40DHHS-S3579-NYTC Medical Director Scope of Work.pdf

40DHHS-S3579

Nevada Youth Training Center

Medical Director

Scope of Work

A. Agency Background

1. The Division of Child and Family Services’ (DCFS) mission is to provide support and services to assist

Nevada's children and families in reaching their full human potential. The Nevada Youth Training

Center (NYTC) is a staff-secure facility located in Elko, Nevada, providing housing units for youth committed to the state for correctional care. Located on site are seven housing units with a maximum number of 64 youth from the ages of 14-18.

B. Purpose of the Contract

1. The purpose of this contract is to provide medical services to the youth living at NYTC.

2. Medical services include routine physical examinations and emergency care due to illness or injury.

C. Goals of the Contract

1. Medical services delivered in accordance with recognized standards of care.

2. Medical services delivered in a timely manner.

3. Practitioner acts in a manner that supports the Forward Thinking cognitive behavioral program, the unique needs of youth committed to the state for correctional care, and PREA requirements.

D. Deliverables and Vendor Requirements

1. Make, at minimum, four (4) professional on-site visits per month to the NYTC, with an ideal minimum of one visit per week. Vendors should specify their proposed number, length, and cadence of visits in their submission. Vendor should also propose their plan for balancing changes to the proposed schedule

(due to vendor illness, emergencies, vacations, etc.) with ensuring minimum levels of care.

2. Professional visits will be made during a pre-arranged, mutually agreed upon period of time.

3. During visits, conduct necessary examinations, including:

a. An initial physical examination for all youth received at the center.

b. Examinations for the purpose of giving the indicated treatment to the youth referred to the Medical

Director by the Correctional Nurse or Administration.

c. Services for emergency cases due to illness or injury.

4. Receive calls from the NYTC nurses or administration for consultations on days the vendor is not at

NYTC. Ideally, the vendor will be available on call 24/7 to provide consultations on non-emergency and emergency situations that cannot wait until the next scheduled visit. Vendors should specify their proposed availability in their submission and if this availability differs for emergency and non-emergency consultation calls.

5. Prescribe medications and treatment plans.

6. Provide referral services as needed.

7. Proactively follow up on patients, particularly in situations where the illness or injury indicates monitoring. Apply medical judgment to determine if follow up warrants in person examination or referral.

8. Maintain electronic health records in accordance with NYTC policies.

9. Maintain and provide summary data documenting the number of patients seen per month by treatment category (initial exam, injury, etc.). Provide the report to NYTC staff quarterly.

10. Maintain compliance with HIPAA and the Prison Rape Elimination Act.

11. Carry malpractice insurance in addition to coverage specified in the Insurance Schedule attachment.

Nothing herein contained shall be construed as incurring for the State of Nevada, any liability for

Workmen’s Compensation, FICA, Withholding Tax, Unemployment Compensation, or any other payment, which would be required pursuant to NRS 284.173, or, if the vendor was standing in an employer-employee relationship, the vendor hereby agrees to assume and pay all such liabilities.

40DHHS-S3579

Nevada Youth Training Center

Medical Director

Scope of Work

E. Additional Terms

1. In the event the vendor is unable to provide services as scheduled or needed, youth will be taken to the hospital of choice as determined by the NYTC (presently Northeastern Nevada Regional Hospital) or, if medically warranted, to a hospital designated by the vendor and/or by a physician/surgeon designated by the /vendor.

2. All major emergency or needed elective surgery is to be performed at the hospital of choice as determined by the NYTC (presently Northeastern Nevada Regional Hospital) or, if medically warranted, at a hospital designated by the vendor and/or by a physician/surgeon designated by the vendor.