44DOC-S3645 Q and A.xlsx

XLSX spreadsheet 13 KB Posted

Attached to
Medical Clinics - Telemedicine Kiosks
Solicitation number
44DOC-S3645
Issued by
Washoe County, Nevada

About this file

This is a Question and Answer document from the Nevada Department of Corrections (NDOC) regarding a telemedicine services contract (44DOC-S3645). The contract calls for the provision of remote clinical services across three correctional facilities: High Desert State Prison (HDSP, 2,745 inmates), Lovelock Correctional Center (LCC, 1,543 inmates), and Northern Nevada Correction Center (NNCC, 1,345 inmates). The contractor must provide telemedicine medical services operating Monday through Friday from 8 a.m. to 5 p.m., with a break around 11 a.m. for count. Expected clinic volumes include approximately 20 daily visits at HDSP (375 monthly including intake), 10-12 daily visits at LCC, and 30 daily visits at NNCC (600 monthly). The contractor must supply a cart-based kiosk with medical peripherals including a blood pressure cuff, telehealth software, and maintain their own EHR system with capability to transmit consult notes to NDOC. Chronic care services are required for conditions including congestive heart failure, seizure disorder, diabetes mellitus, thyroid disease, hepatitis C, HIV, hypertension, COPD, and chronic kidney disease. The contractor must be able to follow NDOC's medication formulary and have access to CIPS (the state's corrections information system).

The contractor is expected to manage clinic staffing with remote telemedicine providers who will see scheduled patients independently, supported by an onsite facilitator to screen patients prior to consultation. No after-hours or urgent care coverage is required. NDOC will provide onsite nursing staff assistance but the goal is for visits to occur without requiring onsite staff during the actual consultation. Currently, 3,264 patients are enrolled in chronic care services, and NDOC receives approximately 140 health service requests (kites) daily across all facilities. Performance success metrics focus on improving clinical outcome measures such as blood pressure and A1C levels while decreasing emergency room visits for preventable conditions. In-person care escalation occurs through onsite providers at main facilities, with the telemedicine provider able to refer patients back to facility providers for additional assessment when necessary.

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Bid Q&A for Export Report

Bid Q&A
QUESTION_NBRCREATED_BYQUESTION_SUBJECTQUESTION_TEXTANSWER_TEXT
1AUSTINSCHULTEAFacility population and average daily censusTo properly size clinic capacity and staffing, please provide the average daily inmate population (ADP) and typical versus maximum census for each facility (HDSP, NNCC, and LCC). This information is essential to understand the total population that will have access to telemedicine medical services.

HDSP 2745

LCC 1543

NNCC 1345

2 AUSTINSCHULTEA Historical medical visit volumes by facility To develop an accurate cost proposal, please provide historical medical encounter volumes for each facility for the past 12 months. Specifically, please provide average daily, weekly, or monthly visit volumes by facility, and if available, typical clinic session duration or average visit length. Northern Nevada Correction Center Daily Avg 30 Weekly Avg 150 Monthly Avg 600 Avg Clinic Session 15-30 mins Avg Clinics w/ Specialist per month - 150

Lovelock Correctional Center Daily avg 10-12 Avg Clinic Session 15-20mins

High Desert State Prison Daily Avg 20 (includes intake) Monthly Avg 375 (includes intake)

