amendment of solicitation / modification of contract dcfl-2011-r-1001 1...

AMENDMENT OF SOLICITATION / MODIFICATION OF CONTRACT

1. Solicitation Number Page of Pages

DCFL-2011-R-1001 1 12 2. Amendment/Modification Number 3. Effective Date 4. Requisition/Purchase Request No. 5. Solicitation Caption A0001

December 17, 2010

Comprehensive Health Care Services for the DOC

6. Issued by: 7. Administered by (If other than line 6) Office of Contracting and Procurement Financial Legal and Consulting Commodity Group 441 4th Street, NW, Suite 700 South Washington, DC 20001

Office of Contracting and Procurement Financial Legal and Consulting Commodity Group 441 4th Street, NW, Suite 700 South Washington, DC 20001

8. Name and Address of Contractor (No. street, city, county, state and zip code) Potential Offerors

X

9A. Amendment of Solicitation No. DCFL-2011-R-1001

9B. Dated (See Item 11) November 9, 2010

10A. Modification of Contract/Order No.

10B. Dated (See Item 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in item 14. The hour and date specified for receipt of Offers is extended. is not extended. Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods: (a) By completing Items 8 and 15, and returning ______7____ copies of the amendment: (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) BY separate letter or fax which includes a reference to the solicitation and amendment number. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such may be made by letter or fax, provided each letter or telegram makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified. 12. Accounting and Appropriation Data (If Required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS, IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14

A. This change order is issued pursuant to (Specify Authority): The changes set forth in Item 14 are made in the contract/order no. in item 10A.

B. The above numbered contract/order is modified to reflect the administrative changes (such as changes in paying office, appropriation data etc.) set forth in item 14, pursuant to the authority of 27 DCMR, Chapter 36, Section 3601.2.

C. This supplemental agreement is entered into pursuant to authority of:

D. Other (Specify type of modification and authority)

E. IMPORTANT: Contractor is not is required to sign this document and return ____7_____ copies to the issuing office. 14. Description of Amendment/Modification (Organized by UCF Section headings, including solicitation/contract subject matter where feasible.)

1. Solicitation DCFL-2011-R-1001 is hereby modified as described on pages 2 – 12 and Attachments A through H that follows.

2 The Solicitation No. DCFL-2011-R-1001 for Comprehensive Health Care Services for the DOC is hereby extended to Wednesday, January 5, 2011. The time remains the same 2:00 p.m. (EST), Eastern Slandered Time.

Except as provided herein, all terms and conditions of the document is referenced in Item 9A or 10A remain unchanged and in full force and effect. 15A. Name and Title of Signer (Type or print) 16A. Name of Contracting Officer

Kenneth D. Hayslette

15B. Name of Contractor

(Signature of person authorized to sign)

15C. Date Signed 16B. District of Columbia

(Signature of Contracting Officer)

16C. Date Signed December 17, 2010

SOLICITATION: DCFL-2011-R-1001 AMENDMENT: A0001 of 12

Item No. 1, Section A, Block 9 Delete: December 23, 2010 Insert: January 5, 2011 Item No. 2, Header on all pages Delete: DCDFL-2011-R-1001 Insert: DCFL-2011-R-1001 Item No. 3, Section C.3 DEFINITIONS Delete: In its entirety Insert:

C.3 DEFINITIONS

C.3.1 “ACA: shall mean the American Correctional Association. C.3.2 “AMA” shall mean the American Medical Association. C.3.3 "Business Day” shall mean any day on which offices of the government of the District

of Columbia is open for business. C.3.4 “CCA” shall mean the Corrections Corporation of America. C.3.5 “CDF” shall mean the Central Detention Facility. C.3.6 “COCHC” shall mean Community Oriented Correctional Health Care C.3.7 Comprehensive Health Care Services: refers to a system of medically necessary health

services that includes preventative and therapeutic services that provide for the physical and mental well-being of a population. Health care services required by Inmates is delivered both inside and outside CDF and CTF, including primary and specialty physician and other health professional services, hospital services (inpatient and outpatient), nursing, and pharmaceutical dispensing, laboratory and diagnostics, and other ancillary services.

C.3.8 “Courthouse Releases” inmates released directly from the court. On-site discharge planning is provided including medications, from 1-5pm, Monday- Friday, excluding Federal holidays.(Superior Court, 500 Indiana Ave, NW).

C.3.9 “CTF” shall mean the Correctional Treatment Facility C.3.10 “DOC” shall mean the District of Columbia Department of Corrections. C.3.11 “FBOP” shall mean Federal Bureau of Prisons. C.3.12 “FTE” shall mean Full Time Equivalent personnel, stated in terms of individuals

working a regularly scheduled 40-hour week, or 2,080 hours worked per annum. C.3.11 “HWH” shall mean the contractually operated “Halfway House” Bedspace. C.3.12 “JCAHO” shall mean the Joint Commission on Accreditation of Healthcare

Organizations. C.3.13 “Lock-Down” or “segregation” is the confinement of an inmate to a housing unit

separated from the general population. There are three forms of segregation: 1) administrative segregation, 2) disciplinary detention, and 3) protective custody.

C.3.14 “MHU” Medical Holding Unit, located on the grounds of DC General Campus (1900 Massachusetts Ave, S.E.) is the DOC location for processing releases transported from the courthouses after 5pm, Monday – Friday, excluding Federal holidays.

C.3.15 “NCCHC” shall mean the National Commission on Correctional Health Care.


C.3.16 “PPD” shall mean the Purified Protein Derivative/Mantoux skin test used to screen for tuberculosis.

C.3.17 “R&D” shall mean the Receiving and Discharge area or the Receiving and Discharge process for the Central Detention Facility.

C.3.18 “Sick Call” shall mean non-emergency care rendered to Inmates. C.3.18 “Sick Call Medical Provider” shall mean a Physician, Nurse Practitioner, or Physicians

Assistant.

Item No. 4, Section C.4 BACKGROUND Insert:

C.4.2.1 The Contractor is responsible for providing on-site and off-site medical services to the United States Marshals Service (USMS) “Greenbelt” inmates currently processed for intake at the CDF and housed at CTF under the CCA contract with the District. The USMS inmate ADP is 150-160. These inmates are not included in the reported ADP for DOC. The DOC will provide the USMS “Greenbelt” inmate census, to the contractor on a daily basis.

C.4.2.2 Since USMS inmates are Federal inmates under the contract, when referring these inmates for off-site services the consult is submitted to DOC’s federal billing office, for confirmation of the federal status. If so, the appropriate federal agency must pre-approve the outside services before the inmate can be scheduled, and if approval is received, with the exception of emergencies, (approval is sought subsequently) the contractor then schedules the inmate for the off-site appointment. The costs for all approved off-site services are paid directly by the appropriate federal agency to the provider.

Item No. 5, Section C.4.3 C.4.3 A summary of the services solicited is shown below.


Item No. 6, Section C.4.5 Overview of Utilization Data Delete: In its entirety. Insert:

C.4.5 Overview of Utilization Data

The following tables will provide utilization data, which is government’s estimate based on historical data. This data is provided for the offerors to use it in preparation of their response for this solicitation.

Utilization Data

Current Projected 2007 2008 2009 2010 2011 2012 Health Care Services by Provider/Department Type Total Number of Patient Encounters (a single individual may have multiple encounters) 243,491 279,460 317,572 300,000 300,000 300,000 Physician 73,766 60,840 57,931 60,000 60,000 60,000 Physician Assistant/Nurse Practitioner 25,396 34,532 39,048 40,000 40,000 40,000 Nursing 115,929 160,817 193,858 150,000 150,000 150,000 Social Work/LPC 14,210 19,216 21,695 20,000 20,000 20,000 Dental Care 5,182 4,205 5,040 5,000 5,000 5,000 Dental Care Procedure 18,849 21,051 24,601 25,000 25,000 25,000 Chronic Care Clinics Visits (unduplicated Inmates) Cancer (inclusive of many types) 101 97 95 100 100 100

Facility/Address Service Summary

Description Population

Central Detention Facility (DC Jail) 1901 D Street, S.E. Washington, DC 20003 Correctional Treatment Facility 1901 E Street S.E. Washington, D.C. 20003

On-site Comprehensive Medical and Mental Health Services

All populations assigned to the CDF and CTF. The Average Daily Population for period October 2008 -September 2009 was 3,053

Halfway Houses (Contract Beds) See C.5.4.3

Provision of release medication

Contracted facilities 121 beds

United Medical Center (UMC) Locked Ward 1310 Southern Avenue S.E. Washington, DC 20032

Utilization Review and oversight

of all UMC, and all local hospital admissions

Inpatient populations of UMC Locked Ward, and all local hospitals who are referred by: Central Detention Facility Correctional Treatment Facility Court ordered assignment

SOLICITATION: DCFL-2011-R-1001 AMENDMENT: A0001 of 12 Hypertension 1,833 1,811 1,967 2,000 2,100 2,200 HIV 764 876 792 800 850 900 Pregnancy 63 75 82 90 90 90 Hepatitis-B 137 164 187 200 200 200 Hepatitis-C 826 855 907 925 950 975 Diabetes 600 664 621 650 650 650 Tuberculosis 1,507 1,540 1,432 1,450 1,450 1,450 Intravenous Drug Abuse (lower extremity) ulcers & Decubitus Ulcers 44 49 50 50 50 50 Dialysis 23 27 29 35 38 42 Congestive Heart Failure 50 55 57 60 63 66 Health Care Encounters by Service Type Number of Intake Health Assessments (within 24 hours) 16,529 15,215 16,233 16,250 6,500 6,500 Number of Intake Comprehensive Mental Health Evaluations Completed (within 1 Business Day of Referral) 8,588 8,953 10,662 11,000 11,000 11,000 Number of Sick Calls 44,864 87,350 126,870 120,000 120,000 120,000 Number of Sick Calls not Serviced within 72 Hours 2,107 197 72 730 730 730

Utilization Data Current Projected

2007 2008 2009 2010 2011 2012 Number of Urgent Medical Care 15,182 14,911 15,152 15,000 15,000 15,000 Number of Trauma Cases 343 1,071 2,165 1,500 1,500 1,500 Number of Mental Health Care 32,156 32,954 35,803 30,000 30,000 30,000 Number of Specialty Clinic Cases 18,173 6,516 6,593 6,500 6,500 6,500 Number of Chronic Care 8,932 15,542 17,139 17,000 17,000 17,000 Halfway House Cases 392 593 398 0 0 0 Discharge Planning Number of Discharge Planning Visits (Including IDTP) 35,307 35,329 37,218 37,000 22,600 22,600 Initial--(Within 5 days of Intake) 7,905 13,666 19,766 18,500 4,100 4,100 Follow-up 7,195 18,804 14,133 1,600 4,100 4,100 Other 3,641 3,046 1,844 5,000 4,100 4,100 Number of inmates that were scheduled by DP that kept the medical follow-up appt. 44 22 NR 50 50 50 Medical Alerts/Court Orders Medical Alerts/Court Orders 1,156 1,081 914 1000 1000 1000 HIV Testing (At Intake) Total Number of HIV tests Conducted 11,352 12,949 13,991 15,000 15,000 15,000 Conducted at Intake 9,521 10,596 12,612 13,000 13,000 13,000 Conducted at Sick Call 117 214 1,202 1,000 1,000 1,000 Conducted upon release (other) 1,065 1,036 177 1,000 1,000 1,000 HIV Rapid Tests -- Refusals (declined) 1,969 4,087 1,226 1,000 1,000 1,000 HIV Rapid Tests -- Preliminary Positive Results 261 137 106 120 120 120 Number released prior to confirmatory testing 12 18 3 5 5 5

SOLICITATION: DCFL-2011-R-1001 AMENDMENT: A0001 of 12 Number who refused confirmatory testing 5 3 6 5 5 5 Number previously known to DOC 83 19 29 35 35 35 Number known to patient but new to DOC 74 35 NR 35 35 35 Number of Confirmatory HIV Tests Conducted by Contractor 221 87 89 100 100 100 FMCS^ HIV Rapid Test -- False Positives 9 14 7 10 10 10 Number of Positive Confirmatory Tests New to Patient and DOC 90 59 60 60 60 60 Number released prior to receiving confirmatory results 32 23 10 10 10 10 Number of patients who received results NR 36 45 50 50 50 Infirmary Unit Total Inmate - Days at CTF Infirmary 9,596 7,925 8,214 8000 8000 8000 Number of patients admitted to the Infirmary 263 413 312 300 300 300 Number of patients Discharged to the Infirmary 82 407 307 300 300 300 911 Transfers Total Number of Inmates Transported by 911 371 256 216 225 225 225 Number of Employees Transported by 911 2 3 7 5 5 5

Utilization Data Current Projected

2007 2008 2009 2010 2011 2012 Pharmacy Services Total number of prescriptions filled 243,445 306,711 329,822 250,000 250,000 250,000 Number of Prescriptions Not Filled Within 24 Hours 9,555 663 58 1,000 1,000 1,000 Number of medications prepared for release 2,365 4,693 11,867 5,000 5,000 5,000 Number of released with Medication 2,454 2,777 3,757 3,500 3,500 3,500 Number of patients transferred to Halfway House with a 7 day supply of medication 105 482 481 480 480 480 Number of patients transferred to FBOP with a 7 day supply of medication 347 1,902 2,005 2,000 2,000 2,000 Radiology Services Number of Chest X-rays 14,462 14,211 14,238 14,500 2,000 2,000 Other X-ray Exams 3,446 2,683 2,584 2,900 2,900 2,900 Medical Grievances Total Number of Medical Grievance By Category: 731 234 46 55 55 55

a. Staff Conduct 38 18 10 10 10 10 b. Medications 180 41 10 10 10 10 c. Psych (non-medication) 8 0 0 0 0 0 d. Dental 97 42 4 5 5 5 e. Access (timeliness) 234 73 10 10 10 10 f. Disagreement with Treatment 69 25 8 10 10 10 g. Other --Dietary 55 32 6 5 5 5

Average Number of Days to Respond to Medical Grievances (Upon Contractor's Receipt) 5 5.20 3.70 5 5 5


Item No. 7, Section C.5.1 Delete: In its entirety Insert:

C.5.1.1 The Contractor shall have a minimum of 3 years of proven effectiveness in administering correctional health care programs, i.e. the Contractor is currently providing similar services or has provided similar services to a client comparable to the District within the three years. The Contractor shall provide a Principal Leadership staff, all of whom shall have had significant experience in administering or providing Comprehensive Health Care Services in corrections, specifically in a jail setting or correctional program, at the time of the contract award. Principal Leadership staff shall include the Medical Director, Mental Health Director, Health Care Administrator, and Director of Nursing.

Item No. 8, Section C.5.2.1.6 Delete: In its entirety Insert:

C.5.2.1.6 The Contractor shall perform a posterior-anterior chest x-ray using teleradiology to screen all male and female intakes that meet the following criteria: a history of or symptomatic of TB; a positive PPD test; immunocompromised, and other diseases as determined by a provider. Female intakes must show evidence of a negative pregnancy test. All x-rays shall be performed in accordance with the Centers for Disease Control (CDC) Guidelines for Control and Management for TB in Correctional Facilities.

Item No. 9, Section C.5.2.2 INTAKE ASSESSMENT Insert:

C.5.2.2.11 The Contractor shall perform an annual health assessment on inmates incarcerated for at least 12 months. The assessment shall be performed within 7 days of their anniversary date.

Item No. 10, Section C.5.3.1.3.2 Delete: In its entirety Insert:

C.5.3.1.3.2 The Contractor shall provide Sick Call services Monday through Friday (excluding District holidays) for all housing units except Lock-Down Units. For those units, the practitioner shall visit no less than (2) two days a week, unless there is a need for more frequent visits.



C.5.3.2.1 The Contractor shall operate the infirmary at CTF. Infirmary care shall be available for Inmates requiring nursing care, chronic illness care, and all acute and chronic conditions which can be managed on-site. At a minimum, the operation of the infirmary shall include:


C.5.3.2.3 The Contractor shall provide daily on-site supervision of the infirmary by a registered nurse. If intravenous medications are being administered, a registered nurse must be physically present in the infirmary at all times.


C.5.3.2.5 The Contractor shall maintain a hard jacket and the electronic medical record for each inmate admitted to the infirmary, including an admission work-up and discharge planning.


