Q&A Attachment 11 - Validation Report for Facility Sample.xlsx

XLSX spreadsheet 22 KB Posted

Attached to
Medical and Mental Health Services
Solicitation number
1301
Issued by
Idaho

About this file

This validation report is a sample worksheet provided by the Idaho Department of Correction (IDOC) to demonstrate how facility staffing hours and costs are calculated and reconciled for medical and mental health services contracting purposes. The report illustrates the methodology for tracking contracted hours versus actual hours paid across multiple clinical and administrative positions, including physicians, nurses, mental health professionals, dental staff, and support personnel. The example shows how vacant hours are managed, hour transfers between positions are documented, overage calculations are determined, and payback obligations are computed based on contracted rates.

The validation report demonstrates IDOC's approach to monitoring contractor compliance with staffing level commitments and identifying financial adjustments when actual hours exceed or fall short of contracted amounts. The sample data indicates positions with significant overages requiring payback, such as the Midlevel Practitioner (285.50 hours overage at $69/hour = $19,699.50 payback) and Dentist (77.00 hours overage at $98/hour = $7,546.00 payback), as well as positions with sufficient hours that required internal transfers to balance allocations. The report format establishes the administrative framework for validating contractor performance and calculating financial reconciliations, with total contracted hours of 10,546.40 and total service hour repayment obligations of $2,562.50 in this illustrative example. This validation methodology would apply to the statewide medical and mental health services RFP across all IDOC facilities.

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Text version

Sheet1 Q&A Exhibit 11

The information, hours and rates are fictious and only provided as an example.
Contract TITLEContracted HoursTotal Hours PaidTotal Vacant HoursPaid Hours Over / (Under) 100 % ContractedAvailable hours to transferAdjustment transfer hoursActual Allowed AdjustmentRevised Total Hours PaidRevised Paid Hours Over / (Under) 100 % ContractedRateTotal Calculation with OverageTotal Payback @ 100% - no overageComments for IDOCValidated
Administrator180.00180.00- 0- 0- 0180.00- 050.00- 0- 0
Administrative Assistant180.00186.25(6.25)6.256.25(6.25)180.00- 021.00- 0- 0Transferred 6.25 from AA to PREA CoordinatorValidated
Site Medical Director/Physician180.00209.00(29.00)29.00- 0209.0029.00140.004,060.00- 0
Midlevel Practitioner420.00705.50(285.50)285.50- 0705.50285.5069.0019,699.50- 0
Psychiatrist152.00153.00(1.00)1.001.00(1.00)152.00- 0162.00- 0- 0Transferred 1 from Psychiatrist to MHMValidated
Mental Health Midlevel180.00160.2519.75(19.75)1.001.00161.25(18.75)91.00(1,706.25)(1,706.25)Transferred 1 from Psychiatrist to MHMValidated
Dentist180.00257.00(77.00)77.00- 0257.0077.0098.007,546.00- 0
Physical Therapist180.00229.50(49.50)49.50- 0229.5049.5057.002,821.50- 0
Director of Nursing180.00180.50(0.50)0.50- 0180.500.5048.0024.00- 0
RN Supervisor180.00197.25(17.25)17.25- 0197.2517.2546.00793.50- 0
Charge RN-RDU180.00180.50(0.50)0.50- 0180.500.5045.0022.50- 0
Licensed Practical Nurse3,112.003,007.09104.91(104.91)104.91104.913,112.00- 030.00- 0- 0Transferred 104.91 from RN to LPNValidated
Certified Nurse Assistant960.00665.75294.25(294.25)294.25294.25960.00- 019.00- 0- 0Transferred 294.25 from RN to C.N.AValidated
PREA Coordinator180.00149.2530.75(30.75)6.256.25155.50(24.50)27.00(661.50)(661.50)Transferred 6.25 from AA to PREA CoordinatorValidated
Certified Medication Technician1,072.001,224.75(152.75)152.75- 01,224.75152.7524.003,666.00- 0
Dental Assistant180.00179.500.50(0.50)- 0179.50(0.50)22.00(11.00)(11.00)
Dental Hygienist36.00114.75(78.75)78.75- 0114.7578.7545.003,543.75- 0
Medical Records Clerk352.00356.75(4.75)4.754.75(4.75)352.00- 020.00- 0- 0Transferred 4.75 from Medical Records Clerk to SchedulerValidated
Phlebotomist180.00230.25(50.25)50.25- 0230.2550.2522.001,105.50- 0
Scheduler180.00166.5013.50(13.50)4.754.75171.25(8.75)21.00(183.75)(183.75)Transferred 4.75 from Medical Records Clerk to SchedulerValidated
Radiology Technician70.4070.50(0.10)0.10- 070.500.1035.003.50- 0
Registered Nurse2,032.002,461.75(429.75)429.75399.16(399.16)2,062.5930.5944.001,345.96- 0Transferred 104.91 from RN to LPN / 294.25 from RN to C.N.A.Validated
10,546.4011,265.59(719.19)719.19411.16411.16- 011,265.59719.1942,069.21(2,562.50)
Service Hour Repayment

_x000D_&1#&"Aptos"&10&K000000 IDOC Data Sensitivity Classification - L3 Restricted

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