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COUNTY of KANEPURCHASING DEPARTMENTKANE COUNTY GOVERNMENT CENTER719 S. Batavia Ave., Bldg. A, 2nd FloorGeneva, Illinois 60134Telephone: (630)232-5929Fax: (630) 208-5107Theresa Dobersztyn, C.P.M., CPPBDirector of PurchasingSeptember 1, 2017ADDENDUM 2RFP No. & Title:42-017 INMATE MEDICAL SERVICESThe attention of bidders is called to the following changes, clarifications and/or additions/deletionsto the original bid document and they shall be taken into account in preparing the proposal and shallbe part of the contract.CLARIFICATIONS1.Terms & Conditions – Page 11, section G. Litigation says “Contractors are required to discloseif they have been a party to any lawsuits or arbitration proceedings involving their serviceswithin the last five (5) years. Provide status or outcome of any such proceedingsdisclosed.” However, SOW – Page 14 says “Respondents are to provide a complete list of alllawsuits over the past 18 months. Provide information stating where and what the suitwas for, as well as the specific outcome.” Please clarify whether the County isrequesting litigation history for the past 5 years or the past 18 months.A.Past 5 years, to be included with the proposal response.2.SOW – Page 13, section K: How many references is the County requesting?A.A minimum of 3 references.3.SOW – Page 13, section L says “all proposals should contain the following tabs in the formatdescribed below,” then outlines tabs 1-4. Section 2 contains a bulleted list for what shouldappear in tab 2. The first bullet calls for Project Overview and Scope of Services ReferencingSections A-N.Further, section L.2 says that tab 2 should follow the scope of services from sections A-N.However, section L.2 is part of section L, which is part of sections A-N. Also, several sectionsin A-N appear to not require a response as they do not pertain to the scope of services (e.g.,section J. Miscellaneous, section L. Proposal Instructions and Requirements, section M.Alternate Proposals, and section N. Criteria for Selection).

Question: Should tab 2 follow the order of the bulleted list from section L.2, rather than theorder of sections A-N, and merely reference the specific requirements from sections A-N thatpertain to the topics from the bulleted list? Please clarify the required format/order forproposals.A.The proposal specifications, requirements, and instructions are for submittal guidelinespurpose. Vendors shall reference them in preparation of their proposal response andformat their response covering all pertinent information of all sections as specified.4.SOW – Page 13, section L.1. Background & Summary: Please provide detailed requirementsfor the contents of this section.A.A pertinent information and an insight or a short narrative about Vendor (i.e.,management structure, capability, successful operation and others).5.SOW – Page 14, section L.3, 2nd bullet says “Contractors shall reference substantiationinformation to support Program Cost Proposal.” Please clarify the type of information to beprovided in this section.A.A complete detailed breakdown of program costs to support Vendor’s proposed costs todeliver the specified services.6.SOW – Page 14, section L.4. Additional Information: Please clarify what is to be included for“Proposal Security.”“Proposal Security” does not apply to RFP 42-017.A.7.SOW – Page 15, section N.1: The selection criteria does not seem to pertain to Cost. Pleaseclarify.A.The criteria specified or used for consideration and selection of a successful Contractorshall be the sole judgement of the County and the Kane County Sheriff’s Office. Proposedcost shall be based on specifications and requirements.8.SOW – Page 16, Criminal Background History Checks says “Contractors acknowledge” thisinformation. Since this is not a signature form, do Contractors need to do anything toacknowledge this information, or is acknowledgement implied by the return of the RFP withour proposal (as required by Proposal Response Form Page 1)?Acknowledgment is implied by returning a response to the RFP.A.9.SOW – Page 17, section 4: What is the projected award date and transition timeline (e.g., 30days) for this contract?A.An award date is not available at this time.

10.The RFP Submittal Check List page says “Please list additional pertinent information.” Pleaseclarify what type of information is to be provided.Pertinent information is for you to determine if there is anything else, you want us toconsider.A.11.Proposal Response Form Page 3, Additional Coverage: Please clarify the specifications foradditional RN, LPN, and EMT coverage.The RFP listed hours for staffing. In your proposal if you feel additional coverage is needthen submit with additional coverage.A.12.A.Is the Facility currently under a decree?a.If so, please provide details.No.13.A.Please provide Average Daily Population (ADP) numbers for the past three (3) years.FY15 523, FY16 486, and FY17 50614.A.What is the breakdown of the population by men and women?FY15: Male 83.5% and Female 16.5%. FY16: Male 84.5% and Female 15.5%.FY17: Male 83.5% and Female 16.5%15.Please provide a breakdown of the inmate/detainee population included in the overallpopulation figures, as follows:a.b.c.d.e.f.16.County – 98%State DOC – 0%ICE – 0%U.S. Marshals Service – 0%Work Release – Ranges from 0 to 3 detaineesOther – 0%Staffing:a. Please provide the current staffing and salary information (Exhibits B and C of the currentcontract).A.Staffing is listed in the RFP and Wexford Health maintains the salaries.b. Please provide salaries/pay rates of current staff (i.e., RN, LPN, Mid-level Practitioner, mentalhealth staff, etc.). A. Wexford Health maintained these records.c. What are the current evening, night, and weekend shift differentials? A. Unknown,Wexford Health maintained these records.d. Are there currently any unfilled positions? A. No.If so, please identify the position and length of time unfilled.e. Are any of the medical staff unionized? A. No.If so, please provide the appropriate bargaining agreements.f. Will the County consider utilizing midlevel personnel as a substitute for somephysician/psychiatry hours? A. The County is open to alternatives.

