Appendix B4a.docx

APPENDIX B4a

CATEGORY 4: SUPPLEMENTAL RESIDENTIAL CARE FACILITIES

CATEGORY 4 – SUPPLEMENTAL RESIDENTIAL CARE FACILITIES

BASIC SUPPLEMENTAL RESIDENTIAL CARE SERVICES

Evaluation Criteria and Qualifications

Section 1: Organizational Structure and Experience [footnoteRef:1] Total points: [1: 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 criteria/sub-topics in the submitted packet’s miscellaneous documents.]

a. Select Offeror’s experience with the following program types or target populations as described in Attachment A4a:

Demographics Served:

☐ Adults (ages 18 through 59) ☐ Older adults (ages 60 and above)

Specialty Populations Served:

☐ Diagnosed with a severe mental illness (SMI) ☐ Severe functional impairments ☐ Psychiatric issues and co-morbid medical conditions (e.g., Chronic Obstructive Pulmonary Disease (COPD), obesity, diabetes, etc.)

☐ Chronically medically ill with a history of wandering/Absent Without Leave (AWOL), traumatic brain injury (TBI) or non-medication adherence ☐ Developmentally delayed conditions ☐ Monolingual speaking ☐ Deaf or hard of hearing

If “Yes” selected, indicate geographic location where services would be provided:

☐ Central Insert Clinic Address

☐ Eastern Insert Clinic Address

☐ Northern Insert Clinic Address

☐ South Insert Clinic Address

c. Total years of experience Offeror has providing residential care services to clients with SMI and/or other co-morbid medical conditions:

☐ 0-4 ☐ 5-9 ☐ 10-14 ☐ 15 and over

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

· Certification,

· Documentation, and

· Billing requirements.

e. Check all the applicable boxes of the licenses and certifications your organization currently possess to provide the services as described in Attachment A4a.

☐ Community Care Licensing ☐ Other program accreditations:

f. Offeror addressed the following topics related to their organization’s capacity to administer and collect the required outcome evaluation data as described in Attachment A4a, including:

· Their organization’s 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 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.

g. 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 A4a:

☐ Paraprofessional staff:

(milieu staff, etc.)

☐ Licensed clinical staff:

(LMFT, Ph.D., etc.)

☐ Medical Board-certified staff:

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

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);

· Organization’s ability to retain the appropriate service capacity in the event of changing patient needs and potential staff turnover; 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);

· Organization’s current interdisciplinary staffing patterns designed to meet Special Treatment Programs (STPs) needs and how current staffing supports STP staff requirements;

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

· Staff training, recruitment, and retention process;

· 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, including:

· Emergency/after-hours staffing plans; and

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

i. Offeror ensures that the implementation of the program and the provision of services would occur in a timely manner as described in Attachment A4a, Scope of Work, including:

☐ Providing services 24/7 with ability to provide one-on-one care, if necessary;

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

☐ Staff telehealth options;

☐ Evidence-Based Practices (EBPs) used by staff (Therapy, treatment approaches, and education in approaches, etc.)

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

☐ Provide community residential treatment services with the goal of reducing recidivism;

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

☐ Ability to provide appropriate related Step-Down services (e.g., transition to lower levels of care);

☐ Discharge planning process and documentation in clinical record; and ☐ Ability to respond to referrals within forty-eight (48) hours.

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

j. Offeror has an active plan for delivering services during a pandemic AND any emergency disaster(s), 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 included their organization’s plans for 1. delivering services during a pandemic and 2. any natural disaster(s) in miscellaneous documents:

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

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 addresses barriers when staff are not available to meet the County threshold languages; and

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

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:

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

· Outpatient Case Managers;

· 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;

· 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-FY23-0225: Behavioral Health Treatment Facility Continuum of Care Page 1 of 2 APPENDIX B4a: Basic Supplemental Residential Care Services Evaluation Criteria and Qualifications