ࡱ>  ibjbj 4 a %%%8]%Loooa4ko44h<6664X64664?ֻ%(5X.Brي<pz5|o%6* .3oooh6pooo4444ooooooooo : Brevard County Sheriffs Office Client Location and Contact: Brevard County Jail Complex 860 Camp Road Titusville, Florida 32790-4095Client contact: Sheriff J.R. Jack Parker (321) 264-5201 Contract date: July 1, 2005 1,700 inmatesScope of Services: Along with our comprehensive medical services program, we operate a recently opened 300-bed medical housing unit. We employ over 38 full-time professionals and support staff including permanent employees and contract staff. Armor assigns priority to improving our medical services here. Their personal touch and the commitment of the Medical Director assure me that there is a high standard for the quality of care. Communications are superior. Commander Susan Jeter Brevard County Sheriffs Office Milestones: Working closely with the Sheriffs Office staff, our medical services program now features new leadership who has assumed complete accountability for their performance. During the contract transition, major changes in the physical plant and inmate housing increased the scope and complexity of the program for our staff at the facilities. Leadership Development and Program Management We improved staff stability and morale by appointing new experienced leadership for our medical services program. Medical Providers In addition to appointing a highly experienced correctional physician as medical director, we have added a mid-level provider (physician assistant) to increase medical coverage through additional hours and flexible scheduling. Program Expansion Throughout the expansion, realignment, and construction of new inmate housing, we developed flexible staffing plans and installed procedures and equipment (including a golf cart) to accommodate the decentralized facilities. Accreditation Our program at Brevard County has been fully accredited by FMJ, and we have begun planning with the Sheriffs Office to secure NCCHC accreditation. Medical Housing Unit We recently organized and opened a special medical housing unit that has over 300 medical and behavioral health beds with improved facilities, equipment, and space. Telemedicine To increase available on-site services, we are currently implementing a telemedicine program that focuses on wound care. Dental Services We are reorganizing dental services, improving equipment, and expanding the availability of dental services on site. Broward County Sheriffs Office Client Location and Contact: Dept of Correction & Community Control 555 S.E. 1st Avenue Fort Lauderdale, Florida 33301Client contact: Lt. Colonel Rick Frey (954) 831-5924 Contract date: December 1, 2004 5,400 inmatesScope of Services: We provide our comprehensive health care services program to inmates in five separate jails and four satellite booking facilities. We manage on-site specialty clinics for HIV, womens health, orthopedics, and optometry, as well as a 109-bed infirmary. We provide a specialized mental health program along with the Sheriffs Offices staff featuring a wide array of behavioral services including individual therapy, psychopharmacology, and suicide prevention programs. We employ a staff of 275 full-time employees including permanent employees and contract staff. Armor has provided open discussions and follow-up that is action oriented and in the best interest of health care for inmates who have medical issues. Over the last several years, we were able to strengthen and create new public health programs in collaboration with Armor and the Broward Sheriffs Office. David L. Roach, Administrator Broward County Health Department Milestones: At Broward County Jails, a large urban jail system with diverse facilities and programs, we serve a rapidly growing urban community. With a jail system larger than many state systems, Broward Sheriffs Office must continuously address challenges created by this growth and the systems complexity. We have excelled at Broward because we dedicate expert senior management to the contract and have built a strong partnership with our client to meet their needs. Accreditation Since the contract began, we have maintained FMJ, FCAC, ACA, and NCCHC accreditation, which confirms that our medical, mental health, and dental services comply with these rigorous standards. Accelerated Start Up We successfully started program in less than 30 days. Recruitment and Staffing Initially Broward County Jails did not have the required number of full-time employees. We have since filled all of the positions, increased staffing levels, and reduced the number of vacancies (currently less than four percent). Health Department Programming With the support of the Sheriffs Office, we have accelerated integrating the jails program with the county health department, including HIV/STD testing. Inmates are now offered the Hepatitis A and B vaccine series at the time of their health appraisal. The health department