Proposal for Inmate Health Care Services-Colleton County, SC

VI SHP

May 16, 2013

Dennis E. Averkin
Procurement Director
Colleton County Government
Procurement Office, Room 208
31 Klein Street
Walterboro, SC 29488

Dear Mr. Averkin:
Southern Health Partners is honored to have been providing Inmate Medical Services since 1998 to the
Colleton County Detention Center. We believe Southern Health Partners, Inc. continues to be the most
qualified to manage the medical, mental health and dental care of inmates in the Colleton County and we
look forward to continuing our partnership with the county.
As background, Southern Health Partners (SHP) has been working in South Carolina jails for thirteen
years, and we work in several other states as well. The principal owners of SHP were senior managers at
a similar correctional medical provider for several years before starting SHP 18 years ago. We have
experience in jails and prison systems of all types across the country. Further, we have several managers
who have extensive experience in law enforcement, jail operations, and county government. At present,
SHP is contracting to manage medical care for inmates in more than 190 county detention and
correctional facilities in 12 states. We currently have 2 I County contracts in South Carolina.
We comply with individual state standards for jails, as well as use the standards of the National
Commission on Correctional Health Care (NCCHC) as the basis for our policies, procedures and
operations. We will also comply with regulations of the federal government and the State Pharmacy
Board and DHEC for permits, oversight, and inspections as these apply to our program. We have been
involved in South Carolina as a medical provider to inmates longer than any other company and we are
very knowledgeable in meeting the unique requirements of the SCDHEC for controlled substances and
SCLLR's Phannacy Licensing Board for inspections.
While reviewing this proposal please keep the following in mind:
•

We are offering two pricing options for the county's consideration. The first option pricing is
based on all prescription medications which are included in the cost pool accounting feature.
The second option includes most prescription medication in the base fees, while excluded
medications (Prescription medications for HIV+/AIDS, renal failure, hepatitis, cancer, MD,
MS, hemophilia, Crohn's disease and tissue/organ rejection) are included in the cost pool.

•

While we believe most mental health needs of the facility can be managed by the nursing
staff and medical director, we are providing the optional use of a Qualified Mental Health
Provider. This person will be used only on an as needed basis as determined by our Medical
Team Administrator and/or Medical Director. All costs associated with the Qualified Mental
Health Provider being physically on-site will either be billed to the cost pool.

May2013

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Proposal for Inmate Health Care Services-Colleton County, SC

91 SHP

Please keep in mind our goal is to keep as much of the medical care delivery inside the jail as possible,
thus avoiding transports and the associated risk. This also reduces the cost of outside providers.
In South Carolina it is a local decision as to whether the County will cover any or all of the cost of care
outside the jail for pre-trial detainees. We will seek direction from the Sheriff and County as to payment
aspects in this regard.
We look forward to your response to this request, and we stand ready to discuss the services outlined
here for the County. It is our sincere hope to continue a contractual relationship with Colleton County
with a comprehensive program and we are available at any time to discuss this in detail. Please feel free
to contact me in by email at jennifer.hairsine@southemhealthpartners.com or by phone at (423) 5535635 ext. 11. You may also contact Wes Williamson at (256) 490-451 7.

Sincerely,

ne
hief Operating Officer

May2013

Page 3

Colleton County Procurement Office

I

I

PRICE BID RESPONSE FORM
Solicitation Number: CCSO-05
Closing Date/Time: May 21, 2013 @ 3:00pm
Location: 31 Klein St., Room 208, Walterboro, SC 29488

Procurement:

1.

Yearl

Healthcare Services for Detention Center

Option 1

Option 2

211,200.00

225,200.00

Year2

215,424.00

229,704.00

Year3

219,732.48

234,298.08

Year4

219,732.48

234,298.08

2. Cost Escalation Factor: Year 2:2_% Year 3:_!_% Year 4:~%
3. If patient population exceeds 11 OInmates, the excess over the average wlll
be charged on a per diem rate of: $ 1 • O5 for each Inmate over 11 o.

Preferred Start Date: July 1, 2013

Details:

We are offering two ( 2) pricing options for the

County's consideration.

Please refer to the pricing

section of the proposal for more information.

Southern Health Partners

.
~

Company Name

14

Proposal for Inmate Health Care Services-Colleton County, SC

SHP

Table of Contents
I)

SHP - The Story
Aecom plishments

II)

SHP Corporate Office Organizational Structure
Organization
Leadership and Management

III)

SHP Healthcare Standards
Accreditation Healthcare Program Design
Experience in Similar Size Correctional Facilities
References
Management Availability and Responsiveness
Employee Benefits
Start Up Plan

IV)

SHP Program Support Services
Liaison with Correctional Staff
Utilization Management Program
Cost containment
Onsite Services
Service Reports
Sub-Contractors and Bulk Purchasing
Medical Discount Negotiation
Insurance
Medica] Professional Liability Insurance
General Liability Insurance
Workers Compensation
Automobile Insurance
Indemnity
Management Information Reporting
Grievance Process
Policies and Procedures
Strategic Planning and Consultation
Health Education- Inmates and Staff
In-service Training
Web-Ex Training Services
Quality Improvement Program
Risk Management

May 2013

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Proposal for Inmate Health Care Services-Colleton County, SC

V)

SHP

SHP Clinical Services

Receiving Screening
Comprehensive Appraisal
Daily Triaging of Complaints
Sick Call
Hospital Care
On-Site Specialty Services
Emergency Services
Dental Care
Mental Health Services
Laboratory Services
X-ray Services
Medical Records
Pharmaceuticals and Medical Supplies
Chronic Care Management and Special Needs Program
Infection Control and Environmental Health and Safety
VI)

SHP Personnel Services and Staffing

Proposed Staffing
Staffing Model
Equal Employment Opportunity
Licensure/Certification
Recruitment Practices
Drug-Free Compliance
E-Verify
Employee Safety
VII)

General Considerations

VIII)

Price Proposal

Price Summary
Pricing Explanation
Proposal Base Price
Compensation for Increases in Inmate Population
Aggregate Cap for Expenses
Future Year's pricing
Termination Option

IX)

Summary

X)

Attachments

May20l3

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Proposal for Inmate Health Care Services-Colleton County, SC

9

SHP

I. SHP - The Story

Southern Health Partners, Inc. (SHP) was founded in 1994 for the purpose of providing medical care
to inmates in county jails, primarily in the southeastern U.S. We have experienced steady controlled
growth and we now serve more than 190 counties, in 12 states.

Southern Hulth Partners

II proud to NMt:
Alabama
Georsla

Kentucky
Mississippi
North carollna
Ohio
Pennsylvania
South Carolina

Tennessee
Texas
Vlrslnla
Wisconsin

Mission Statement
To grow, through our experience, relationships, and reputation, and continue as
the leader in providing affordable inmate healthcare to county jails.

May2013

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Proposal for Inmate Health Care Services-Colleton County, SC

SHP

SHP more than meets the qualifications of your RFP:
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Our business focuses solely on county and city correctional medical services.
We believe that we have more county facilities under contract for comprehensive services
than any other provider.
Have customer contracted facilities ranging in size from 25 inmates to more than 800
inmates.
Our professional liability insurance protection extends to the County as an additional insured.
Our insurance, unlike some competitors' policies, also covers the corporate entity SHP, all
our employees, and physicians (if the physician requests the coverage). We also have
general liability and other coverage as detailed in this proposal.
We comply with all South Carolina detention standards for adults and juveniles, for those
services we are contracted to provide.
Proven ability to start up difficult contracts on short notice.
Exceptional HR support responsible for recruiting and training with regional management.
Corporate office capabilities include both clinical and business experience. We not only have
individuals from the medical and mental health fields, but legal, corrections, network
development, community relations, and information technology. We collaborate with local
specialty providers and utilize networks for subcontracted services as available and if
needed.
For our contracted facilities, SHP always provides on-site nurse staffing and a physician/and
or physician extender always visits the facility on a regular basis. Our physician is on-call to
the nurses at all times for phone consultations.
We order all care, supplies, pharmaceuticals, and medical procedures.
Controls on supplies and medications.
Turn-key ordering, billing, and payment of care.
60-day no-fault termination provision for either party to the contract.
SHP is a registered CEU provider for medical staff.
Single point of accountability.
Extensive Officer training is offered either on site or via WebEx recording.