C.5.3.4.2 The Contractor shall hold Chronic Care Clinics Monday through Friday (excluding District holidays) for all housing units. Among the chronic care services are Infectious Disease, Diabetes, Asthma, Hypertension, Hepatitis, Seizure, and Tuberculosis.

Item No. 15, Section C.5.3.6.2 Delete: In its entirety Item No. 16, Section C.5.4.2.2 Delete: In its entirety Insert:

C.5.4.2.2 The Contractor shall provide a liaison to oversee, manage, track and document emergency and inpatient care for all inmates at sub-contracted hospitals.


Responsibilities include maintaining daily written reports on all emergency room visits; hospitalized inmates condition; coordinate transfers between hospitals and/or to CDF or CTF; maintain continuity of care, ensure necessary medications are available before inmates are transferred back to DOC, a discharge summary is included with the transfer, and that DOC is aware of any impending transfer before it occurs. The liaison shall provide a daily report of each hospitalized Inmate’s condition to the DOC office of Health Services Administration.

Item No. 17, Section C.5.4.2.6 Delete: In its entirety Item No. 18, Section C.5.4.2.7 Delete: In its entirety Item No. 19, Section C.5.4.2.8 Delete: In its entirety Item No. 20, Section C.5.4.2.9 Delete: In its entirety Item No. 21, Section C.5.4.2.10 Delete: In its entirety Item No. 23, Section C.5.4.3.1 Delete: In its entirety Insert:

C.5.4.3.1 The Contractor shall conduct medical clearance evaluation/re-evaluation, and a three-day supply of medications with a prescription for an Inmate prior to transfer to any of the locations listed below and incorporate into the discharge planning process as described in Section C.5.8:

Item No. 24, Section C.5.5.1 Delete: In its entirety Insert:

C.5.5.1 The Contractor shall either through itself or subcontracts provide pharmacy services as detailed below. The Contractor shall be responsible for the cost of pharmaceuticals.

Item No. 25, Section C.5.5.3 Delete: In its entirety


Insert:

C.5.5.3 The Contractor, upon DOC’s notification of Inmate’s release, shall follow the following protocols for Inmates on medication: All Inmates sent to the Federal Bureau of Prisons shall receive a three (3) day supply of medications upon transfer. All Inmates sent to the HWH shall receive a three (3) day supply of medications and a prescription upon transfer. All HIV positive inmates shall receive a thirty (30) day supply of medication upon release to the community. All other community releases shall receive a 3-day supply of medications and a prescription upon release. Courthouse releases shall receive a 3-day supply of medications and a prescription upon release. All inmates released to the community after 10pm shall receive a (7) seven day supply of medications.


C.5.8.1.4 The Contractor shall provide an interim and/or final discharge planning/case management visit to all inmates diagnosed with a chronic disease, to include mental health, prior to release, to include a discharge planner at the courthouse for releases, which provides an update on the Inmates status, actions taken, or final discharge plan upon release, if applicable.

Item No. 27, Section C.5.8.1.5 Delete: In its entirety Item No. 28, Section C.5.8.1.8 Delete: In its entirety Insert:

C.5.8.1.8 The Contractor shall provide documentation of released inmates referred to a community provider. Documentation shall include, but is not limited to appointment type, location, date, and provider name, to be submitted to the COTR monthly.


C.5.11.1.7 The Contractor shall be responsible for ensuring that all new health care personnel are provided with orientation regarding on-site security and medical practices. All clinical individuals hired for positions under the proposed contract shall attend DOC’s forty-(40) hours of initial pre-service training after having been cleared through a background check and drug testing, and forty (40) hours of continuing education training annually thereafter. Direct patient care personnel shall maintain


current Cardiopulmonary Resuscitation (CPR) certification. The Contractor shall submit documentation of the following: 1) current CPR certification, 2) current Tuberculosis and Hepatitis-B screening, 3) current licensing and/or certification prior to attending DOC’s forty-(40) hour’s initial pre-service, and annual in-service training. (40)-hours in-service is to be fulfilled by completing the mandatory DOC (16) hours, and (24)-hours by the contractor, annually. The Contractor’s employees shall be subject to random drug testing conducted by DOC. Any expense required for off-site training shall be the responsibility of the Contractor. The following shall be at the expense of the District: pre-service/in-service training, (initial) drug testing, and background check. The Contractor shall reimburse DOC for the cost of the random drug testing of its employees.

. Item No. 30, Section C.5.11.4.1 Delete: In its entirety Insert:

C.5.11.4.1 The Contractor shall establish within and maintain throughout the term of the contract a well developed medical reference library on-site or online resources for use by health care staff. The library shall minimally include current publications, medical dictionary, Physician’s Desk Reference, pharmacology reference, and ACA standards manuals. At the termination or expiration of the contract, this library shall become the property of DOC.

Item No. 30, Section H.15.4.14 Delete: In its entirety Insert: 14 C.5.4.2.6 Copy of medical

record or summary sent to appropriate facility in the event of transfer

100% Independent and Joint Monthly and Quarterly Audits

$50.00

Item No. 31, Section H.15.4.17 Delete: There are two Section H.15.4.17, delete first Section H.15.4.17 in its entirety. Item No. 32, Section L.3.1, Delete: In its entirety Insert:

L.3.1 Proposal Submission

Proposals must be submitted no later than 2:00pm on January 5, 2011. Proposals, modifications to proposals, or requests for withdrawals that are received in the designated District office after the exact local time specified above, are "late" and shall be


considered only if they are received before the award is made and one (1) or more of the following circumstances apply:

ATTACHMENTS:

• Attachment A • Attachment B • Attachment C • Attachment D • Attachment E • Attachment F • Attachment G • Attachment H

DCFL-2011-R-1001 Amendment 0001 Attachment A – Responses to Questions About the Solicitation

Page 1 of 44

No. Solicitation Section Question Response

1 B.3. Is the DOC open to alternative pricing proposals? Price shall be only provided in accordance with Section B

2 B.3

Could you provide clarification on the pricing tables in Section B.3. Columns E and F are based on a multiplier of columns C and D. However, column C is a range of numbers. What number in the range is one supposed to use for the calculation?

Please see Section M.3.2

3

B.3.4 Section B.3.4 forces the Contractor to obtain approval from the COTR for changes in the staffing plan. That concept seems inconsistent with a per diem pricing model. If the pricing is based on adjusted staffing models for various census levels, it seems it gives the COTR the ability to force a staffing pattern that is not consistent with the way the contract is priced.

If there is any change requested by the COTR to the approved staffing plan, requires Contracting Officer’s approval. Section B.3.4 also offer equitable adjustment to the per diem.

4 C.4 What are the average numbers of Fed/ICE/US Marshall services each month?

See Attachment B to the Amendment No. A0001

5 C.4 Please provide the capacity and average daily

population of each of the segregation units at each of the DOC facilities.

Capacity CDF – 384 and CTF – 360 totaling 744, The ADP for CDF – 268 and CTF 274 totaling 542,

6

C.4 Please clarify the actual current Average Daily Population for the last six months.

It is posted on the DOC website for FY 2005- FY 2010 (1) The USMS Greenbelt inmates are not included

as a part of the ADP and they average about 150- 160 inmates a month.

(2) The juveniles are housed at the CTF but counted at the CDF (average about 35 per month) (This data is also in the Quarterly demographics and statistics on our website)

Otherwise the data is accurate.


Page 2 of 44


7

C.4 At the Pre-proposal Meeting, it was stated that there is no opportunity to refuse a patient at intake due to any medical concerns or reasons. Does this include the USMS inmates that are housed at CTF? In other words, would the Contractor be allowed to refuse a USMS inmate upon arrival if the medical needs of the patient are too great?

Yes, this includes the USMS inmates housed at the CTF, as the contractor cannot refuse any inmate.

8 C.4 Are any of facilities currently subject to any court

orders or legal directives? If “yes,” please provide copies of the order/directive.

No.

9

C.4 How many lawsuits pertaining to inmate health care — frivolous or otherwise — have been filed against the DOC and/or the incumbent medical provider in the last three years?

Since October 2006, there were (8) with (7) dismissed and (1) pending.

10

C.4.4 Please provide additional statistical data for the last three years to include:

Cost of x-rays performed monthly on site

a. March 2009 Chest x-rays: $58,215.00, and April 2009 Chest x-rays $57,146.00. March 2009 Other x-rays: $9,864.00, and April 2009 Other x-rays: $10,231.00 based on Unaudited Contractors estimates.

A breakdown of in-house specialty care visits by type per month (e.g. physical therapy/occupational therapy etc.)

See Attachment C of Amendment No. A0001

11

C.4.4 During the pre-proposal conference, the DOC stated that all of the statistics provided in the RFP are based on a six-month annualized process. Please confirm this information is correct.

Correct


Page 3 of 44


12

C.4.4 According to the Intake and Release tables on pages 13 and 14 of the RFP, it appears the DOC projects an intake decrease in the coming years. Please explain why the DOC anticipates this decrease.

Based on historical data, DOC Intakes have been decreasing and this trend is reflected in the projections provided in the tables. The trend is expected to continue for the duration of the contract, provided radical changes in inmate population dynamics do not occur.

13

C.4.4 Does the Medical Unit at the Correctional Treatment Facility (CTF) qualify as an Infirmary as per NCCHC definitions, i.e., do the staffing levels, monitoring methodology, rounding frequency, etc., comply with NCCHC infirmary standards for Jails?

Yes

14

C.4.4 Does the Central Detention Facility (CDF) also have special medical housing, observation beds, and/or an infirmary? If “yes,” please provide the number and average occupancy rate of such beds.

CDF does not have an infirmary. CDF is equipped with three (3) observation cells located on the 3rd floor medical unit and four (4) observation cells located on the S-3 mental health unit. We do not track the occupancy rate by day but a sampling of the data collected reveals that for FY2010, CDF 3rd floor observation had 23 mental health inmates, S-3 observation cells had 10 and the CTF observation cells had 5 for a total of 38 mental health patients in the safe cells total for the month..

15

C.4.4 On average, how many inmates are housed in the Infirmary on a daily basis?

For FY2010 there were 301admissions to the Infirmary resulting in an average of 25 inmates per month.


Page 4 of 44


16 C.4.4 Please provide historical health services cost data broken out into at least the following categories.

17

Total budgeted offsite care;

a. Contract year (1): Specialist services $1,235,733.00, Hospital In-Patient $2,327, 552.00 and Hospital Out-Patient $237,004.00.

b. Contract year (2): Specialist services $1,285,162, Hospital In-Patient $2,420,654.00. and Hospital Out-Patient $283,924.00,

c. Contract year (3):Specialist services $1,336,569.00, Hospital In-Patient $2,517,480.00, and Hospital Out-Patient $295,281.00

Laboratory services This information is not available at this time. X-ray services: Cost of chest x-rays per month for March

2009=$58,215.00, and April 2009 CXR = 57,146.00 March 2009 other X-rays $9,864.00 and April Other X-rays = $10,231.00 based on Un-audited Contractor’s estimates. See Attachment

18 C.4.4.7 For the services listed in Table C.4.4.7 “Off-Site

Medical Care”, where are the inmates transported for these services?

The first option for offsite medical care is United Medical Center (UMC). For specialists, please refer to Table 2.

19 C.4.4.7 Please provide the 2008, 2009, and projected 2010

total annual costs for each item listed in C.4.4.7 Off-site Medical Care.

See response to # 69.

20 C.4.4.7 For the services listed in Table C.4.4.7 “Off-Site

Medical Care”, where are the inmates transported for these services?

See Attachment D of Amendment No. A0001

21 C.4.4.8 Please provide the 2008, 2009, and projected 2010

total annual costs for each item listed in C.4.4.8 Hospitalization.

See response to # 69.


Page 5 of 44


22 C.4.4.3 Please clarify the Hospitalization Table C.4.4.8; are these the number of admissions or hospital days?

The table refers to admission numbers.

23

C.4.5 Please provide the 2008, 2009, and projected 2010 total annual costs for each of the following items listed in C.4.5 Overview of Utilization Data:

“Dialysis” This information is not available at this time. “Number of Chest X-rays” March 2009 Chest x-rays: $58,215.00, and April

2009 Chest x-rays $57,146.00. March 2009 Other x-rays: $9,864.00, and April 2009 Other x-rays: $10,231.00 based on Unaudited Contractors estimates.

“Other X-ray exams” See response above.

24

C.5.1.3 When are the facilities due for NCCHC and ACA re-accreditation?

ACA medical (separate from facility accreditation) is due at the CDF in 2011, CTF entire facility was reaccredited in October 2010, therefore due again in 2013. Both CDF and CTF NCCHC reaccreditations are due 2011

18

C.5.2.1 Is a Chest x-ray mandatory for all at receiving or just as a screening tool?

The CXR is utilized as a screening tool, and certain inmates require the CXR at the time of intake. It is mandatory for the following: History of TB, symptomatic of TB or other respiratory abnormality, usually ordered by a provider. Please refer to revised RFP section C.5.2.1.6.

25 C.5.2.1 Per information received at the pre-proposal

conference, there will be NO intakes on Sundays. Please confirm this information is accurate.

Correct with the exception of possible HWH returns which are very rare.

26 C.5.2.1.6 On page 20 of the RFP, the DOC requires the vendor

to perform a chest x-ray on all first time intakes. At the pre-proposal conference, however, the DOC stated

See Amendment No. A0001


Page 6 of 44

that this requirement would only be fulfilled at the attending physician’s discretion. Please clarify the accuracy of this requirement.


27

C.5.2.1.6 In Section C.5.2.1.6, please clarify whether all “first timers” would be required to have a chest x-ray or whether ordering a chest x-ray for first timers would still be at the sole discretion of the medical provider. If it is required that all first timers have a chest x-ray, could you please define “first timers”?

No, Please see the Amended No. A0001

28 C.5.2.1.7 Who is financially responsible for the Gonorrhea/Chlamydia and Syphilis testing?

The financial responsibility is of the contractor.

29 C.5.2.1.7 If the contractor is responsible, what was the cost

during each of the past three years for the Gonorrhea/Chlamydia and Syphilis testing?

Please see response to No.

30 C.5.2.1.7 Who is financially responsible for the Gonorrhea/Chlamydia and Syphilis testing?

The medical contractor

31 C.5.2.1.7 If the contractor is responsible, what was the cost

during each of the past three years for the Gonorrhea/Chlamydia and Syphilis testing?

This information is not available at this time.

32

C.5.2.1.11 Intake: C.5.2.1.11 – What is the current process and required time frame for notifying the medical department of pending inmate transfers to other facilities, and of inmates who arrive from other facilities?

The DOC has processes in place and databases available to the Contractor to help identify transfers out of the facility. Arrivals from other facilities are intakes. Notification of arrivals is a part of the intake process. When the inmates are transferred to DOC’s R&D for out processing, medical is notified. Medical is also notified of releases at the court house for purposes of discharge planning, and court releases processed out through the DOC Medical Holding Unit (MHU), located on the grounds of D.C. General.


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33

C.5.3.1.1 Please explain how the telephonic sick-call system is expected to work.

There will be a toll free telephone number provided to the inmates. When they access the number to make an appointment they encounter a voice guided menu of prompts. The information entered by the inmate is captured and sent to a provider voicemail-box on the system. The provider accesses the voice mail and schedules the inmate for sick call according to symptoms recorded.

34 C.5.3.1.1 When will the telephonic sick-call system become operational?

The system will be rolled out in February 2011.

35

C.5.3.1.1 Sick Call: C.5.3.1.1 – When is the projected installation / start date for use of the telephonic sick call triage system? Will the DOC be responsible for all costs regarding installation and use of this system?

The system will be rolled out in February 2011. Yes, DOC is responsible for the cost

36 C.5.3.1.2.1. Does the DOC intend that only an RN or above can conduct inmate sick call?

Yes, only an RN or above may conduct sick call.

37

C.5.3.2.3 Page 24 of the RFP states that the vendor must have a "licensed nurse" physically present at all times when intravenous medications are administered. Is “licensed nurse” defined as RN, LPN, or other?

RN

38

C.5.3.2.4 Infirmary Care: C.5.3.2.4 – How is the requirement for nursing staff to be within sight or sound of inmates currently met? Is there a working intercom system currently installed?

Currently, there is a working intercom in the infirmary.

39

C.5.3.3 Who is responsible for the cost of off-site emergency care that does not result in hospitalization?

