180327 Medical Health Care Related Services Organization Updates 4-2022.docx

The Commonwealth of Massachusetts Department of public health

Address: 250 Washington Street

Contact Name: Alafia Spencer

Telephone #: 617-624-5804

Fax #: 617-624-5017

Email: Alafia.spencer@mass.gov

Request for Response (RFR)

Document Title: Medical Services Provided By Organizations

COMMBUYS BID Number: BD-17-1031-ADMIN-ADM07-10814

DPH RFR Document Number: 180327

November 16, 2016

It is the responsibility of the prospective Bidder and awarded Contractor to maintain an active registration in COMMBUYS and to keep current the email address of the Bidder’s contact person and prospective contract manager, if awarded a contract, and to monitor that email inbox for communications from the Purchasing Department, including requests for clarification. The Purchasing Department and the Commonwealth assume no responsibility if a prospective Bidder’s/awarded Contractor’s designated email address is not current, or if technical problems, including those with the prospective Bidder’s/awarded Contractor’s computer, network or internet service provider (ISP) cause email communications sent to/from the prospective Bidder/Awarded contractor and the Purchasing Department to be lost or rejected by any means including email or spam filtering. To register go to www.COMMBUYS.com.

UNSPSC Code: 93-13-17 Object Code: M2M

1.1 Procurement Scope and Description:

The Massachusetts Department of Public Health’s (MDPH), hospitals and bureaus provide a variety of medical services to patients entrusted to the care of the Commonwealth. Contractors, on an as needed basis, are required by the MDPH’s hospitals and bureaus to provide medical services to patients/clients. Only corporations or professional groups employing medical providers are eligible to respond to this RFR.

Providers will work on as-needed basis at individually negotiated hourly rates and will be required to provide technical support to clinical/public health aspects of the program.

The Department reserves the right to add specialists to the list beyond those specialties listed below throughout the duration of the procurement period.

(1) Physician/Dentist Services: Providers are needed in a variety of medical disciplines, including:

(2) Nursing Services: The following nursing or nursing-related services including:

(3) Other Medical Services: Contractors are also needed in a variety of other medical and health related disciplines, including:

1.2 Applicable Procurement Law

Executive Branch Goods and Services

1.3 Whether Single or Multiple Contractors Are Required For Contract(s):

Check One (“X”):

1.4 Calendar Rule Type:

1.5 Acquisition Method:

1.6 Use of a Procurement by a Single or Multiple Departments:

· Additional State agencies may be added as requested The Purchasing Department reserves the right to add or remove additional authorized users during the contract term.

1.7 Expected Duration of Contract:

Anticipated Initial Duration up to: 5 year(s) 0 months;

Anticipated Renewal Options: 1 option to renew for 5 year(s) each option

Final End Date of this Contract: 06/30/2027

1.9 Anticipated Expenditures, Funding Or Compensation For Expected Duration

Check One (“X”):

Will Federal Funds be used to fund any part of Contract(s)?

Funds Balance Forward Requirement for Capital, Trust and Federal Accounts Only: Any funds designated in the budget that are unspent in any fiscal year will not be available for expenditure in the subsequent fiscal year.

2.0 Scope of Services and Specifications

The Massachusetts Department of Public Health’s (MDPH), hospitals and bureaus provide a variety of medical services to patients entrusted to the care of the Commonwealth. Contractors, on an as needed basis, are required by the MDPH’s hospitals and bureaus to provide medical services to patients/clients. Only corporations or professional groups employing medical providers are eligible to respond to this RFR.

Currently the primary users of this RFR are the Bureau of Infectious Disease and Laboratories Services, the four Massachusetts State Hospitals and the Bureau of Health Care Safety and Quality.

2.1 ELIGIBILITY REQUIREMENTS

Only corporations or professional groups employing medical providers are eligible to respond to this RFR. The contractor must ensure that professional licenses and CPR certification necessary for the fulfillment of professional obligations under this agreement are maintained. In the event a provider’s professional license expires during the contract period, s/he will be required to provide a copy of the license renewal to the Department of Public Health hospital contract manager within two weeks after s/he receives the renewal.

Corporations/professional groups applying to work at one of the DPH Hospitals have the following responsibilities:

· Must perform CORI checks on all employees.

· Must provide for their employees’ salaries, any fringe benefits, malpractice insurance, and professional training.

