CS249004_Pharmacy_Exhibit_A_.pdf

CS249004

EXHIBIT A

SCOPE OF WORK

1. GENERAL SCOPE - PHARMACY

Contractor will dispense prescriptions written by the physician and distribute stock medications ordered by authorized medical staff at Canyon Springs (CS). Contractor will provide professional comprehensive pharmaceutical services for all prescription, non-prescription medications, as well as any clinical management and technology solutions, as offered by Contractor, that meet facilities’ requirements.

Contractor will establish and/or maintain a medication kit for emergency, urgent, and common first-dose needs of the facility, where permitted in accordance with State of California Board of Pharmacy regulations and state statutes.

Department of Developmental Services (DDS) reserves the right to modify this Scope of Work, as mutually agreed to by the Contractor, to include additional work related to the Scope of Work in the event such work is identified, considered necessary to fulfill program requirements, and funds become available. The State also reserves the right to add additional funds during the term of the agreement. Any changes to the Scope and/or funding must be done in writing as an amendment.

2. GENERAL SCOPE – PHARMACIST CONSULTATION

Contractor will provide pharmacist assessment/consultation support services for the clients of Canyon Springs as needed and requested by the Canyon Springs’ (CS) Project Representative as required by the overall treatment plan and applicable regulations. Services will be primarily provided in person with tele pharmacy services as appropriate. General duties are as follows:

• Monthly Medication Room and Treatment Cart Inspections.

• Drug destruction within 30 days for controlled medications and discharged medications.

• Monthly Drug Regimen Review (If RN completes review Pharmacist must review quarterly).

• Monthly psychotropic medication review.

• Behavioral management review/Human Rights Committee.

• New admission medication history.

• Collaborate with contracted pharmacy for new admit and discharge medications.

• Assist facility to maintain records as required. Shipping manifests, drug disposition forms, pharmaceutical waste manifests.

• Report irregularities in the dispensing and administration of drugs and other matters relating to the review of the drug regimen.

• Monitor drug recalls.

• Participate in client meetings as requested.

3. PROJECT REPRESENTATIVES

CS Project Representatives during the term of this contract will be:

CS Pharmacist –

CS Project Representative – Tammy Fino (760) 770 2553

Contractor

4. Wholesaler/FDA Approved Repackager/Compliance

a. Vendor must be licensed in good standing with all applicable State Boards of Pharmacy and in accordance with the standards of the State of California.

b. Vendor must possess all necessary legal and regulatory qualifications, certifications, permits, and licenses when providing the services described in this Contract. Vendor must comply at all times with all applicable laws and applicable agency, regulatory and certification requirements, including but not limited to HIPAA and state privacy laws which govern the Vendor’s operations. Vendor must notify CS immediately if it is in receipt of notice of noncompliance with any such requirements, conditions, and standards, or if Vendor has notice or reason to believe that its status as to the foregoing will change or has changed in any respect.

c. During the term of this Contract, Vendor must maintain its status either as an approved wholesaler or with an approved wholesale agreement, in accordance with the standards of the State of California Board of Pharmacy and will provide repackaged stock medications in accordance with its status as an FDA Registered Repackag

5. INITIATING SERVICE/ORIENTATION

a. When Contractor begins servicing the Facility, it will implement a competency-based training schedule and orientation program for Contractor’s Pharmacists as well as any other Contractor personnel that will be involved with Facility contract management.

Prior to implementation, Contractor will have internal staff meetings to fully review Facility requirements and how they best apply to the Facility’s specific needs.

b. Contractor’s startup manual has detailed explanations of all medication management procedures and Contractor’s electronic programs are supported by program specific user manuals that are reviewed during the initial training. If an on-site orientation is required, those will be provided according to terms agreed upon in Attachment A.

c. Contractor will work with CS to design and implement a smooth transition from CS’s current pharmacy provider to the Contractor’s services. Contractor will provide a 30- 45-day transition plan (including orientation) and 60-day follow-up period for questions that may arise and troubleshooting.

6. DISPENSING PRESCRIPTIONS – MONTHLY ORDERS

a. The facility does not have a pharmacy. The facility has limited storage space and expects that pharmaceuticals will be delivered as needed, with no more than a monthly supply per client delivered in blister cards with one unit per bubble when possible.

b. As part of the facility’s disaster preparedness plan, monthly pharmaceuticals/supplies are delivered at least 48 hours in advance of the specified start date.

c. Orders for bulk house supplies are to be delivered within 5 business days.

d. When a client has insurance covering pharmaceuticals (Medi-Cal, Medicare or private insurance), it is expected that the successful bidder for the contract will bill the client’s insurance directly and accept that payment as payment in full. If the private insurance requires a co-payment, or if a client is not covered by insurance, vendor will issue a detailed invoice to the facility.

e. As prescriptions are based on individual client needs, it is impossible to anticipate/identify all the possible drugs/supplies that will need to be purchased to fill a doctor’s prescription. The facility cannot guarantee or identify minimum or maximum quantities that might be purchased over the term of a contract.

f. Physician monthly orders and refill orders will be faxed or sent electronically to Contractor with originals being sent by courier to meet Title 22 requirements.

