(Rev. 5/16/12) State of New Mexico General Services Department Contract Awarded Vendor 0000010730 Contract Number: Corizon Health Inc. 105 Westpal?k Dr. Ste 200 Payment Terms: See Contract Brentwood, F.O.B.: See Contract - 9 Telephone No 16151373 3100 Dehvery: See Contract Ship To: New Mexico Corrections Department Procurement Specialist: Gerrie Becker 4337 State Rd 14 PO Box 27116 Telephone No.: 5505) 47 6?3121 Santa Fe, NM 87502 Invoice: Same as Ship To For questions regarding this contract please contact: Albert Montano (505) 827-8673 Title: Inmate Medical Services Term: June 1, 2012 thru May 31, 2016 This Contract is made subject to the ?terms and conditions? shown on the reverse side of this page, and as indicated in this Contract. Acce ed for the State of New Mexico Date: 5/30/2012 Purchasing Division, 1100 St. Francis Drive, PO Box 6850, Santa Fe, NM 87502-6850 (505) 827-0472 New Mexico Sty Purchasing Agent VL 5 . i \w Contract STATE OF NEW MEXICO NEW MEXICO CORRECTIONS DEPARTMENT PROFESSIONAL SERVICES AGREEMENT no - a 0&6 THIS AGREEMENT is made and entered into by and between the State of New Mexico, CORRECTIONS DEPARTMENT, hereinafter referred to as the "Agency," and CORIZON INC., hereinafter referred to as the ?Contractor,? and is effective as of the date set forth below upon which it is executed by the NEW MEXICO STATE PURCHASING DIVISION. IT IS AGREED BETWEEN THE PARTIES: 1. $90. . A. I Contractor Shall perform the following work: As referenced in Attachment 1, See Below Com .ensation A I The-Agency Shall pay to the Contractor in full payment for services satisfactorily performed pursuant to the Scope of Work at the rate of thirty seven million, ?ve hundred thousand dollars for the ?rst year of this agreement, inclusive of gross receipts tax, but NOT INCLUDING PHARMACEUTICALS. The total amount payable to the Contractor under this Agreement, including gross receipts tax, pharmaceuticals and expenses, shall not exceed ($177,650,000) for the four year term of this agreement. B. Base compensation for full service facilities. For the period Of June 1, 2012, to May 31, 2013, base compensation will be $3,125,000 per month, (which is $37,500,000 annualized per year (excluding costs for pharmaceuticals)), paid on a basis. This amount will be for primary, secondary and tertiary medical care provided by Contractor for Agency inmates assigned to housing in facilities at the Penitentiary of New Mexico, Central New Mexico Correctional Facility, Southem New Mexico Correctional Facility, Western New Mexico Correctional Facility, Roswell Correctional Center, Springer Correctional Center, Lea County Correctional Facility, Guadalupe County Correctional Facility, New Mexico Women's Correctional Facility in Grants and the Northeast Correctional Facility in Clayton, (Union County). This amount is based on the total average Agency inmate population assigned to the above-referenced facilities not exceeding 6700 inmates. C. For the second, third and fourth years of this agreement, the annual base compensation shall be adjusted to re?ect an increase based upon the Contractor meeting certain annual performance benchmarks in the prior contract term. For each benchmark achieved, the Contractor?s base compensation for the following term Shall be increased by 0.75% from the base compensation of the prior term. Contractor shall provide the Agency with reports detailing achievement Of these performance benchmarks on a quarterly basis. Overall achievement of the performance benchmarks shall be based on an average of the results for the entire contract year. Contract The performance benchmarks are as follows: 1) 2) 3) 4) Maintain staf?ng levels (re?ecting hours paid as a percentage of the minimum staf?ng plan per Exhibit 1) aggregated across all facilities at 90% on an annual basis. Achieve ACA reaccreditation for those facilities where reaccreditation was sought by Agency and completed and con?rmed during the contract term. In the event that reaccreditation is not obtained due to factors beyond the medical services component of accreditation, the benchmark will be considered met by the Contractor. Maintain HgAlc percentage levels of eight or less for no less than 63.7% of diabetic patients. The foregoing benchmark re?ects the national average as reported by the Centers for Medicare and Medicaid. Corizon reports will be provided to the Agency on a quarterly basis, and measured on average for the entire contract year. Maintain INR levels at a therapeutic range more of the patientsin treatment. The foregoing benchmark re?ects the national average as reported in the 2008 Journal of Thrombosis and Hemostasis. Additional Com ..ulati_on. For the period "lune 20?12? May if the average Agency inmate population at the Facilities exceeds 6,700, then Agency will compensate the Contractor a per diem of $5.80 month. 4. plus applicable gross receipts tax for each inmate in excess of 6,700 for that Com ensation.forPharmaceuticals. The Agency will-pay" Contractor for-all pharmaceuticals including prescription and over- the~counter (OTC) at actual cost in accordance with the ?Pharmacy Services? section in the scope of work. These costs are not subject to gross receipts taxes. A. Payment Reimbursement. Payment-for?- the term of this agreement is subject to availability of funds pursuant to the Appropriations Paragraph set forth below and to any negotiations between the parties from year to year pursuant to Attachment 1, Scope of Work, and to approval by the New Mexico State Purchasing Agent. Contract B. Contractor must submit a detailed statement accounting for all services performed and expenses incurred. If the Agency ?nds that the services are not acceptable, within thirty days after the date of receipt of written notice from the Contractor that payment is requested, it shall provide the Contractor a letter of exception explaining the defect or objection to the services, and outlining steps the Contractor may take to provide remedial action. Upon certi?cation by the Agency that the services have been received and accepted, payment shall be tendered to the Contractor within thirty days after the date of acceptance. If payment is made by mail, the payment shall be deemed tendered on the date it is postmarked. However, the agency shall not incur late charges, interest, or penalties for failure to make payment within the time speci?ed herein. C. Compensation for equipment. Pursuant to Attachment 1 ?Equipment?, Agency will pay Contractor for all equipment purchased for the full service facilities and Agency will have and retain title to all such equipment. These purchases are not subject to gross receipts taxes. For the period of June 1, 2012, through May 31 2013 the total amount of equipment purchases under this Agreement shall not exceed $250,000 over the year. D. Contractor shall submit invoices to Agency on a basis two times per month), for goods and services rendered from the day of the month through the 15th day of the month, and for goods and services rendered from the 16th day of the month through the last day of the month. In accordance with Section 134-158 NMSA 1978, Agency shall determine if the services and tangible goods provided meet speci?cations. No payment shall be made for any services or tangible items until accepted in writing by Agency. If Agency does not dispute Contractor's invoice at the time, Agency will make electronic payment and Contractor will receive payment within 30 days of receipt of Contractor's invoice. If Agency disputes Contractor's invoice at the time, Agency shall, within three (3) business days from the date Agency receives Contractor's written invoice, notify Contractor in writing of complete or partial rejection of the services or tangible goods and the speci?c reason therefore. The parties will confer Within ?ve (5) business days and attempt to resolve the matter. If the matter is resolved, Contractor shall, if necessary, submit an amended invoice to Agency and Agency will make electronic payment and Contractor will receive payment within 30 days of receipt of Contractor's amended invoice. If the matter is resolved and an amended written invoice is not necessary, Agency will make electronic payment and Contractor will receive payment Within 30 days of the date that the parties resolve the matter. If Agency fails to timely make payment within 50 days of receipt of a proper invoice, Agency shall be liable to Contractor for interest at the rate of one percent per month, prorated for each day payment is late. E. Payment of Taxes - The Contractor shall be reimbursed by the Department for applicable New Mexico gross receipts taxes or local option taxes for services rendered. Such taxes must be itemized separately on the invoice. The payment of taxes for any Contract 6. money received under this Agreement shall be the Contractor?s sole responsibility and should be reported under the Contractor?s Federal and State tax identi?cation number(s). F. Invoices - Invoices shall be submitted to the Department's Medical Director or designee. Term. THIS AGREEMENT SHALL NOT BECOME EFFECTIVE UNTIL APPROVED BY THE NEW MEXICO STATE PURCHASING AGENT. This Agreement shall terminate on May 3i, 203.6 unless terminated pursuant to paragraph 7 (Termination), or paragraph 9 (Appropriations). In accordance with Section 13-1-150 NMSA 1978, no contract term for a professional services contract, including extensions and renewals, shall exceed four years, except as set forth in Section 13-1?150 NMSA 1978. 7. Humiliation- A. I I "Termination. This Agreement may be terminated by either of the parties hereto upon written notice delivered to the other party at least thirty (30) days prior to the intended date of termination. Except as otherwise allowed or provided under this Agreement, the Agency?s sole liability upon such termination shall be to pay for acceptable work performed prior to the Contractor?s receipt of the notice of termination, if the Agency is the terminating party, or the Contractor?s sending of the notice of termination, if the Contractor is the terminating party; provided, however, that a notice of termination shall not nullify or otherwise affect either party?s liability for pre~termination defaults under or breaches of this Agreement. The Contractor shall submit an invoice for such work within thirty (30) days of receiving or sending the notice of termination. Notwithstanding the foregoing, this Agreement may be terminated immediately upon written notice to the Contractor if the Contractor becomes unable to perform the services contracted for, as determined by the Agency or if, during the term Of this Agreement, the Contractor or any of its Of?cers, employees or agents is indicted for fraud, embezzlement or other crime due to misuse of state funds or due to the Appropriations paragraph herein. THIS PROVISION IS NOT EXCLUSIVE AND DOES NOT THE STATE ?8 OTHER LEGAL RIGHTS AND REMEDIES .CA USED. BY THE CONTRACTOR DEFA UL CH. OF THIS AGREEMENT. B. Termination Management. Immediately upon receipt by either the Agency or the Contractor of notice of termination of this Agreement, the Contractor shall: 1) not incur any further obligations for salaries, services or any other expenditure of funds under this Agreement without written approval of the Agency; 2) comply with all directives issued by the Agency in the notice of termination as to the performance of work under this Agreement; and 3) take such action as the Agency shall direct for the protection, preservation, retention or transfer of all property titled to the Agency and records generated under this Agreement. Changes _to_ Scone of Work. Notwithstanding anything herein to the contrary, if: Contract there are any changes to any applicable law, statute, regulation, ordinance, standard, rule, court order or decree, policy, practice, or procedure of any applicable governmental unit, agency, or of?ce (including, but not limited to, the federal, state or local courts, legislative bodies, and agencies, including Agency), or the mission of speci?c Agency facilities; or (ii) any standard of care or treatment protocol changes or evolves in any material respect, or if any new medication or therapy is introduced to treat any illness, disease or condition; or any addition or deletion of facilities; and if, as a result of any such changes in and Contractor experiences any cost decreases associated with the performance of this Agreement, or Contractor experiences any cost increases associated with the performance of this Agreement, then Contractor and Agency will meet to negotiate compensation or service requirement changes. The parties agree to meet and negotiate in good faith within ?fteen (15) days following the giving of notice by one party to the other party of such a change (whether such change is anticipated or implemented). If the parties are unable to resolve the issue within this ?fteen day period, either party may request that the matter be submitted to non-binding arbitration, whereupon the parties will engage the services of the American Arbitration Association. Each party will bear its own costs and attorneys? fees in the arbitration and the parties will share equally the costs of the arbitrator. 9- r0 riations- The" terms Of this Agreement are contingent upon sufficient appropriations and authorization being made by the Legislature of New Mexico for the performance of this Agreement. If suf?cient appropriations and authorization are not made by the Legislature, this Agreement shall terminate immediately upon written notice being given by the Agency to the Contractor. The Agency's decision as to whether suf?cient appropriations are available shall be accepted by the Contractor and shall be ?nal. If the Agency proposes an amendment to the Agreement to unilaterally reduce funding, the Contractor shall have the option to terminate the Agreement or to agree to the reduced funding, within thirty (30) days of receipt of the proposed amendment. 10. Status of Contractor. The ContractOr and its agents and employees are independent contractors performing professional services for the Agency and are not employees of the State of New Mexico. The Contractor and its agents and employees shall not accrue leave, retirement, insurance, bonding, use of state vehicles, or any other bene?ts afforded to employees of the State of New Mexico as a result of this Agreement. The Contractor acknowledges that all sums received hereunder are reportable by the Contractor for tax purposes, including without limitation, self-employment and business income tax. The Contractor agrees not to purport to bind the State of New Mexico unless the Contractor has express written authority to do so, and then only within the strict limits of that authority. Contract 11. Assig nment. The Contractor shall not assign or transfer any interest in this Agreement or assign any claims for money due or to become due under this Agreement without the prior written approval of the Agency. 12. Subcontracting. The ContractOr may subcontract portions of the services to be performed under this Agreement as addressed in Attachment 1 ?Scope of Work?. No such subcontract shall relieve the primary Contractor from its obligations and liabilities under this Agreement, nor shall any subcontract obligate direct payment from the Procuring Agency. 13. Release. Final payment of the amounts due under this Agreement shall operate as a release of the Agency, its of?cers and employees, and the State of New Mexico ?om all liabilities, claims and obligations whatsoever arising from or under this Agreement. 14. Con?dentiali?. . con?dential information provided to or developed by the Contractor in the performance of this Agreement shall be kept con?dential and shall not be made available to any individual or organization by the Contractor without the prior written approval of the Agency. 15- Bra-duct of Swiss-:7 ri ht. All-materials developed (?r-acquired by the Contractor under this Agreement shall become the property of the State of New Mexico and shall be delivered to the Agency no later than the termination date of this Agreement. Nothing developed or produced, in whole or in part, by the Contractor under this Agreement shall be the subject of an application for copyright or other claim of ownership by or on behalf of the Contractor. 16. Con?ictof Conduct. Act. A. I The contractor represents and warrants-?that it presently has no interest and, during the term of this Agreement, shall not acquire any interest, direct or indirect, which would con?ict in any manner or degree with the performance or services required under the Agreement. B. The Contractor further represents and warrants that it has complied with, and, during the term of this Agreement, will continue to comply with, and that this Agreement complies with all applicable provisions of the Governmental Conduct Act, Chapter 10, Article 16 NMSA 1978. Without in anyway limiting the generality of the foregoing, the Contractor speci?cally represents and warrants that: 1) in accordance with Section 10-16-43 NMSA 1978, the Contractor does not employ, has not employed, and will not employ during the term of this Agreement any Agency employee while such employee was or is employed by the Agency and participating directly or indirectly in the Agency?s contracting process; 2) this Agreement complies with Section NMSA 1978 because the Contractor is not a public of?cer or employee of the State; (ii) the Contract C. 3) 4) 5) 6) Contractor is not a member of the family of a public of?cer or employee of the State; the Contractor is not a business in which a public of?cer or employee or the family of a public of?cer or employee has a substantial interest; or (iv) if the Contractor is a public of?cer or employee of the State, a member of the family of a public of?cer or employee of the State, or a business in which a public of?cer or employee of the State or the family of a public of?cer or employee of the State has a substantial interest, public notice was given as required by Section NMSA 1978 and this Agreement was awarded pursuant to a competitive process; in accordance with Section NMSA 1978, the Contractor is not, and has not been represented by, a person who has been a public of?cer or employee of the State within the preceding year and whose of?cial act directly resulted in this Agreement and (ii) the Contractor is not, and has not been assisted in any way regarding this transaction by, a former public of?cer or employee of the State whose of?cial act, while in State employment, directly resulted in the Agency's making this Agreement; this Agreement complies with Section NMSA 1978 because the Contractor is not a legislator; (ii) the Contractor is not a member of a legislator's family; the Contractor is not a business in which a legislator or a legislator's family has a substantial interest; or (iv) if the Contractor is a legislator, a member of a legislator?s family, or a business in which a legislator or a legislator's family has a substantial interest, disclosure has been made as required by Section NMSA 1978, this Agreement is not a sole source or small purchase contract, and this Agreement was awarded in accordance with the provisions of the Procurement Code; in accordance with Section 10-16-13 NMSA 1978, the Contractor has not directly participated in the preparation of speci?cations, quali?cations or evaluation criteria for this Agreement or any procurement related to this Agreement; and in accordance with Section 10-16-3 and Section 10-16-133 NMSA 1978, the Contractor has not contributed, and during the term of this Agreement shall not contribute, anything of value to a public of?cer or employee of the Agency. Contractor?s representations and warranties in Paragraphs A and of this Paragraph 16 are material representations of fact upon which the Agency relied when this Agreement was entered into by the parties. Contractor shall provide immediate written notice to the Agency if, at any time during the term of this Agreement, Contractor learns that Contractor?s representations and warranties in Paragraphs A and of this Paragraph 16 were erroneous on the effective date of this Agreement or have become erroneous by reason of new or changed circumstances. If it is later determined that Contractor?s representations and warranties in Paragraphs A and of this Paragraph 16 were erroneous on the effective date of this Agreement or have become erroneous by reason of Contract new or changed circumstances, in addition to other remedies available to the Agency and notwithstanding anything in the Agreement to the contrary, the Agency may immediately terminate the Agreement. D. All terms de?ned in the Governmental Conduct Act have the same meaning in this Paragraph 17. Amendment. A. This Agreement shall not be altered, changed or amended except by instrument in writing executed by the parties hereto and all other required signatories. B. If the Agency proposes an amendment to the Agreement to unilaterally reduce funding due to budget or other considerations, the Contractor shall, within thirty (30) days'of receipt of the proposed Amendment, have the option to terminate the Agreement, pursuant to the termination provisions as set forth in Paragraph 7 herein, or to agree to the reduced funding. 18. Merg er. This Agreement constitutes the entire agreement of the Parties and is intended as a complete and exclusive statement of the promises, representations, negotiations, discussions and agreements that have been made in connection with the subject matter hereof. No prior Agreement or understanding, oral or otherwise, of the parties or their agents shall be valid or enforceable unless embodied in this Agreement. 19. Penalties for vioiat'ron. oflaw. The Procurement Code, sections 13-1-28 through 13-1-199, NMSA 1978, imposes civil and criminal penalties for its violation. In addition, the New Mexico criminal statutes impose felony penalties for illegal bribes, gratuities and kickbacks. 20. executive orders of the Governor of the State of New Mexico, pertaining to equal employment opportunity. In accordance with all such laws of the State of New Mexico, the Contractor assures that no person in the United States shall, on the grounds of race, religion, color, national origin, ancestry, sex, age, physical or mental handicap, or serious medical condition, spousal af?liation, sexual orientation or gender identity, be excluded from employment with or participation in, be denied the bene?ts of, or be otherwise subjected to discrimination under any program or activity performed under this Agreement. If Contractor is found not to be in compliance with these requirements during the life of this Agreement, Contractor agrees to take appropriate steps to correct these deficiencies. 21 . Agplicable. Law. The laws of the State of New Mexico shall govern this Agreement, without giving effect to its choice of law provisions. Venue shall be proper only in a New Mexico court of competent jurisdiction in accordance with Section 38-3-1 (G) NMSA 1978. By execution of this Contract Agreement, Contractor acknowledges and agrees to the jurisdiction of the courts of the State of New Mexico over anyand all lawsuits arising under or out of any term of this Agreement. 22. Workers._._Compens_ation. The I contractor agrees to comply with state laws and rules applicable to workers compensation bene?ts for its employees. If the Contractor fails to comply with the Workers Compensation Act and applicable rules when required to do so, this Agreement may be terminated by the Agency. 23- Recordsand Financial Wit- The Contractor shall maintain detailed time and expenditure records that indicate the date; time, nature and cost of services rendered during the Agreement?s term and effect and retain them for a period of three (3) years from the date of ?nal payment under this Agreement. The records shall be subject to inspection by the Agency, the Department of Finance and Administration and the State Auditor. The Agency shall have the right to audit billings both before and after payment. Payment under this Agreement shall not foreclose the right of the Agency to recover excessive or illegal payments 24. Indemnification. The Contractor shall defend, indemnify and hold harmless the Agency, the Agency?s state owned and operated correctional facilities, and the State of New Mexico from all actions, proceeding, claims, demands, costs, damages, attorneys? fees and all other liabilities and expenses of any kind from any source which may arise out of the performance of this Agreement, caused by the negligent act or failure to act of the Contractor, its of?cers, employees, servants, subcontractors or agents, or if caused by the actions of any client of the Contractor resulting in injury or damage to persons or property during the time when the Contractor or any of?cer, agent, employee, servant or subcontractor thereof has or is performing services pursuant to this Agreement. In the event that any action, suit or proceeding related to the services performed by the Contractor or any of?cer, agent, employee, servant or subcontractor under this Agreement is brought against the Contractor, the Contractor shall, as soon as practicable after it receives notice thereof, notify the legal counsel of the Agency and the Risk Management Division of the New Mexico General Services Department by certi?ed mail. The Agency agrees to notify Contractor's Legal Department in writing within 30 days after Agency has received written notice of a claim. Contractor's indemni?cation and defense obligations hereunder will not apply for expenses incurred or settlements offered or effected prior to notice to Contractor. Contractor shall have the right to control the defense and/or settlement of the claim. 25. Force Majeure. Contractor shall not be deemed in violation of this Agreement if it is prevented ?om performing any of its obligations hereunder for any reason beyond its control, including, without limitation, strikes or labor disputes, labor shortages, inmate disturbances, lack of the Agency?s ?nancial or physical resources, failure of the Agency to provide proper security services, acts of God, civil or military authority, acts of public enemy, war, accidents, ?res, explosions, earthquakes, ?oods, failure of transportation, or any similar cause beyond the reasonable control Contract of one or both of the parties. No compensation shall be due or payable for any period of time that Contractor is prevented from performing any of its obligations as contemplated in this paragraph. 26. NewMexicoEmploy ees Health Coverage. A. I I If contractor has, er grews to, six (6) or more employees who work, or who are expected to work, an average of at least 20 hours per week over a six (6) month period during the term of the contract, Contractor certi?es, by signing this agreement, to have in place, and agree to maintain for the term of the contract, health insurance for those employees and offer that health insurance to those employees if the expected annual value in the aggregate of any and all contracts between Contractor and the State exceed $250,000 dollars. B. Contractor agrees to maintain a record of the number of employees who have accepted health insurance; declined health insurance due to other health insurance coverage already in place; or declined health insurance for other reasons. These records are subject to review and audit by a representative of the state. C. Contractor agrees to advise all employees of the availability of State publicly ?nanced health care coverage programs by providing each employee with, as a minimum, the following web site link to additional information: ://insurenewmexico .state.nm.us/ . 27- COntraCtoi' agrees if it has ten (10) or more New Mexico employees OR eight (8) or more employees in the same job classi?cation, at any time during the term of this contract, to complete and submit the PE10-249 form on the annual anniversary of the initial report submittal for contracts up to one (1) year in duration. If contractor has (250) or more employees contractor must complete and submit the PE250 form on the annual anniversary of the initial report submittal for contracts up to one (1) year in duration. For contracts that extend beyond one (1) calendar year, or are extended beyond one (1) calendar year, contractor also agrees to complete and submit the PE10-249 or PE250 form, whichever is applicable, within thirty (30) days of the annual contract anniversary date of the initial submittal date or, if more than 180 days has elapsed since submittal of the last report, at the completion of the contract, whichever comes ?rst. Should contractor not meet the size requirement for reporting at contract award but subsequently grows such that they meet or exceed the size requirement for reporting, contractor agrees to provide the required report within ninety (90 days) of meeting or exceeding the size requirement. That submittal date shall serve as the basis for submittals required thereafter. Contractor also agrees to levy this requirement on any subcontractor(s) performing more than 10% of the dollar value of this contract if said subcontractor(s) meets, or grows to meet, the stated employee size thresholds during the term of the contract. Contractor further agrees that, should one or more subcontractor not meet the size requirement for reporting at contract award but subsequently grows such that they meet or exceed the size requirement for reporting, contractor will submit the required report, for each such subcontractor, within ninety (90 days) of that subcontractor meeting or exceeding the size requirement. Subsequent report submittals, on behalf of each such subcontractor, shall be due on the annual anniversary of the initial report submittal. Contractor shall submit the required form(s) to the State Purchasing Division of the 10 Contract General Services Department, and other departments as may be determined, on behalf of the applicable subcontractor(s) in accordance with the schedule contained in this paragraph. Contractor acknowledges that this subcontractor requirement applies even though contractor itself may not meet the size requirement for reporting and be required to report itself. Notwithstanding the foregoing, if this Contract was procured pursuant to a solicitation, and if Contractor has already submitted the required report accompanying their response to such solicitation, the report does not need to be re?submitted with this Agreement. 