Agenda - 08-18-2009 - 6a - Laserfiche WebLink

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2 responding to medical issues articulated by inmates. SHP provides all medical supplies, over- the-counter medications, on-site clinical lab procedures, office supplies, forms, folders, medical hazardous waste disposal and all costs related to SHP staff travel/training, certifications and other incidental administrative expenses. SHP provides medical professional liability insurance with a minimum limit of $1 million per occurrence/$5 million annual aggregate. Orange County will be named as Additional Insured on such policies. SHP also indemnifies the County against any liabilities concerning medical care responsibilities performed under this contract. The initial proposed contract period begins September 1, 2009 and terminates on June 30, 2010. The contract may be renewed annually upon mutual agreement of the parties. Future contract periods will begin effective July 1 and terminate as of June 30 to coincide with the end of the County's fiscal year. FINANCIAL IMPACT: The Sheriff estimates the Department currently spends over $360,000 per year for inmate medical care. The annualized cost of this contract is $253,500. This amount would cover all in house medical care as described earlier. The contract amount includes a $60,000 cost pool to cover prescriptions and any off-site medical care required by an inmate. Any amount over $60,000 will be billed directly to the County. SHP reports even though the Jail's current medical expenses exceed $60,000, SHP's ability to manage the care in-house will significantly reduce services needed from outside medical facilities. The company further reports most jails are assessed little or no additional funds over the $60,000 cost pool. As the Board is aware, the County maintains a contract with the Federal Marshal's Office to house up to 75 prisoners per day in the Orange County Jail. Treatment rendered to those inmates will be paid by the Marshall's office and will not be assessed against the $60,000 cost pool. The proposed contract amount is based on an average daily population up to 180 inmates. The County would pay a per diem amount of $1.25 per inmate for any month during which that cap is exceeded. The current daily population averages around 170. The first year will be a 10-month contract at a cost of $211,250. Terms of renewal for 2010 and 2011, should the County choose to renew, include an increase of 2.5% and 3% respectively over the full year cost ($253,500). These modest increases would benefit the Sheriff in his efforts to contain the rising costs of health care for the jail population. RECOMMENDATION(S): The Interim Manager recommends the Board approve a contract with Southern Health Partners for Jail Medical Services for the period September 1, 2009 through June 30, 2010 in the amount of $211,250; and authorize the Chair to sign on behalf of the Board.