Arizona_State_Veterans__Homes_PAC_RFP_FINAL3_all_documents__2_.pdf

RESPONSE TO REQUEST FOR PROPOSAL

Proposal #BPM004228

Arizona State Veterans’ Hospital Phoenix, Arizona

Submitted by

Paula Avriett Vice President of Business Development – Post Acute

Phone: 925-389-0058 | Email: paula_avriett@teamhealth.com

February 1, 2022

PRACTICE MADE PERFECT

Proposal Terms The term “TeamHealth” as used throughout this release includes Team Health Holdings, Inc., its subsidiaries, affiliates, affiliated medical groups and providers, all of which are part of the TeamHealth organization. “Clinicians” are physicians, advanced practice clinicians and other healthcare providers who are employed by or contract with subsidiaries or affiliated entities of Team Health Holdings, Inc. All such clinicians exercise independent clinical judgment when providing patient care.

Team Health Holdings, Inc., does not have any employees, does not contract with clinicians and does not practice medicine.

The information within this proposal has been exclusively prepared for Arizona State Veterans’ Hospital. Due to the confidential information contained herein, no portion of this proposal may be copied, distributed, or discussed with individuals who are not directly involved with the evaluation of this proposal without express written permission from TeamHealth.

This proposal is valid for 120 days from the date on the front cover. After 120 days, TeamHealth reserves the right to revise the information contained within this document.

5.2.1.1. TABLE OF CONTENTS

5.2.1.2. Experience And Expertise

5.2.1.2.1. Executive Summary

5.2.1.3. Resumes or Curriculum Vitae

5.2.1.4. Method of Approach

Attachments

Medical Director Resumes/Curriculum Vitae ............................................................................. A-1

RFP Attachment A. Offer and Acceptance ............................................................................... A-22

RFP Attachment B. Notice, Correspondence, and Payments ................................................ A-24

RFP Attachment C. References ................................................................................................. A-26

RFP Attachment D. Proposed Sub-Contractors....................................................................... A-29

RFP Attachment E. Confidential Information ........................................................................... A-31

RFP Attachment F. Boycott of Israel Disclosure ..................................................................... A-35

RFP Attachment G. Price Increase Percentages .................................................................... A-37

RFP Attachment H. Conformance Statements and Supplement ............................................ A-39

RFP Attachment I. Insurance Letter .......................................................................................... A-44

5.2.1.2. EXPERIENCE AND EXPERTISE

5.2.1.2.1. Executive Summary, a brief overview of the project as described in the Scope of Work.

The executive summary shall be no more that two (2) pages. Evaluators will only read that required number of pages. Additional pages will not be included in the evaluation process and could impact the award of a contract.

About Hospitalists of Arizona, LLC. (aka “TeamHealth”) At TeamHealth our purpose is to perfect our clinicians’ ability to practice medicine, every day, in everything we do. Our philosophy is as simple as our goal is singular: we believe better experiences for patients and residents is a direct result of exceptional education, training, and coordinated implementation of our physician services.

Through our more than 15,000 affiliated physicians and advanced practice clinicians, TeamHealth offers outsourced post-acute care, behavioral health, emergency medicine, hospital medicine, critical care, anesthesiology, orthopedic and acute care surgery, obstetrics and gynecology hospitalist, ambulatory care, and medical call center solutions to approximately 2,900 acute and post-acute facilities and physician groups nationwide. Our Arizona practices staffs over 80 Post Acute sites throughout the state. We have over 50 practitioners that provide exceptional clinical care, clinical leadership and operational support to our patients, residents and clients. Our practice areas are: Medical Directorships, Primary Care, Behavioral Health, Wound Care and Physical Medicine and Rehabilitation.

Our post-acute programs manage the continuum of care for our patients, from hospital discharge to reintegration into the community. TeamHealth currently employs approximately 1,700 clinicians in the post-acute service line, providing services to 2,300 skilled nursing facilities (SNFs), long-term acute care facilities (LTACs), and assisted living facilities (ALFs) in 33 states.

More than 1,000 of these clinicians are full-time and provide integrated care in the long-term and short-term post-acute space including primary care, behavioral health, wound care, physical rehabilitation, cardiology, endocrinology and pulmonary care. Overall, 60 percent of our clinicians are advanced practice clinicians (APCs).

Proposal Objective

2.1. ADVS is seeking a contractor to provide Medical Director and Physician Services for all Veterans/residents at ASVHs. 3. General Requirements: 3.1. The Medical Director will serve as the ASVH primary Medical Director within the scope of work and shall be responsible for issuing all written, verbal, standing medical orders, adopted, and all other applicable resolutions, orders, procedures, and/or policies adopted by the ASVH. 3.2. The Physicians will serve as primary physician within the scope of work and shall be responsible for all medical visits, written recommendations for admissions for each Veteran/resident, supervise the medical care of each of the Veteran/resident assigned to their caseload.

Experience and Expertise Utilize the full scope of licensed, certified, professionally trained and appropriately credentialed staff sufficient to meet all clinical and administrative requirements of the contract.

TeamHealth is one of the largest integrated care providers in the country. At our core, we believe better experiences lead to better outcomes for patients, partners and clinicians alike. We offer the highest level of quality staffing, administrative clinical and management support across the full continuum of care, from hospital-based practices to post-acute care and behavioral health. Our post-acute program is built around a team that coordinates care across skilled nursing, Long-term care, nursing homes, assisted living facilities and rehabilitation facilities.

TeamHealth’s local operational leadership team includes a Vice President of Operations (VPO), Supervisory Senior Clinical Lead (SSCL), Clinical Educator (CE), the region’s Sr. Clinical Practice Manager (Sr. CPM) and (CPM). The company attests that we will meet this requirement.

Facilitate and ensure continuity of care between settings to allow for optimal resident care. Our post-acute programs promise high-quality care and we manage the entire episode of care. Our post-acute clinicians work in conjunction with the client facility to reduce avoidable readmissions, improve alignment between post-acute and acute facilities, and promote successful care transitions to ensure a higher standard of patient care. Our post-acute program is complemented by a robust on-call service which allows for continuity of care.