23- Wlnraliwrm 91.1-C0nditi9n- If any term or condition of this Agreement shall be held invalid or unenforceable, the remainder of this Agreement shall not be affected and shall be valid and enforceable. 29- Enforcement. of A mement- A party's failure tic-require- strict performance of any provision of this Agreement shall not waive or diminish that party's right thereafter to demand strict compliance with that or any other provision. No waiver by a party of any of its rights under this Agreement shall be effective unless express and in writing, and no effective waiver by a party of any of its rights shall be effective to waive any other rights. 30. Notices. Any notice required to be given to either party by this Agreement shall be in writing and shall be delivered in person, by courier service or by U.S. mail, either ?rst class or certi?ed, return receipt requested, postage prepaid, as follows: To the Agency: New Mexico Corrections Department Central Administration 4337 NM 14 Santa Fe, NM 87508 ATTN: Chief Medical Administrator With a Copy to: Secretary of Corrections New Mexico Corrections Department Central Administration 4337 NM 14 Santa Fe, NM 87508 ll Contract To the Contractor: Corizon, Inc. 12647 Olive Blvd. St. Louis, MO 63141 ATTN: Stuart Campbell, President COO 31- If Contractor is other than a natural person, the individua1(s) signing this Agreement on behalf of Contractor represents and warrants that he or she has the power and authority to bind Contractor, and that no further action, resolution, or approval from Contractor is necessary to enter into a binding contract. 12 Contract the parties have executed this Agreement as of the date of - Mexico State Purchasing Agent belowDate: 511% Ageyy?s Legal osel -Ce1'tifying legal suf?ciency bontraCtor The records of the Taxation and Revenue Department re?ect that the Contractor is registered with the Taxation and Revenue Department of the State of New Mexico to pay gross receipts and compensating taxes. ID Number: 41.1?z? ation and Rev By: Date: A aw enue Department This Agreement has been approved by the New Mexico State Purchasing Agent: Ii? Date: 3? Sf rchasing Agent By: ew Mex State 13 Contract 3001; of Work THIS Professional Services Agreement is made and entered into by and between the State of New Mexico, New Mexico Corrections Department, hereafter referred to as "The Agency" or "Department" or the "Procuring Agency", acting through Gregg Marcantel, Secretary of Corrections (?Secretary?) and Corizon, Inc., hereafter referred to as the ?Contractor?, speci?es the terms and conditions under which the Contractor will provide a comprehensive, coordinated, and continuous health?care program for male and female inmates in New Mexico correctional facilities. Collectively the AGENCY and Contractor are known as ?parties?. WHEREAS The Agency and the State of New Mexico lack the direct capacity to provide medical and other health services independently to its incarcerated population without engaging in a Professional Services Agreement for Inmate Medical Services; and WHEREAS Corizon, Inc has the expertise to provide inmate medical and other health services; and WHEREAS the Agency and Corizon, Inc. desire to enter into a professional relationship for medical and health services. NOW THEREFORE for and in consideration of the promises and mutual covenants contained in this professional services Agreement, and subject to the conditions set forth in the Agreement, the Parties do hereto covenant, agree, and bind themselves to Contract. The goal and requirement of this Agreement is to provide comprehensive health care services, within a secure environment, within available funds, and in accordance with the standards of care and the American Correctional Association (ACA), current community standards of care, speci?ed standards, and Agency procedures contained herein. During the term of this Agreement the Agency shall: a) Provide Contractor with information concerning each inmate as appropriate; b) Compensate the Contractor as speci?ed in Professional Services Agreement; c) Provide for review and adjudication of Utilization Management decisions made by the COntractor; (1) Provide for review and adjudication of inmate grievances; e) Review Contractor ?nancial records as operationally necessary for the Agency 'to assure its own compliance with all applicable State and Federal laws, rules, and regulations; and 1) Provide data elements for Contractor reporting. The Contractor will be responsible for the delivery of a comprehensive, coordinated, and continuous health care services program at the facilities shown in the tables below. 14 Contract State Owned and Operated Penitentiary of NM Santa NM PNM Western NM Correctional Facility Grants, NM Central NM Correctional Facility Los Lunas, NM Southern NM Correctional Facility Las Cruces, NM Roswell Correctional Facility Hagerrnan, NM RCC Springer Correctional Center Springer, NM SCC Private Facility NM Women's Correctional Facility I Grants, New Mexico Lea County Correctional Facility Hobbs, New Mexico LCCF Northeast NM Correctional Facility Clayton NM NENMCF Guadalupe County Correctional Facility Santa Rosa, NM GCCF Three Agency Facilities: Northeast New Mexico Detention Facility in Clayton, the Guadalupe County Correctional Facility in Santa Rosa and Lea County Correctional Facility in Hobbs hold county inmates. County inmates at those Facilities or any other Facility holding county inmates are not eligible for medical or health care services under this Agreement. The Contractor is responsible for the medical care of all individuals housed under the custody of the New Mexico Corrections Department in the listed facilities above. TERMINOLOGY The de?nitions of terms used throughout this Professional Services Agreement, including appropriate abbreviations shall have the following meanings unless otherwise clearly speci?ed. SERVICES is a division within the New Mexico Corrections Department responsible for Agency budget and ?nancial management ?scal review and reporting of ?nancial matters. means the wholesaler invoice price based upon the last invoice received for pharmaceuticals shipped to Agency facilities. PRISONS is a division within the New Mexico Corrections Department overseen by the Deputy Secretary of Operations and includes the Director, Director?s immediate staff and the following functional areas: Prison Operations, Classi?cation Bureau, Central Records Unit, Safety and Food Operations, and Health Services (Health Services Bureau and Mental Health Bureau). The current Adult Prisons Division operations are directed by the Director of Adult Prisons Division. The mission of the Adult Prisons Division is: "to provide safe, secure and professionally sound correctional Facilities for staff, the public and con?ned adult male and female inmates. Provide academic, medical, dental and mental health services; and to ensure correctional Facilities are in compliance with ACA accreditation standards?. means the New Mexico Corrections Department. CORRECTIONAL ASSOCIATION means the national organization so named, which establishes standards for corrections Facilities and provides for the evaluation of the standards in member Facilities. BEHAVIORAL HEALTH formerly known as the separate HEALTH AND ADDICTION BUREA provides mental health care and addiction services to persons incarcerated in the Agency. Services are provided in accordance with the standards, policies and 15 Contract procedures of the Bureau of Mental Health Services, which includes various modes of treatment, assessment, diagnostics, crisis intervention, and residential housing for inmates who are mentally ill, chemically dependent or in need of specialized housing. OUTPATIENT SERVICES Outpatient mental health services involve the provision of structured mental health services and crisis intervention, and training. to both security and program staff. Assessment, individual and group crisis intervention and substance abuse services are the major outpatient services. The Contractor?s staff will be expected to coordinate with Mental Health and Addiction Services staff in a multidisciplinary treatment team and as speci?ed by the Agency. Outpatient mental health services involve the provision of structured mental health services and crisis intervention, and training to both security and program staff. Assessment, individual and group crisis intervention and substance abuse services are the major outpatient services. The Contractor?s staff will be expected to coordinate with Mental Health staff in a multidisciplinary treatment team and as speci?ed by the Agency. RESIDENTIAL SERVICES Mental health residential services and acute inpatient hospital services consist of an acute inpatient unit (the Acute Care Unit, ACU) and chronic and intermediate residential units (the Chronic Care Unit, CCU) at the 104 bed MHTC located at the in Los Lunas, NM. The major services provided at the MHTC are intensive inpatient and residential mental health and services with special focus on treating and preparing inmates to return to the general population. The Contractor?s are expected to coordinate with the Agency mental health professional staff in a multidisciplinary treatment team to ensure coordinated and effective treatment. ALTERNATIVE PLACEMENT AREA There also exists a chronic placement area for the mentally ill with high security ratings, i.e. the Alternate Placement Area The APA currently has 48 beds (currently 2 beds are closed and are in need renovation) the 48 bed APA and the 104 bed MHTC are located at the in Los Lunas, NM. AND FINAL is a standard and ordinary element of contract negotiation. This term is often used during a bidding process to indicate that no further negotiation on the amount or terms is possible before ?nal bid submission. A BAFO is often solicited in response to contractors or suppliers whose bids are within a close range of one another. ?The best-and?fmal offer step in the procurement process is targeted to speci?c improvements in each offeror proposal. 1? (see also ?nancialtermsdictionarycom) is a document prepared for each individual inmate by either medical professionals (?medical chrono?) or mental health professionals (?mental health chrono?) which lists the Facilities for which that particular inmate is eligible or not eligible for classi?cation and transfer, based upon the inmate?s medical and/or mental health needs, and the ability of that Facility to provide for the inmate?s needs. is a collective term that may be used for a group of categories (job titles,) such as the class of provider,? ?clinical non?provider? and ?non-clinica which are de?ned in the sample Agreement by the existence of certain common attributes regarding the delivery of patient care services. A class is an assembly of several different job categories, all of which share a certain essential element of performance. The term is not linked to and does not derive from any other common or legal usage when used herein. is a term used as equivalent to a titled employment position, de?ning individual 16 Contract occupational tasks and roles, many of which involve speci?c licensure. Each and all job categories may be unambiguously assigned to one particular job class. The term ?category? is not linked to and does not derive from any other common or legal usage when used herein. OF means 5:00 pm, Mountain Standard Time or Mountain Daylight Time, whichever is in effect at the time. QUALITY IMPROVEMENT means a process modeled after traditional CQI approaches to improving quality, which assumes that opportunities for improvement are unlimited, is customer-oriented, is data driven, results in implementation of improvements, requires continual measurement of implemented improvements and modi?cation of improvements as indicated. means a written agreement for the procurement of items of tangible personal property or services. means the individual selected by the Agency to monitor all aspects of the Agreement means the successful vendor or medical services provider who enters into a binding Agreement. means the services, which shall be furnished by the Contractor and for which payment is included in the proposal. is de?ned in this request for proposals as all systems for digital data transmission which allow for secure communication from the point-of?entry to the Agency Facility, out to access a proprietary or common carrier of digital information to central IT operations at the Agency, including software and such hardware as to access that distribution system; but only for such scope of work as de?ned herein. (Same comment as above) DATA COMMUNICATIONS INCLUDES TELEMEDICIN SYSTEM The Contractor will be billed for all telecommunication circuits to private Facilities, and the ISDN (Integrated Services Digital Network) line or comparable broadband access. These communication circuits are used for the Telemedicine system. Agency Information Technology Division (ITD) approval of devices Any device that requires a network connection that will be placed on the Agency network must ?rst get approval from the Agency ITD before it is placed on the Agency network. - all systems for digital data transmission which allow for communication from the point of entry to the Agency Facility, to other data handling locations contained within; only for such scope of work as de?ned herein; but not including such devices which act to switch, route, or store this data, such as servers and routers. The terms "may", "can", "should", "preferably", or "prefers" identify a desirable or discretionary item or factor (as opposed to "mandatory?). means the written documentation of a decision of a procurement manager including ?ndings of fact required to support a decision. A determination becomes part of the procurement ?le to which it pertains. means the Department of Finance and Administration for the State of New Mexico, an administrative agency granting ?nal approval on certain State Agreements. (See also State Purchasing, SPD) A medical emergency condition exists when a patient manifests acute signs, or both that, by reasonable medical judgment, represent a condition of suf?cient severity such that the absence of immediate medical attention could reasonably be expected to result in death, serious impairment of bodily function or major organ system, and/or l7 Contract serious jeopardy to the overall health of the patient. The record of a health care service rendered by any authorized provider to an inmate. Encounter includes all services for which the Contractor incurs any ?nancial liability. is generally be de?ned as any treatment about which the utility, bene?t and risk is still being actively pursued by the research community. is a prison or other place of incarceration operated by the New Mexico Corrections Department as a single entity to con?ne convicted felons sentenced to the State?s custody. A single Facility is overseen by a single Warden who operates all divisions of that Facility as a unit under his command. ?Flexible Staf?ng Structure? A payback-designed staf?ng arrangement whereby a contractor is permitted to staff a certain class of positions comprised of prede?ned categories, either Facility- by-Facility or in aggregate across the New Mexico Corrections Department, with a pre- determined threshold of ?exible understaf?ng. Payback for understaf?ng is due from the contractor for positions not ?lled below the threshold. The Department?s expired Professional Services Agreement for Medical Services used a ?exible staf?ng structure, and the Request for Proposals that gave rise to this Agreement stipulated a ?exible staf?ng structure in the request for a Best and Final Offer. The concept of ??exible staf?ng? is not linked to and does not derive from any other common or legal usage when used herein. or full-time equivalent is used conventionally throughout to de?ne employment in terms of number of hours per week employed, as de?ned elsewhere. One FTE equals one full-time employment position delivering forty (40) hours of work per work-week. Full time equivalent (FTE) will be de?ned as 2,080 hours annually (2,088 hours for leap years), inclusive of PTO, if applicable. The contractual hours required will be calculated by using eight hours per work day, multiplied by the number of business days in the month, inclusive of holidays. means an intentional deception or misrepresentation made by a person with the knowledge that the deception could result in some unauthorized bene?t to himself or to some other person, or the intentional misappropriation or taking of anything of value that belongs to another by means of fraudulent conduct, practices or representations. It includes any act that constitutes fraud under applicable federal or state law, including NMSA 1978 Section 30-16-6 as amended RISK means Agreements that place the full responsibility for the underwriting of any and all expenses incurred in the provision of agreed services, upon the vendor for furnishing or arranging for comprehensive services, without recourse to the State for remuneration. means the Fiscal Year of the State of New Mexico. The New Mexico State ?scal year is currently de?ned as July 1 through June 30, and dated by year on the closing date of that ?scal year. means a verbal or written statement by an inmate that expresses dissatisfaction with some aspect of the health care received or requested and not received, for which the inmate seeks resolution. The Agency operates a grievance procedure using on?site Grievance Of?cers with which the inmate may ?le a grievance against medical or other healthcare operations. is an of?cer of the Agency who oversees the existing Agreements of the State of New Mexico engaging the Agency. At the time of issuance, the Inspector General will not directly oversee the Agency Agreement. AUDITS AND STANDARDS COMPLIANCE is a Bureau of the New Mexico Corrections Department that is charged with overall responsibility for compliance 18 Contract with standards, policies, procedures and selected Agreements, in collaboration with the Health Services Bureau. INSURANCE Malpractice insurance under which the coverage during the period of insurance survives for any claims made after termination of policy. INSURANCE CLAIMS Malpractice insurance under which the coverage for claims against actions that occurred during the period of coverage, but claimed after the termination of policy, are no longer covered on the termination of policy. INSURANCE TAIL A separate policy written to complement claims-made policies, which offers coverage for incidents that occurred while the policy was still active, but were not actually reported until after the policy? termination. INSURANCE NOSE An element of a new policy which covers for any claims made during the course of the policy, regardless of date of occurrence. The terms or identify mandatory requirements or factors (as opposed to ?desirable?). Failure to respond to a mandatory requirement or factor may result in the rejection of the Contractor's proposal. Are those positions that are considered the highest priority for ?lling when vacant and will be ?lled with existing resources within a timely manner, are not generally available to use in covering hours elsewhere in the contract, and are not available for redirection for any purpose. NECESSARY AND Those health care services which: are essential to prevent, diagnose, prevent the worsening of, alleviate, correct, or cure inmate/client conditions that endanger life or health, cause suffering or pain, cause physical deformity or malfunction, threaten to cause or aggravate a handicap, or result in illness or in?rmity of an inmate are provided at an appropriate Facility and at the apprOpriate level of care for the treatment of an inmate?s/client?s medical condition; and are provided in accordance with generally accepted standards of health care in New Mexico communities. PERSONNEL, is 3 health care provider-cg, nurse practitioner, physician assistant, etc., whose activities are directed, dictated, or both by a supervising physician to a manner, scope and degree as speci?ed by State laws, regulations and other statutory and regulatory authority. ?Department of Information Technology? aka is a cabinet-level executive agency that manages computer system, planning, hardware, software and network services. The ?Information Technology Division? (ITD) is a division of the Agency that provides technology tools to assist Agency personnel in meeting the Department's organizational goals. OF HEALTHCARE OF HEALTHCARE . (OHA) is an of?ce within the Adult Prisons Division of the New Mexico Corrections Department currently in formation. The is overseen by a position to be formally de?ned later, at a level of a Deputy Director, and informally referred to as the ?Chief The Chief HSA oversees the ?nancial aSpects of the Professional Services Agreement and audits the performance of the vendor and general operations through auditor(s) reporting directly to the HSA. The professional aspects of healthcare operations of the Health Services and Services are formally administered as an entity by a Chief Medical Administrator (CMA) informally referred to as ?Medical Director,? a term often used in other states to describe the position. The Chief Medical Administrator is a licensed New Mexico physician with experience 19 Contract in Internal Medicine and/or Family Practice, with familiarity with the delivery of medical services to incarcerated persons. The Health Services Bureau administers and monitors the delivery of all necessary medical, and dental services to all adult male and female inmates committed to its custody within the state to maintain basic health. The health care services are currently being delivered through a private Contractor. Medical units at all Facilities provide outpatient services to the inmate population. The Agency has a partnership with the University of New Mexico - School of Medicine ECHO Project for the collaborative management of HCV infected inmates. Authority for administration of all medical services derives through the Health Services Bureau. Inpatient long-term care services for the Department are located at the Central New Mexico Correctional Facility in Los Lunas, NM. Inmates at both male and female Facilities with medical problems that cannot be managed in general population but do not require community hospitalization are housed at this unit. Post?- operative recovery and rehabilitation services available at the inpatient in?rmary allow for shorter hospital stays. The program provides for all necessary prescription medication, monitoring, supervision and consultation required for appropriate management of inmates in need of outpatient and inpatient services. Acute inpatient and residential services are provided at the 104 bed Mental Health Treatment Center (MHTC) located at the Central New Mexico Correctional Facility in Los Lunas. NM. The Agency oversees the Department by a referred to as ?Chief All health care is provided in accordance with accepted community standards for health care practice, ACA standards for health care in corrections Facilities, Commission on Accreditation of Corrections Facilities. All state and privately owned and operated Facilities have been continuously accredited by the American Correctional Association for over four (4) years. Maintenance of accreditation is a paramount priority of the Agency. OF THE The New Mexico Corrections Department is a cabinet-level agency statutorily de?ned within the Executive Branch of New Mexico State government, headed by a Cabinet Secretary who is appointed by the Governor and con?rmed by the New Mexico Senate as per Statute. The Of?ce of the (Cabinet) Secretary has traditionally consisted of two Deputy Secretaries, and ?ve (5) divisions. At this time, several operations and divisions are condensed under a single of?ce. Only those divisions or bureaus/sections within each division that are related to this procurement are described below. Note that the terminology used to describe positions approximates conventional and usual use. The formal terminology used by the New Mexico State Personnel Office may differ from that used in this Agreement. In such case, the formal terminology may be appended. - MEXICO CORRECTIONS or ?Agency? means the executive department in New Mexico responsible for the administration of adult male and female incarceration, as created under NMSA 1978, 33-1-6, as amended. The term the Agency may also indicate the Department's Procurement Manager, as applicable. means an individual computer or terminal, with or without network capacity. It often refers to a single physical device used by a person to enter and retrieve medical information from a database CARE means a licensed medical physician, nurse practitioner or similar provider who manages and delivers healthcare to inmates under the scope of practice. MEDICAL CARE Those services that can be provided within the institution and by providers employed by the Contractor. 