follows up with the inmates upon their release. Acute Hospital Care We are currently looking into establishing a secure inpatient medical unit with North Broward Hospital District. Utilization We successfully reduced and maintained fewer emergency department visits. Infection Control Our MRSA surveillance and control program at Broward was featured at the national meetings held by ACA and NCCHC. Educational Affiliations We host fourth-year medical students from NOVA Southeastern University (NSU) College of Osteopathic Medicine for an elective rotation in correctional health care. Physicians credentialed as NSU associate clinical professors serve as preceptors. Additionally, we offer student internships through our affiliation with Florida Atlantic University for the Masters in Mental Health program. Escambia County Sheriffs Office Client Location and Contact: Escambia County Sheriffs Office 1700 W. Leonard Street Pensacola, Florida 32501Client contact: Commander Fred Alford (850) 436-9822 Contract date: October 1, 2006 1,900 inmatesScope of Services: Along with our comprehensive medical services program, we operate a 50-bed infirmary and employ more than 45 full-time employees including permanent employees and contract staff. Armor has mobilized an expert transition team of experienced professionals and installed management systems that assure quality care. As a result, the transition was seamless and was accomplished with no disruption of service. Former Sheriff Ron McNesby Escambia County, Florida  Milestones: In the first year of our contract, we achieved full NCCHC accreditation while working intensely to implement new training and compliance programs. Accreditation With the jails on probation as a result of an NCCHC survey completed before our contract, we made NCCHC compliance a high priority. We stationed a team of senior clinical specialists and program managers at the jails to prepare for the pending survey and were subsequently awarded full accreditation. We have also maintained FMJ accreditation. Contract Transition We completed the contract transition seamlessly and well within the clients timetable. Our transition team was comprised of senior clinical staff and operations specialists including corporate headquarters staff. Electronic Medical Record We are working with MedAppz, Inc. to install a comprehensive electronic medical records system. The design and specifications will soon be complete. Installation is scheduled before January 1, 2009. Mental Health We worked with the Sheriffs Office to activate a specialized discharge-planning network that incorporates the local community mental health agency into pre-release treatment programming, referral, and on-going treatment following release. We ensure continuity of care for inmates with chronic mental illness by coupling weekly meetings on site with continuous case management by community mental health providers. Staffing In this highly competitive nursing marketplace, we actively and continuously recruited local nurses to sharply reduce the number of agency nurses at the jails. Utilization Management We are maintaining off-site hospital and specialty costs well below budgeted levels and within our aggregate cap on off-site costs. We have also employed a hospital-based case manager to monitor hospital care. On-site Clinics and Chronic Care We have expanded the number and frequency of on-site specialty services and have more than doubled enrollment in inmate chronic care programs. Glades County Sheriffs Office Client Location and Contact: 1995 E St. Route 78 NW Moore Haven, Florida 33471Client contact: Sheriff Stuart Whiddon (863) 946-1600 Contract date: July 1, 2007 570 inmatesScope of Services: We provide our comprehensive medical services program to inmates housed at the new Glades County Jail in Moore Haven. We employ more than 18 professionals including permanent employees and contract staff. "At Glades, we are impressed by the way security staff and health service providers work together. It sets a standard for other jails where our inmates are housed. Weare pleased to see such teamwork." Immigration and Customs Enforcement SurveyorMilestones: We supported the Glades County Sheriffs Office (GCSO) during the final stages of planning the expanded jail and helped to implement administrative systems and health care services with GCSO staff before the opening. After several months with our health services administrator on site, the new jail opened and, within the first three months, expanded to serve even more inmates that expected. We are proud to be providing the first ever medical services in GCSOs brand new jail. Staffing Beginning from the first day, we fully staffed the program, and staff has been stable with no turnovers. We have also been able to attract an experienced nursing staff. Accreditation The jails first FMJ survey is planned for October 2008. Telemedicine We began several on-site