3-Attachment 10 Experience & Capabilities_BPM006719_AMI EX.pdf

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AMI Expeditionary Healthcare, LLC Arizona Department of Administration

Solicitation No. BPM006719 Statewide Emergency Response Services and Solutions

ATTACHMENT 10 – EXPERIENCE AND CAPACITY RESPONSE

1.0 COMPANY PROFILE

WHO WE ARE

AMI Expeditionary Healthcare, LLC (AMI) is a physician-owned company led by experienced health and operations professionals. Our corporate headquarters is located at 12030 Sunrise Valley Drive, Suite 400, Reston, VA, 20191. We provide comprehensive healthcare services to all levels of government in challenging environments. Our services are delivered on time, at scale, and within budget, making us a valuable partner for the Arizona Department of Administration (the State).

At AMI, we specialize in tailoring solutions to the specific needs of our clients. Our success is rooted in our unwavering commitment to customer service, quality care, and cost stewardship. We are eager to continue supporting Arizona (AZ) with comprehensive medical services, emergency preparedness support, and incident management medical leadership. Our efforts align with the State’s mission to mitigate the impact of emergencies on their clients with cutting-edge enterprise support.

WHAT WE DO

AMI provides emergency preparedness support including the planning, training, and allocation of resources necessary to handle contracts for our clients. We develop protocols, conduct site assessments, and create standard operating procedures (SOPs) for operations management. We are ready to respond quickly and effectively when an emergency occurs. Our team deploys required staff and equipment to any site within 24 hours’ notice to proceed (NTP). We bring stakeholders together from various agencies and organizations to collaborate effectively. Our goal is to reduce confusion, avoid duplication of efforts, and instill a whole community approach to problem solving.

OUR ORGANIZATION

We provide clinical and operational oversight for our clients that is tailored to each contract. Below you’ll find our proposed model based on the scope of work for this effort:

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1.1 EMERGENCY MANAGEMENT

1.1.1 Emergency Event Operations

AMI provides comprehensive support for emergency events. We prioritize the safety and well-being of individuals seeking shelter and medical assistance. We leverage our experience and expertise to provide reliable emergency solutions. Our team responds within 15 minutes of verbal notification and executes within 24 hours’ notice. We quickly develop a method of approach and budget for any event.

AMI draws on our experience to offer tailored solutions for our clients. We follow our client’s screening requirements at all our sites. Our intake process requirements differ based on our clients’ needs. We offer intake service models ranging from demographic based data input to tiered Clinical and Safety risk assessments for shelter eligibility.

Our emergency medical services include:

• Experience with ICS & National Incident Management Systems (NIMS)

• Clinical oversight

• Rapid deployment

• Customized medical solutions

• Testing & vaccination services

• Hospital operations management

• Medical supply chain & procurement

• Mobile clinics, isolation centers, & alternate care facilities

• Sustainable outbreak response

• Mobilization & demobilization for local sustainability

• Case management support

• Communication management

• Data metrics & analytics for clients to obtain federal reimbursement

1.1.2 Emergency Shelter Management

AMI deploys our full scope of services to shelter sites within 24 hours’ Notice to Proceed (NTP). Our teams are trained to operate at sites where traditional healthcare infrastructure is limited or non-existent. Our comprehensive approach ensures continuity and efficacy of services that are crucial for the community’s well-being & safety.

AMI’s understanding of shelter management is informed by our current management of shelter sites in AZ and Massachusetts (MA). We collaborate with community-based organizations in AZ and MA to support efforts including operations management, intake processing, case management, and intra-/interstate transportation. We provide wraparound services at our sites including security, laundry, catering, clothing, hygiene, waste removal, cleaning, and transportation. We mitigate any challenges that arise, and our clinical and operations teams maintain open lines of communication.

AMI has a proven track record of providing services with a variety of partners, including emergency management departments, government agencies, and NGOs. We leverage this experience to strengthen relationships with stakeholders, enhance communications, and reach shared goals. We maintain a reserve of staff to scale operations for surge fluctuations or other emergent requirements. Our partnerships with local vendors and other organizations guarantee quick access to services, regardless of the scope of work.

AMI maintains trusted relationships with local vendors in AZ for all our sites. We believe in and demonstrate our commitment to community involvement by engaging local vendors. We monitor individual vendors to ensure compliance and contract fulfillment within our sites.

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Solicitation No. BPM006719 Statewide Emergency Response Services and Solutions

1.1.3 Clinical Governance

AMI’s operations comply with the federal rules governing client intake and support as established in 2

CFR §§ 200.403 – 405.

