NaphCare - No oversight, No data:
There is no quality review or oversight of contracted jail healthcare providers, no transparency with protocols or standard operating procedures. Data sharing when tasked is uninformative and limited - tabulations of basic counts of numbers of persons, services provided.
For profit companies deliver suboptimal and expensive care as private corporations' incentive is cost-cutting, not quality healthcare delivery.
De facto oversight consists of lawsuits against NaphCare for wrongful death in Atlanta, Oregon, Tacoma, Montgomery County, Virginia, and more. Jails with publicly managed medical services had an average of 12.8 deaths per 10,000 inmates compared with 18% to 58% higher, with private company contracts. Jails where NaphCare and Armor operated had the highest death rates in three-year period – 20.2 and 18.8 deaths per 10,000 inmates, respectively. - Reuters Special Report: U.S. jails are outsourcing medical care — and the death toll is rising
Recommendations for Proactive Supervisors:
Ask Naphcare for their protocols/standards of care, wait times to access medications, wait times for transfer to hospital care, follow-up for chronic conditions, access to COVID care (vaccines, rapid tests, masks, antivirals (once approved), mental health screens and counseling, etc.
Ask to see resumes of NaphCare staff and staffing schedules and staffing ratios
Interview people detained in and released from the jail about the quality of their medical care
Ask for an external auditor of Naphcare’s medical records
Consider publicly managed options for Mendocino County:
Contract with and fund the experts in the county for substance use crises and recovery, diversion and MAT: MAT (MCCC), Mendonoma Alliance, MCAVHN
DHCS Continuum-of-Mental-Health-Care-Section
Medi-Cal option for Adult County Inmate Program and Juvenile County Ward Program Flowchart for inpatient care, Notify of interest in participation
Halt the jail expansion cost overruns
Coordinate with medical and nursing education programs for higher quality care
Equalize funding - public health and public services are logical public "safety" priorities
Divert low level offenses to appropriate service agency support
Divert calls for service for low level offenses to appropriate service agency support
NaphCare - No oversight, No data:
There is no quality review or oversight of contracted jail healthcare providers, no transparency with protocols or standard operating procedures. Data sharing when tasked is uninformative and limited - tabulations of basic counts of numbers of persons, services provided.
For profit companies deliver suboptimal and expensive care as private corporations' incentive is cost-cutting, not quality healthcare delivery.
De facto oversight consists of lawsuits against NaphCare for wrongful death in Atlanta, Oregon, Tacoma, Montgomery County, Virginia, and more. Jails with publicly managed medical services had an average of 12.8 deaths per 10,000 inmates compared with 18% to 58% higher, with private company contracts. Jails where NaphCare and Armor operated had the highest death rates in three-year period – 20.2 and 18.8 deaths per 10,000 inmates, respectively. - Reuters Special Report: U.S. jails are outsourcing medical care — and the death toll is rising
Recommendations for Proactive Supervisors:
Ask Naphcare for their protocols/standards of care, wait times to access medications, wait times for transfer to hospital care, follow-up for chronic conditions, access to COVID care (vaccines, rapid tests, masks, antivirals (once approved), mental health screens and counseling, etc.
Ask to see resumes of NaphCare staff and staffing schedules and staffing ratios
Interview people detained in and released from the jail about the quality of their medical care
Ask for an external auditor of Naphcare’s medical records
Consider publicly managed options for Mendocino County:
Contract with and fund the experts in the county for substance use crises and recovery, diversion and MAT: MAT (MCCC), Mendonoma Alliance, MCAVHN
DHCS Continuum-of-Mental-Health-Care-Section
Medi-Cal option for Adult County Inmate Program and Juvenile County Ward Program Flowchart for inpatient care, Notify of interest in participation
Halt the jail expansion cost overruns
Coordinate with medical and nursing education programs for higher quality care
Equalize funding - public health and public services are logical public "safety" priorities
Divert low level offenses to appropriate service agency support
Divert calls for service for low level offenses to appropriate service agency support