New Hampshire Department of Health and Human Services Overdose to Action (OD2A) Clinician and Health System Engagement

Appendix A – Scope of Services

RFP-2027-DPH-09-OCHSE

Contractor Initials __________

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The final Scope of Services is subject to modification based on the proposal submitted by the selected Vendor

Scope of Services

1. Statement of Work

1.1. The Contractor must provide statewide academic detailing and operational support to healthcare organizations to reduce prescription drug-related harms, including opioid misuse. The Contractor must ensure:

1.1.1. Academic detailing sessions include evidence-based educational materials, assessment of a provider’s current knowledge, actionable messages that support adoption of best practices, monitoring, and evaluation of academic detailing outreach and outcomes.

1.1.2. Operational support includes direct, practical assistance that assists providers with integrating evidence‑based practices into daily workflows.

1.1.3. Services promote safe pain management, strengthen patient linkage to care and treatment, and include the development and delivery of resources and academic detailing for providers.

1.1.4. Academic detailing sessions, materials, resources, and related content are submitted to the Department for review and approval prior to dissemination.

1.2. The Contractor must participate in a project kick-off meeting with the Department, within ten (10) business days of the Effective Date of the Agreement, to review:

1.2.1. Contract requirements,

1.2.2. Criteria for development of the initial Work Plan,

1.2.3. Performance measures,

1.2.4. Required report formats, and

1.2.5. Project timelines.

1.3. The Contractor must submit an initial Work Plan and timeline to the Department for approval within ten (10) business days following the project kick-off meeting.

The Work Plan must define goals, objectives, activities, deliverables, and due dates. The Contractor must obtain Department approval before implementing any changes to the Work Plan or associated timelines.

Academic Detailing Sessions

1.4. The Contractor must implement academic detailing, consisting of structured provider‑education sessions that deliver evidence‑based guidance and practice‑change support to participants through a one-on-one model delivered

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1.5. Through State Fiscal Year 2028, the Contractor must engage at least 300 providers for academic detailing sessions, across a minimum of 100 practice settings that serve individuals at risk for substance use disorder (SUD) or prescription-drug-related harms. These practice settings include, but are not limited to:

1.5.1. Community health centers.

1.5.2. Recovery community organizations.

1.5.3. Emergency departments.

1.6. The Contractor must document each academic detailing session, including the date, provider type, practice setting, topics covered, resources provided, and follow‑up actions required.

1.7. The Contractor must use reports and epidemiological data identified by the Department to develop a localized prioritization plan, which must be submitted to the Department annually for approval and will be used to determine scheduling for academic detailing sessions.

1.8. The Contractor must ensure that academic detailing employes a train-the-trainer approach and be adapted for each practice setting served, including primary care, specialty care, behavioral health, pharmacies, urgent care clinics, emergency departments (EDs), and Recovery Care Organizations (RCOs).

1.9. The Contractor must offer a minimum of twenty (20) one (1)-hour Continuing Education Unit (CEU)-approved academic detailing training sessions at community and healthcare agencies within one (1) year of the Effective Date of the Agreement.

1.10. The Contractor must assess operational support needs of providers during academic detailing sessions and through post-academic detailing evaluations, which include a one (1) month follow-up assessment.

1.11. The Contractor must acknowledge operational support requests within one (1) week of receiving requests.

Academic Detailing Materials

1.12. The Contractor must develop or adapt academic detailing resources, such as provider reference materials, patient education tools, and related training materials, pilot test these materials with a range of audiences across practice settings and refine them based on feedback to ensure they are appropriate for each practice location.

1.13. The Contractor must ensure program planning, resource development, and the delivery of academic detailing services are consistent with the National Resource Center for Academic Detailing (NaRCAD) evidence-based

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1.14. The Contractor must ensure that all materials and academic detailing sessions developed under the resulting Agreement are accessible and comply with applicable state and federal accessibility standards.

1.15. The Contractor must review and update all training and academic‑detailing session materials at least annually to ensure alignment with current evidence‑based guidelines.

