Attachment 1_SP_1145_19.pdf

SP-1145-19 Page 1 of 5

REQUEST FOR SPECIAL PROCUREMENT No. 1145-19

PART A. Requesting Agency must complete Items 1 through 13.

1. Requesting Agency Name: Department of Administrative Services, Procurement Services (DAS PS), on behalf of the Oregon Health Authority (OHA)

2. Date of Request: July 22, 2019 3. Agency Number: 107090

4. Agency Contact Name: Ginny Beckwith 5. Phone: (503) 378-4639

6. Type of Request: Class Special Procurement __X__ Contract-specific Special Procurement

7. Time Period Requested: From: January 1, 2020 To: December 31, 2021

8. Total Estimated Cost: $2,970,560

9. Title: Supplies and/or Services to be Acquired:

Real time hospital notification services, Collective Platform (formerly known as PreManage) Subscription Renewal

10. Request, Background and Proposed Contracting Procedure:

a. Request:

DAS PS, on behalf of OHA, requests approval of this Special Procurement for a 2-year term to extend Contract No. DASPS-1601-16 with Collective Medical Technologies through December 31, 2021 and to increase the not-to-exceed (NTE) of $3,320,000 by $2,970,560 for a new NTE of $6,290,560 for real time hospital notification services via renewal of Collective Platform Subscription.

b. Background:

Collective Platform (formerly known as PreManage) is a subscription-based notification software service that leverages data from Collective Medical Technologies' Emergency Department Information Exchange (EDie) system that is currently operating in Oregon. All hospitals in Oregon with emergency departments are contracted with Collective Medical to use EDie and contribute ED and Inpatient Admit, Discharge, transfer (ADT) data to populate hospital event notifications in real-time. Collective Platform uses the EDie data to provide real-time hospital event notifications to subscribers outside a hospital system, such as health plans and providers (Users), for a predetermined panel of patients. Users define their patient panel by providing an eligibility file to the vendor, which is updated regularly. Once activated, Users are then able to view hospital utilization information for their patients through the Collective Platform web portal or integrated through an electronic health record system. Users may also customize alerts based on specific criteria or method of alert using Collective Platform.

The original Sole Source, SS-509-15, was created and approved by the Oregon Health Authority’s Designated Procurement Officer (DPO). DASPS-2176-15 was noticed to the public in ORPIN on December 23, 2015 and closed on January 4, 2016, with no protests received. Contracting and

Attachment 1

SP-1145-19 Page 2 of 5 procurement authority for OHA is now under DAS PS for Information Technology supplies and services, which requires a new procurement method to be noticed to the public.

DAS PS, on behalf of OHA, intends to renew the subscription to Collective Platform, via Contract No.

DASPS-1601-16, and allow Medicaid Users to continue with subscriptions to access real-time Collective Platform alerts for their members or patients. OHA makes the subscription available to Oregon entities, including state programs, that provide care coordination to Medicaid enrollees, such as Coordinated Care Organizations (CCOs), local long-term care field offices, and key behavioral health care teams (Assertive Community Treatment). There is no additional charge to Medicaid Users for this access, but they are able to contract with CMT for any additional services desired required beyond that offered under the OHA subscription. For example, CCO s may choose to sponsor subscriptions for their key clinics and practices.

While OHA will oversee the subscription agreement and general progress, Users outside the state will be responsible for managing their day-to-day access directly with CMT. Users outside the state are required to have their own direct data use agreements. In addition to the Users, OHA will receive hospital event data from the vendor for monitoring health care delivery in Oregon and specifically for oversight of the operation of the Medicaid program.

The initial Collective Platform contract with OHA covered calendar years 2016 and 2017, in alignment with the EDie Utility project period. The EDie Utility was extended beyond 2017, and this subscription renewal aligns with that renewal. Per the original sole-source, OHA may choose to extend the Collective Platform subscription if state/federal funding is available.