May 2013

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Proposal for Inmate Health Care Services-Colleton County, SC

SHP

Accomplishments
■ Providing speakers and instructors upon request for medical training initiatives.
■ Supporter of South Carolina Sheriffs' Association since 1997.
■ Supporter of South Carolina Jail Administrators Association since 1997.
■ Working with local health departments with regard to communicable and sexually
transmitted disease testing and treatment.
■ Working with food service providers to establish diet guidelines
■ CEU certification for nurse training in all states
■ Working with local phannacies for back up and support services
■ Coordinating with local mental healthcare providers for continuity
■ Our charitable initiative known as "Stitches" seeks local involvement in projects
■ Certified instructors for officer in-service training
■ Successfully assists facilities in meeting Department of Justice Review and Consent Order
Compliance
■ 100% Compliance achieved in ICE Audits
■ Facilities accredited by NCCHC and ACA.
■ Certified Correctional Health Professional (CCHP) leaders with Operations Management
Team
■ Quick pay discounts negotiated on behalf of clients
■ Achieving 35% or more discounts for ancillary services
■ Established Successful correctional travel nurse program to support SHP Sites

Our professional staff members and their ability to work in correctional settings is the core or
backbone of our business. SHP has a unique group of operational leaders. We have well-qualified
regional representatives reporting to one of three Division Vice Presidents. Al1 of these managers
are nurses and nearly all of them have developed and matured inside SHP. These regional
representatives are physically located in the states they supervise and have the ability to quickly
respond to individual needs of both the Medical Team Administrator (MTA} at the site and the Jail's
administrative officers. They provide oversight and supervision, but also mentoring, guidance and
influence for each MTA, not just during each initial start up and orientation, but throughout the life
of the contract.
This combination of support and knowledge creates a bond which remains with the MTA when
he/she is independently running your facility on a daily basis. Communication between each site and
regional representative continues to build on those relationships and is a major factor in our success.

May 2013

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SHP

Proposal for Inmate Health Care Services-Colleton County, SC

II. SHP - Corporate Office Organizational Structure
Organization
We believe a well-organized and motivated local management team, made up of a Division Vice
President, Regional Administrator, Medical Team Administrator and a Medical Director (physician)
is the best approach to manage the program at the site level. The SHP corporate staff supports each
facility.

SHP Corporate

Jason Junkins, MD

Jennifer Brazier, RN
Division Vice President of
Operations

! Regional Administrator
Dianne Geddings, RN
I

Corporate Medical
Director

-

Medical Director
i---

Or. Charles Bush

Medical Team
Administrator, Joanne
Thomas, and Local Team

May2013

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Proposal for Inmate Health Care Services-Colleton County, SC

SHP

Leadership and Management
We believe our company is very qualified to provide the healthcare services required by Colleton
County for the inmates. Our corporate expertise in the areas of healthcare program design, delivery
and administration can best be demonstrated by the following sampling of work experiences and
accomplishments achieved by members of our management team and owners.

JEFFREY A. REASONS - Owner/Director, Chief Executive Officer of
Southern Health Partners, Inc. since its inception in 1994. Past-President and
Chainnan of Prison Health Services, Inc. (PHS) and Chief Executive Officer of
the parent company, America Service Group Inc. (ASGR-nasdaq). Mr.
Reasons adds over thirty (35) years' experience in all aspects of healthcare
management to our company. Prior to joining PHS in ~ 986, Mr. Reasons
worked nine {9) years for Hospital Corporation of America (HCA). Jeff is a
graduate of the University of Tennessee at Martin and Rockhurst University
(MBA).
JENNIFER I. HAIRSINE - Owner/Director, President & Chief Operating
Officer, Southern Health Partners, Inc. since 1996. 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. Nine (9) years' experience with PHS
before joining SHP. Jennifer is a Certified Correctional Health Professional
(CCHP) and a member of the American Correctional Health Services
Association (ACHSA).

WES WILLIAMSON - Executive VP, Southern Health Partners, Inc. since
2004. Wes proudly served the citizens of Etowah County, Alabama for fifteen
{15) years as a member of the Etowah County Sheritrs Office. He reached the
rank of Chief of Corrections and was the lead transition and training supervisor
during the agency's transition into the first Direct Supervision Jail in the State
of Alabama. Wes has taught corrections and law enforcement classes
at the University of Alabama, Jacksonville State University and other regional
training facilities. He received his Certified Jail Manager certificate from the
American Jail Association in 2000. Wes is a proud veteran of the Alabama
National Guard.
SUSAN E. BRYSON - Vice President, Chief Financial Officer, Southern
Health Partners, Inc. Susan oversees all accounting, budgeting, and finance
functions of the corporation. Fonner Chief Financial Officer for Fannin
Regional Hospital in Blue Ridge, GA and Asst. CFO for Skyridge Medical
Center in Cleveland, TN. She holds a B.S in Business Administration, and
MBA from Kennesaw State University.

May 2013

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Proposal for Inmate Health Care Services-Colleton County, SC

SHP

JASON C. JUNKINS, MD - Corporate Medical Director, Southern Health
Partners, Inc., since September, 2012. Dr. Junkins obtained his Doctorate of
Medicine from the University of Alabama School of Medicine in 2001.
Following medical school, he completed a Residency in Internal
Medicine/Pediatrics 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 continues to operate his private practice in Rainbow
_.._. . City, Alabama. His vast experience as a correctional medical director, private
practitioner, and Medical Directorships has allowed him to assume the
responsibility for medical leadership and direction to Southern Health Partners.
Dr. Junkins is also actively involved in all policies and procedural updates and
implementation that affect the delivery of healthcare in corrections.
KATIE UTZ - Vice President, Human Resources, Southern Health Partners,
Inc. A former professional recruiter and office manager, Katie brings thirteen
(13) years Human Resources/Recruiting experience to the Southern Health
Partners management team. Some of her responsibilities include recruitment,
credentialing, employee benefits management, training, staff development, and
worker's compensation and accident prevention.

LACEY LAFUZE - Controller, Southern Health Partners, Inc. With over 9
years of financial management experience, Lacey 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; and Masters of Accounting and
Financial Management.

JENNIFER BRAZIER - Division Vice President, Jennifer is a Registered
Nurse and also holds a diploma in Surgical Technology. She has over ten (I 0)
years of nursing experience with a background in surgery, med surgery, and
critical care. Jennifer has been a correctional nurse for eight (8) years. She
began her correctional nursing career as a staff nurse at a detention center in
Kentucky where she began working with Southern Health Partners. Jennifer is
currently pursuing her Master's degree in nursing and business management.
SHIRA A. CRITTENDON, JD - Risk Management Associate

1

May2013

Shira Crittendon has served as Southern Health Partners' General Counsel
since 2002. She brings a wealth of expertise and experience in the area of
general civil litigation with an emphasis in medical malpractice defense,
federal civil rights defense, and business litigation. In addition to her litigation
experience, Shira also serves Southern Health Partners in various aspects of
litigation prevention and Risk Management. She has received an 11 AV" rating
from Martindale-Hubbell, which is the highest peer-review rating available,
and has also been selected as one of Georgia's Rising Star lawyers the past
three years by Atlanta Magazine. Additionally, Shira was selected by the
Georgia Supreme Court to serve as a Special Master, acting as a trial judge in
attorney ethics cases. Shira also serves as an associate at Freeman Mathis &
Gary, LLP.
Page 11