Utilize and maintain up to date medical records in the ADVS existing Electronic Medical Record (EMR). TeamHealth will follow all medical records policies and procedures specific to ADVS as well as maintain accurate, timely, and complete documentation in the current and new system;

including, but not limited to, Point Click Care (PCC).

Support all clinical, utilization and financial auditing and quality assurance activities. TeamHealth works with our partner facilities and systems to develop customized metrics and/or dashboards that measure and track quality goals. These reports are reviewed monthly in quality assurance/ quality improvement meetings with an emphasis on the following:

• Appropriate medication reduction and reconciliation

• All-cause Medicare 30-day re-admission (goal of less than 10 percent)

• The care experience of residents, patients and their families

• Clinical notes and documentation compliance

Focus on maintaining complete, accurate and detailed records of all services delivered.

TeamHealth works collaboratively with each partner facility and system to implement a mutually agreed and uniform documentation template. We have the ability to implement electronic medical record (EMR) systems that include:

• Template progress notes that include History of Present Illness (HPI), current medications, general exam, review of systems, assessments, and treatments by diagnosis

• Structured notes for patients, families, and support staff that provide a clear record of the care plan and future needs

• Reports that can be generated according to specific search criteria, thereby assisting with data collection and research

• The ability to identify the most efficient way to distribute progress notes and for recipients to receive them based on facility-specific needs and preferences

• Clear lists of medications that can be generated for review

TeamHealth’s operational leadership team attests that we will meet all of the “scope of work capabilities” requirements. TeamHealth provides ongoing assessment and accountability for performance expectations in the facility. TeamHealth and ADVS Facilities will collaboratively evaluate the providers’ performance.

We would like to offer services for the following sites:

• ASVH-Tucson Providing Medical Director Services

• ASVH-Flagstaff Providing Medical Director Services

• ASVH-Phoenix Providing Physician Services

• ASVH-Tucson Providing Physician Services

• ASVH-Flagstaff Providing Physician Services

5.2.1.2.2. Provide a copy of the Medical Doctor (MD)/ Physicians degree and proof of current license under provisions of the Arizona Revised Statues, Title 32, Chapter 13.

Please see Attachments.

5.2.1.2.3. Provide a copy of the Arizona Medical Board license;

5.2.1.2.4. Provide a copy of the current Medical Degree;

5.2.1.2.5. Describe experience providing medical director/physician services in a nursing skill facility.

TeamHealth Proposed Physician for Physician Services (Phoenix): Dr. Jose Rapanan TeamHealth proposes Dr. Jose Rapanan to provide physician services at Arizona State Veteran Home-Phoenix. He holds a Family Medicine board certification from the American Osteopathic Board of Family Medicine. He has served as the lead TeamHealth attending physician at Osborn Health and Rehabilitation since 2021. Osborn has 130 beds, including a bariatric unit. Dr.

Rapanan works collaboratively within the TeamHealth Phoenix Post-Acute practice to meet patient needs in over 30 skilled nursing, long-term care, and assisted living facilities in the metropolitan Phoenix area.

Please see attached CV for detailed education, clinical experience, and publications.

TeamHealth Proposed Medical Director (Tucson): Dr. Carol Newman TeamHealth proposes Dr. Carol Newman for the medical directorship in Tucson. She has practiced medicine for over 10 years and has spent the past 8 years with TeamHealth working in post-acute care serving skilled nursing, long-term care, assisted living, and hospice patient populations. With over 7 years of medical director experience in both skilled nursing and hospice facilities, she currently serves as medical director for Maravilla Care Center and Aviant Hospice.

Below is a list of medical directorship experience.

• Maravilla Care Center

• Haven of Globe

• Aviant Hospice (Gilbert)

• Aviant Hospice (Globe)

• Lake Pleasant Post Acute Rehabilitation

• Immanuel Campus of Care

• Good Samaritan (Prescott)

• Quality Hospice

Please see attached CV for detailed education and clinical experience.

TeamHealth Proposed Medical Director (Flagstaff): Dr. Thomas Garland

TeamHealth proposes Dr. Thomas Garland for the medical directorship in Flagstaff. He brings decades of experience practicing medicine in nursing facilities and hospice care, as well as serving on committees and working as a medical director. His past practice includes post-acute, emergency medicine, family medicine, and teaching experience. He currently holds several medical directorships in northern Arizona.

• Good Samaritan Society (Prescott Valley)

• Prescott Nursing and Rehabilitation Center

• Haven of Sedona

• Haven of Camp Verde

• Haven of Cottonwood

• Granite Creek Health and Rehabilitation

• Family Care Network/Mercy Care (Iowa)

• Mill Valley Care Center (Iowa)

Please see attached CV for detailed education and clinical experience.

5.2.1.3 Resumes or Curriculum Vitae

5.2.1.3.1. Provide resumes or curriculum vitae for the Medical Director/Physicians as it relates to the delivery of services as defined in the Scope of Work. Resume shall include name, title, key responsibilities and previous experiences that are relative to the Scope of Work. Include all professional licensure, certifications, experience, educational preparation, professional awards and publications. Describe accountabilities and expertise.

5.2.1.3.2. Provide three (3) references including past similar contracts that support Offeror’s abilities to provide the proposed services, utilizing Attachment E.

References are included in the Attachments.

5.2.1.4. Method of Approach:

The Offeror shall prepare and submit a written narrative describing the method of approach that the Medical Director or Medical Provider of a Health Care System will use to provide the services outlined in the Scope of Work:

Medical Directors and Clinical Practice Managers: Your medical directors will receive training that has been designed specifically for each market. As part of their CME, your medical directors will also be incented to pursue additional training through the AMDA Medical Director Certification program. This investment in training positions each medical director to partner with the clinical practice manager to oversee practice operations and collaborate with ADVS leadership to achieve agreed-upon objectives. Your clinical practice manager will also ensure your facilities receive focused support in areas such as clinician staffing and recruiting, practice management and administration, analytics and reporting and monthly meetings. Your assigned clinical practice manager will also stay in regular communication with all members of the TeamHealth management team to ensure awareness of what is happening at your facilities—sharing success stories and any areas in need of improvement.