20 Contract means an of?cer, director, owner, partner, or a person having primary management or supervisory responsibilities within a business entity or related entities. PRISONS .OR means facilities that are operated by CCA, the New Mexico Women?s Correctional Facility and by GEO, Inc, e. the NENMDF. Lea County Correctional Facility (Hobbs) and the GCCF have mental health services provided by GEO. means the document that. directs a Contractor to deliver items of tangible personal property or services pursuant to an existing Agreement. Any specialty, inpatient, outpatient, or laboratory services that a physician, mid- level practitioner or dentist orders or arranges, but does not provide directly. A contingent potential for ?nancial loss due to contractual obligations, e.g. that the possibility that revenues of the Contractor will not be suf?cient to cover expenditures incurred in the delivery of contractual services. FOR PROPOSALS or means a solicitation used in negotiated acquisition to communicate government requirements to prospective Contractor and to solicit proposals, pursuant to New Mexico and Federal rules. All documents, including those attached or incorporated by reference or amendments, used for soliciting proposals herein, comprise elements of the request for proposals (RF P). means all care which is not an emergency or urgent, or is directed towards the maintenance of wellness rather than the treatment of disease. MEDICAL means those outpatient services, excluding hospitalization that are provided by providers not obtained or employed by the Contractor pursuant to the staf?ng plan cardiology specialist, etc., and exclusive of tertiary medical services. means any sexual contact with an imprisoned individual, including contact performed with the full and competent consent of all participating parties, is by de?nition a sexual assault. means the State of New Mexico. OWNED AND OPERATED PRISONS OR means those correctional facilities owned and operated by the Agency-or the State, which are the Penitentiary of New Mexico, Western NM Correctional Facility, Central NM Correctional Facility, Southern NM Correctional Facility, Roswell Correctional Facility and the Springer Correctional Facility. is the purchasing division of the General Services Department. State Purchasing provides documentation, approval and guidance in doing business with the State of New Mexico, and oversees the formation of certain Agreements with approval authority. Further information available at A written agreement between the Contractor and a Subcontractor, or between a Subcontractor and another Subcontractor, to provide health care services. A third party who contracts with the primary Contractor or primary Subcontractor for the provision of health care services that the primary Contractor has contracted with the Agency to perform. is used herein conventionally and without precise de?nition, to encompass a broader concept of remote healthcare that does not always involve clinical services, which includes telemedicine. ?Telemedicine? herein solely means the practice of medicine when the interaction between provider and patient takes place solely by means of electronic communication, as well as the use of medical information exchanged from one site to another Via electronic communications to 21 Contract improve patients' health status. The term ?telemedicine? or is not linked to and does not derive ?om any other common or legal usage when used in this Agreement. ?Telemedicine? may, but does not necessarily, coincide with the de?nition of Telemedicine in other states as de?ned in the Medical Practice Act, Section 61-6-6, NMSA l978, and as revised; as de?ned in NMAC 16.10.27 DEFINITIONS and as revised. This document cites but does not instruct in the matter of compliance with New Mexico Statute and Regulation. Means telemedicine. MEDICAL CARE means those services that are or must be performed in an inpatient setting. is a director-level position at New Mexico Corrections Department charged with the training of Agency personnel, both initial training for incoming of?cers and ongoing training for personnel. issues regarding involuntary transfers of inmates to an outside Facility in a manner compliant with and referring to controlling precedent Vitek v. Jones. The Contractor will provide medical libraries at each facility, include at a minimum a current medical dictionary, Physician?s Desk Reference (PDR) as indicated, Pharmacology Reference, ACA standards, Ambulatory Care Standards, at the female facility, a text book on conditions and other current (publication within the last 4 years) medical texts and books or journals as recommended by the CQI committee, and approved by the Agency Medical Director. The Contractor will institute a program of CQI or equivalent, Quality Assurance, Professional Peer Review, Utilization Management, and Mortality Review at each Facility for medical, dental, and services, and will include, but not be limited to, quarterly audits and medical record reviews provided to the Agency Medical Director or designee. Physician and midlevel peer review shall occur annually. Within three (3) months of the initiation of the Agreement, the Contractor must provide evidence that a CQI Program is in place to include meetings of the CQI committee. The CQI program must use a multi-disciplinary committee and must involve all health care staff during the calendar year. Minutes of all CQI and peer review meetings will be sent to the Agency Health Services Administrator within fourteen (14) days following each meeting. The CQI committee shall conduct studies of health services on a basis at the institutional level. This program shall also meet the Agency Standards of Care, Agency standards and policies, and community medical standards of care. The Contractor shall report on identi?ed de?ciencies with corrective action plans on an as needed basis to the Agency. The Agency Health Services Administrator shall attend any CQI or other internal quality review meetings of the Contractor, if such attendance might reasonably serve to bene?t the health care of the State?s incarcerated population. The Health Services Administrator may request documentation from any CQI meeting. The contractor medical staff will convene regularly with the Agency Health Services Administrator, the Agency Chief and Agency staff as and if designated by the Chief Medical Administrator, to discuss issues relevant to medical, dental and care in the system. The Agency will designate an individual to serve as the chairperson of the CQI 22 Contract program. The meetings will generally occur unless waived in writing by the Agency but no less than ten (10) calendar times each year. Attendees may include the regional of?ce staff, staff physicians, site administrators, director of nursing, representatives of mid-level practitioners, medical record staff and other employees invited by the Agency Medical Director to attend. The Contractor will be responsible for all housing, costs of transportation, and other expenses associated with this meeting for the Contractor?s personnel. The Contractor shall manage a program for quality assurance that includes: a) Quarterly meetings shall occur at the statewide level and meetings will occur at the site level. Such meetings will include updates on service delivery areas that include outbreaks, on infectious disease program initiatives and other appropriate audits that lead to improve quality of care. b) Site multidisciplinary meetings and reviews in each service delivery area to monitor the health services, collect, trend and disseminate data, develop and monitor corrective action plans, and facilitate communication between disciplines. The Contractor will conduct a peer review of all practicing physicians, dentists, and midlevel providers annually. Summary results including action plans shall be forwarded to the Agency Medical Director within 15 days of review along with any corrective action plans. It is understood that successful Peer Review is an activity that requires full provider participation and primarily serves the purpose of furthering clinical knowledge and guiding internal quality improvement. As such, results will remain con?dential to the medical staff and medical managers with summary information provided to substantiate the activities are being undertaken as required and shall not be subject to penalty and damages by the Agency. Complete Peer Review documentation is available for inspection to the Agency Medical Director. Contractor will participate in the ISMP Medication Errors Reporting Program of the National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP). Errors that are self-reported by Contractor and not subject to disclosure elsewhere, known as ?Category A- errors in the ISMP Medication Errors Reporting Program, shall remain con?dential to the intemal quality improvement mandate of the Contractor, and shall not be subject to penalty or damages by the Agency. reports shall be submitted to the Agency no later than the tenth of each month following the month the report re?ects, except as otherwise approved by the Agency. The Contractor shall maintain medical records in accordance with prevailing medical regulations for con?dentiality, retention and access. Contractor shall develop and implement a policy that allows the Contractor and the Agency to comply with all Agency policies and procedures as they apply to the delivery of healthcare to the inmates in the custody of the Agency, within both state and private Facilities. This policy must also comply with all Agency policies and procedures as they apply to telemedicine and other electronic modalities used to store and/or transmit medical information. Standardized records and forms, approved by Agency are required, whether used in the medical record or for internal purposes. Any alternative must be approved by the Agency. The Agency inmate patient medical record has been structured in a certain way, and Contractor shall be expected to become familiarized with this record. 23 Contract All health care records prepared pursuant to this Agreement shall belong to the Agency, but maintained in the possession and custody of Contractor. Control of all health care records will be maintained by the Agency. Contractor shall not deny to the Agency Health Services Bureau Staff or other appropriate Agency personnel access to such records for examination and photocopying. Requests to the Contractor for medical records and/or information shall be made by the Department's representative(s), Facility heads, General Counsel for the Agency, Attorney General's of?ce, Of?ce of the Medical Investigator or the Department Chief Medical Administrator. Requests to the Contractor for medical records must follow con?dentiality requirements. At the expiration of this Agreement or when inmates are released from institutional supervision, all such records shall be delivered to the Department. The Contractor may make copies of those records at Contractor?s expense. Medical records include those recorded on paper, micro graphics, computer electronics, audiotapes, ?lm, photographs, videotapes and any other recording medium. ROUTINE INMATE CARE The Contractor will provide initial health screening to an incoming male or female inmate immediately on arrival at the Reception and Diagnostic Center or the Womens? Correctional Facility, including a 60 day diagnostic and evaluations, new commitments, probation/parole violators and transfers from out-of?state facilities. The contractor shall perform an initial screening within seven (7) days of arrival and before entering the general population. On rare occasions an inmate may be sentenced as a high pro?le inmate needing placement. The initial health screening in such speci?c circumstances will occur at the New Mexico State Penitentiary (PNM) Level VI. All medical, dental, intake procedures in place at the Reception and Diagnostic Center units shall be adhered to. The Contractor shall perform a complete Blood Count (CBC) and UA dipstick with microscopic if abnormal, and other laboratory test as speci?ed. All laboratory results shall be shared with the inmate at the earliest possible visit, including routine sick call or chronic care visit. PRIMARY HEALTH CARE SERVICES The Contractor shall provide on?site all primary health care and preventative services to include: daily triage of inmate health complaints, provision of sick call, routine non-invasive diagnostic procedures, identi?cation and referral of conditions requiring secondary and tertiary services and medication administration and monitoring, and chronic care clinic. Primary medical care shall include a routine non-invasive diagnostic procedures; 0 identi?cation and referral of conditions requiring secondary and tertiary services; a medication administration and monitoring, 0 visitation of the "locked-down" areas: the responsible provider must see inmate in lock- down at least three times each week, and document those visits, as stipulated in Agency policy. Nurses shall perform segregation rounds daily as indicated per Agency policy. The Agency Medical Director shall approve the schedule for the provision of seven (7) days per 24 Contract week, (24) hours per day outpatient and inpatient physician on?call coverage. Sick Call shall be held at each facility according to ACA standards. If an inmate?s custody status precludes attendance at sick call, arrangements shall be made to provide sick call. The Contractor will provide a nurse or provider that assumes the responsibility of a health educator at each Facility. All inmates must have access to routine sick call on an appointment basis. Sick call must be conducted according to Agency policy at a time and place mutually agreed upon by the Warden, the Agency's Medical Director and the Contractor. The Contractor shall provide routine sick call Monday through Friday under the direction of a physician using nursing protocols approved by the Agency Medical Director, or by direct provider visit. Each Facility shall have a mechanism in place that enables all inmates, including those in segregation to request health care services daily, seven days a week. Sick call shall be held daily for inmates housed in segregation units or restricted housing units. The Contractor shall indicate its mechanism for triaging medical requests and shall establish appropriate triage mechanisms to be used for speci?c categories of complaints. The Contractor shall provide triage and screening activities through direct clientmpatient contact with a registered nurse or mid-level provider. Emergency sick call will be available 7 days per week. Any unresolved diagnostic or therapeutic problems shall be referred to a physician. All non-scheduled walk-in visits to the medical section will be reviewed triaged by a registered nurse and by a provider on the next sick call visit. Any inmate presenting for the second time with the same unresolved complaint shall be scheduled to see physician/provider at the next sick call. HEALTHCARE Women?s healthcare is guided by and governed by the Agency policy on Women?s Healthcare. The Contractor shall screen female inmates at intake for pregnancy by history, physical exam and a pregnancy test. All con?rmed pregnant inmates will be provided with prenatal care under the supervision of a Board Certi?ed Obstetrician or Family Practice Physician according to the American Colleges of Obstetrics and Gynecology Standards. The Contractor shall provide all laboratory testing, medical examinations, and other diagnostic testing. Women over 40 years of age shall have a mammogram every other year unless clinically dictated otherwise. Women over 50 years old will have annual mammograms unless clinically dictated otherwise. All females will undergo pap smear exams. The Contractor will provide all pregnant females counseling and assistance regarding temporary placement of the expected baby, and or adoption. As appropriate, questions from pregnant females about continuation or termination of pregnancy should be expertly addressed in accordance with all applicable laws. The Agency may offer guidance to assure that suf?cient healthcare topics are covered; however, the Agency will not intrude upon the doctor-patient relationship in controlling the nature of the counseling in any way. 25 Contract Obstetric and gynecological services excepting routine labor and delivery shall be provided on- site at Labor and delivery services shall be provided through the same physician services that provide prenatal care. Family planning information regarding contraception shall be provided as part of the inmate?s re- entry program. If the inmate?s pregnancy is considered high risk, the Contractor shall select the most appropriate high risk service and hospital. Pregnant inmates addicted to opiates shall receive the care and services most likely to assure the safety of the woman and fetus. Notwithstanding any other representations here or elsewhere, current Federal and State Statutes, case law and regulations by Federal and State entities control as interpreted by the Agency General Counsel. Agency Policy concerning pregnancy issues will control unless it is determined to be in con?ict with applicable state or federal laws or regulations noted above. If a female inmate requests an abortion and it is not medically necessary to preserve her health, the Agency will neither provide nor pay for it, nor shall the contractor be obligated to pay for or offer such service either directly or by subcontracting. However, the Agency will reasonably facilitate access to pregnancy termination services. Such abortions will be provided at the inmate?s or third party expense, at a facility that provides this service and is appropriately licensed under state law. The Contractor shall provide 12~lead electrocardio gram (ECG) for individual inmates over 40 years of age; or for any inmate exhibiting clinical signs or consistent with heart disease, presence of hypertension, diabetes mellitus, hyperlipidemia, or a family history of cardiac disease. The Contractor shall provide tetanus anti-toxoid administered to all inmates at intake unless medically contraindicated and every 5 years thereafter, unless medically contraindicated. The Contractor shall provide pneumococcal vaccine for all inmates identi?ed as being "high risk" for pneumonia and in?uenza based on current CDC criteria. The Contractor shall test all inmates for Hepatitis and Hepatitis C, by antibody, of and (total). Any inmate found to be and shall be vaccinated for HBV and Hepatitis A. Any inmate found to be and/or and those found to be shall be referred to ID chronic clinic. DENTAL SERVICES The Contractor shall implement an oral health program under established Agency Health Services policies, procedures, the American Dental Association and ACA standards of care. The program shall consist of diagnostic, preventative instructions, restorative and rehabilitative servrces. The program shall provide for the basic oral health needs of the inmate population through: 1) The diagnosis of existing oral conditions, 26 Contract 2) Services for the relief of pain and elimination of infection, 3) Instruction on preventive measures to maintain optimal oral health, 4) Services to restore adequate masticatory ?lnction. The oral health program shall be directed by a clinical dentist, preferably with experience in a correctional setting. The Dental Director shall plan, organize, staff, direct, evaluate and represent the oral health care program throughout the system. The program shall be staffed in accordance with the site speci?c staffing plans attached hereto which may include dentists, registered dental hygienists, and certi?ed dental assistants. Dental assistants shall have advanced training in their ?eld so they can place amalgams under the supervision of the dentist. The Contractor shall be responsible for: maintaining the existing oral health equipment in working order; providing supplies and materials to ensure a functioning operation; complying with OSHA standards; and providing quality services at a level consistent with the ADA Standards. The Contractor shall provide oral Health history, examination, panoramic and bite wing X-rays, diagnosis and classi?cation in accordance with the relevant standards of care. The provision of dental services shall be prioritized in a manner that approximates the following: 1) Emergency services for the relief of pain, bleeding, infection, trauma, etc. 2) Diagnostic services and documentation; 3) Essential oral surgical services; 4) Conservative treatment of the periodontium to include oral hygiene instruction, scaling and root planing; 5) Conservative restorative services employing amalgam, composite and stainless steel crown procedures; 6) Prosthetic appliances necessary to maintain the incising and masticating functions; 7) Complete dental examination on all inmates every two years. The Contractor shall implement the Agency oral health care reporting system. Oral health care team productivity standards shall be established with the concurrence of the Agency Health Services Administrator and monitored on a continuous basis. The Contractor shall use a Health Needs Request to track and record all requests for services, complaints, schedules, and services provided, as utilization data as requested by the Agency. The Contractor shall provide dental emergency care twenty-four (24) hours per day, seven (7) days per week. Minimally, the Contractor shall ensure that inmates with an emergency dental need are seen within 24 hours. The emergency dental care will consist of immediate assessment, treatment or both of conditions including but not limited to: 1) Post-operative uncontrolled bleeding; 2) Facial swelling that is of a life threatening nature or is causing facial deformity; 27 Contract 3) Fracture of the mandible, maxilla, or zygomatic arch 4) Avulsed dentition 5) Intraoral lacerations that require suturing to include the vermilion border of the lips. The Contractor shall provide dental urgent care consisting of treatment that is immediately necessary under urgent conditions such as: fractured dentition with pulp exposure; acute dental abscess; oral pathological condition that may severely compromise the general health of the inmate. At minimum, the Contractor shall ensure that an inmate with urgent dental needs is seen within 72 hours. The Contractor shall provide ongoing, routine care de?ned as conditions that require treatment to restore the form and ?lnction of an inmate's oral tissues and are not solely elective or cosmetic in nature such as: caries; chronic periodontal conditions; non-restorable teeth; edentulous and partially edentulous patients requiring replacement; presence of temporary, sedative, or intermediate restorations; broken or nonfunctional prosthetic appliance, if inmate quali?es; TMJ disorders; periodic examination; gingival recession or root sensitivity; and routine dental prophylaxis. At minimum, the Contractor shall ensure that an inmate with routine dental needs is seen within 30'days of receipt of a Health Needs Request for treatment. The Contractor shall ensure compliance with the NMDC dental exempt conditions, which are those conditions that do not fall in the above categories and are not provided by the Department: ?xed prosthodontics (crown and bridge); orthodontics; removal of third molars or impactions without pathology; treatment of discolorations, stains, cosmetic defects; ridge augmentations, and vestibular extensions/implants. The Medical and Dental program may facilitate the inmate?s seeking outside care for exempt conditions, but is not required to do so. Routine dental cleanings and hygienist services may be provided, but such services are not mandatory and shall be provided only at the discretion of the agency. The Contractor shall be responsible for arranging necessary dental services not available within the Agency services at on?site and off-site community provider facilities and specialty clinics to all inmates. The Contractor shall be responsible for coordinating security and transportation requirements with the Agency for inmates requiring off-site dental care. The Contractor shall contract with an oral surgeon that shall provide dental services at the following facilities or more often based on inmate need: 0 Central New Mexico Correctional Facility Lea County Correctional Facility Penitentiary of New Mexico Southern New Mexico Correctional Facility Western New Mexico Correctional Facility and Northeast New Mexico Detention Facility (NENMDF). OPTOMETRY SERVICES The Contractor shall provide optometry services on?site at all facilities in accordance with the staf?ng plan and availability of space and equipment. The Contractor or its subcontractor shall coordinate with the Agency for optometry equipment at sites where there is no equipment 28 Contract Springer Correctional Center or the maximum unit Level VI of the PNM). The Contractor shall provide eyeglasses per community standards. The delivery of an optometric program must include all medically necessary eyeglasses. Inmates who have 20/40 vision or better and at least one uncorrected with neither being less than 20/40 corrected will not be given glasses unless they are presently wearing glasses or have worn glasses during the last two (2) years. Eyeglasses shall be provided as prescribed once every two years or as prescription changes or other medical necessity. If the Agency determines ophthalmic prostheses are needed for compassionate cosmesis, the Department will coordinate the purchase. If medically indicated, contact lenses will be supplied by Contractor. The Agency does not allow ?Contacts? (contact lenses) in its facilities unless medically indicated; however, inmates are allowed to keep their contacts until corrective lenses (regular glasses) have been made. This process shall be accomplished within 60 days. In those instances where medically necessary for reasons other refraction, the Contractor shall be responsible for providing all contacts and necessary cleaning solutions. If a disease process such as diabetes requires additional follow?up of baseline evaluation by an optometrist, an evaluation by an ophthalmologist shall be scheduled as an off-site/on-site consultation by the Contractor. All diabetics will receive an annual dilated ?mdoscopic exam (DF E). A quali?ed optometrist shall examine clients with speci?c complaints. The Contractor shall maintain a program of routine vision testing for near sighted vision as well as far sighted vision. Based upon nursing referrals at intake regarding visual acuity screening inmates shall be afforded the opportunity to receive such services at intervals of twenty-four (24) months. The Contractor shall treat glaucoma in accordance with national guidelines. The Contractor shall conduct all ophthalmologic and optometiic exams within 60 days of referral for non-emergency care. In the case of an emergency, transient or other visual loss, infection or pain, the Contractor shall immediately evaluate the inmate and make a referral to the ophthalmologist within 24 hours. The Contractor shall refer therapy such as phacoemulsi?cation, lenticular prosthesis placement and laser treatment for cataracts to an ophthalmologist, if necessary. AUDITORY SERVICES The Contractor shall provide an auditory services program. When indicated by health appraisal, hearing examinations shall be performed by a licensed audiologist. Initial audiometry may be performed on?site by an appropriately trained health care worker. The auditory program shall be beyond the use of a tuning fork and shall be available at all intake facilities. The Contractor shall provide hearing devices, treatment, or both as prescribed. If ampli?cation is required, only one hearing aid will initially be provided at the Contractor?s expense. Replacement hearing aids will be provided on an individual basis dependent upon circumstances 29 Contract and need. In addition to the appliances, batteries to assure the appropriate use of hearing devices shall be paid for by the Contractor. Excepting damage caused by clinical staff, the Contractor is not responsible for the cost of replacing any DME or physical devices damaged by the Agency or ancillary staff during the course of incarceration. PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND REHABILITATIVE MEDICINE The Contractor shall provide physical therapy (PT) and occupational therapy (OT) services in the identi?ed Facilities, and at a staf?ng level detailed in the staf?ng plan. The Contractor shall provide all equipment and supplies necessary for a fully ?rnctioning physical therapy delivery program. The Contractor shall develop a centralized on~site PT schedule, and an as-needed OT schedule. The care shall be rendered on?site, but in cases requiring higher level services, appropriate referral and utilization of community-based resources may be necessary. The Contractor shall provide the necessary equipment and supplies for a fully functioning physical therapy delivery program. If telemedicine services are developed, physical therapists shall participate in telemedicine referrals, for evaluation of inmates at sites that do not have physical therapy. The physical therapist shall also participate in the presentation of inmates for telemedicine orthopedic specialty consultations at and The physical therapist, in collaboration with the Agency, shall develop guidelines and instructions for the therapeutic use of weights at all facilities. Guidelines will not include recreational (non-therapeutic) weightlifting. SEXUAL ASSAULT The Contractor will follow Agency directives and standards promulgated by the Prison Rape Elimination Act, Federal Register, Vol. 76 No. 3 February 3, 2011. The Contractor shall include as part of the initial assessment of an alleged sexual assault victim determination of immediate health needs, provision of emergency care for trauma, and determination if the sexual assault was recent. If sexual assault was recent, the inmate shall be transferred to the emergency room for a rape evidence kit. Testing and prophylaxis against sexually transmitted diseases shall be initiated. GENERAL SERVICES The Contractor will provide comprehensive, coordinated, and continuous on?site statewide on- call outpatient and inpatient care for Agency inmates at PNM, LCCF GCCF, NENMDF. Services include emergency interventions and treatment of acute and chronic mental illness. Contractor will not provide services at any stand-alone Level I facilities which are currently the Springer Correctional Center and Roswell Correctional Center. The Contractor shall provide on?site care and tele- 3O Contract in accordance with Agency Standards of Care, the applicable community standard of care for and all Agency policies at each institution covered by this Agreement. Contractor will provide seven (7) day per week (24) hour per day outpatient physician and inpatient physician on-call coverage on a schedule by the Agency Chief for review on no leSs than a basis. The Contractor will complete all history and physical exams and mental status evaluations within 24 hours of admission to the MHTC 20 bed inpatient ACU and the Long-Term Care Unit (LTCU). The Contractor will comply with policies, procedures, rules, regulations, standards of care and cost-containment measures established by the Department, as well as local, state, and federal agencies. The Contractor will comply with Agency, state, and federal rules, regulations, and policies regarding patient con?dentiality. The Contractor?s Regional Director will maintain compliance with ACA standards, Agency Policies and Agency Standards of Care. The Contractor?s Regional Director must reside in the state of New Mexico, work for the Contractor full time and will be required to provide part administrative and part clinical duties combined to equal a full time equivalent status. The Contractor will assist and support the Agency IT Staff in the development of an appropriate Forms process that will capture the Chronic Care clinics and the general Chronic Care clinics. Contractor will assist the Agency with clinical advice and testing to ensure that the information captured is maintained in the consolidated Criminal Management Information System medical module referred to as M-Track. The Contractor shall maintain and keep up-to~date on a daily basis a computer database of all inmates in each Facility currently followed in the Chronic Care Clinics, MHTC Service, Reception and Diagnostic Center (RDC) Service and Alternate Placement Area (APA) Service areas. This Chronic Care Clinics database will include the inmate?s name, Agency number, list of medications and primary diagnosis. An accurate, complete and updated Chronic Care Clinic patient database will be provided by the Contractor to each facility?s Mental Health Services Manager on a daily basis for mental health coding, chrono and inmate housing purposes. The Contractor will maintain accurate and informative records on all patient encounters including completing forms for inmates transferring to and from the MHTC. The Contractor shall use the Agency?s stand-alone Chronic Care Clinic database for a variety of medical and specialty clinics at each facility to report mental health coding, chrono and inmate housing. Data shall be entered daily and reports shall be sent to each facility?s Mental Health Services Managers. The Contractor will assist the Agency with all aspects of and mental health services program planning, development, implementation, and evaluation. The Contractor will provide intensive inpatient services in the 20 bed Acute Care Unit 31 Contract (ACU), and the Chronic Care Unit (CCU). Services will be provided in the long-term residential units at the Mental Health Treatment Center (MHTC) located at in Los Lunas, New Mexico. The MHTC shall work similar hours as other Department mental health staff, Monday to Friday, from 8:00 AM to 4:30 PM. The Contractor will provide intensive care and residential services with a focus on treating and returning inmates to general population. The Contractor will report to and receive clinical and administrative oversight from the Agency Chief Operations and Management of the inpatient Acute Care Unit (ACU) of the MHTC shall include: 1) on?call seven (7) days per week, 24 hours per day. The inpatient ACU on call must be a board certi?ed or board?eligible 2) Inpatient ACU rounds and progress notes shall be performed according to the Agency MHTC Care Policy (CD-1723 00) Evaluation by a physician no greater than 24 hours of arrival or at the earliest practical time depending upon the inmate?s clinical condition is required. 