The contractor is responsible for off-site emergency care that does not result in hospitalization, with the exception of Federal inmates. Those service costs will be reimbursed by the appropriate Federal agency directly to the off-site service providers.


Page 8 of 44


40

C.5.3.3 What are the designated emergency or “911” hospitals for each of the DOC facilities?

United Medical Center is the designated 911 hospital for the DOC facilities; however, based on available services, 911’s are transported to the closest facility in the city based on the emergency.

41

C.5.3.3 In regard to Inmates transported for “911” purposes, how many of these Inmates were admitted into the hospital? How many of these Inmates received ER hospital treatment?

We don’t routinely track these in terms of how many were admitted versus how many were seen only in the ER and returned the same day. A sampling for one month of FY2010 (06/2010) revealed that 12 inmates were admitted to the hospital after being transported 911.

42

C.5.3.3.2 Emergency and Urgent Care: C.5.3.3.2 – Which hospital(s) are currently used for emergency services? Will DOC transportation be available for emergency transfers that do not require an ambulance? If so, will the Contractor be responsible for reimbursing the DOC for this service?

Currently, United Medical Center (UMC), is our first choice. 911’s are transported to the most appropriate facilities based on the available services and type of emergency. Special conveyance—(DOC transportation) will transport emergencies that do not require 911 to the hospital. No, the contractor does not reimburse for this service.

42

C.5.3.4.1 Chronic Care Clinic C.5.3.4.1 – How many advanced level providers (physicians, NPs, PAs) are currently working at CDF and CTF as a result of a federal grant program which funded their education?

The DOC does not have this information.

44

C.5.3.6.1.4 Section C.5.3.6.1.4 that repairs of partials and dentures will be completed for inmates with less than 12 months detention. Should this read “more than 12 months detention”? Also, will the contractor be responsible for providing new partials or dentures (or only repairing existing partials and dentures)?

No, the language is correct. Please refer to ACA standard 4-C-20.

45 C.5.3.7.1 Radiology: C.5.3.7.1 – Please list x-ray equipment

which is used at both CDF and CTF. Will the Contractor be financially responsible for maintenance

See Attachment E of Amendment No. A0001


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agreements for this equipment? If so, what are the current and projected costs of the agreements?


46 C.5.3.8 Please identify the current sub-contracted provider(s) of laboratory services.

Lab Corp

47

C.5.3.8.1 Laboratory C.5.3.8.1 – Where are stat lab specimens currently tested? How are results for these studies reported?

They are currently tested at LabCorp, a subcontractor of the incumbent. Via telephone, fax, and electronically to the medical record.

48

C.5.3.9.1 Nutrition Services C.5.3.9.1 – Please describe the current process of notifying the food service manager of medically necessary special diets. Does this department have limited access to the EMR (Electronic Medical Record)?

Aramark, the current DOC food vendor does not have access to the DOC electronic medical record. The medical provider writes a manual diet order (also reflected in the electronic medical record). A copy remains in the medical department, and the contractor delivers the original to Aramark.

49

C.5.3.10 How dialysis services are currently provided: (a) onsite, with permanent DOC-owned equipment; (b) onsite, through mobile dialysis (PLEASE IDENTIFY VENDOR); or (c) offsite?

The Dialysis services are provided on site via the incumbent’s sub-contractor (CharDonnay)

50 C.5.3.10 With regard to dialysis services, does the vendor have

to buy chairs and other equipment, or is this equipment obtained through subcontract?

Current equipment was purchased by sub-contractor. Subsequent/new equipment costs are the responsibility of the new Vendor.

51 C.5.3.10 Who is financially responsible for providing dialysis services?

The Vendor is.

52

C.5.3.10 How many dialysis treatments were provided in 2009 and YTD 2010?

89 unduplicated inmates received dialysis in FY2009. There were 478 trips where inmates were transported for dialysis in FY2009 and 312 trips in FY2008. During October FY2010, on-site dialysis services were started. As of December 2010, 61 dialysis treatments have been provided.


Page 10 of 44


53 C.5.3.10 Can the DOC provide a list of the current utilized medical specialists (on-site and off-site)? See

See Attachment D of Amendment No. A0001

54 C.5.3.10 Can the DOC provide a list of the current utilized medical specialists (on-site and off-site)?

See attachment, which contains off-site specialists.

55

C.5.3.10 Where are dialysis services currently provided? On October 13, 2010, dialysis services began in the DOC, at the Correctional Treatment Facility (CTF), through a subcontracting agreement between CharDonnay Dialysis and the current health services provider.

56

C.5.3.10 What is the number of dialysis treatments by month for the past two years?

In 2008-there were 478 off-site dialysis trips; in 2009-there were 478 off-site dialysis trips, and October 13-November 29, 2010, 61 dialysis treatments performed at the on-site DOC dialysis center.

57

C.5.3.10.1 On-Site Specialty Clinics C.5.3.10.1 – Please list the specialty clinics which are currently provided on-site at CDF and CTF. What is the frequency that each of these clinic services is currently provided? Are Dialysis and Physical Therapy / Occupational Therapy currently provided on-site? If so, which agencies provide these services?

Cardiology (8-10 hrs); Ophthalmology (16-24); Orthopedic (16-20); Podiatry (20-32); PT (16-20)—current vendor subcontracts with ErgoSolutions; GYN (10-14); Infectious Disease (30-40) Dermatology (30-35) hours per week; Dialysis up to 60 hours a week-current vendor subcontracts with Chardonnay. Currently, there is no on-site provider for Occupational Therapy.

58

C.5.3.11.2. C.5.3.11.2. Indicates that inmates referred to a psychiatrist shall be seen within 24 hours of referral. Does the DOC intend that the psychiatrist be scheduled at the CDF (7) days a week including holidays in order to meet this requirement?

DOC requires the psychiatrist conduct the evaluation/assessment within 24-hours of the referral.

59 C.5.3.11.4 If the contractor is responsible for the cost of inpatient

Mental Health hospitalizations please provide the number of inpatient days over the past three years?

DOC requires the psychiatrist conduct the evaluation/assessment within 24-hours of the referral.


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60

C.5.3.11.4.3.2 Who is financially responsible for the cost of inpatient Mental Health hospitalizations?

This reference refers to St. Elizabeth’s hospital, operated by the DC Department of Mental Health. The District is responsible for the cost of those hospitalizations.

61

C.5.3.10 We have reviewed the list (RFP page 27) of onsite specialty services that the DOC requires the incoming Contractor to provide under the new contract. Please identify any specialty clinics currently conducted onsite, and indicate the frequency/how many hours per week each clinic is held.

On-site specialty services include the following: Cardiology (8-10 hrs); Ophthalmology (16-24); Orthopedic (16-20); Podiatry (20-32); PT (16-20); GYN (10-14); Infectious Disease (30-40) Dermatology (30-35) hours per week

62 C.5.3.10 Please provide the names of the current clinic providers.

See Attachment C & D of Amendment No. A0001

63

C.5.3.10 With regard to the required on-site specialty services, what flexibility would be available to the contractor to adjust scheduling and availability based on demand? For instance, if the need for a required on-site specialty is consistently low (or non-existent), would the contractor have the opportunity to adjust staffing accordingly to ensure cost efficient practices are maintained?

The DOC requires the Contractor to provide on-site specialty services to the inmates in accordance with timeframes and specifications in the RFP section C.5.3.10.3.

64 C.5.3.11 Are psychiatric hospitalizations at St. Elizabeth’s Hospital the financial responsibility of the contractor?

Costs for Inmates requiring hospitalization at St. Elizabeth’s, is the responsibility of the District.

65 C.5.3.11.4 Please verify that the vendor will not be financially

responsible for Mental Health admissions to St Elizabeth?

The Vendor is not financially responsible for St. Elizabeth hospitalizations. These admissions are the responsibility of the District.

66

C.5.3.11.4 Please provide the number of beds in each of the “mental health specialized units and safe cells in the CDF and CTF” referenced on page 29 of the RFP.

CDF designated mental health unit houses (males = 80 capacity) and CTF (females tier = 25 capacity). Please see CDF in Question 50. CTF has four (4) observation/safe cells.


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67 C.5.3.11.4 On average, how many inmates are housed in each of these mental health units on a daily basis?

CTF Female tier ADP is (17) and the CDF ADP for South-3 is (48).

68

C.5.4 Alternative Cost Structures - The provisions of the RFP conflict, to a degree, with the representations in the pre-bid conference as it relates to the financial responsibility for off-site expenses. It appeared that the representation made on Tuesday was that the expectation was that the vendor takes the full risk for the off-site costs. Would the DOC be willing to accept alternative cost structures such as an aggregate cap structure for offsite services, in lieu of the full risk structure currently contemplated or a cost plus management fee structure which would include appropriate performance indicators? If the answer is that those alternative cost structures would be encouraged and accepted, would the vendor still be required to “bid to the current specifications”; or would the DOC allow for the vendor to take exception to that requirement and submit the alternative cost structure proposal that would be more beneficial to the DOC?

The offerer may consider a per diem services model/payment schedule based upon shared risk and/or risk-based payments linked to performance on specified measures, that provides medically necessary care (consistent with community standards in the District), cost-effective services, and care coordination.

69

C.5.4 Can you provide the average cost per outpatient clinic visit?

The budget for contract year (1) Specialist services $1,235,733.00, Hospital In-Patient $2,327,552.00, and Hospital Out-patient $237,004.00 Contract year (2) Specialist services $1,285,162.00, Hospital In-Patient $2,420,654.00, and Hospital Out-patient $283,924.00, and Contract year (3): Specialist services $1,336,569.00, Hospital In-Patient $2,517,480.00, and Hospital Out-patient $295,281.00 Per patient visit cost is not available at this time.


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70

C.5.4 Is the contractor financially responsible for the cost of these off-site specialty services?

Yes, the contractor is responsible for off-site specialty services, with the exception of Federal inmates. Those service costs will be reimbursed by the appropriate Federal agency directly to the off-site specialty services providers.

71

C.5.4 If the contractor is responsible for off-site specialty services please provide the cost per outpatient clinic visit.

The budget for contract year (1) Specialist services $1,235,733.00, Hospital In-Patient $2,327,552.00, and Hospital Out-patient $237,004.00 Contract year (2) Specialist services $1,285,162.00, Hospital In-Patient $2,420,654.00, and Hospital Out-patient $283,924.00, and Contract year (3): Specialist services $1,336,569.00, Hospital In-Patient $2,517,480.00, and Hospital Out-patient $295,281.00.

72

C.5.4.1.1 Off-Site Services C.5.4.1.1 – Which hospital(s) and / or facilities are currently used for off-site specialty services? Will the Contractor be responsible for hospital or clinic costs related to specialty services?

Currently, United Medical Center (UMC), is our first choice. When services are not available there, they may be seen at George Washington, Georgetown, Howard University, DC General Health Campus, Providence, Sibley, or Washington Hospital Center. Yes, the contractor will be responsible for hospital or clinic costs related to specialty services, with the exception of Federal inmates. Those service costs will be reimbursed by the appropriate Federal agency directly to the off-site specialty services providers.


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73

C.5.4.1.5 Federal Inmates C.5.4.1.5. - How are Federal inmates currently distinguished from other inmates? What is the current process of notifying the medical staff of Federal status for inmates?

The DOC notifies the contractor of federal inmates for the purposes of advising of the required pre-approval from the feds for any off-site medical services. The current process is as follows: when referring inmates for off-site services the consult is submitted to DOC’s federal billing office, to determine whether the inmate has federal status. If so, the appropriate federal agency must pre-approve the outside services before the inmate can be scheduled, and if approval is received, with the exception of emergencies, (approval is sought subsequently) the contractor then schedules the inmate for the off-site appointment. The costs for all approved services are paid directly by the appropriate federal agency to the provider.

74

C.5.4.1.3 Off-site visits – C.5.4.1.3 (RFP, p. 31) The RFP states that the Contractor shall make arrangements and prepare documents for off-site visits. Please clarify who is financially responsible for off-site services for DOC Inmates. In Section C.5.4.2.10, the RFP suggests that we’re not responsible for hospital services. Please clarify which off-site services for which the Contractor is financially responsible.

The contractor shall be responsible for hospital or clinic costs related to specialty services, with the exception of Federal inmates. Those service costs will be reimbursed by the appropriate Federal agency directly to the off-site specialty services providers. The contractor shall be responsible for hospital services, with the exception of Federal inmates. Those service costs will be reimbursed by the appropriate Federal agency directly to the off-site specialty services providers

75 C.5.4.2 Will the vendor have access to indigent rates through local hospitals?

NO, the Vendor must negotiate their rates with UMC and other hospitals.

76 C.5.4.2 Will the medical vendor have ANY responsibility to

staff the UMC locked ward? NO.


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77

C.5.4.2.2 On page 31, the RFP addresses a requirement for an “on-site liaison” at each sub-contracted hospital to coordinate and report about Inmate care. Is a follow-up report/communication via telephone sufficient, or are other follow-up methods expected? If another method(s) is required, please provide specifics.

The Contractor shall provide a liaison to oversee, manage, track and document inpatient and outpatient activity/care between each internal and external sub-contracted hospital. Responsibilities include maintaining daily written reports on all hospitalized inmates condition, coordinate transfers between hospitals and/or to CDF, or CTF, maintain continuity of care, ensure necessary medications are available before inmates are transferred back to DOC, a discharge summary is included with the transfer, and that DOC is aware of any impending transfer before it occurs. The liaison shall provide a daily report of each hospitalized Inmate’s condition to the DOC office of Health Services Administration.

78

C.5.4.2.10 According to page 32 of the RFP, “The Contractor shall not be responsible for the cost of any hospital services provided to any Inmates housed at CDF, CTF, and HWH.” At the pre-proposal conference, however, the DOC stated that this was an error in the RFP, and that the Contractor IS responsible for inpatient costs of local inmates. Please confirm which of the two statements is accurate.

The Vendor is responsible for all hospital costs of all DOC inmates, except Federal inmates

79

C.5.4.2.10 Hospital Services C.5.4.2.10 - Will the Contractor be responsible for the cost of inmates housed at CDF, CTF, and HWH?

The contractor is responsible for the cost of on-site medical services at the CDF and CTF. The contractor is responsible for specialty and hospital costs as well, with the exception of Federal Inmates, costs for all approved services are paid directly by the appropriate federal agency to the provider for inmates housed at the CDF and CTF.


Page 16 of 44


80

C.5.4.2.10 C.5.4.2.10 Can you confirm that the contractor has no financial responsibility for inpatient hospitalizations?

The contractor will be responsible for inpatient hospitalization costs, with the exception of Federal inmates. Those service costs will be reimbursed by the appropriate Federal agency directly to the off-site service providers.

81

C.5.4.3 Also in regard to the Halfway Houses:

• Please clarify the extent of medical services to be provided at the Halfway Houses

• Please confirm that at the halfway house locations, the selected health care Contractor is not responsible for providing care to residents who are not under the jurisdiction of the DOC.

• We understand that at this time, the DOC makes laptop equipment available for health care providers that visit the halfway house locations, to enable these providers to access the Centricity EMR. Please confirm that the DOC will continue to make this equipment available for the selected health care Contractor under the new contract.

• Please provide cost information regarding the VPN token needed to access Centricity from the halfway house locations.

o No medical services will be provided at the Halfway Houses. The vendor is responsible for providing a medical clearance, discharge plan and release medication where applicable to inmates going to the HWH prior to release.

o The Vendor does not provide any care to the residents at the Halfway houses.

o The Vendor will not provide any care at the Halfway houses, thus laptops are not necessary.

o The Vendor will not provide any care at the Halfway houses, thus the VNP token is not needed.

82

C.5.4.3 Regarding inmates sent to HWH; is a three or seven day supply of medication required upon transfer?

The DOC requires inmates transferred to the HWH receive a 3-day supply of medications, and a prescription. Please see revised language in RFP section C.5.5.1


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83

C.5.4.3 What services is the contractor responsible for providing to the HWH?

Please refer to C.5.4.3. The contractor is responsible for the HWH clearance (performed while inmate is housed in the CDF, or CTF), a 3-day supply of medications with a prescription, and discharge plan to include an appointment to support continuity of care for inmates with a chronic disease.

84

C.5.5 Please provide the following information about medication administration.

• Who administers medications, e.g., RNs, LPNs, medical assistants?

