Office of the Corrections Trustee, 800 K Street, NW, Suite 450, Washington, DC 20001

B -- REVIEW OF HEALTH SERVICES OPERATIONS SOL 98-8-1 POC H. Vic Loy, Program Manager 202-305-9611 REVIEW OF HEALTH SERVICES OPERATIONS On behalf of the Corrections Trustee, the Special Officer for the U.S. District Court for the District of Columbia, the Court appointed Receiver for Medical and Mental Health Services at the D.C. Jail, and the parties in Campbell v. McGruder/Inmates of D.C. Jail v. Jackson, a proposal for consulting services to review the Receivership's proposed fiscal year 1999 budget is being solicited. A description of the desired scope of work is attached. Interested vendors should submit within thirty days a proposal which includes the scope of services, an implementation plan, the expected cost of the review and the curricula vitae of the individual(s) who would conduct the review and/or any proposed subcontractor(s). Evaluation factors will be Cost, Prior Experience in Correctional Health Care, Proposed team, timeliness and Final Product Value. SCOPE OF WORK FOR CONSULTANT'S REVIEW The parties, the Special Officer of the Court, the Office of the Medical Receiver and the Corrections Trustee agree to hire a consultant(s). PHASE ONE I. Purpose a) The Consultant shall review, assess and make recommendations, as more fully described below, regarding the expenditures contained in the Receivership's FY 99 budget, which contains a reduction of 11% to 15% from its FY 98 budget. The consultant shall also review and assess the proposed FY 99 reductions and comment on any potential impact that these reductions will have on quality of services. II. Goal The consultant shall review all elements of the Receiver's operation with the goal of ensuring that the medical and mental health services, including dental and pharmaceutical operations, meet required community standards for incarcerated persons at the lowest, responsible cost irrespective of any judicial requirements which were imposed on the District of Columbia prior to the Receivership. In making recommendations, the consultant shall consider the prevalence of serious diseases among prisoners and the resources and services available in the community and elsewhere in the Department of Corrections. Relevant constitutionally required minimum standards of care, and the history and requirements of the litigation that currently control the receivership, shall be referenced, where appropriate, in the consultant's(s) review and assessment, but neither shall control nor limit the consultant(s) recommendations. III. Requirements A. The consultant's review shall not be limited to a paper audit but will include sufficient on-site review to ensure an informed assessment. B. The consultant shall describe and compare the medical and mental health programs of two other large urban jails run by local jurisdictions. C. Any recommended changes to the proposed budget must include: 1. the rationale for the change; 2. the method(s) to make the recommended change; 3. the expected cost saving in the year implemented, and in subsequent years; 4. the advantages and disadvantages; 5. the risks, including medical and liability risks; and, 6. any other relevant factors associated with the recommendation, including but not limited to recommendations to maintain or delete any service, requirement, supply or cost which exceeds community standards. IV. Specific Subject Matter Areas The consultant's review shall include but not be limited to addressing the following areas: 1. The choice of the particular discipline used to perform each function, such as sick call, chronic disease clinic, intake examinations, etc.; 2. The deployment plan, i.e., staffing on each shift for each discipline; 3. The salary level of each discipline; 4. The supervisory structure within each discipline; 5. The use of all other resources including building space, medical equipment, supplies, and new medical technology within each discipline; 6. The projected use of per diem and overtime costs, particularly with regard to nursing coverage; 7. The prevalence of disease states, particularly infectious disease, among the current population at the D.C. Jail and its effect, if any, on program requirements and staffing levels; and, 8. All the costs attributed solely to the general medical intake function currently performed for convicted inmates in the custody of the Department of Corrections, separate and apart from the general medical intake function performed for the pretrial detainees. PHASE TWO The consultant shall review any draft request for proposal to solicit bids from all interested private and public entities who wish to assume contractual responsibility for medical and mental health services to ensure that it is a complete statement of all work that needs to be done and that it meets the goal set forth above in paragraph II. The consultant shall provide a detailed breakdown of all the estimated costs of the various components of the statement of work contained in the draft request for proposal to solicit bids. Posted 08/06/98 (W-SN233817). (0218)

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