Appendix B16.docx

APPENDIX B16

CATEGORY 3: FULL SERVICE PARTNERSHIP SERVICES

ASSERTIVE COMMUNITY TREATMENT

Evaluation Criteria and Qualifications Section 1: Organizational Structure and Experience[footnoteRef:2] Total Points: [2: For all criteria in Section 1, Offeror shall:

Select “Yes” or “No” for each criteria requiring a response; and Indicate evidence of the organization’s experience with each topic in the submitted packet’s miscellaneous documents.]

Target Populations ☐ Adult (ages 18 through 59) ☐ Older Adult (ages 60 and over)

Additional Specialties ☐ LGBTQ+ community ☐ Co-occurring Conditions ☐ Special Needs and Disabilities ☐ Justice-Involved ☐ Serving target populations in all geographic regions in Santa Clara County ☐ Culturally, ethnically, and linguistically diverse populations ☐ Severe mentally ill (SMI) individuals who have trouble engaging in traditional office-based programming.

☐ Other:

· Certification,

· Documentation,

· Staff credentialling;

· Billing requirements, and

· CalAIM behavioral health requirements, including but not limited to:

· Medical necessity criteria;

· Documentation re-designs;

· Co-occurring treatment;

· Standardized screening and transition tools;

· Behavioral Health current procedural terminology (CPT) coding transitions; and

· Payment reform.

· Capacity and process to administer and collect the required outcome evaluation data (e.g., assessment/outcome tools and performance measures currently utilized by staff);

· Process for timely submission of data into State Data Collection and Reporting (DCR) system;

· Process for staff to monitor and evaluate data (e.g., client/family satisfaction surveys, pre-/post-service tests, and culturally responsive services/practices);

· Plan for ongoing evaluation and outcome improvement for the program (e.g., data collection and analysis); and

· How their organization’s data results inform clinical practices and service quality.

☐ Cognitive Behavioral Therapy (CBT) ☐ Trauma-Focused (TF-CBT) ☐ Family Therapy ☐ Motivational Interviewing ☐ Other:

☐ Motivational Enhancement Therapy (MET) ☐ Wellness and Recovery Action Plan (WRAP)

(milieu staff, etc.)

☐ Licensed/License-Registered clinical staff:

(LMFT, Ph.D., etc.)

☐ Medical Board-certified staff:

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

☐ Other:

(Employment Specialist, Peer Support Worker, etc.)

1. Personnel Retention Plan

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

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

2. Staffing Plan

· 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;

· Data showing organization’s vacancy and retention rates and trends;

· Process for providing intensive case management services at project-based sites (e.g., administrative, supervisory, and direct service staff information);

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

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

3. Additional Required Plans

· Emergency/after-hours staffing; and

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

· Strategies that will be used to engage and provide services to clients within the required timelines;

· Hours of operation, clinic locations, and planning strategies to meet the Network Adequacy standards;

· Providing services 24/7 coverage and crisis support to clients in the program;

· Discharge planning process and documentation in clinical record, including strategies to assess for discharge and facilitate transitions to different levels of care.

· How staff will provide services in accordance with fidelity as defined by the Dartmouth Assertive Community Treatment Scale (DACTS);

· How the program will utilize a multi-disciplinary team (Team);

· Collective responsibility of and ability to support the Team’s clients.

Section 2: Proposed Program Description[footnoteRef:3] Total Points: [3: Written response for each criteria in Section 2 is required. Please refer to the RFSQ Section IV, “Offeror’s Submission” for additional details.]

· 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 H, Cultural Competence Form;

· 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; and

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

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

· Housing organizations (subsidy administrators, property managers);

· Justice system (judges, public defender, district attorney, 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;

· Incorporate the client’s natural support networks (families, landlords, friends, employers, religious communities, etc.) into planning of care and services.

· Increase client ability to obtain/maintain a monthly income;

· 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 Subject Matter Experts (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-FY23-0210: Adult and Older Adult System of Care Services Page 1 of 2 APPENDIX B16: Assertive Community Treatment Evaluation Criteria CATEGORY 3: Full Service Partnership Services