Attachment C - Technical Response Questionnaire (1) 5-27-26.xml

Attachment DOC- C : Technical Proposal Questionnaire Respondents shall respond to each question and request for information below for all services they are providing a proposal to the State for . Respondents should restate each item and provide a response to the item in a different colored font. Respondents should respond to all parts of each question or request for information. The Respondent shall provide response to each item presented below directly following the item. There is no limitation to the response, however, responses should describe Respondent’s ability to meet the requirements of this RFP in a straightforward, concise manner. In evaluating responses, emphasis shall be on the quality, completeness, clarity of content, responsiveness to requirements, and understanding and anticipation of needs. Respondent shall indicate the following details in response, where applicable: In all responses, the Respondent shall be certain to indicate the following: which services will be performed by the Respondent directly, which will be performed by any subcontractors (if any) how the services will be performed (e.g., onsite, offsite, mobile, telemedicine, etc.) what, if any, service level expectations are to be met in providing services what, if any services, the Respondent expects the State to perform List any experience with juvenile justice facilities, the locations and dates of service Health Care Services Describe how the Respondent will provide medical services meeting all requirements of this RFP. Describe how the Respondent will provide mental health services meeting all requirements of this RFP. Describe how the Respondent will provide secondary care in a manner that reduces the need for frequent offsite transport and consolidation of appointments to reduce demands for off-site security and transportation. Describe how the Respondent will establish and utilize a network of offsite providers and /or hospitals to deliver the appropriate level of services in the most cost-effective manner. Describe how the Respondent will provide routine healthcare services providing access to a licensed healthcare provider at each institution . Describe how the Respondent will provide sick call services (clinical services) according to ACA guidelines . Respondent should be certain to discuss how requests will be received and triaged, and timelines for inmates to be seen once triaged. Describe how the Respondent will provide infirmary care. Describe how the Respondent will provide Diagnostic Services (pathology, laboratory, medical imaging, etc.). Describe how the Respondents will provide a comprehensive hospice/end-of-life care program for those with terminal illnesses. Describe how the Respondents will provide services to those with medical conditions that require close monitoring, those with co-occurring disorders, those requiring frequent offsite medical treatment or similar reasons. Describe how the Respondent will ensure the development of treatment plans for inmates who require ongoing care and examples of the types of supportive and rehabilitative services provided. Describe how the Respondents will provide required onsite specialty clinics including, but not limited to: Optometry, Orthopedics, Orthotics/Prosthetics, HIV, OB/GYN, Physical Therapy, TB/Chest, and Dialysis. In addition to the required onsite clinics, the Respondent shall identify additional clinics they propose to be conducted onsite. Describe the Respondents approach to providing specialty OB/GYN services for female inmates, including prenatal and postpartum services to pregnant inmates, female health education, pap tests, breast examinations and mammograms. Describe how the Respondent will provide a program for Communicable Disease and Infection Control, which shall include policies and procedures for the management and prevention of serious and infectious diseases. This shall include suspected infections by either inmates or employees. Describe how the Respondent will provide services to inmates in segregation or other restrictive housing settings. Provide a Staffing Plan detailing the Respondent’s recommended staffing levels by job classification for each Institution adequate to provide comprehensive, quality s ervices required by this RFP in accordance with ACA standards, local, state, and federal laws and regulations, DOC policies and procedures (as applicable) , and community standards of practice. The following are minimum requirements for staffing for DOC Health Care Services : Licensed Nurse shall supervise the M edical O bservation U nit 24 hours per day, 7 days per week Healthcare Practitioner shall be on call 24 hours per day, 7 days per week for Medical Observation Unit consultation . Healthcare Practitioner shall provide onsite rounds daily, Monday through Friday, for each patient in the Medical Observation Unit . Minimum of one (1) Licensed Nurse shall be present in an occupied Medical Observation Unit . A minimum of two (2) Licensed Nurses shall be present in the Medical Observation Unit at all times when the census reaches ten (10) patients or more, or the acuity of the patients in the Medical Observation Unit requires additional staffing. Nursing rounds shall be performed a minimum of one time per day. Negative airflow isolation rooms shall be checked weekly for unoccupied rooms and daily for occupied rooms, to ensure appropriate air exchanges are maintained in accordance with established CDC guidelines. Minimum of one (1) full-time Health Services Administrator, Director of Nurses and Site Medical Director per institution . Respondent shall provide a detailed staffing plan for all shifts, including weekdays, weekends, and holidays. Holiday staffing hours shall be equivalent to the hours required to maintain a level of staff at each institution that would normally cover a weekend day. Respondent is encouraged to propose creative staffing options that result in overall savings to the State. Respondent shall submit a single staffing plan but shall note where alternative staffing approaches may be utilized within their plan that can lead to savings if approved by the State. Respondent shall also p rovide vacancy, turnover and longevity rates for each job classification for the past two years for all current correctional contracts. Describe the Respondent’s approach to adjusting the Staffing Plan throughout the contract to adapt to changing realities , including closing of existing institution s and/or opening of new institution s . Respondent shall include recommendations for processes, participants and timelines. Demonstrate the Respondent’s ability to recruit, hire and maintain appropriate staff to meet the needs of the KYDOC . Describe the Respondent’s recruitment practices, including how the bidder has dealt with or would deal with staffing in rural areas, and an applicant shortage in any particular professional tier. Outline active and ongoing strategies, resources and activities for recruitment, detailing the number of staff both at the State and at the corporate office performing these roles. Describe how the Respondent will work to retain current contract staff. Describe the Respondent’s hiring processes including processes for interviewing and selecting candidates for open positions. Describe how