SHP

Proposal for Inmate Health Care Services-Colleton County, SC

III. SHP Healthcare Standards
We will work closely with Colleton County officials and staff to establish a program that provides
quality healthcare at an affordable cost. In doing so, we will follow applicable jail standards
including those of the National Commission on Correctional Healthcare (NCCHC) as well as ACA
and specific state regulations. Among the many things that will be considered are:
Accredited Healthcare Program Design
Southern Health Partners policies and procedures follow the NCCHC Standards for
Health Services in Jails (2008) and are the basis for designing the program for Colleton
County. SHP continues to review each policy annually and remain compliant with the
latest approved standards for healthcare in jails.
Experience in Similar Size Correctional Facilities
The principal owners and managers of SHP have extensive experience in providing
healthcare to county jails ranging in size from 25 to 3,000 inmates. Currently, our
contracted facilities range in size from 25 to more than 800 inmates. We are
currently serving 27 clients with facilities of 350 inmates or larger.
References
See confidential reference listing of our South Carolina customers at the end of this
proposal.
Management Availability and Responsiveness
At each facility, a member of our senior staff regularly meets with a County representative, the Jail
Commander, or another representative on a regularly scheduled basis. We would plan for our
regional representative to attend the monthly meetings with our MTA. At any other time, on short
notice, we are always available to discuss any issues, serious problems, and/or concerns to ensure
your satisfaction. Southern Health Partners will have an experienced licensed medical professional
as our Medical Team Administrator on site who will manage the facilities' healthcare program (see
the staffing section for more information). Our Regional Oversight Representatives consist of LPNs
and RNs, to add support to our Medical Team Administrator.
Employee Benefits
Southern Health Partners offers competitive benefits in order to recruit and retain skilled employees.
Our benefits include:
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Medical, Dental and Vision Insurance
Life Insurance
Dependent Life Insurance
Short Term and Long Term Disability
401K Plan
Section 125 Plan
Paid Time Off/ Paid Holidays
Training Reimbursement
Employee Assistance Program

May2013

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Employee Scholarship Awards
Direct Deposit
Bereavement Leave
Family Leave
Parental Leave
Medical Leave
Jury Duty Leave
Military Leave

Page 12

Proposal for Inmate Health Care Services-Colleton County, SC

SHP

Start-Up Plan
As the current health provider at the Colleton County Detention Center, a complete start-up plan is
not necessary. Southern Health Partners will continue to provide training to and new hire positions
as well as any new providers.

May 2013

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Proposal for Inmate Health Care Services-Colleton County, SC

(

SHP

IV. SUP Program Support Services
We will ensure appropriate coordination with the jail's administration and SHP staff to maintain the
quality of health services. We tailor our programs to the size of the facility and the desires of the jail
managers as well as involved county government officials.
Liaison with Correctional Staff
For the healthcare delivery system to function most effectively, the healthcare staff and corrections
staff must work together. SHP staff is sensitive to the security needs and overall operating policies
of the institution. Your correctional staff act as an "early 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 problems are
identified early, treated promptly, and then carefully monitored until recovery or resolution. At the
same time, safety and security concerns are addressed.

Beyond the routine, day-to-day interaction between the health services staff and correctional officers,
our site medical team administrator participates in, at least, monthly meetings with the
administrative staff. 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 and sanitation, disaster planning, classification, etc.
On request, the health services staff will attend any regularly scheduled or special meeting relative to
health issues or other institutional policies and procedures.
SHP personnel will strive to perform their job within the current operation of the facility without
disruption to existing schedules or procedures. Our current clients can attest to our success in
maintaining excellent working relationships in the jails we serve.
Utilization Management (U.M.)
SHP operates contracts with a managed care ideology. We consider Utilization Management (U.M.)
to be a vital and necessary component of every healthcare program we provide. SHP strives to
ensure all care rendered is medically necessary and is provided safely in the least costly setting while
maintaining the quality of care. We accomplish this with concurrent daily review of each admission
and retroactive reviews of cases. This sharing of information, experience and expertise contribute to
the best combination of available resources without jeopardizing patient safety and the quality of
care while saving valuable officer time.

The goal of the U.M. 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. Our intent is to make sure we are limiting hospital
stays to the shortest time before returning the inmate to the infirmary or other appropriate housing.
The discharge planning begins on admission and with coordination often results in a combination of
outpatient services or medication adjustment, allowing earlier return to the detention facility.

May 2013

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Proposal for Inmate Health Care Services-Colleton County, SC

SHP

Cost Containment
In addition to our .M. program, our cost containment efforts include several other programs which
have resulted in substantial savings for both our clients and for SHP. In the fo1lowing paragraphs, we
briefly describe those other programs and activities that we routinely pursue, to assist in controlling
healthcare costs.
On-Site Services - Several on-site services are performed to maintain cost effectiveness for
the County both in management of the services as well as eliminating outside security issues.
Lab and x-ray services are coordinated on-site with outside clinical providers. Medical staff
can draw or collect specimens for lab testing on-site. A clinical provider will pick up those
specimens which cannot be tested on-site, and provide the lab test results back to the medical
staff via email, fax, or phone. For x-ray services, a clinical provider will be contracted to
come to the medical unit and provide on-site x-rays to the 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.
Service Reports - Our regular healthcare activity reports containing utilization statistics,
trends and healthcare program results are a valuable tool for cost-containment efforts. In our
experience, the MT A, once charged with the responsibility for reviewing these management
reports with an eye to possible cost-containment has the opportunity to impact savings. Once
discovered, such findings are communicated to all healthcare staff. Routine on-site reviews
by SHP regional administrators also uncover areas for improving the program and more
effective management of costs.
Sub-Contractors and Bulk Purchasing - We also control costs by negotiating tight, costeffective agreements with our sub-contractors, vendors and suppliers. We have been able to
deal with national suppliers and enter into bulk-purchasing agreements which allow us to
acquire medical equipment, drugs, supplies and services at very competitive prices. Most
purchasing of supplies is accomplished by using our approved national vendors. This system
is designed to minimize our operating expenses and allow our on-site healthcare staff to
review the payments for service delivery and supplies. Examples of our efforts are in
discounts with current nationwide suppliers like Staples, FSI, Henry Schein and Benco
Dental.
Medical Discount Negotiation - Southern Health Partners has an entire department of
employees that work hard to ensure that the county is receiving the best possible price for
health care services. We work with local medical providers to establish a discount program
that will result in savings to the detention center, and ultimately the taxpayers of the
community.
Southern Health Partners does not mark-up any discounts to recoup
administrative costs.

May2013

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SHP

Proposal for Inmate Health Care Services-Colleton County, SC

Insurance
Throughout the term of our contract with Colleton County, we will maintain insurance coverage by
companies licensed to write business with an A.M. Best rating of "A" or higher, in full comp]iance
with the terms of the RFP, as summarized below.

Please note SHP does not operate our corporation in LLC format, and we do not incorporate a
separate company for each contract location in order to create liability protection, and indemnity
limitations. We operate all contracts under our one corporate entity - Southern Health Partners, Inc.

Insurance Coverage
Medical Professional Liability

$1,000,000 per medical incident V
$5,000,000 annual aggregate V
County named as an additional insured under policy

General Liability

$1,000,000 Y'per occurrence of
damage

Worker's Compensation

$1,000,000 per accident V

Automobile Insurance Coverage

$1,000,000✓

Umbrella Liability Insurance

General Liability, Auto Liability, and Employer's Liability
Additional $4,000,000 annual aggregate

I

bodily injury and property

,,
/

Indemnity - Southern Health Partners shall indemnify and bold harmless Colleton County for
medical services covered by this proposal and resulting contract.

Management Information Reporting
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. A
regular monthly report and quarterly report is generated and presented to the County as requested.
Grievance Process
We will work with the Jail Commander to implement and continue the formal grievance procedure
that is used by inmates, staff and outside individuals. The actual process varies slightly depending
upon who is initiating the complaint. All inmates will be advised of the procedures for obtaining
medical services and how to initiate grievances regarding those services at the time of their
incarceration.
Policies and Procedures
We have developed comprehensive, written policies and procedures to be approved by the County
which detail how our program objectives and National standards are met. Our Policy and Procedures
Manual is specific to each of the healthcare systems we operate. These policies and procedures will
identify, but not be limited to: Intake Screening; Physical Examinations; Sick Call Services;
Medication Administration; Emergency, Chronic, Mental Health and Dental Care.
May2013

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Proposal for Inmate Health Care Services-Colleton County, SC

91 SHP

Strategic Planning and Consultation
As part of our contract services, we are pleased to offer you our extensive experience in correctional
healthcare, as well as the skills and talents of our diverse and highly credentialed staff. We can assist
in strategic planning for the future needs of Colleton County. The following are several examples of
how we might serve.
■ New facility design and/or renovation of existing space.
■ Developing and implementing healthcare programs for specialized
populations, such as women, juveniles and mentally ill inmates.
■ Preparing for and successfully obtaining accreditation (NCCHC and
ACA) or state inspections.
■ Risk reduction and liability management.
■ Short-term and long-range planning.