Attending Physicians: We will deploy the optimal number of physicians to support the clinical needs of the practice. Our base program would begin with a mix of primary care trained physicians and APCs (Advanced Practice Clinicians) to support the volume at each facility. Our program mix and schedule will depend on allocated volume. In all cases, we will deploy these clinicians to meet our “scheduled presence” model where we will provide a schedule of when our clinicians will be on site so your patients and staff will have regular contact that is predictable and provides prompt attention.

Ancillary Physicians Ancillary physician support will be determined based upon each facility’s unique, specific needs.

We realize each program will have unique needs. Given our broad experience and exceptional recruiting team, we are confident we can recruit and maintain ancillary physicians as needed at each site.

Physician Extenders (Advanced Practice Clinicians-APCs): Our physicians have actively participated in the development and administration of advanced practice education programs, rotations, and preceptorships at many of our client locations, and with our clients’ consent, we encourage the use of APCs wherever we feel their use is appropriate. We have no preference between PAs and NPs, and we work to educate all members of the healthcare team about the valuable contributions APCs provide to quality care and cost-containment while enabling us to maintain our standards in quality patient care. Naturally, applicable state laws (including those regarding physician supervision) and our clients’ preferences ultimately determine our use APCs in any given facility.

Coupled with our physician services, we offer virtual telehealth as an extended resource.

On as needed basis:

5.2.1.4.1. Participate in arranging physician coverage for medical emergencies and in maintaining procedures for emergency treatment of the veterans/residents.

Agree

5.2.1.4.2. Maintain the ASVHs the following policies, but not limited to:

5.2.1.4.2.1. Resident Care Policies include;

5.2.1.4.2.2. Admissions, transfers, discharges;

5.2.1.4.2.3. Infection control;

5.2.1.4.2.4. Use of restraints;

5.2.1.4.2.5. Physician privileges and practices;

5.2.1.4.2.6. Responsibilities of nonphysical health care workers (e.g., nursing, rehabilitation therapies, and dietary services in resident care, emergency care, and resident assessment and care planning).

5.2.1.4.2.7. Policies related to accidents and incidents;

5.2.1.4.2.8. Ancillary services such as laboratory, radiology, and pharmacy;

5.2.1.4.2.9. Use of medications; and

5.2.1.4.2.10. Use and release of clinical information.

5.2.1.4.3. Chart and review for screening and diagnostic decisions;

5.2.1.4.4. Review and approve all Resident Care Policies or propose modifications if it is necessary to ensure appropriate resident care upon initially and annually thereafter.

5.2.1.4.5. Assist in developing and provide approval for all admission policies to ensure they permit adequate screening and selection of prospective admissions, based on medical, functional and psychosocial needs.

5.2.1.4.6. Review, certify, and re-certify patient eligibility for ASVHs services, in accordance with ASVHs program policies and Medicare and Medicaid reimbursement guidelines.

5.2.1.4.7. Develop liaisons with attending physicians to assure that effective medical care is provided and that orders are written properly upon the admission of a veteran/resident at the ASVHs.

5.2.1.4.8. Act as liaison and representative in communicating expectations to physicians practicing under privilege in the ASVHs.

5.2.1.4.9. Take appropriate action if physician fails to perform within the policies and procedures established by the ASVHs Medical Director, and ensure that the interests of the veterans/residents are being met. These actions may include review of physician’s right to practice and refer to the ASVHs.

5.2.1.4.10. Provide an “Alternate” for continuous physician coverage to fulfill the attending physicians functions when absent, for medical emergencies and developing procedures for emergency treatment of veterans/residents. The Medical Director shall name and supply a full resume of qualified physician who they will name as their “Alternate”. The ASVHs reserves the right to approve or reject the proposed alternate physician, approval or rejection shall be provided in writing by ASVHs.

5.2.1.4.11. Review and provide report in writing to the ASVHs on annual basis describing the adequacy and appropriateness of the ASVHs veterans/residents care services, medical equipment, and professional and support staff. The report shall be in accordance to Federal/State regulations governing the operations of nursing homes as the criteria for evaluation.

5.2.1.4.12. Be available to meet with the Administrator on a quarterly or as needed basis to discuss on going issues, responsible medical direction and needs of the ASVHs.

5.2.1.4.13. Be available to meet with veterans/residents family members to discuss concerns within seventy-two (72) hours of notice from ASVHs.

5.2.1.4.14. Be available for consultation with the Administrator, the

Director of Nursing, and social workers in evaluating the ASVHs ability to meet the psychosocial, medical, and physical need of the veterans/residents.

5.2.1.4.15. Be available for consultation and participate in in-service training programs and consultation in development, and maintenance of the ASVHs medical records system.

5.2.1.4.16. Serve as a representative of the ASVHs in resolving physician related medical situations where the interest of the ASVHs are in question.

5.2.1.4.17. Appear and attend on behalf of the ASVHs if required, all investigations and judicial proceeding where his/her testimony or assistance may be required or desired. The Medical Director shall cooperate with ASVHs in their investigation and/or review of claims and/or complaints.

5.2.1.4.18. Provide up to twenty (20) hours per month of

administrative duties.

5.2.1.4.19. Seek approval for administrative duties over twenty (20) hours per month from the ASVHs Administrator.

5.2.1.4.20. Services performed must conform to the current edition of the Standards for Medical Services in a Long Term Nursing Care Facility.

5.2.1.4.21. Inform the ASVHs in writing and receive approval prior to initiating any significant changes in procedures.

5.2.1.4.22. Understand and agree that services shall be performed on behalf of the ASVHs who shall be responsible for the administration of services provided to the ASVHs. The Medical Director shall permit representative of the ASVHs to review all records and activities performed by the Medical Director.