· Must ensure that all employees maintain applicable licensure and CPR certification

· Must maintain documentation of an employee’s annual TB testing

Corporations/professional groups applying to work for other locations within DPH may have the above listed responsibilities mandated, but final requirements will be determined at time of engagement.

2.2 Bureau of Infectious Disease and Laboratory Sciences:

The Bureau of Infectious Disease and Laboratory Sciences protects the residents of the Commonwealth from foodborne illnesses, emerging and re-emerging infections and other communicable diseases through surveillance, education, clinical services and by providing critical test services that include testing for influenza, rabies, tuberculosis, sexually transmitted diseases, and identification of bacteria and chemical contaminants linked to foodborne illnesses. The Bureau is committed to promoting the general health status of residents by increasing access to public health services, reducing health disparities and by ensuring that all individuals are fully immunized.

The Bureau has the following needs:

(1) Tuberculosis Prevention: all aspects of tuberculosis control, including providing medical diagnosis, reviewing and evaluating medical and laboratory records, and other clinical services, including directly observed drug therapy;

(2) Sexually Transmitted Disease Prevention and Control: all aspects of STD control, including medical diagnosis, referral, follow-up services and directly observed drug therapy;

(3) Epidemiology and Immunization: providing medical services in the field of communicable disease epidemiology and surveillance, pandemic preparedness services, and vaccination assistance.

(4) Refugee and Immigrant Health Program: providing outreach health education services to newly arrived refugees, including health care orientation, referral services to health care programs, linkage to public health and social services, directly observed therapy and other follow-up services as needed.

The Bureau of Infectious Disease and Laboratory Sciences is located at 305 South Street, Jamaica Plain, Massachusetts 02130. Medical services will be provided at this location; however additional travel to different sites may be required. In the cases where travel offsite is required Medical providers working for the Bureau of Infectious Disease and Laboratory Sciences may be allowed travel expenses with prior authorization from the Bureau of Infectious Disease and Laboratory Sciences

2.3 MDPH Public Health Hospitals:

The Massachusetts Public Health Hospitals are organized as a system of four multi-specialty hospitals that provide acute and chronic hospital medical care to individuals for whom community facilities are not available or access to health care is restricted. The Public Health Hospitals function as an integral part of the Department and contribute to its commitment to maintain, protect and improve the health and wellbeing of citizens of the Commonwealth. Through a combined focus on delivery of health care services to special populations, education and research, the public health hospitals serve as a catalyst for change in the health care system by developing and modeling new treatment programs and responding to emerging health needs. The four hospitals are:

· Lemuel Shattuck Hospital: provides acute, subacute, and ambulatory care to patients referred primarily by public agencies and private health care providers. It delivers compassionate medical and psychiatric care to patients requiring multi-disciplinary treatment and support which promotes their health, well-being, rehabilitation and recovery. Lemuel Shattuck Hospital is located at 170 Morton Street Jamaica Plain, MA 02130. Services will be provide at this location and no travel expenses will be allowed.

· Pappas Rehabilitation Hospital for Children: provides medical, rehabilitative, recreational, habilitative, transitional, and complementary alternative medical services to children and young adults with multiple disabilities, assisting them to achieve their optimal level of independence in all aspects of life. It serves the more complex medical, educational, rehabilitative and recreational needs of children and young adults with the following conditions: Cerebral Palsy, Muscular Dystrophy and other Neuromuscular Disorders, Myelodysplasia, Spina Bifida, Trauma based disability including brain injury and other congenital or acquired physically debilitating disorders. It is open to Massachusetts children and young adults from ages 8 to 22, who require medical management for a physical disability. Pappas Rehabilitation Hospital for Children is located at 3 Randolph Street, Canton, Massachusetts 02021. Services will be provided at this location and no travel expenses will be allowed.

· Tewksbury Hospital: provide comprehensive treatment, care, and comfort to adults with medical and/or mental illnesses. Tewksbury Hospital operates a 370 bed Joint Commission accredited hospital. Approximately 220 complex chronic medical adult patients reside on seven (7) inpatient units and 150 psychiatric clients reside on five (5) inpatient units. A full range of ancillary services is available at the site, including 24/7 nursing, medicine, and psychiatry as well as clinical laboratory, psychology, radiology, respiratory care, speech pathology, occupational therapy, physical therapy, clinical dieticians, clinical social workers and pharmacy, and on-site dialysis clinic. Tewksbury Hospital is located at 365 East Street, Tewksbury, MA 01876-1998. Services will be provided at this location and no travel expenses will be allowed.