While this list is not intended to be comprehensive, we believe the scope of our correctional
healthcare experience in terms of our number of years in business, our nationwide operations, and
the various types of facilities we serve -- makes us a unique resource.
O

Health Education - Inmates and Staff
SHP provides inmate health education which is accurate, practical, and relevant. A combination of
individualized health counseling and opportunities for general information sessions have proven
most effective in inmate population settings. Some of the subjects which are available with our
program include:
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Personal hygiene
Diet and nutrition
Smoking cessation
Drug and alcohol abuse
Physical fitness
Control of hypertension
Stress management
Communicable diseases
Self-care for chronic disabilities or diseases
Hygiene to avoid MRSA
Flu prevention and vaccination

SHP has found that a cooperative and supportive jail administration and staff enhance the health
education effort by demonstrating an awareness of and interest by reinforcing program objectives
through positive example.

Whenever possible, SHP works with available community agencies such as the Red Cross, the
American Heart Association, Cancer Society, and the American Lung Association and similar
agencies to develop and carry out inmate health education programs.

May 2013

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Proposal for Inmate Health Care Services-Colleton County, SC

SHP

In-Service Training
SHP believes that 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 meet or exceed the requirements of
NCCHC and ACA standards and 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 that SHP has offered:
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CPR including Automatic Defibrillator use
Infection Control - Universal Precautions
Physical Assessment
Cardiac, Neurological, and Respiratory Systems
Nursing Management
Infectious diseases - A.I.D.S. and tuberculosis

SHP is an approved Nursing CE provider licensed with the Alabama Board of Nursing, and these
CEU units are honored by nurse licensing boards in all the states where we operate. We also have
credentialed instructors to offer courses appropriate for Correctional Officers.
This series include topics such as:
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Intake Screening for Medical Issues
Suicide Precautions and Preventions
Response to an emergency or disaster conditions
Signs and symptoms of mental illness
Alcohol and Drug Withdrawal
Chronic Illness Such as Diabetes and Epilepsy
Transmission of HIV and other communicable diseases
MRSA and Staph Infections

Web-Ex Training Services
In addition to onsite Officer Training courses, Southern Health Partners utilizes Cisco WebEx, a
system that allows us to track and maintain online training programs. Online training has become a
necessity when helping our customers deal with the challenges of scheduling flexibility for staff
often working on all three shifts as well as the ability to record training for use an ongoing basis
when orienting new employees at your facility.
WebEx allows participants to register their
attendance individually and watch the full duration of training, tracking their attention and
attendance electronically. Certificates of completion are available upon request. In many locations,
we have been able to offer CE credits for this fonnat of training with prior approval from the
crediting institution for class content.

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Proposal for Inmate Health Care Services-Colleton County, SC

VI SHP

Quality Improvement Program
At SHP, we are committed to effectively monitoring the healthcare we provide and have dedicated
appropriate resources to assist in achieving this goal. We actively involve our employees in the
Quality Improvement Program through gathering information, evaluating care, and helping to solve
problems.

This approach allows us to objectively assess and monitor the quality and appropriateness of patient
care. Our Quality Improvement Program includes but is not limited to:
■

■
■

■
■
■

Providing for the ongoing, objective and systematic monitoring and
evaluation of each aspect of healthcare services in SHP facilities
Monitoring clinical performances through peer review
Resolving identified problems impacting on patient care
Monitoring cost effectiveness of services delivered
Evaluating medication usage
Regular review of medical records for accuracy

We accomplish these objectives with the use of audit tools 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 change.
Risk Management
The Risk Management Department handles incident reports and legal matters. We also answer legal
questions SHP staff may have, and provide training on legal compliance and risk reduction. We
have an Open Door Policy, to 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. Risk Management is a process for
identifying, assessing, and prioritizing risks of different kinds. Once the risks are identified, the Risk
Management Department will create plans to minimize or eliminate the impact of negative events.
These plans include training topics such as:
■

■
■
■

Performing Quality Patient Care
Follow through with Treatment Care Plans
Good Documentation Skills
Review of Previous incidents

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-discipline 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 an unpopular
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 to identify potential problems to the MT A and/or corporate Risk
Manager through our incident reporting system.

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SHP

All medical staff members are trained as to incident reporting upon their orientation. 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 posttraumatic stress in people exposed to critical incidents. Debriefings help people cope with, and
recover from an incident's after effects. Nursing and officer staff need 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.
For legal matters that may arise, Southern Health Partners has a licensed attorney who serves as our
Risk Management Associate. The Risk Management Associate, along with our in-house risk
management department staff, work closely with our insurer, the County, 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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SHP

V. SHP Clinical Services
Although the services will be tailored to your facility and to operations procedures within it, the
general nature of our services and the manner in which they are organized and delivered is as
follows.
Receiving Screening
Upon the arrival of each inmate, a preliminary receiving screening will be performed by trained
correctional officers. At a minimum, the intake assessment will include the following:
■

■
■
■

■
■
■

■

Current illnesses and health problems including medications taken and
special health requirements.
Mental health problems, dental problems and allergies.
Behavior observation, including state of consciousness, mental status,
appearance, conduct, tremors, sweating.
Inquiry into use of alcohol and other drugs, including types, methods,
date/time last taken and problems arising out of use.
Notation of body deformities and ease of movement.
Observation of persistent cough or lethargy.
Condition of skin including, trauma markings, bruises, lesions, jaundice,
rashes and infestations and needle marks or other indications of drug
abuse.
Referral of the inmate for emergency health services or additional health
services, as may be necessary.

Where needed, the appropriate level of treatment (i.e. treatment in-house by a member of the
professional health services staff or referral to a hospital or other community-based health service)
will be made after a thorough evaluation of the inmate's condition by the medical staff.
Once an inmate has been formally committed to the facility, and after any serious prior to booking
injuries have been treated, SHP will assume financial responsibility for the inmate's medical care onsite at the jail, subject to any limitations on liability for coverage.
Recognizing the benefit of limited off-site referrals, exceptions may be where care usually rendered
off-site can be brought into the facility. The cost of those services would be covered by the covered
under the cost pool accounting process, since these are normally related to care provided off-site.
For example: dialysis, chemo-therapy, portable x-ray, ultrasound, on-site specialty clinics, etc.
Please refer to the pricing section of the proposal for more information.
Information regarding access to healthcare services is communicated orally and in writing to inmates
upon their arrival at the correctional facility. SHP will use notices, printed in both English and
Spanish. These will be posted in the intake area and in the Medical Department advising detainees
how to access the healthcare delivery system, in addition to the verbal and written/documented
notification which is provided at booking.

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Proposal for Inmate Health Care Services-Colleton County, SC

91 SHP

Comprehensive Appraisal and Physical Examination
A comprehensive medical history and physical examination will be performed on all inmates prior to
the 14th day of incarceration. The health appraisal will include, as required or if clinically indicated,
the following:
■ Review of the preliminary health screening done at intake.
■ Screening for airborne infectious conditions
■ Height1 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.
■ Other requirements for NCCHC standards.

Inmates will receive subsequent physical examinations as indicated by their age and physical
condition, but customarily annually.

If at the time of the physical, it is determined an inmate requires medical treatment, the inmate will
be referred either for immediate medical treatment or to see the physician at the next scheduled sick
call.

If the health assessment finds an inmate has a chronic health condition including but not limited to;
AIDS, diabetes, epilepsy, cardiac, pregnancy or other; the physician will initiate a specialized
treatment plan for the individual. This treatment plan will include information and direction for
other medical staff, as well as pertinent information for correctional staff.
SHP has a language translation/interpreter service available to non-English speaking inmates (see
special needs section of this proposal).
Daily Triaging of Complaints
In order to ensure inmate health problems and requests are addressed promptly, appropriately and
efficiently, SHP will use a structured triage procedure, proven effective in other correctional settings.

