The Proposer shall provide all personnel, supervision, supplies, equipment, and pay all medical expenses necessary to provide a program for the provision of comprehensive healthcare services for Lake County Adult Corrections. The program shall meet constitutional and community standards of healthcare and, at a minimum, meet the standards of the National Commission on Correction Heath Care (NCCHC), the American Correction Association (ACA), and county jail standards as defined by the Illinois Department of Corrections. The Medical Department includes a dental examination room, medical/physical examination room, and nurses’ station. There are twelve beds in the Lake County Correctional Medical Observation Unit, which is divided into three sections. On average, there are between three (3) to six (6) inmates being housed in the Medical Unit. Conditions that qualify an inmate to be housed in the medical pod include, but are not limited to, post-operative, uncontrolled diabetes, neurological deficit, complicated drug/alcohol withdrawal, complicated would care, medical isolation, mental illness that requires close observation, and anyone that needs assistance with activities of daily living. Currently,17% of the inmate population at LCJ are taking psychotropic medications and around 46% are taking some type of prescription medication. 1. Medical Services A. Inmate Health Screening (Intake Screening) Medical staff completes a Medical and Mental Health Intake Assessment on all inmates in booking within four (4) hours of their arrival at the jail in accordance with the current NCCHC standards. The Proposer must provide a written report on all screenings received, such as referral for appropriate healthcare services, placement into medical segregation with referral to appropriate Healthcare services, or concurrence with placement into the general population. For any health screenings not completed in the established timeframe, the Proposer must provide a written report documenting the reason for delay. The total amount of intake screenings that occurred in 2024 was 4,672. B. Health Appraisal A health appraisal examination must be completed by qualified medical staff for each inmate within fourteen (14) days after arrival at the jail. These appraisals are currently being done by a registered nurse (RN). In 2024, the total amount of initial fourteen (14) day health assessments completed was 1,332. The written Medical History, Physical Assessment, Mental Health Screening and Evaluation must include the following: 1. Review of the intake screening 2. Complete history and physical examination 3. Mental health initial evaluation 4. Dental Screening 5. Vision and hearing screening 6. Laboratory tests as required 7. Other tests and examinations required and indicated C. Annual Health Assessment The Proposer shall conduct annual physicals on all adult inmates that have been incarcerated at the facility for over one (1) year as required by NCCHC standards. In 2024, a total of 104 annual health assessments were completed. D. Daily Triaging of Medical Care Requests Requests for medical care from inmates must be processed daily and/or within twenty-four (24) hours of receipt. Medical staff shall act upon all inmate medical requests with referrals to qualified medical personnel as required. The responsible physician or RN shall determine the appropriate triage mechanism to be utilized for specific categories of requests and schedule a visit with the appropriate service provider within seventy-two (72) hours, excluding weekends or holidays. E. Sick Call Sick calls shall be held in accordance with NCCHC standards. This is currently done seven (7) days/per week. In 2024, the total amount of sick call referrals was 3,302.