1.16. The Contractor must develop or adapt academic detailing materials, session curricula, and related resources on the following content areas:

1.16.1. Safe opioid prescribing for acute and chronic pain, including dosage limits, duration, Prescription Drug Monitoring Program (PDMP) checks, tapering, withdrawal management, and disposal;

1.16.2. Buprenorphine and naloxone protocols;

1.16.3. Non‑opioid medication, non‑pharmacologic pain management strategies, and complementary and alternative evidence-based interventions for acute and chronic pain management.

1.16.4. Universal Substance Use Disorder (SUD) screening tools, including Screening, Brief Intervention, and Referral to Treatment (SBIRT);

Tobacco, Alcohol, Prescription medication, and other substance use (TAPS); and Screening to Brief Intervention (S2BI).

1.16.5. Harm‑reduction practices, including strategies to engage clients who use prescription drugs in reducing prescription-drug-related harms and dependence.

1.16.6. Effective support for clients starting or currently engaged in SUD treatment.

1.16.7. Referral pathways, including linkage-to-care information regarding ED protocols, referrals to specialized care, and law enforcement and first responder resource awareness.

Group/Meeting Facilitation

1.17. The Contractor must facilitate advisory group meetings, as needed, with Department-selected experts in opioid use disorder, harm reduction, and practice change to guide program implementation and quality improvement.

1.18. The Contractor must meet with the Department on a monthly basis to discuss meeting and call schedules, activities, budgets and/or performance measures.

The Contractor must collaborate with the Department to assess joint progress toward objectives and activities on a monthly basis and to support the Department in sharing products related to grant activities.

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1.19. The Contractor must provide biweekly case conferencing sessions with up to ten (10) participants to share opioid-prescribing guidelines and to support the implementation of non‑opioid and non‑pharmacologic pain management through operational support.

1.20. The Contractor must facilitate biweekly internal team meetings to review topics including statewide training coverage, provider engagement, academic detailing, operational support, evaluation, and any outreach modifications.

Evaluations and Assessments

1.21. The Contractor must develop and provide evaluations of academic detailing sessions that include, but are not limited to:

1.21.1. Site feedback and evaluation, including pre- and post-session evaluations.

1.21.2. Follow-up and operational support needs assessments within one (1) month of academic detailing session.

1.22. The Contractor must send academic detailing session evaluations and operational support evaluations to participants via email. The Contractor must:

1.22.1. Send a minimum of two (2) e-mail reminders to participants who have not completed the program evaluations, requesting that the evaluations be submitted.

1.22.2. Contact non-responding participants by telephone to request completion of evaluations if the evaluation response rate falls below 80%.

1.23. The Contractor must implement a multi-level evaluation framework that measures:

1.23.1. Reach and engagement of academic detailing services;

1.23.2. Knowledge and evidence-based resource material dissemination

1.23.3. Implementation of recommended practices; and

1.23.4. System-Level impacts, including Return on Investment (ROI) and whether changes result in measurable improvements in prescribing patterns, care utilization, and cost avoidance.

1.24. The Contractor must conduct a process evaluation to measure the progress of the project on Department goals and objectives, as well as to collect program data that includes but is not limited to:

1.24.1. The numbers, types, and locations of sites and participants enrolled.

1.24.2. Session attendance.

1.24.3. Follow-up operational support requests and sessions.

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1.25. The Contractor must conduct outcome evaluations to measure short, intermediate, and longer-term effects of the academic detailing sessions, measuring changes in participant knowledge through surveys conducted pre-, post-, and at a one‑month follow‑up.

Staffing

1.26. The Contractor must hire, train, and supervise staff in the following roles:

1.26.1. Project Director,

1.26.2. Project Coordinator and Evaluator,

1.26.3. Institute of Health Policy & Practice (IHPP) Evaluation Expert,

1.26.4. Project Support Expert, and

1.26.5. IHPP Provider Engagement Expert.

1.27. The Contractor must ensure continuous staffing for all required roles and must notify the Department within five (5) business days of any staffing vacancy or change in staffing. The Contractor must ensure that all proposed replacement staff are submitted to the Department for approval prior to the individual assuming their duties.

