1038545-event.pdf

29 July 2022

Early Assessment And Support Alliance (EASA) Psychiatric Services The Multnomah County is seeking Proposers from whom it may purchase Psychiatric services. Services are intended to assist young people ages 12 to 27 who reside in Multnomah County.

29 July 2022

Released 12/3/2021 7:50 AM PST Type Request for Proposal (RFP) Open 12/3/2021 8:00 AM PST Number RFP-52-2022 Close 1/24/2022 4:00 PM PST Currency US Dollar

Sealed Until 1/24/2022 4:00 PM PST Payment Terms 0% 0, Net 30

29 July 2022

Contacts Jimmy Chao jimmy.chao@multco.us

Phone +1 503-988-9808 ext. 89808

29 July 2022

Commodity Codes Commodity Code Description 85101504 Psychiatric Hospital 85121600 Medical Doctors/Specialist Services 99070217 Mental Health Access 99070220 Mental Health Services 99070221 Outpatient Services

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PREPROPOSAL MEETING:

RFP-52-2022 EASA Pre-Proposal Conference Thursday, December 16, 9:00 AM. Pacific Time.

Google Meet joining info Video call link: https://meet.google.com/gka-jmnp-pxi Or dial: (US) +1 347-486-7237 PIN: 828 174 445# More phone numbers: https://tel.meet/gka-jmnp-pxi?pin=1260063535963 Attendance is Optional.

INSTRUCTIONS TO PROPOSERS:

1. All questions will be answered in the text boxes provided after each question.

2. Except as noted below, no other uploaded documents will be reviewed or evaluated.

ITEMS TO UPLOAD:

1. Attachment 1, BUDGET FOR PSYCHIATRIC SERVICES. See Question 2.1.7

SERVICE DESCRIPTION, FUNDING AND CONTRACTING INFORMATION

PURPOSE AND OVERVIEW

The Multnomah County Department of Health, Behavioral Health Division, Early Assessment and Support Alliance (EASA) program is seeking Proposers from whom it may purchase Psychiatric services. Services are intended to assist young people ages 12 to 27 who reside in Multnomah County, who have experienced a first episode of psychosis within the last year or whose symptoms are consistent with psychosis risk syndrome, and whose symptoms are not caused by a medical condition or substance abuse.

The Multnomah County EASA program was established in 2007 and has been offering psychiatric services for 14 years. The EASA team is a multi disciplinary team of professionals specifically trained in early psychosis work. Major service components include:

Assessment, diagnosis and treatment planning by mental health professionals specifically trained in early psychosis work

Outreach and engagement Education and support for individuals and families/primary support systems Crisis and relapse planning Peer support services Vocational and Educational services Case management Group, family and individual counseling Medication management Nursing services Occupational therapy

INTRODUCTION AND PROGRAM HISTORY

EASA is an outreach and treatment program for young people who have experienced their first episode of psychosis within the last year or whose symptoms are consistent with psychosis risk syndrome, and whose symptoms are not caused by a medical condition or substance abuse.

EASA was formed in Oregon in 2001 as the Early Assessment and Support Team (EAST) in the Salem area.

In 2007 the model was expanded to Multnomah and 10 other counties with grant funding from the Department of Human Services. Currently, Multnomah EASA partners with the EASA Center for Excellence to provide evidence-based and community-based intensive outpatient service regardless of ability to pay.

GOALS, VALUES AND OTHER IMPORTANT CONSIDERATIONS

The EASA program aims to provide strengths-focused, evidence-based support to teens and young adults experiencing the early signs of psychosis. The goal is to prevent the long-term disability associated with

Description schizophrenia and related conditions. The mission of EASA is to keep young people with the early signs of psychosis on their typical life paths, by:

Fostering self sufficiency by supporting vocational and educational goals Building community awareness Increasing skills for management of symptoms through traditional and nontraditional approaches Increasing social, vocational and family supports and Offering easily accessible, effective treatment and support through a network of trained community members and highly skilled clinicians using the most current evidence-based practices

EASA, along with the larger Multnomah County Behavioral Health Division, values equity, inclusion, and cultural responsiveness. The County expects the contractor to incorporate social equity innovation and anti-racist practices into their service delivery.

TARGET POPULATION SERVED

Multnomah EASA serves young people ages 12 to 27 who reside in Multnomah County, who have experienced their first episode of psychosis within the last year or who have symptoms consistent with psychosis risk syndrome and whose symptoms are not caused by a medical condition or substance abuse.