• How are medications distributed, i.e., pill line or med pass?

• Where does medication distribution take place, i.e., do medication carts go to the housing units or do inmates come to the medical units?

• How often is medication distributed each day? • How long does it take to perform the average

medication distribution process?

• LPNs and RNs • Med pass on the housing units. • Yes, med carts go to the housing units. • Three times per day. • Depends on the shift. Per nurse: Days

1.5hours, evenings = 2.5 hours and midnights 2.5-3.0 hours.

85 C.5.5 How many medication carts will the DOC make available for the use of the incoming vendor?

All of the medication carts that are currently utilized. (8-10) See Inventory List.

86 C.5.5 Does the DOC currently maintain a Keep-On-Person (KOP) program?

Yes.

87

C.5.5 Page 33 of the RFP states that “The Contractor shall provide Pharmacy Services, including but not limited to pharmaceutical operations with licensed pharmaceutical staff, inventory control, dispensing, distribution and disposal of all pharmaceuticals.” Please confirm that the vendor is not financially

The Contractor shall include the cost of providing drugs under the new contract.


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responsible for providing drugs under the new contract.


88

C.5.5 The DOC indicated that it currently utilizes the CIPS™ pharmacy software system by Kalos, Inc., and that the incoming Contractor will be expected to replace CIPS™ with an equivalent system.

• Please provide more details on the DOC’s CIPS™ implementation, i.e., version, features, functionality, etc.

• Does the DOC CIPS™ implementation include an electronic Medication Administration Record (eMAR)?

• What pharmacy system/model does the DOC prefer to implement as a replacement for CIPS™?

• What features does the DOC expect the system to offer?

• Please provide more details on the DOC’s requirements for the system that will replace CIPS™.

• What are the DOC’s expectations concerning hosting and support of the CIPS™ replacement system?

• Will the system be hosted in the DOC’s data center?

• CIPS Version 7.2.16 (2007-09-28). Please see attachment entitled “CIPS”.

• CIPS does not have the capability to input inmate records electronically but does have the capability of printing out its contents.

• Please note the aforementioned minimum requirements for the system. In addition the system should identify

• Please note aforementioned requirements and refer to attachment entitled “CIPS”.

• Please refer to attachment entitled “Pharmacy System Requirements”.

• DOC will host and support it in the data center.

• Yes

89 C.5.5 Will a DOC pharmacist still provide oversight,

internal controls, audit procedures and accountability? No, however the DOC Medical Director will remain an active participant in all pharmaceutical matters.

90 C.5.5 Will DOC or the contractor hold the methadone license?

DOC is responsible for the methadone license.


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91 C.5.5 Will a DOC pharmacist still provide oversight, internal controls, audit procedures and accountability?

No.

92

C.5.5 While the DOC will be financially responsible for the cost of pharmacy thru the various governmental programs that it participates in, how is that to be reflected in the contractor’s pricing? Or should it not be included with the representation that the DOC will take all fiscal responsibility for the cost of pharmacy?

The offerer should propose pricing as if you were paying for the cost of pharmaceuticals.

93

C.5.5.1 Pharmacy – C.5.5.1 (RFP, p. 32) The RFP states that, “All pharmaceuticals will be procured by the Department of Corrections.” Does this mean the Department of Corrections is financially responsible for medications?

The contractor shall be responsible for the cost of pharmaceuticals. Please see revised RFP section C.5.5.1.

94

C.5.5.3 Pharmacy C.5.5.3 – What is the current process of notifying the pharmacy of pending releases? What is the process of notifying the pharmacy of inmates who are in the process of leaving the facility?

A process by which the Corrections staff makes notification electronically, telephonically, and thru a DOC database system to include crystal reports, and short-term releases.

95

C.5.5.4 C.5.5.4 Does the DOC currently have an automated pharmacy dispensing system? If so what system is it and who owns it?

The DOC does not have an automated pharmacy dispensing system. The current pharmacy system is Correctional Institution Pharmacy System (CIPS) by KALOS, Inc.

96

C.5.5.5 C.5.5.5 How often is the contractor expected to have a pharmacist on site?

The contractor is expected to adhere District of Columbia Pharmacy Laws and Health Professional Licensing Administration (HPLA) standards and regulations.

97

C.5.5.5 Is the contractor expected to have a pharmacist on site or only 24/7 on call per C.5.5.5

The contractor shall ensure that a pharmacist is available 24-hours a day in order to provide emergency and stat services. If the bidder proposes to maintain the current structure of an on-site pharmacy, a pharmacist must be available on-site


Page 20 of 44

during all times the pharmacy is open. The RFP permits alternative configurations for providing the pharmacy services required under the RFP.


98

C.5.6 Who is responsible for the cost of the oral HIV antibody tests?

Currently, the DC Department Of Health (DOH) supplies the DOC with oral rapid tests free of cost. In the event this does not continue for the life of the contract, the contractor is then responsible for the cost.

99

C.5.6 HIV Testing – Chapter 3, Section 15 - Under administrative responsibilities, the RFP states that the Contractor shall provide oral HIV rapid testing on intake. What is currently the cost and frequency of providing this service?

$500,000 annually. HIV services shall be provided by the contractor daily, at intake, sick call, and release.

100 C.5.8.1.3.1 Discharge C.5.8.1.3.1 – What are the hours/days that an IMA worker is present in CDF and CTF?

Monday –Friday 9am- 5pm.

101 C.5.8.1.8 Post-Release C.5.8.1.8 – How is information

regarding post-release appointments currently provided for jail personnel?

Please see Amendment No. A0001

102

C.5.8.2.1 Medicaid / Medicare C.5.8.2.1 – Please describe the criteria for DC inmate eligibility for Medicaid, Medicare, or other insurance enrollment.

Effective December 1, 2010, Medicaid eligibility has been revised to apply to any person below 200% of the Federal Poverty Level (FPL), which is currently established at annual income of $21,660 for a family of one, and up to $74,020 for a family of eight. Under Federal and District guidelines for Medicaid reimbursement to the District for incarcerated individuals, only inpatient hospitalization is eligible for reimbursement to the District.


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103 C.5.11 Please provide current health service staffing

plan/schedules by facility, shift, and day of the week for each of the DOC facilities.

See Attachment F of Amendment No. A0001

104

C.5.11 Because the CDF and CTF are high-rise institutions that are staff-intensive, will the DOC please provide either a current copy or desired staffing plan for review?


105 C.5.11 Please provide a listing of the current health service

vacancies by position for the each of the DOC facilities.

See Attachment C of Amendment No. A0001

106 C.5.11 Please provide current

wage/pay/reimbursement/seniority rates for incumbent health service staff at the DOC facilities.


107

C.5.11 Please confirm that the time health services staff members spend in orientation, in-service training, and continuing education classes will count toward the hours required by the contract.

The Contractor’s clinical staff is required to attend mandatory DOC 40 hours Pre –services training and Contractor’s clerical/support staff must attend DOC 16 hours Pre-services training. All of the Contractor’s staff (Clinical, clerical, support) must have 40 hours annual in-service training, which must include mandatory DOC 16 hours and Contractor provided 24 hours.

108 C.5.11 What percentage of the contractor’s current employees are district residents?

This information is currently not available.

109

C.5.11 Is oral swab HIV testing offered or required at receiving?

Oral rapid testing is an automatic part of the intake process. Inmates have the right to refuse testing, but it is the responsibility of the contractor to again attempt to test the inmate during their incarceration.

110 C.5.11 Who conducts the HIV pre and post test counseling? Pre and post testing counseling is conducted by the

contractor.


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111 C.5.11 Can a copy of the current staffing plan be provided? Yes.

112

C.5.11 Per discussion during the pre-proposal conference, and because the current staffing plan is not listed in the current contract, may you please provide the current staffing plan by facility, by position, and by shift?


113

C.5.11.1 Could you provide the cost for annual in-service training and random drug testing that the contractor will be responsible for reimbursing to DOC?

There is no cost associated with in-service training. The cost for each random drug test is $49.00.

Could you also provide the number of random drug tests conducted on the health care contractor over the past 3 years so we can estimate a cost?

0.

114

C.5.11.1.3 Section C.5.11.1.3 indicates that “All Contractor staff shall be required to comply with DOC’s timekeeping system”. What is that system or what does that comment mean?

The DOC timekeeping system is a biometric and personal identification number (PIN) verified system. DOC reserves the right to require the contractor to utilize this system.

115 C.5.11.1.7 Please provide the costs to be reimbursed to the DOC

for the mandatory annual in service training and random drug testing as per C.5.11.1.7.

Please see the Amendment No. A0001

116

C.5.11.1.7 Drug Testing – C.5.11.1.7 (RFP, p. 40) The RFP states that the Contractor’s employees shall be subject to random drug testing by DOC. Please clarify if the Contractor pays for this service, and if so, what is the current cost and frequency?

Yes, the Contractor would be obligated to pay DOC $49, for this option year for each random drug test.

117

C.5.11.1.7 C.5.11.1.7 “The Contractor shall reimburse DOC for the cost of the mandatory annual in-service training, and random drug testing of its employees.” What has the cost to the contractor been for these services during each of the past three years?

Please see the Amendment No. A0001


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118

C.5.11.1.7 Drug Testing – C.5.11.1.7 (RFP, p. 40) The RFP states that the contractor’s employees shall be subject to random drug testing by DOC. Please clarify who pays for this testing.

The Contractor would be obligated to pay DOC $49, this option year, for each random drug test.

119

C.5.11.1.7 Section C.5.11.1.7 states details about pre-service, annual in-service and ongoing continuing education requirements for staff. For annual in-service training, how much, if any, of it is required to be DOC-led training?

DOC is required to provide 40-hours pre-service and 16-hours in-service training to all employees, and contractors. The contractor is responsible for ensuring their employees receive 24- hours of annual in-service training. Documentation must be provided to the COTR, monthly that supports this effort.

120 C.5.11.1.8 Section C.5.11.1.8 states the COTR can remove any

personnel. Will a reason or justification be provided to the contractor, along with the written notice?

Yes

121

C.5.11.1.9 Page 40 of the RFP states that “The Contractor shall not perform any of its corporate functions and tasks at the expense of the DOC.” Will employees affected by this contract be allowed to perform corporate-necessitated administrative tasks?

Only corporate administrative tasks can be performed, which is associated with this contract.

122

C.5.11.2.3 Section C.5.11.2.3 indicates that “No payment will be made to the Contractor for the services of any personnel removed by the DOC.” If the position is required to be filled by the staffing pattern, what is the justification for a pricing adjustment for the removal of any specific personnel?

A pricing adjustment would be made for any required provider time, not filled between time of removal and time of replacement, if any.

123

C.5.11.3.1 Does Section C.5.11.3.1 apply only to contractors’ employees who work under the DOC contract? (In other words, the contractor could have a non-compete clause for employees who do not work on the DOC contract.)

It only applies to employees working under the contract resulting from this solicitation


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124

C.5.11.4.1 Reference Materials C.5.11.4.1 – Can the medical library pertain to an electronic source for medical references? Are electronic PDF’s allowed into the facility?

Yes. No, personal electronic devices are not allowed in the facility.

125

C.12 Please provide an inventory of office equipment (e.g., PCs, printers, fax machines, copiers) currently in use at each of the DOC facilities and

• identify which equipment will be available for use by the selected provider

• the age of each item • the repair status for each major piece of

equipment

See Attachment G of Amendment No. A0001

126

C.12 Please provide an inventory of medical equipment (e.g., blood pressure cuffs, ultrasound, x-ray machines, etc.) currently in use at each of the DOC facilities and

• identify which equipment will be available for use by the selected provider

• the age of each item • the repair status for each major piece of

equipment

See Attachment H of Amendment No. A0001

127 C.12 Please provide a comprehensive equipment list of

equipment valued over $100.00 including Dental, Medical, Computers, and Copier/Scanner/Faxes.

This is provided as an attachment entitled “Medical IT Assets 12-09-2010.pdf”.

128 C.12 What equipment is owned by the current vendor and

will need replaced by the new provider? All equipment purchased becomes the property of the DOC. See Replacement Schedule and Inventory Sheet

129 C.5.12 Is the existing x-ray equipment true digital or drum-roller?

Digital


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130 C.5.12 Please provide the make, model and year of the current x-ray equipment.

See Attachment E of Amendment No. A0001

131 C.5.12.3 Please confirm that all current medical equipment is to

remain. Otherwise, please indicate which equipment is not remaining.

All current medical equipment remains the property of DOC.

132

C.5.12.3 C.5.12.3. Indicates the equipment inventory to be provided with contract award. In order for the contractor to effectively estimate the cost of equipment that will need to be purchased and/or maintained, would it be possible to provide the medical equipment and management information systems inventory for items with a value in excess of $500?

See Attachment E & H of Amendment No. A0001

133

C.5.12.4 Section C.5.12.4 states that the contractor must submit a monthly inventory. Could you clarify the definition of equipment for purposes of this inventory? Is this for equipment over $5,000?

This is for all equipment and tools. It is required as a part of Key and Tool control management under ACA/NCCHC also.

134

C.5.12.4 We understand that, as per page 44 of the RFP, the “Contractor shall provide monthly inventory of government-furnished medical, dental, and mental health equipment, and maintenance, repair or replacement, including maintaining service contracts. Who is financially responsible for the provision of additional equipment not currently in place at the DOC facilities?

The Vendor is financially responsible for equipment/supplies that are required to provide health services to the inmates.

135

C.5.13 With regard to Internet access, please confirm that the service is provided by the DOC and the vendor is not responsible, financially or otherwise, for maintaining this service.

Correct


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136

C.5.13 How does the health unit staff at the DOC facilities currently access the Internet: through a facility network or through connectivity provided by the incumbent Contractor? With the new contract, who will be responsible, financially or otherwise, for maintaining this service?

Internet access is and will be provided through DOC. The contractor is not responsible for providing internet access.

137

C.5.13 Who is responsible for the costs of accreditation? DOC is responsible for the Accreditation fees and any costs associated with correctional activities and physical building standards, but the Contractor is responsible for costs associated with meeting any health/medical standards for the accreditation.

138 C.5.13 Can you please clarify in detail the scope of the IT

services expected to be the responsibility of the Contractor.

Application training, Application support, Data analytics.

139

C.5.13 Is DOC open to the use of new software within the jail facilities?

Yes; however all software must be approved in advance of purchase and becomes the property of the Department of Corrections.

Or is the Contractor limited to the use of only the current software being used?

No

Would the Contractor have the autonomy to install new software that would benefit the health services program?

Please refer to answer to part 1 above.

140

C.5.13 If the Contractor is to have responsibility for the development of interfaces and maintenance of software and hardware, what level of oversight will DOC require?

Authorization and final approval.

For example, would the Contractor have absolute access to and control of essential hardware, such as servers?

No.


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141

C.5.13 Who is responsible for maintaining the test, train, and production environments of Centricity?

DOC.

If DOC is responsible, please provide the schedule and description of regular maintenance.

DOC is responsible for maintaining the test, train, and production environments. Maintenance is performed every 3 months.

142 C.5.13 Are there required protocols for data quality audits? If

so, please provide these. Yes. Please refer to the Office of the Chief Technology Officer’s Website for further details. http://www.octo.dc.gov

143

C.5.13 With regard to the Centricity EMR: • Under the new contract, who will be responsible

for the cost(s) of additional Centricity maintenance fees and user licenses required by the health care Contractor’s users?

• How many concurrent user licenses does the DOC currently have? Of this number, how many does the DOC currently use?

• Please confirm that the selected health care Contractor will be financially responsible for implementing an online medication order entry module in Centricity. In addition, please confirm that the selected Contractor will only be required to implement this functionality AFTER the DOC upgrades to the latest version of Centricity (i.e., version 9.2).

• What version of Logician is currently installed and in use?

• Please confirm that the DOC is fully responsible for monitoring and management of the Logician

• The Department of Corrections • DOC has 68 user licenses, 50 to 60 currently are

used by the provider. • The Contractor will be responsible for

implementing an electronic Pharmacy System that interfaces and integrates with existing EMR and Offender Management Systems. The implementation of the electronic pharmacy system will occur independently of any new releases of EMR and/or OMS applications.

• Centricity version 5.6.9_2 is in use.

• Correct

• Correct; Centricity is fully functional.


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servers/software/infrastructure. • Is the EMR/Logician fully implemented and

functional? If not, at what point in the EMR implementation process is the DOC currently?