3) All inpatient ACU encounters shall be documented in the inmate?s medical record. 4) Discharge planning with discharge note and summary is required prior to discharge from the inpatient ACU. The discharge note must include an up-to-date problem list, medication list, ?nal diagnosis, assessment of the resolution of the problem, discharge medications and scheduled return appointment to the appropriate 5) Discharge should occur only after discussion with, and the agreement of, the responsible physician or mid-level practitioner at the receiving institution. The Contractor shall provide the number of FTEs to meet the minimum number of Nurse practitioners, MHTC nursing staff and Alternate Placement Area (APA) nursing staff as described in the staf?ng plans, and shall comply with the following minimal quali?cations for and Nurse Practitioners which are: a) Current, unrestricted license to practice medicine in New Mexico; b) Board eligible or board certi?ed in and, 0) Certi?ed Nurse Practitioner. The Contractor shall provide the Agency Chief with a report of the total number and cost of medications for Agency inmates in custody on medications, the prescribing patterns of each provider and the utilization patterns of types and numbers of medications used, and any other related reports that the Chief shall ?nd appropriate. The Contractor shall follow current Agency policy on Therapeutic Restraints and Seclusion (CD 170700) and other policies currently in effect and modi?ed from time to time. The use of therapeutic restraints shall be limited to the MHTC, ACU, LTCU and in Facility medical clinics in the therapeutic restraint room. The room shall be appropriately monitored by security and medical staff to prevent harm to the inmate and lessen suicidal risk. 32 Contract The Contractor will provide training at least bi-annually to medical, security and mental health staff for therapeutic restraints, therapeutic seclusion and involuntary treatment at the MHTC 20 bed ACU, LTCU and at all Facility medical units. The Contractor will maintain records on all outpatient and inpatient encounters including completing admission and discharge forms for inmates transferring to and from the Mental Health Treatment Center (MI-ITC). Contractor will provide inpatient care at the LTCU inpatient in?rmary for female or male inmates, which includes 24 hour per day on?site nursing coverage and seven (7) day per week rounds. For off-site hospitalizations of incarcerated persons, a Joint Powers Agreement exists between the Agency and Department of Health Behavioral Health Institute (BHI) in Las Vegas, NM for female or male inmates who cannot be treated adequately within the Agency facilities. All off?site hospitalizations to the BHI must be approved by the Agency and shall be the expense of the Agency. All off-site care will be coordinated and monitored by the Contractor?s Regional Director of who will report the status and condition of any off-site care to the Agency Chief The Contractor will complete evaluations and recommendations for inmate treatment guardianships in accordance with New Mexico state statutes and Agency standards, policies and procedures, which shall include court appearances for expert testimony and providing necessary documentation to the Agency Legal Services. Involuntarily administration of medications to an inmate by the Contractor shall be governed by applicable laws of the State of New Mexico and Agency policy (Policy CD 170900). When medications are administered involuntarily the following conditions must be met: 1) Authorization by a physician that speci?es the duration of therapy; 2) Less restrictive interventions have been exercised without success as determined by a physician or 3) Details are speci?ed about how, why, when, where, and how the medication is to be administered; 4) Monitoring occurs for adverse reactions and side effects; and, 5) Treatment plan goals are prepared for less restrictive treatment alternatives as soon as possible. 6) Involuntary treatment with medications may be approved by a court appointed treatment guardian, subject to 7) below. 7) Involuntary treatment with medications without a guardian shall only be allowed in accordance with law in certain emergency conditions and must follow the conditions of least intrusive, least drastic and less hazardous intervention. REQUIREMENTS The Contractor shall employ a Regional Director to oversee and direct 33 Contract services. The Regional Director will manage contract services and directly oversee all contract services will also be provided by the Contractor?s regional of?ce when needed for patient consultation, staff consultation, clinical case reviews, and chronic care clinics. The Contractor?s Regional Director will oversee and direct a continuous quality improvement (CQI) program for services to include a quality assurance program with quarterly audits, professional peer review, and utilization management plan for services. This will include at least CQI meetings with the Contractor?s Regional Director and the Agency Chief All care delivered by telemedicine will follow all statutory mandates in NMSA and NMAC 2011 NMSA 61a6~11) and Agency policies, including CD-171200, use all Agency forms, review medical and mental ?les, maintain proper medical records, document patient signed consent for medications and use the problem list in medical record. If additional telemedicine services are proposed by the Contractor, they will be integrated with Agency services. Contractor will report all clinical encounters to the Agency on the Contractor Clinic Reporting Form. When services are used, the Contractor shall selectively use New Mexico?based or midlevel providers. The Contractor may use oat-of-state tele- only if in?state are not available and with prior approval of the Agency Chief The Contractor?s will Visit the facilities at least quarterly to conduct on-site clinics and meet with facility staff. services will also be provided from the Contractors Regional Of?ce or between Agency sites when needed for patient clinics, consultation, and clinical case reviews. The contractor will provide onsite services at the Central New Mexico Correctional Facility in Los Lunas, the Southern New Mexico Correctional Facility in Las Cruces, the Penitentiary of New Mexico in Santa Fe, and the New Mexico Women?s Correctional Facility in Grants Facility. The contractor may provide either onsite or services to the Lea County Correctional Facility in Hobbs, the Guadalupe County Correctional Facility in Santa Rosa, the Western New Mexico Correctional Facility in Grants, and the Northeastern Correctional Facility in Clayton when approved by the Agency Chief The Contractor agrees to provide on-site services instead of services at a speci?c correctional Facility at any time The Agency determines this to be in the best interest of patient care or in the best interest of the Agency at no additional cost. The Contractor?s will hold regular case staf?ng with mental health staff via the telemedicine monitor format. If working onsite, will hold regular case staf?ng with mental health staff, on?site and face-to-face. Contractor?s will hold regular case staf?ng with mental health Via the telemedicine monitor format. MENTAL HEALTH The Agency Behavioral Health Services bureau provides mental health care and addiction services to persons incarcerated in the Agency. The Contractor?s staff is expected to 34 Contract coordinate with the Behavioral Services staff in a multidisciplinary treatment team fashion speci?ed by the Agency to ensure coordinated and effective treatment. The Contractor will participate in treatment planning and case staf?ng with Agency mental health staff. Mental health services and addiction services will be provided by and overseen by the Agency Bureau Chiefs and contract employees, and consist of various modes of mental health and addictions treatment, including mental health assessment, addictive behavior assessment, diagnostics, crisis intervention, and residential treatment programs. The mental health and addiction services staff are either employees of the Corrections Department or of a private prison vendor and not the Contractor unless otherwise employed. It is the intent of the Department to keep all existing Agency Mental Health and Addiction Services protocols, practices, personnel and schedules in place. The Contractor and medical personnel are expected to interface with other non?Contractor mental health and addiction personnel in a multidisciplinary format. PHARMACY SERVICES The Contractor shall provide a full-time clinical pharmacist to oversee and administer the procurement, dispensing, inventory control, disposal, and administration of pharmaceuticals throughout the system. The clinical pharmacist must reside in New Mexico. The clinical pharmacist shall visit each Facility to monitor compliance with all laws, regulations, and standards related to pharmacy services, and to provide clinical pharmacy services including drug information, education, and drug regimen review. The Contractor shall provide pharmaceutical services for prescription and non-prescription medications and all intravenous solutions ordered by the Contractor's physicians, mid-level practitioners, and dentists. The Contractor shall maintain a medication administration record to include all information contained on the prescription label and the name of the practitioner who prescribed the medication. The Contractor shall provide, furnish, and supply pharmaceuticals and drugs to each facility using ?a unit dose method of packaging" which is properly labeled. A plan for the maintenance of stock medication at each Facility shall be submitted to the Agency for approval. Any future proposed changes shall also be submitted to the Agency for review prior to implementation. Proof of Use forms will be used at all facilities maintaining stock medication. Access to stock medication will be limited to selected individuals only. The Contractor shall: 1) Keep up-to-?date patient drug pro?les, 2) Identify drug interactions for all ordered drugs, 3) Generate a list of inmates on speci?c drugs by prescribing provider, 4) Identify an inmate enrolled in a chronic care clinic, and 5) Generate lists of inmates whose medications are within 7 days of expiration. The Contractor is responsible to maintain inventory, cost, ordering records for all pharmaceuticals, including over the counter medicines dispensed by the pharmacy. The Contractor shall maintain a list of the 25 most frequently prescribed legend medications and the most expensive medications prescribed within each facility on a basis. The Contractor 35 Contract shall make provision for on?site medications delivery seven (7) days per week, on?site stat dose capability for emergencies, and an emergency drug kit. The clinical pharmacist shall be able to advise providers on the substitution of less costly medications on individual patient/inmates. The Contractor shall establish an Agreement with local pharmacies for immediate need (Statim) medications. The Contractor?s health care staff shall ensure daily reviews of emergency medications. The Contractor shall maintain appropriate stock medications and demonstrate a method of rapidly obtaining urgent or routine prescription within 24 hours. Delay in timely medication administration is a matter of serious concern for the Agency, and is a performance indicator of the Contractor?s performance. The Contractor shall a Program for the pharmacy program demonstrating a knowledge and focus on outcome measures and indicators. The Contractor shall provide routine consultations regarding all phases of the institution's pharmacy operation. The Contractor shall provide oversight of the pharmacy operation with a minimum of consultant visits and written reviews by a registered pharmacist. The Contractor shall maintain the provision of medications and assurance those medications will be continued without interruption of Reception and Diagnostic Center (RDC) Facilities until the inmate/patient is examined by a provider. Once an inmate is examined by a physician or mid-level provider (MLP), medications may be modi?ed or substituted. Medications will be administered through a pill line or cell block distribution process. Nurses or certi?ed medical assistants will administer medications on a regular basis to inmates in segregation. The Agency has a keep-on?person (KOP) policy, which excludes controlled substances and medications that are at notable risk of diversion or abuse. The Agency has classi?ed certain medications as or medications at risk for diversion and abuse. The Contractor shall establish a renewal procedure for inmates that have KOP medications. The Agency may direct in collaboration with Contractor additional prescribing restrictions on MRDA medications. If the Agency elects to place a regional at a Bernalillo County or other facility, for the purpose of oversight of probationers and released parolees the Agency will underwrite the cost of medication, and the contractor will coordinate the order, acquisition, ?lling and supply of said medication; inventory, cost, ordering records. The Contractor shall provide the Agency Chief with a report of the total number and cost of Agency inmates in custody on medications, prescribing patterns of each provider and utilization patterns of types and numbers of medications used. The Contractor shall comply with all state and federal laws and national standards in the administration of prison pharmaceuticals. The Contractor shall dispense medications in a safe and controlled fashion in accordance with Agency policies and Policy CD- 171000 Administration of Medications. The Contractor will crush or ?oat all and narcotic medications in accordance with Agency policy, 36 Contract Administration of Medications. The Contractor shall be responsible for the provision but not cost of all patient speci?c prescription pharmaceuticals related to the treatment of HIV infection and Hepatitis and atypical medication. The Contractor shall research, evaluate, and if possible arrange 340B pricing. The Agency expects the Contractor to participate in the ISMP Medication Errors Reporting Program of the National Coordinating Council for Medication Error Reporting and Prevention (N CC-MERP). The Contractor shall conduct pharmacy and therapeutic committee meetings at each facility to discuss medication administration, utilization patterns, success or corrections needed, and issues associated with the forrnulary. A statewide pharmacy and therapeutics committee meeting will be established and meet quarterly. The meeting will be co-chaired by the Regional Medical Director and the Agency Health Services Administrator, and shall include the regional Pharmacist and other such participants as the Agency Health Services Administrator may designate. medications such as antidepressants, and drugs requiring parenteral intramuscular administration are prescribed only by a physician; or authorized health provider by prior agreement with the physician. The Contractor shall work with the Agency Health Services Administrator to develop a New Mexico-speci?c forrnulary, as described by the Agency and its needs, including a forrnulary regarding pain medications. Any medications determined by the Agency Health Services Administrator to be medications at risk of diversion or abuse (MRDA) may be limited or banned from routine use within the Agency. The Agency uses an ?open? forrnulary model comprising all FDA Approved Drug Products. The Contractor has established a New Mexico speci?c ?house? forrnulary based on the lowest cost available to the Agency for equivalent pharmaceuticals within a class. The Agency reserves the right to use and mandate a ?closed? forrnulary model at its sole discretion. In such instance, the ?house? forrnulary model will become codified into an of?cial Agency formulary. The Contractor is expected to implement such closed pharmacy to the satisfaction of the Agency. Said formulary shall be reviewed for approval by the Agency Health Services Administrator prior to implementation. Any proposed forrnulary changes shall also be submitted to the Agency prior to implementation. In any controversy regarding non-forrnulary issues, the decision of the Agency Health Services Administrator shall control. The Contractor shall assist and support the Agency IT Staff in the development of a computerized pharmaceutical order entry (CPOE) system within the M-Track system to allow 37 Contract providers to order medications electronically. Until the development of the CPOE, the providers will continue to submit pharmaceutical orders to the pharmacy via facsimile. The Contractor shall provide inmates being released to the community with at least a four (4) week supply of medications unless at discharge it is apparent that an exception is necessary. Exceptions shall be charted. The Contractor shall work with the Agency Health Services Administrator and Commissary to develop the list of medications which ,are permissible to be sold legally without a doctor's prescription (over the counter medications, OTC) in the Commissary. Information regarding availability of all Commissary medications shall be provided to all intakes and transfers. The Agency Health Services Administrator retains the ?nal determination in collaboration with the Warden of the facility of which medications are permissible to be stocked for OTC sale. The Contractor will continue inmate medications upon inmate entrance to the Agency Reception and Diagnostic Center (RDC) system until reviewed and, if needed, modi?ed by the Contractor?s Reception and Diagnostic Center (RDC) Blood products antihemophilic agents Coagulation Factor Vila, antihemophilic Factor Factor IX Concentrates, Factor anti-inhibitor coagulant complex, von Willebrand Factor complex) for the treatment of blood disorders hemophilia) are considered pharmaceuticals. The Contractor shall be responsible for purchasing, providing and administering these blood products. Contractor will charge the Agency for the cost of actual pharmaceutical utilization as a separate line item on the Contractor?s invoice, which will not be subject to gross receipts tax. The costs charged to the Agency will include the Actual Acquisition Cost (AAC), plus all labor, packaging, shipping and overhead required to deliver medication to the Agency whether the pharmaceuticals are purchased through the Contractor?s pharmacy or through local New Mexico pharmacies. The AAC is net of price adjustments and discounts. Manufacturer rebates earned on Agency pharmaceutical utilization will be credited to the Agency at 100%. Credits will be given to the Agency as actual rebates are received by its subsidiary pharmacy, and will be allocated based upon the Agency drug or therapeutic category utilization (net of proper actual returns) as a percentage of all the subsidiary pharmacy?s utilization generating the total drug rebate for the applicable time period. Contractor will provide the Agency with detailed billings on their invoices that provide drug utilization and cost information for the relevant period of time. Contractor will also summarize total pharmaceutical costs charged to Agency contract year?to-date so that Contractor and Agency can monitor the expenditures. Contractor and its subsidiary Pharmacy will take returns from the Agency based upon Federal, State and Local laws and regulations. Credit for returned medications will be given to Agency in accordance with these guidelines, as well as the pharmacy?s standards for return and reuse of medications. Contractor will credit the Agency the AAC originally billed to the Agency for 38 Contract proper pharmaceuticals returned. INMATE HEALTH EDUCATION The Contractor shall develop and implement subject to Agency approval an inmate health education program minimally using posters and pamphlets and stressing health promotion and disease prevention. Speci?cally, this shall include, but not be limited to: heart healthy diets, and risk-behavior reduction for Hepatitis and infection, Tb, HIV infection and sexually transmitted diseases. To further this health education process, health education shall be done, but not limited to, at the initial intake screening process, annual health maintenance and at each formal medical session such as during sick call, chronic clinics, and dental clinics; and shall be made available based on the assessed educational needs of the committed persons. All health education material also shall be available in the inmate library for inmates that do not use sick call service. The Contractor shall provide OSHA training to inmate medical unit workers and laundry workers related to the hazards and proper handling ofbiohazard material. Disease or speci?c health education shall be documented in the inmate?s medical record. SPECIAL MEDICAL PROGRAMS -- CHRONIC CARE The contractor will establish chronic Care Clinics and other special medical programs at each site. The Policies and Procedures as well as the types of Chronic Care Clinics must be approved by the Agency Medical Director. Treatment Plans for the chronic Care Clinics and special medical program shall include directions for health care staff and correctional staff regarding their roles in the care and supervision of these inmates. The special medical program shall service a broad range of health problems for inmates requiring close medical supervision including chronic, infectious disease and convalescent care. The chronic care provided shall entail the development of an individual treatment plan by the responsible physician specifying instructions on diet, medication, diagnostic testing and follow- up. Chronic care patients shall be provided a review by a nurse every three months and a physician review no less than annually, or sooner as clinically indicated. Chronic care conditions shall include patients with chronic medical problems such as asthma, diabetes, epilepsy, hypertension, cancer and infectious diseases conditions, mental illness, developmentally disabled, handicapped, frail elderly, terminally ill, potential suicide, depression, chemical dependency, and geriatrics. Care of the elder inmate, 55 years of age or older, shall be addressed in the comprehensive manner like the chronic care clinics. A protocol de?ning the extent of the periodic health assessment taking into consideration the age, sex, and health needs of the inmate population shall be coordinated with the Agency Medical Director. INPATIENT INFIRMARY The Contractor shall manage and use the Agency?s Long-Term Care Unit (LTCU) to reduce off- site hospitalizations, and provide skilled nursing care to inmates that cannot be maintained in general population. When feasible by the security and administrative plans of the Facility, the 39 Contract Contractor shall maintain a minimum of two rooms available in the LTCU for female inmates. The Contractor shall advise the Agency if the facilities at LTCU or elsewhere are inequitably constrained for women?s care in the LTCU or elsewhere. The Contractor shall assure that the ductwork in the LTCU is cleaned at least once per year. The Contractor shall maintain all negative-pressure three (3) isolation rooms by obtaining appropriate certi?cation, at appropriate intervals, as dictated by Community Hospital Standards. Contractor staff shall ensure an inmate?s chart, medication administration records, medications and an intra?system transfer form accompany the inmate transferred from one facility to another. The form shall include information regarding medical dental and mental health diagnosis, medications, chronic care conditions and pending health referrals. Health professionals assigned to the receiving facility shall receive the intra?system transfer form within 12 hours of an inmate?s arrival. If the inmate lacks a mental health assessment, health assessment, annual physical exam, then the receiving facility shall complete it. For Agency inmates transferred out of state or out of system, the Agency may require Contractor to provide a complete copy of the .medical records, including a summary, to the receiving institution. MEDICAL DISASTER AND EMERGENCY CARE PROCEDURE The Contractor shall implement procedures for the review and rehearsal of the delivery of health services in the event of a disaster such as ?re, tornado, epidemic, riot, strike, or mass arrests. Emergency health services will be provided to include nurses, mid-levels, dentists and physicians on 24?hour call. The Contractor shall make provision and be responsible for all costs for 24-hour emergency medical, and dental care, including but not limited to 24?hour medical on- call services and ambulance services when necessary. The Contractor shall ensure availability of emergency treatment through predetermined arrangements with local hospitals. Such procedures shall be developed, instituted, or both by the Contractor's Medical Director working closely with the Agency Facility administrative staff. The Contractor will adopt the Agency disaster plan and implement procedures within 30 days from the effective date of the Agreement. The Medical Disaster Plan shall include, but not be limited to the following, and is to be coordinated with Agency Emergency Services: Assignment of health care staff; Communications system; Establishment of a triage area; Establishment of command post; Evacuation procedures (to be coordinated with security personnel); Medical records identi?cation of injured; Practice drills. Personnel at the other Facilities shall be available, if necessary, to assist the institution experiencing the emergency. Recall of key staff; Safety and security of the patient and staff areas; 40 Contract Transfer of injured to local hospitals; Triage procedures; Use of ambulance services; Use of emergency equipment and supplies. The Contractor shall be responsible for emergency health care delivery on a 24-hour per day basis. In the event of an emergency, health services staff will be expected to provide on?site emergency intervention for staff, inmates and visitors when required. All ambulances utilized shall be equipped with life support systems and shall be operated by personnel trained in life support that are certi?ed by the State of New Mexico. The Contractor shall be responsible for all emergency transportation and will coordinate all emergency transfers with security staff. In any case where the Shift Commander or designee has determined that an inmate needs medical attention and cannot travel to the institution's in?rmary, a nurse, nurse practitioner or physician's assistant will render immediate health care to the inmate at his/her current location. The Contractor will provide emergency services, supplies, or medication to Department employees, of?cial Department guests, outside Contractor?s, inmates' visitors, or other visitors to any Facility. The Contractor may elect to bill these individuals directly to recover the cost of their services. However, costs to provide these emergency services shall not be an obligation of the Agency. Any Facility having a health care unit will have an AED (automated external de?brillator) in the health care unit to provide emergency resuscitative interventions. The Medical Director or the responsible physician must be ACLS certi?ed and all licensed health care staff will be Basic Cardiac Life Support certi?ed. Each institution will conduct an unannounced "mock code" with complete documentation at least quarterly. The Agency provides an emergency services coordinator for system wide responses to occurrences in any Facility. The Contractor will develop and establish a working relationship with the chief medical administrator, the Agency emergency services leadership to prepare for combined responses to any occurrences. The Contractor shall include the following in the operations and management of the inpatient in?rmary LTCU and the inpatient MHTC-ACU: 1) Physician ~on~call seven (7) days per week, 24 hours per day at the Agency LTCU and MHTC-ACU. 2) LTCU rounds and progress notes shall be performed according to the Agency Long-Term Care Policy evaluated by a physician no greater than 24 hours of arrival or at the earliest practical time depending upon the inmate?s clinical condition is required. 