5.2.1.4.23. Ensure that all employees assigned to work at the ASVHs operated facilities have a T.B. tuberculin screening before commencing work. The Contractor shall provide results to ASVH-s within two (2) hours of request.

5.2.1.4.24. Orientation: The Medical Director and staff providing services to ASVHs shall be provided with a detailed orientation packet. The Medical Director and staff shall have completed and documented internal training. The internal training requirements include:

5.2.1.4.24.1. Resident Rights as defined by federal and

state regulations specifically related to the nursing home environment. Specific focus shall be made in the areas of the resident’s right of dignity and accommodation, the resident’s right to refuse care and the resident’s right to be free from abuse, neglect and mistreatment. The home will provide complete copies of the Resident Rights documentation to the contractor.

5.2.1.4.24.2. Detailed training on the definitions of abuse, neglect and exploitation of residents as defined by federal and state regulations.

Such training will also document requirements for reporting and completing written documentation of all observations of potentially abusive, neglectful or exploitative behavior.

5.2.1.4.24.3. Detailed training with return demonstration on

proper body mechanics and appropriate lifting and transferring techniques.

5.2.1.4.24.4. Training and assessment of employees’ ability

to communicate verbally an in writing, including the necessary to document appropriately within the resident medical record and complete necessary reports.

5.2.1.4.24.5. Licensed nursing staff will be addressed for

skills in the primary functions of the discipline with documented re-training for all identified deficiencies. Assessment will include the area of basic supervision, medication administration/treatments in compliance with infection control and accuracy criteria, assessment of medical change in condition, ability in charting and completion of medical records and communication skills necessary for interacting with staff and other medical professionals, such as physicians.

5.2.1.4.24.6. Training and documentation pertaining to

Occupational Safety Health Association (OSHA) requirements for Blood Borne Pathogens.

5.2.1.4.24.7. In the performance of the services of Medical

Director shall not be responsible for the following:

5.2.1.4.24.7.1. Treating residents who may be

in hospitals or emergency rooms;

5.2.1.4.24.7.2. Providing medical laboratory

services;

5.2.1.4.24.7.3. Conducting minor surgery; and

5.2.1.4.24.7.4. Transportation or custody of

residents for treatment outside the ASVHs.

Agree to the section above.

5.2.1.4.25. Specify which locations you are interested in providing Medical Director Services (i.e. ASVH-Tucson, ASVH- Flagstaff, and/or ASVH-Yuma)?

We would like to offer medical director services for the following sites:

• ASVH-Tucson Providing Medical Director Services

• ASVH-Flagstaff Providing Medical Director Services

The Offeror shall prepare and submit a written narrative describing the method of approach that the Physician or Medical Provider of a Health Care System will use to provide the services outlined in the Scope of Work:

Please see Section 5.2.1.4.1 Method of Approach.

On as needed basis:

5.2.1.4.26. Provide written recommendation for admission for each veteran/resident. Written recommendation must be assigned by the Physician. Each veteran/resident must remain under the care of the provider.

5.2.1.4.27. Supervise the medical care of each of the

Veteran/resident assigned to their case load.

5.2.1.4.28. Arrange for another physician to supervise the medical care of Veterans/resident when the primary physician is not available.

5.2.1.4.29. First establish and then review the Veterans/resident total program of care, including medications and treatments at each visit.

5.2.1.4.30. Provide written progress notes at each visit of the

Veteran/resident. The notes shall be legible, signed and dated.

5.2.1.4.31. Respond timely to communications from ASVHs requiring physician assistance to manage a Veteran/resident.

5.2.1.4.32. Provide on call coverage seven (7) days per week, twenty-four (24) hours a day.

5.2.1.4.33. Participate in regular communication with ASVHs to ensure establishment of treatment goals and that appropriate timely medical care is provided to Veterans/residents.

5.2.1.4.34. Participate in ASVHs quality improvement activities, as requested, to improve the provision of services in order to improve the health status of the Veterans/residents.

5.2.1.4.35. If the physician designates a physician’s assistant or registered nurse practitioner to provide medical services to Veterans/residents, the attending physician is responsible for the medical services provided.

5.2.1.4.36. Frequency of Medical Visits:

5.2.1.4.36.1. Physician shall see each Veteran/resident

within seventy-two (72) hours of admission.

5.2.1.4.36.2. A history and physical shall be completed

within ten (10) days of admission to the

ASVH.

5.2.1.4.36.3. A physical exam shall be performed on a

veteran/member at least once every twelve

(12) months from the date of admission.

5.2.1.4.36.4. Physician shall see a veteran/resident at least once every thirty (30) days for the first ninety

(90) days after admission, and at least once every sixty (60) days thereafter.

5.2.1.4.36.5. At the option of the physician, required visits after the initial visit, may alternate between personal visits by the physician and visits by a physician assistant, nurse practitioner or clinical nurse specialist.

5.2.1.4.36.6. The physician shall not delegate tasks when

the regulations specify that the physician must perform the task personally, or when the delegations is prohibited under State law or ASVHs policies and procedures.

5.2.1.4.37. Specify which locations you are interested in providing

Physician Services (i.e. ASVH-Phoenix, ASVH-Tucson, ASVH-Flagstaff, and/or ASVH-Yuma)?

We would like to offer physician services for the following sites:

• ASVH-Phoenix Providing Physician Services

• ASVH-Tucson Providing Physician Services

• ASVH-Flagstaff Providing Physician Services

5.2.1.4.38. The Offeror shall prepare and submit a response

describing how the Medical Director/Physicians will comply with the License and Certifications Requirements listed in Section 6, of the Scope of Work.

TeamHealth medical directors and physicians will comply with all license and certifications requirements as listed in the RFP.

5.2.1.4.39. The Offeror shall describe how they will comply with the Deliverables as listed in Section 8, of the Scope of Work.

TeamHealth medical directors and physicians will comply with all license and certifications requirements as listed in the RFP.

