cooperate with SHP. An officer
must be present when an inmate is with our medical staff and close security must be provided for our medical
staff when in the housing areas. Matters involving safety of staff, inmates, and security of the facility shall
remain with facility security management and detention center staff.
All decisions involving the exercise of medical and/or dental judgment will be the responsibility of SHP under
the terms of a resulting contract. However, we encourage the detention center's staff to err on the side of
caution in an emergency, and we do not have to be consulted before calling for an ambulance or sending an
inmate to the Emergency Department. Healthcare services are intended only for those inmates in the actual
physical custody of the facility. Inmates outside the facility who are not under guard or were hospitalized prior
to commitment to the facility shall not be the responsibility of SHP.

0

SHP will not be responsible for providing elective medical care to inmates. For purposes of this proposal
"elective medical care" means medical care which, if not provided, would not, in the opinion of the SHP
Medical Director, cause the inmate's health to deteriorate or cause definite harm to the inmate's well-being.
SHP will provide healthcare services to pregnant and post-partum inmates, but healthcare services provided
to an infant following birth will not be the responsibility of either SHP or the detention center.
SHP will provide emergency services to all visitors and staff so long as there are adequate staff on-site.
We take no responsibility for the regular healthcare and treatment of officers of the detention center, except
for emergencies. We do offer to administer vaccines, such as Hepatitis B, and tuberculosis testing to officers
of the detention center if the serum is provided by the detention center.
Our program and pricing allow us to manage most mental health complaints inside the detention center using
our current mental health and medical staff as proposed. Outside referrals for treatment plans may be
necessary given the patient's condition and/or diagnosis.
We will need a high-speed internet connection and phone line to be provided by the Detention Center.

ANNUAL FINANCIAL REPORT
We understand that competitors frequently seek Freedom of Information Act (FoIA) requests to gain
additional knowledge about our company and its footprint. As such, SHP has taken a pro-active approach to
further protects its own proprietary and confidential information. We would be more than happy to share our
information with the evaluation committee, under separate cover in conjunction with our meeting to review
the information to ensure understanding. We hope the last twelve (12) years of partnership between our
companies and the services provided during that time will stand as proof to the financial stability of our
company.

-------------9------------age I
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31

SAMPLE INTAKE SCREENING FORM/QUESTIONNAIRE
4 PAGES REDACTED

fil'
IPartners
Southern Health
v

Request for Proposals for Detention Center Inmate Medical Services
Sumter County, SC -April 17, 2019

--

- - -

16. Sample Bill
•••HISTORICAL•••

Southern HNltll Partners
2030 Hamilton P&ac. Blvd
SUltt140
Chaltanooga, TN 37421

Blllto:

Ship to:

St.mter-L..ee Regional Detention Center
1250 Winkles Road
SUmter SC 29153

Smiter~ Regional Detention Center
1250 Winkles Road

PWIII-Ordllrm
MARCH 2019 BASE
Qi...illv

..........

lc.a..m
ISU~7130

1 PROVISION FOR HeALTH :iii

DNatpaan

&Inter SC 29153

1111,...-m
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l.,.,_...T_I)
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l111tpp1ngllleCllod
I
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Eac:11

Dl■coml

SO.DO

UllltPra
EIII.Prlcl
156,807.55
$56,807.55

0

Thm1k You tor YOAll eu.rPINN.-nlt'°tie~obcwe

!Mltolll
MISC
Tu
Frelaht
TredeDlecount
Tnhl

$56 807.55
$0.00
$0.00
$0.00
S0.00
$56,807.55

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Request for Proposals for Detention Center Inmate Medical Services
Sumter County, SC-April 17, 2019

9
•

!Southern Health
Partners

- 1

1

Sample Contract

I

------------••·-----------,,.

Pagel37

SAMPLE CONTRACT
18 PAGES REDACTED

 

 

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