• Who is responsible for providing “help desk/end user” support for the Logician users?

• The name, vendor, and version of the EMR • On what hardware platform does the EMR run? • On what network infrastructure does the EMR

run?

• DOC OMITS

• Centricty 5.6.9_2 by GE • Dell PowerEdge Server 2850 • The EMR runs on a 100 Mbps/1 Gbps Ethernet

switched network with a fiber backbone

144

C.5.13 With regard to the Medical Management Information System (MMIS) at the CDF (referenced on page 49 of the RFP), please provide the following information.

• The RFP states that “The Contractor shall complete the development of the Medical Management Information System (MMIS) at the CDF.” a. At what stage of development is the MMIS

currently? b. Who is currently developing the system? c. Who is financially responsible for the cost

of developing and implementing the system?

• Please provide the name, vendor, and version of the MMIS.

• The RFP states that the “Contractor shall

• In this RFP the completion of the MMIS refers to the implementation of an electronic pharmacy system and implementation of the use of telemedicine. a. An Electronic Medical Records system with

document management, PACS (a tele-radiology system), 2 way Electronic Lab interface, and telemedicine equipment suitable for a correctional environment comprise the existing MMIS.

b. The DOC specifies the system and the Contractor utilizes the system.

c. The selected Contractor will be responsible for the cost of purchasing and implementing (including integrating and providing necessary interfaces to the existing MMIS components) the electronic Pharmacy component of the MMIS. DOC handles all other components.

• Answered above. • This statement refers only to the Pharmacy


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purchase and maintain software annual support and licensing agreements at no additional cost to the District, with DOC listed as the owner, for all MMIS.” a. Please provide a list of the software, SW

vendors, current agreements, and cost that this requirement includes.

b. What is the current cost of the existing agreements?

• The RFP requires the Contractor to develop an interface between the MMIS and the Jail and Community Corrections System (JACCS) and the “pharmacy system”. Please provide additional detail about the required interfaces, including:

a. Vendor and system name of the existing pharmacy system

b. Is a two way data exchange between systems required or only one way (i.e., data exchange out of the MMIS or into the MMIS from the pharmacy and JACCS systems)?

c. Has any interface development between systems started yet?

• On what hardware platform does the MMIS run? • In what programming language/format is the

MMIS written? • On what network infrastructure does the MMIS

run?

module a. Answered above b. Answered above

• In this RFP the completion of the MMIS refers

to the implementation of an electronic pharmacy system and implementation of the use of telemedicine. The interface to be developed refers to the electronic pharmacy system. It must at a minimum identify inmates by facility, housing unit, cell number, and inmate number, and allow prescriptions written in Centricity to be electronically recorded within the application, both real time. Electronic Reporting capability must be included.

a. Kalos Inc., Correctional Pharmacy System (CIPS)

b. Two way data exchange is required c. Yes. An interface exists between JACCS

and the EMR. JACCS provides the inmate number, facility, cell block and cell number to the EMR.

• Dell PowerEdge 2850 • The databases for Centricity is ORACLE,

Centricity is a proprietary COTS product. • 100 Mbps/1 Gbps Ethernet switched network

with a fiber backbone


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145

C.5.13 With regard to the Jail and Community Corrections System (JACCS) referenced on page 49 of the RFP, please provide the following information. • The name, vendor, and version of the JACCS • On what hardware platform does the JACCS run? • On what network infrastructure does the JACCS

run? • What programming language/format is the

JACCS written in?

• Digital Solution Incorporated, OMS 6.1.1 • Dell PowerEdge Server 6850 • 100 Mbps/1 Gbps Ethernet network • Power Builder

146

C.5.13.2.1 Section C.5.13.2.1 contains language that puts limitless requirements on the Contractor. Could you clarify more specifically these requirements, timelines for submission, and format for submission so the potential contractors can plan accordingly?

There are 8 specific deliverables itemized in Section C.5.11.2.3 (a-h). The schedules/frequency for reporting are listed in the RFP section F.3 Deliverables. The format for certain designated reports are included as an attachment (J.22) as amended. The offerer’s submission should include proposed formats, for reporting both narrative and metrics to provide the agency with the required information specified in the RFP. Additions and adjustments to existing and prospective reporting formats may reasonably be made to meet District and agency needs during the term of the contract.

147

C.5.13.2.1(c) Section C.5.13.2.1(c) indicates that the contractor must “Prepare chart of accounts set up by service and treatment category”. What does service and treatment category mean?

The principal categories for goods and services required for comprehensive health care are itemized in sections “C”, “F”, and “H” of the RFP. The chart of accounts under GAAP is designed to itemize and document the cost and expenditures for those categories. Clinical treatment categories are detailed in section “C”, and the chart of accounts under GAAP is designed to itemize and document the cost and expenditure for the categories of


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treatment provided to inmates under the contract.


148

C.5.13.2.1.h C.5.13.2.1.h Please provide information about the DOC timekeeping system and how it is utilized within this contract.

The DOC timekeeping system is a biometric and personal identification number (PIN) verified system. DOC reserves the right to require the contractor to utilize this system.

149 C.5.13.2.1.h C.5.13.2.1.h Is the DOC open to the contractor

implementing its own timekeeping system for tracking employee time?

No. DOC’s system, Time Clock plus, will provide punch information from the SQL server, to the contractor’s authorized representative.

150

C.5.13.2.1(h) Section C.5.13.2.1(h) indicates that the contractor must “Purchase, install and maintain DOC timekeeping system”. What is that system and what are its specifications?

Please see response to # 149 & 150

151

C.5.13.3 With regard to the use of telemedicine technology: • Please confirm that all necessary telemedicine

equipment has already been purchased by the DOC • Are the existing telemedicine communications

requirements supported via the DOC backbone network?

• Are “off network” providers permitted, i.e., the provider is not onsite at a facility but rather at an offsite/off network location? This will require that external connections be supported on the existing telemedicine network.

• Yes. • Yes.

• This will require that external connections be

supported on the existing telemedicine network.

152

C.5.13.3.2 Telemedicine C.5.13.3.2 – Please list and describe all telemedicine equipment which has already been purchased. Please list and describe any telemedicine equipment or funding related to use of the equipment which shall be the Contractor’s responsibility.

Equipment purchased included the following which were deemed suitable for a corrections environment: Dual Monitor Mobile Medical Cart TotalExam™ S-Video Examination Camera StethOne™ Telephonic Stethoscope High-Res Otoscope


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153 C.5.13.3.2 C.5.13.3.2 Telemedicine – Is this equipment currently

being utilized? If so for what services? Not currently, but will be before the time of the contract award. our intention for services is as follows:

154

C.5.13.4.2.1.4 Section C.5.13.4.2.1.4 describes the duties of a computer analyst to be responsible for: interface between MMIS, JACCS/OMS, and pharmacy system. For the purposes of this requirement, does MMIS mean Centricity? Or does MMIS include other applications?

Yes, MMIS mean Centricity

155

C.5.13.5 If the Contractor has responsibility for developing and maintaining software applications, servers, and other aspects of the MMIS system, what DOC review and approval processes will be necessary for the Contractor to make improvements and changes to the electronic medical record and other health information software? Will the Contractor have the ability to make changes without the approval of DOC? If DOC approval is required, will there be a defined process under which that Contractor can reliably have its requests addressed?

Developing and maintaining software applications is a DOC responsibility. The defined process is award contract including all attachments.

156 C.5.13.5.2 Please provide a copy of the DOC Information

Management System standards and policies referenced on page 49 of the RFP.

This material will be provided to the selected vendor.

157

C.5.13.5.2 In Section C.5.13.5.2, the Medical Management Information System (MMIS) development is discussed. Could you provide details on the current state and versions of the electronic information systems? It is unclear which systems need only maintenance and which would need to be purchased, developed, and implemented.

In this RFP the completion of the MMIS refers to the implementation of an electronic pharmacy system and implementation of the use of telemedicine. An Electronic Medical Records system with document management, PACS (a tele-radiology system), 2 way Electronic Lab interface, and telemedicine equipment suitable for a


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correctional environment comprise the existing MMIS. The selected Contractor will be responsible for the cost of purchasing and implementing (including integrating and providing necessary interfaces to the existing MMIS components) the electronic Pharmacy component of the MMIS. DOC handles all other components.

158

C.5.13.5.2.1.1 Section C.5.13.5.2.1.1 refers to real-time secure wireless data collection. Could you provide more detail regarding what this means? Is it referring to specific services that are performed in areas where wired computers are not available? Under what circumstances would wireless data collection be required to be used?

The District expects to utilize secure wireless technologies in a variety of medical applications. These may include pharmaceutical distribution and inventory management among others. Any wireless technology implemented must be HIPPA compliant. Wireless data collection will be utilized under circumstances deemed appropriate by DOC.

159

C.5.13.5.2.1.4 C.5.13.5.2.1.4 Responsible for Development of interface between the MMIS, JACCS/OMS and pharmacy system. Please provide any documentation available on interface specifications including data dictionary and file specifications.

This information will be provided to the selected contractor.

160

C.5.13.5.3 With regard to the required “computer analyst/application specialist” position:

Does the DOC have any minimum education or experience requirements for the “computer analyst/application specialist” position referenced on page 49 of the RFP? Is this a currently filled position or is this a new position that needs to be recruited for?

This individual must have experience in mining and reporting data housed in ORACLE databases with a variety of reporting platforms/tools such as Oracle report Writer, SQL Plus, Crystal Reports, SAS etc. We recommend 5-7 years of minimum experience in a health care/medical analytics/small hospital environment. This is a new position

161

C.5.5.4 Automated Pharmacy System C.5.5.4 - Under Pharmacy states that the Contractor shall purchase an automated pharmacy system for inventory control, distribution, and dispensing pharmaceuticals, which

A separate detailed description along with cost may be submitted when responding to the RFP however the final cost must be rolled into the per-diem.


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interfaces with the DOC EMR. Due to the high cost of purchasing such a system, which could range anywhere from $500,000 to $1 million, we ask that the DOC consider making this item an additional option for pricing purposes that would be evaluated separate and apart from the base bid price.

162

C.5.13.5.4 C.5.13.5.4 Equipment states that any MMIS hardware/equipment and software/applications utilized by the Contractor for the contract shall interface with existing DOC Management Information System (MIS). Please provide any documentation available on interface specifications including data dictionary and file specifications.

This information will be provided to the selected contractor.

163

C.5.13.5.4 Please also identify the specific Information Technology assistance that will be provided by the DOC for assistance with development of all MIS interfaces and for hardware installation.

DBA; Level 1, Level 2 and Level 3 network and hardware support

164

C.5.13.5.5 Section C.5.13.5.5 indicates that the Contractor is responsible for purchasing and maintaining annual software support and licensing agreements. Those contracts are typically negotiated by the owner of the software and at the time of purchase. At a minimum, we would need contact information of the current software vendors and permission from the District to obtain quotes on the applicable software. Can you provide that information and that authorization? Also, is the maintenance limited to just the software vendor, or is it anticipated that contract support vendors are also necessary?

DOC is responsible for all annual software and hardware support for items currently owned. The contractor is required to provide support for the first 24 months for new applications, which is limited to a new electronic Pharmacy System.


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165

C.5.13.5.5 Medical Management Information System C.5.13.5.5 – What are the current and projected costs for EMR software support and licensing agreements?

The cost of the EMR software license renewals and maintenance is provided by DOC. The license and renewals for the Pharmacy software will also be provided by DOC after ownership transfers to DOC (after 24 months). All other applications, hardware and software related to medical records will be provided by and maintained by DOC and the information contained within will belong to DOC.

166

C.5.14 With regard to reporting: • Do the required Logician reports already exist

or do they have to be created? • Do the non-Logician reports already exist or

do they have to be created? • Please provide copies of the required, existing

reports in order to view the required data fields and format.

• Centricity has a query capability and it is possible to use SQL Plus/Crystal Reports/SAS etc to develop and write reports off the tables (back end); however, much work is required to refine and automate these.

• Some reports exist. Additional reports are developed as required.

• This information will be provided after the Contract is awarded

•

167 C.5.14 What is the current version of the DOC EMR system

and are there any upgrades planned in the next 12 months?

Centricity 5.6.9_2 by GE; no upgrade is planned at present.

168

C.5.14 Are there specific EMR-based reports that the contractor will be responsible for developing? Are there specific reports that have already been developed or will be developed by DOC?

Yes, the contractor is responsible for ensuring accurate reporting of contractually specified and accreditation related performance metrics and analytical information on at least a monthly basis. Other ad-hoc requests are expected to be fulfilled as needed by DOC. No; however, DOC will consult and validate developed reports to confirm and ensure accuracy of information reported.


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169

C.5.14 If the contractor is required to pay for developing enhancements, such as new forms or report tools, what is the process for deciding which enhancements are necessary? If there is disagreement over priority or content, how will these disagreements be resolved (given that the contractor will be responsible for paying for an undefined list of enhancements)?

Any request for new developments or enhancements for new forms or report tools will require contract modification, however all new developments or enhancements for new forms or report tools must be approved in advance of and becomes the property of the Department of Corrections. All disagreements will be resolved by the Contracting Officer.

170 C.5.14 Are there any requirements for linkage to or access to community health/regional network EMR systems?

No requirements exist.

171 C.5.14.13 Please provide an example of a report that meets the requirements requested in C.5.14.13.

See Attachment J.22

172 C.5.14.14 Please provide an example of a report that meets the

requirements requested in C.5.14.14.

See Attachment J.22

173

C Will the contractor be responsible for the purchase, maintenance, or upgrading of the sick call telephone system? If so, could you provide specifications on the system?

No.

174

C Is the contractor financially responsible for MPD and St. Elizabeth’s Hospital patients who are hospitalized? If the financial responsibility is based on custody, how and when will the contractor be notified that a patient who did not originate from CDF or CTF has been transferred to DOC’s custody while in the hospital?

The contractor is not financially responsible until the custody is transferred to DOC while hospitalized. The contractor is required to have a liaison to assist in the coordination of services for hospitalized inmates. That liaison would have access to, and should be fully aware of the exact time of the transfer, as the liaison’s responsibility is to know where all hospitalized inmates are and their condition.


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175

C Would the contractor be responsible for providing observation of fingernail and toenail cutting for inmates (or will this be done by correctional staff)?

The contractor shall be responsible for providing the equipment and any oversight of inmates requiring their nails cut. This is not the responsibility of the correctional staff.

176 C Are any community agencies currently providing

services to the population (e.g. jail diversion program, STD testing, etc.)?

See Attachment F of Amendment No. A0001.

177 C What on-site services are currently being provided by

community agencies (e.g. jail diversion program, STD testing, etc.)?


178

C Under the current contract, who is financially responsible for the following services: the DC DOC or the incumbent Contractor?

• Inpatient hospitalization • Outpatient surgeries • Other outpatient referrals • ER visits • Offsite dialysis • Offsite diagnostics (lab/x-ray)

• Incumbent Contractor, except Federal inmates. • Incumbent Contractor, except Federal inmates • Incumbent Contractor, except Federal inmates • Incumbent Contractor, except Federal inmates • Incumbent Contractor * except Federal inmates

(Dialysis is currently provided on-site) • Incumbent Contractor except Federal inmates

179

C Please confirm that under the new contract, the Contractor will not be financially responsible for any of the following services.

• Neonatal or newborn care after actual delivery Cosmetic surgery, including breast reduction.

• Sex change surgery (including treatment or related cosmetic procedures)

• Contraceptive care including elective vasectomy (or reversal of such) and tubal ligation (or reversal of such)

• The Contractor is not responsible for the referenced services.

• Contractor is responsible for hormone therapy under certain circumstances. See DOC Transgender PS located on the hhtp://dc.doc.gov website




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• Extraordinary and/or experimental care • Elective care (care which if not provided

would not, in the opinion of the Medical Director, cause the inmate’s health to deteriorate or cause definite and/or irreparable harm to the inmate’s physical status)

• Autopsies • Any organ (or other) transplant or related

costs, including, but not limited to labs, testing, pre- or post-op follow-up care, or ongoing care related to a transplant, etc.

• See the DOC Elective Procedures policy on hhtp://dc.doc.gov website.


• There has been no case where the Vendor has paid for a transplant to date but if the provider orders the services and in the absence of the inmate having private resources such as Medicaid, Medicare, and/or private insurance, the provider shall pay.