5.2.2. Offeror shall print Attachment A, Offer and Acceptance, complete, sign, and upload into the “My Offer Info & Docs” in APP;

5.2.3. Offeror shall print Attachment B, Notice, Correspondence, and payments, complete, sign and upload into the “My Offer Info & Docs” in APP:

5.2.4. Offeror shall print Attachment C, References, complete, and upload into the “My Offer Info & Docs” in APP;

5.2.5. Offeror shall print Attachment D, Proposed Sub-Contractors, complete, sign and date, and upload into the “My Offer Info & Docs” in APP;

5.2.6. Offeror shall print Attachment E, Confidential Information, complete, sign and date, and upload into the “My Offer Info & Docs” in APP;

5.2.7. Offeror shall print Attachment F, Boycott of Israel Disclosure, complete, sign and date, and upload into the “My Offer Info & Docs” in APP;

5.2.8. Offeror shall print Attachment G, Price Increase Percentages, complete, sign and date, and upload into the “My Offer Info & Docs” in APP;

5.2.9. Offeror shall print Attachment H, Conformance Statements and Supplement 1,2, and 3, complete, sign and date, and upload into the “My Offer Info & Docs” in

APP;

5.2.10. Offeror shall submit Attachment I, Insurance letter, and upload into the “My

Offer Info & Docs” in APP;

5.2.11. Offeror shall acknowledge any and all Solicitation Amendments electronically prior to the Offer due date and time. Failure to acknowledge all Solicitation Amendments may result in rejection of the Offer. Solicitation Amendments are created as a new Round. If a Proposal has been submitted under a Round and a new Round and Amendment is issued, Offeror’s Proposal must be resubmitted when acknowledging the Amendment or the Proposal will not be recognized by APP at the close of the Solicitation. It will register as a “No Bid”.

5.2.12. Under the “Items Tab” in APP, Offeror shall provide all-inclusive pricing for each line item; pricing shall include freight, delivery charges and travel costs, if applicable. No additional costs, other than those listed on the price sheet, will be accepted by ADHS. Items pricing shall include the following:

5.2.13. Offeror MUST complete the item pricing under the “Items (F) Tab” in APP, to include the following:

Please see attachment F for our response to this section, per RFP instructions.

5.2.13.3. Line Item 1 – ASVH-Tucson Providing Medical Director Services

(Routine Resident Visits) All-inclusive Per Visit Rate, no other costs are permitted. $__ _ _Per Visit

5.2.13.4. Line Item 2 – ASVH-Tucson Providing Medical Director Services (Resident Admission Visits (Initial Evaluation). All-inclusive Per Visit Rate, no other costs are permitted. $_____Per Visit

5.2.13.5. Line Item 3 – ASVH-Tucson Monthly Stipend for Administrative Duties

$2,400 per month (Up to twenty (20) hours).

5.2.13.6. Line Item 4 - ASVH-Tucson Providing Medical Director Services (Administrative Duties) $130.00 per hour.

5.2.13.7. Line Item 5 – ASVH-Flagstaff Providing Medical Director Services

5.2.13.8. Line Item 6 – ASVH-Flagstaff Providing Medical Director Services

5.2.13.9. Line Item 7 – ASVH-Flagstaff Monthly Stipend for Administrative

Duties $2,400 per month (Up to twenty (20) hours).

5.2.13.10. Line Item 8 - ASVH-Flagstaff Providing Medical Director Services

5.2.13.11. Line Item 9 – ASVH-Yuma Providing Medical Director Services

5.2.13.12. Line Item 10 – ASVH-Yuma Providing Medical Director Services

5.2.13.13. Line Item 11 – ASVH-Yuma Monthly Stipend for Administrative Duties

$2,400 per month (Up to twenty (20) hours).

5.2.13.14. Line Item 12 - ASVH-Yuma Providing Medical Director Services

5.2.13.15. Line Item 13 – ASVH-Phoenix Providing Physician Services to Veteran Administration Services Connected Veterans (VASC) Veterans and /or Patients that are covered by Medicare part A, without Medicare part B, is $90.00 per patient visit.

5.2.13.16. Line Item 14 – ASVH-Tucson Providing Physician Services to Veteran Administration Services Connected Veterans (VASC) Veterans and /or

5.2.13.17. Line Item 15 – ASVH-Flagstaff Providing Physician Services to Veteran

Administration Services Connected Veterans VASC Veterans and /or

5.2.13.18. Line Item 13 – ASVH-Yuma Providing Physician Services to VASC

Veterans and /or Patients that are covered by Medicare part A, without Medicare part B, is $90.00 per patient visit.

5.2.13.19. No Charge Items. If applicable, check the “no charge” option per line item and provide a comment to the no charge. Using the “no charge” option ensures that the Offeror is providing a response to a specific item yet is not charging for that line item.

5.2.13.20. For items offered with discount, APP will not recognize only the discount percentage. To complete the discount (%) information in the items, $0.01 shall be entered in the Unit Cost field and then the appropriate minimum discount percentage (%) (0% to 99%) shall be entered.

5.2.13.21. No Charge Items. If applicable, check the “no charge” option per line item and provide a comment to the no charge. Using the “no charge” option ensures that the Offeror is providing a response to a specific item yet is not charging for that line item. The Offeror will not be susceptible for award for that item regardless of any other information entered for that item.

5.2.13.22. For items offered with discount, APP will not recognize only the discount percentage. To complete the discount (%) information in the items, $0.01 shall be entered in the Unit Cost field and then the appropriate minimum discount percentage (%) (0% to 99%) shall be entered.

5.2.13.23. Contractor’s Invoiced Pricing Shall Align with the Individual Item

Pricing as listed in APP.

ATTACHMENTS

Attachments for Section 5.2.1.3.1

Resumes/Curriculum Vitae

A-1

Medical Director for Flagstaff Site:

Thomas Garland, MD

A-2

Thomas Frederic Garland III, M.D.