.d.A.Mental Health Services:What mental health services are currently provided on site at the Facility?A. Numerous and wide scope.What types of groups are currently provided? Please indicate the number of times per weekeach group is provided. A. Currently Mental Health is doing music therapy. Two groupsper week.What are the number and location of suicide watch cells? A. Intake/Release and F-Pod.How many inmates are currently receiving mental health services? A. See Attachment.Please identify the hospital used for mental health inpatient referrals. A. Elgin MentalHealth.Mental Health Statistics: Please provide the following information:Number of inmates on psychotropic medications per month. A. See Attachment.Number of attempted suicides in the past two (2) years. A. 5.Number of completed suicides in the past two (2) years. A. 2.Number of mental health grievances per month. A. Unknown. Grievances for mentalhealth and medical are combined.Number of episodes of seclusions per month. A. Unknown.Number of episodes of restraint per month. A. The number of restraints very from monthto month. On average 1 to 3.Number of episodes of suicide watch per month. A. See Attachment.Number of psychiatric hospitalizations in the past two (2) years. A. Unknown.Number of psychiatric inpatient hospital days in the past two (2) years. A. Unknown.Total cost of psychiatric inpatient hospitalizations for each of the past two (2) years.Kane County is billed a flat fee per month, information is not available.Number of Psychiatrist visits per month. A. See Attachment.Number of Mental Health Professional visits per month. A. See Attachment.Please identify the following current providers:PharmacyLaboratoryMobile X-Ray ServicesAmbulance Service(s)Wexford Health is the provider for the above services.20.Equipment:a. Please provide a list of all medical and dental equipment that will be available to the newContractor, including the model, age, and condition. A. See Attachment.21.A.What is the Facility’s policy regarding the cost of care for pre-existing conditions?If a detainee has a condition that would require treatment while in custody medical wouldtreat the individual.22.A.Will the County consider the use of telemedicine services?Yes, if it meets the medical needs of the facility.

23.A.What telemedicine services are currently provided?None.24.A.Are X-ray services provided using on-site equipment or through a mobile X-ray provider?Mobile X-Ray.25.Please identify and provide contact information for the following individuals:a. Medical Directorb. Psychiatristc. DentistA.Above individuals are Wexford Health employees.26.A.Please identify the local hospital(s) utilized for emergencies and inpatient stays.Northwestern Medicine Delnor Hospital.27.A.Please provide a list of currently utilized off-site specialty providers and outpatient providers.Current provider maintain these records.28.Are there currently any specialty clinics being conducted on site? If so please identify:a. Provider name and contact informationb. Frequency of clinicA.No.29.Dialysis:a.b.c.d.e.30.During the past two (2) years, how many inmates required dialysis? A. See Attachment.How many inmates are currently dialysis patients? A. 1.Are dialysis services provided on site or off site? A. Off-site.Please identify the on-site and/or off-site dialysis provider. A. Tri-City dialysis.How much has been spent annually on dialysis over the past two (2) years? A. Unknown.Intakes:a. How many intakes are conducted on average per day or per month? A. 515 average permonth.b. SOW – Page 2, section 2.B. New Arrivals: Is the HIV testing at intake at no fee to theContractor or just at no charge to the inmate? A. No charge to the inmate.c. Does the current contract require pre-screening or a complete medical intake screeningwithin one hour of arrival? A. Pre-Screen.i. If requiring a complete medical intake screening within one hour, does this allowenough time for the booking process to be completed prior?A. Complete medical screening does not have to be completed within one hour.

31.Medication Administration:a.b.c.d.A.How many med passes are conducted daily? A. 3 or as needed.Which discipline(s) conducts med passes (e.g., CMT, LPN, RN, etc.)? A. LPN or RN.How many med carts are utilized per med pass? A. 2.How long does the average med pass take to complete?Unknown. Med pass varies per nurse.32.A.Is there a Keep-on-Person (KOP) policy at the Facility?Yes.33.A.What is the Facility’s policy on providing medication to inmates upon discharge?3 day supply unless going to treatment. Detainee going to treatment – 28 day supply.Detainees that are HIV or with Aids or Hep C – 30 day supply.34.A.Will the current policy of providing a 30-day supply of meds for Hep C and HIV continue?Yes.35.Pharmacy Statistics: Please provide the following information for the past two (2) years:a. Number of inmates on HIV/AIDS medication(s) per monthb. Number of inmates on Hepatitis medication(s) per monthc. Number of inmates with diabetesA.See Attachment.36.On-site Service Statistics: Please provide statistical data for the past three (3) years regardingon-site services, including but not limited to:a.b.c.d.e.Nurse Sick Call, Mid-level Sick Call, Physician Sick CallInmate physicalsNumber of inmates evaluated by the psychiatric providerNumber of chronic care visits by typeNumber of on-site clinic visits by type (e.g., OB/GYN, orthopedics, ophthalmology,cardiology, etc.)f. Labsg. X-raysh. Telemedicine encounters by specialtyA.See Attachment.