180 F.2 What is the DC DOC’s targeted award date for the contract?

March 31, 2011

181 F.2 What is the DC DOC’s targeted start date for the

contract?

April 1, 2011

182

F.2 Mutual Annual Renewal - Would the District be willing to allow for either a mutual annual renewal or a 180-day termination clause for either party, as opposed to a 5-year contract with no out clause for the contractor?

No

183 F.3 What is the difference between Deliverables 2 and 3 in Section F.3?

#2 references job descriptions for each position. #3 references a staffing plan.

184

F.3 What credentials are required of staff who operate the telemedicine system as discussed in Deliverable 16 in Section F.3?

The clinical staff identified to provide services through telemedicine must have current license and/or certification as a medical practitioner, and will have to complete the specialized training on the telemedicine to be provided by the DOC Contractor.


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185

F.3 Number 23 and 24 in Section F.3 discusses research, analysis, program development, and ACA and NCCHC standards. The table states that the deliverable should be “in a form prescribed by the DOC”. When will the prescribed format be provided? What happens if no format is provided?

The prescribed format will be provided upon award of the contract.

186

H.9.1 What is the difference between a certified small business enterprise and a qualified small business enterprise as discussed in Section H.9.1?

Under the provisions of the “Small, Local, and Disadvantaged Business Enterprise Development and Assistance Act, the District issues certifications to the businesses that are small, local, disadvantaged, resident-owned, longtime resident, veteran-owned, local manufacturing, or local with a principal office located in an enterprise zone of the District of Columbia. Subcontracting requirement is the Contract shall be certified as small business enterprises. If there are insufficient qualified small business enterprises to completely fulfill the requirement, then the subcontracting may be satisfied by any certified business enterprises (local, disadvantaged, resident-owned, longtime resident, veteran-owned, local manufacturing, or local with a principal office located in an enterprise zone of the District of Columbia)

187 H.10.2 What does “current pharmaceuticals” mean in Section H.10.2?

All pharmaceuticals available at the time of the contract award.

188

H.10.3 What does “share responsibility” mean in Section H.10.3?

The selected Contractor shall participate in testing and validation of hardware and software deployed by DOC in thorough and timely manner. The selected Contractor shall carry out responsibilities as outlined in DOC policies and procedures


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(provided after selection) and DOC’s staff will also carry out its role and responsibilities per DOC policies and procedures, District guidelines, etc. This constitutes sharing of responsibilities.

189 H.10.7 Section H.10.7 is missing. Please see Amendment No. A0001

190

H.10.8 What is the purpose of Section H.10.8? Is this material duplicative of that in Section C.5.13.5?

States necessary facts about DOC’s Information Technology Management roles and responsibilities C.5.13.5 is a requirement for the selected Contractor.

191 H.11.4 What does the District mean by “Health Statistician”

in Section H.11.4? What kind of position does the District intend this to be?

This is the analyst that provides the required routine and requested non-routine health information and analysis to the COTR.

192

H.14 Should Section H.14 include the privacy and security requirements set forth in the HITECH Act of 2009?

DOC and the selected Contractor must abide by all laws and regulations that govern their operation including the privacy and security requirements set forth in the HITECH Act of 2009.

193

H.15 Please provide (by year) the amounts and reasons for any paybacks, credits, and/or liquidated damages the DC DOC has assessed against the incumbent vendor over the term of the current contract.

For the last three (3) years, no paybacks, credits, and/or liquidated damages have been assessed against the incumbent.

194 H.15 Liquidated Damages – (RFP, p. 89) Please clarify if

these are in place with the current vendor, and what has been assessed in penalties for the past year.

Yes, this is currently in place. No liquidated damages have been assessed in the past year.

195

H.15 Liquidated Damages – (RFP, p. 89) The RFP says they will assess 100% of hourly rate plus fringe for each shift or part of shift not covered, but does not mention any punitive damages. How much has the District been assessing the current vendor, assuming this arrangement is currently in place?

The liquidated damages are currently in place, and none have been assessed against the current vendor. There are no provisions for punitive damages.


Page 41 of 44


196

H.15 Many of the activities and requirements included in the RFP assume that the contractor has access to the inmates (i.e. intake screening within 24 hours assumes movement from R&D to the medical unit is timely enough to screen all inmates within 24 hours of arrival). The RFP does not include language that states that DOC is responsible for providing the health care contractor with access to the inmates and that the health care contractor cannot be held liable or responsible in a scenario where the health care contractor is not able to access the inmate in a timely manner. In addition, with the liquidated damages being set at 100% compliance, is there a caveat for a situation in which DOC does not provide access or some other prerequisite requirement and it results in the contractor’s default?

With regard to the issue of application of liquidated damages and/or failure to comply with contractual requirements, the contractor access/notification to inmates to provide required services, District standard contract provisions governing disputes administered through OCP is the mechanism established to resolve such an issue.

197

H.15 Please describe how the DOC itself is permitted to assess direct damages for services not provided or performance standards not met outside of Section H.15? What standards will be used? How will damage amounts be assessed? Who at DOC will be responsible for this?

Will the contractor have an opportunity to have notice and hearing on this?

The COTR will make recommendation for the liquidated damages, only Contracting Officer is the judicator of liquidated damages. With regard to the issue of application of liquidated damages and/or failure to comply with contractual requirements, the contractor access/notification to inmates to provide required services, District standard contract provisions governing disputes administered through OCP is the mechanism established to resolve such an issue.


Page 42 of 44


198

H.15.1 ) In Section H.15.1, who determines whether the contractor is subject to a corrective action plan or liquidated damages? How is that determination made?

The COTR will make recommendation for the liquidated damages, only Contracting Officer is the judicator of liquidated damages. With regard to the issue of application of liquidated damages and/or failure to comply with contractual requirements, the contractor access/notification to inmates to provide required services, District standard contract provisions governing disputes administered through OCP is the mechanism established to resolve such an issue.

199 H.15.4 Which of the performance standards set forth in

Section H.15.4 will be retrospectively subject to corrective action?

Any performance standard, depending on specifics of findings, may be subject to retrospective corrective action.

200 H.15.4 The performance requirement listed as #14 in Section

H.15.4 does not correlate with the requirement in the underlying contract section, Section C.5.4.2.8.


201

H.15.4 How does #17 (there are two #17s) in Section H.15.4 apply if the contractor is not made aware of the inmate’s release or the notification is not timely?

With regard to the issue of application of liquidated damages and/or failure to comply with contractual requirements, the contractor access/notification to inmates to provide required services, District standard contract provisions governing disputes administered through OCP is the mechanism established to resolve such an issue.

202

H.15.4 Please describe what the monthly inventory of First Aid Kits entails (#21 in Section H.15.4).

The contractor shall collect all 1st AID Kits, take stock, replenish and secure with lock as needed. All missing and replaced items must be documented, along with the box number/location, date, and submitted to the Office of Health Services Administration, monthly.


Page 43 of 44


203 H.15.4 How will DOC be able to determine if all health care

encounter information is entered into the EMR as set forth in #22 of Section H.15.4.

Through required data quality audits performed by the contractor and independent DOC audits.

204

H.15.4 Can the District include all of the requirements of the Performance Improvement Measurement Tool described in #23 in Section H.15.4 so that it is clear what this means?

Please see attachment J.22

205

I.7 Is there a dollar threshold or some other threshold of contract that the District will utilize in its subcontract review set forth in Section I.7? Does the Contracting Officer want to approve any subcontract under the DOC contract?

Any subcontract is subject to review and approval by the Contracting Officer.

206 I.8 Umbrella Insurance – (RFP, p. 95) The RFP stipulates

that we need Umbrella Insurance coverage of $5 million. What are the levels of PLI coverage? Please clarify.

PLI is included in Umbrella Insurance.

207 I.8 Is there a requirement for the contractor to maintain

professional liability insurance coverage? What is the requirement?

Solicitation do not require for professional liability insurance coverage

208

I.8.2 I.8.2 requires owned auto policy; is it the intention for the contractor to provide auto insurance for all employees or subcontractors privately owned vehicles?

Auto insurance is to protects the contractor against financial loss because of legal liability for automobile-related injuries to others or damage to their property by an auto.

209

J.11 Would the contractor be responsible for the cost of storage of hard copy medical records? Would this include medical records from the period prior to the beginning of the contract?

Please see Attachment J.11 DOC Program Statement for Retention & Disposal of Department Records.

210

J.22 Could you provide Attachment J.22 DOC Performance Reporting Templates for review?

Posted on OCP Website.


Page 44 of 44


211

L.3.1 Proposal Submission Deadline: Due to the upcoming holidays, travel and family schedules of both vendors and procurement staff, we believe that it might be helpful to provide additional time for vendors to formulate their RFP responses. It is PHS’s goal to prepare a succinct and meaningful proposal that effectively addresses the unique correctional health care service and discharge planning needs of the District. As a request, PHS would like to ask the OCP and District if it would be possible to extend the proposal deadline until January 15, 2011.


212 L.4 L.4 Please clarifies due date for additional questions;

five business days from pre-proposal conference or 10 days prior to closing date of solicitation?

10 days prior to closing date of solicitation

213

L.23.1 With regard to the Technical Proposal organization and presentation, is it the DOC’s expectation that the Offeror reiterate each and every bullet point/question/requirement within each RFP header section, immediately followed by the Offeror’s response, or is it the DOC’s preference that the Offeror’s Technical Proposal does not reiterate each bullet point/requirement/question and instead responds to all items within each RFP header section via a comprehensive narrative format?

Offeror reiterate each and every bullet point/question/requirement within each RFP header section, immediately followed by the Offeror’s response

214 Please provide a copy of the DOC’s current health

services contract, including any exhibits, attachments, and amendments.

Posted on OCP website http://www.opc.dc.gov

Average LOSdays

10/2007 1/2008 4/2008 7/2008 10/2008 1/2009 4/2009 7/2009 10/2009 1/2010 4/2010 7/2010 AverageInmates with Federal DetainersFederal Probation Violator Detainer, non Federal Status 2 2 4 3 3 9 5 8 8 6 6 8 5ICE Detainer, non Federal Status 26 30 37 32 41 42 67 72 78 74 67 67 53USPC Detainer, non Federal Status 61 89 75 94 65 68 88 102 117 120 135 107 93USMS Detainer, non Federal Status 77 86 83 113 103 114 122 109 93 91 115 92 100

Federal InmatesParole Violator 107 793 984 916 1,001 826 984 1,161 1,090 891 862 1,034 776 943Sentenced Felon 201 591 765 767 711 702 732 718 734 718 792 858 666 730Writ/Hold US Witness 300 227 239 247 278 230 214 231 222 225 190 166 134 217

CDF Total 148 4,779 4,972 5,230 5,240 4,987 5,047 5,239 5,325 4,997 4,920 5,304 4,291 5028

Federal Inmates 34% 40% 37% 38% 35% 38% 40% 38% 37% 37% 39% 37% 38%

% of Federal Inmates or inmates with Federal Detainers 37% 44% 41% 43% 39% 43% 46% 44% 42% 43% 45% 43% 42%

Distinct Inmates By Quarter Beginning

CTF ACA OUTCOMES

CTF ACA OUTCOMES 2007 2007Numerator/Denominator January February March April May June July August September October November DecemberVacancy rate for full time equivalents for each category within the health care staff:Physicians 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%RN's 0.00% 7.69% 15.38% 15.38% 15.38% 0.00% 0.00% 7.69% 7.69% 0.00% 7.69% 7.69%LPN's 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 3.33% 3.33%Mid-level practicioners 0.00% 0.00% 0.00% 0.00% 0.00% 12.50% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%Ancillary staff 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 7.14% 7.14% 7.14% 0.00% 0.00% 0.00%Medical records staff 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%Physicians assistants 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%

CTF ACA OUTCOMES 2008-2009 2008Numerator/Denominator October November December January February March April May June July August September October NovemberVacancy rate for full time equivalents for each category within the health care staff:Physicians 0.00% 0.00% 0.00% 0.00% 0.00% 40.00% 40.00% 40.00% 40.00% 40.00% 40.00% 40.00% 40% 40%RN's 7.69% 0.00% 8.00% 8.00% 8.00% 8.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0% 0%LPN's 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0% 0%Mid-level practicioners 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0% 0%Ancillary staff 7.14% 7.14% 7.00% 7.00% 7.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 7% 7%Medical records staff 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0% 0%Physicians assistants 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0% 0%

2009-2010 2009 2010Numerator/Denominator October November December January February March April May

Vacancy rate for full time equivalents for each category within the health care staff:Physicians 40% 40% 40% 40% 40% 40.00% 40.00% 40.00%RN's 0% 0% 0% 0% 0% 0.00% 0.00% 0.00%LPN's 0% 0% 0% 0% 0% 0.00% 0.00% 0.00%Mid-level practicioners 0% 0% 0% 0% 0% 0.00% 0.00% 0.00%Ancillary staff 7% 7% 7% 7% 7% 7.00% 7.00% 7.00%Medical records staff 0% 0% 0% 0% 0% 0.00% 0.00% 0.00%Physicians assistants 0% 0% 0% 0% 0% 0.00% 0.00% 0.00%

1 ACA Metrics Report CTF

Specialty Clinics Currently Held In The DOC

CARDIOLOGYDERMATOLOGY

OB/GYNINFECTIOUS DISEASE

OPHTHALMOLOGY

ORTHOPEDICPODIATRYPHYSICAL THERAPY

DIALYSIS

PT and Dialysis clinics are on-site at the CTF only. Both CDF, and CTF Inmates requiring those servicesseen at that site.

CDF ACA OUTCOMES 2007-2008 2008

Numerator/Denominator December January February March April May June July August SeptemberVacancy rate for full time equivalents for each category within the health care staff:Physicians 0% 0% 21% 11% 11% 11% 0% 6% 11% 0%RN's 0% 0% 13% 0% 0% 0% 0% 6% 13% 13%LPN's 0% 0% 0% 8% 8% 4% 8% 8% 12% 12%Mid-level practitioners 0% 0% 0% 12.50% 12.50% 0% 13% 13% 13% 25%Ancillary staff 0% 0% 0% 15% 15% 15% 12% 12% 15% 15%Medical records staff 0% 0% 0% 10% 10% 10% 0% 0% 0% 0%Physicians assistants 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%

2008-2009 2009Numerator/Denominator October November December January February March April May June July August September

Vacancy rate for full time equivalents for each category within the health care staff:Physicians 0% 0% 0% 0% 0% 0% 0% 0% 11% 0% 0% 0%RN's 13% 13% 18% 18% 18% 18% 18% 18% 18% 12% 12% 18%LPN's 12% 12% 12% 15% 15% 19% 19% 19% 15% 15% 15% 15%Mid-level practitioners 25% 25% 25% 25.00% 25.00% 25% 25% 25% 25% 25% 25% 25%Ancillary staff 18% 15% 15% 15% 15% 15% 12% 12% 12% 18% 18% 15%Medical records staff 20% 20% 20% 40% 40% 0% 0% 0% 0% 0% 0% 0%Physicians assistants 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%

2009-2010 2010Numerator/Denominator October November December January February March April May

Vacancy rate for full time equivalents for each category within the health care staff:Physicians 11% 13% 13% 13% 13% 13% 13% 13%RN's 12% 18% 24% 24% 30% 37% 43% 49%LPN's 15% 12% 12% 15% 15% 19% 19% 19%Mid-level practitioners 13% 25% 25% 25% 13% 13% 0% 0%Ancillary staff 15% 12% 12% 14% 17% 10% 7% 7%Medical records staff 0% 0% 20% 20% 20% 20% 20% 20%Physicians assistants 0% 0% 0% 0% 0% 0% 0% 0%