Thomas_garland@teamhealth.com

1680 Morning Stone Drive 602-789-0344 Prescott, AZ 86305 Cell 843 685-1637

Experience

TeamHealth, AZ 2021 – Present AZ Post-Acute Medical Services 1,PC Physician in Post-Acute Division

Care1, Atlanta, GA 2020 - 2021 Privately owned and operated provider of physicians, physician assistants and nurse providers in skilled nursing, in-patient rehabilitation, long-term care nursing, and assisted living facilities.

Physician

• Medical Director, Pruitt Nursing Homes; Moncks Corner and Walterboro, SC

• Medical Director, Sand Piper Rehabilitation and Nursing Home

Little River Medical Center, Myrtle Beach, SC 2011 - 2020 Privately operated non-profit healthcare center; provide medical, dental, behavioral health and pharmacy services on a sliding scale, income based fee structure.

Physician

• Medical Director, Liberty Hospice, 2010 - 2011

Brunswick Medical Center, Novant Health, Bolivia, NC 2009 - 2011 A 74 bed hospital with 200 physicians and 450 employees; provide a full range of healthcare, cardiac and pulmonary rehabilitation, laboratories, physical and speech therapy services.

Urgent Care Physician

• Physician, Ocean Isle Family Medicine, 2009

Stanley Medical Systems, Norwood & Mt. Gilead, NC 2007 - 2009 Operator of senior living hospitals and clinics.

Physician

• Medical Director, Montgomery County (NC) Hospice, 2007 - 2009

• Voluntary Physician, Albemarle (NC) Community Healthcare Clinic, 2007 - 2009

• Chairman, Family Practice Medicine, Stanley Regional Medical Center, 2008

• Executive Committee Member, Stanley Regional Medical Center, 2008

• Physicians Oversight Committee Member, Stanley Regional Medical Center, 2008

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Thomas Frederic Garland III, M.D. Page 2

Private Practitioner, Bellevue, IA 1983 - 2007

Physician

• Shareholder, Medical Associates Clinics and Health Plans, Bellevue, IA, 1983 - 2007

• Medical Director, Mill Valley Care center, Bellevue, IA, 1985 - 2007

• Cerdentialling Committee Member, Medical Associates Clinics and Health Plans, 2003 - 2007

• Medical Director, Family Care Network / Mercy Health Center, Dubuque, IA, 2003 - 2007

• Quality Assurance Committee Member, Medical Associates Clinics and Health Plans, 2003 - 2007

• Clinical Instructor, University of Iowa School od Medicine, 1998 - 2007

• Preceptor, University of Wisconsin, Nurse Practitioner Program, 1998 - 2007

• Chariman, Family Practice Medicine, Medical Associates Clinics and Health Plans, 1997 - 2007

• Preceptor, University of North Dakota, Physician Assistant Program, 1996 - 2007

• Physician Compensation Committee Member, Medical Associates Clinics and Health Plans, 1996 - 1999

• Family Practice Medicine Department Member, Mercy Health Center, 1995 - 2007

• Family Practice Medicine Department Member, Finley Hospital, 1995 - 2007

• Medical Records Committee Member, Medical Associates Clinics and Health Plans, 1991 - 1994

• Healthwatch Medical Editor / On-screen Spokesman, KDUB-TV, 1989 - 1990

• Medical Advisor, Sabula, Iowa Volunteer Ambulance Service, 1988 - 1991

• Skilled Nursing Committee Member, Mercy Health Center, 1988 - 1991

• Board of Directors Assistant Secretary, Medical Associates Clinics and Health Plans, 1987 - 1993

• Medical Advisor, Bellevue, Iowa Volunteer Ambulance Service, 1984 - 1991

• Department of Medicine Member, Mercy Health Center, 1983 - 1995

• Department of Medicine Member, Finley Hospital, 1983 - 1995

Medical College of Wisconsin, Family Practice Medicine Program, Milwaukee, WI 1980 - 1983

Chief Resident 1982 - 1983

• Emergency Room Physician, Deaconess Hospital, 1982 - 1983

• Emergency Room Physician, Memorial Hospital, 1982 - 1983

• In-House Physician, St. Francis Hospital, 1982 - 1983

Resident 1980 - 1982

Education

University of Wisconsin School of Medicine, Madison, WI 1980 Doctor of Medicine

University of Santo Tomas Medical School, Manila, Philippines 1976 - 1978 Medical Student Ranked 5th in Class of 320

University of Wisconsin-Milwaukee, Milwaukee, WI 1974 - 1976 Graduate Studies - Zoology / Health Sciences

University of Wisconsin-Milwaukee, Milwaukee, WI 1970 - 1974 Bachelor of Science - Zoology Graduated Cum Laude Honors in Major

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$888

$888

4,5

4,5

09-30-2024

09-30-2024

GARLAND, THOMAS FREDERIC III (MD)

HOSPITALIST OF ARIZONA PRESCOTT NURSING AND

REHAB CENTER

864 DOUGHERTY ST

PRESCOTT, AZ 863051841

GARLAND, THOMAS FREDERIC III (MD)

HOSPITALIST OF ARIZONA PRESCOTT NURSING AND REHAB

CENTER

864 DOUGHERTY ST

PRESCOTT, AZ 863051841

09-13-2021

09-13-2021

AG2287096

AG2287096

PRACTITIONER

PRACTITIONER

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MD PROFILE PAGE

Arizona Medical Board

Printer Friendly Version

General Information

Thomas Frederic Garland MD Thomas Garland, MD

3530 Verdier Boulevard Unit 903 Charleston SC 29414

Phone: (843) 685-1637

License Number: 63126 License Status: Active

Licensed Date: 06/16/2021 License Renewed: 06/16/2021 Due to Renew By: 04/18/2022

If not Renewed, License Expires: 08/18/2022

Education and Training

Medical School:

Graduation Date:

University of Wisconsin - Madison Milwaukee, WI

08/22/1980

Residency: 07/01/1980 - 06/30/1983 (Family Medicine) MCW Columbia St. Mary's Family Medicine Residency ACGME

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Approved Milwaukee, WI

Residency: 07/01/1981 - 06/30/1983 (Family Practice)

DELETE

Milwaukee, WI

Area of Interest Family Medicine

The Board does not verify current specialties. For more information please see the American Board of Medical Specialties website at http://www.abms.org to determine if the physician has earned a specialty certification from this private agency.