· Western Massachusetts Hospital: provides both acute and chronic hospital care to patients with a variety of chronic diseases and complicated medical conditions, such as: cardiac and pulmonary disease, chronic neurological disorders, complications of strokes, coma of various causes, various infections, gastrointestinal conditions, complicated seizure disorders, dementia's with major behavioral issues, and end stage terminal illnesses of various diagnoses. Western Massachusetts Hospital provides dental and eye care clinics to targeted populations as part of its community benefits program. Western Massachusetts Hospital provides affordable, quality healthcare services that enable patients to reach and maintain their highest physical, mental and spiritual well-being. Western Massachusetts Hospital is a 100 bed long term medical and specialty care hospital owned and operated by the Commonwealth of Massachusetts, Department of Public Health. Western Massachusetts Hospital is located at 91 East Mountain Road, Westfield, Massachusetts 01085. Services will be provided at this location. Services will be provided at this location and no travel expenses will be allowed.

2.4 Bureau of Health Care Safety and Quality

The Department of Public Health’s Bureau of Health Care Safety & Quality is comprised of the Division of Health Care Facilities Licensure and Certification, the Office of Emergency Medical Services, the Division of Policy and Regulatory Affairs, the Division of Quality Improvement and the Determination of Need Program. The primary role of the Bureau is to improve the quality of health care across the Commonwealth, while protecting the safety and welfare of the public by overseeing facilities, personnel, services, and programs through the fair and consistent application of statutes, regulations, and policies. The Bureau leads quality improvement and measurement programs across the continuum of care, and engages in activities supporting a diverse array of sister agencies. The Bureau publicly reports data pertaining to regulated entity operations, and develops, implements, and enforces regulations and policies that assure and promote high quality, cost-effective, safe practices of the entities overseen by the Bureau.

The Bureau has the following needs:

Rapid Response Teams: The Department seeks temporary nurse staffing agencies to provide small teams of 8-10 nurses and certified nursing assistants to provide clinical staffing support at long-term care facilities experiencing COVID-19 or other infectious disease outbreaks. The teams should consist of 3-5 licensed nurses of which at least one should be a registered nurse and 3-5 certified nursing assistants. Staff on these teams are expected to be available to work days, evenings or nights and weekends as well as week days in long-term care facilities including nursing homes, rest homes and assisted living residences. Staff should be up to date with COVID-19 and flu vaccines in accordance with CDC recommendations. Staff should be from out of state or, if residing in MA, not currently working in healthcare in Massachusetts.

CNAs will perform clinical tasks such as supporting resident care needs like bathing, eating, dressing and toileting. Licensed nurses will perform resident assessments oversee CNAs, provide wound care, and administer medications. Staff are expected to provide direct care to residents with infectious diseases such as COVID-19 and so should have a basic understanding of infection prevention and control.

The teams may support long-term care facilities across the state and so the temporary nurse staffing agency must procure hotels for staff, if needed. The teams may also support one facility for 1-2 weeks and then transfer to the next facility in need of support.

2.5 HOSPITALS AND BUREAUS:

Medical Staff Membership and Clinical Privileges Not withstanding any provision of this RFR, the hospital‘s medical staff bylaws, rules and regulations and policies or standards of any accrediting body or professional organization, the medical staff membership and clinical privileges of vendor furnished providers at the applicable Department of Public Health hospital shall terminate simultaneously with the expiration or termination of the contract. Provisions of the hospital’s medical staff bylaws, rules and regulations, and policies of the hospital or its medical staff or standards of accrediting bodies or professional organization, with respect to hearings, appellate reviews, etc., shall not apply.

Agreement of Contractor Furnished Provider The provisions of this contract shall be binding on each contractor r (Corporate or Group) furnished provider. The contractor shall cause each professional to sign a statement that such contactor provider agrees to be bound by the terms and conditions of this contract, including but not limited to the provision for the termination of medical staff membership and clinical privileges. In the event the corporation or group replaces or adds a new employee or associate who shall provide services under this contract, the contractor shall cause such new employee or associate to sign a statement as described above.