VENDORS/PROVIDERS CLIENT WIRE REIMBURSEMENT INFORMATION Laboratory Corporation of America Holding P.O. Box 2270 – Burlington, NC 27216-2270 Contact person: A. Boswell Telephone#: 336.436.6319/336.436.6319 Fax#: 336.436.2021 Email: [email protected] Greater Southeast Community Hospital (P.O. Box 71392 – Washington, DC 20024)-----Formerly: CAPITAL MEDICAL CENTER, LLC (UMC)----United Medical Center 1310 7TH Avenue SE - Suite 210 Washington, DC 20032 Contact person: R. Dodge Telephone#: 202.574.5493 Fax#: 202.574.7044 Email: [email protected] DC General Hospital Capitol Health Management Services, LLC 1900 Massachusetts Avenue SE Washington, DC 20003-2542 (P.O. Box 5939–Washington, DC 20016-9998) Contact person: Raymond Hemby Telephone#: 202.548.5100 (press option 4) Fax#: Email: [email protected] DVA Laboratory Service, Inc. 3951 Southwest 30th Avenue Fort Lauderdale, Florida 33312 Contact persons: Eryl Mokry 386.626.78449 Kelly Jacobs 386.626.7745 – [email protected] Telephone#: 800.688.4522 Fax#: 866.770.0944 Email: [email protected] Total Renal Laboratories, Inc. 3951 Southwest 30th Avenue Fort Lauderdale, Florida 33312 Contact persons: Eryl Mokry (386.626.7849 ) Kelly Jacobs (386.626.7745) [email protected] Telephone#: 800.688.4522

Fax#: 866.770.0944 Email: [email protected] Howard University Hospital 2041 Georgia Avenue NW Washington, DC 20060 Contact persons: Joseph Owusu Telephone#: 202.865.7980 Fax#: Email: [email protected] _______________________________________________ Medical Faculty Associates 2150 Pennsylvania Avenue NW Washington, DC 20037 BB&T Contact persons: Christopher Ford, Associate Director Main Number: 202.741.3500 Telephone#: 202.741.3559 Email: [email protected] Metropolitian Radiology Associate 4700 Berwayn House Road Suite 208 College Park, Maryland 20740 Contact persons: Lois Williams, Business Manager Account Manager: James Rohrer (888.852.5000 Ext:1432) Telephone#: 301.220.0150 Fax#: Email: [email protected] Washington Hospital Center PO Box 631362 Baltimore, Maryland 21263 Contact persons:Rena Divel, Supervisor, Accounts Payable 410.933.2349 Alternate: Emergency Only: Kecia Mack, Manager, Customer Service Telephone#: 301.209.5462 Main# 202.877.7000 [email protected] Fax#: Email: [email protected] Complete Care Medical PO Box 44-1602 Fort Washington, Maryland 20749

Contact persons: Telephone#: 301.316.2009 Fax#: Email: MedStar Health MedStar Transportation Services/Billing Services P.O. Box 632022 Baltimore, MD 21263-2022 Contact persons: Sharon Lewis Telephone#: 888.357.9977 x 109 Contact person (Alternate): David P. Zwerski (202.877.0281) [email protected] Fax#: 202.877.7514 Email: [email protected] Faculty Practice Plan Howard University GWU Medical Faculty Associates Business Office & managed Care Operations 2021 K Street, NW Suite 600 Washington, DC 2006-1003 Contact persons: Christopher Ford, Ass. Director for Business Office Alternate person: Sherri Gassaway 202.74.3560 Customer Svc. Telephone#: 202.741.3559 Contact person (Alternate): Pamela McClain, Director #202.741.3502 [email protected] Fax#: 202.741.3563 (Sheri Gassaway 202.741.3560 customer svc) Email: [email protected] Leon L O Dawson Heartmasters Medical Associates, PC P. O. BOX 3786 Crofton, Maryland 21114 Contact persons: Carline Dawson, Accounts Payable Telephone#: 202.669.5821/301.877.4933 Email: [email protected] Fax#: _______________________________________________ Gangage Balkisson, MD, Facs. Washington Surgical Specialists, LLC 11701 Livingston, Road – Suite 308 Fort Washington, Maryland 20744 Contact persons: Crystal Briscoe, Accounts Payable Telephone#: 301.292.7200 [email protected]

Fax#: 301.292.9639 _______________________________________________ Asghar Shaigany, MD LLC 5632 Annapolis Rd Suite 12 Bladensdurg Maryland 20710 Contact persons: Paula Morrison Telephone#: 301-864-3888 Email: [email protected] Fax#: 301-699-3007 _______________________________________________ Taghi Kimyai-Asadi 1328 Southern Ave S.E. Ste 317 Washington DC 20032-4689 Contact person: Eva-703.383.9543 Contact: Mac Telephone #: 202-561-8466 Fax #: 202-563-3861 Email: [email protected] _______________________________________________ Massoud Nemati, MD, PA 3611 Branch Avenue Suite #407 Temple Hills, Maryland 20748 Contact person: Marcie or Laurie Telephone #: 301.899.2100 Email: [email protected] Fax: 301.899.3309 Washington Surgical Specialist, LLC 11701 Livingston Road Suite 308 Fort Washington, MD 20744 Contact person: Sarah Klotz, Office Mgr. Telephone #: 301-292-7200 Fax: 301-292-9639 Email: [email protected] _______________________________________________ Center Radiology PC Dept 680 Washington,DC 20042 Contact Person: April Jenkins Telephone #: 301-650-6751 Fax: 301-608-8388 Email: [email protected]

_______________________________________________ Shobha T. Chidambaram 6196 Oxon Hill RD #220 Oxon Hill MD 20745 Contact Person: Raju Chidambaram Telephone #: 301-839-1590 Fax: 301-839-2690 Email: [email protected] _______________________________________________ Brentwood Dialysis/Davita Brentwood 1231 Brentwood Road NE Washington, DC 20018 Contact: Stephanie Chambers Telephone #: 253-382-1737 Fax: 866-917-5395 Email: [email protected] _______________________________________________ Capital Radiology, LLC (Laurel)/Laurel Radiology Services P.O. Box 9200 Dept. 6 Columbia, Maryland 21045 Contact: E. Moore Telephone #: 301.725.5398 (Cynthia Atkins, Manager) Fax: 610.288.0173 Email: Alternate Contact: [email protected] Heather Cope, Billing Administrator _______________________________________________ Giberto A. Vera, MD Renal Services, P.C. 1404 Gower Court McLean, Virginia 22102 Contact: Ana Vera, MD Telephone #: 703.734.0894 Fax: 703.842.4390 Email: [email protected] _______________________________________________ Jullian R. Craig 1328 Southern Ave SE Suite 312 Washington, DC 200324689 Contact: Renata

Telephone #: 202.563.2844 Fax: 202.563.2337 Email: [email protected] _____________________________________________________ Mid-Atlantic Air Transport Service PO Box 632022 Baltimore, Maryland 21263-2022 Contact: Sharon Lewis, Senior Account Manager (Ext. 109) Alternate Contact: Melissa C., Billing Ext. 156 Telephone #: 888.357.9977 Fax: 318.841.6975 Email: [email protected] _______________________________________________ Wilton O. Nedd, MD 111514 Canterbury Court Mitchellville, MD 20721 Contact: Wilton Nedd, MD Alternate Contact: Telephone #: 202.529.1303 Fax: 301.390.5699 Email: [email protected] _______________________________________________ Allheart Medical Center Norman Allen, MD 1647 Benning Rd NE Suite 201 Washington, DC 20002 Contact: Gail Chapman Alternate Contact: Telephone #: 202.399.5707 Fax: 202.399.5708 Email: Norman [email protected] _______________________________________________ Ashebir, G. Woldeabezgi - MD 11637 Terrace Drive Suite 103 Waldorf, Md 20602 Contact: Ashebir Woldeabezgi Alternate Contact: Telephone #: 703.297.6666 Fax: 301.374.9725 Email: [email protected] _____________________________________________________ Anacostia River Emergency Physicians PC

P.O. Box 37791 Philadelphia, PA 19101 Contact: Michelle Lewis Alternate Contact: Telephone #: 1.800.355.2470 (ext. 5314) Fax: 1.610.834.2824 Email: [email protected] _______________________________________________ INOVA ALEXANDRIA HOSPITAL Patient Account Rep. IV 2990 Telestar Court 2nd Floor Falls Church, Va. 22042 Contact: Kim Denise Brown (Patient Account) Alternate Contact: Tracy Bish, Director (703.208.5934 – [email protected]) Telephone #: 703.208.5964 Fax: # 703.205.2115 Email: [email protected] _______________________________________________ Washington Cardiology Center 110 Irving Street NW Ste. 4B-1 Washington, DC 20010 Contact: Gloria Puentes Alternate Contact: Telephone #: 202.877.2702 Fax: 202.877.2718 Email: [email protected] _______________________________________________ Virginia Hospital Center Arlington 1701 N. George Mason Dr. Arlington, Va 22205 Contact: Pamela Hargrove Alternate Contact: Telephone #: 703.558.6256 Fax: 703.558.5921 Email: [email protected] _______________________________________________ Dr. Duan A. Drakes M.D.; F.A.C.S; F.A.C.C Providence Hospital 1160Varnum Street NE Suite 104 Washington, DC 20017

**Address for Mailing: P.O. Box 29130 Washington, DC 20017 Contact: Duan A. Drakes M.D. Alternate Contact: Telephone #: 301.356.5035 (cell) Fax: 301.249.6135 Email: [email protected] _______________________________________________ Kaiser Foundation Health Plan, Inc. Patient Finacial Services 2101 East Jefferson Street Rocckville, Md 20852 Contact: Shellie Ballon (301.816.5932) Fax: 301.249.6135 Email: [email protected] _______________________________________________ George Washington University Hospital 900 23rd Street NW Washington, DC 20037 Contact: Sharon T. McCloud Telephone #: 804-237-7197 Fax: 804-237-7197 Email: [email protected] _______________________________________________ Nascott Rehabilitation Service P.O. Box 631056 Baltimore, Maryland 21263-1056 Telephone #: 410.540.4622 Fax: 410.540.4560 Email: [email protected] _______________________________________________ Parvez Khatri, MD, PC PO Box #2181 Arlington, Va. 22202 Contact person: Parvez Khatri Telehone#: 202.449.9634 Alternate Contact: Telephone #: Fax #: 202.449.9633 Email: [email protected]

Massoud Amini, MD 101 S. Whiting St. #201 Alexandria Va 22304 Contact Person: Massoud Amini, MD Telephone #: 703.820.4040 Alternate Contact: Paola Crosby Telephone #: Fax #: 703.820.1194 Email: [email protected] ___________________________________________ M.S. Zonozi, MD PC P.O. Box 1400 Washington, DC 20032 Contact Person: Eva Campos Telephone #: 703.383.9543 Alternate Contact: n/a Telephone #: n/a Fax #: 703.383.9532 Email: [email protected] __________________________________________ Meersaiid Zonozi 1328 Southern Avenue S.E. Suite 307 Washington, DC 20032 202.563.5485 (office) 202.563.5498 (fax)

December 29, 2009

RADIOLOGY DEPARTMENT EQUIPMENT Room 342 1 ea Continental Radiographic & fluoroscopic x-ray machine (Includes ceiling tube mount, generator, fluoroscopic tower, fluoroscopic monitor, and elevating table) Model no. TM 50-RF Serial no. 964141 Year 1996 1 ea Konica Minolta Xpress CR Regius model 190 Serial no. 06762557 Year 2006 Room 340 1 ea Dry Pro model 771 X-ray film printer Serial no. 05820525 Year 2006 R&D 1 ea Konica Minolta Regius model 370 DR System Chest Unit year 2006 1 X-Ray generator model ATC525 CTF 1 ea Gendex-Del x-ray unit (Includes ceiling tube mount, high frequency generator, and elevating table) year 2006 1 ea Konica Minolta Direct Digitizer Regius model 190 year 2006

In addition, there are 3 Logician servers (Prod, Test and Training). There are 2 PACS servers (Prod and Backup) that were not purchased by DOC but are managed by DOC.