7. DISPENSING PRESCRIPTIONS- NEW ORDERS & EMERGENCY SUPPLIES

a. Contractor must fill/dispense and deliver prescriptions 24 hours per day, 7 days per week, 365 days per year. New orders will be faxed or sent electronically to Contractor with originals being sent by courier to meet Title 22 requirements.

b. Antibiotics and medications for client comfort (pain, fever, nausea, vomiting, agitation) must be received in the facility in time to be administered to the client within four (4) hours of the order being placed with Contractor.

c. STAT prescriptions must be delivered to the facility within three (3) hours of the order being placed with Contractor.

d. E-Kit (emergency drug supply box) contents/supplies will be replaced/exchanged as used and/or as contents expire. CS is responsible for identifying and ordering items to be replaced. E-kit contents shall be replaced within seventy- two (72) hours of the order being placed with Contractor.

e. If an order is not delivered by its guaranteed delivery time, Vendor’s shipping department will begin the process of tracking the shipment. If Vendor determines the package is lost in shipment, Vendor will immediately contact the Facility and provide a copy of the missing delivery manifest, so each item can be reviewed, and it can be determined if Vendor needs to supply the medication(s) using local backup sources.

Those medication orders will immediately be sent to the backup by Vendor customer service technicians. The balance of the order will then be shipped for next-day delivery from Vendor to the Facility

8. DELIVERY

a. Pharmaceuticals must be delivered to the facility, per State and Federal Regulations.

As the facility is located in the desert with seasonal extreme temperatures, Contractor must transport prescriptions in a manner that ensures that items requiring storage at room temperature do not exceed 86 degrees F, and that items requiring refrigeration are maintained in the range of 36 to 46 degrees F.

b. The facility anticipates up to three or four deliveries per day, on business days, and one to two deliveries per day on weekends and holidays.

c. Contractor must deliver monthly cycle prescriptions at least 48 hours prior to the stated start date.

9. ACCEPTANCE OF DELIVERIES

a. The facility Pharmacist shall determine if items delivered are defective/unacceptable (i.e., short-dated items, damaged packaging). Such items will be returned to Contractor, and Contractor must replace with acceptable items.

b. Contractor must accept the return of all recalled items.

10. SPECIAL REQUIREMENTS- MEDICARE PART D

a. Contractor must fully comply with Medicare Part D requirements, as implemented, including on-line adjudication with third-party vendors and be compliant with eventual Part D e-prescribing requirements.

b. Contractor must provide an electronic integrated physician’s order system, which provides the facility with computer generated: recapped physician’s orders and medication and treatment records, various/miscellaneous reports including but not limited to anti-infective drugs, drug information/interactions, and other monthly and/or quarterly management reports. This process may be subcontracted to a vendor with prior approval of the CS Project Representative.

c. Contractor must be capable of accepting faxed prescriptions. If the facility does not have access to a fax machine (ie: in the event of telecommunication land line failure), Contractor must have procedures for accepting prescriptions over the telephone.

(Refer to #9. a. for Medicare Part D requirements).

11. REPORTS/FORMS

a. Contractor will process monthly for inclusion in the clinical record, from handwritten orders the following computer-generated records: Physician’s Orders, Medication Records, Treatment Records, Documentation records, Diet List, Unreadable word list and Discharge Input list. Contractor will also provide generic name inserts on medication sheets. Lists will be clearly printed and easily read. All lists shall be provided in the CS format/wording as provided by CS Project Representative to Contractor on Contractor’s data input forms.

b. Contractor will provide required record forms and lists monthly with documentation dates beginning with the 1st day of the month. Contractor agrees to provide forms/lists for the coming month to CS monthly by the 23rd of each month (to allow adequate time for correction/ implementation). CS will provide updates/new orders of forms to

Contractor by fax on a continuous basis and one monthly mailing of corrected physicians order copies by the 5th of each month. Contractor will provide additional usage reports as follows: Diet List reports monthly, Anti-Infective Drug Utilization Reports quarterly, Drug Information reports per client at least annually, drug-drug interaction as indicated, and Drug Recall or Drug Alert report lists as requested.

12. DISASTER PREPAREDNESS

Contractor must have a written plan for responding to/delivering prescription orders if there is a disruption of services which affects the routine procedures (telephone outage, power outage, natural disaster, etc.).

13. HIPAA COMPLIANCE

The Pharmacy must comply with HIPAA Business Associate regulations.

14. QUALITY ASSUARANCE

The Pharmacy must have a written Quality Assurance/Improvement plan in place and provide a copy and any updates to the CS Project Representative annually.

15. PACKAGING OF PRESCRIPTIONS

Contractor must provide prescriptions packaged per California State Board of Pharmacy regulations. Routine tablets & capsules that can be packaged in calendar punch cards need to be dispensed in those cards and per CS monthly cycle.

16. TRAINING – CE PROGRAMS

Contractor shall inform CS Project Representative of CE training opportunities. These training opportunities may be free or fee based.

Any registration fees will be paid out of a different fund allocation, not this contract.

17 THERAPEUTIC LEAVE MEDICATIONS

Contractor must provide medications for clients temporarily on leave from the facility (therapeutic leave) as ordered by CS Pharmacist on an as needed basis and as per specified packaging requirement including drug information sheets.

18. DELIVERY WAIT TIMES

CS is a secure facility and delivery staff must be available to wait until licensed staff are available to accept delivery (normal wait times may be 5-15 minutes or longer).

19. TERM OF AGREEMENT

The term of the agreement is July 15, 2024 or when fully executed, whichever is later through June 30, 2026. The State retains the option to renew the contract with a one (1), one (1) year option to extend at original rates submitted by the Proposer. This agreement may be terminated by DDS with thirty (30) days written notice to the contractor.