the Respondent will manage staff including, but not limited to: onboarding, scheduling, performance management, time tracking, overtime management, training, progressive discipline, etc. Describe how the Respondent will manage State Employees providing services under this RFP ensuring that all State employment requirements are met . Describe how Respondent will work cooperatively with the Dental Services Contractor to provide comprehensive services such that access, continuity and quality of care are maintained. Describe how Respondent will work cooperatively with the Pharmacy Services Contractor to provide comprehensive services such that access, continuity and quality of care are maintained. Describe how the Respondent will provide orientation and training to new staff on topics prescribed by the Respondent, ACA requirements, and DOC policies and procedures. Describe how the Respondent will provide continuing education for existing staff on topics prescribed by the Respondent, ACA requirements, and DOC policies and procedures. Respondent shall address offsite training and expectations for annual hours of offsite training required for varying staff roles. Describe how the Respondent will track and monitor all training and report it, as required, to the State. Describe the Respondents Utilization Management Program and how it will ensure that patients receive medically necessary and appropriate care at the appropriate time and in the appropriate setting in accordance with requirements of this RFP. Respondent must detail any required meetings, frequency of those meetings, expected attendees, and general expectations of time commitments of State staff. Describe how the Respondent plans to control health care costs through utilization management, areas in which cost savings are expected to be achieved, and evidence of the success of such a program at other clients. All cost savings should be represented in percentages because actual costs must not be included in the technical proposal. Describe the Respondent’s quality assurance program and how it will ensure that quality healthcare services are provided by evaluating the healthcare provided to individuals at both onsite and offsite facilities for quality, appropriateness and continuity of care. Respondent must detail required meetings, frequency of those meetings, expected attendees, and general expectations of time commitments of State staff. Respondent must agree to fully cooperate with any independent quality assurance activities conducted by or for DOC. Respondent should be sure to address institutional as well as statewide quality assurance program components. Describe the Respondent’s approach to reviewing and reporting on serious incidents in coordination with the State including, but not limited to: death, suicide attempts, and adverse events leading to admission. Respondent must detail review participants, processes and reporting timelines. Describe the Respondent’s approach to developing, recommending, reviewing, and implementing all policies and procedures necessary for the operation of the medical and mental health programs to assure that quality health care services are available to all individuals. Respondent must detail required meetings, frequency of those meetings, expected attendees, and general expectations of time commitments of State staff. Describe the Respondent’s policies, procedures and timelines to be followed in dealing with individual complaints regarding any aspect of healthcare in accordance with DOC policies, includ ing plans for participation in the grievance procedures. Describe the Respondent’s Emergency Preparedness Plan indicating plans for maintaining operations and capabilities for responding during planned and unplanned institutional lockdowns, states of emergency, man-made, pandemic, or natural disasters and implementation of Incident Command System (ICS). Describe the Respondent’s comprehensive pandemic response plan for medical and mental health services. At a minimum, please include testing of all staff and inmates. Describe how you would vaccinate the population once it is available. Describe your policy on vaccination requirements for your staff. The Contractor shall describe in detail how you would cover clinic during pandemic. The Contractor shall provide a detailed exposure plan when staff or inmates are exposed and or infected. As the pandemic rages on across the commonwealth, there may be times the local hospitals become inundated , for example with C ovid 19 patients from the community. How do we assure access to ventilators and hospitals should the need arise. Describe how the Respondent will provide a patient health education program that is accessible to all inmates and include regularly scheduled education for HIV, general wellness, grooming, good hygiene, tobacco use, alcohol and substance abuse, sexually transmitted diseases, chronic illnesses, Hepatitis C, therapeutic diets, oral care, health education for female inmates, mental wellness, and other preventive health measures geared to the special needs of the inmate population. Respondent shall identify the reports to be provided and the frequency of reporting. Where possible the Respondent should provide examples of recommended reporting including but not limited to: track program information on a statewide and institution basis monitor contract performance Describe the processes the Respondent will utilize to review advance approval requests for Health Care Services from interstate compact institutions and the process utilized to pay for these services. Describe the processes the Respondent will utilize to request advance approval from sending state for all offsite Health Care Services and for notifying sending state of emergency health care services provided. Describe the process the Respondent will utilize to make application to Medicaid on behalf of the Commonwealth to facilitate reimbursement by the hospital under Medicaid for such services. Describe examples of the respondent’s previous experience providing medically assisted treatment for alcohol and opiate use disorder . Demonstrate experience utilizing EHR solutions and specifically ability to utilize the KOMS EHR solution modules (Marquis) as required by this RFP . Describe your diversity and inclusion plan for the LGBTQ+ community to include your staff and inmates. Please describe how you train your providers to address the unique health care issues found within this community. Please make sure you response is inclusive of Mental Health services. Describe your experience with implementing MAT and how you would maintain MAT and how you would maintain those services as required by this RFP. Describe how your care team will work hand in hand with reentry to ensure a warm handoff to those offenders leaving DOC. Respondent shall provide a Startup & Implementation Plan, including a schedule with timelines that includes the initial delivery of equipment and supplies, the hiring and training of Contractor staff, and the transition of services. The goal for full-service delivery at each institution shall be no later than the contract start date. The Respondent shall have all contracts for delivery of service in place and finalized no later than sixty (60) days from contract execution.

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