1.28. The Contractor must retain at least three (3) academic detailers who each participate in a two (2)-day session that includes mock academic detailing sessions.

Additional Requirements

1.29. The Contractor must coordinate with other Department‑supported initiatives, as directed by the Department, to ensure aligned messaging, prevent duplication of effort, and promote consistent statewide practices. Coordination may include aligning outreach to shared audiences, sharing or adapting materials developed under this contract, and providing training that complements related Department initiatives. These initiatives may include:

1.29.1. NHHRC Care Navigator Expansion,

1.29.2. NHHRC overdose prevention supply distribution,

1.29.3. NH Care Connections (UniteUs),

1.29.4. The Naloxone Saturation Policy Workgroup,

1.29.5. PDMP Compliance, and

1.29.6. Other initiatives, as directed by the Department.

2. Reporting

2.1. The Contractor must complete and submit the following reportable data, in the frequency specified, in a format approved by the Department:

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2.1.1. Monthly summaries of reach, fidelity, and early outcomes, including as applicable, the number, type, and location of academic-detailing engagements; session topic, format and adaptations; early indicators of practice change; and any additional measures approved by the Department.

2.1.2. Quarterly data, including the number of individuals and practice settings that received academic-detailing sessions, stratified by profession type and county.

2.1.3. Quarterly outcome and return on investment (ROI) reports aligned with Section 1.23.4

2.1.4. A final evaluation report within 45 business days of the end of the project period, summarizing:

2.1.4.1. Provider engagement and reach;

2.1.4.2. Effectiveness of academic detailing session/knowledge retention;

2.1.4.3. Provider implementation of academic detailing session knowledge;

2.1.4.4. System-level impact;

2.1.4.5. Lessons learned and recommendations for sustainability and scalability; and

2.1.4.6. Updates to the approved Work Plan, if applicable, including explanation for any deviations.

2.1.5. The Contractor may provide other data metrics that enable the Department to track practice changes with respect to opioid prescribing, SUD screening, and SUD treatment as requested or approved by the Department.

2.1.6. The Contractor must provide key data in a format and at a frequency specified by the Department for the following performance measures:

2.1.6.1. The Contractor must ensure 80% of the academic

detailing sessions result in follow up operational support, specific to the use of opioid prescribing guidelines and non-opioid medications or non-pharmacologic treatment for pain management.

2.1.6.2. The Contractor must ensure 80% of operational support sessions result in evaluation results that reflect an intended change in practice to integrate harm reduction strategies into client services.

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2.1.6.3. The Contractor must ensure at least 80% of academic

detailing sessions result in documented follow-up operational support.

2.1.6.4. The Contractor must ensure at least 70% of academic

detailed providers demonstrate measurable implementation of at least one evidence-based practice within 90 days.

2.1.6.5. The Contractor must ensure at least 60% of practices demonstrate a measurable improvement in at least one prescribing or referral metric within six months.

2.1.6.6. The Contractor must ensure 40% of academic detailing sessions occur in areas in the localized prioritization plan, as referenced in Section 1.7

2.1.6.7. The Contractor must ensure at least one ROI or cost-avoidance indicator is documented and reported annually.

2.1.6.8. The Contractor must measure and report the degree to which academic detailing session and operational support recommendations are adopted and sustained, including:

2.1.6.8.1. Percentage of academic detailed providers

who:

2.1.6.8.2. Implement opioid prescribing

guideline changes (e.g., dosage limits, duration, PDMP checks).

2.1.6.8.3. Increase use of non-opioid or

non-pharmacologic pain treatments.

2.1.6.8.4. Adopt standardized screening

tools (e.g., SBIRT).

2.1.6.8.5. Increase referrals to SUD

treatment, medications for addiction treatment (MAT), or harm reduction services.

2.1.6.8.6. Measurement methods, which may include:

2.1.6.8.7. Structured follow-up surveys at

30, 90, and 180 days post-academic detailing session.