GEOGRAPHIC BORDERS/LIMITATIONS & SERVICE AREAS

Services are restricted to those who meet the target population requirements and reside in Multnomah County.

FUNDING

The Services for this contract are funded by MHS 26 grant from the State of Oregon. Multnomah County Behavioral Health Division (BHD) has budgeted a total of $169,460.00 for the first year of service.

Subsequent budget will be determined annually.

Funding of the work described in this RFP is not guaranteed. Fluctuations in funding year to year should be expected. The County cannot assure that any particular level of work will be assigned and the contract will permit the County to add or remove work as necessary depending on availability of funding.

MATCH REQUIREMENTS

Not Applicable to this procurement.

SCOPE OF SERVICES

Awarded proposer shall provide services as listed below.

a. Provide direct medically appropriate psychiatric services, provided by a psychiatrist licensed in the state of Oregon, including: medication management services, psychiatric evaluation, psychiatric consultation, community education, and other psychiatric services/consultation as required by the fidelity scale for the Early Assessment and Support Alliance (EASA) Treatment Program. Psychiatric services will be provided for ages 18-27. Experience with ages 12-27 is preferred.

b. The BHD Medical Director will provide administrative supervision to the consulting psychiatrist(s). The frequency and scheduling of mutually acceptable administrative supervision will be determined during contract negotiations.

c. Provides consultation with EASA team members for both referred and enrolled individuals.

d. Actively participates in team meetings, program development and equity work, as an integrated member of the EASA team.

e. Maintain service capacity for the EASA Treatment Program at the level equivalent of a 0.5FTE psychiatrist.

f. Documents all assessments, treatment services and medication management (“clinical documentation”) provided to EASA clients in the County Electronic Health Record.

FISCAL REQUIREMENTS AND REPORTING

Fiscal requirements and reporting will be negotiated during contract negotiation and mutually agreed upon between Multnomah County and the awarded proposer.

PERFORMANCE MEASURES/PERFORMANCE CONTRACTING

Final performance measures will be negotiated and determined during contract negotiation between Multnomah County and the awarded proposer.

Outcome measures included but are not limited to:

ACORN outcome measures: https://acorncollaboration.org/ State EASA Fidelity measures:

http://www.easacommunity.org/PDF/Practice%20Guidelines%202013.pdf

CONTRACT NEGOTIATION

The County will initiate contract negotiations with the responsive and responsible Proposer with the highest scoring proposal. Multnomah County may, at its option, elect to negotiate general contract terms and conditions, services, pricing, implementation schedules, and such other terms as the County determines are in the County’s best interest. If negotiations fail to result in a contract, the County reserves the right to terminate the negotiations and initiate contract negotiations with the next highest scoring responsive and responsible Proposer. This process may continue until a contract agreement is reached.

CONTRACT AWARD

Multnomah County strongly encourages the participation of Minority-Owned, Women-Owned, and Emerging Small Businesses and Organizations in providing these services.

Through this RFP process, the County is seeking to award one contract. Award, as determined by the County, will be made to the responsible Proposer whose Proposal the County determines is most advantageous to the County based on the evaluation process and evaluation factors described in this RFP.

CONTRACT TERM

Fixed term. This RFP will result in a fixed term contract for a contract period of five (5) years and annual funding is to be determined by BHD. BHD reserves the right to withdraw this RFP at any time, re-issue a subsequent RFP, or terminate the resulting contract, if any, at any time.

COMPENSATION AND METHOD OF PAYMENT

Payment Terms and Reports. Services are paid on a monthly allotment basis and determined by mutual agreement during contract negotiation.

COOPERATIVE PURCHASING

Not applicable to this Procurement.

INSURANCE REQUIREMENTS

The Proposer awarded a Contract as a result of this RFP will be required to provide the insurance described in Exhibit 2 of the attached Multnomah County Services Contract.

http://www.psychoutcomes.org/ http://www.easacommunity.org/PDF/Practice%20Guidelines%202013.pdf http://www.easacommunity.org/PDF/Practice%20Guidelines%202013.pdf

Exhibit 2 of the attached Sample Contract reflects the minimum insurance required of a Contractor to provide this service. Additional insurance coverage may be required depending on the key features of service delivery chosen by the Contractor. Final insurance requirements will be subject to negotiation between, and mutual agreement of, the parties prior to contract execution.