Malpractice The contractor shall obtain and maintain at its own expense a policy of professional liability (malpractice) insurance in such form and from such carrier (s) as are deemed satisfactory to the applicable Department Bureau or Hospital, in such amounts as are required by the Bureau or Hospital, covering each of its providers and the Bureau or Hospital as named insureds for the professional services provided by its providers pursuant to the contract. Where possible, the policy shall be written on the basis of occurrences and not claims made. At all times, a current certificate of insurance shall be furnished to the Bureau or Hospital. The contractor shall require its insurance carrier (s) to provide hospital with at least (15) days prior written notice of any cancellation, termination, modification or amendment to such insurance coverage.

For contractors that are corporations or professional groups, DPH reserves the right to review the following information which the contractor must maintain on file:

1. Staffing plans

1. Staffing schedules

1. Staffing polices

1. Competencies

1. Performance evaluations

1. Job descriptions

1. Organizational charts

2.6 DATA AND INFORMATION

Data and information either provided to the contractor or generated by activities under this proposed contract shall be privileged. The contractor shall be restricted from duplicating, using or disclosing such data and information. If the contractor is contracting with a hospital, the contractor must indicate its willingness to comply with the Health Information Portability and Accountability Act (HIPAA) by signing a Business Associate Agreement, as applicable. Contractors applying to bureaus other than the hospitals are required to sign a Confidentiality Agreement (available at the RFR Attachments).

This contract does not include any costs for travel to and from the Department of Public Health bureaus or hospitals. The contractor is responsible for travel costs necessary to arrive at the place of performance.

For environmental purchasing requirements, please see the “Required Procurement Language for Executive Order 515, Establishing an Environmental Purchasing Policy” section of the RFR Standard Required Information document posted at the COMMBUYS Bid Solicitation; File attachment section.

3.0 Performance Requirements and Contract Monitoring

The Department of Public Health is endeavoring to deliver the best value to facilitate our needs. However, it is important to measure the contractor’s performance to ensure the contract is in compliance with what has been requested and what the contractor has offered in this RFR.

The contractor shall ensure that medical providers maintain a satisfactory quality and productivity level of performance. The provider’s performance will be monitored and assessed by the DPH contract manager in conjunction with the Department of Public Health hospital or bureau staff. It is expected that successful candidates of this RFR will possess the ability to work cooperatively as a member of a team.

The following performance areas will be subject to measurement:

1. Timely Delivery (Commodities, Services, Reports, Billing, etc.)

2. Responsiveness to Departmental Inquiries

3. Quality of Deliverables (Commodities, Services, Reports, etc.)

4. Performance Targets/Benchmarks (Quantities, Outcomes, etc.)

5. Attendance at scheduled meetings

The hospital or bureau shall negotiate with contractors any requirements not set forth in the RFR

4.0 Contract Invoicing

The Department of Public Health hospitals will be billed for all billable services. The contractor, having entered into a contract with the Department of Public Health, may not bill a patient’s guarantor for services provided to him/her. Payment will be made in compliance with the Commonwealth’s Terms and Conditions.

The medical provider shall adhere to his/her scheduled hours as established at each of the Department of Public Health hospitals or bureaus. In order to account for the number of hours worked on any day, the provider will be required to sign in at the beginning of each workday and to sign out at the end of each workday in accordance with the method established at each of the Department of Public Health hospitals or bureaus. The contractor shall provide services as needed, supply appropriate documentation for billing purposes and must comply with Medical Staff Bylaws and the administrative policies and procedures of the contracting hospital and/or bureau. As part of the contract process, each hospital or bureau may negotiate conditions specific to its particular needs.

This contract does not include any costs for travel to and from the Department of Public Health State Hospitals.

Medical provider working at Bureau of Infectious Disease and Laboratory Services may be allowed travel expenses with prior authorization from a Commonwealth Agency.

Payment through Electronic Funds Transfer is required for any contract awarded through this solicitation. COMMBUYS Bid Solicitation for this form.

