5442 BHWI Round 2 Attachment D Scoring Rubric Final~4.pdf

Attachment F: Scoring Rubric OHA RFGP 5442 under OregonBuys Bid Number S-44300-00004435

BHWI Clinical Supervision Expansion Program Round 2

Proposer Name:

Type of Organization:

Evaluator Name:

Date of Review:

Amount Requested:

Overall TOTAL:

Application Meets all eligibility and proposal guidelines (check rows 14,15, and 16): Y/N

Do you recommend this Proposer for an award?:

Y/N/Partial

On a scale of 1-3 (1 = Top priority) what priority would you give this proposal?

Service Area(s) or County:

Evaluation Rubric Items Possible points

Is Proposer's Response in alignment with BHWI's Values and Purpose?

(Yes/No)

Score What are the assets/strengths identified in Proposer’s response?

(Please describe)

Are there any concerns/weaknesses identified in Proposer’s response?

(Please describe)

If this Proposer is selected for an award, are there any recommended modifications to their Proposal you have?

(Please describe)

Yes/No/ Unclear/Unknown Describe concerns/weaknesses Describe assists/ strengths Describe recommended modifications

Is funding requested being used for a new intitiative? (See Part 1, Q16)? If "no", then stop review process.

N/A

Does proposer currently meet insurance requirements and if not will they be able to obtain required insurance? If "no" to both (see Part I, Q18) then stop review process.

N/A

Has the organization experienced a loss of accreditation, loss of liability insurance, or had any fiscal audit findings resulting from an audit in the last 3 years (See Part II, Q4 of Information Sheet)? If "yes", indicate any concerns in this row and staff with team if necessary.

N/A

Does the proposal align within the funding guidelines of this solicitation? (See Budget Table) If "no" then stop review process.

N/A

Does the proposal increase supervision activities? If "no" then stop review process.

N/A

Proposer's partnerships with other community-based organizations are appropriate for their proposal. If "no" then stop review process.

N/A

Population(s) served by Organization is in alignment with BHWI values and purpose. If "no" then stop review process.

N/A

Part II: Yes/No Describe concerns/weaknesses Describe assets/strengths Describe recommended modifications Q1: Do the values and mission align with the mission of BHWi values and purpose?

1-2-3-4-5

Q2: The extent to which the proposal will address inequities and social determinants of health.

1-2-3-4-5

Q3: How the funding from this Grant will increase health equity outcomes in the culturally and/or linguistically specific communities your organization serves?

1-2-3-4-5

Part III:

Q1: Program narrative is a clear and concise description of the program. Addressess how the program will address shortages in supervisory capacity and how funds will be used to advance health equity.

1-2-3-4-5

Q3: Organization identifies how frequent the program will evalaute project components, track objectives and monitor the impact/outcomes during the funding period.

1-2-3-4-5

Q4: Organization described how they will provide oversight of funds and fund expenditures.

1-2-3-4-5

OHA RFGP Number 5442 under OregonBuys Bid Number S-44300-00004435 for BHWI Clinical Supervision Expansion Program Round 2 Attachment F: Scoring Rubric

Information form and background

Information Sheet

Attachment F: Scoring Rubric OHA RFGP 5442 under OregonBuys Bid Number S-44300-00004435

BHWI Clinical Supervision Expansion Program Round 2

Proposer Name:

Type of Organization:

Evaluator Name:

Date of Review:

Amount Requested:

Overall TOTAL:

Application Meets all eligibility and proposal guidelines (check rows 14,15, and 16): Y/N

Do you recommend this Proposer for an award?:

Y/N/Partial

On a scale of 1-3 (1 = Top priority) what priority would you give this proposal?

Service Area(s) or County:

Evaluation Rubric Items Possible points

Is Proposer's Response in alignment with BHWI's Values and Purpose?

(Yes/No)

Score What are the assets/strengths identified in Proposer’s response?

(Please describe)

Are there any concerns/weaknesses identified in Proposer’s response?

(Please describe)

If this Proposer is selected for an award, are there any recommended modifications to their Proposal you have?

(Please describe)

Yes/No/ Unclear/Unknown Describe concerns/weaknesses Describe assists/ strengths Describe recommended modifications

OHA RFGP Number 5442 under OregonBuys Bid Number S-44300-00004435 for BHWI Clinical Supervision Expansion Program Round 2 Attachment F: Scoring Rubric

Information form and background Q5: Organization's plan for short and long-term sustainability after funding has ended? Include any key partnerships that will aid in program sustainability.

1-2-3-4-5

Part IV: Buget Narrative Q1: Does the budget narrative describe the necessity, rationale and allocation of proposed costs?

1-2-3-4-5

Q2: Alignment of the budget narrative with the budget table. 1-2-3-4-5

Q3: Budget narrative and propsoal are clearly defined. 1-2-3-4-5 The budget is realistic considering area of need identified in proposal? Please, indicate any concerns in this row.

N/A

Yes/No Describe concerns/weaknesses Describe assets/strengths Describe recommended modifications Are the goals reasonable and attainable? 1-2-3-4-5 Are the outcomes reasonable and attainable? 1-2-3-4-5 Programs outcomes are appropriate and clearly defined by measurable results

1-2-3-4-5

Organization ties outcomes to goals and objectives to build capacity for clinical supervision activites.

1-2-3-4-5

Yes/No Describe concerns/weaknesses Describe assets/strengths Describe recommended modifications The extent to which the proposal will expand access to behavioral health services.

1-2-3-4-5

The extent to which the proposal will increase supervision activities. Consider sustainability.

1-2-3-4-5

Proposal advances health equity within the organizations workforce.

1-2-3-4-5

The extent to which the proposal increases culturally and linguistically specific services.

1-2-3-4-5

The extent to which the proposal increases access in rural areas. 1-2-3-4-5

Proposal describes how the organization will advance trauma informed care and anti-racism within it's policies, programming and workforce.

1-2-3-4-5

Outcomes

Mission Alignment and Health Equity

Review Sheet Proposer 1