Minimum insurance requirements:

Per OccurrenceType of Insurance Amount

Professional Liability $2,000,000 $1,000,000

Commercial Gen. Liability $2,000,000 $1,000,000

Commercial Auto Liability NA NA

Workers Compensation Required per ORS 656.017; no less than $500,000

JOINT PROPOSALS

Not applicable to this procurement.

MULTIPLE OR ALTERNATE PROPOSALS

Not applicable to this procurement.

MINIMUM REQUIREMENTS :

At the time of proposal submission, Proposers must meet the following minimum requirements. Failure to provide any of the required documents or meet any of the below requirements shall result in rejection of the proposal.

The Proposal response must be received by Multnomah County Purchasing no later than 4:00 pm. local Portland time on the proposal submission deadline.

Proposer Representations and Certifications o The Proposer must certify that they agree to the Proposers Representation and Certification terms in the Prerequisite page of the Sourcing Event.

At the time of Contracting, Proposers must meet the following minimum requirements. Failure to provide any of the required documents or meet any of the below requirements shall result in cancellation of the contract.

1. Proposers must be legal entities, currently registered to do business in the State of Oregon (per ORS 60.701).

2. Proposers must submit verification that all insurance requirements are met.

3. Proposers must have a completed Pre-Award Risk Assessment if federal funds are used for this procurement.

4. The awarded proposer at time of contracting will provide to the County a copy of their valid certification for the services described in the Description Section above.

IMPORTANT:

Suppliers who do not currently have access to the Multco Marketplace Supplier Portal will need to complete the "MMP Supplier Access Request Form". The optimal time to submit the "MMP Supplier Access Request Form" to gain access to participate in a formal Sourcing Event (RFP, RFPQ or ITB) is 14 days. This will allow the County sufficient time to review your request and for you, the supplier, to access the Sourcing Event and to perform the actions needed before the event close date.

https://solutions.sciquest.com/apps/Router/SupplierLogin?CustOrg=Multnomah

Required to View Event

Prerequisites Required to Enter Bid

29 July 2022

1. Proposer/Bidder agrees to receive all correspondence electronically and are responsible for keeping their supplier portal updated with current contact information.

2. Please review the statements in this certification regarding Assurances, Certification Regarding Debarment, Suspension and Other Responsibility Matters and Certification Regarding Conflict of Interest.

3. CONFIDENTIALITY - Please read the statutory requirements in the prerequisite link.

4. VACCINE ATTESTATION - Please read the vaccine attestation requirements in the prerequisite link.

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Buyer Attachments

1. Procedural Instructions (Proposals)

2. How to Complete and Submit a Response to a Sourcing Event - MMP Supplier Guide

3. Sample County Services Contract

4. Attachment H-1

5. Sample Exhibit 2

6. Sample Exhibit 3 - Certification Statement for Corporation or Independent Contractor.docx

7. Sample Exhibit 4

8. Sample Exhibit 5 - Equal Employment Opportunity Certification Statement

9. Contracting and Procurement for Culturally Specific and Responsive Services, 2017 attached to the Bu

29 July 202229 July 202229 July 202229 July 202229 July 202229 July 2022 https://s3.amazonaws.com/solutions-selectsite-documents/Sourcingevent/1038545-817777238Procedural%20Instructions_Proposals%2006.26.19%20%281%29.pdf?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1722191113&Signature=XM2bsGMV7FjdnVBgrumj7ZivlEI%3D https://multco.us/file/73233/download https://s3.amazonaws.com/solutions-selectsite-documents/Sourcingevent/1038545-668245753Sample%20county_services_contract_final_1.1.17.%20%285%29.pdf?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1722191113&Signature=M9q2zEkGSu%2BkWFd8B2Mj02S6n1E%3D https://s3.amazonaws.com/solutions-selectsite-documents/Sourcingevent/1038545-733772956Attachment%20H-1%20HIPAA%20Business%20Associates%20Agreement.pdf?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1722191113&Signature=66ysKc6Ecqq8nuS%2BeeTaATJxvxM%3D https://s3.amazonaws.com/solutions-selectsite-documents/Sourcingevent/1038545-668245510Sample%20Exhibit_2_-_4-7-15_final.pdf?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1722191113&Signature=7XiaUd%2FQNg%2FEs0ezX%2Bq5RSqWpVU%3D https://s3.amazonaws.com/solutions-selectsite-documents/Sourcingevent/1038545-1132932584Sample%20Exhibit%203%20-%20Certification%20Statement%20for%20Corporation%20or%20Independent%20Contractor.docx?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1722191113&Signature=GnBQArgFxFSQtbGgsfqbVyXolTE%3D https://s3.amazonaws.com/solutions-selectsite-documents/Sourcingevent/1038545-668245512Sample%20Exhibit_4_-_workers_comp_exemption_certificate_08_20_13.pdf?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1722191113&Signature=%2B9Vv7Sjyl2vXtOQa%2FFYQ3JmMEAM%3D https://s3.amazonaws.com/solutions-selectsite-documents/Sourcingevent/1038545-668245513Sample%20Exhibit_5_-_Equal%20Opportunity.pdf?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1722191113&Signature=y3PBKYCZ%2BV45mUKizSbpWEKQwdk%3D https://s3.amazonaws.com/solutions-selectsite-documents/Sourcingevent/1038545-703302469ContractingProcurement_CulturallySpecific_GuidanceDoc_FINAL.pdf?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1722191113&Signature=DvTSEI%2FueFRdEvykpKrxj6YSPqY%3D

