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EXHIBIT "A" <br />SCOPE OF WORK <br />CDH intends to provide 24/7/365 access to medically trained personnel to provide <br />prompt access to treatment behavioral and mental health services. Medical staff will be <br />in the facility 5 days a week proving addition psychotropic prescriber time to what KCJ <br />already has in place. Jail staff and other medical providers will always have access to <br />CDH prescribers via telephone. CDH staff will screen and triage fresh intakes/bookings <br />and all other incarcerated people for their needs as related to behavioral/mental health <br />care as well as monitor medications for follow-up, education, and reordering as <br />necessary to ensure the patient doesn't run out. <br />Goals and Objectives <br />1. To extend weekday access to behavioral and mental health services <br />2. To provide 24/7 on call services for emergency situations related to <br />behavioral/mental health medications <br />3. To ensure continuity of care amongst providers of care, collaborate with internal <br />and external stakeholders, including the existing mental health nurse practitioner <br />and therapist, via phone and in person as needed <br />Proposed Program <br />To accomplish the above -described objectives, CDH intends to extend their current AM <br />sick call hours as needed to promptly address access to behavioral and mental health <br />issues. If the ability to not address all necessary patients during regularly scheduled <br />sick call hours, CDH will work with KCJ staff to determine time later in the day to return <br />to the facility and address any additional clients as needed. <br />All complex behavioral/mental health care will be referred to the existing mental health <br />nurse practitioner to ensure complete and proper continuation of care for the patient. <br />Furthermore, any changes to medications, questions about care, or discussions needed <br />to be had about the care for a certain patient will be communicated through CDH and <br />either the clients primary care giver when not incarcerated or the existing mental health <br />nurse practitioner. There may also be collaboration between CDH and KCJ mental <br />health staff required during this contract. <br />Research and Evaluation <br />CDH will evaluate the success of the KCJ behavioral/mental health practitioner <br />successes by tracking data associated with these services. This will include the number <br />of inmates seen, the total number of inmates treated, and perhaps most importantly, the <br />recidivism rate for inmates who were treated with behavioral/mental health medications <br />while in custody at KCJ. KCJ will gather and analyze this data with quarterly and annual <br />Professional Services Agreement (rev. 09124/2018) <br />Page 13 of 18 <br />