ATTACHMENT 9 TECHNICAL EVALUATION SUBFACTORS.docx

ATTACHMENT 9: TECHNICAL EVALUATION SUBFACTORS

Subfactor A: Quality of Care / Services

1. Describe the availability to consistently provide 24-hour staffing as required. Describe the hours during the day/week that a Veteran will be assessed and admitted, and the number/type of staff available at each of these times. Include when a nurse and physician are available, indicating on-site or by phone, during each shift when admissions are conducted. “For example, Evening shift admissions, 3:00 P.M. – 6:00 P.M., RN on site, physician on-call, and three chemical dependency staff available for assisting admissions.”;

2. Describe the availability to accept same-day referrals and pre-arranged admission appointments;

3. If new staff must be hired to accommodate the needs of the contract, indicate their number and type. For instance, “The Contract will be used to hire 0.25 Full Time Equivalent (FTE) Nursing Staff and 0.5 FTE Counseling staff to accommodate Veteran admissions, case management, and referrals”;

4. Describe the availability of methods and standards used for medically monitored detoxification, including detoxification from substances, symptom relief strategies, and monitoring for withdrawal complications, and maintain records such that Veterans can be easily identified in the record-keeping system;

5. Describe the range and quality of support services provided, such as meals (separate mealtimes for men and women), laundry, personal hygiene items, and safe storage for personal items;

6. Describe the process to ensure safe storage, administration, and dispensing of medications, including take-home Methadone/Suboxone, and or Narcan.

Subfactor B: Urgent Care Clinic

1. How many days a week will Urgent Care be staffed with a Physician, Nurse, Addiction Counselor, or Rehabilitation Tech support?

2. Describe how medical management of chronic medical conditions will be handled;

3. Describe your contingency plan for Urgent Care if needed outside of normal hours.

Subfactor C: Clinical Services

1. Describe your company’s ability to provide alcohol and drug counseling and services below, by certified alcohol and drug counselors;

2. Describe your company’s ability to provide individual and group supportive counseling and who provides it;

3. Describe who prescribes and who administers and documents the issuance of buprenorphine, benzodiazepines and/or other agents as needed for symptom relief.

Subfactor D: Certifications/Qualifications/Licenses.

1. Submit a list of accreditations (agencies related to Health and Human Services, Oregon or Washington State Health Departments, Oregon or Washington Alcohol and Drug Abuse Program) currently involved with your Detoxification Program, indicating last inspection date and current status;

2. Submit accreditation by The Joint Commission (TJC);

3. Submit copies of full and unrestricted licenses with key personnel list (attached);

Subfactor E: Treatment Facility and Support Services.

1. Describe if your facility is located within the Portland metro area;

2. Describe the bed capacity;

3. Describe the conformance to facility standards and ability to provide a safe and supportive environment, including Life Safety Code (National Fire Protection Association Standard #101);

4. Describe how you will measure the number of VA-funded admissions, detox completions vs dropouts, referrals to VA Substance Use Disorder (SUD) programs, referral completion statistics, and the number and type of adverse clinical events, in order to address the measures in the Quality Assurance Surveillance Plan;

5. Describe how timeliness and accuracy of reports will be submitted, such as adverse clinical and psychiatric events within 24 hours, treatment outcomes, and service utilization to VAPORHCS;

6. Describe how the requirements will be met for referrals of Veterans to follow-up outpatient care. Describe how many and what type of staff conduct discharge planning. For instance, “All chemical dependency counselors (3) provide discharge planning services”.

Describe if your facility is available for a site visit.