3) A complete impatient record, using the ?Problem Oriented Medical Record? format, will be opened for each patient admitted to the inpatient in?rmary LTCU. 4) A complete physical examination (CPE) is to be completed within 24 hours of admission. At the time of admission, an admitting note must be completed. The care plan must include a working differential diagnosis, medical condition and prognosis, expected length of stay, the need for vital signs and the need for any additional diagnostic studies. 41 Contract 5) All inpatient infirmary LTCU and inpatient ACU encounters shall be documented in the inmate?s medical record. 6) Discharge planning with discharge note and summary is required prior to discharge from the inpatient in?rmary LTCU and the MHTC-ACU. The discharge note must include an up-to- date problem list, medication list, ?nal diagnosis, assessment of the resolution of the problem, discharge medications and scheduled return appointment to the Physician. Discharge should occur only after discussion with, and the agreement of, the responsible physician or mid-level practitioner. SAFETY, SANITATION, AND INFECTION CONTROL Contractor is responsible for all costs associated with safety, sanitation, and infection control including training staff, implementing the proper methods of handling, storage and disposal of biomedical hazardous waste; to include sharps, needles, syringes and other materials used in the treatment of the inmates. These procedures shall comply with OSHA standards, the Centers for Disease Control, the New Mexico Department of Health (Public Health Division) and Agency policies and procedures. One licensed nurse at each Facility and/or satellite clinic shall be designated as the infectious disease control nurse, and will be responsible to report infectious disease data as required by the Agency Health Services Bureau. Reporting shall consist of immediate and urgent reporting of ?reportable conditions? as designated by the United States Health and Human Services Bureau, the New Mexico Department of Health, and other agencies. This individual shall also provide routine epidemiological and statistical reporting related to documentation of public health. Infectious disease data and routine epidemiological and statistical reports must be received by the Agency Health Services Bureau before the last day of the month following the reporting month. The infectious disease nurse shall be responsible for generating the report of the safety and sanitation of the medical unit each month. The Contractor shall participate in safety and sanitation inspections of the institution food service, housing and work areas with designated Agency personnel at each institution. Contractor shall make appropriate recommendations for corrections of discrepancies. The Contractor shall implement the medical care services program at each Facility in compliance with all federal, state, and local laws, rules, regulations, requirements, and policies concerned with safety, sanitation, infection control and the disposition of medically? related infectious material and hazardous waste. The Contractor is responsible for the security of the equipment and its data. Any security measures implemented will, at a minimum, meet standards developed by the Agency and the facility. SECONDARY HEALTH CARE SERVICES The Contractor shall make referral arrangements with specialists for services for the treatment of those inmates with health care problems which may extend beyond the usual primary care services provided on?site. 42 Contract Such services are usually provided off-site but may be provided by offsite specialists coming to the Facility, or by telemedicine or other telehealth. The Contractor shall pay all costs of such care by licensed specialists and other licensed service providers. The Contractor shall identify in their response, a plan to arrange for appropriate specialty clinics to be conducted on~site at the various Facilities as is medically necessary and based on the operational needs of the facility. The Agency has a high interest in maximizing on- site specialty care to avoid inmate transport and off-site security costs. The Contractor shall arrange for specialty clinics to be conducted on-site at the various Facilities as practical. The Contractor shall be responsible for all supplies used or ordered by the specialist, including recommended prosthetics, braces, special shoes, glasses, hearing aids, orthopedic devices, etc. The Contractor shall be responsible for ?tting, supply, and repair or replacement of prosthetics, including those prosthetic devices currently used by inmates. The Contractor shall endeavor to consolidate the scheduling of appointments and services for inmates with community physicians, hospitals and other health care providers and services to minimize the impact upon security staff, and available vehicles. The Contractor will subcontract for specialty services. All subcontracts are subject to the Agency Health Services Administrator approval prior to commencements. The Contractor will work together with the Agency Health Services Administrator to further develop and implement a Hospice Care and Palliative Medicine Program. Consultations shall follow along conventional community practice standards. Earlier consultative or primary treatment recommendations or procedures regarding the care of an inmate which were made prior to incarceration have only informational value to the treating facility physician. They do not compel. In the manner of conventional standards, consultations are obtained for ?aternal guidance of an expert to a treating college. Impressions and suggestions of a consultant carry no compelling weight without review and assent by the facility practitioner. Consultations will be timely and condition-driven. Time-frames are discussed below. 0 The findings and recommendations provided by all consultants will be reviewed and handled by the facility. 0 The consultant shall reply in writing with any urgent and immediate ?ndings and recommendations. This document is to return along with the inmate patient. Instructions on urgent need for follownup shall be included. 0 All initial documentation from the consultant shall be charted within 72 hours of the consultation. 0 Positive ?ndings and immediate recommendations will be reviewed by the facility physician within ?ve (5) working days of the consultation. The following consultants must be available either on?site or through referral within the 43 Contract indicated time or sooner, as the condition warrants. Allergy 60 Days As dictated by condition Cardiology 45 Days As dictated by condition Dermatology 60 Days As dictated by condition Ear-Nose-Throat 45 Days As dictated by condition Gastroenterology 40 Days As dictated by condition General Surgery 60 Days As dictated by condition Hematology 45 Days As dictated by condition Internal Medicine 60 Days As dictated by condition Nephrology 45 Days As dictated by condition Neurology 30 Days As dictated by condition Neurosurgery 30 Days As dictated by condition Oncology 30 Days As dictated by condition Ophthalmology 40 Days As dictated by condition Orthopedics 40 Days As dictated by condition Physical Therapy 30 Days As dictated by condition Plastic Surgery 45 Days As dictated by condition Podiatry 60 Days As dictated by condition Radiology 30 Days As dictated by condition Thoracic Surgery 30 Days As dictated by condition Urology 60 Days As dictated by condition For ancillary services, the schedule is as described below: SUPPORT SERVICE . ROUTINE Audiology As dictated by condition Colonoscopies As dictated by condition CT Scans As dictated by condition Echocardio grams As dictated by condition Electromyo grams As dictated by condition Endoscopies As dictated by condition Medical Prosthesis As dictated by condition Optometry As dictated by condition Sonograms As dictated by condition The Contractor will provide general and ordinary occupational health care services for Agency employees who work in the prisons and in probation and parole of?ces. The scope of the services includes those detailed below. The number of new and annual employee health services to be pro'vided will be available to the vendor candidates upon response: 1) Annual tuberculin skin testing of all custody and probation and parole of?cers and referral for follow-up and chest X-ray as appropriate 2) Post-occupational hazard exposure; initial management and referral in accordance with approved protocols; 44 Contract 3) Assist in the referral for all occupationally related accidents and illnesses 4) Instruction on compliance with all OSHA guidelines as necessary 5) Emergency response, intervention, First Aid, and stabilization for transport and referral to private medical provider, urgent care center, or ER as indicated for on?site injuries 6) Screening physical examinations and a twoustep PPD will be performed on all cadets and probation and parole applicants for the Corrections Academy 7) Purchase and administer Hepatitis immunization for all custody and probation and paroleof?cers, all three doses in the series, at the Contractor cost. HBV immunity screening may be provided by Contractor at its discretion to decrease the quantity of HBV immunizations needed. 8) Regular ongoing examinations as stipulated in Agency HR Agreements 9) Educational Services: The Contractor will be responsible for assisting in providing the following educational services as per Departmental need Correctional Staff ?rst aid and CPR training unless otherwise arranged. The Contractor shall provide or attend Contractor Health Services Staff Orientation as speci?ed by the Agency. The Contractor shall offer its employees as expert instructors for Health Information instruction for the training of Agency staff. Contractor shall be responsible for the provision of all radiological services (to explicitly include: CAT scans, MRI, ?uoroscopy, ultrasound, special studies and other x-ray services when clinically indicated) in the care of the inmate patient. Ultrasounds are currently provided on?site at most Facilities. The Contractor shall ensure all routine X-rays shall be provided on?site at the Facility by the Contractor's radiology technician. For Facilities that do not have X?ray equipment or Facilities with high security inmates Levels and VI, the Contractor shall provide mobile X?ray services that have the capability of providing digital X-rays. The Contractor shall make arrangements with a radiology group to provide for the ?over-reading? of all on?site radio graphs by a ?Board Certi?ed? radiologist. The Agreement established must assure a turn-around time of forty-eight (48) hours for all written reports. For procedures beyond the capability of the equipment on-site, the inmate shall be referred to an off-site health care Facility. The Contractor shall be responsible to pay for off- site services. Positive ?ndings are to be faxed, emailed or telephoned to the prescribing provider within two (2) hours of the X-ray. The on-call physician shall be noti?ed of positive ?ndings if the prescribing provider is not on duty. Documentation of the results shall be recorded in the inmate?s medical record. TERTIARY HEALTH CARE SERVICES The Contractor shall be responsible for the provision of tertiary services to include but not be limited to the provision of hospitalization as needed off~site. 45 Contract The Contractor shall be responsible for the provision of tertiary medical care services to include but not be limited to the provision of hospitalization and ambulance transport (ground and air). The Contractor shall use telemedicine options before transporting an inmate to a local hospital. The Contractor may provide emergency transportation services compatible with EMS and New Mexico statute and code regarding medical. emergency vehicles, or may use contract or 9-1-1 services. The Contractor shall negotiate with appropriate community hospitals, clinics, and consultants to provide off-site consultations and emergent and elective hospitalizations. The Contractor is responsible for off-site medical care in hospitals and clinics in close proximity to the Facilities. This is to reduce Agency correctional of?cer overtime and ground transportation costs. The Contractor shall speci?cally coordinate off-site hospital care in close proximity to the following Facilities located rural areas: LCCF Giobbs), GCCF (Santa Rosa), (Grants), (Grants), SCC (Springer), and NENMCF (Clayton). Hospitals in close proximity to the facilities for specialty consultants or hospitalization in case of urgent or emergency conditions, include University of New Mexico Hospital, Albuquerque Lovelace Medical Center, Albuquerque Presbyterian Hospital, Albuquerque Heart Hospital, Albuquerque Christus St. Vincent, Santa Fe Cibola General, Grants Union County Hospital, Clayton Memorial Medical Center, Las Cruces Chaves County Hospital, Roswell The Contractor shall be ?nancially responsible for the costs associated with all corneal transplants. The Agency shall also be ?nancially responsible for solid organ transplantation costs, such as heart, liver, kidney as well as bone marrow transplant including pre-operative care, post-operative care, or both. The Contractor shall assist the vendor in third party recoupment of costs related to solid organ transplantation. The Agency does not bar inmates as a class for eligibility for solid organ transplantation. Neither Contractor nor Department will be responsible for costs associated with live solid organ transplant donation by an incarcerated patient but the Contractor shall perform phlebotomy services and other small clinical services to further any inmate candidacy as a transplant donor. The Contractor will not be ?scally responsible for the cost associated with experimental treatments. Experimental treatments and research shall only occur under the best accepted principles of such treatment and research upon imprisoned subjects, as discussed in Agency Policy and Procedure. . Speci?c determination of whether a treatment is standard or experimental shall be made at the discretion of the Agency Health Services Administrator with the assistance of experts in these matters. 46 Contract The Contractor shall develop and have in place protocols for the detoxi?cation of inmates arriving at the intake facilities under the in?uence of alcohol, opiates, or benzodiazepine. The protocol shall include an assessment form completed by the nursing staff. The Agency does not use Suboxone? for detoxi?cation and only uses methadone for pregnant inmate addicts who entered the system on a methadone treatment program, in strict accordance with 42 USC ?8 and other Federal statute and regulation. The Contractor and all licensed prescribing staff will be familiar with the World Health Criteria on the management of Chronic Pain, as well as New Mexico Administrative Code 16.129 and 16.10.14, MANAGEMENT OF CHRONIC PAIN WITH CONTROLLED SUBSTANCES, issued by the New Mexico Board of Nursing and the New Mexico Medical board, respectively. The Contractor shall ask inmates to rate experienced pain by the degree of their pain (1-10) on all relevant nursing and provider encounters, or as Speci?ed in the NMAC. All Facilities will be appropriately handicapped accessible and will reasonably accommodate those inmates with disabilities. The Contractor and the Agency shall maintain and regularly review guidelines for the care of the terminally ill and dying patient inmate. The Contractor shall establish an effective infectious disease program which will meet the needs of patients with Tb, Hepatitis, and other infectious diseases. These programs are to be consistent with the department?s speci?c programs, procedures, and protocols for Tb, and Hepatitis. The Contractor shall be responsible for the provision of all on-site general medical and HIV related healthcare, including delivery of HIV related pharmaceuticals, within the facilities and in the inpatient infirmary. Additionally, the Contractor shall be responsible for the costs related to HIV ELISA testing with Western blot con?rmation "equivocals" and "positives". The Agency is responsible for the costs consultation, genotype and resistance testing, and hospitalization. The Contractor is responsible for and has the oversight authority oversight over care and treatment. The Contractor shall obtain the medications necessary, and bill the Agency in the manner similar to all other pharmaceuticals. The Contractor Regional Medical Director of Contractor and the Agency Health Services Administrator shall meet on a quarterly basis or as requested by the Agency to review the details of treatment of inmate patients infected with HIV. The Contractor Regional Medical Director shall submit an annual report to the Agency regarding the treatment of inmate patients with HIV, in a form and with content described by the Agency Health Services Administrator The Contractor shall provide health care and treatment for Agency inmates who are infected with the Hepatitis virus, in accordance with the Agency Hepatitis antiviral treatment protocol. The Contractor shall be responsible for primary care physician oversight for all treatment aspects, in accordance with the Agency Hepatitis antiviral treatment protocol; nursing care of Hepatitis patient and as delineated in the Hepatitis Policy, including administration of all 47 Contract drugs; treatment of any and all side effects associated with Hepatitis treatment; treatment of all conditions associated with Hepatitis C, timely referral for consideration of solid-organ liver transplantation if indicated; and any and all Hepatitis screening and diagnostic tests as speci?ed elsewhere in the Agency Policy and Procedures, and guidelines. The Agency Nurse Administrator shall oversee the HCV Treatment Program at all treating facilities and work in collaboration with the Agency Health Services Administrator. Contractor shall provide nursing care as generally would be expected in outpatient and in?rmary level of care treatment of Hepatitis patients and as delineated in the Agency Hepatitis antiviral treatment protocol in effect on the date of this Agreement including administration of Hepatitis A vaccine and all other drugs. The Contractor shall provide Hepatitis A and vaccination as indicated to all Agency inmates who are infected with the Hepatitis virus, if not already immune. The Contractor shall be responsible for any off-site diagnostic screening recommended by the Hepatitis Treatment Review Committee in accordance with the Agency Hepatitis policy, if such method is continued. The Contractor shall provide to the Agency HCV reports and data of inmates identi?ed with positive Hepatitis and those undergoing treatment. The Contractor shall also provide a list of inmates that have failed the program by either deciding not to further participate or who have become re?infected with the HCV virus. The Contractor shall be responsible for the purchase of medication to treat Hepatitis C, and billing to the Agency, in the manner similar to all other pharmaceuticals. The Contractor shall be responsible for the cost of liver biopsy, consults, excluding required by the Hepatitis policy, Hepatitis viral loads, genotyping and vaccinations for Hepatitis A, vaccines as required for the antiviral treatment protocol. Provider shall purchase and deliver Hepatitis protease inhibitor drugs if determined to be medically necessary. Contractor?s Regional Medical Director, Director or designee and Director of Infectious Disease Nursing, Regional Director of Nursing or both shall attend and participate in the Hepatitis Treatment Review Committee and presentation clinics. All Facilities? designated HCV Nurse Coordinators shall participate in the HCV Treatment Review presentation clinics. The Contractor will coordinate and gather all Hepatitis screening information and other related Hepatitis screening and assessment documents to present to the Hepatitis Treatment Review committee members. Contractor shall directly treat all persons with co-infection under the supervision of infectious disease experts retained by Contractor. Acute or chronic HBV infection will be treated by Contractor in ordinary and standard fashion by the Infectious Disease experts retained by Contractor. Contractor is expected to coordinate this care in a multidisciplinary treatment team. Parties agree that Contractor is the primary care provider and may consult with specialist including University of New Mexico as clinically indicated however, the responsibility and all authority for oversight of care and treatment remains with the Contractor who is accountable only to the Agency. Parties agree that Contractor shall be responsible for drug inventory control, structured similarly 48 Contract as that currently in place or as otherwise agreed upon by the Agency and Contractor for HIV drug inventory control; Contractor shall be responsible for outpatient and in?rrnary level of care treatment of any and all side effects associated with Hepatitis antiviral treatment. Contractor shall be responsible for any and all Hepatitis screening tests consented to and other laboratory tests, including CBC with Diff, Thyroid TSH, Bilirubin, Uric Acid, pregnancy tests, AFP, Ferritin, Iron, TIBC, Protime, INR, BUN, Creatinine, Hepatitis and HIV testing; and Contractor shall be responsible for consultant costs for required by the Agency Hepatitis antiviral treatment protocol in effect on the date of this Agreement. Contractor shall maintain on?site patient dialysis at The Contractor shall be responsible for all equipment necessary for the provision of dialysis treatment including dialysis stations, dialysis chairs, water puri?cation system, water ?ltrate, medial, and pharmaceuticals required for dialysis, including a replacement, backup or special infectious disease dialysis unit if needed. The Contractor shall be responsible for maintaining tanks, valves, meters, ?lters, ete., used in the pretreatment of water. If necessary, the Contractor may subcontract these services to a board- certi?ed nephrologist. Male inmates requiring dialysis shall be provided treatment on-site. The Contractor shall be responsible for all renal and peritoneal dialysis provision and costs including renal biopsies. Contractor may be required to refer female inmates to off-site dialysis with transport provided by the Agency. In the event of service interruption for whatever reason, the Contractor shall be responsible for providing uninterrupted dialysis treatment and shall take whatever steps necessary to ensure that services are provided. The Contractor shall identify an alternate site for dialysis for each inmate at their scheduled treatment time until the on?site services are again functional. In the event that services or equipment is non-functional for reasons within the control of the Contractor and not a Force Maj eure, the Contractor shall be responsible for the cost of custody to transport the inmate to the alternate site. The cost associated with the provision of dialysis treatment at the alternate site will be the responsibility of the Contactor. The Contractor shall provide in?service training initially, and at least quarterly, to the Facility medical staff at the Agency on pre?treatment and post-treatment needs of dialysis patients. The Contractor shall provide an orientation packet to the inmates on renal dialysis and ongoing training to them to assist in their understanding of their treatment. Other training shall be provided as needed or requested by the Facility and/ or the Agency. The Contractor shall develop renal dialysis QI plan and renal dialysis Infection Control programs, which must to be approved by Agency within 90 days of the Agreement?s effective date. For on?site renal dialysis, the Contractor shall assure that the renal dialysis provider documents all treatment in the Agency health record. ANCILLARY SERVICES The Contractor shall maintain a portable emergency resuscitation supply kit, referred to as a 49 Contract ?man-down bag? with suf?cient emergency medications, supplies and equipment required for resuscitations. Medical equipment and supplies in the man-down bag shall include medications, oxygen and airway supplies, and an AED. The emergency kit shall be inspected with the results documented on a weekly basis. The Contractor shall be responsible for the immediate replacement of emergency supplies or equipment used or expired. Routine EKG services shall be provided on?site, by the Contractor. Performance of all are restricted to licensed or certi?ed medical personnel. The Contractor shall provide directly or enter into a statewide subcontract for all laboratory services that cannot be provided on?site. The Contractor must assure that all clinical laboratory services provided in?facility are compliant with the Clinical Laboratory Improvement Amendment (CLIA), Federal, and New Mexico laws, rules, regulations and standards. The Contractor or its subcontracting laboratory shall comply with national and state recommended analytical methods/procedures. The Contractor shall provide the Agency Health Services Administrator the results of any laboratory report requested. Laboratory services must include a provision for Stat work and "critical level" abnormal values with results available within 4 hours after the specimen is obtained. A written report shall follow. The following shall apply to laboratory services: 1) Provision of all laboratory supplies and centrifuge equipment; 2) Pick-up and delivery on a daily basis, Monday through Friday; 3) Printer or computer to provide test results installed at each clinical site and if by computer, the software necessary for the reports to be available at the central health of?ce of the Agency. 4) Reporting capability within 24 hours; Contractor or its subcontracting laboratory shall provide a copy of its/their Standard Operations Procedure Manual to the Agency. The Agency Health Services Administrator reserves the right to review and approve the laboratory subcontractor which shall not be changed without the written consent of the Agency Health Services Administrator. The Contractor shall provide a utilization report delineating the number of laboratory services provided each month on the health services report. The Contractor shall ensure that the contracted laboratory has a continuous quality assurance plan, which includes the calibration and check of reagents. The laboratory shall supply current benchmarks used by laboratory pathologists for comparable standards of performance in related facilities, e.g. hospitals. The following errors shall be reported by facility, to the Agency Health Services Bureau including: 1) The number of clotted samples 2) The number of contaminated specimens 3) The number of hemolyzed specimens 4) Inappropriate sample received for requested test 5) Lab error (lost in transport or mishandling of specimen) 6) No order or laboratory slip completed for sample 50 Contract 7) Discrepancy in inmate name, spelling veri?cation required 8) Specimen too old for required tests 9) Specimen inappropriately ?'ozen . 