3AUSTINSCHULTEAExpected clinic days and hours of operationWhat days of the week and hours of the day does NDOC intend for telemedicine clinics to operate at each facility? For example, Mondayâ??Friday only, seven days per week, or another schedule. Clarification on expected clinic frequency is essential to determine appropriate provider staffing and generate an accurate cost proposal.Mon-Fri 8am to 5pm (break around 11am-noon)
4AUSTINSCHULTEAClarification of onsite clinic staffing responsibilitiesSection 3.1.9 states the Contractor will â??schedule and staff the clinic on a mutually agreeable schedule with NDOC,â?? while Section 3.2.5 states NDOC will â??provide nursing staff to assist the Contractor in the Clinics.â?? Please clarify whether â??staff the clinicâ?? in Section 3.1.9 refers solely to remote telemedicine medical providers, or whether the Contractor is expected to provide any onsite clinical support staff. Confirmation that NDOC will provide onsite nursing staff for telehealth encounters is requested.We have on-site staff but the goal is for the telemed provider to see our scheduled patients independently. A facilitor with the telemed provider to screen the patients over telemed prior to the consultation. Medical peripherals to be provided by the vendor and the vendor to direct the patient to use the peripherals. Ultimately, the goal is that the visit is done without requiring any on-site staff during the visit.
5AUSTINSCHULTEAAfter-hours and urgent care expectationsPlease clarify whether after-hours or urgent care coverage outside scheduled clinic sessions is expected under this contract. If so, please describe expected response times and coverage models.No after hours or urgent care needed
6AUSTINSCHULTEADefinition of success metricsDoes NDOC have defined performance or success metrics for this contract (e.g., reduced offsite transports, improved access to care, grievance reduction, intake clearance timelines)? If so, please provide these metrics to allow vendors to align proposed operational models accordingly.Improve outcome measures (BP, A1C, etc) and decrease ER visits for preventable conditions.
7AUSTINSCHULTEAProcess for in-person care escalationIf a patient requires in-person evaluation or treatment by a medical provider that cannot be completed via telemedicine, please describe NDOCâ??s current process and infrastructure for providing in-person medical care. Specifically, does NDOC utilize onsite providers, transport to other facilities, or other mechanisms for escalation of care?NDOC utilizes onsite providers in its main facilities for in-person evaluation or treatment. If required the telemedicine provider can refer the patient back to facility provider for additional assessment. After each visit, consult notes will be transmitted to NDOC with the mechanism of our choosing.
8JOSEPH70Cart Based Kiosk is required, or wall Mount Kiosk with PC included?

What software is required for Kiosk use?

Should our quote include Telehealth software?

What medical peripherals are to be included for diagnostic purposes?

Please confirm that Primary Services are needed by NDOC.

Does NDOC require Specialty Services as well?

Will NDOC provide patient volumes and commit to block time for Physicians Services?

What Chronic Care services are required as part of this RFP: Remote Monitoring technology and/or Physicians/Nurse Practitioner services?

Please provide responses to these questions.

Sincerely, Mark Kania, MBA.

Telemedicine.com 702-827-6787 We need a cart kiosk with periperals, BP cuff, etc.

Telehealth Software quote - yes

Chronic Care Services are needed. CHF, Sz DO, DM, Thyroid Dse, Hep C, HIV, HTN, COPD, CKD, other conditions at the providers discretion.

No speciality services.

No volume guarantee, but will fill schedule 8am to at least 5pm (with break around 11am for count) 5 days a week.

Telemed provider must be able to follow formulary, have access to CIPS. Vendor must have their own EHR and to transmit clinics to NDOC with the mechanism of our choosing.

9JOSEPH70We will respond to this RFP.??
10CFGHEALTH2026Clinical ProtocolAre there clinical protocols in place or will the contractor be required to implement?We can provide our medication formulary and medical directives related to chronic clinic.
11CFGHEALTH2026Chronic CareWhat is the number of patients enrolled in Chronic Care currently?3264 patients
12CFGHEALTH2026Health Services RequestWhat is the daily average volume of Health Service request submitted between the facilities?140 average volume of kites per day between all the facilities
13CFGHEALTH2026Clinical ProtocolAre there clinical protocols in place or will the contractor be required to implement?We can provide our medication formulary and medical directives related to chronic clinic.
14CFGHEALTH2026Chronic CareWhat is the number of patients enrolled in Chronic Care currently?3264 patients
15CFGHEALTH2026Health Services RequestWhat is the daily average volume of Health Service request submitted between the facilities?140 average volume of kites per day between all the facilities

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