Dated 06/01/2026

STATE OF SOUTH DAKOTA

Rural Health Transformation

Office of Rural Health and Emergency Services 600 East Capitol Avenue

Pierre, SD 57501

Enhancing Sustainable Emergency Medical Services (EMS)

EMS Workforce, Infrastructure, and System Modernization Initiative

PROPOSALS ARE DUE NO LATER THAN 5PM CT July 17, 2026

RFP #: 26-09RHT-023

State POC:

Lance Iversen

EMAIL:

DOHEMSGrants@state.sd.us

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FIRM NAME: AUTHORIZED SIGNATURE:

ADDRESS: TYPE OR PRINT NAME:

CITY/STATE: TELEPHONE NO:

ZIP (9 DIGIT): FAX NO:

E-MAIL:

PRIMARY CONTACT INFORMATION

CONTACT NAME: TELEPHONE NO:

FAX NO: E-MAIL:

1.0 GENERAL INFORMATION

1.1 PURPOSE OF REQUEST FOR PROPOSAL (RFP)

The South Dakota Department of Health (DOH), Division of Healthcare Access, Office of Rural Health and Emergency Services, is requesting proposals to support the Enhancing Sustainable Emergency Med-ical Services (EMS) Initiative under the Rural Health Transformation (RHT) Project. Up to $8,000,000 in funding is available for this Federal Fiscal Year.

This initiative is designed to strengthen and sustain EMS systems across South Dakota by enhancing system capacity, coordination, and performance to ensure reliable and timely emergency medical services statewide. It aligns with the broader goals of the Rural Health Transformation (RHT) Project to expand access to care, strengthen the healthcare workforce, and advance innovation in healthcare delivery.

This RFP is intended to support competitive project-based funding awards for EMS system transformation initiatives. Depending on the nature of the awarded project, selected applicants may enter into a professional services contract, grant agreement, or other state-approved funding agreement with the South Dakota Department of Health.

Eligible applicants may apply for one or more of the following components and must clearly identify the area(s) addressed in their proposal:

A. (3.1) Workforce Development, Leadership, and EMS System Sustainability B. (3.2) Specialized Equipment and Technology Integration C. (3.3) Regional EMS Coordination, Shared Resources, and Integrated Dispatch Systems D. (3.4) Clinical Quality Improvement and EMS Performance Oversight

If your project primarily focuses on… Apply under… Workforce training/recruitment 3.1 Technology/EHR/telemedicine 3.2 Dispatch/shared operations 3.3 CQI/performance benchmarking 3.4

Additional details are provided in the Scope of Work section beginning on page 9.

Eligible applicants may include organizations and entities with demonstrated experience, expertise, or operational responsibility related to Emergency Medical Services (EMS), rural healthcare delivery, public safety, workforce development, healthcare technology integration, clinical quality improvement, or regional emergency response coordination. Eligible applicants may include, but are not limited to:

South Dakota licensed ambulance services South Dakota Tribal governments, Tribal EMS agencies, or Tribal healthcare organizations South Dakota hospitals, health systems, and critical access hospitals South Dakota public safety agencies, emergency communications centers, and dispatch organi-zations Educational institutions, technical colleges, universities, and EMS training programs Local governments and governmental entities Nonprofit organizations with relevant EMS, healthcare, workforce, or public health expertise Healthcare technology vendors and interoperability partners

Consultants or organizations with demonstrated expertise in EMS system development, clinical quality improvement, workforce development, healthcare integration, operational coordination, or EMS sustainability initiatives

The South Dakota Department of Health reserves the right to determine applicant eligibility and the ap-propriateness of proposed project activities based on alignment with the goals and objectives of this RFP.

1.2 ISSUING OFFICE AND RFP REFERENCE NUMBER

The Division of Healthcare Access, Office of Rural Health and Emergency Services is the issuing office for this document and all subsequent addenda relating to it, on behalf of the State of South Dakota, Department of Health. The reference number for the transaction is RFP #: 26-09RHT-

023. This number must be referred to on all proposals, correspondence, and documentation relating to the RFP.

1.3 SCHEDULE OF ACTIVITIES (SUBJECT TO CHANGE)

RFP Publication 06/01/2026 Offeror Questions Due Responses to Offeror Questions

06/15/2026 06/26/2026

Proposal Submission Due By 07/17/2026 Anticipated Award Decision/Contract Negotiation 08/05/2026

1.4 SUBMITTING YOUR PROPOSAL

Proposals must be submitted electronically to: DOHEMSGrants@state.sd.us by the date and time indicated in the Schedule of Activities.

Proposals received after the deadline will be late and ineligible for consideration.

All proposals must be signed by an officer of the responder legally authorized to bind the responder to the proposal on the form intended by the respondent. Proposals that are not properly signed may be rejected. Emailed proposals and cost proposals must be addressed, labeled, and attached separately as follows:

REQUEST FOR PROPOSAL # 26-09RHT-023

PROPOSAL DUE: July 17, 2026

STATE POC: LANCE IVERSEN

VIA EMAIL: DOHEMSGrants@state.sd.us

No proposal shall be accepted from, or no contract or purchase order shall be awarded to any person, firm or corporation that is in arrears upon any obligations to the State of South Dakota, or that otherwise may be deemed irresponsible or unreliable by the State of South Dakota.

