Appendix B1.docx

APPENDIX B1

CATEGORY 1: ACUTE TREATMENT FACILITIES

CATEGORY 1 - ACUTE TREATMENT FACILITIES:

ACUTE PSYCHIATRIC HOSPITAL AND PSYCHIATRIC HEALTH FACILITY

Evaluation Criteria and Qualifications

a. Select Offeror’s experience with acute inpatient psychiatric unit for clients, which shall include high-intensity (locked) services, treatment, and placement into appropriate aftercare as well as therapeutic and/or rehabilitative inpatient services for the target populations as described in Attachment A1:

Target Populations ☐ Adolescents (ages 14-17) ☐ Transitional Age Youth (TAY [ages 18-21]) ☐ Adults and older adults (ages 18+)

Check all applicable boxes your facility can provide care for:

☐ Serious Mental Illness (SMI) clients who need prompting for medication management, Activities for Daily Living (ADLs), transportation arrangements ☐ Developmentally Delayed (DD), Blind, or Deaf Clients ☐ Absent Without Leave (AWOL) or high-risk clients who require additional attention ☐ Medically Frail Clients (Example: Diabetes, insulin dependent, fall risk, etc.)

☐ Monolingual clients ☐ Clients with history of substance use ☐ Difficult to manage clients ☐ Clients that meet requirements for sub-acute in-client psychiatric care

Years of Experience ☐ 0-4 ☐ 5-9 ☐ 10-14 ☐ 15+

Additional Specialties ☐ LGBTQ+ ☐ Justice-Involved ☐ Co-occurring Conditions ☐ Ethnic/cultural populations served, as listed in Appendix G, Cultural Competence Form ☐ Other:

Offeror indicated evidence of the organization’s experience in miscellaneous documents:

YES ☐ NO ☐

b. Confirm if Offeror/their organization has the ability to meet the following Medi-Cal requirements, including:

· Certification,

· Documentation, and

· Billing requirements.

If “Yes” selected, Offeror indicated evidence of the organization’s ability to meet Medi-Cal requirements in miscellaneous documents:

d. Check all the applicable boxes of the licenses and certifications your organization currently possess to provide the services as described in Attachment A1.

☐ Medi-Cal Certification ☐ Specialized Therapeutic Services (STP) ☐ Joint Commission Accreditation ☐ Department of Health Care Services (DHCS) ☐ California Department of Public Health (CDPH) ☐ Commission on Accreditation of Rehabilitation Facilities International ☐ Regulatory Board(s):

☐ Other program accreditations:

Offeror indicated evidence of organization’s active licensure/certificates in miscellaneous documents:

YES ☐ NO ☐

☐ Other:

f. Select the applicable boxes and list the various titles of the staff that make up your treatment team to deliver the services as described in Attachment A1:

☐ Paraprofessional staff:

(milieu staff, etc.)

☐ Licensed clinical staff:

(LMFT, Ph.D., etc.)

☐ Medical Board-certified staff:

(M.D., RN, RD, etc.)

g. Offeror included their organization’s staffing-related protocols in their submission’s miscellaneous section:

YES ☐ NO ☐

Documentation includes:

1. Personnel Retention Plan which addresses the following topics:

· Organizational strategies for ensuring that continuity of staffing and care is provided to the target population(s); and

· How the program will be staffed appropriately and in a timely manner, including plan for clinical supervision of professional and paraprofessional staff, and ability to provide services according to Medi-Cal standards.

2. Staffing plan which addresses the following topics:

· Organizational details (including staffing chart, leadership and management structure, reporting structure, and lists for staff providing supportive housing, clinical services);

· Resumés of existing staff that indicate position titles, linguistic and cultural skills, education, experience, and certifications;

· Staff training, recruitment, and retention process (such as job fairs, referrals, internet, training, and benefits);

· Organizational practices related to recruiting, hiring, and promoting multi-lingual staff and/or a culturally or ethnically diverse workforce;

· Staff experience managing crisis situations;

· Organization’s training for staff to manage mental health crisis; and

· Organizational training requirements related to diversity, equity, and/or inclusion (e.g., LGBTQ+, cultural and linguistic capacity, racial equity).

3. Additional required plans, including:

· Emergency/after-hours staffing plans, including holidays;

· Provision of quarterly staffing reports to the BHSD using County-provided or other tools; and

· Safety and security of staff and clients.

h. Offeror ensures that the implementation of the program and the provision of services would occur in a timely manner as described in Attachment A1, Scope of Work (Sections V-VI), including:

☐ Providing services 24/7 with structured monitoring and medical referral if necessary;

☐ Process for intake and admission [during business hours, evening/after-hours, and weekends];

☐ Staff telehealth options, when appropriate;

☐ Evidence-Based Practices (EBPs) used by staff;

☐ Use of trauma-informed approaches (e.g., Seeking Safety; how stages of change shall be used to engage client treatment, etc.);

☐ Providing orientation to substance use treatment continuum;

☐ Maintaining data collection related to 1. client requests for placements and 2. completed client placements;

☐ Ability to provide appropriate related Step-Down services and assist clients to transition to a lower level of care;

☐ Discharge planning process and documentation in clinical records; and ☐ Respond to referrals from hospital system within four (4) hours or less.

Offeror indicated evidence of the organization’s experience in miscellaneous documents:

i. Offeror has an active plan for delivering services during a pandemic, or emergency disaster, while ensuring safe protocols are followed to protect staff and clients during service delivery. Offeror has policies and practices in place for cooperation with County-required COVID efforts.

Offeror indicated evidence of the organization’s emergency plans in miscellaneous documents:

b. Offeror described and provided documentation to ensure the following cultural competency/outreach and engagement requirements can be met:

· Capacity to provide culturally, ethnically, and linguistically appropriate services to the target population(s), including capacity for all County threshold languages as described in Appendix G;

· Organization methods to address barriers when staff are not available to meet the County threshold languages;

· Current and future actions and changes to ensure diversity and inclusion in service delivery;

· Capacity to provide outreach activities focused on reaching underserved, underrepresented, and/or multicultural populations; and

· Capacity to address and serve high-risk clients with co-occurring (mental health in addition to substance use challenges) treatment needs.

c. Offeror described types of collaborations (e.g., program designs and activities) with County departments, County-contracted Providers, and other agencies, including but not limited to:

· Government Agencies (e.g., Santa Clara County);

· Outpatient Case Managers;

· Psychiatrists;

· Conservators;

· County Health System (primary care physicians, County clinics) and Social Services Agency;

· Criminal Justice System [judges and probation/parole officers]; and

· Organizational experience working successfully with system partners.

Offeror described how partner collaborations will:

· Increase meaningful use of client time and abilities in work, school, and daily activities;

· Obtain health insurance for clients; and

· Maintain or obtain permanent supportive housing or permanent housing when clients exit the program.

Historical data analysis will be reviewed by BHSD Program Subject Matter Experts (SMEs) and rated according to the criteria laid out in this RFSQ.

Offeror’s electronic health record (EHR) system capacity and responses as listed in Appendix H will be reviewed by BHSD EHR SMEs and rated according to the criteria laid out in this RFSQ.

Financial records will be reviewed by the Health System Finance Department and rated according to the criteria laid out in this RFSQ.

RFSQ-BHS-FY23-0225: Behavioral Health Treatment Facility Continuum of Care Page 1 of 2 APPENDIX B1: Acute Psychiatric Hospital & Psychiatric Health Facilities Evaluation Criteria and Qualifications