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B3M

3700

7$2

00.0

0

HP

HP

LA

SE

RJE

T 1

022N

04/1

7/20

07J1

3263

VN

B3M

3702

3$2

00.0

0

HP

HP

LA

SE

RJE

T 1

320

08/1

6/20

06J1

2066

CN

HC

5C71

2T$2

86.8

0

HP

HP

420

0N04

/23/

2008

J120

69C

NB

X12

2231

$299

.99

HP

HP

LA

SE

RJE

T 6

P09

/10/

2001

J121

44U

SB

B27

7619

$300

.00

HP

HP

LA

SE

RJE

T 2

015

04/0

7/20

06J1

3562

CN

B1R

8348

9$3

29.0

6

HP

HP

LA

SE

RJE

T 2

015

07/2

7/20

07J1

3634

CN

B1R

8349

2$3

29.0

6

HP

HP

130

011

/10/

2003

J122

12C

NL1

B02

639

$350

.00

Del

lO

PT

IPLE

X 7

4507

/27/

2007

5M9G

CD

1$3

59.9

0

HP

HP

LA

SE

R J

ET

132

009

/09/

2005

J121

59C

NL1

B02

638

$388

.70

HP

HP

LA

SE

RJE

T 1

320

11/2

8/20

05J1

1992

CN

FC

5410

TQ

$388

.70

HP

HP

LA

SE

RJE

T 1

200

05/2

7/20

04J1

2219

CN

C30

8195

7$3

99.0

0

HP

HP

LA

SE

RJE

T 1

200

05/2

7/20

04J1

3559

CN

CB

8755

85$3

99.0

0

HP

HP

LA

SE

RJE

T 1

200

05/2

7/20

04J1

2155

CN

CB

9487

56$3

99.0

0

HP

HP

LA

SE

RJE

T 1

200

05/2

7/20

04J1

2216

CN

CB

B22

7517

$399

.00

HP

HP

LA

SE

RJE

T 1

300

09/2

4/20

03J1

3536

CN

BB

1520

32$3

99.0

0

HP

HP

LA

SE

RJE

T13

0005

/27/

2004

J135

67C

NC

B77

1756

$399

.00

Lexm

ark

E36

0DN

09/3

0/20

09J1

5333

72M

8YH

0$3

99.0

0

Lexm

ark

E36

0DN

09/3

0/20

09J1

5342

72M

8YK

H$3

99.0

0

Lexm

ark

E36

0DN

09/3

0/20

09J1

5958

72M

8YL2

$399

.00

Count

Manufacturer

Model

AcqDate

DO

C ID

Ser

ial N

umbe

rC

ost

Lexm

ark

E36

0DN

09/3

0/20

09J1

3999

72M

8YLD

$399

.00

Lexm

ark

E36

0DN

09/3

0/20

09J1

5957

72M

8YP

Y$3

99.0

0

HP

HP

LA

SE

RJE

T 5

P11

/10/

2006

J121

42U

SF

B27

0117

$400

.00

HP

HP

LA

SE

RJE

T 5

P11

/10/

2000

J135

49U

SH

B01

0413

$400

.00

HP

HP

LA

SE

RJE

T 1

320

03/3

1/20

06J1

2156

CN

HC

5CJ1

T6

$419

.00

HP

HP

LA

SE

RJE

T 2

420

08/1

6/20

06J1

2299

CN

GK

M07

797

$831

.98

HP

HP

LA

SE

RJE

T 2

420

DN

08/1

6/20

06J1

2332

CN

GK

M07

800

$831

.98

HP

HP

LA

SE

RJE

T 2

420

DN

08/1

6/20

06J1

2213

CN

GK

M07

802

$831

.98

HP

HP

LA

SE

RJE

T 2

420

07/2

2/20

05J1

1521

CN

GJG

0990

2$8

53.8

6

Fuj

itsu

FI6

130

06/2

6/20

09J1

5430

0946

44$8

82.9

0

Fuj

itsu

FI6

130

06/2

6/20

09J1

5429

0946

49$8

82.9

0

Fuj

itsu

FI6

130

06/2

6/20

09J1

5365

0946

62$8

82.9

0

Fuj

itsu

FI6

130

06/2

6/20

09J1

5362

0946

76$8

82.9

0

Fuj

itsu

FI6

130

06/2

6/20

09J1

5363

0946

82$8

82.9

0

Fuj

itsu

FI6

130

06/2

6/20

09J1

5364

0946

83$8

82.9

0

Fuj

itsu

FI6

130

06/2

6/20

09J1

5361

0977

72

$882

.90

HP

HP

LA

SE

R J

ET

300

5N09

/19/

2007

J136

31C

ND

1R50

915

$898

.00

HP

HP

LA

SE

R J

ET

300

5N09

/19/

2007

J138

66C

ND

1R51

539

$898

.00

HP

HP

LA

SE

R J

ET

300

5N09

/19/

2007

J136

30C

ND

1S50

898

$898

.00

HP

HP

LA

SE

R J

ET

300

5N09

/19/

2007

J139

16C

ND

1S51

256

$898

.00

HP

HP

LA

SE

R J

ET

300

5N09

/19/

2007

J138

65C

ND

1S51

272

$898

.00

Del

lO

PT

IPLE

X 7

5509

/17/

2008

J134

601D

ZN

GH

1$9

59.9

0

Del

lO

PT

IPLE

X 7

5509

/17/

2008

J134

641F

ZN

GH

1$9

59.9

0

Del

lO

PT

IPLE

X 7

5509

/17/

2008

J134

622F

ZN

GH

1$9

59.9

0

Del

lO

PT

IPLE

X 7

5509

/17/

2008

J134

704D

ZN

GH

1$9

59.9

0

Del

lO

PT

IPLE

X 7

5509

/17/

2008

J134

635D

ZN

GH

1$9

59.9

0

Del

lO

PT

IPLE

X 7

5509

/17/

2008

J154

045K

PP

GH

1$9

59.9

0

Del

lO

PT

IPLE

X 7

5509

/17/

2008

J134

556D

ZN

GH

1$9

59.9

0

Del

lO

PT

IPLE

X 7

5509

/17/

2008

J134

996L

PP

GH

1$9

59.9

0

Del

lO

PT

IPLE

X 7

5509

/17/

2008

J134

577F

ZN

GH

1$9

59.9

0

Del

lO

PT

IPLE

X 7

5509

/17/

2008

J134

568D

ZN

GH

1$9

59.9

0

Del

lO

PT

IPLE

X 7

5509

/17/

2008

J134

599C

ZN

GH

1$9

59.9

0

Del

lO

PT

IPLE

X 7

5509

/17/

2008

J134

679D

ZN

GH

1$9

59.9

0

Del

lO

PT

IPLE

X 7

5509

/17/

2008

J134

539F

ZN

GH

1$9

59.9

0

Del

lO

PT

IPLE

X 7

5509

/17/

2008

J139

779J

PP

GH

1$9

59.9

0

Del

lO

PT

IPLE

X 7

5509

/17/

2008

J139

859L

PP

GH

1$9

59.9

0

Del

lO

PT

IPLE

X 7

5509

/17/

2008

J134

66B

FZ

NG

H1

$959

.90

Del

lO

PT

IPLE

X 7

5509

/17/

2008

J139

76F

CZ

NG

H1

$959

.90

Count

Manufacturer

Model

AcqDate

DO

C ID

Ser

ial N

umbe

rC

ost

Del

lO

PT

IPLE

X 7

5509

/17/

2008

J139

78H

DZ

NG

H1

$959

.90

Del

lO

PT

IPLE

X 7

8006

/25/

2010

J140

928P

MW

KM

1$9

72.0

0

Del

lO

PT

IPLE

X 7

8006

/25/

2010

J140

958P

PQ

KM

1$9

72.0

0

Del

lO

PT

IPLE

X 7

8006

/25/

2010

J141

298P

RS

KM

1$9

72.0

0

Del

lO

PT

IPLE

X 7

8006

/25/

2010

J140

978P

SV

KM

1$9

72.0

0

Del

lO

PT

IPLE

X 7

8006

/25/

2010

J141

228P

TR

KM

1$9

72.0

0

Del

lO

PT

IPLE

X 7

8006

/25/

2010

J140

988P

VP

KM

1$9

72.0

0

Del

lO

PT

IPLE

X 7

8006

/25/

2010

J140

948P

VR

KM

1$9

72.0

0

Del

lO

PT

IPLE

X 7

8006

/25/

2010

J158

869G

GQ

KM

1$9

72.0

0

Del

lO

PT

IPLE

X G

X62

008

/16/

2006

J118

982L

HX

LB1

$1,1

41.0

0

Del

lO

PT

IPLE

X G

X62

008

/16/

2006

J118

07C

KH

XLB

1$1

,141

.00

Del

l11

/30/

2006

J122

60G

RS

X5C

1$1

,141

.00

Del

lD

620

03/2

6/20

07J1

2468

79Q

HQ

C1

$1,1

50.0

0

Del

lIN

SP

IRO

N D

620

03/2

6/20

07J1

2467

1BQ

HQ

C1

$1,1

50.0

0

Del

lIN

SP

IRO

N D

620

04/3

0/20

07J1

2460

39Q

HQ

C1

$1,1

50.0

0

Del

lIN

SP

IRO

N D

620

03/2

6/20

07J1

2463

59Q

HQ

C1

$1,1

50.0

0

Del

lIN

SP

IRO

N D

620

03/2

6/20

07J1

2464

G8Q

HQ

C1

$1,1

50.0

0

Del

lLA

TIT

UD

E D

620

03/2

6/20

07J1

2424

19Q

HQ

C1

$1,1

50.0

0

Del

lLA

TIT

UD

E D

620

03/2

6/20

07J1

2470

H8Q

HQ

C1

$1,1

50.0

0

Del

lLA

TIT

UD

E D

620

03/2

6/20

07J1

2465

J9Q

HQ

C1

$1,1

50.0

0

Del

lO

PT

IPLE

X G

X62

008

/24/

2006

J115

04C

WS

1D81

$1,1

60.0

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J152

0111

CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J152

1513

CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J151

751V

1KN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J152

0321

CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J152

1123

CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J150

3925

CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J151

2226

CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J151

762V

1KN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J152

5433

CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J151

2436

CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J151

7341

CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J151

2746

CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J151

384V

1KN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J150

374Y

PLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J152

1751

CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J152

0053

CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J151

7961

CLN

K1

$1,1

60.8

0

Count

Manufacturer

Model

AcqDate

DO

C ID

Ser

ial N

umbe

rC

ost

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J151

7863

CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J151

2566

CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6009

/02/

2009

J152

5971

CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J152

1472

CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J152

0681

CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J152

5082

CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J150

3684

CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J151

0085

CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J152

5291

CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J152

5692

CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J152

05B

1CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J151

71B

3CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J150

33B

4CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J152

04C

0CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J152

12C

2CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J151

39C

3CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J150

38C

4CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J151

31C

5CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J152

02D

0CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J151

26D

XP

LNK

1$1

,160

.80

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J151

69F

0CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J152

16G

0CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J152

18G

2CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J150

30G

4CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J151

21G

5CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J151

77H

0CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J152

58H

2CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J150

35H

4CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J152

13J0

CLN

K1

$1,1

60.8

0

Del

lO

PT

IPLE

X 9

6007

/28/

2009

J152

10JT

1KN

K1

$1,1

60.8

0

Del

lG

X62

011

/30/

2006

J122

697Z

SX

5C1

$1,1

61.3

4

Del

lG

X62

011

/03/

2009

J124

92D

Y61

D81

$1,1

61.3

4

Del

lO

PT

IPLE

X11

/30/

2006

J122

6550

TX

5C1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

011

/30/

2006

J122

66G

SS

X5C

1$1

,161

.34

Del

lO

PT

IPLE

X G

X62

009

/06/

2006

J136

521G

Z9Q

B1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

009

/06/

2006

J123

581H

Z9Q

B1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/09/

2006

J118

641K

HX

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/07/

2006

J118

041X

XH

LB1

$1,1

61.3

4

Count

Manufacturer

Model

AcqDate

DO

C ID

Ser

ial N

umbe

rC

ost

Del

lO

PT

IPLE

X G

X62

011

/30/

2006

J122

7220

TX

5C1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

004

/07/

2006

J135

312J

5ZQ

91$1

,161

.34

Del

lO

PT

IPLE

X G

X62

008

/09/

2006

J122

342K

HX

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/09/

2006

J118

522M

HX

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/07/

2006

J118

792S

XH

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/07/

2006

J119

352V

XH

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/07/

2006

J118

022W

XH

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

011

/30/

2006

J122

752X

SX

5C1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/07/

2006

J119

202Y

XH

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

009

/06/

2006

J136

553F

Z9Q

B1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

009

/06/

2005

J122

333H

Z9Q

B1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

004

/07/

2006

J135

453J

5ZQ

91$1

,161

.34

Del

lO

PT

IPLE

X G

X62

009

/06/

2006

J133

513J

Z9Q

B1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/09/

2006

J118

093L

HX

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/07/

2006

J118

813Q

XH

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/07/

2006

J118

223T

XH

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/07/

2006

J119

223X

XH

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

004

/07/

2006

J135

324J

5ZQ

91$1

,161

.34

Del

lO

PT

IPLE

X G

X62

008

/09/

2006

J118

134K

HX

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

009

/06/

2005

J115

624T

S1D

81$1

,161

.34

Del

lO

PT

IPLE

X G

X62

008

/07/

2006

J118

754W

XH

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

009

/06/

2006

J136

585F

Z9Q

B1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/09/

2006

J118

445L

HX

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/09/

2006

J118

615M

HX

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

009

/06/

2005

J115

135R

S1D

81$1

,161

.34

Del

lO

PT

IPLE

X G

X62

008

/07/

2006

J121

475R

XH

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/07/

2006

J119

335S

XH

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/07/

2006

J118

975T

XH

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

011

/30/

2006

J122

685V

SX

5C1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

004

/07/

2006

J120

616J

5ZQ

91$1

,161

.34

Del

lO

PT

IPLE

X G

X62

008

/07/

2006

J118

196J

HX

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/09/

2006

J136

366L

HX

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/07/

2006

J118

786W

XH

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/07/

2006

J118

406X

XH

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/09/

2006

J118

177K

HX

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/09/

2006

J118

777M

HX

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/07/

2006

J119

267Q

XH

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/07/

2006

J119

407R

XH

LB1

$1,1

61.3

4

Count

Manufacturer

Model

AcqDate

DO

C ID

Ser

ial N

umbe

rC

ost

Del

lO

PT

IPLE

X G

X62

011

/30/

2006

J122

677Y

SX

5C1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/07/

2006

J139

158S

XH

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/07/

2006

J118

858T

XH

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/07/

2006

J118

948V

XH

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/07/

2006

J118

828X

XH

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

009

/06/

2006

J123

539F

Z9Q

B1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/09/

2006

J118

239K

HX

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/09/

2006

J118

429L

HX

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/09/

2006

J118

509M

HX

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

011

/30/

2006

J122

709S

SX

5C1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/07/

2006

J119

319W

XH

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/09/

2006

J118

59B

JHX

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/07/

2006

J118

00B

RX

HLB

1$1

,161

.34

Del

lO

PT

IPLE

X G

X62

008

/07/

2006

J118

90B

SX

HLB

1$1

,161

.34

Del

lO

PT

IPLE

X G

X62

008

/07/

2006

J121

49B

TX

HLB

1$1

,161

.34

Del

lO

PT

IPLE

X G

X62

011

/30/

2006

J122

74B

ZS

X5C

1$1

,161

.34

Del

lO

PT

IPLE

X G

X62

009

/03/

2005

J115

81C

571D

81$1

,161

.34

Del

lO

PT

IPLE

X G

X62

009

/06/

2006

J124

79C

GZ

9QB

1$1

,161

.34

Del

lO

PT

IPLE

X G

X62

008

/09/

2006

J121

35C

LHX

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/07/

2006

J118

25C

QX

HLB

1$1

,161

.34

Del

lO

PT

IPLE

X G

X62

008

/07/

2006

J118

71C

VX

HLB

1$1

,161

.34

Del

lO

PT

IPLE

X G

X62

004

/07/

2006

J120

62D

J5Z

Q91

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/16/

2006

J119

24D

KH

XLB

1$1

,161

.34

Del

lO

PT

IPLE

X G

X62

008

/07/

2006

J118

27D

SX

HLB

1$1

,161

.34

Del

lO

PT

IPLE

X G

X62

008

/07/

2006

J119

28D

TX

HLB

1$1

,161

.34

Del

lO

PT

IPLE

X G

X62

008

/07/

2006

J118

73D

XX

HLB

1$1

,161

.34

Del

lO

PT

IPLE

X G

X62

009

/06/

2005

EV

Q4H

81$1

,161

.34

Del

lO

PT

IPLE

X G

X62

004

/07/

2006

J117

44F

J5Z

Q91

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/07/

2006

J117

49F

WX

HLB

1$1

,161

.34

Del

lO

PT

IPLE

X G

X62

004

/07/

2006

J117

48G

J5Z

Q91

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/09/

2006

J139

11G

JHX

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/09/

2006

J118

99G

KH

XLB

1$1

,161

.34

Del

lO

PT

IPLE

X G

X62

008

/09/

2006

J118

33G

LHX

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/07/

2006

J118

47G

QX

HLB

1$1

,161

.34

Del

lO

PT

IPLE

X G

X62

008

/07/

2006

J119

37G

VX

HLB

1$1

,161

.34

Del

lO

PT

IPLE

X G

X62

008

/07/

2006

J119

43G

XX

HLB

1$1

,161

.34

Del

lO

PT

IPLE

X G

X62

008

/29/

2006

J139

46H

FZ

9QB

1$1

,161

.34

Del

lO

PT

IPLE

X G

X62

009

/06/

2006

J136

49H

HZ

9QB

1$1

,161

.34

Count

Manufacturer

Model

AcqDate

DO

C ID

Ser

ial N

umbe

rC

ost

Del

lO

PT

IPLE

X G

X62

004

/07/

2006

J117

43H

J5Z

Q91

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/09/

2006

J118

54H

JHX

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/09/

2006

J135

41H

KH

XLB

1$1

,161

.34

Del

lO

PT

IPLE

X G

X62

011

/30/

2006

J122

63H

TS

X5C

1$1

,161

.34

Del

lO

PT

IPLE

X G

X62

011

/30/

2006

J122

71H

WS

X5C

1$1

,161

.34

Del

lO

PT

IPLE

X G

X62

009

/06/

2005

J114

21JD

S1D

81$1

,161

.34

Del

lO

PT

IPLE

X G

X62

009

/06/

2006

J123

79JD

Z9Q

B1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

009

/06/

2006

J123

57JH

Z9Q

B1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

004

/07/

2006

J135

53JJ

5ZQ

91$1

,161

.34

Del

lO

PT

IPLE

X G

X62

008

/09/

2006

J119

44JK

HX

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/07/

2006

J118

15JR

XH

LB1

$1,1

61.3

4

Del

lO

PT

IPLE

X G

X62

008

/07/

2006

J118

93JT

XH

LB1

$1,1

61.3

4

Del

l09

/06/

2005

J115

589P

S1D

81$1

,161

.34

Del

lO

PT

IPLE

X G

X62

009

/06/

2005

J114

77H

TQ

4H81

$1,4

04.0

0

Del

lO

PT

IPLE

X G

X27

005

/17/

2004

J104

316V

JGW

41$1

,462

.00

HP

HP

LA

SE

RJE

T 8

150N

05/2

3/20

07J1

3539

EA

0236

536

$2,0

00.0

0

HP

HP

LA

SE

RJE

T 8

100

DN

07/

01/2

000

J102

44U

SD

F00

6949

$2,9

95.0

0

3CO

MLI

NK

SY

S 5

PO

RT

10/

10001

/04/

2007

J137

36R

9140

F80

3180

8 G

EB

1040

3CO

MLI

NK

SY

S 5

PO

RT

10/

10001

/04/

2007

J122

97R

9140

F80

3180

9 G

EB

1040

AP

CR

S80

010

/03/

2008

J132

06Q

B06

1624

3896

Bro

ther

INT

ELL

IFA

X 4

750E

10/0

3/20

08J1

3966

U60

283K

6J55

4602

83K

6

Cis

coC

AT

ALY

ST

355

009

/10/

2008

J133

59C

NM

9A30

AR

F

Del

lP

RE

CIS

ION

690

10/0

3/20

08J1

3159

GH

MV

0C1

HP

HP

410

0N04

/23/

2008

J120

68U

SB

DG

0196

4

HP

HP

410

0N04

/23/

2008

J135

38U

SB

GB

1888

4

HP

HP

LA

SE

RJE

T 5

000N

04/2

7/20

08J1

2215

JPB

3096

999

IBM

CS

3000

10/0

3/20

08J1

3204

LKD

G88

5

KO

NIC

A M

INIO

TA

230

0 D

L04

/23/

2008

J135

4653

1318

6960

Reg

ius

190

10/0

3/20

08J1

3205

0676

-255

7

LIN

KS

YS

10/

100

5 P

OR

T01

/26/

2007

J123

34R

9140

F80

3182

4 G

EB

1040

258

amendment of solicitation / modification of contract dcfl-2011-r-1001 1...

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