The total estimated cost for the amendment period requested for these services will be:

Jan-Mar

Apr-Jun

Jul-Sep

Oct-Dec

Jan-Mar

Apr-Jun

Jul-Sep

Oct-Dec 2021 Total Cost

CCO Subsidy Projections - $.08 per Medicaid member per month

$248,904 $248,904 $248,904 $248,904 $248,904 $248,905 $248,905 $248,905 $1,991,235

State Programs $40,500 $40,500 $40,500 $40,500 $40,500 $40,500 $40,500 $40,500 $324,000

R&A Report $15,000 $15,000 $15,000 $15,000 $15,000 $15,000 $15,000 $15,000 $120,000

MDRO Report $12,500 $12,500 $25,000

Skilled Nursing Facility Subscription

$3,725 per site, one-time fee, 137 site max

$510,325

Estimated Biennium Spend

$2,970,560

SP-1145-19 Page 3 of 5

c. Proposed Contracting Procedure:

• DAS PS will issue a public notice on the Oregon Procurement Information Network (ORPIN) as required by OAR 125-248-0287 regarding approval of this Special Procurement (SP) 1145-19 that includes a process by which an affected person may protest.

• At the completion of the seven (7) day notice period, if no protests to the SP are received and sustained, DAS PS on behalf of OHA, will negotiate an amendment and extension to the Collective Medical Technologies Contract as described above.

11. Justification for use of Special Procurement

• This program provides critical support for the Coordinated Care Organizations (CCOs), Medicaid Care management contracts, and Medicaid-serving state programs.

• The Centers for Medicare and Medicaid Services (CMS) would likely not support, nor fund a duplication of efforts should a new vendor be selected.

• Collective Medical Technologies' Emergency Department Information Exchange (EDie) system is the only health information exchange (HIE) hospital event notification (HEN) operating in Oregon across all hospitals with emergency departments.

• Collective Platform uses the EDie data to provide real-time hospital event notifications to participating health organizations and state programs serving Medicaid enrollees.

• Users are able to view hospital utilization information for their patients through the Collective Platform web portal or integrated through an electronic health record system.

• The Collective Platform supports care coordination across a continuum of critical Medicaid providers including primary care, behavioral health, dental, and long-term services and supports.

12. Findings to Satisfy the Required Standards: This proposed special procurement:

_X_ (a) will be unlikely to encourage favoritism in the awarding of public contracts or to substantially diminish competition for public contracts because:

The data agreements that Collective Medical Technologies has in place with every hospital in Oregon is the key to the real time notification services being effective. While the software may be replicated, the access to the data could not.

and

____ (b)(i) will result in substantial cost savings to the contracting agency or to the public because:

or

_X__ (b)(ii) will otherwise substantially promote the public interest in a manner that could not practicably be realized by complying with the requirements of ORS 279B.055, 279B.060, 279B.065, or 279B.070, or any rules adopted thereunder because:

Every hospital in Oregon is currently submitting data to, and using data from, Collective Medical’s EDie system to receive real-time hospital event notifications for high-utilizers of Emergency Department (ED) services. OHA has already expended resources to achieve and support statewide participation in EDie by Oregon hospitals. Oregon has also already invested in Collective Platform to expand EDie's real time

SP-1145-19 Page 4 of 5 notifications beyond just EDs. Vendors of other notification services would be highly unlikely to obtain agreement from hospitals to reproduce the data interfaces with Oregon hospitals needed to replace EDie, and any new interfaces and implementation that could occur would lead to redundancy and extra expense.

A statewide Medicaid subscription to Collective Platform, expanded the EDie service by providing real-time notifications to CCOs, fee-for-service care managers, state programs such as long-term care and intellectual/developmental disability providers, tribal clinics and key behavioral health partners. Subscribing to Collective Platform maximizes the investment made in EDie, and maximizes the value of information contained within the EDie database to improve coordination of Medicaid services across the continuum of care.

13. Signature: The actual signature of the Agency Head or designee (e.g., Designated Procurement Officer) is not required on the Request if it is submitted through ORPIN. Agency may elect to attach a signed Request.

Signature: e.g. Electronically in ORPIN _________________ Type Name Date