Questions Required Questions

Group 1.1: Company Certification Information - This section is not scored Instructions:

1.1.1 State of Incorporation

1.1.2 Date of Incorporation

1.1.3

ASSURANCES - Proposer attests that Proposer is either a non-resident proposer or a resident proposer, as described in ORS 279A.120, of the State of _________ and has not discriminated against any minority, women, or emerging small business enterprises certified under ORS 200.055 or a business enterprise that is owned or controlled by or that employs a disabled veteran as defined in ORS 408.225 in obtaining any required subcontracts, in accordance with ORS 279A.110. Enter state of residency here:

1.1.4 Where Proposer is unable to certify to any of the statements in Proposer Representations and Certifications of the pre-requisite, Proposer shall provide an explanation to their offer here.

1.1.5

The Proposer certifies to the best of its knowledge and believe that neither it nor any of its principal participants and agents has or has had the following relationships with the specific firm(s)/individual(s), identified in this sourcing event, which may be determined to be an organizational conflict of interest. I understand that based on the information provided by Proposer, Multnomah County may exclude the Proposer from further consideration and may withdraw its selection if the real or apparent organizational conflict of interest cannot be avoided or mitigated. Proposer further certifies that the degree and extent of the relationship of the Proposer with these named firm(s)/individual(s) will be fully disclosed:

1.1.6 Upload additional explanation as needed

1.1.7 Name of person submitting the Proposal:

1.1.8 Title of person submitting the Proposal:

1.1.9 I represent that I am at least eighteen (18) years of age.

1.1.10 I represent that the printing of my name and the submittal of a Proposal is intended to authenticate this writing and to have the same force and effect as my manual signature.

1.1.11 I represent that I am either authorized to bind the Proposer, or that I am submitting the Proposal on behalf of and at the direction of the Proposer's representative authorized to contractually bind the Proposer.

1.1.12 I represent that the Proposer and/or its applicable representative(s) has reviewed the information contained in this Proposal and that the information submitted is accurate.

Group 2.1: Programmatic Questions (75%) Instructions:

2.1.1

2.1.1. Organizational Background: Part 1: Please describe your organizational mission.

What is your organization structure and governance? Provide details on services your organization provides and how it aligns with the services sought in this RFP?

Evaluation Criteria:

Provided organizational mission statement· Clearly defined organizational and governance structure (12.5% of the Programmatic questions)

2.1.2

2.1.2. Organizational Background: Part 2: State your qualifications and experience in providing Psychiatric Services. What qualifies you to provide the services that you are proposing? Describe your organization’s accountability systems, including any fiscal and risk management practices. Evaluation Criteria:

Demonstrated experience and/or success providing services for identified population.

Specifically describes qualifications/accomplishments.

Clearly identified practices for organizational stability, accountability.

(12.5% of the Programmatic questions)

2.1.3

2.1.3. Target Population: Part 1: Describe your organization’s experience providing services specifically to young adults ages 12 to 27 who have experienced a first episode of psychosis or who have symptoms consistent with psychosis risk syndrome.