Our MTA and Medical Director (Physician) always oversee the triage system that is followed by all
healthcare personnel. This ensures the inmates receive the appropriate level of care and their
complaint is properly processed and resolved.
Except for emergencies, inmates will access
healthcare via the use of request forms. These requests are received and processed daily by the
healthcare staff.
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. Sickcall triage is held daily. For non-urgent complaints our nurses have up to 24 hours to see the inmate.
Those inmates requiring a higher level of service will be referred to the physician or other
appropriate professional practitioner in a timely manner.

If the physician or other practitioner determines the inmate's medical needs are more extensive or
specialized, an appropriate referral to outside medical services will be made

Experience has shown an effective triage system can significantly reduce the volume of patients seen

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SHP

by the physician or specialized practitioners. We believe the triage system makes the best use of
professional time and is most cost-effective. At the same time, it provides an appropriate level of
care and easy access to the healthcare system by the inmates. Our staff will complete the paperwork
for the inmate co-pay process, but we will not store these records or collect any money or benefit
from any collections.
Sick Call
Sick call is conducted daily on-site by medical staff. A physician, physician assistant, or nurse
practitioner will be in the jail on the schedule described in the staffing section. Inmates to be seen by
the physician will have been screened as part of the formal triage system.

We are aware an inmate's custody status can preclude attendance at sick call and, consequently,
arrangements will be made to provide sick call services to segregated inmates within their housing
area as necessary.
Appropriate documentation will be recorded and maintained for all inmates seen at sick call and
incorporated into the inmate's permanent medical record. This ensures inmate health requests are
promptly and properly handled, documented, and followed through to a satisfactory resolution.
Hospital Care
When it is medically necessary to transfer an inmate to a local acute care hospital for treatment, SHP
will utilize the facilities and services of a hospital or hospitals which meet with the approval of the
County. All hospital charges for both inpatient and outpatient care, as well as physician charges
outside the jail will be covered under the cost pool accounting process. Please refer to the pricing
section of the proposal for more information.

In order to help control expenses and utilization of costly inpatient hospital services, we will
continually 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.
On-Site Specialty Services
Our program is structured to utilize the fewest number of outside medical resources as possible.
Doing so reduces medical costs as well as expenses associated with transportation and security. We
accomplish this through the extensive use of the triage system previously described and by making
every effort to provide specialized consultative services on-site.

To minimize repeated outside visits, follow-up care for any off-site specialty service will be provided
within the facility by SHP staff if possible. The physician will review the results of each outside
consultation and will determine if continued treatment is required. Our structured triage system,
referral control, on-site clinics and review of outside services will guarantee the fewest number of
outside trips possible, and thus reduce the security risk and the additional cost associated with such
trips.
Emergency Services
Our MTA and site physician will have twenty-four (24) hour on-call responsibility for any
emergency that may arise, to respond by phone to work with our on-site staff or officers. Our onduty medical staff will contact the emergency facility and verbally describe the symptoms and
provide other details regarding the inmate's condition and medical history as necessary.

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Proposal for Inmate Health Care Services-Colleton County, SC

SHP

When emergency transportation is required, medical personnel will assist with the decision whether
an ambulance or security van is required and coordinate appropriate transportation with the
corrections administration and security staff.
Dental Care
SHP will screen all inmates as a part of the physical exam, and will triage all dental care requests by
inmates prior to scheduling those inmates for treatment by the dentist. Dental care is prioritized.
Our priority will be the alleviation of pain and the extraction of necessary teeth. Oral Hygiene and
patient teaching are a part of every SHP dental program. The program will have the nurses and our
physician to triage and refer inmates for any urgent dental work to a dentist.
Mental Health
Our program and pricing allows us to manage most mental health complaints inside the jail,
including payment for psychotropic prescriptions as necessary.

SHP' s base plan of mental health will arrange for the mental health services for inmates including:
■
■
■
■
■
■

Effective crisis intervention
Suicide prevention and screening
Mental Health Assessments and evaluations
Monitoring mental health medication
Referrals as necessary
Discharge planning

SHP uses a team approach starting with our nurses and our Medical Director. We act as a 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. We have included in this proposal the option
for a Qualified Mental Health Provider. This staff person wiJI work on an as needed basis
determined by our Medical Team Administrator to help manage the mental health needs of the
facility.
All inmates will be evaluated for mental health problems either through intake screening, during
their history and physical, or by the inmate's own request through sick call. Inmates exhibiting
problematic/questionable behavior may be seen sooner, and Inmates exhibiting severe psychiatric
disturbances will be seen immediately. Our nurses will collect information and observations from
correctional officers on the patient's behavior, as well as from any previous providers the patient had
seen prior to incarceration. After the evaluation, the nurse will consult with the medical staff in
regards to follow-up care and treatment issues.
Mentally Ill patients will be referred into the Chronic Care program in order to efficiently monitor
the patient's progress as to the established treatment plan.
Psychotropic medications, when used, will be monitored closely for patient compliance as well as
cost efficiency.
SHP will establish a written plan for identifying and responding to suicidal individuals within the
facility. All SHP medical personnel and county correctional officers will be trained in suicide

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Proposal for Inmate Health Care Services-Colleton County, SC

SHP

prevention techniques. The plan established will incorporate recognizing and responding to suicidal
individuals and the components will include but not be limited to: training, intake screening,
monitoring, communication, intervention and critical incident debriefing.
Laboratory Services
SHP will use laboratory services for those procedures which cannot reasonably be conducted on-site.
When using laboratory services, our healthcare personnel will draw specimens and prepare them for
transport to the appropriate laboratory. All specimens will be collected in accordance with accepted
laboratory standards and will be properly stored and labeled prior to being sent out for processing.
The results of these tests can be quickly transmitted back to the site.

All results, when returned, are checked by a medical staff member. The results are communicated to
our staff physician and then filed as part of the inmate's medical record. The physician is notified
immediately by the medical staff of any abnormal lab value.

X-Ray Services
We plan to use a portable x-ray service to perform any required procedures inside the jail. This
eliminates cost of transporting inmates and affords savings in officer time. Some procedures may
need to be performed with equipment at a hospital or other radiology facility. All on-site x-ray costs
will be covered under the cost pool accounting process. Please refer to the pricing section of the
proposal for more information.
Medical Records
Any healthcare delivery system is only as good as the quality of its medical records. We also ensure
that medical records are maintained in compliance with state regulations and consistent with
community standards of practice.
At a minimum, the following information is included in the
medical record:
■ Completed intake screening
■ Completed health assessment
■ Signed Lab, X-ray and specialty consultations
■ Prescriptions administered/MAR form
■ Other pertinent information needed

The following general policies and procedures concerning medical records will apply:
■
■
■
■
■
■
■

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

Pharmaceuticals and Medical Supplies
SHP has designed a program under the direction of our physician and pharmacy vendors for the

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Proposal for Inmate Health Care Services-Colleton County, SC

SHP

ordering, dispensing, and administering of prescription drugs for jails. We have developed a
formulary of pharmaceuticals which is used in our facilities. The intent is to provide the safest, most
efficacious and cost-effective medication appropriate to each individual's treatment. Our general
guidelines for pharmaceuticals are:
■

■
■
■
■

■
■
■

Prescriptions brought in by the inmate or their family will be reviewed by
the SHP staff and continued or substituted with fonnulary medications as
necessary by our physician
Verification will be performed by the medical staff of an inmate's current
medication(s)
A minimum of psychotropic or narcotic medication is prescribed based
on need
No more than a single dose will be administered
Refusals of medication by an inmate must be documented
Counseling will be provided to the inmate as to the consequences of nonadherence of the prescribed medication
Counseling efforts will be documented
All pharmaceuticals, needles, syringes and any other medical instruments
with a potential for misuse will be inventoried and stored under security
conditions

SHP has partnered with various pharmacy providers to offer medication dispensing that is very
effective in a jail setting. Together we are constantly searching for opportunities to improve
medication delivery whether at the pharmacy, facility, or cell-side level. Listed below are examples
of the value-added services provided by our vendor Clinical Solutions to clients.