10) Unable to contact Facility regarding critical laboratory test (telephone not answered on three consecutive tries one hour apart) 1 1) Duplicate order 12) Veri?cation of Agency inmate number 13) Veri?cation of collection date and time required. A physician or Midlevel Provider (MLP) detailed to the facility housing and treating the inmate, shall review all laboratory results within 24-48 hours after receipt of test results to assess the follow-up care indicated and to screen for discrepancies between the clinical observations and laboratory results. The physician on?call will be noti?ed immediately of all Stat reports. Laboratory services shall be available daily at intake Facilities and ?ve days per week at other Facilities. All abnormal laboratory services shall be brought to the attention of a medical clinician immediately (same day) upon receipt. The medical clinician shall review and make a notation regarding these abnormal results and a plan of care subsequent to the abnormal result. The Contractor shall propose an inmate co-pay program, for consideration by the Agency, which includes: a) Services charged and amounts; b) Services excluded; c) How the funds shall be collected; and, d) How the inmates will be informed of the program. The co-pay program shall indicate that all inmates shall be seen regardless of their ability to pay. EQUIPMENT The Agency Health Services Bureau will provide the equipment currently in place at each Facility. The Agency will be responsible for reimbursement for the initial capital start up medical equipment requirements of any new Facility during the term of the Agreement. The Contractor will be responsible for purchasing any new equipment with a unit cost of less than $500. The Contractor will set up an escrow account of $250,000 per year for new equipment each year. The cost of the equipment, to include medical, dental, of?ce and telemedicine equipment, purchased, leased or rented for the facilities will be charged against the $250,000 per year maximum. The Contractor will provide a list of requested equipment needs and proposed method of acquisition to the Agency for approval prior to the purchase, lease or rental of equipment. Any unused funds will be returned to the Agency. All equipment purchased, leased or rented for the regional of?ce and all timeclocks purchased for the facilities will not be charged to the 51 Contract equipment escrow and will remain the property of and be returned to the Contractor upon termination of the Agreement. Any other non-expendable personal property or equipment provided to or purchased by the Contractor with contract funds shall become property of the Agency upon termination and shall be submitted to the Agency as soon as practicable. The Department will initially provide new facilities with basic medical equipment. The repair, maintenance and proper disposal of any equipment will be the sole responsibility of the Contractor. Upon termination of the Agreement, all equipment shall remain or become the property of the Department. Contractor will establish a preventative maintenance program, acceptable to the Agency for all medical equipment. Reports required by this program will be submitted to the Agency as required. Upon termination of the Agreement, all equipment shall remain or become the property of the Agency. With respect to the telemedicine system, the Contractor will pay for maintenance agreements for all hardware/ software connected with this telemedicine system. The Contractor acknowledges that it has examined all of the health care and dental equipment and the list of said equipment which is incorporated into this Agreement and accepts this equipment as functional and in as-is condition. The Agency shall be under no obligation to provide any additional equipment except as Contractor and the Agency may agree in writing. In the event that Contractor shall provide additional equipment, said equipment shall become the sole and exclusive property of the Agency upon termination of the Agreement. Each item is to be conspicuously and indelibly identi?ed with the Agency?s I.D. (tag). The Contractor will provide quarterly the Agency with a listing of equipment that it provides at any Facility or location. This listing is to include a suf?cient description so that each item can be identi?ed; it shall include the type of equipment, brand, model, color or style, serial number and location by room and Facility designation, as appropriate. Contractor will assist the Agency in its annual inventory of medical and non-medical equipment located within each acility?s health care areas. This inventory will be done on an annual basis. If the term of the Agreement expires or is terminated, the Contractor agrees that when the Contractor leaves, the equipment will be in as good condition/working order as when it was received. In the case of riot or natural disaster, the Agency shall replace equipment that is destroyed or becomes inoperable as a result of said riot or natural disaster. The Contractor shall be responsible for all clinical and administrative supplies necessary to carry out the performance speci?cations of this Agreement. The Contractor shall establish and maintain an equipment maintenance database, which shall include an equipment inventory as well as maintenance provided. MORTALITY REVIEW The Contractor shall manage a formal mortality review process consistent with Agency policies and procedures. Reviews shall encompass the presumed cause of death, factors that may have contributed to the death, an assessment of treatment and care provided to the inmate in weeks leading up to the death, as well as any other pertinent information necessary to assure that all appropriate measures necessary for the care and treatment of an inmate have been taken. In the case of a death review that discloses an opportunity for improvement in the processes or delivery of care, whether the care was rendered was within community standards, a corrective action plan will be developed. The Contractor will be responsible for establishing and providing evidence of 52 Contract a formal mortality review process at each Agreement site. The Contractor shall establish a mortality review process as may be stipulated in Agency Policy, and approved by the Agency medical director. The Agency Medical Director must be informed as soon as feasible of any death regardless of circumstances as instructed. A preliminary mortality review shall be submitted by the site Medical Director or Regional Medical Director to the Agency within forty- eight (48) hours of the inmate death unless otherwise stipulated by the Chief Medical Administrator. The preliminary report shall contain the apparent manner and cause of death, to such a degree known. A ?nal mortality review will be completed and sent to the Agency, no later than thirty (30) days after the death, unless the New Mexico Of?ce of Medical Investigator has not completed the case; in which instance, the ?nal mortality review will be submitted no later than seven (7) days after closure of the investigation by the Of?ce of Medical Investigator. All such reports will treated as and considered to be con?dential documents by both the Agency and the Contractor, to the extent allowed under federal and New Mexico law. The Contractor, at no cost to the Agency, shall, if requested by Chief Medical Administrator, and in certain instances where cause of death determination requires a ?toxicology? screening, the contractor shall be ?nancially responsible for the cost of the screening to the Of?ce of Medical Investigation (OMI) per their published fee schedules for ?expedited? toxicology evaluation and report. The Contractor will be required to consult in the development and implementation of the medical module, M-Track, of the Criminal Management Information System. On implementation, the contractor shall use it exclusively as part of the of?cial electronic health record system for inmates. After M-Track is fully implemented the Contractor shall submit reports to the Agency no later than the tenth of each month following the month the report re?ects. All information acquired and data submitted to M-Track, and any software constructed to extend the scope and capacity of M-Track by the Contractor shall become the property of the Agency and the State of New Mexico. Upon expiration or termination of this Agreement, Contractor shall transfer all inmate-related data ?les located at each facility to the Agency. This will include all inmate health care records, chronic care databases, and all inmate healthcare-related logs. Other data ?les of a proprietary nature, not consisting of inmate health care records or components of M-Track or other EMR software, remain the property of the Contractor. The Contractor will be required to pay for any additional data wiring, that is required in locations where .it is not present, that will provide connectivity to data processing equipment, that is required for medical purposes. The Contractor will be required to coordinate with Agency Information Technology Division staff to assure wiring meets Agency security standards; and with as necessary. Contractor shall investigate, and if feasible propose a method of implementation, a feasibility study of the integration of emergency communications services such as DHS NECP Data Communications system into Agency medical and other operations. The contractor is reSponsible for providing its staff with computers, secure connectivity, and teleconferencing or video conferencing capabilities that fully comply with the Agency standards, 53 Contract policies and procedures, including ongoing maintenance and disposal of equipment and necessary staff training. Contractor?s providers will normally be stationed in the main exam room and will see and treat the high custody or security inmate through an intra?system telemedicine system. For example, it is envisioned that at the New Mexico Penitentiary there will be a console in the Level II exam room which can be switched to the satellite unit located in Level or VI. As a Level VI inmate is returned to his cell, the physician can see either an inmate in the satellite unit of Level or other Level 11 inmates. It generally takes about 15 minutes for custody staff to bring the high custody inmates to the satellite Facilities. If the inmate requires a more thorough exam, then the provider can either go to the satellite unit or have the inmate brought to the main clinic. KEY PERSONNEL RESIDENCE AND RESPONSIBILITY The Contractor shall provide the necessary corporate administrative functions such as time keeping, payroll, personnel functions, billing tasks, obligations payment, telephone and fax lines for long distance calls etc. Additionally, the Contractor(s) shall provide local administrative staff suf?cient time to achieve the goal of delivering a comprehensive health care services program. The Contractor?s regional management staff responsible for this Agreement will reside in New Mexico full time to be in close proximity to the Agency Health Services Bureau Central Office and Agency facilities to provide effective administrative and quality assurance oversight. The Contractor shall have in place by the Agreement start date, the essential administrative and operational policies and procedures for compliance with Agreement speci?cations and administration of the health care program. The Contractor?s services shall meet the standards established by the American Correctional Association (ACA) and current community standards of care, and speci?ed standards, policies and procedures delineated herein, and any other policies and procedures deemed appropriate by Agency. The Contractor shall maintain the accreditation achieved for the stateaowned facilities and will seek, obtain, and maintain accreditation of any additional facilities housing Agency inmates covered by this Agreement. The Contractor shall also be responsible for maintaining ACA accreditation files relating to medical standards and for ensuring that documentation is provided to the Agency ACA accreditation manager on a quarterly basis. The Agency Health Services Administrator reserves the right to review and approve policies and procedures of the Contractor in any areas affecting the performance of its responsibilities under law. The Contractor shall be responsible for ensuring that its staff reports any problems, unusual incidents, or such to the Agency or designee. This includes but is not limited to medical, security-related and personnel issues that might adversely impact the delivery of health care services. The Contractor?s Regional Medical Director and Vice President of Operations shall be responsible for assuring the delivery of services described herein. The Contractor shall submit for ongoing approval by the Agency?s Health Services Administrator the following: 54. Contract 1) Name and titles of regional personnel, 2) Job description of regional personnel, 3) Table of organization or organization chart, 4) Explanations of the signi?cant divisions,.departments or sections, 5) Description of the Contractor?s approach of all administrative and management services necessary for continuing compliance with the Agreement speci?cations, 6) Description of the Contractor?s approach of all administrative management information services and management services necessary for ACA accreditation, 7) Description of procedures for developing, reviewing and approving all policies, procedures and job descriptions of key personnel, 8) Provide copy of proposed administrative and operational policies and procedures, 9) Provide policies and procedures for ensuring the protection of inmate rights, 10) Provide an understanding that the Agency has a right to review and approve policies and procedures in areas affecting the performance of responsibilities under New Mexico law, 11) Describe the contractors approach to attendance at departmentally mandated meetings, 12) Preparation and coordination with ACA accreditation. The Contractor, whether through employee or subcontractor, shall provide at a minimum, the appropriately New Mexico licensed health care staff in terms of level of training and professional credentials and number of FTEs as identi?ed in this Agreement or as otherwise approved by the Agency. The Contractor shall maintain current policies and procedures that de?ne credentialing. All positions have direct and sole responsibility to perform the services speci?ed; and each position, including clerical, is essential to the operation of the health care unit. All Contractor personnel will be required to pass a criminal background check conducted by the Agency. The Contractor shall maintain at least the minimum complement of staff as set out in the staf?ng pattern. The Contractor may be required to reassign positions or position hours among the various sites throughout the system based on the Agency's determination of need and the site's mission. Any such reassignment must be accomplished by way of a written directive issued by the Agency. Contractor shall maintain the minimum staf?ng pattern. The Contractor and Agency staff will meet within the ?rst thirty days to mutually establish staf?ng schedules for each Facility. These staf?ng schedules will determine the planned working hours/days for each FTE for all positions. Thereafter, Contractor will submit a proposed staf?ng schedule for each Facility on a basis for the Agency Medical Director?s approval. Uncovered hours are de?ned as that time when a person quali?ed to perform the ordinary and reasonable duties of that position is not present at the Facility or location, or is not otherwise available for the discharge of those duties. Un?lled positions are those positions with uncovered hours for which no individual employed or contracted by employee of Contractor is present to discharge the duties required of that position at that Facility or location. Un?lled and uncovered hours include those hours which are not ?lled, due to voluntary or involuntary termination or any other reason or incident resulting in the 55 Contract position being un?lled and not covered. However, un?lled or uncovered hours will not include those hours when a Contractor? employee is not present due to training, orientation and paid time off (PTO), such as illness, annual or personal leave or any other paid leave. Exhibit 1 enumerates the entirety of all positions required in this Agreement, and the hours per week required for each position. From this Exhibit, the Department will calculate the number of hours expected per month, based upon the number of weeks and ?actions thereof, in the preceding actual month. The Contractor will report the actual hours for all un?lled positions for the preceding month. The staf?ng ratio is de?ned as the total hours representing all un?lled positions, divided by the total hours as calculated in the preceding paragraph. For example, Exhibit 1 appears to specify 253.75 FTE equivalents. (The actual Exhibit 1 controls the contractual hours in case of discrepancy.) The month of May 2012 is 31 days, or 4 3/7 weeks. A person employed with 1 FTE in May 2012 is assigned 40 hours/week of work, or 177.1 hours. The entire contract would then specify 44,950 hours that month, and 40,455 hours to be the 90 percent minimum aggregate for May 2012. Contractor will not be required to make paybacks to the Agency for staf?ng vacancies unless the staf?ng levels fall below 90 percent as calculated above. In the case of any staf?ng levels falling below 90 percent the Agency will deduct from its payment to Contractor the hours of shortfall, charged at $200.00 per hour. Contractor shall arrange for the satisfactory ful?llment by quali?ed personnel of the essential duties of the absent individual employee for the speci?ed time of absence. Certain positions are considered mandatory and have been noted on the staf?ng plan for each facility included in Exhibit 1. Provider hours shall be reported to the Agency by Contractor, by Facility and in aggregate. For all provider positions, unless modi?cations are approved by the Agency Medical Director, the providers will work within certain parameters around the approved staf?ng schedule, as follows: a) All hours will be worked between 6:00 am. and 6:00 pm, unless otherwise designated on the staf?ng schedule. If evening hours are included within the approved staf?ng schedule, worked hours will be accomplished within a window starting no earlier than two hours before and ?nishing two hours after the scheduled start and stop times. b) For full time positions, some hours must be worked on each of the day(s) originally planned on the approved staf?ng schedule for the Facility. c) For part time positions, some hours must be worked on at least the same number of 56 Contract day(s) as originally planned on the approved staf?ng schedule for the Facility. d) The number of hours worked by position at the Facility will be equal to or greater than the required number of hours for the position for that week. e) The provider coverage at'New Mexico Women?s facility will be provided Monday through Friday of each week. The Contractor can request modi?cations to the approved staf?ng schedule for the provider positions. Such request will be given to the Agency Medical Director in writing, for approval in writing, which shall not be unreasonably withheld. All hours shall be reported to the Agency by Contractor, by position, by Facility, and in aggregate. For purposes of this section, a physician is quali?ed to perform the duties of a mid-level, RN or a mid-level is quali?ed to perform the duties quali?ed to perform the duties of a a RN supervisor is quali?ed to perform the duties quali?ed to perform the duties of a LPN, unless otherwise constrained by recognized constraints on scope of practice. In no event will the Agency be charged any additional expense with a total net overage for hours provided. Any excess cumulative staff hours provided under the Agreement will be at the expense of Contractor. Contractor will provide the current month and cumulative Agreement year-to-date hours and the associated cumulative payback calculation no later than 30 days after the month of service, so that the Agency may deduct any potential credit on the next payment. In the event that an amount is owed to Contractor based upon previous credits issued, the Agency will remit such additional funds on the next available payment. Because of the potential for corrections to timesheets, as well as the possibility of agency bills received later than 30 days past the month of service, adjustments to the prior month of hours paid will be processed for the next two reports. Contractor shall require all medical staff to pass a drug test, excepting for those personnel or independent contractors continuing their employment with Contractor from the end of the current Agreement to the beginning of this Agreement. In the event that the Contractor also operates facilities elsewhere in New Mexico, the Regional Manager, Regional Medical Director and Regional Director of Regional Director of Nursing, and Regional Pharmacist, shall solely be assigned to the Agency. These personnel shall be assigned administrative duties only to the Agency. The Contractor will submit weekly clinic reports to the Agency Chief for all clinics using the Reporting Form. The Contractor shall report physician, Alternate Placement Area (APA) nursing and the Mental Health Contract Treatment Center nursing and other nursing and services, actual hours provided to the Agency Chief by the 15th of each month, and will list separately the physician hours, MHTC nursing hours and Alternate Placement Area (APA) nursing hours provided during every week for each month. The hours will be reported separately from other contracted FTEs using the Contractor FTE Reporting Process. The Contractor reporting process for services will include actual hours provided and will be reported by Facility, e. g. and by specialty, M.D., RN, LPN, AA etc. The RN Supervisor administrative hours and the Director administrative hours will be listed separately from the other physician and nursing hours. This data will be reported to the Agency HSA or designee in the same manner and interval as the reporting to the Chief of The Contractor and Nurse Practitioners shall have experience with institutionalized populations, use a multidisciplinary approach to patient care with other mental health staff. Hospice care, end-of life care and complex chronic medical illnesses may be cared for out of the system as a direct Agency cost (aka ?carveout). The Agency Health Services Administrator and warden of the institution shall be provided with an opportunity to review the credentials and meet with the Contractor?s lead staff and all medical providers assigned to a facility. The Agency Health Services Administrator and senior APD leadership shall meet with each warden of each facility and with the Contractor?s lead staff and all medical providers for a facility for ongoing review of satisfaction at the facility. The Agency will provide notice of approval or denial of Contractor candidates for Vice President of Operations or Regional Manager, Regional Medical Director, Regional Director, Regional Director of Nursing, Facility Medical Director, Facility Health Administrator, Facility Director of Nursing, all physicians, all all dentists, all midlevel providers within three business days of receipt of request. Contractor will make the candidate and CV/resurne immediately available for in?person or telephonic interview by the Agency. Both parties agree on and emphasize the need for ?exibility in strategic staf?ng of the facilities. The parties agree to meet every six months after the Agreement begins to discuss any need for staf?ng adjustments. Mutually agreed on adjustments to staf?ng will be processed in the form of a signed understanding by the Agency Health Services Administrator and the Contractor?s Vice President of Operations subject to the approval of the Agency Cabinet Secretary. Changes involving an increase in vendor personnel shall occur only by written amendment to this Agreement. If the parties agree to any changes in the staffmg requirement that result in cost increases or decreases, the parties will adjust the compensation in writing, accordingly, via an amendment to this Agreement. Staff may be re-allocated from one Facility to another based upon a change in mission or change in population of the Facility. The re-allocation will be based on the same category of provider. The Agency reserves the right to exclude staff from a facility for cause, if an individual?s conduct is less than what is considered acceptable by the Agency to meet the job requirements. 58 Contract The Contractor shall develop and maintain a comprehensive competency-based orientation program for new staff. The orientation shall include a review of the policies and procedures, nursing protocols and manuals for the Agency, basics of working in a prison and review of the limits of the scope of responsibility based on competence and licensure/certi?cation requirements. The Contractor is responsible for assuring that all the required registrations, licenses and credentialing associated with the operations of health care services are active and in good standing. - The Contractor shall maintain all federal, New Mexico state and local licenses, certi?cates, registrations, cooperative Agreements, specialty board certi?cations or notices of eligibility for certi?cation that are legally required for an employee or subcontractor. The Contractor shall have a sample set of lesson plans and orientation check list to be used to document competency based in-?service and education. The Agency requires a 40-hour orientation for all employees and subcontractors, and Contractor shall submit a written version of its orientation program to the Agency for review and input prior to conducting any orientations. The Contractor will be responsible for providing educational services for all health services staff and support of Continuing Medical Education (CME) activities by direct monetary supplementation and/or providing paid "compensatory time" so that licensure requirements are met. The Contractor shall develop an in-service program whereby all staff that have clinical responsibilities receive 24 hours annually of in?service which is maintained in their personnel ?le. The Agency requires 16 hours of in-service annually. ACA standards require 40 hours of documented in?service annually. The Contractor?s orientation program must include a training plan covering all training requirements and must include sample training and operations manuals for all information technology training. The materials must be modi?able by the Contractor and the Contractor must be licensed to reproduce them as needed for the life of the Agreement. Materials shall include the following: 0 Method of training Length of training Scope of training Training recipients by job category A list of training materials and samples The Contractor is responsible for the routine and technical training of its employees on the I ?routine? operation of the equipment and on the use of commercial software programs. Contractor is responsible for the payment of employee training courses or workshops. The Contractor shall develop a skills checklist which is site speci?c by discipline and is updated and completed annually by all staff. All Contractor(s) staff shall be CPR and AED trained and First Aid Certi?ed. The Contractor shall install, maintain and use an electronic timekeeping system for all of its employees providing on?site services and shall make the timekeeping records available to the Agency on a bi-weekly basis. The time records submitted shall designate the name of the employee or subcontractor, the hours worked and shall be capable of sorting by institution, by 59 Contract date, by hour, shift, or both and by occupation. The Agency will direct the format in which the information is conveyed. In addition to registering attendance through a computer-based system, each person employed by the Contractor and any subcontractors must sign in and out on forms provided by the Agency at our discretion whenever a person leaves a work site. No person shall sign in, sign out, clock in, or clock out for any other person. The time records reported for electronic timekeeping will be reviewed by the Agency Health Services Administrator or designee for accuracy. The Contractor shall designate on?call physicians to deliver on?call coverage whenever a physician is not present at an institution. The on?call physician or designee shall respond telephonically to institution calls within ?fteen minutes of the telephone call and provide direction to the institutional caller. The health service administrators shall be on?call 24 hours per day seven days per week. On-call providers shall respond to the Warden and senior Agency Administration as well as initiate contact with the Warden of the Facility directly if necessary. Failure to achieve effective coverage on-call is grounds for immediate termination of this Agreement by the Agency. The Contractor shall immediately assemble and maintain on-site the following information for review by the Agency: Signed application and background check; Veri?cation of education, training and work history; Professional References; Malpractice Claims History; Current license to practice; Board or specialty certi?cations (physician) DEA Certi?cation (where applicable) certi?cation National Data Bank self-inquiry submission results The Agency may contract annually with a quali?ed independent auditing ?rm to audit claims and supporting documents to ensure that claims were paid accurately according to the terms of the Agreement. The Contractor will cooperate with the Agency, any contracted audit ?rm, or both to provide all necessary or requested data. The Agency shall audit and review the expenses relating to the purchase of medications and compare the costs with other data obtained for comparison, on an annual basis. The Agency reserves the right to change its pharmacy vendor at any time with thirty days notice. The Contractor shall retain and keep accessible all such ?scal records, books, documents, papers, plans, and writings for a minimum of ?ve (5) years after cessation of the full term of contact, or such longer period as may be required by applicable law. Fiscal records shall include, but are not limited to, all records necessary to verify the amount paid for any and all claims. These records shall include agreements between Contractor and all subcontractors providing medical services. For auditing purposes, the contractor shall ensure that on each invoice submitted to the agency for payment, contains suf?cient detail to thoroughly and clearly justify all invoiced amounts. 