We provide clinical and operational expertise that exceeds our clients’ requirements. Our approach is based on standards of care that include:

• Accepted standard medical practice

• Federal & state child welfare standards

• Centers for Disease Control and Prevention (CDC) & Office of Refugee Resettlement (ORR) guidelines

• Continuous in-service staff training

• Site checklists & inspections

2.0 COMPANY EXPERIENCE

“...They have been excellent working with more challenging migrants...They are great!”

- Savannah Martinez, City of Tucson Manager’s Office – PIMA COUNTY

Pima County Emergency Management Period of Performance: 05/12/2023 – 02/21/2025 We provide:

• Shelter operations management

• Intake processing

• Wraparound services including meals and transportation

We coordinate with government agencies and NGOs to meet shared goals.

We have successfully:

• Mobilized full scope of services within 24-48 hours at Pima’s overflow sites: Quality Inn Star Pass Blvd & Valencia Rd, Best Western, and Ramada.

• Encountered and sheltered 261,000 LPAS to date.

• Transitioned from NGO management to shelter operations oversight at the Drexel Road site.

• Worked with LPAS coordinating onward travel plans.

• Designed a data reporting system for Pima County that improved data analytics for accurate reimbursement.

Arizona Department of Emergency & Military Affairs (AZDEMA) Period of Performance: 05/09/2022 – 02/07/2025 Our services for AZDEMA included:

• Managing intra-/inter-state transportation operations through CBP/BP

• Coordinating logistics

• Ensuring the safety and well-being of passengers (LPAS)

Our coordination with NGOs, INGOs, FBOs, and State & County partnerships nationwide has increased confidence and safety for all those involved.

AMI has transported 155,340 LPAS with zero incidents to date.

(Interstate 12,725 LPAS | Intrastate 141,615 LPAS)

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Solicitation No. BPM006719 Statewide Emergency Response Services and Solutions

Massachusetts Executive Office of Health & Human Services (EOHHS) Period of Performance: 06/23/2023 - Present We provide rapid response solutions to address health and essential needs of unhoused families served by EOHHS. We manage two (2) critical Overflow Emergency Overnight Shelters (OEOS) which provide operations management 24/7. Our team has supported 1,934 families (5,848 LPAS) to date. Our work in MA provides support to thousands of individuals, families, pregnant women, and LPAS. We manages all aspects of operations including:

• Intake processing

• Health screenings

• Nutritious meals

• Janitorial & laundry services

• Transportation

• Security

• Case management.

These services are monitored closely for cost efficiencies and reported daily to key agency stakeholders.

Executive Office of Housing and Livable Communities (EOHLC) Period of Performance: 05/01/2024 – Present We provide emergency services to EOHLC. We manage four (4) statewide shelter hotel operations. Our team has sheltered and processed 186 families to date. AMI shelters individuals, homeless families, pregnant women, and LPAS. Our services include:

• Shelter Operations

• Vendor Management

• Housing Coordination

• System Navigation

• Case Management

• Stabilization

• NGO & FBO coordination

Department of Homeland Security (DHS) U.S. Customs & Border Protection (CBP) Period of Performance: 12/01/2021 – 10/27/2023

• Planned, mobilized, and operated 35 medical clinics along the Southwest Border in TX, AZ, and CA.

• Administered 842,454 vaccinations to LPAS.

• All sites were fully operational within 7 days of NTP.

2.1.1 Initial Health Review

AMI is recognized worldwide for our quality and standards of care. Our experience working with diverse populations enables us to provide services that consistently exceed client expectations. Our team aids individuals in addressing past trauma, ensuring their safety & security within our sites. We adhere to our clients’ screening requirements at all emergency events. Our intake requirements differ based on our clients’ needs.

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Pima County: AMI developed and implemented an intake model in collaboration with the Pima County Health Department and Office of Emergency Management for initial health review. It includes:

• Streamlining Intake Processing: Swift & efficient processing ensures access to our services for families & individuals in need.

• Prioritizing Individual Safety Screenings: Diligent individual screenings ensure the safety & security of shelter residents.

• Performing Health Screenings: Health assessments identify concerns and the need for medical support.

• Determining Immigration Status: Clarifying immigration status helps guide future steps for

LPAS.

• Communicating in Multilingual & Multicultural Environments: Recruiting culturally competent, multilingual staff creates a more inclusive and effective working environment.

2.1.2 Data Tracking & Metrics

Data tracking is a key component of AMI’s operational support and is critical for our partners as they strategize comprehensive solutions. All our listed sheltering programs are funded through federal humanitarian relief programs. Our team’s data driven approach uses an innovative platform to track migrant sheltering activities from intake to release.