Pharmacy Provider Advantages
■
■

■
■
■
■
■

■
■
■
■

■
■
■
■

•

24/7/365 clinical pharmacist access
Same day or next day medication delivery
Peel-off refill labels
Unit dose delivery systems
Customized ordering parameters
Formulary enforcement
Breakout billing for special populations
Medication Cart loaner
Fax machine loaner
Preemptive package tracking
Real time package status notification
Pre-printed medication administration records
Inventory oversight
Backup pharmacy coordination
Consulting pharmacist on-site audits

Our providers have a practice of proactive clinical pharmacy intervention. This involves prescribing
through formulary limitations and disease-state management, and before the order is written. This
greatly aids in drug selection and results in lower overall costs. For immediate needs, we always use
a local pharmacy for stat medications and will assure that any medication will be available within 8
hours if needed.

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SHP

Chronic Care Management and Special Needs Program
SHP will provide all special needs healthcare services required including, but not limited to, care for
inmates who are chronically or terminally ill, physically handicapped, developmentally disabled or
with special mental health needs or convalescing inmates. Individual treatment plans are developed
for all special needs. Examples of chronic illness include HIV/AIDS, diabetes, hypertension, mental
illness, pregnancy, asthma and epilepsy. The type of treatment will be determined by the needs of
the individual inmate, but may include such things as medications, special diets, physical therapy,
outside clinic visits, laboratory tests or dressing changes.

Each treatment plan will be initiated by the physician and will be detailed in the individual's medical
record. Special diets will only be given if a medical need is confirmed, or if ordered by our
physician, and we must have cooperation from the officers in assuring that these needs are met.
A list of inmates with special needs and medical treatments is kept updated. For example, blood
sugar levels are obtained on all diabetics receiving insulin, Dilantin levels are monitored monthly on
epileptic inmates, and blood pressure checks are performed on inmates receiving anti-hypertensive
drugs.
All pregnant inmates are seen regularly to monitor health and safety of both mother and child.
Special mental health needs or a determination of a tendency towards suicide may result in the
inmate requiring close supervision.
There may be language barriers in obtaining information from non-English speaking inmates. SHP
has partnered with a nationwide company to provide translation services.
Infection Control and Environmental Health and Safety
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. More specifically, our Infection Control Program includes, but is not limited to:
■
■
■
■
■

Surveillance procedures to detect inmates with infectious and
communicable diseases
Appropriate immunizations
Decontamination of medical equipment
Proper disposal of medically related sharps and bio-hazardous wastes.
Strict adherence to universal precautions to limit exposure to blood-home
pathogens

SHP also assures we will provide a clean, safe and healthy environment in the medical unit and will
work with the corrections administration to develop and implement a comprehensive environmental
health program at the facility.
Annual screening for Tuberculosis will be provided for corrections officers if requested.
Immunizations {hepatitis, flu etc.) can also be administered by SHP staff if the vaccine is supplied by
the county.

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Proposal for Inmate Health Care Services-Colleton County, SC

SHP

VI. SHP Personnel Services and Staffing
Proposed Staffing for Colleton County Detention Center:
■

Joanne Thomas, Medical Team Administrator (MTA): Our MT A, Joanne Thomas, is an
on-site experienced manager with a background in medical and/or clinical management and
will serve as the primary liaison between SHP and the Colleton County Sheriff's
administrative staff.
Ms. Thomas, an experienced licensed medical professional, will
coordinate the delivery of health care services within the facility. She will work on average
36 hours during weekdays (excluding holidays and reasonable time off for illness and
vacation).

■

Dr. Charles Bush MD, Medical Director (Physician): Our Medical Director, Dr. Charles
Bush, will be scheduled to visit the facility at least once a week. The primary purpose wi11 be
for sick call but also to provide ongoing guidance for chronic care. A Physician-Extender
(mid-level practitioner), either a P.A. or Nurse Practitioner, may be used to supplement the
services of the physician.
Dr. Bush will be expected to work two hours each week on-site 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 fonnulary review,
protocols, quality assurance, and education and training.

■

Ancillary Staff: Other than the Medical Director and MT A our staffing plan will allow for
additional nurses and other ancillary/support staff to assure 12 hour per day, 7 day per week
coverage. On the next page a more detailed look at FTE hours is proposed below. For
purposes of this listing, an FTE represents 40 hours per week. Each member of our
healthcare staff at the jail will be properly licensed and new employees will receive
appropriate orientation and training before assuming duties within the jail.

■

Mental Health Staff Option: We are including in our proposal the option for the use of a
Qualified Mental Health Provider working in the jail on an as needed basis determined by
our Medical Team Administrator and/or Medical Director. This staff person would evaluate
medications, assess inmates for suicide prevention, counsel inmates as needed, and otherwise
assist the nurse administrator with mental health care. The Qualified Mental Health Provider
will be on-call to our nurses for patient consult and medication orders. These staff members
will work in conjunction with each other to provide a comprehensive mental health program
on-site.

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9

Proposal for Inmate Health Care Services-Colleton County, SC

SHP

Staffing Model - Colleton County Jail
110 Inmates
Position
Professional Staff
Medical Director
Administrative Staff
Medical Team Administrator
Suonort Staff
StafTNurses LPN Day
StafTNurses LPN Weekend
Total

Hours/Week

FTE

2

.05

36

I

.09

36
12

.09
0.3

86

2.1S

Professional Provider visit times and dates will be coordinated with Jail Management. Some ofthe
Professional Provider time may be used/or consults and administrative items such as phone calls
with medical staff

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Proposal for Inmate Health Care Services-Colleton County, SC

SHP

Equal Employment Opportunity
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
maintain places of employment that are safe,
productive, and free from sexual harassment.

Licensure/Certification
All professional healthcare licenses are verified prior to the employment and will be kept on file and
available for inspection.
Recruitment Practices
We seriously consider the need to retain current nursing staff and recruit locally when possible. We
invite the county's input into the valuable work done by those currently employed at each facility
and recognize the final selection for retention and or selection shall be subject to approval by the
County.

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 phannacy 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.
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.
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 issuing professional board. The prospective employee will then be subjected to
a background investigation conducted by the County in accordance with the County's existing
policies and procedures. When actually hired, the employee must complete a job specific orientation
program and security training.

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91 SHP

In addition to credentialing infonnation 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.
Drug-Free Compliance
SHP perfonns 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 pre-employment, post-accident and random drug screening to ensure we maintain a drugfree workplace.
E-Verify
Southern Health Partners has maintained its utilization of the Department of Homeland Security's EVerify program requirements for screening of all its employees since November 7, 2007.
Compliance with DHS and SSA regulations ensures our ability to protect the rights of employees and
avoid possible discrimination.
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 work with our Loss Prevention Technical Consultant to improve our safety plan and offer
continued training to each employee in order to prepare for and adapt to the unique challenges of
each correctional facility.
Job Descriptions are available for review if requested, for each of the positions described in our
staffing plan.

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Proposal for Inmate Health Care Services-Colleton County, SC

SHP

VII. GENERAL CONSIDERATIONS
The primary responsibility for inmate custody and security within the facility rests with the staff of
the County. SHP shall have primary responsibility in all matters pertaining to medical, dental
treatment, and care of inmates. Everyone who works in the facility has a responsibility for security.
SHP shall be responsible for security of all material and equipment in our work area, which in the
hands of an inmate, would be considered contraband and could present a danger to staff, other
inmates, or to himself. On matters of mutual concern, County 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
County staff.
All decisions involving the exercise of medical and/or dental judgment will be the responsibility of
SHP. However, we encourage the Jailer'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.
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 County.
For certain inmate medical situations which arise, and under agreement by the Jailer and SHP, the
cost of additional nurse staffing hours on shifts not normally covered by SHP can be billed as an
extra expense to the County.
We will require that an inmate co-pay system be in place for nurse sick-call visits, or that a co-pay
system be installed within 30 days of the contract starting date.
We take no responsibility for the healthcare and treatment of officers of the jail, except for
emergencies. We do offer to administer vaccines to officers of the jail if the serum is provided by
the County. We also offer TB testing to officers at our expense.
We offer training for officers on various topics, at no charge to the County. All our training must be
requested, and this training must be scheduled in advance.
SHP will be responsible for disposal of all hazardous waste resulting directly from our program, but
not all of the waste from the jail.