5.0 Evaluation Criteria

Responses will be evaluated using the following criteria:

Supplier Diversity Program (SDP): The Supplier Diversity Program (formerly known as Affirmative Market Program) was established in September, 2010 via Executive Order 524 to promote equality in the state contracting market by ensuring full participation of minority and women owned business enterprises (M/WBEs) in all areas of state contracting including construction, design, goods and services. The Executive Order consolidates the State Office of Minority and Women Assistance (SOMWBA) and Affirmative Market Program (AMP) into a new Supplier Diversity Office (SDO) that is part of the Operational Services Division. Similarly, Executive Order 546 established the Service-Disabled Veteran-Owned Business Enterprise (SDVOBE) Program to encourage the participation of businesses owned and controlled by service-disabled veterans in all areas of state procurement and contracting, thereby including them in the SDP. The essence of both Executive Orders is to provide policies to promote the award of state contracts in a manner that develops and strengthens certified Minority and Women Business Enterprises (M/WBEs) and Service-Disabled Veteran-Owned Business Enterprises (SDVOBEs), because a diverse business community strengthens the economy and is beneficial to all of the citizens of the state.

Additional information about SDP can be found in the Supplier Diversity Program (SDP) Plan section of the “Additional Requirements” document found on the COMMBUYS Bid Solicitation. The Supplier Diversity Program (SDP) Plan Commitment & Declaration of SDP Partner(s) form can be found at the COMMBUYS Bid Solicitation.

The SDP plan counts for 10% of the total proposal review score. Unless there are documented extenuating circumstances, no contract will be executed with a provider unless a percentage commitment of the contract amount has been made with at least one SDP-certified business.

Prompt Payment Discounts (PPD) All bidders responding to this procurement are strongly encouraged to participate in the Commonwealth Prompt Payment Discount (PPD) initiative for receiving early and/or on-time payments. PPD benefits both contractors and the Commonwealth. Contractors benefit by increased, usable cash flow as a result of fast and efficient payments for commodities or services rendered. Participation in the Electronic Funds Transfer initiative further maximizes the benefits with payments directed to designated accounts, thus eliminating the impact of check clearance policies and traditional mail lead time or delays. The Commonwealth benefits because contractors reduce the cost of products and services through the applied discount. Payments that are processed electronically can be tracked and verified through the Comptroller’s Vendor Web system. The PPD form can be found on the OSD Forms page and in this solicitation at the COMMBUYS Bid Solicitation.

6.0 Estimated Procurement Calendar

The BID opening date (Deadline for Submission of Response) All responses to be submitted directly to perspective state hospital or to the Bureau of Infectious Disease and Laboratory Sciences 06/30/2027 **Mail response directly to contact person of State Hospitals or BIDLS

7.0 Instructions for Submission of Responses

Responses must be submitted directly to the appropriate contact person listed below.

Vendors need only apply once to the hospital or bureau in which they want to provide services. If approved to contract for the hospital of their choice the provider will be eligible to contract at other Department of Public Health State Hospitals

Fax: (617) 971-3854 Fax: (781) 830-8323 Alison MacNeil

* Applications regarding Rapid Response Teams can be mailed directly to the contact below.

Bureau of Health Care Safety and Quality 67 Forest Street Marlborough, MA 01752 Attn: Kim Schippers

** Applications regarding Vaccinations related to the COVID 19 public health emergency can be emailed directly to the contact below.

Bureau of Infectious Disease and Laboratory Sciences 305 South Street Jamaica Plain, MA 02130

(617) 983-6225 Eva Beurs Eva.beurs@mass.gov

ADD BHCQ Contact and Address

In addition to the forms listed in CommBuys, bidders must submit the following documentation with their bid response:

1. A copy of each employee’s orientation.

1. A statement indicating that your organization performs CORI checks on all employees

1. A statement indicating annual professional training and competency information will be provided

1. A statement indicating that all employees must maintain licensure and CPR certification. A copy of the license and CPR certification will be required of the individual reporting for work.

1. A statement indicating that your organization maintains documentation of your employees’ annual TB testing and/or Hepatitis B Vaccine consent/ decline form

1. An updated rate sheet, indicating time and a half for holidays. Please list the observed holidays, including when the holiday starts and when it ends.

1. Shift schedules, including nights and weekends (when shifts begin and when they end)

1. A certificate of liability insurance.

Depending on the specialties or disciplines sought by the hospitals or bureaus, additional information may be requested.

8.0 RFR Attachments:

The forms listed on the COMMBUYS Bid Solicitation for this RFR must be submitted with your response where indicated.

To assist bidders in identify the purpose of the attachments for this procurement; the forms posted on the COMMBUYS attachment section have a prefix according to the following chart:

Must complete and return document with application

complete and sign in blue ink as instructed in the RFR

the application.

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