Board Actions None

A person may obtain additional public records related to any licensee, including dismissed complaints and non-disciplinary actions and orders, by making a written request to the Board. The Arizona Medical Board presents this information as a service to the public. The Board relies upon information provided by licensees to be true and correct, as required by statute. It is an act of unprofessional conduct for a licensee to provide erroneous information to the Board. The Board makes no warranty or guarantee concerning the accuracy or reliability of the content of this website or the content of any other website to which it may link. Assessing accuracy and reliability of the information obtained from this website is solely the responsibility of the user. The Board is not liable for errors or for any damages resulting from the use of the information contained herein.

Please note that some Board Actions may not appear until a few weeks after they are taken, due to appeals, effective dates and other administrative processes.

Board actions taken against physicians in the past 24 months are also available in a chronological list.

Credentials Verification professionals, please click here for information on use of this website.

A-8 http://www.abms.org/ http://www.azmd.gov/GLSuiteWeb/clients/azbom/public/MD_RecentActions.aspx http://www.azmd.gov/Profile/profile.aspx

Medical Director for Phoenix Site:

Jose Rapanan, DO

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Jose L. Rapanan Jr., DO 5818 N 18th Pl Phoenix AZ 85

206-291-6280, jose.rapanan@yahoo.com

Education and Medical Training

Family Medicine Residency 07/2017-06/2020 Mountain Vista Medical Center- Mesa Arizona

Medical Degree Doctor of Osteopathic Medicine- DO 07/2013-05/2017 Midwestern University-Arizona College of Osteopathic Medicine- Glendale, Arizona

Master Degree

Master of Biomedical Science- MBS 08/2011-05/2013 Midwestern University- Glendale, AZ

Undergraduate Degree 05/2005 – 06/2010

University of Washington- Seattle, WA Double Degree- Bachelors of Science in Biology & Bachelors of Arts in Biochemistry

Experience El Rio Health – Family and Community Medicine Physician Tucson, AZ 07/2020- Present Carondelet St Mary’s Hospital- Adult Hospitalist Tucson, AZ 07/2020-Present University of Arizona-College of Medicine- Clinical Instructor Phoenix, AZ 09/2020- Present Banner Urgent Care- Urgent Care Physician Phoenix, AZ 10/2019- Present US HealthWorks- Medical Assistant Seattle, WA 01/2005-06/2011

Publications Rapanan, Jose, Pascual, A, Cuppal, C, Cooper, K, and Leyva, K , and Hull, E, Zebrafish Keratocyte Explants to Study Collective Cell Migration and Reepithelialization in Cutaneous Wound Healing. Journal of Visualized Experiment (JoVE), August, 2014

Rapanan, Jose, Cooper, K, and Leyva, K , and Hull, E, Collective cell migration of primary zebrafish keratocytes. Experimental Cell Research (ECR) 326 (2014) 155-165.

Scholarship/ Awards Kenneth A. Suarez Summer Research Fellowship- Midwestern University 2014 Outstanding Research Award in Biomedical Science, Midwestern University 2013 Graduate Assistant Scholarship Award in Biomedical Science- Midwestern University 2012

Medical Licensure American Osteopathic Board of Family Physician- Board Certified Expires 2029 AZ State Medical Licensure- License No. 008141 Expires 2022 DEA- FR8661577 Expires 2022

Other Skills/ Hobbies/ Interest Fluent in Tagalog.

Fitness, Outdoor activities, Weight lifting, Cooking, Traveling

A-10 mailto:jose.rapanan@yahoo.com

$731

2,2N,3, 3N,4,5

2,2N,3, 3N,4,5

04-30-2022

04-30-2022

RAPANAN JR., JOSE L (DO)

MOUNTAIN VISTA MEDICAL RESIDENCY CLINIC

10238 EAST HAMPTON AVE # 506

MESA, AZ 85209

RAPANAN JR., JOSE L (DO)

MOUNTAIN VISTA MEDICAL RESIDENCY CLINIC

10238 EAST HAMPTON AVE # 506

MESA, AZ 85209

08-09-2019

08-09-2019

FR8661577

FR8661577

PRACTITIONER

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Jose Lobo Rapanan, Jr. DO El Rio 839 W congress st Tucson AZ 85745 Phone:

License Number: 008141 License Status: Active Licensed Date: 08/06/2019 License Renewed: 12/14/2021 Due to Renew By: 12/31/2023 If not Renewed, License Expires: 05/01/2024

Education and Training

Medical School:

Graduation Date:

Midwestern University Arizona College of Osteopathic Medicine Glendale, AZ

05/31/2017

Residency: 07/01/2017 - 06/30/2018 (Family Medicine)

MOUNTIAN VISTA MEDICAL CENTER

MESA, AZ

Area of Interest Family Medicine (AOA Board Certified)

The Board does not verify current specialties. For more information please see the American Osteopathic Association website at:

www.osteopathic.org or the American Board of Medical Specialties website at: http://www.abms.org to determine if the physician has earned a specialty certification from one of these private agencies.

Board Actions None

Arizona Medical Board

DO PROFILE PAGE

Arizona Board of Osteopathic Examiners azbomprod.azmd.gov Printed on 01/26/22 @ 01:42

Additional public records related to any licensee, including dismissed complaints and non-disciplinary actions and orders if these exist, may be obtained by making a written request to the Board.

The Board may charge for copies of these public records.

The Arizona Board of Osteopathic Examiners presents this information as a service to the public. The Board relies upon information provided by licensees to be true and correct, as required by statute. It is an act of unprofessional conduct for a licensee to provide erroneous information to the Board. The Board makes no warranty or guarantee concerning the accuracy or reliability of the content of this website or the content of any other website to which it may link. Assessing accuracy and

Page 1 of 2AZBOM

1/26/2022https://azbomprod.azmd.gov/glsuiteweb/clients/azbom/Public/Profile.aspx?entID=175878...