2.1.6.8.8. Self-reported implementation

checklists.

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2.1.6.8.9. Practice-level policy or protocol

changes.

2.1.6.8.10. Chart audits or de-identified

EHR extracts where feasible.

2.1.6.8.11. PDMP trend comparisons pre-

and post-academic detailing.

2.1.6.9. Any additional academic detailing data, as requested and in a format specified by the Department.

3. Contract End-of-Life Transition Services

3.1. General Requirements

3.1.1. If applicable, upon early termination or expiration of the Agreement the parties agree to cooperate in good faith to effectuate a secure transition of the services (“Transition Services”) from the Contractor to the Department and, if applicable, the new Contractor (“Recipient”) engaged by the Department to assume the services. Ninety (90) days prior to the end-of the contract or unless otherwise specified by the Department, the Contractor must begin working with the Department and if applicable, the Recipient to develop a Data Transition Plan (DTP). The Department shall provide the DTP template to the Contractor.

3.1.2. The Contractor must assist the Recipient, in connection with the transition from the performance of Services by the Contractor and its End Users to the performance of such Services. This may include assistance with the secure transfer of records (electronic and hard copy),transition of historical data (electronic and hard copy), the transition of any such Service from the hardware, software, network and telecommunications equipment and internet-related information technology infrastructure (“Internal IT Systems”) of Contractor to the Internal IT Systems of the Recipient and cooperation with and assistance to any third-party consultants engaged by Recipient in connection with the Transition Services.

3.1.3. If a system, database, hardware, software, and/or software licenses (Tools) was purchased or created to manage, track, and/or store Department Data in relationship to this contract said Tools will be inventoried and returned to the Department, along with the inventory document, once transition of Department data is complete.

3.1.4. The internal planning of the Transition Services by the Contractor and its End Users shall be provided to the Department and if applicable the Recipient in a timely manner. Any such Transition

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Services shall be deemed to be Services for purposes of this Agreement.

3.1.5. In the event the data Transition extend beyond the end of the Agreement, the Contractor agrees that the Information Security Requirements, and if applicable, the Department’s Business Associate Agreement terms and conditions remain in effect until the Data Transition is accepted as complete by the Department.

3.1.6. In the event the Contractor has comingled Department Data and the destruction or Transition of said data is not feasible, the Department and Contractor will jointly evaluate regulatory and professional standards for retention requirements prior to destruction, refer to the terms and conditions of the Department’s DHHS Information Security Requirements Exhibit.

3.2. Completion of Transition Services

3.2.1. Each service or transition phase shall be deemed completed (and the transition process finalized) at the end of fifteen (15) business days after the product, resulting from the Service, is delivered to the Department and/or the Recipient in accordance with the mutually agreed upon Transition plan, unless within said fifteen (15) business day term the Contractor notifies the Department of an issue requiring additional time to complete said product.

3.2.2. Once all parties agree the data has been migrated the Contractor will have thirty (30) days to destroy the data per the terms and conditions of the Department’s Information Security Requirements Exhibit.

3.3. Disagreement over Transition Services Results

3.3.1. In the event the Department is not satisfied with the results of the Transition Service, the Department shall notify the Contractor, in writing, stating the reason for the lack of satisfaction within fifteen

(15) business days of the final product or at any time during the data Transition process. The Parties shall discuss the actions to be taken to resolve the disagreement or issue. If an agreement is not reached, at any time the Department shall be entitled to initiate actions in accordance with the Agreement.

4. Exhibits Incorporated

4.1. The Contractor must comply with all Exhibit D Federal Requirements, which are attached hereto and incorporated by reference herein.

5. Additional Terms

5.1. Impacts Resulting from Court Orders or Legislative Changes

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5.1.1. The Contractor agrees that, to the extent future state or federal legislation or court orders may have an impact on the Services described herein, the State has the right to modify Service priorities and expenditure requirements under this Agreement so as to achieve compliance therewith.