60 Contract Should the Agency require any additional information on invoices, the Contractor must have the ability to include the respective information with each invoice. The Contractor shall maintain a formalized process for self-auditing which examines claim denials, automatic recoupment, suspended for review, or speci?c pricing. Contractor shall submit the results of audit ?ndings to the Agency ten (10) days after the audit is complete. The Contractor shall submit a written action plan to correct all de?ciencies as reported in internal or external audits, including a time frame for completion of the action plan. The Contractor shall submit the action plan to the Agency no later than thirty (30) calendar days after receipt of the audit results. The Contractor shall monitor provider claims and protect the Agency from fraud and abuse by notifying the Agency of all providers suspected of fraudulent and abusive billing practices. Contractor shall obtain from inmate any third party health insurance information available upon intake and provide such information to off-site providers in order for the provider to seek and obtain reimbursement for medical services provided. Furthermore, in the event that the Patient Protection and Affordable Care Act (Public Law 111 - 148) becomes ?nal federal legislation, providing expanded inmate health care coverage, the Parties agree meet and mutually agree on a process for pursuing and obtaining expanded coverage payments. ENFORCEMENT: AGENCY SANCTIONS FOR BREACH BY CONTRACTOR If the Agency determines that the Contractor or any agent or employee of the Contractor, or any persons with an ownership interest in the Contractor, or related party of the Contractor has failed to comply with any applicable law, regulation, term of the Agreement, policy, standard, rule, or for other good cause, the Agency may impose any or all of the following: 1.) Directed Plans of Correction. Contractor shall be required to abide by a plan of correction as directed by the Agency; 2) Contractor?s Plans of Correction. Contractor shall be required to provide to the Agency within a reasonable time as determined by the Agency, a Contractor?s plan of correction to remedy any defect in its performance; 3) Civil monetary penalties may be imposed in accordance with Federal or State law. See NMSA (1978) Sections 30-44-1 et. seq; 4) Appointment of a State monitor to provide oversight of Contractor?s operations and performance. Should the Agency be required to appoint a State monitor to assure Contractor?s performance, the Contractor shall bear the cost of the State intervention; 5) Assessment of actual damages to the Agency resulting from the Contractor?s nonperforrnance of its obligations; 61 Contract 6) Assessment of liquidated damages in an amount equal to the reasonable excess costs of obtaining alternative health care services in the event of Contractor?s non-performance. The Agency may withhold payment to the Contractor for liquidated damages until such damages are paid in full; 7) Suspension of the Agreement; and/or 8) Termination of the Agreement. INFORMATION TECHNOLOGY The Contractor in providing medical services to the Department will use a variety of electronic methods for managing information about the health and medical care of offenders. The Contractor will be involved with the development, implementation, and maintenanCe of computer hardware and software systems to organize and communicate information electronically. On implementation of the Criminal Management Information System medical module referred to as M?Track, the contractor shall use it exclusively as part of the of?cial electronic health record system for inmates. The Contractor or its Subcontractor shall assist with the gap analysis, customization, and implementation of the agency-selected electronic medical record system. The costs related to third party consulting for the gap analysis, customization, Quality Assurance testing and post go- live support shall not exceed $800,000. This cap shall only include the hourly labor component of the third party consulting ?rm and shall not include travel and expenses. Proprietary Information not Transferred Other data ?les of a proprietary nature, not consisting of inmate health care records or components of M-Track or other EMR software, remain the property of Contractor. Contractor is responsible for entering all medical data, including that required by the Agency, into the proper system. ReSponsibility for Maintenance The Contractor will be required to pay for any additional data wiring, that is required in locations where it is not present, that will provide connectivity to data processing equipment, that is required for medical purposes. The Contractor will be required to coordinate with the Agency Information Technology Division (ITD) staff to assure wiring meets Agency security standards; and with as necessary. Data Communications Includes TELEMEDICINE SYSTEM The Contractor will be billed for all telecommunication circuits to private Facilities, and the ISDN (Integrated Services Digital Network) line or comparable broadband access. These communication circuits are used for the Telemedicine system. Agency ITD Approval of Devices Any device that requires a network connection that will be placed on the Agency network must ?rst get approval from the Agency ITD before it is placed on the Agency network. Hardware and The Contractor will be required to provide all PCs to medical personnel that will be used for medical purposes. These PCs must conform to the State of New Mexico Standards. 62 Contract Dedicated Connectivity These PCs must not contain any modems or means of establishing independent connectivity which bypasses the State servers or ?rewalls. These PCs must be turned over to the Agency IT staff to con?gure before being placed on the Agency network. All required software for the PCs must be purchased by the medical Contractor to include Department standards for anti?virus, and office automation. Disposition of Obsolete Computer Equipment Any old, outdated PC that is currently being used by medical personnel that needs to be replaced must be replaced by the medical Contractor. The Contractor is responsible to provide maintenance agreements for all the above mentioned PCs. The contractor shall follow Agency policies and procedures for the offsite removal and transportation of equipment, which shall be strictly followed. Video Conferencing Equipment 1. The Contractor will be required to provide maintenance agreements for all video conferencing equipment being used for Telemedicine patient encounters. 2. The Contractor will be required to replace any old outdated video conferencing equipment being used for medical purposes. 3. The Contractor will be responsible to pay for any new video equipment required for medical purposes. 4. Any new video conferencing equipment purchased by the Contractor will become the property of the Agency at the end of the Agreement period. The contractor is responsible for providing its staff with computers, secure connectivity, and teleconferencing or video conferencing capabilities that fully comply with Agency standards, policies and procedures, including ongoing maintenance and disposal of equipment and necessary staff training. Training The Contractor?s proposal must include a training plan covering all training requirements and must include sample training and operations manuals for all information technology training. The materials must be modi?able by the Contractor and the Contractor must be licensed to reproduce them as needed for the life of the Agreement. Materials shall include the following: Method of training Length of training Scope of training Training recipients by job category A list of training materials and samples The Contractor is responsible for the routine and technical training of its employees on the ?routine? operation of the equipment and on the use of commercial software programs. The Agency will train a selected number of users, one from each facility, in the operation of M- Track. Those users are then expected to train the appropriate personnel in their respective facilities. Contractor is responsible for the payment of employee training courses or 63 Contract workshops, e. fee?paid courses, registration, tuition, travel expenses, lodging, and/or commercial technical support and supplemental reference books for the Contractor?s employees. Telemedicine~Current Services Contractor will be expected to maintain the existing telemedicine programs at all Agency and private sites. The telemedicine program shall allow for telemedicine consultations to take place with specialists while they remain in their own of?ces or hospitals (Via computer) and those who travel to a New Mexico Correctional Facility or the Contractor?s regional of?ce. Upon termination of this Agreement, title to all telemedicine equipment shall pass to the Agency. 64 Contract EXHIBIT STAFFING PLAN Central New Mexico Correctional Facility. Los Lunas Position Medical Director* Staff Physician Administrator** Nurse Practitioner PA RN LPN Certified Medical Assistant/Phlebotomist/Pharm Tech* Nursing Assistant Physical Therapist Ray Tech Pharmacy Tech Administrative Assistant Med Records Clerk Scheduler Clerk Dental Director Dentist* Dental Assistant Nurse Practitioner* Nurse Supervisor* RN LPN Facility Total Hours per Week 160 136 3208 Contracted FTEs 1.00 1.00 1 .00 2.00 2.50 14.00 12.00 12.00 4.60 1.00 0.50 2.00 2.00 5.00 1.00 3.00 1 .00 0.75 2.00 2.75 0.70 1 .00 4.00 3.40 80.20 *Mandatory Position **One of multiple positions is a Mandatory Position meaning both positions cannot be un?lled at the same time. Medical Assistant/Phlebotomist/Pharm Tech and LPN positions may be re- allocated statewide based upon need at the mutual agreement of the Agency and the Contractor. However, this re?allooation will not affect the total number of FTEs as identi?ed in this Exhibit 1. 65 Contract Guadalupe County Correctional Facility Position Medical Director* Administrator? Nurse Practitioner PA RN LPN Ray Tech Administrative Assistant Med Records Clerk Clerk Dentist* Dental Assistant Nurse Practitioner* Facility Total Hours per Week 664 Contracted FTEs 0.40 0.10 1.00 1.00 1.80 8.00 0.10 1.00 1.00 1.00 0.50 0.50 0.20 16.60 *Mandatory Position 66 Contract Lea County Correctional Facility Position Medical Director* Administrator* Nurse Practitioner PA RN LPN Ray Tech Pharmacy Tech Administrative Assistant Med Records Clerk Clerk Dentist Dental Assistant Fa?ilithota' Hours per Week .1014. Contracted FTEs 1.00 1.00 1.00 1.00 3.60 9.00 0.25 1.00 1.00 3.00 1.00 1 .00 1 .00 0.50 25:35.. *Mandatory Position One of multiple positions is a Mandatory Position meaning both positions cannot be un?lled at the same time. 67 Contract_ID# Penitentiary of New Mexico Position Medical Director* AdministratorH Nurse Practitioner PA RN LPN Ray Tech Pharmacy Tech Administrative Assistant Med Records Clerk Dentist Dentai Assistant Total Hours per Week 1302 Contracted FTEs 1.00 1.00 1.00 2.00 8.00 10.60 0.20 2.00 1.00 3.00 1.00 1.00 0.75 32.55 *Mandatory Position One of multipie positions is a Mandatory Position meaning both positions .. cannot be. unfilled. stifle same time. .. 68 Contract Roswell Correctional Facility Position Hours per Week Contracted FTEs Medical Director* 10 0.25 Administrator** 40 1..00 Administrative Assistant 40 1.00 Dentist 8 0.20 Dental Assistant 8 0.20 Facility Total 186 4.65 *Mandatory Position One of multiple positions is a Mandatory Position meaning both positions cannot be unfilled at the same time. 69 Contract Southern Mexico Correctional Facility Position Hours per Week Contracted FTEs Medical Director* 40 1.00 20 .50 Administrator* 40 1.00 DONM 40 1.00 Nurse Practitioner PA 80 2.00 RN 144 3.60 LPN 280 7.00 Physical Therapist 10 0.25 Ray Tech 8 0.20 Administrative Assistant 40 1.00 Med Records Clerk 80 2.00 Dentist* 40 1.00 Dental Assistant 40 1.00 Facility Total I 862 21 .55 *Mandatory Position One of multiple positions is a Mandatory Position meaning both positions cannot be unfilled at the same time. 7O Contract Western Mexico Correctional Facility Position Medical Director* Administrator* Nurse Practitioner PA RN LPN Ray Tech Administrative Assistant Med Records Clerk Dental Director* Dental Assistant Nurse Practitioner* Facility Total Hours per Week 732 Contracted FTEs 1.00 0.10 1 .00 1 .00 1 .00 3.60 7.00 0.20 1.00 1.00 0.60 0.60 0.20 18.30 *Mandatory Position One of multiple positions is a Mandatory Position meaning both positions cannot be unfilledat.thesame time. .. Tl Contract New Mexico Women's Correctional Facility Position Hours per Week Contracted FTEs Medical Director* 40 1.00 32 0.80 Administrator* 40 1.00 I 40 1.00 Nurse Practitioner PA 40 1.00 RN 1 12 2.80 LPN 360 9.00 Nursing Assistant 56 1.40 Administrative Assistant 40 1 .00 Mad Records Clerk 80 2.00 Dentist? 24 0.60 Dental Assistant 24 0.60 Nurse Practitioner* 8 0.20 RN 40 1.00 Facility Totai 936 23.40 *Mandatory Position One of multiple positions is a Mandatory Position meaning both positions cannot be unfilled.atthe?ame time: .. . 72 Contract Springer Correctional Facility Position Medical Director* Administrator RN LPN Administrative Assistant Dentist* Dental Assistant Facility Total Hours per Week 190 Contracted FTEs 0.25 1.00 1.00 1.00 1.00 0.25 0.25 4.75 *Mandatory Position 73 Contract New Mexico Regional Office Position Hours per Week Contracted FTEs Vice President of Operations? 40 1.00 Regional Manager? 40 1.00 Regional Medical Director* 40 1.00 Regional Director of Nursing 40 1.00 infection Control RN Hep 40 1.00 Coordinator Pharmacist* 40 1.00 Administrative Assistant 40 1.00 Data Specialist 40 1 .00 Telehealth Coordinator 40 1.00 Regional Director* 32 0.80 Facility Total 392 9.80 *Mandatory Position One of multiple positions is a Mandatory Position meaning both positions cannot be unfilled at the same time. 74 Contract Northeast New Mexico Correctional Facility Clayton Position Hours per Week FTEs Medical Director* 16 .40 12 .30 Administrator* 40 1.00 Nurse Practitioner 40 1.00 RN 72 1 .80 LPN 320 8.00 X-Ray Technician 4 .10 Administrative Assistant 40 1.00 Medical Records Clerk 40 1.00 Clerk 40 1 .00 Dentist* 20 .50 Dental Assistant 20 .50 Facility Total 664 16.60 *Mandatory Position 75 Contract EXHIBIT 2 CURRENT MEDICAL EQUIPMENT Fixed Asset Inventory APRIL 2012 Cost Center 6381 Central New Mexico Name of Facility: Correctional Facility Administrator: Mark Delgado Agency SRNO ECN QTY Equipment Description Model Serial it 3200731- AED, Lifepak CR plus 003 34651185 5949 340030 1 Refrigerator 340030 Agency SRNO ECN QTY Equipment Description Model Serial ii 112153909 Air 8: Water QDs, chair 10121539 30 1 mounted 0930 304885 1 Autociaue, M9 uitra?iave 5184 71014323 1 Autoclave, M11 UitraCiave M11 V1014323 1700 Wide 2286 1 Chair, Dental, Pelton Back Chair 2286 7082 61-1287- 218142 304934 1 Chair, Dental, Adec C6-22 00 Eiectrocautery Unit, 110- 217516 304936 1 Dentspiy international 3000 06125 350-4706 1 Film Cassette, Panorex Heating Unit, Hot Pack, 217515 304930 1 Ritter~Midwest MP 8 25967 N1489 1 Light, On curved post LF3S N1489 Light, Other, Henry Schein 218141 304933 1 Inc CU-80 AB08515 Light, Other, Henry Schein 218147 304940 1 Inc 250 2710895 Light, Spore Uitravioiet, 99400093 218155 304949 1 Germicidal SL026B4 7 1 Panoramic Orthoraiix 8500 5961 218149 304942 1 Rad Unit, Diagnostic Dental X70 20002117 218151 304944 1 Rad Unit, Diagnostic General PA812 1H-040 1 1 Rear Swing Mount w/Vac kit 218140 304932 1 Shaker, Laboratory UM-B 31728 Shaker, Laboratory, Crescent 218146 304939 1 Dental Co Wig?L?Bug 40-10018 76 Contract Spore Count Incubator, 218136 304927 1 Tabletop, 3M Health Care 116 65379 Sterilizer, Steam, Tabletop, 218137 304928 1 Tuttnauer USA Co 1730 . 2007987 01019- 218138 304929 1 Ultrasonic Cleaner PA4H 361429 Unit, Dental w/Hanging 2170 1 Hoses E1720 2170 Vibrator, Buffalo9 Medical 218152 304945 1 Specialties N01A 114262 218139 304931 1 View Box 99109880 218145 304938 1 View Box Desk 80934823 218148 304941 1 View Box, Henry Schein Inc DE100BG X-Ray Film Processor, Air 218143 304935 1 Techniques Inc PERI PRO il X-Ray Film Processor, Air 218153 304947 1 Techniques Inc PERI PRO X-ray Film Processor, Air 1 Techniques AT 2000 483993 8888 Fiirn Processnr, Air 218154 884858 1 Techniqaes tree: AT 8888 474878 Dental - 1XRF0733 X-Rav intra Oral - Planmeca Main 52 X-Ray Unit Panoramic IH-040 2065 Agency SRNO ECN QTY Equipment Description Model Serial 1 AED, Lifepak CR Plus 34650955 5955 Pelton Dental - 1 Autoclave Crane Level I 7620 Centrifuge, Tabletop, 217527 314401 1 Hamilton Cell Co Inc V6500 124728 218207 314398 1 Chair, Dental, Adec Chair, Examination/Treatment, 218194 314384 1 Ritter Tycos Div 8525 12931 Dental 314398 1 Dental Chair Adec Level I 5149 Dental - 304935 1 Deveioper Peri-Pro Level 7091 EKG, Multi-channel, Mortara 98390115 217524 304997 1 Instrument inc 507 123 Electrocautery Unit, 103- 217525 314394 International Inc 2002 02459 Exam Table Ritter 7601 Incubator, Test Tu be, 218200 314390 1 Stationa, 3M Health Care 116 114332 Light, Exam, Ceiling, Burton 218193 304999 1 Medical Products Co 113040 419 77 Contract Light, Ultraviolet, 218195 314385 Germicidal, Spectramed 218198 314388 Nebulizer, Nonheated 3002 183185 218192 304998 Otoscope, Welch Allyn Inc 74110 17026817 217523 304995 1 Oximeter, Pulse 3000 9 218204 314395 I 1 Rad Unit, Diagnostic Dental X-70t 2372741 E2004601 1_ Refrigerator Haler HSW02C 085 IE051802 1 Refrigerator - Summit 3 Refrigerator, Summit 218197 314387 industries Inc 217526 314400 Scale, Floor Beam 400 Shaker, Laboratory, Crescent 218206 314397 1 Dental Co Wig-L-Bug 40-13365 218188 304992 1 Aneroid, Mabis Healthcare Hand 311474 218187 304989 1 Aneroid, Medline Industries Hand 411380 218189 304993 1 Aneroid, Medline Industries Hand 617654 218190 304994 1 Aneroid, Omron Healthcare Hand 078048 Sterilizer, Steam, Tabletop, 218201 314391 1 Peiton Crame Co OmniClava Thermometer, Infrared 218202 314393 1 (Tympanic), Henry Schein 250 2710889 Thermometer, Infrared 218191 304996 1 (Tympanic), Sherwood Med 3000A 30236710 Thermometer, Infrared, 218196 314386 1 Shervvood Medical Co 1500 L9413254 Ultrasonic Cleaner, Henry Henry 02277389 218199 314389 1 Schein Inc Schein 728 Vibrator, Buffalo Medical 218208 314399 Specialisties N01A 057354 218205 314396 1 View Box DE100 Dental - 1 Xray Intraoral Level 5150 Agency SRNO ECN QTY Equipment Description Model Serial It 1 AED, LifePak CR Plus 3200731- 34650988 5957 Aspirator, Low Volume, 218210 314405 1 Precision Medical Inc PM60 15161 1 Autoclave Tuttnauer 2539 Centrifuge, Tabletop, 217528 314402 1 Hamilton Bell Co Inc V6500 147684 78 Contract 1 De?hr?iater 314484 ?e?br??latmiw?enitor, 3020.411? 217529 314404 1 Battery, Hewett-?Packard 43100 A 83 EKG, Multi?Channel, Mortara 99400431 217530 314407 Instrument Inc 507 123 Exam Table 314406 Exam Table 314409 Light, Examination, Graham- 218212 314408 1 Field Inc Flex Light, Examination, Graham- 218215 314411 1 Field Inc Flex 218209 314403 1 Nebulizer, Nonheated 3002 176391 218214 314410 1 Otoscope, Welch Allyn Inc 767 218220 314417 1 Otoscope, Welch Allyn Inc 74710 17026803 217531 314412 1 Oximeter, Pulse 3300 _7 1 Refrigerator Magic Che}c Refrigerator Summit 218219 314416 1 Aneroid, Marshall Products Hand 040091 218217 314414 1 Aneroid, Medline Industries Hand 409388 218218 314415 1 Aneroid, Medline Industries Hand 411380 Table, Examination/Treatment, 218211 314406 1 ENOCHS Inc Table, Examination/Treatment, 218213 314409 1 ENOCHS Inc Thermometer, Infrared (Tympanic), Sherwood Med 218216 314413 Co 3000A 10142426 X-Ray Dental 2372A1 5635 Agency SRNO ECN QTY Equipment Description Model Serial 1 AED, LifePak Cr Plus 3200731 3460965 5953 Med A smart Cart 1 (old Crash Cart) 002608 Aspirator, Low Vol, Schuco 11950001 218103 304712 1 Div American Cad uc 130 7229 1 Autoclave Tuttnauer 2007936 2543 1 Backboard Pro~Lite Bed EZE Lok 80" Hi Lo Manual w/Pan Deck UL 2601-1 Bed Restraint room 102? 307516RR 1927 Bed, Electric Hospital 49097E78 5171 79 Contract 574 4 Bed, Eiectric Hospital 49097E78 1 Bed, Electric room 205? 576 5170 . Agency SRNO Ecm QTY Equipment Description Model Serial I BP Cuff on Wail (Not ali 304717 1 there) Centrifuge, Tabletop, 217497 304884 1 Han??onBeHColnc V6500 147916 1 ChartCart-Beanl 5132 1 ChartCart-Beani 5133_ 2 Chart Racks - portable 1 Crash Cart 9702211A 2608 00000372 1 4 7603 1 0e?b??ator 37703 3134 0e1107M001101?, 0311870, 31370141 717433 304711 1 0e00e090ackar0 43100 60 1 Dryer, Laundry 5962 EKG,Interpre?ve, 11001307 217494 304714 1 ConunHWedlnc 507 77123 1 Exam Table - Enochs XL71 1 Feeding Pump - Braun 637?202 27049 1 Feeding Pump - Braun 637?202 26860 Film Processor - Konica SRX 1_ 101 10526558 304905 49097678 1 Hospital Bed Electric 576 16110 49097E78 1 Hospital Bed Electric 574 5171 1 Hydro Massage 1133 4286 10001315 1 Ice Cart with coder 90 80041000 1 Ice Machine - Franklin F1M200A 66 00478680 1 Invacare Envoy Junior IRC1001 2 4 IV Poles 357502 1 Lamp 000? 1 U?,Hoyer 3256 A1107030 7 1 U?,Hoyer450leapachy Light, Examination, 5 X- 218130 304909 Ray Products inc 138 DO71721 218108 304718 Light, Other, Burton Medical 1620 HC62766 80 Contract Products 304718 1 Magni?er 1 Mattress, Overlay Air 16834544 2075 1 Mattress, Overlay Air 16834543 2076 1 Med Cart - PCI Trans Aid 22174 1 Med Cart - Specialty 11913 1 Nebulizer 314403 Nebulizer, Nonheated, 90300735 218104 304713 1 lnvacare Corp 440 218106 304716 1 Otoscope, Welch Allyn Inc 767 Oximeter, Pulse, Smith 8: 217495 304720 1 Nephew Medicai Digit 0473 SRNO ECN QTY Equipment Description Model Serial it it 1 Padded Cell (100) 1928 Pads, Alternating Pressure 832142 8 (Mattress) Pads, Alternating Pressure 832143 2 (Mattress) CAA1020 1 Patient Lift 0011 5451 1 Patient Lift EL00076 5741 1 Patient Lift M071 2068 2068 1 Plaster Dispenser 7215 1 Portable File Cabinet 000034 1 Privacy Screen Pump, Compression 3 DJO4331 1 Chamber DJO4331 2 Pump, Infusion Braun Vista Basic HSP030WN 1C200466 218113 304887 1 Refrigerator - Haier AWW 0042 218114 304888 1 Refrigerator 300 304883 1 Refrigerator Kenmore Refrigerator, Kenmore 58489715 88031271 218221 304883 1 (Sears) 1 5 1 Scale, Chair - Detecto 1062 818344 1 Scale, Digital ln-bed 27501130 217496 304722 1 Scale, Floor, Seca Corp 750 2454 2 Scale, Portable Detecto 1 Shelving (LTCU) 2069 1 Shower Bed Care Products 3 Shower Chair - Fierns i44366 Shower Chair, Bariatric 11100012 1 Commode 5990 1 Shower Commode 81 Contract Shower Stool Space Saver Cabinet 5343 218107 304717 1 Aneroid Wall 218110 304721 1 Aneroid, Mediine Ind Gauge 406380 Stanlely Work Center (Man 1 Down Bag) Sterilizer, Steam, Tabletop, 218111 304885 1 3M Health Care 116 130857 Sterilizer, Steam, Tabletop, OM0126 218112 304886 1 Ritter Tycos Dv Sybron 9 87 1 Storage Liquid Oxygen 8605 2070 1 Stored Liquid 02 8604 2070 1 Table Procedure L5001126 2064 Table, Exam/Tx, Ritter tycos 218105 304715 1 Div Sybron 304 JE001328 Thermometer, Infrared, 218109 304719 1 Genius 3000A 56322 Agency SRNO ECN QTY Equipment Description Model Serial it Transporter Mobile Ferno 2 (Gurney) 1 Transporter Mobile L61416 2071 1 Ultrasonography 001844 2086 1 Ultrasound - Forte - US 5346 1844 1 Unti Slim Chatt 5142 5142 1 Utility Cart Ha rloff 9702211A 5123 1 Utility Cart (02 room) 5111 Vital Sign Monitor (Welsch 300 Series 1 Allyn) 53NTO JA078305 Vital Sign Monitor (Welsch 300 Series 1 Allyn) 53NTO JA073588 1 Vital Signs Monitor 20004168 2074 1 Washer 5963 07029731 1 Washer! Extractor 01 5963 304716 1 Welsch Allyn 1 Whirlpool (Lumex) 04286 304710 1 Xray Imager (exam room) Agency SRNO ECN QTY Equipment Description Model Serial it it 82 Contract 1 Film Loading bin 125 0055254 Konica Film Processor 101 FSL20 10526558 5105 Scanner, Lumiscan 75 . 133421 2067 1 System Diagnostic Z9491396 2067 Ultrasound Unit, Physical 217502 304906 1 Ther, Biosound Inc AUS 001844 View box, Maxa nt Div Eleco 218129 304908 1 Inc 2 Box View box, 5 8: X-Ray 218102 304710 1 Products inc 200002 0021980 View Box, X?Ray, Trex 218126 304904 1 Medicai Corp TMSO-RF 1 Xray Equip (5 pc) 2090 1930 X~Ray Fiim Processor, Konica 218127 304905 1 Medical Corp SRX-101 10526558 218128 304907 1 X-Ray Meter 0923822 Agency SRNO ECN QTY Equipment Description Model Serial ll 1 4-Drawer File 7017 3200731- 1 AED, Lifepak CR Plus 000 34653974 5950 AspiratOr, Low Vol, Schuco 218156 304950 1 Dv American Caduc 5711-130 0884425 0M0126 1 Autoclave Mid mark M9 87 5104 Continuous Positive Airway 218164 304962 1 Pre, Respironics Inc REM STAR 1282476 Agency SRNO ECN QTY Equipment Description Model Serial it ?e?hiMenitar, Battery, 21251? 