Contract Monitoring Report

Gadsden Re-Entry Center

December 2020

Page 2



 

Department of Corrections

Office of Health Services

Contract Monitoring Report



Date of Report:      	December 28, 2020

	

Period Reviewed:    	November 11th through December 1st, 2020	



Institution:                   Gadsden Re-Entry Center

    		

Contractor:              	Centurion of Florida, LLC	Contract Number: C2930



Report Number           Gadsden RE A2-12/20

  	

Monitoring Type:



	Annual Performance Outcomes, Measures, and Standards    

           	Monitoring

	Semi-Annual Performance Outcomes, Measures, and Standards 

          	Monitoring

	Ad Hoc Monitoring





Monitoring Dates:  July 1st – September 30th



Monitoring Team Members



Monica Crutchfield		 	Team Leader



Joanne Richburg, RN			Clinical Nursing Monitor



Ryan Wiggan, RN		 	Clinical Nursing Monitor



Michelle Kimutis, PharmD		Clinical Pharmacy Monitor


Marra Gibson, Phd			Clinical Mental Health Monitor



Background:



The Department conducted contract monitoring in accordance with criteria outlined in the Office of Health Services Monitoring Plan.   This monitoring included the following components:



X	desk review of records related to service delivery (including documents and databases)

X	on-site review of records maintained by the Contractor

X	interviews with Contractor and/or Department staff

X	review of grievances filed by inmates regarding Contractor’s service delivery

____	review of monitoring, audits, investigations, reviews, evaluations, or other actions by external agencies (e.g., Correctional Medical Authority, American Correctional Association and/or National Commission on Correctional Health Care, Department of Health, etc.). 

____   Other (explain: ___________________________________________________



The monitoring was conducted utilizing random sampling methodology and a standard instrument that was adopted specifically for this contract.       



Summary of Findings:



During the monitoring review, the team identified the following findings.



Performance Measures



A total of 16 performance measures were applicable for this monitoring review.   We found that 2 performance measures reviewed did not meet the required standard in the contract. See attachment A for a detailed list of these 2 measures.  A list of all 16 measures reviewed is provided in attachment B.



The findings of PM-020 and 021 show that the facility completed all steps in processing the consults, however, due to the pandemic, specialists were non-responsive in scheduling. These findings will not require a CAP and financial consequences will not be assessed.  



Required Contractor Corrective Action:



In accordance with the Contract Monitoring Plan, the Corrective Action Plan (CAP) should be submitted 10 days following the receipt of the final monitoring report.



The CAP closure is expected within 90 calendar days from the date-of-receipt of a written monitoring report.  For all other Corrective Action Plan requirements, see Section II., W. of the contract.



A CAP folder should be maintained at the institution to track progress and keep closure records.  Supporting documentation of training should include:  training attendance sign-in sheets, name of the trainer, documents used for the training, and any documentation from medical records to document that the training corrected the issue or finding.







Laura Carter

Chief of Health Services Administration