services including telemedicine for wound care. Emergency Response Within our first year, we had to mobilize an emergency plan to absorb inmates evacuated from other Department of Corrections facilities due to regional fires. Our process worked as planned, without any problems. Revenue Recovery Inter-Governmental Billing We have worked closely with jail administrators to track utilization. At Glades, a new jail with contracts to house inmates in the custody of multiple governmental agencies, we help them to recover revenue by supplying documentation that supports inter-governmental billing. Revenue recovery is important to many of our clients but, because of the size of this jail and their level of contracting, recovering this revenue is critical to their financial feasibility. Pharmacy We implemented a local pharmacy agreement designed especially for this isolated, rural location to ensure reliable delivery and emergency responsiveness. This new arrangement has been essential for us to attain the operating standards we must maintain to support the Sheriffs Offices initiatives to contract housing to other agencies. Teamwork with Security We developed effective partnerships between our providers and the jails security staff by emphasizing that we support the jails public safety mission. As a result, we have an excellent collaboration between correctional officers and jail administration. Hillsborough County Sheriffs Office Client Location and Contact: Falkenburg Road Jail Medical Unit 520 N. Falkenburg Rd. Tampa, FL 33619 Client contact: Major Curtis Flowers (813) 247-8318 Contract date: October 1, 2005 4,100 inmatesScope of Services: We provide our comprehensive medical services program at two large facilities, each with over 2,000 inmates. The program features on-site clinics for womens health and orthopedics. We operate two 50-bed infirmaries for male and female inmates and employ more than 200 FTEs including permanent employees and contract staff. We have a really good relationship at the jails with Armor. They make my job easier because they put together a packet that really works. Our inmates agree that with Armors help, they get the assistance they need when released. Sarah Setser Hillsborough County Department of Health & Social ServicesMilestones: We recognize the Sheriff has made it a high priority to provide excellent medical services throughout this metropolitan correctional system. We have focused on open and continuous communication to establish and preserve a partnership dedicated to enhancing all aspects of the program. NCCHC Program of the Year 2007 (Discharge Planning) This national award was presented by Accreditation Surveyors. We worked together with the Sheriffs Office and local providers to install a program of pre-release medical discharge planning that addresses the chronic and continuing care needs inmates have upon release. Incorporating follow-up procedures and outcomes analysis, the program reduces jail recidivism and improves compliance with treatment plans. Inmate Grievance System We have significantly reduced the number of grievances and shortened the time needed to resolve and report grievances by appointing a grievance coordinator and installing a centralized procedure for receiving and processing complaints. Accreditation The medical services program has maintained its FMJ, ACA, and NCCHC accreditation even while we implemented substantial organizational changes to improve performance. Medical Teams Assigned to Pods We have implemented pod-specific medical programming to help coordinate custody and health care for each housing unit. On-site Clinics We have expanded on-site specialty services by organizing multiple clinics, such as orthopedic and obstetrics clinics, at the jails. Community Partners We continue to support the Sheriffs Office in integrating jail and community programs by working closely with Hillsborough County Department of Human Services and community mental health centers to provide joint programs at the jails. Educational Affiliations We partner with the University of South Florida to support their forensic medicine program by hosting a psychiatric fellowship program at the jail. We are developing an agreement that will include a faculty appointment for Armors Medical Director and allow the Universitys residents and students to participate in the program. Martin County Sheriffs Office Client Location and Contact: Martin County Sheriffs Office 800 Monterey Rd Stuart, Florida 34994Client contact: Sheriff Robert Crowder (772) 220-7000 Contract date: November 1, 2005 600 inmatesScope of Services: Along with our comprehensive medical services program, we operate a medical housing unit and employ more than 18 professionals and support staff including permanent employees and contractors. The priority attention that Armor has given to our compliance with national accreditation standards and to stabilizing our staff