304951 1 8wdick Sat: Scpace iahs Medic 2359?? EKG, Multi~ChanneL Mortara 99319377 217519 304955 1 instrument inc 507 123 1 Exam Table 5103 1 Exam Table 304964 5101 1 Exam Table 304986 5999 1 Exam Ta ble Ritter 104 304979 5102 Xray - 1 Exam Chair Optical 9483 780 Xray - 1 Keraton meter - Marco Optical 13035 2737 83 Contract 1 Lathe 7240 Xray - Optical - 1 Lensometer Main 6882 2743 . Light, Ultraviolet, 218186 304987 1 Germicidal, Luxo Lamp 164010 0105870 218161 304959 1 Nebulizer, Nonheated 36550 4 Nebulizer, Nonheated, 02A06778 218163 304961 1 lnvacare Corp Envoer 6 Nebulizer, Nonheated, 218162 304960 1 Precision Medical Inc PM7 115128 218180 304980 1 Otoscope, Welch Allyn Inc 767 218168 304966 1 Otoscope, Welch Allyn Inc 767 218184 304985 1 Otoscope, Welch Allyn Inc 767 218157 304953 1 Otoscope, Welch Allyn Inc 74710 '1 Observation Light 7228 02050391 217522 304984 1 Oximeter, Pulse Digit 6 218181 304981 1 Aneroid, Marshall Products Hand 077405 218182 304982 1 Aneroid, Marshall Products Hand 174557 218173 304971 1 Aneroid, Marshall Products Hand 278062 218183 304983 1 Aneroid, Medline Industries Hand 405388 218170 304968 1 Aneroid, Medline Industries Hand 312380 218174 304972 1 Aneroid, Medline Industries Hand 406380 218165 304963 1 Aneroid, Medline Industries Hand 312380 Main Main 1 System Space Saver Infirmary In?rmary 5358 Table, Exam/Treatment, 04306790 218160 304958 1 Amsco Healthcare 21 Table, Exam/Treatment, 218158 304954 1 Table, Exam/TX, Ritter Tycos CDO9363 218179 304979 1 Civ Sybron 104 5 Table, Exam/TX, thter Tycos 218166 304964 1 Civ Sybron 104 Table, Exam/TX, thter Tycos (3009363 218185 304986 1 Civ Sybron 104 7 Thermometer, Elect, Cont, 218167 304965 1 Sherwood Medical Co 1500 L9816176 Thermometer, Infrared, 218169 304967 1 ShenmooleedkalCo 3000A 10220146 Thermometer, Infrared, 218171 304969 1 ShenNoodIWedkaICo F1500 69413264 84 Contract Agency SRNO ECN QTY Equipment Description Model Serial Thermometer, Infrared, 218172 304970 1 Sherwood Medical Co 3000A 96592 Thermometer, Infrared, 218175 304973 1 Sherwood Medical Co 1500 L9621691 Thermometer, Infrared, L9824241 218159 304957 1 Sherwood Medical Co 1500 HA UX09629 Urine Analyzer, Roche Urisys 1100 999 Washer/Dryer 2540 Agencyr SRNO ECN QTY Equipment Description Model Serial Centrifuge, Tabletop, 217520 304976 1 Hamilton Bell Co Inc V6500 1070M Centrifuge, Tabletop, 217521 304977 1 Hamilton Bell Co Inc V6500 147932 Light, Examination, Burton 218178 304978 1 Medical Products 113040 418 Scale, Floor, Detecto Scale 217518 304952 1 Co 758C 9912-036 Steam Generator, Health 218177 304975 1 Care 116 125207 Sterilizer, Steam, Tabletop, 218176 304974 1 Tuttnau er USA Co 1730 86110 ?ment Descri Lensimeter Refri 5 ca Saver Unit X- ui ment Machine ?Del Medical Processor - Konica 101 Tube Head tor brea kroom Serial 6882 R83 221 CPI4OKW 6K529 Agency SRNO ECN QTY Equipment Description Model Serial if AED Lifepack Medtronics Cr 3200731- 1 Plus 003 34650960 5956 85 Contract Aspirator, Low Volume, 218115 304889 1 Precision Systems Inc PM60 15160 1 Bed, Restraint Chair, Examination/Treatment, 218120 304896 1 Midmark Corp 411 L5001126 1 Crash Cart 5123 Qe?hrii?ator Medic 5123 ?efihiivianitor, Battery, 217498 304890 1 Bardick 808 Space tabs Medic 32265 I I EKG, Multi-Channel, Mortara 98390113 217500 304897 1 Instrument Inc 507 123 Agency SRNO ECN QTY Equipment Description Mode! Serial it 8 Exam Table - Enochs XL71 Exam Table Ritter 104 2701 357608 Light, Examination, Flex Light, Examination, Graham- 213123 304900 1 Field Inc Flex Nebulizer, Nonheated, 218119 304895 1 Medical Instrument Co 3002 183112 Nebulizer, Nonheated, 218125 304903 1 Medical Instrument Co 3002 183153 218118 304894 1 Otoscopr, Welch Allyn Inc 7114 218124 304901 1 Otoscope, Welch Allyn Inc 767 17026826 217499 304891 1 Oximeter, Pulse 3300 6 80100622 1 Oximeter, Pulse 5500 4 30101722 1 Oximeter, Pulse 5500 0 lE707102 357609 1 Refrigerator - Avanti 06 lE974100 357601 Refrigerator Summit 04 Restraint Bed Scale, Floor, Health 0 Meter 217501 304902 Div Contin Beam DRH400 Cart, Specialty 218117 304893 1 Aneroid, Medline Ind Hand 535465 Aneroid, Medline Ind Wheeied Suction Machine - Easy Vac 15160 Table, Exam/TX, Ritter Tycos C009363 218121 304898 1 Div Sybron 104 6 5102 Table, Exam/TX, Ritter Tycos 218122 304899 1 Div Sybron 104 CP093633 5103 86 Contract Thermometer, Infrared 218116 304892 1 (Scanner) Exergen 3000A 10234806 Thermometer, infrared 218116 304892 1 (Tympanic), Sherwood Med 3000A 10234806 357607 1 Xray Wolf Trimiine 7420 257611 1 Xray - Wolf Trimiine 7420 Agency SRNO ECN QTY Equipment Description Model Serial Refrigerator - Gallery BA45211 1 GLRT183TDW8 815 Agency SRNO ECN QTY Equipment Description Model Serial if 218131 304911 1 Bath, Paraf?n, Hygenic Corp 24050 98-00090 Bath, Whirlpool, Whitehall 217506 304915 1 Inc H75M C14634 - Bath, Whirlpool, Whitehall 217507 304916 1 inc E-45-M C1039A I Batteries, Mobile 218134 304924 1 Radiographic NT2000 217514 304926 1 Biofeedback Systems SA4000 AV2446 SRNO ECN QTY Equipment Description Model Serial it Cervical Retraction Unit 1 Hometrac HT007368 5146 Cervical Retraction Unit 1 Hometrac HT008956 5355 218133 304923 1 Dynamometer, Other 811 111817 217504 304913 1 EEG Monitor 260 C1083 1 EMG Machine - Myotrac 5147 1 EMS Machine - Myrotrac 5353 E?stim Machine BMR 1 Neurotech 2000 5137 Heating Pad, Circulating 217508 304917 1 Fluid, Chattanooga Gp Inc E-1 63222 Heating Pad, Circuiating 217511 304920 1 Fiuid, Chattanooga Gp Inc ?2 15538 Heating Unit, Hot Pack, 217505 304914 1 Chattanooga Gp Inc E-2 15673 Hydro Massage 1133 4286 1 Hydrocoilator 5143 Hydrotherapy Tub 1 (whirlpool) b/C1'0724 5133 87 Contract 1 lontophoresis Phorosor El 5145 1 lontophoresis Phorosor II 5169 lontophoresis Unit, Drug 218135 304925 1 Phoressor 25182 218132 304912 1 Phorometer PMT800 24646 1 Ross Stationery Bike 5165 1 Scalestair Detecto 3P7044 1354 1 Stationary Bike - Ross 5165 1 Stationary Bike Ross Future 5140 1 Stimulator Forte 5167 Stimulator, Nerve Locator, 217509 304918 1 Chattanooga Gp Inc 20005TOM 1573 Stimulator, Nerve Locator, 217513 304922 1 Chattanooga Gp Inc 20005TOM 1508 1 Traction Table - Tritton 2008 5141 1 Trampoline - Rebounder 2533 1 Treadmill - Landick 8700 5356 5356 217510 304919 1 Treadmill, Landice Inc 8700 I 7 DM0126 1 Ultraclaye M9 87 5104 1 Ultrasound - Chatt 5136 1 Ultrasound - Forte 200 1573 5142 1 Ultrasound Forte US A1161A 5168 Ultrasound Unit, Physical 217503 304910 1 Ther, Chattanooga Gp Inc Forte US 1331A 5136 Ultrasound Unit, Physical 217512 304921 1 Ther, Chattanooga Gp Forte 1161A C10397H 1 Whirl Pool- White Hall C14064TUB YDRO 2067 Agency SRNO ECN QTY Equipment Description Model Serial Telemed Camera - Poiycam Polycom TEDPOVX 1 VSX5000 04603A3 Telemed Camera - Sony 1 AFCCD 2774 Telemed Comp/Screen LTV LTV- 0325665 1 101582 Telemed Screen - Dell 1 20000FP 46635 Telemeci Stand 2775 88 Contract Fixed Asset Inventory APRIL 2012 Cost Center 6381 Name of Facility: Central New Mexico Correctional Facility Administrator: Mark Delgado OTHER DOC UNIT LOCATION COMPUTER MODEL SERIAL COMMENTS ADMIN Purchasing Dell OptiPlex 745 F4IW3D1 ADMIN Medical Director Dell Dimension 2400 DC30771 ADMIN Off-Site Dell OptiPlex 745 H4JW301 ADMIN infection Control Dell OptiPlex 755 ADMIN Medical Supply Gateway E4300 35570857 6000119 APA Clinic Dell OptiPlex 745 84JW3D1 LEVEL I Clinic Dell OptiPiex 760 423WNK1 LEVEL ll Clinic Dell OptiPlex 760 523WNK1 LEVEL II Clinic Dell OptiPlex GXZ70 3T1T451 LTCU D.O.N. Inpatient Dell OptiPlex 745 LTCU Pharmacy Dell OptiPlex 745 G3JW301 LTCU Nurses Station Dell OptiPlex 745 G4JW3D1 MAIN Nurses Station Dell OptiPlex GX520 H2516B1 MAIN Providers Dell OptiPlex 745 DEJW3D1 MAIN D.O.N. Outpatient Dell OptiPlex 745 MAIN Nurse Dell OptiPlex 6X270 MAIN Dental Dell OptiPlex 745 961W3 D1 MAIN Medical Records Dell OptiPlex 6X50 1X9Q811 MAIN Medical Records Gateway E4300 35570913 6000103 MAIN lnta ke Dell OptiPlex 270 3T1T451 MAIN Xray Dell Vostro 220 MHTC Nurses Station Dell OptiPlex 760 223WNK1 MHTC Nurse Sup'r Dell OptiPlex760 323WNK1 ADMIN Infection Control Hewlett Packard LaserJet P2015 CNB1N20624 A.A./Purchasing Hewlett Packard LaserJet P2015 CNB1N20616 ADMIN Medical Director Hewlett Packard LaserJet P2035 CNB9J24522 ADMIN Off-Site Hewlett Packard 14580 (CB780A) CN962C816K 89 Contract APA Clinic Hewlett Packard LaserJet P2015 APA Hewlett Packard LaserJet P2015 CNB1N20636 LEVEL Clinic Hewlett Packard taserJet P2035 I CNB9628707 LEVEL il Clinic Hewlett Packard Laseriet P2035 CNB9619659 LTCU D.O.N. Inpatient Hewlett Packard LaserJet P2055 LTCU Pharmacy Hewlett Packard LaserJet P2015 LTCU Pharmacy Brother MFG-8220 U60995E7J374334 MAIN RDC Hewlett Packard LaserJet P2035 CNB9124522 MAIN Nurse Hewlett Packard LaserJet P2015 MAIN Medical Records Hewlett Packard Laserlet P2035 CNB9H28078 MAIN XwRay Hewlett Packard LaserJet P2035 MAIN Nurses Station Hewlett Packard LaserJet P2015 CNB1N20619 MAIN Dental Hewlett Packard LaserJet P2015 MAIN Providers Hewlett Packard LaserJet P2015 CNB1N20627 MAIN Intake Hewlett Packard LaserJet P2015 MAIN D.O.N. Outpatient Brother U61087F6F460753 MHTC Nurse Sup'r Hewlett Packard LaserJet P2035 CN89628705 MHTC Nurses Station Hewlett Packard LaserJet M1522nf ADMIN Admin Office Brother IntelliFAX 4750a U60283C71631177 ADMIN Admin Office Brother IntelliFAX 2800 U56577C21209412 Extra LEVEL I Nursing Station Brother IntelliFAX 4750e U60283C7J631173 LTCU Inpatient D.O.N. Brother IntelliFAX 2820 U61325D61449771 LTCU Nurses Station Brother IntelliFAX 4750a U60283E71652667 APA Clinic Brother IntelliFAX 4750e U60283 E71652689 MHTC Nurse Station Brother IntelliFAX 4750a 060283 E71652665 MHTC Med Room Hewlett Packard HP 3180 Fax CN94EBN17X MAIN Nurses Station Brother IntelliFAX 4750e 06028351652718 MAIN Outpatient D.O.N. Brother IntelliFAX 4750e U60283E71647183 CMRU Med Room Brother IntelliFAX 4750e U60283L7J731921 CMU Clinic Brother 4750e U60283ASJ762966 DTV1307 ADMIN Admin Office Durabrand 57370712263 TV ADMIN Admin Office Sony SLV-D380P 949602 DVD LTCU Nurses Station Brother DCP7020 U61283 L7122 1733 Multifunction MAIN Medical Records Brother EM-630 B58342259 Typewriter 90 Contract Fixed Asset Inventory APRIL 2012 Cost Center Name of Facility: Administrator: 6384 Completed 4130? 2 Penitentiary of New Mexico Tisha Romero Location Description AVALO Medication Cart (4 Drawer) Service tag number L2079803 Level II Pharmacy PCI Transaide Medication Cart (4 Drawer) 16060 Level II Pharmacy Avalox Medication Cart (8 drawers) 2079441 Level Pharmacy Medicare Systems Medication Cart (4 drw) 4566 Level Pharmacy Transaide Medication Cart (4 drawer) No number on cart Level Pharmacy NuStar Asepsis Narrow Back Dental Chair 10869 Dental Level NuStar Asepsis Narrow Back Dental Chair 10870 Dental Level Velopex 10871 Dental Level X?Ray Machine 10872 Dental Level Del Medical X-Ray Floor Mounted System Dental Level VI NuStar Asepsis Narrow Back Dental Chair 10866 Dental Level VI NuStar Asepsis Narrow Back Dental Chair 10867 Dental Level VI Peri Pro II Intraoral Film Processor 10902 Dental Level VI Autoclave 10868 Dental Level VI PowerAir Oil?less Compressor 1.5 HP No Tag per property Dental Level VI MaxStar Orbit X2 No Tag per property Dental Level VI MaxStar Orbit Deliver System X2 No Tag per property Dental Level Midmark Sterilizer No Tag per property Dental Level VI Midmark M-9 Sterilizer No Tag per property Dental Level Luxstar Unit Mount Light X2 No Tag per property Dental Level Luxstar Unit Mount Light X2 No Tag per property Dental Level VI Bobcat Pro Ultrasonic Sealer (Cavitron) No Tag per property Dental Level Level VI X-Ray X?Ray Machine (Full Body) E873042 Room Stretcher (donated from Santa Fe County Level Exam FD) No Tag Room Exam Tables (3) No Tag Level 2 - Level (Exam Room and in each Exam Tables (4) No Tag housing unit) Level VI (Exam Room and in each Exam Tables (4) No Tag housing unit) 91 ll?v? - nun-ww- Cost Cf?er Contract u-nnui-J Name of Western New Mexico Correctional Facility Facility: Administrat or: Peter Laraia PROPE DST ITEM RTY ACQ Re DESCRIP SERIA FACI LOCATI URE co ma TION MAKE LNO. LITY ON 0 ISSUES ST ce COLLAPSIB WEST 7T - 1,1 LE Y00039 ERN 711/1 SEGRE 00. STRECHER 0 NM SEG 990 GATION 00 2 COLLAPSIB WEST 1,1 LE ERN MED 71111 00. STRECHER 7 NM CLINIC 990 00 2 DELL WEST MID- DIMENSIO 105DR6 ERN NE COMPUTER 3000 1 NM OFFICE DELL WEST OPTIPLEX J4MWR ERN NE COMPUTER 755 G1 NM OFFICE MEDIC NO WEST AL GATEWAY SERIAL ERN RECOR 800 NE COMPUTER ESERIES NM DS .00 DELL WEST 133 OPTIPLEX D5JW3 ERN H.S.A. 7/112 9.3 NE COMPUTER 745 D1 NM OFFICE 007 7 DELL WEST 133 OPTIPLEX 55JW3D ERN DON 7/112 9.3 NE COMPUTER 745 1 NM OFFICE 007 7 DELL WEST 133 OPTIPLEX D4JW3 ERN AA 71112 9.3 NE COMPUTER 745 D1 NM OFFICE 007 7 DELL WEST 133 OPTIPLEX 24 ERN MED DIR 71112 9.3 NE COMPUTER 745 JW3D1 NM OFFICE 007 7 CLINIC DELL WEST COORDIN 133 OPTIPLEX 431DX4 ERN ATORS 71112 STATIO 9.3 NE COMPUTER 745 1 NM OFF 007 7 X-RAY WEST PROCESSE TECHNIQU ERN X-RAY 7/111 DARKR 4,0 ES 412983 NM ROOM 990 00M 00 1 WEST X-RAY PROCESER KONICA ERN DARKR NE Dental MINOLTA 1.1 NM OOM WEST X-RAY PROGENY FP8600 ERN 711/1 21, MACH LINEAR 6 NM ROOM 990 000 1 DENTA X-RAY WEST X-RAY DENT Y00039 ERN ROOM 71111 STORE 7,0 PANOREX GE. 4 NM DENTAL 990 RM 00 5 DENTAL 600532 WEST 111/1 IDENTA 1,0 CAVITRON 8 ERN DENT 995 00 3 92 939 1v 83 N83 .LSEINI 9 CI3IN N30 .1.an 00 W8 83 INN N83 .LS3NI A . 03 H0003 801V 8J.N3ON00 ZO NCI W008 066 II Ill 83 INN N83 .LS3M 0 99000A .L8VO HSV80 NCI 009 INN N83 183M I I90000 OCINEI .L3NI8VO 00 VI SCI 80038 0?10 066 II LIL INN N83 .LS3NI 8 99000A 3d OOSO8OIIN 3N W008 H0 INN N83 183M 00000d 0009 XSA 3N W008 HO INN N83 183M VAVO 3178081 0 086 30l: : 0 03W INN N83 133M 69000A NATIV H373M 318V.L 3800 9L1 W008 OHJ.0 INN N83 I78 69009A 9009# (38va L89 300 HQ W008 OHLO INN N83 .LS3NI QZ 3 INVX3 8IVHO 086 W008 INVX3 3 W8 INVX3 INN N83 .LS3M 9 98009A HOT3M TIVNI 3800 009 INVX3 INN N83 .LS3NI OZ OOSINV INVX3 000 INN N83 .I.S3M 9 LSSOOA .L3N9IS 8IVHO 000 INN N83 J.S3NI 9 LQQOOA OOSINV 8IVHO 69?? 83 83 INN N83 6 SEQOOA 83.LJ.I8 318VJ. INVX3 N83 .LS3NI 83HO.L8IEI 80 00 83 INN N83 6 89000A 0L OOSINV INN 13911UOO Contract NM SUPP RM DENTAL WEST RAY BITE PROVECT ERN 1/17! 423 NE WING A 5833 NM DENT 2008 5.7 WEST 504 AUTO MIDMARK ERN 1/17] 9.4 NE CLAVE M11 5834 NM DENT 2008 5 I MEDIC 02 WEST AL CONCENTR DEVIL ERN SUPP ATOR BLISS 256 NM RM DENTA WEST TELEPSYC ERN STORE 12, HIATRY TV POLYCOM 6001280 NM RM 000 EXAM WEST EXAM ERN ROOM WALL AMSCO 20 384 NM 2 500 - DENTA 55922W WEST WESTINGH 8120338 ERN STORE OUSE TV 0 NM RM WEST EXAM EXAM ERN ROOM TABLE 587 NM 1 WEST EXAM EXAM ERN ROOM TABLE 588 NM 2 WEST EXAM ERN UNIT 8 - TABLE NM POD 94 - I I??u'i I'll-vi: JI- Cont ract I Cost Center 6391 I New MeXIco Women's Correctional Completed: Name of Facility: Facility Administrator: Tony McCort ITEM DESCRIPTION MODELIMAKE SERIAL NO. COLLAPSIBLE STRECHER CCA 5777 COLLAPSIBLE STRECHER CCA X-RAY PROCESER Dental AT2000 CCA DENTAL CAVITRON CCA DEFIBRILATOR PEN TURN IN NMDOC 2602 CHAIR DENTIST CCA 0835 CHAIR DENTIST CCA 5749 EXAM LIGHT X-RAY CCA 0839 EXAM LIGHT FLOOR WALL WELCH ALLYN OTHIOTOSCOPE WALL WELCH ALLYN WALL WELCH ALLYN OTHIOTOSCOPE TABLE TOP WELCH ALLYN TELEMEDICINE TV W.H NMDOC PROP TELEMEDICINE POLYCOM VSX 5000 NMDOC PROP MICROSCOPE LABOVAL CCA 0793 MED CART CAPSA NMDOC PROP MED CART CAPSA NMDOC PROP MED CART CCA MED CART PENDING TURN IN CCA MED CART PENDING TURN IN CCA 02 CONCENTRATOR 02 CONCENTRATOR SUCTION UNIT DENTAL GEN DEX CCA DENTAL PANO OP 100 CCA ULTRA SONIC CCA 5914 LATHE CCA 5745 AUTO CLAVE MIDMARK M9 CCA 7329 AUTO CLAVE MIDMARK M11 CCA COPO LIGHT Agency 2710 EXAM TABLE NMDOC PROP EXAM TABLE NMDOC PROP EXAM TABLE NMDOC PROP EXAM TABLE NMDOC PROP EXAM TABLE NMDOC PROP Gendron 880 ER BED transport Agency PROP 95 Contract Fixed Asset Inventory APRIL 2012 Cost Center 6387 Southern New Mexico Correctional Name of Facility: Facility Administrator: Sheri Pierce ITEM NUMBER LOCATION ORTHOTRON II 206 PHYSICAL THERAPY ROOM PERI PRO X-RAY DEVELOPER 2697 DENTAL STERILIZER 307422 DENTAL DENTAL MACHINE 307420 DENTAL DENTAL CHAIR 2632 . DENTAL DENTAL CHAIR 2607 DENTAL COMPUTER 6000282 MEDICAL RECORDS EXAM TABLE 2633 ER OPTOMETRY EXAM CHAIR 002506 Agency SUITE MACHINE ABLE 1854 X-RAY SUITE EXAM TABLE NO TAG MEDICAL DIRECT OFFICE EXAM TABLE 000715 Agency POU EXAM ROOM 96 Contract Fixed Asset Inventory APRIL 2012 Cost. Center# 6385 Name of Facility: Roswell Correctional Center Administrator: Whitney MFG Equipment Model Serial AirTechniques X-Ray Film Processor Peri Pro 3 22776 Patterson dental supply Dental mixer H3M3E6 9947 Patterson dental supply Dental Curing Light 085-1121 70918157 Tuttnaur Autoclave 2340M 2708822 Belmont Dental Chair aga4731000 641181906 Henry Schein X-Ray View box NA NA Belmont Dental Xray 96 eh0830156 Henry Schein Ultrasonic Cleaner 741 6131522350 SPO Medical Pulse OX 5500 801007958 Exergen Thermometer TAT2000C 27 801 international Pulse OX 71000A1 180359288 Welch Allyn Otoscope 767 NA Grahm Field View Box E21343 Head Agilent AED Stream 502061643 Medical Ind. Suction Unit Vacumax 72878 McKesson Stretcher! Gurney EXAM TABLE 8 FOLDING CHAIRS 4 FOLDING TABLES 3 REFRIGERATORS 5 OFFICE CHAIRS 2 DRAFTING CHAIRS 4 DENTAL CHAIRS 6 FILE CABINETS 1459456 THERMOMETER Mf: EXERGEN Md: TAT2000C EXERGEN CORP TEM PORALSCANN ER 0027 1459457 OXIMETER Mf: SPO Md: 5500 SP0 MEDICAL EQUIPMENT LTD 5500 07F034943 1459460 OXIMETER Mf: SPO Md: 5500 SP0 MEDICAL EQUIPMENT LTD 5500 801007658 5003067 VIEW BOX Mf: HENRY SCHIEN CARR CORP NO MODEL NUMBER 11050701 5003068 CURING LIGHT Mf: PATTERSON Md: 0851121 PATTERSON DENTAL SUPPLY 0851121 070918157 97 Contract 5003069 MIXER Mf: PATTERSON Md: H3M3E6 PATTERSON DENTAL SUPPLY THE VIBRATOR P139947 5003070 CHAIR, DENTAL M1: BELMONT Md: XCALIBUR BELMONT XCALIBUR 064131906 5003071 VIEW BOX M1: GRAHAM Md: 102D GRAHAM-FIELD INC (GF HEALTH PRODUCTS NO MODEL NUMBER INC) E21343 5003072 OPHTHALMOSCOPE M1: WELCH Md: 767 WELCH ALLYN INC 767 NONE 5003073 AED M1: PHILIPS Md: M3360A AGILENT (PHILIPS MEDICAL SYS, HEWLETT HEARTSTART M3360A PACKARD, HP) 5003074 SUCTION PUMP Mf: MEDICAL Md: VACUMAX605 MEDICAL INDUSTRIES OF AM (EVO MEDICAL VACUMAX 605 SOLUTIONS) 72373 5003075 STERILIZER, STEAM M1: TUTNAUR Md: 2340M TUTTNAUER USA CO LTD 2340M 2703322 5003077 STEAM INCUBATOR M1: 3M Md: ATTEST 116 3M ATTEST 116 154705 5003073 THERMOMETER Mf: WELCH Md: 6021 WELCH ALLYN INC 6021301 11114331352 5003079 OXIMETER PULSE Mf: 301 Md: 330171000A1 301 INTERNATIONAL (SMITHS MEDICAL PM) 3301 71000A1 130359233 5003030 OPHTHALMOSCOPE Mf: WELCH Md: 767 WELCH ALLYN INC 767 NONE 6335 ROSWELL CORRECTIONAL FACILITY UNKNOWN EQUIPMENT MFR SEE COST CENTER NONE 98 Contract Fixed Asset Inventory APRIL 2012 Cost Center 6388 Name of Facility: Springer Correctional Center Administrator: Mark Martin Manufacturer Count Location White Whirlpool Refrigerator 1 Break Room Lg Brown Table 1 Break Room Canon Copier 1 Break Room Black Haier mini Fridge 1 Pharmacy Red Tool Box 2 Pharmacy Working Desk 1 Pharmacy Rolling Chair 1 Pharmacy Small Table 2 Pharmacy Standing Book Shelves 2 LPN Office Working Desk 1 LPN Of?ce Rolling Chair 1 LPN Of?ce Standing File Cabinets 3 AA Of?ce ACA File Cabinets 2 AA Office Working Desk 2 AA Of?ce Frigidaire Air conditioner 1 AA Of?ce Small File Cabinet 1 AA Office Working Desk 1 Exam Room Rolling Chairs 2 Exam Room Exam Table 1 Exam Room Dental Rolling Chair 2 Dental DeltaXL Autoclave 1 Dental Proform Vacuum Former 1 Dental Pelton Crane Dental Chair 1 Dental Progeny Dental X?Ray 1 Dental X?Ray Processor 1 Dental Yellow Flammable Lock Box 1 Dental Grey File Cabinet 1 Dental Working Desk 1 H.S.A Of?ce 99 Contract Fixed Asset Inventory APRIL 2012 Cost Center 6392 North Eastern New Name of Mexico Detention Facility: Facility Administrator Sherry Phillips Buildi Room Num Asset Description ber Description st I 1' File Cabinet, Suppo Med Store #512 letter size, 5- 1 0 06 rt Room drawer, with lock - 75 Suppo Med Store rt Room #512 Exam Lamp 1 Suppo Med Store rt Room #512 Oxygen Carts 2 Suppo Med. Store Black Wire 3 06 rt Room #535 Shelves - 76 . Autoclave to Suppo Egg?smre sterilize 1 06 rt #535 instruments - 77 EKG Machine Suppo Egg?qswre (lease) NOT 1 06 rt #535 ROOM 78 Suppo Med. Store Supreme Blood 2 06 i rt Room #535 Glucose Monitor - 81 Suppo Med. Store Cylinder 02 Kit 2 00 rt Room #535 Cart Fill - 97 SUppo Med. Store Regulator 02 2 01 rt Room #535 00 Suppo Biohazard 1 00 rt Room #537 Biohazard Cart 41 Su 0 Nurses 00 rt pp Station #501 Battery Charger 1 - 94 Bookcase, Suppo Wood, 5 Shelf 1 0 00 rt #501 (metal) 95 Nurses Chair, Jr. Suppo Station Executive, Cloth, 2 0 00 rt #501 Highback - 96 Nurses Ham per 26" Lid Suppo Station and Casters 1 00 rt #501 (MD-15-03) - 98 Suppo Nurses #501 Thermometer, 1 01 100 Contract rt Station wl Oral Probe - 01 (SHBOQBOO) Suppo Nurses Utility Cart 01 rt Station #501 (IDEAL M0311) - 02 Suppo Nurses Rolling Chair 339 rt Station #501 W/Back 410 on Chair, Jr. Suppo Medical Executive, Cloth, 0 rt Records #624 Highback - Suppo Medical 3 rt Records #624 Desk/Return Suppo Medical rt Records #624 White Board Wheelchair w/ Suppo lanai} Break Elev Leg Rest 00 rt #534 (TU860E) 44 Wheelchair wl Suppo Break Elev Leg Rest 00 rt #534 (TU860E) - 45 . Med. Break Lateral File :uPpo Room I #534 Cabinet 3 Stretcher Suppo '21:ng Break Mattress 2" with 00 rt #534 split (GEN 212) - 50 Gurney plus Suppo Medical Mattresses no 00 rt #534 siderail's 36 Gurney plus Suppo Medical Mattresses wl 00 rt #534 siderail's 37 Suppo Medical Blue Sebel eb rt #534 Chairs 0 el Bookcase, Suppo CMS Office wood, 5 she?: 0 01 #515 (memn - 13 Chair, Side Suppo CMS Office w/arms, Cloth, 0 01 . rt #515 Sledbase - 14 Chair, Jr. Suppo CMS Office Executive, Cloth, 0 O1 rt #515 Highback 20 File Cabinet, Suppo CMS Office letter size, 5- 0 01 rt #515 drawer, with lock - 21 Health Suppo Services Desk w! Return 0 01 rt Admin #514 - 09 Health Chair, Jr. Suppo Services Executive, Cloth, 0 O1 rt Admin #514 Highback 10 Suppo Health #514 Chair, Side 01 101 Contract rt Services wlarms, Cloth, 11 Admin Sledbase Health Laterai File Suppo Services Cabinet 0 01 Adn?n #514 12 . Med. Admin. Bockcaseu Suppo ASS #513 Wood, 5 Shelf 0 01 rt (metal) 05 . Chair, Jr. Suppo Admm' #513 Executive, Cloth, 01 06 . File Cabinet, Suppo Admm' #513 letter size, 5- 01 rt drawer, with lock 07 . . Med. Admin. Metal Office Suppo #513 01 rt Ass. DesklReturn 08 . Chav,SMe Suppo Admm' #513 w/arms, Cloth, rt Sledbase Suppo Med. Admin. rt Ass. #513 Broke Stool Thermometer, Suppo Dental w/ Oral Probe 04 #510 (SH309800) 02 Trash Can, Suppo Dental Step-on 24 qt. 04 rt #510 (LAG-13200) 03 Suppo . rt Denna #510 Denoptix QST 1 Suppo . rt Dentis?t #510 Dental Chairs 2 - Suppo . Equipment rt #510 Cabinet 1 - Suppo . rt Denna #510 X-Ray Machine 1 - 07 Suppo . 04 rt DentISt #510 X?ray Viewer 08 Mi Dentist Suppo ar rt #508 Ultra Clave Bookcase, Suppo Med. Director Wood, 5 Shelf 05 rt - #509 (metal) 14 Suppo Med. Director 0 05 rt #509 Desk w! Return 15 File Cabinet, Suppo Med. Director letter size, 5? 05 rt #509 drawer, with lock 16 Trash Can, Suppo Med. Director Step-on 24 qt. ub 05 rt #509 (LAG-13200) be 17 Contract ai Chair, Side Suppo ?49? w/arms, Cloth, rt D'rector #509 Sledbase Suppo Exam Room Biohazard 00 rt #3 #507 Syringe Case - 78 :quo Earn Room #507 Exam Table Exam Room Examination Suppo #3 Lamp 00 rt #507 1697-1) - 81 Suppo Exam Room Examination 00 _rt #3 #507 Stool - 82 3 Exam Room 45 Suppo #3 .0 45. 00 rt #507 Norix Chairs 0 00 84 . Opthalmoscope Suppo Earn Room Head (WA- 00 rt #507 1 1710) 85 Suppo Exam Room Otoscope Head 00 rt #3 #507 (WA-76710) 86 Suppo Exam Room 00- rt #3 #507 Pulse Oximeter - 87 Suppo Exam Room 00 rt #3 #507 Stoo' 89 Exam Room Thermometer, Suppo #3 w/ Oral Probe 00 rt #507 (SH309800) 90 Exam Room TraSh can? Suppo #3 Step-on 24 qt. 00 rt #507 (LAG-13200) 91 Suppo Exam Room Wall Transormer 00 rt #3 #507 (WA-7671 0) - 93 Suppo Exam Room Biohazard 00 rt #2 #506 Syringe Case - 65 Sup 0 Exam Room 00 rt #2 #506 Exam Tame - 67 Exam Room Examination Suppo #2 Lamp(GF55? 00 rt #506 1697-1) - 68 Suppo Exam Room Examination 8 00 rt #2 #506 Stool (CLI2101) 69 Opthalmoscope Suppo Egan? R??m Head (WA- 95 oo rt #506 1 1 710) - 70 Suppo Exam Room Otoscope Head 00 rt #2 #506 (WA-76710) - 71 Suppo Exam Room 8 00 rt #2 #506 Pulse Oximeter - 72 Suppo Exam Room 8 00 rt #2 #506 Smo' - 73 103 Contract Exam Room Thermometer, Suppo #2 WI Oral Probe 1 00 rt #506 (SH309800) 74 Exam Room TraSh can? Suppo #2 Step~#506 76 Suppo Exam Room Wali Transormer 1 00 rt #2 #506 (WA-76710) - 77 Exam Room Card X-ray ID Suppo #1 Customer 00 rt #504 - 51 Suppo #5me Room meter, Adult 1 00 rt #504 Large Nylon - 52 Suppo Exam Room Biohazard 1 00 rt #1 #504 Syringe Case - 53 Suppo Exam Room 00 rt. #1 #504 Exam Table 1 55 Exam Room Examination Suppo #1 Lamp (GF55- 1 00 rt #504 1697-1) 56 Suppo Exam Room Examination 1 00 rt #1 #504 Steel (CLI2101) 57 Ophthalmoscop Suppo gram Room 9 Head (WA- 1 00 rt #504 11710) - 58 Suppo Exam Room Otoscope Head 1 00 rt #1 #504 - 59 Suppo Exam Room 1 00 rt #1 #504 Pulse Oximeter 60 Suppo Exam Room 00 rt #1 #504 Stoo' - 61 Exam Room Thermometer, Suppo #1 WI Oral Probe 1 00 r_t - #504 (SH309800) - 62 Trash Can, Suppo gram Room Step?on 24 qt. 2 00 rt #504 (LAG-13200) - 63 Suppo Exam Room Wall Traneormer 1 00 rt #1 #504 (WA-7671 0) 64 rstuppo Medical #502 Nor'x 12 3; guppo Medical #502 TV 1 321 Emergency Automatic Suppo Room External 1 01 rt #533 Defibrillator 39 Backboard, Suppo yellow (MTR 1 01 rt #533 LP712000) - 40 Suppo Emergency Biohazard Trash 2 01 rt Room #533 Can - - 41 Emergency Emergency Suppo Room Equipment 1 01 rt . #533 Boxes (large) 42 104 Contract Emergency Suppo Egg-199m}! Equipment 8 O1 rt . #533 Boxes (small) - 44 Examination Suppo 2313;99ch Lamp 01 rt #533 1697-1) - 45 Suppo Emergency Examination 01 rt Room #533 Stool (0L12101) - 46 Emergency First Aid Suppo Room Emergency Box 01 rt #533 47 Suppo Emergency Nebulizer Pulmo 01 rt Room #533 Aide (DV5650D) 48 Ophthalmoscop Suppo Head 01 rt #533 11710) 50 Suppo Emergency Otoscope Head 01 rt Room #533 (WA-76710) - 51 Suppo Emergency Portabte Suction 01 rt Room #533 Unit (MW101) - 52 Suppo Emergency . 01 rt Room #533 Refr'gerator - 53 Emergency Thermometer, Suppo Room wl Ora! Probe 01 rt #533 (SH309800) - 55 Suppo Emergency Wall Transormer 01 rt Room #533 - 58 Suppo Emergency Portable Suction 8 00 rt Room #533 Unit (MW101) - 38 Emergency Fetal Monitor} Suppo Room Scope for heart 06 rt #533 rate - 79 First Aid Emergency Emergency Box Suppo Room 06 rt #533 - 80 Emergency Oxygen Chrome Suppo Room Cart 00 rt #533 PX1020) 99 Suppo Emergency Portable Suction 00 rt Room #533 Unit (MW101) - 38 Suppo Emergency Sharps rt Room #533 container Suppo Emergency rt Room #533 Exam Tables Suppo Film Processing 01 rt X'Ray Room #531 Machine - 35 X-Ray Room #531 Stanley Fat Max Trash Can, Suppo X?Ray Room Step-on 24 qt. 01 rt #531 (LAG-13200) - 37 Suppo Automatic 01 rt X?Ray Room #531 lb. P?inter - 38 Suppo X?Ray Room #531 X-Ray Table 105 rt Contract Suppo rt x-Ray Room #531 X-Ray Machine Su po Protective rt XRay Room #531 Aprorxi? - Su 0 protective rt pp XRay Room #531 glove: Expired or Disct Suppo Pharmacy Medication Box 01 rt #530 with a Lock 32 Narcotics Suppo Pharmacy Cabinet with 3 01 rt #530 Double Locks 33 Trash Can, Suppo Pharmacy Step?on 24 qt. 01 rt #530 - 34 Suppo Pharmacy ai rt #530 Refrigerator er Trash Can, Suppo Optometrist Step-on 24 qt. 05 rt #521 (LAG-13200) - 24 Suppo rt Closet Bed Ophthalmoscop Suppo 369' a Head 05 rt #527 11710) - 21 Suppo Med Seg. Otoscope Head 05 rt Office #527 (WA-76710) 22 Thermometer, Suppo 3:33:39 w/ Ora: Probe 05 rt #527 (SH309800) - 23 Suppo Med Seg. Wall Transormer 05 rt Office #527 (WA-76710) - 25 Suppo Med Seg. rt Office #527 Exam Table . Manual Hospital Suppo #523 Bed Single- 01 rt 9 9 Metal 23 Suppo Medical #523 Aluminum Bed 01 rt Segregation wl Mattress - 24 Suppo Medical #524 Restraint Bed wl 01 rt Segregation Restraints - 25 Suppo Medical #525 Restraint Bed 01 rt Segregation Restraints - 26 106 Contract Desk Chairs (3) armacy, 1-MD office Desks (3) office; 2 Schedulers office Shredders (5) 1-nurses station; 1- pharmacy;1 HSA office; 1-AA office; 1-medical records Wire Shelving (4) 4-Supply store room Oxygen Storage Cart (1) 1~Supply Storage Room Exam Lamp (1) 1~Emergency Room Printers (3) 1-Scheduler office; 1- nurses station ;1me dical records room 1-AA office; Rolling File Cabinet (2) 1-archive room Lockers (1 set of 9) 1-Employee 107 Contract break room 1-emergency IV Pole (1) room 1?exam room 3; 1- emergency room Privacy Screen (2) I 1?rnedical Overbed Table (1) records room lanurses Fax-machine(Brother-1) Station 1?nurses Rolling table (1) Station 2-nurses Chart carts (2) Station 1-employee DVD PIayer I1) break room 1?employee TV (1) break room 1-employee TV Cart (1) break room 5003001 OXIMETER PULSE Mf: MINDRAY Md: PM50 MINDRAY CO., LTD. PM50 AY8107150 5003002 CHAIR, DENTAL Mf: PELTON Md: SP15 PELTON CRANE DIV SIEMENS MED SYS NO MODEL NUMBER 13350 5003003 CHAIR, DENTAL Mf: PELTON Md: SP15 PELTON CRANE DIV SIEMENS MED SYS NO MODEL NUMBER 13351 5003004 MIXER Mf: PATTERSON Md: H3M3E6 PATTERSON DENTAL SUPPLY THE VIBRATOR PD11228 5003005 THERMOMETER Mf: WELCH Md: 690 WELCH ALLYN INC SURETEMP 690 07502650 5003006 CURING LIGHT Mf: PATTERSON Md: 0851121 PATTERSON DENTAL SUPPLY 0851121 100726052 5003007 SCALER Mf: Md: BOBCAT INTERNATIONAL INC BOBCAT 130-20948 5003008 ULTRASONIC CLEANER 15 BIOSONICS U0300115 070502014 5003009 STERILIZER Mf: MIDMARK Md: M9 MIDMARK CORP (OHIO MEDICAL INST, M9 ULTRACLAVE M9022 RITTE R) V5920 67 108 Contract?ID# 5003010 STEAM INCUBATOR Mf: 3M Md: ATTEST 116 3M ATTEST 116 160753 5003011 MIXER Mf: PATTERSON Md: THE VIBRATOR PATTERSON DENTAL SUPPLY THE VIBRATOR 0930 5003012 VACUUM MIXING DEVICE Mf: TS Md: 101 KEYSTONE VIEW CO 101 M0900012 5003013 VIEW BOX Mf: Md: 670400 INTERNATIONAL INC 670440 64542 5003014 OPHTHALMOSCOPE Mf: WELCH Md: 767 WELCH ALLYN INC 767 NONE 5003015 THERMOMETER Mf: WELCH Md: 690 WELCH ALLYN INC SURETEMP 690 08260587 5003016 THERMOMETER Mf: WELCH Md: 690 WELCH ALLYN INC SURETEMP 690 008260590 5003017 OPHTHALMOSCOPE Mf: WELCH Md: 767 WELCH ALLYN INC 767 NONE 5003018 THERMOMETER Mf: WELCH Md: 690 WELCH ALLYN INC SURETEMP 690 07502589 5003019 DEFIB Mf: ZOLL Md: AED PLUS ZOLL MEDICAL CORP (ZMI) AED PLUS X08F160016 5003020 OPHTHALMOSCOPE Mf: WELCH Md: 767 WELCH ALLYN INC 767 NONE 5003021 SUCTION UNIT Mf: SUNRISE DEVILBISS CO (SUNRISE MEDICAL) 7304A P0264007 5003022 THERMOMETER Mf: WELCH Md: 690 WELCH ALLYN INC SURETEMP 690 8260589 5003023 THERMOMETER Mf: WELCH Md: 690 WELCH ALLYN INC SURETEMP 690 07502647 5003024 OPHTHALMOSCOPE Mf: WELCH Md: 767 WELCH ALLYN INC 767 NONE 5003025 THERMOMETER Mf: WELCH Md: 690 WELCH ALLYN INC SURETEMP 690 08260591 6392 NE NEW MEXICO CORRECTIONAL FACILITY UNKNOWN EQUIPMENT MFR SEE COST CENTER NONE 109 Contract Fixed Asset Inventory APRIL 2012 Cost Center 6382 Guadalupe County Correctional Name of Facility: Facility I . .. Administrator; . .. . . . Kathy ArmiioITEM DESCRIPTION .. . SERIAL NO. .. .. . LOCATEDAgency?2522 HARDRIVE 3PV0701 Dell optiplex Agency-2523 HARDRIVE 3150455001 Dell clientpro M-19 STORAG E(Broken) 1-COMPUTER Agency- 2524 HARDRIVE DELL M-30 1-COMPUTER Agency-2525 HARDRIVE 3230612 Client Pro M-30 1-COMPUTER Agency-2526 HARD RIVE 11099171 Gateway M-30 STORAG E(Broken) Agency-2528 1-OTHOSCOPE WALL MOUNT M-42- EMEREG ENCY ROOM Agency? 2531 M9003-C2006598 0 DENTAL Agency~2532 1-LATHE 95128 M-10 - DENTAL Agency-2597 HARDRIVE JSIT451 DELL-OPTIPLEX M?37?w MEDICAL RECORDS Agency?2598 METER 101 - EYE EXAM ROOM Agency?2600 LIGHT AB5739 HENRY SCHEIN Agency?2725 STAND ROLLING BEIGE OFFICE Agency-2727 1- SCANNER CN27T1A1 H3 OFFICE THIS EQUIPMENT WAS TAGGED BY Agency ON 1-23?03 AND ON 4-6-05 FOR GUADALUPE COUNTY CORRECTION FACILITY - CMS COST CENTER 6382 llO Contract I n..ng - u?pw-u Cost Center Name of Facility: Administrator: 6383 Lea County Correctional Facility Don Douglas LOCATION EQUIPMENT . TAG SERIAL MODEL Optometry room Optometry machine and chair 307388 Lens meter 2083 Dental Autoclave V632067 M7-020 BioSonic UC125 80328050 Cavitron 130?21170 Dental chair unit 1 307382 Dental x?ray unit 307379 Curing light 357485 Dental chair unit 2 307380 Peri Pro x-ray developer 23117 Archive Supply closet Autoclave 2518 Medication cart 8731 12322 Dr.?s office Otoscope with opthalmalic scope (GEO) Exam Room 1 Otoscope with opthalmalic scope 357503 Emergency Room stretcher 307399 Exam table with drawers 2513 - Otoscope with opthalmalic scope 357484 WHC15231 X02F001364 AED Plus Zoll (GEO) (GEO) EKG Machine 357481 Nebulizer 03278538 565OD X-ray Room X?ray control YC786-0809 F280 X-ray view box/light 307373 307376 X-ray processor 12365 X-ray table 307371 Contract Linear x-ray collimator 307377 12363 Chest/chin x-ray stand (GEO) X?ray protection shield/wall 12362 Tele?medicine (Property of ECHO) LCCF polycom P0000160 Pharmacy Medi-cart 70334 Teie?med unit Exam Room 1 Storage Scanner 2719 Physician assistant office Otoscope with opthalmalic scope Housing 3 Satellite Otoscope with opthaimalic scope Housing 4 Satellite Otoscope with opthalmalic scope 112