A-13 reliability of the information obtained from this website is solely the responsibility of the user. The Board is not liable for errors or for any damages resulting from the use of the information contained herein.

Please note that some Board Actions may not appear until a few weeks after they are taken, due to appeals, effective dates and other administrative processes.

Board actions taken against osteopathic physicians are available on the chronological list. page.

Credentials Verification professionals, please click here for information on use of this website.

Page 2 of 2AZBOM

1/26/2022https://azbomprod.azmd.gov/glsuiteweb/clients/azbom/Public/Profile.aspx?entID=175878...

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Medical Director for Tucson Site:

Carol Newman, MD

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CURRICULUM VITAE

CAROL ANNE NEWMAN, MD

ADMIN OFFICE

PO Box 489 Peoria, AZ 85380 P: 602-789-0344 F: 602-789-8389

PERSONAL INFORMATION:

Cell Phone: 517-376-1526 Email: cnewman@teamhealth.com NPI: 1497861157 Other Name Used: Carol Gilson

EMPLOYMENT:

December 29, 2014 to TEAMHealth (formally IPC Healthcare) MD – Family Medicine Present PO Box 489 Post- Acute Hospitalist

Peoria, AZ 85380 P: (602) 789-0344 F: (602) 789-8389

January 2002 to Elizabeth Wanner, MD. PC MD – Family Medicine July 2003 602 Lawrence St., Ste. E Private Practice Office

Tomball, TX 77375 (Two doctor practice P: (832) 534-7880 saw pt’s in clinic & F: (281) 351-0240 hospitalized)

September 2003 to Howell Family Practice, PC MD – Family Medicine October 2006 1225 W Grand River Ave., Ste. 300 Private Practice Office

Howell, MI 48843 (only outpatient; practice) P: (517) 548-0010 was sold to BRMG) F: (517) 338-9083

October 2006 to Byron Road Medical Group (BRMG) MD – Family Medicine November 2009 1225 S Latson Rd., Ste. 350 Private Practice Office

Howell, MI 48843 (only outpatient - four) P: (517) 546-0200 providers)

January 2010 to Physician Network Services MD – Family Medicine May 2011 Health Point Clinic (start-up clinic; closed

5219 Citybank Parkway offered hospital position) Lubbock, TX 79407 P: (806) 761-0333

June 2011 to Physician Network Services MD – Family Medicine May 2014 Office of Dr. Michael Rice Hospitalist

3502 9th St., Ste. 170 Lubbock, TX 79415

P: (806) 744-0566

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C.V. Con’t – Page 2 Carol A. Newman, MD

EDUCATION:

August 1988 to General Studies December 1988 Transferred to

Texas Tech

January 1989 to Bachelor of Science May 1992 Zoology

Summa Cum Laude

August 1992 to Doctor of Medicine May 18, 1996

June 1996 to May 1997

Internship Internal Medicine

June 1997 to May 1999

Residency Neurology (Not Completed)

June 1999 to Residency December 2001 Family Practice

Texas A&M University Office of Registrar 400 Bizzell St.

College station, TX 77843 P: (979) 845-1031 F: (979) 845-4757 E: registrar@tamu.edu

Texas Tech University Office of Registrar 103 West Hall Lubbock, TX 79401 P: (806) 742-3661 F: (806) 742-0355

The University of Texas Medical Branch Galveston 301 University Blvd.

Galveston, TX 77555-1305 P: (409) 772-1215 F: (409) 772-4466

The University of Texas Medical Branch Galveston 301 University Blvd.

Galveston, TX 77555-1305 P: (409) 772-1215 F: (409) 772-4466

The University of Texas Medical Branch Galveston 301 University Blvd.

Galveston, TX 77555-1305 P: (409) 772-1215 F: (409) 772-4466

The University of Texas Medical Branch Galveston Southwest Memorial, FP, Sugarland, TX 301 University Blvd.

Galveston, TX 77555-1123 P: (409) 747-8593 F: (409) 747-8582 E: jaislam@utmb.edu

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2,2N,3 3N,4,5

2,2N,3 3N,4,5

10-31-2022

10-31-2022

NEWMAN, CAROL A. MD

TEAMHEALTH

1750 W FRYE RD

CHANDLER, AZ 85224

NEWMAN, CAROL A. MD

TEAMHEALTH

1750 W FRYE RD

CHANDLER, AZ 85224

10-29-2019

10-29-2019

BN7733682

BN7733682

PRACTITIONER

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Carol Anne Newman MD Teamhealth 1750 W Frye Rd Chandler AZ 85224 Phone: (602) 789-0344

License Number: 49403 License Status: Active Licensed Date: 12/10/2014 License Renewed: 12/06/2021 Due to Renew By: 11/18/2023 If not Renewed, License Expires: 03/18/2024

Education and Training

Medical School:

Graduation Date:

UNIV OF TX MED BRANCH GALVESTON

GALVESTON, TX

05/18/1996

Residency: 07/01/1999 - 12/02/2001 (Family Medicine) MEMORIAL HERMANN HOSPITAL - SOUTHWEST ACGME Approved Sugar Land, TX

Area of Interest Family Practice

The Board does not verify current specialties. For more information please see the American Board of Medical Specialties website at http://www.abms.org to determine if the physician has earned a specialty certification from this private agency.

Board Actions None

Arizona Medical Board

MD PROFILE PAGE

Arizona Medical Board azbomprod.azmd.gov Printed on 01/26/22 @ 01:40

A person may obtain additional public records related to any licensee, including dismissed complaints and non-disciplinary actions and orders, by making a written request to the Board. The Arizona Medical Board presents this information as a service to the public. The Board relies upon information provided by licensees to be true and correct, as required by statute. It is an act of unprofessional conduct for a licensee to provide erroneous information to the Board. The Board makes no warranty or guarantee concerning the accuracy or reliability of the content of this website or the content of any other website to which it may link.