Evaluation Criteria:

Demonstrated experience delivering outpatient mental health services to young adults using a trauma informed and strengths based lens (12.5% of the Programmatic questions)

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2.1.4

2.1.4. Target Population: Part 2: Describe unique challenges serving young adults, who may have developmental disabilities, drug and alcohol issues, homelessness, emerging independence, and psychosis. Describe how you will effectively provide services to the target population within the County. Evaluation Criteria:

Demonstratedclearunderstandingofchallengesservingyoungadultswith psychotic disorders Clearly identifies strategies used to address needs of EASA target population.

(12.5% of the Programmatic questions)

2.1.5

2.1.5. Staffing and Development: Describe organizational plans and goals for recruitment and retention of qualified and racially diverse staff. Evaluation Criteria:

Identifies a clear recruitment, training, and retention plan for diverse and racially diverse staff Includes background checks for paid staff Defines process to assure proper credentialing. (20% of the Programmatic questions)

2.1.6

2.1.6. Plan of Implementation:

Describe your organization's current implementation or plan for implementation for community psychiatric services providing consultation and psychiatric review including:

medication management services, psychiatric consultation, community education, and other psychiatric services/consultation. Evaluation Criteria:

Describes current implementation or plan for implementation of psychiatric services in community. (20% of the Programmatic questions)

2.1.7

2.1.7. Budget:

Submit a line-item budget (use your agency format) describing your costs for providing these services, including the number of clients to be served and indicate the compensation method requested (i.e. cost reimbursement or fee-for-service). Upload file in Supplier Attachment section and label file as Attachment 1, BUDGET FOR PSYCHIATRIC SERVICES (limit 2 pages). Evaluation Criteria: Proposer provides a relevant budget. (10% of the Programmatic questions) .

Group 2.2: Responsible Business Practice Questions (25%)

Instructions:

Our vendors are an integral part of the societies and communities in which they operate. Their influence extends to the employees they depend upon, the environment from which they draw their resources and the marketplace in which they participate. Multnomah County seeks to conduct business with vendors who demonstrate responsible business practices through sustainable innovations.

2.2.1

2.2.1. Environmental Considerations:

Please specify the environmental considerations in your organization's sustainable business practices. These may include, but are not limited to a formal sustainability program and/or policies covering recycling measures; energy and/or water conservation; and a green cleaning policy, or other actions that promote environmental conservation. Evaluation Criteria:

Proposer provides specific sustainable business practice with examples and details of environmental practices or plans related to their sustainable business practices. (40% of the Responsible Business Practice Questions)

2.2.2

2.2.2-Social Equity- Part 1-The County is committed to extending contracting opportunities to businesses that demonstrate a commitment to social equity in the areas of hiring, workforce development, business practices, and service delivery. How does your organization demonstrate its commitment to racial equity, diversity and inclusion? How does your rganization promote anti-racist practices in staff development and in your scope of services? Evaluation Criteria: Provide summary of organizations mission and how it reflects commitment to equity and demonstrates that they track outcomes related to equity Proposer describes efforts used to promote anti-racist practices in scope of services such as projects, initiatives, mentoring, training, and/or professional development opportunities and shows integration of community/client voice.

(20% of the Responsible Business Practices)

2.2.3

2.2.3 Social Equity Part 2: Describe the expectations for staff to ensure program equity goals are met. Describe the process(es) used to recruit staff from under-represented communities Evaluation Criteria:

The proposer shall describe in detail expectations for staff around meeting equity goals Proposer describes process(es) used to recruit staff from marginalized communities into the organization or agency. (20% of the Responsible Business practices)

2.2.4

2.2.4. Economic Development:

Staff Support & Workforce Development – Please describe your organization’s policies, supports and practices that provide a positive work environment for members of your staff. Please include staff benefits and other workforce development supports that you offer. Evaluation Criteria:

Proposer describes process(es) used to recruit staff from marginalized communities into the organization or agency. (20% of the Responsible Business Practice Questions)

Group 2.3: Labor Harmony (This section is not scored) Instructions:

2.3.1 The County values agencies that work to prevent labor disputes, which may lead to work stoppages or adversely impact the ability of our programs to achieve intended outcomes. Please indicate if your Agency is committed to avoiding labor disputes that disrupt services by checking the appropriate box.

2.3.2 If your organization has standard practices and policies that uphold this principle, such as a labor harmony agreement or a collective barging agreement, please attach with your submission as a separate file.

Product Line Items Product Line Items

There are no Items added to this event.

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Service Line Items Service Line Items

1.

# Item Name, Commodity Code, Description Allow

Alternates Qty. UOM Requested Service Delivery

S1 Do Not Complete - ADMN 1

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