PATHways Operational Response Template.docx
DOCX document 25 KB Posted
- Solicitation number
- BD-26-1055-HPC01-HPC-127368
- Issued by
- Massachusetts
About this file
This is an Operational Response Template for the Promoting Appropriate Transitions to Home (PATHways) program, a Massachusetts state initiative administered by the Health Policy Commission (HPC) in partnership with Aging Services Access Points (ASAPs) and qualifying acute care hospitals. The template guides hospital applicants through a structured proposal process designed to establish integrated discharge planning models that facilitate patient transitions from hospital settings to home-based care. Applicants must demonstrate their hospital's capacity to embed ASAP staff members within their discharge planning processes, describe their proposed staffing models, outline staff training plans, and detail communication protocols between hospital, ASAP, and home and community-based services (HCBS) providers. The response template requires hospitals to identify their target patient populations, explain how the program will enhance service efficiency and effectiveness, and provide geographic and population needs analysis for their service areas.
The evaluation framework assigns point values across five categories: Proposed Program (40 points), Applicant qualifications and need (20 points), Measurement and Data Reporting (5 points), Budget (15 points), and Sustainability and Scalability (20 points). Applicants must demonstrate organizational financial need, describe existing relationships with ASAP partners, provide institutional leadership support documentation, and detail workflows for tracking eligible individuals, service offerings, and enrollment data. The response requires budget context and explanation of in-kind funding contributions and timing. Applicants must articulate sustainability strategies beyond the Period of Performance, including return-on-investment analysis and internal organizational buy-in approaches. The template does not specify response dates, contract terms, funding amounts, or award timelines within its content.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment C Exhibit 1 Commonwealth Terms and Conditions.pdf | ||
| PATHways Request for Proposals_FINAL~1.docx | DOCX document | |
| Att A_Ex1_DHTF Eligible Hospitals PATHways~1.docx | DOCX document | |
| Contractor Authorized Signatory Listing updated 2025.pdf | ||
| PATHways Budget Template.xlsx | XLSX spreadsheet | |
| Standard Contract Form Template~1.pdf |
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Text version
Operational Response Template
Background Information
1. Has your hospital previously participated in the Hospital to Home Partnership Program (HHPP) supported by AGE?
a. If yes, what is the current status of the program you implemented with that funding?
b. If yes, are you applying with the same ASAP or a different ASAP partner?
2. If you have not participated in HHPP but have established a similar program, please describe the previous or current status of your program.
Proposed Program (40 Points)
1. Describe your proposed program and how it will meet the program requirements as described in the Funding Opportunity Description (Section III) of the Request for Proposals. Please include:
a. Staffing model including ASAP or hospital-based supervision
b. Planned trainings for hospital staff
c. Plan for communication between the hospital, the ASAP and the HCBS providers.
d. Describe the patient population(s) you intend to serve with this program.
2. Describe how the program will improve and enhance the ability of the hospital to serve the population efficiently and effectively.
3. Describe the geographic and population needs of your hospital catchment area.
Applicant (20 Points)
1. Describe why your hospital is interested in implementing a model of integrating an ASAP staff member to facilitate patient discharge to home.
2. Describe your organization’s financial need for this funding opportunity.
3. Describe the relationship between your hospital and your ASAP partner in this application. Include any current projects and your methods for communication and collaboration.
4. Describe the process by which you have obtained support from your institutional leadership for this program. You may attach and reference any relevant letters of support.
Measurement and Data Reporting (5 points)
1. Describe the workflow to accomplish the data reporting requirements (e.g., tracking individuals eligible, offered services, and enrolled by medical record number and date of discharge) Budget (15 points)
1. Provide any additional context you would like on the budget submitted via the budget template.
2. Describe when and how your organization will provide the required in-kind funding and what those funds will be used to support.
Sustainability and Scalability (20 points)
1. Describe the process you will use to determine the sustainability of the program beyond the Period of Performance, including any analysis of return on investment.
2. Describe the strategic plan for developing buy-in to sustain the program within your organization.
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