Specifications include, but are not limited to: The contractor shall provide a physician licensed to provide medical care in the State of Tennessee. The service provider shall be responsible for designing and implementing a medical protocol that thoroughly meets the needs of the Roane County Jail. The service provider shall be responsible for the operation of the medical unit in a manner consistent with the standards set forth by the Tennessee Corrections Institute (TCI). Services shall include, but not limited to, provision of healthcare and associated radiological and laboratory services, dental, and appropriate referrals for hospital care or emergency care. The provider is to dispense medications when on site, and specialty medical care. The service provider must be able to monitor a healthcare quality assurance program and provide recommendations to jail management. The service provider shall assure that there is 24 hours per day, 7 days a week healthcare coverage. If service is not provided in the 24-hour service period, the service provided will credit the Sheriff’s Department’s account $180 per hour for each hour that is not covered. Physician’s services shall be present at the Roane County Jail a minimum of one day a week either in person or electronically with sufficient time to ensure the inmates’ healthcare needs are met. The service provider shall work with the Roane County Jail management team to establish a set of Standard Operating Procedures (SOP) to ensure proper medical protocols are maintained to include, but not be limited to, the following: Receiving/screening of inmates and physical examination completed within 14 days of inmate’s admittance to the jail. Procedures for inmates to access healthcare services through sick call and daily triage. Medical and mental health care appraisals. Procedures on establishment, implementation, and review of medical records. Procedures and/or protocol for the handling and distribution of pharmaceuticals. Procedures for the follow-up and review of hospital admissions. Review/make referrals or recommendations for the care or treatment of contagious disease exposure cases involving inmates and/or jail staff and to develop and implement an Infectious Disease Control Plan. Review of referrals for specialty diagnostics and medical procedures. Roane County desires that the service provider establish a rapport with and assist the administration through the service provider’s expertise in providing the most effective ancillary services, support services and emergency services.