has resulted in a stronger sense of professionalism. As a physician at the jail prior to the Armor contract, I have seen a greater commitment to correctional health care here in Martin County. Don Scheurer, MD Armor Medical DirectorMilestones: With the jails rapidly growing inmate population and need for expanded and improved services, we have provided our client with comprehensive corporate resources. We have worked closely with the Sheriffs Office to increase productivity and coverage as the jails inmate population rose by 20 percent. As a result, we have remained within the initial contract terms without increases to date. Accreditation Within one month of starting the contract, we successfully completed an FMJ accreditation survey. We also completed NCCHC accreditation with commendation during the summary conference and, during the first year of operation, supported the Sheriffs Office in an audit by the FCAC. Permanent Staffing We are generally fully staffed and have no vacancies. We have sharply reduced the jails use of agency staffing and do not employ temporary staff in a location that was previously staffed mainly by agencies. Organization of Mental Health Services We seamlessly maintained mental health services after the subcontracted provider abruptly terminated its services. This change, along with consolidating the psychotropic medication supplier, has stabilized the mental health program and improved overall service. We have increased productivity and psychiatric provider hours without increasing costs. Community Coordination With our support, the health department is now on site testing inmates for HIV and RPR. Disaster Plans Our staff participated in disaster planning with the Sheriffs Office and successfully completed the jails first-ever unannounced mock disaster drill. The drill included filming and post-drill analysis, which was also used to prepare for NCCHC accreditation. Palm Beach County Sheriffs Office Client Location and Contact: Palm Beach County Sheriffs Office 3228 Gun Club Road West Palm Beach, Florida 33406-3001 Client contact: Sheriff Ric Bradshaw (561) 688-3021 Contract date: May 1, 2006 2,900 inmatesScope of Services: We provide our comprehensive medical services program at three facilities and operate on-site specialty clinics for orthopedics and chronic care, two infirmaries, and two medical housing units. We employ over 115 professionals with both permanent employees and contract staff. I became an Armor staff member from our previous contractor. Since then, Armor's supportive management grouphas made me feel like I am part of the family. They encourage all employees tospread theirwings and fly. I plan on "soaring" with Armor Correctional Health Services for a long, long time. Vicky Brackin Armor HSAMilestones: Armor has partnered successfully with the Sheriffs Office to implement new programs, increase accessibility to on-site care, and expedite critical treatment timeframes. We are implementing innovative approaches to staff development to enhance retention of our health providers. Innovative approaches to inmate health education have improved inmate satisfaction with healthcare services. Accreditation Within 30 days of starting up the program, we mobilized staff to pass the FMJ survey. We also supported the Sheriffs Office in an audit by the FCAC within weeks of beginning the program. In May 2008 we successfully completed the NCCHC survey with a recommendation for full accreditation. Our ACA survey is scheduled for September 2009. Intake and Medical Screening By condensing the intake screening process and training technicians in immediate screening procedures, we met the Sheriffs Office goal of expediting inmate histories and physicals. We performed this work while installing a new history and physical system with new forms, adjusted staffing, and revised reporting. Mental Health For this program, where we coordinate care with a separately contracted mental health provider, we organized new mental health staffing under a comprehensive provider to significantly improve the programs responsiveness and fully integrate mental health care. Discharge Planning Working with the Sheriffs Office and community-based providers, we linked dedicated staff and providers to support follow-up upon release for Palm Beach County. We also appointed a full-time discharge planner to work with community organizations to provide follow-up with inmates upon release. Reception Unit We have assigned a special team to support the inmate reception process. Medical services are based in the new unit. Annual Skills Fair To focus our staff on specialized skills related to their work, we sponsored a special event featuring staff development and educational opportunities (e.g., equipment, pharmacy, etc). Sarasota County Sheriffs Office Client Location and Contact: Sarasota County Jail 2020 Main Street Sarasota, Florida 34327Client contact: Major Kurt