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Department of Corrections Office of Health Services Contract Monitoring Report, FL, Jefferson Correctional Institution January through March 2019, 2019

Document text
Contract Monitoring Report
Jefferson CI
April 2019
Page 3
Department of Corrections
Office of Health Services
Contract Monitoring Report
Date of Report: May 8, 2019
Period Reviewed: January 1, 2019 through March 31, 2019
Institution: Jefferson Correctional Institution
Contractor: Centurion of Florida, LLC Contract Number: C2930
Report Number A1-04/19 Admin., Nursing, Medical, Pharmacy
Monitoring Type:
Annual Performance Outcomes, Measures, and Standards
Monitoring
Semi-Annual Performance Outcomes, Measures, and Standards
Monitoring
Ad Hoc Monitoring
Monitoring Dates: April 23-25, 2019
Monitoring Team Members
Monica Crutchfield Team Leader
Joanne Richburg, RN Clinical Nursing Monitor
Ryan Wiggan, RN Clinical Nursing Monitor
Michelle Kimutis, PharmD Clinical Pharmacy Monitor
Background:
The Department conducted contract monitoring in accordance with criteria outlined in the Office of Health Services Monitoring Plan. This monitoring included the following components:
X desk review of records related to service delivery (including documents and databases)
X on-site review of records maintained by the Contractor
X interviews with Contractor and/or Department staff
X review of grievances filed by inmates regarding Contractor’s service delivery
____ review of monitoring, audits, investigations, reviews, evaluations, or other actions by external agencies (e.g., Correctional Medical Authority, American Correctional Association and/or National Commission on Correctional Health Care, Department of Health, etc.).
____ Other (explain: ___________________________________________________
________________________________________________________________
________________________________________________________________
The monitoring was conducted utilizing random sampling methodology and a standard instrument that was adopted specifically for this contract.
Summary of Findings:
During the monitoring review, the team identified the following findings.
Performance Measures
A total of 76 performance measures were applicable for this monitoring review. We found that 3 performance measures reviewed did not meet the required standard in the contract. See attachment A for a detailed list of these 3 measures. A list of all 76 measures reviewed is provided in attachment B.
Required Contractor Corrective Action:
In accordance with the Contract Monitoring Plan, the Corrective Action Plan (CAP) should be submitted 10 days following the receipt of the final monitoring report.
The CAP closure is expected within 90 calendar days from the date-of-receipt of a written monitoring report. For all other Corrective Action Plan requirements, see Section II., W. of the contract.
A CAP folder should be maintained at the institution to track progress and keep closure records. Supporting documentation of training should include: training attendance sign-in sheets, name of the trainer, documents used for the training, and any documentation from medical records to document that the training corrected the issue or finding.
Failure to cure findings in accordance with timelines outlined in the approved CAP, not to exceed 90 days from the date of issuance, will be handled in accordance with PM-003.
Laura Carter
Contract Manager