5.2. Federal Civil Rights Laws Compliance: Culturally and Linguistically Appropriate Programs and Services

5.2.1. The Contractor must submit:

5.2.1.1. A detailed description of the language assistance services, within ten (10) days of the Effective Date of the Agreement, to be provided to ensure meaningful access to programs and/or services to individuals with limited English proficiency; individuals who are deaf or have hearing loss; individuals who are blind or have low vision; and individuals who have speech challenges.

5.2.1.2. A written attestation, within forty-five (45) days of the Effective Date of the Agreement and annually thereafter, that all personnel involved the provision of services to individuals under this Agreement have completed, within the last twelve (12) months, the Contractor Required Training Video on Civil Rights-related Provisions in DHHS Procurement Processes, which is accessible on the Department’s website (https://www.dhhs.nh.gov/doing-business-dhhs/civil-right-compliance-dhhs-vendors); and

5.2.1.3. The Department’s Federal Civil Rights Compliance Checklist within ten (10) days of the Effective Date of the Agreement. The Federal Civil Rights Compliance Checklist must have been completed within the last twelve (12) months and is accessible on the Department’s website (https://www.dhhs.nh.gov/doing-business-dhhs/civil-right-compliance-dhhs-vendors).

5.3. Credits and Copyright Ownership

5.3.1. All documents, notices, press releases, research reports and other materials prepared during or resulting from the performance of the services of the Agreement must include the following statement, “The preparation of this (report, document etc.) was financed under an Contract with the State of New Hampshire, Department of Health and Human Services, with funds provided in part by the State of New Hampshire and/or such other funding sources as were available or required, e.g., the United States Department of Health and Human Services.”

5.3.2. All materials produced or purchased under the Agreement must have prior approval from the Department before printing, production, distribution or use.

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5.3.3. The Department must retain copyright ownership for any and all original materials produced, including, but not limited to reports, protocols, guidelines, brochures, posters, and resource directories.

5.3.4. The Contractor must not reproduce any materials produced under the Agreement without prior written approval from the Department.

5.4. Operation of Facilities: Compliance with Laws and Regulations

5.4.1. In the operation of any facilities for providing services, the Contractor must comply with all laws, orders and regulations of federal, state, county and municipal authorities and with any direction of any Public Officer or officers pursuant to laws which must impose an order or duty upon the contractor with respect to the operation of the facility or the provision of the services at such facility. If any governmental license or permit must be required for the operation of the said facility or the performance of the said services, the Contractor will procure said license or permit, and will at all times comply with the terms and conditions of each such license or permit. In connection with the foregoing requirements, the Contractor hereby covenants and agrees that, during the term of this Agreement the facilities must comply with all rules, orders, regulations, and requirements of the State Office of the Fire Marshal and the local fire protection agency, and must be in conformance with local building and zoning codes, by-laws and regulations.

6. Records

6.1. The Contractor must keep records that include, but are not limited to:

6.1.1. Books, records, documents and other electronic or physical data evidencing and reflecting all costs and other expenses incurred by the Contractor in the performance of the Contract, and all income received or collected by the Contractor.

6.1.2. All records must be maintained in accordance with accounting procedures and practices, which sufficiently and properly reflect all such costs and expenses, and which are acceptable to the Department, and to include, without limitation, all ledgers, books, records, and original evidence of costs such as purchase requisitions and orders, vouchers, requisitions for materials, inventories, valuations of in-kind contributions, labor time cards, payrolls, and other records requested or required by the Department.

6.1.3. Statistical, enrollment, attendance or session records for each recipient of services, which records must include all records of application and eligibility (including all forms required to determine eligibility for each such recipient), records regarding the provision of services and all invoices submitted to the Department to obtain payment for such services.

6.2. During the term of this Agreement and the period for retention hereunder, the

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Department, the United States Department of Health and Human Services, and any of their designated representatives must have access to all reports and records maintained pursuant to the Agreement for purposes of audit, examination, excerpts and transcripts.

6.3. If, upon further review, the Department must disallow any expenses claimed by the Contractor as costs hereunder, the Department retains the right, at its discretion, to deduct the amount of such expenses as are disallowed or to recover such sums from the Contractor.