Hoffman (941) 861-4059 Contract date: October 1, 2007 1,100 inmatesScope of Services: We provide our comprehensive medical services program to inmates housed at the Sarasota County Jail, where our on-site specialties include optometry and orthopedics. We employ over 30 professionals with both permanent employees and contract staff. We have worked with Armor Correctional Services for some time. They respond to all requests in a timely manner. When we bring items or cost questions to their managements attention, they respond quickly. Their level of services are equal to or better than the previous vendor. On-site services have helped keep our overtime cost down. We are well served and very pleased. Frank Carroll Sarasota Contract MonitorMilestones: In this very competitive marketplace, we achieved a very smooth start-up without any service interruptions. Accreditation We are in the process of completing the requirements for the NCCHC survey in August. We plan to maintain FMJ and FCAC accreditation. Staffing In this highly competitive nursing marketplace, we actively and continuously recruited local nurses to sharply reduce the number of agency nurses at the jail. Overall, have achieved full staffing. Utilization Management We have reduced emergency department visits, hospital admissions, and ambulance transports, and trends indicate a 50 percent reduction in hospital days. We have negotiated favorable terms with the community hospital and strengthened the jails partnership with the hospital to contain costs. Educational Affiliations We are currently developing a partnership with a college of osteopathic medicine to host students who will work with the colleges medical faculty at the jail. Contract Monitor We have supported the Sheriffs initiatives to increase accountability by working with their first full-time, on-site contract monitor. Florida Police and Fire Games We participated as a corporate sponsor of these statewide athletic competitions hosted by the Sarasota Sheriffs Office in June 2008. We were pleased to play a small part in helping our client as they assume a leadership role among other Florida criminal justice and public safety agencies. St. Johns County Sheriffs Office Client Location and Contact: St. Johns County Sheriffs Office 4015 Lewis Speedway St. Augustine, Florida 32084Client contact: Mark E. Simpson (904) 810-3682 Contract date: November 15, 2007 550 inmatesScope of Services: We provide our comprehensive medical services to inmates housed at the St. Johns County Jail. In July 2008, we were moved into the new infirmary that will function as the medical clinic and office area while the jail is remodeled. After the remodeling, we will operate a new medical unit and 10 bed infirmary. We employ over 17 providers and professionals, many of whom were retained as we assumed management. "Changing health care contractors was a good decision. Armor focused on a smooth transition in order to maintain continuity and employment of key staff. The company did a great job. Armor also acted immediately to addressour concerns. Today the program is steadily improving thanks to our relationshipwith Armor." Mark Simpson MBA, CPFO St. Johns County Sheriff's OfficeMilestones: As the Sheriffs Office upgrades the medical unit, we are implementing guidelines and agreements to lower off-site utilization, including improved working relationships with area hospitals. Accreditation As part of our compliance plan, we expect to maintain FCAC, FMJ, and NCCHC accreditation. Contract Transition At the Sheriff's request, we accepted the challenge to improve customer service and access to inmate health care at St. Johns when we assumed this contract for inmate health services from another provider. We executed a seamless contract transition while increasing corporate support for the local staff and containing off-site medical costs. Staff Retention Through our staff recruitment and retention strategy, we retained all key staff by announcing the contract change in a timely and effective manner, thoroughly orienting existing staff, and assigning key corporate staff on site prior to and during the contract conversion process. Utilization Management To implement our approach to utilization management, we have established direct relationships with the University of Florida Health Science Center, Shands Jacksonville, which the jail uses to provide specialty outpatient, emergency, and inpatient care, when needed. Medical Providers While staying within the established inmate health care budget, we increased medical provider coverage by adding a nurse practitioner and scheduling on-site medical services for specific cases. Pharmacy We continued the Sheriff's Offices preferred pharmacy contract to ensure continuous client satisfaction with pharmacy services.     Attachment E: Contract Profiles Armor Correctional Health Services, Inc. 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