AMI provides data insights that:

• Conduct daily quality assurance (QA) checks to ensure accurate reporting to County executives.

• Generate daily reports for State leadership about the population under AMI’s care.

• Incorporate additional questions and assessments required by the State’s desired inquiries.

• Develop timely and accurate ad hoc reports as needed.

• Ensure data integrity and security.

2.1.2.1 Data Tracking Models

Pima County: We design best practices workflow diagrams to analyze the process involved in data collection at all our facilities. We interpret the results of our analysis to decide where there is room for change and improvement. Our team designed a customized data reporting system tailored to Pima County that addresses the inefficiencies of previous vendors and providers. This best practice model meets the needs of LPAS and the County’s requirements. We use this novel system to forecast our shelter management services such as laundry and meals based on data trends. This allows our team to create cost efficiencies wherever they are needed.

MA EOHHS: We collect and analyze data from shelter sites to support the efforts of MA policymakers.

We generate daily customized reports that are provided to EOHHS. These reports include detailed descriptions of census totals, intakes, exits, lengths of stay, medical needs, demographics, and historical data. This information helps policymakers understand the patterns of migration, where families come from, and how they exit the sites.

2.1.2.2 Data Collection, Management, & Reporting

AMI maintains record keeping protocols that comply with Local, State, and Federal requirements. Our team uses platforms to track shelter operations, case management, and health records. We coordinate with Local, County, State, and Federal agencies to support surge capacity with migrant intake. Our data collection and reporting processes are fully aligned with FEMA’s SSP requirements, capturing all 10 performance measures.

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AMI’s custom built dashboards provide real-time insights into critical metrics including:

• Live occupancy & room availability

• Number of transferred & placed occupants

• Current location

• Length of stay

• Language distribution

• Health status overview

• Country of Origin

• Other key metrics

Data Quality & Reporting:

AMI ensures data integrity with:

• Data QA checks

• Rigorous data validation processes

• Anomaly detection

Best Practices Model:

AMI’s approach to data management exemplifies industry best practices. We provide our clients with best practice models that include:

• Real time access to critical information

• User-friendly visualization tools

• Customizable reporting options

• Scalable software to accommodate fluctuating demands

Experienced Data Management, Collection, and Reporting Models Pima County: Pima County chose AMI based on our ability to manage, distill, and accurately report large volumes of data.

We currently support three (3) sites, including hotels and a welcome center. Our team has sheltered and processed 261,000 LPAS to date. Our staff is tasked with the following:

• Reception of LPAS & intake processing using the desired information system(s)

• Development & execution of operations to alleviate current staffing pressure

• Coordination with partnering agencies and/or vendors for wraparound services

• Use of flexible staffing models to adjust support based on census

• Adherence to predetermined roles & responsibilities with flexibility to assume additional tasks

Massachusetts: We have operated four (4) different Temporary Respite Center and one (1) Clinical and Safety Risk Assessment Shelter in MA. Our team has sheltered and provided case management services for 5,848 guests. Our staff is responsible for the following:

• 24/7 shelter operations management services

• Intake & assessment of families entering the shelter

• Wraparound services including meals, hygiene, security, clinical, sanitation, & transportation

• Comprehensive health assessments to identify & manage infectious disease exposure and other health concerns.

• Case management services including job placement, housing search, benefits identification & enrollment, and data collection We engage daily with agencies such as HHS, ORI, HLC, and DPH to strengthen our partnerships. Our team shares operational space with NGOs to access all available resources for families housed at our shelter sites.

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2.2 COST EFFICIENCIES

AMI uses strategies to achieve cost savings and improved operational efficiency. Here are some key elements:

• Data-Driven Strategies: We leverage innovation with respect to data aggregation & analysis. We continuously refine our strategies to meet the evolving needs of our clients. Our strategies provide support for all sites by identifying trends, anticipating future needs, & allocating resources effectively.

• Partnerships & Collaboration: Our team collaborates with Local, State, & Federal agencies, as well as NGOS to access greater support for our work. These collaborative efforts will offer positive outcomes & cost savings.

• Vendor Management: We closely monitor individual vendors to determine needs in real time for goods & services.

• Efficient Budgeting: We ensure that proposed program costs are within the rates stated in the contract. We have a proven track record of being good stewards of government funds, regularly cited for efficiencies & significant cost savings to government clients.

• Regular Inspections & QA Checks: Our team uses QA checks as a means of identifying areas of improvement to ensure that all sites are operating in accordance with industry best practices. This approach assures all sites in Pima County are allocating their resources in a cost-effective manner.

2.2 COST EFFICIENCIES