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SHP

Proposal for Inmate Health Care Services-Colleton County, SC

VIII. PRICE PROPOSAL
Responsibility for costs and expenses of the program:
First, before we explain the pricing of the program, we will specify the responsibility of each of the
two parties to the contract, as we understand them, with respect to covering various costs. The
following tables outline the responsibility of costs for both options we are proposing.
Category of cost/expense

Party Responsible Option 1

Party Responsible Option 2

Nurse wages and benefits
Physician medical director on-site
Policies and Procedures development
Medical supplies
Minor equipment (over $500 per single item or unit)

SHP
SHP
SHP

SHP
SHP
SHP

SHP
lfSHP requests the equipment,
SHP will pay. Otherwise,
County pays.
Repairs to SHP equipment, SHP
pays. Otherwise, County pays
SHP

SHP
If SHP requests the equipment,
SHP will pay. Otherwise,
County pays.
Repairs to SHP equipment, SHP
pays. Otherwise, County pays

SHP
SHP

SHP

SHP

SHP
SHP
County
SHP
County
SHP, using our provider
County
SHP

SHP
SHP
County
SHP
County
SHP, usin~ our provider
County
SHP

SHP

SHP

SHP
SHP (Renal Dialysis and other
major chronic care in cost pool)
SHP to limits of Cost Pool
SHP
SHP to limits of Cost Pool
SHP to limits of Cost Pool
SHP to limits of Cost Pool
SHP to limits of Cost Pool

SHP
SHP (Renal Dialysis and other
major chronic care is county's
resoonsibility)
County
SHP
County
County
County
SHP

SHP to limits of Cost Pool

SHP to limits of Cost Pool

SHP to limits of Cost Pool

SHP to limits of Cost Pool

Repairs on existing equipment
Over-the-counter medications
Clinical lab procedures
Office supplies
Folders and forms
Travel expenses
I
Phone lines and phone calls
Publications and subscriptions
Any necessary licenses/permits
Medical hazardous waste disposal
Emergency kits and restocking
All required insurance as offered
Administrative services (cell phone, fax etc.)
Trainine for officers in the jail on various topics
All other specific on-site services

Off-site medical services
On-site mental health services
Off-site mental health services
X-ray services on-site
X-rav services off-site
Prescription medications excluding specific chronic
care meds (see below)
Prescription medications for HIV+/AIDS, renal
failure, hepatitis, cancer, MD, MS, hemophilia,
Crohn 's disease and tissue/or2an rejection
Dental services

May2013

SHP

Page 33

Proposal for Inmate Health Care Services-Colleton County, SC

91 SHP

Price Summary - Option 1
All RX in Cost Pool

Average Daily Population 110
Base Compensation
Monthly Installment
Per Diem Charge
Cost Pool (included in Base Compensation)
Future Year Increase - 2 nd Year
Future Year Increase - 3n1 Year
Future Year Increase - 4 th Year
Total Pricing for 1st Year

$211,200
$17,600
$1.05
$44,000

2%
2%
0%
$211,200

Price Summary - Option 2
Routine RX, SHP's Responsibility

Average Daily Population 110
Base Compensation
Monthly Installment
Per Diem Charge
Cost Pool (included in Base Compensation)
Future Year Increase - 2 nd Year
Future Year Increase - 3n1 Year
Future Year Increase - 4th Year
Total Pricing for 1st Year

$225,000
$18,750
$1.05
$44,000

2%
2%
0%
$225,000

EXPLANATION

Our pricing model allows our price to be set for three years in advance. Most of our contracts
with the various county customers are designed to allow for comprehensive services, meaning
SHP manages the usage and costs of all services outside the jail as well as inside the jail facility.
We have attempted in this proposal to identify all of the services that we will provide and
furthermore those for which we will ultimately pay, and those that will be covered by the County
separately.
CONTRACTOR COMPENSATION
PROPOSAL - BASE PRICE OPTION 1:
Our proposed annualized base price to furnish these services is $211.200.00 for the first year. The
County will pay SHP the annualized base price in twelve (12) equal monthly installments of
$17,600.
PROPOSAL - BASE PRICE OPTION 2:
Our proposed annualized base price to furnish these services is $225.000.00 for the first year. The
County will pay SHP the annualized base price in twelve (12) equal monthly installments of
$18,750.

May2013

Page 34

Proposal for Inmate Health Care Services-Colleton County, SC

VI SHP

Payment and Invoicing
SHP will send an invoice to the County approximately thirty (30) days prior to the month in which
services are to be provided. The County agrees to pay SHP by the tenth day of the month in which
services are rendered.
Compensation for Increases in Inmate Population: This proposal is based upon an Average Daily
Population (ADP) of up to 110 inmates. If for any month that month's average of daily inmate
population counts exceeds the inmate population limit of 110, the County will pay a per diem (per
inmate per day) amount of $1.05 on the excess above the limit of 110. The additional compensation
for the overage will be payable following the month of the occurrence upon submission of a separate
invoice by SHP and verification by County. 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 wages, pharmaceuticals, supplies, insurance, etc. Longer term population
changes beyond the average of 110 should lead to a renegotiation of contract terms.

COST POOL ACCOUNTING
The base price already includes a cost pool to cover the excluded drugs as well as the items listed on
the previous page for which the County is designated as the payer. The total budgeted for the cost
pool is $44,000.00. If the total of $44,000.00 is reached in any year, (12 months), the County will be
responsible to cover 100% of the excess costs through a reimbursement procedure to SHP.

OPTIONAL MENTAL HEAL TH COMPONENT
While we believe most mental health needs of the facility can be managed by the nursing staff and
medical director, we are providing the optional use of a Qualified Mental Health Provider. This
person will be used only on an as needed basis as determined by our Medical Team Administrator
and/or the Medical Director. All costs associated with the Qualified Mental Health Provider being
physically on-site will either be billed to the cost pool.

FUTURE YEARS' PRICING
If Colleton County elects to contract with SHP, we are willing to set a fixed price increase of2% for
each of the second and third years. This price increase will apply to the base fees and to the per diem
for excess inmates. For the fourth year we will waive any increase. For years past the fourth year, we
would plan to propose a price increase for the County's consideration in advance of the contract year
end, and work toward a reasonable increase, as warranted.

TERMINATION OPTION:
In conjunction with this proposal, we would expect to have our standard contract terms which allow
either party to the contract to tenninate the relationship without cause, with a 60 day notice to the
other party.

May2013

Page 35

Proposal for Inmate Health Care Services-Colleton County, SC

91 SHP

IX.SUMMARY
We believe an efficient and high quality healthcare program has been detailed in this proposal. SHP
is prepared to discuss any aspects of the program, its cost, or alternatives with representatives of
Colleton County at any time.
SHP is proud of the programs currently in place throughout 12 states in over 190 jail facilities. Our
dedication, commitment, and diligence have us a proven leader in the correctional healthcare market.
We welcome the opportunity to continue the provision of inmate healthcare services at the Colleton
County Detention Center.

May2013

Page 36

Southern Health
Partners
Your Partner In Affordable Inmate Heallhcare

South Carolina Counties
Contracted with SHP

Confidential

r

...

Site Name

Contact

Aiken County Detention Center
Aiken, SC
Started: July 1, 2008
ADP: 375

Nick Gallam, Captain
(803) 642-1761

Dorchester County Detention Center
St. George, SC
Started: July 1, 2008
ADP: 270

T.A. Van Doran, Jail Administrator
(843) 561-0268

Notes

I

Hampton County Detention Center
Varnville, SC
Started: September 15, 2008
ADP: 50

Kelvin Jones, Director
(803) 943-7551

Edgefield County Detention Center
Edgefield, SC
Started: November 1, 2009
ADP: 60

Karen Jaggers, Lieutenant
(803) 637-4124

Lancaster County Detention Center
Lancaster, SC
Started: August 1, 201 O
ADP: 150

Deborah Horne, Jail Administrator
(803) 283-2084

Georgetown County Detention Center
Georgetown, SC
Started: August 14, 2010
ADP: 245

Michael Schwartz, Chief
(843) 545-3423

Laurens County Detention Center
Laurens, SC
Started: August 14, 2010
ADP: 230

Chris Hudson, Major
(864) 683-4055

Williamsburg County Detention Center
Kingstree, SC
Started: August 14, 2010
ADP: 120

Dwayne Wilson, Jail Administrator
(843) 355-9329

Greenwood County Detention Center
Greenwood, SC
Started: August 14, 2010
ADP: 180

