Appendix B7.docx

APPENDIX B7

CATEGORY 1: PREVENTION AND EARLY INTERVENTION SERVICES

OLDER ADULT PREVENTION AND EARLY INTERVENTION SERVICES

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 criteria/sub-topics in the submitted packet’s miscellaneous documents.]

Target Population ☐ Older Adult (ages 60 and over)

Select specialties in Older Adult population ☐ Prevention and Early Intervention (PEI) ☐ Outpatient Service ☐ Community Outreach ☐ Short-term Intervention Treatment ☐ Interpersonal Therapy ☐ Socialization

Select Older Adult specialty populations served

☐ LGBTQ+

☐ Co-occurring Conditions ☐ Special Needs

Indicate geographic locations (including clinic locations) where services would be provided ☐ South County ☐ Central County ☐ East County ☐ North County

· Certification through DHCS;

· Documentation standards;

· 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.

☐ Licensed Clinical Supervisor ☐ Waivered Clinical Supervisor ☐ Mental Health Specialist ☐ Peer Support Specialist

Select the applicable boxes and list the staff titles that make up Offeror’s treatment team to deliver the services as described in Attachment A7, Scope of Work:

☐ Paraprofessional staff:

(milieu staff, etc.)

☐ Licensed clinical staff:

(LMFT, Ph.D., etc.)

☐ License-waivered staff:

(Rehab Counselor, Associate Social Worker, etc.)

☐ Medical Board-certified staff:

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

☐ Other:

(Employment Specialist, Peer Support Worker, etc.)

· Their organization’s capacity and process to administer and collect the required PEI outcome evaluation data (e.g., assessment/outcome tools and performance measures currently utilized by staff).

· Their organization’s assessment/outcome tools and performance measures.

· Described how the data resulting from the assessment/outcome tools and performance measures informs clinical practice.

· 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).

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

YES ☐ NO ☐

☐ Trauma-Informed Practices ☐ Brief Therapy ☐ Seeking Safety ☐ Stages of Change

· Personnel Retention Plan

· Organizational strategies for ensuring that continuity of staffing and care is provided to the OA/Caregiver population;

· How the program will be staffed appropriately and in a timely manner, including plan for supervision staff; and

· Ability to provide services according to county standards.

· Staffing Plan

· Organizational details (including staffing chart, leadership and management structure, and PEI reporting structure);

· Organizational trainings for Peer Respite Worker staff;

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

· Staff training, recruitment, and retention process;

· Recruit and train peer staff to work with the OA/Caregiver population;

· Organizational practices related to recruiting, hiring, and promoting multilingual 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).

· Additional Required Plans

· Emergency/after-hours staffing; and

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

☐ Offering services Monday-Friday during 9:00am-6:00pm;

☐ Process for intake and admission during business hours;

☐ Telehealth options;

☐ Use of trauma-informed approaches;

☐ Ability to provide appropriate referral to outpatient services; and ☐ Completion of all necessary documentation.

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;

· How Offeror addresses barriers when they do not have staff 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.

· Increase meaningful use of client time and abilities in work, education, and daily activities.

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

· Obtain health insurance for clients.

· 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 I, Offeror’s Health Record Status, 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 B7: Older Adult Prevention and Early Intervention Services Evaluation Criteria CATEGORY 1: Prevention and Early Intervention Services