Sharon Middleton, Major
(864) 943-8063

J. Reuben Long Detention Center
(Horry County, SC)
Conway, SC
Started: October 2, 2011
ADP: 600

Tom Fox, Director
(843) 915-5140

Confidential
r,,1,1

0

Site Name

Contact

Kershaw County Detention Center
Camden, SC
Started: February 2, 2012
ADP: 120

Peggy Spivey, Director
(843) 425-1516

Berkeley County Jail
Moncks Corner, SC
Started: July 1, 2012
ADP: 28

Kendra Moore, 151 Sergeant
(843) 723-3800, ext 4710

Cherokee County Detention Center
Gaffney, SC
Started: August 1, 2012
ADP: 170

Robert Padgett, Major
(864) 487-2529

Anderson County Detention Center
Anderson. SC
Started: February 1, 2013
ADP: 375

Garry Bryant, Major
(864) 260-4363

Marion County Detention Center
Mullins. SC
Started: May 1, 2013
ADP: 80

Mark Richardson, Sheriff
(843) 423-8216

I

Notes

Colleton County Procurc1ncnt ()ffice
Sulkit.1! io11 NII m her: ('{ 'S< l•c>;i

CERTIFICATE OF FAMILIARITY

ll

I

The undersrgnecl . l1av1ng fully famili~mzeci l1iin/11er wrth the mfonnation conta ,nerl withtn this
entire solrcitat1on and applicable cim0ncfme nts, submits the ;:ittacli ecl response , and other
applicable information to the County, wh ich I verify lo 1,0 true and correct lo tile best of my
knowlecfge I further certify ih::lt lh1s re sponse 1s made v11tho11t pnor uncl e rsl,H Hl11l~j.
agreement , 01 corme,·t1011 witt1 any rorpom tion firm ur petsCH l sutJm11tmo .:i resp onse for
t!1e same matertr1 ls . supp lies or 0quiprnent c1nci 1s 111 ;_ill rcspe,i\-, kw ,111cf w it1101 1t i;ollt1:;1nn or
fraud I agree to ,itm ie t)y 311 conditions -;et for ti, ill !111\-. sol c1f,1t1on ;me! ce r11ly t: 1;;1 I have
s1gnatur1~ authority to bind !h t:! cornpanv hs ted l1er01n

MINORITY BUSINESS: Are you a minority !)u siness?
► Yes __ (Women-owned / __ Oisadvantageci) If yes. please sub1nit a copy of your
certificate with your response
► No _ L

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MAILING ADDRESS

2030 Hamilton Place Blvd ,
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Ch a l t.an ooc,; a ,

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123-553 S0J S/ 4 2J-SSJ-56 i 5

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Sol1i:.h e r n H1~al.th Pa c lners

Cornp;iny Nnme
20 3 0 Ham ilton Pie.i ce B.l,1 d ,
Acldress

Ch~ tt a noog a, TN 3 7421
City. State . Zip
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4 2 3 - 5 53-5 63 5
Phone Numl)c1

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••·NOTE: The attached Certificate of Familiarity must he returned with proposal rcsponsc·-.... ATTACH A W-9 FORM WITH YOUR PROPOSAL""
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Department of the Treasury

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Internal Revenue Service

Name (es shown on your

Request for Taxpayer
Identification Number and Certification

incocr~

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Business name, if different from above

l:'

Checl(

j'tii DL1m1tec1

appropriate box:

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Olve fonn to 1M requeste,.
Do not Mad to the IRS.

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Individual/Sole proprietor

Pertnenhip

liability company. Enter 1ho tax classlflcatlon CD•dilfegarded entity, C•corporatlon, P•pannetlftlpl
no.)

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Requester's name and address (optiona I

Certification
Under penalties of perjury, I certify that:
,
1. The numbef lhown on this form Is my com,ct ~ identification numbef (or t 1m waiting f<K I numbef to be issued to me), and
2. I am not subject to back.Up with.'1olding because: lat I am exempt from backup withholding, or (bl I have not been notified by the lntem&
Revenue Service (IRS) that I am IUbiect to backup withholding 11 1 result of a failure to report 11 Interest Of dividends, OI' (cl the IRS ha
notified me that I am no longer subject to beckUp wlthholcfing, and
3. I em a U.S. citizen or other U.S. P9f'IOfl {ckflned belowl.
Cenfflcatlon lnltnlctlons. You must cross out Item 2 above if you have been notified by the IRS m.t you _. curmrtty subject to back!IP withholdin
because you have failed to rePoft .all Interest ind dividends on your tax return. F« real estate transactions, Item 2 does not apply. F« mongag
Interest paid, acqulaition or abandonment of ..cured PfOP8ftY, canceClation of debt, contributions to an indMduat mirement amngement URA>. an
generaHy, paymenta other than Interest and dillidends, you are not required to sign the Cenlf"ication, but you must provide your comet TIN. See th
instructions on page 4.
·

Sign

Signature of

Here u.s.~

►

Definition of _a

r.Aneral Instructions

~

refwences -.,. to thi Internal

noted.

Purpose of Form

A peraon who Is requlrect to file an Information. retum with tfie IRS
must obtain YQlir C<lfrect t a ~ ldehtification numb« mNI to repon.
fol' example, Income paid to you, real ~ e tRNactiont, mon;age
Interest you paid, acquiaition
1 b ~ e n t .. of .MC\nd ~ .
cenceaatJon of debt, or contributlona you
to an IRA.
Use Form W-9 only i( you
u:s.
-,Including a resident
arien), to provide your eotreet TIN to the person requesting it (the
. request«i and, when app&cabfe. to:
·
I • Certify that the TIN you .,. giving is COffect (or you are waiting
fot • numbef to ~ Issued), ·
2. Certify that you are not aubject to backup withholding, or
3. Q1lm exemption frQf1l backup withhotding If you •re a U.S.
exempt payee. If epplicable, you are also CflrtJfying that u • U.S.
person, your alloceble share of any p&ftnefShip Income from a U.S.
trlde Of busine$$ Is not s1Abiect to the withholding tallt on fo,eign
pertners' share of effectii,ely connected income.
Note. If • ,equester gives you • form othef than Form W-9 to request
yDUf TIN, you must use the requester's form if it Is substantialty similar
to this Form W-9.

°'

made
en •· person

. . ,-.on.

f.

. _. tax _~~ you m

considered a U.S. perwon ff you -ere:
·
• An Individual who Is I U.S. citizen Of U.S. resident arien,

• A partnership, cor-pocation. company, o, association crea~ed ,
Ofganlzed 1n the .Uol.ted Ste(es ac uod« the laws ol the United State:
• Al\ estate (othef than I foreign estate), OC'
• A ~ trust (as.cleftned In Regulations NCtjon 301.7701-7).

~ iuf.,..for- ~illilpa: 'partnetahips· ~ conduct • ·trade •
business· ·1n the Unheci _.$t,ateS . . . g~ally required to pay
wlthho4ding tax on any foreign panne,s' share of Income from SO<
business. furttlef, Jn -cenain cases where • Fonn W-9 has not bei
rec.ived, a partnership is requif~ to presume that • panner Is
foreign person, and pay the withho(ding tax. Thefefore, If you are
U.S. person that is a partner in a partne($hlp conducting a Veda
business In the United States, provide Fonn W•9 to the partnership
establish your U.S. 1tabil and avoid withholding on your share
partnership income.
The person who gives Form W-9 to the partnership for purposes
establishing Its U.S. status and avoiding wtthholding on its ellocal
share of net Income from the partnerahip conducting • trade
business in the United States Is In the foUowlng C8ses:
• The U.S. owner of a disregarded entitY and not the entity,

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THIS CERTIFICATE IS ISSUED AS A MATl E:R OF INFORMATION ONLY ANO CON FEH S NO HIGHTS UPON TH C CERT IFICATE HOLDER THIS
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HEPRESENTATIVE OR PHOOUCER, AHO THE CfcRTll'ICATE IIOLDEll

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IMPORTANT: If the certificate holder is an AOO'i'Tii5NAL INSURED. the policy(ics) 11111st be, cndo,s<'ll ICSUl:lROGA TIO N IS WAIVED, suh1cct to
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