1.5 CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND

VOLUNTARY EXCLUSION – LOWER TIER COVERED TRANSACTIONS

By signing and submitting this proposal, the offeror certifies that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation, by any Federal department or agency, from transactions involving the use of Federal funds. Where the offeror is unable to certify to any of the statements in this certification, the bidder shall attach an explanation to their offer.

1.6 NON-DISCRIMINATION STATEMENT

The State of South Dakota requires that all contractors, vendors, and suppliers doing business with any State agency, department, or institution, provide a statement of non-discrimination. By signing and submitting their proposal, the offeror certifies they do not discriminate in their employment practices with regard to race, color, creed, religion, age, sex, ancestry, national origin or disability.

1.7 CERTIFICATION RELATING TO PROHIBITED ENTITY

For contractors, vendors, suppliers, or subcontractors who enter into a contract with the State of South Dakota by submitting a response to this solicitation or agreeing to contract with the State, the bidder or offeror certifies and agrees that the following information is correct:

The bidder or offeror, in preparing its response or offer or in considering proposals submitted from qualified, potential vendors, suppliers, and subcontractors, or in the solicitation, selection, or commercial treatment of any vendor, supplier, or subcontractor, is not an entity, regardless of its principal place of business, that is ultimately owned or controlled, directly or indirectly, by a foreign national, a foreign parent entity, or foreign government from China, Iran, North Korea, Russia, Cuba, or Venezuela, as defined by SDCL 5-18A. It is understood and agreed that, if this certification is false, such false certification will constitute grounds for the State to reject the bid or response submitted by the bidder or offeror on this project and terminate any contract awarded based on the bid or response. The successful bidder or offeror further agrees to provide immediate written notice to the contracting executive branch agency if during the term of the contract it no longer complies with this certification and agrees such noncompliance may be grounds for contract termination.

1.8 RESTRICTION OF BOYCOTT OF ISRAEL

For contractors, vendors, suppliers, or subcontractors with five (5) or more employees who enter into a contract with the State of South Dakota that involves the expenditure of one hundred thousand dollars ($100,000) or more, by submitting a response to this solicitation or agreeing to contract with the State, the bidder or offeror certifies and agrees that the following information is correct:

The bidder or offeror, in preparing its response or offer or in considering proposals submitted from qualified, potential vendors, suppliers, and subcontractors, or in the solicitation, selection, or commercial treatment of any vendor, supplier, or subcontractor, has not refused to transact business activities, has not terminated business activities, and has not taken other similar actions intended to limit its commercial relations, related to the subject matter of the bid or offer, with a person or entity on the basis of Israeli national origin, or residence or incorporation in Israel or its territories, with the specific intent to accomplish a boycott or divestment of Israel in a discriminatory manner. It is understood and agreed that, if this certification is false, such false certification will constitute grounds for the State to reject the bid or response submitted by the bidder or offeror on this project and terminate any contract awarded based on the bid or response. The successful bidder or offeror further agrees to provide immediate written notice to the contracting executive branch agency if during the term of the contract it no longer complies with this certification and agrees such noncompliance may be grounds for contract termination.

1.9 MODIFICATION OR WITHDRAWAL OF PROPOSALS

Proposals may be modified or withdrawn by the offeror prior to the established due date and time.

No oral, telephonic, telegraphic or facsimile responses or modifications to informal, formal bids, or Request for Proposals will be considered.

1.10 OFFEROR INQUIRIES

Offerors may email inquiries concerning this RFP to obtain clarification of requirements. No inquiries will be accepted after the date and time indicated in the Schedule of Activities. Inquiries must be emailed to Lance Iversen at: DOHEMSGrants@state.sd.us with the subject line “RFP #:

26-09RHT-023”

In addition, applicants may join one of our Technical Assistance calls to hear Program details and ask questions. These Technical Assistance calls will be held on the following dates:

Friday, June 5th, 2026, at noon (12:00 pm) CT Friday, June 12th, 2026, at noon (12:00 pm) CT

To register for one of the Technical Assistance calls please visit:

https://forms.office.com/g/AABs6W3Hmy. A calendar invitation with webinar details will be sent to the email address you provide.

Questions submitted through the chat during the Technical Assistance webinars will be docu-mented and posted as Questions and Answers (Q&A) on the State’s e-procurement system.

The State may respond to offeror inquiries (if required) via email; however, all inquiries, re-sponses, and any modifications to this RFP will be posted on the State’s e-procurement system for this RFP. Offerors may not rely on any written or oral statements that are not formally issued through these official channels and that alter the specifications, terms, or conditions of this RFP.

1.11 PROPRIETARY INFORMATION

The proposal of the successful offeror(s) becomes public information. Proprietary information can be protected under limited circumstances such as client lists and non-public financial statements.

An entire proposal may not be marked as proprietary. Offerors must clearly identify in the Executive Summary and mark in the body of the proposal any specific proprietary information they are requesting to be protected. The Executive Summary must contain specific justification explaining why the information is to be protected. Proposals may be reviewed and evaluated by any person at the discretion of the State. All materials submitted become the property of the State of South Dakota and may be returned only at the State's option.

1.12 LENGTH OF CONTRACT

The anticipated contract period is August 5, 2026 – July 31, 2027, with the option to renew for three (3) additional years in one (1) year increments at State’s discretion. The renewal will not be automatic, and will be based on future funding levels.

1.13 GOVERNING LAW

Venue for any and all legal action regarding or arising out of the transaction covered herein shall be solely in the State of South Dakota. The laws of South Dakota shall govern this transaction.

1.14 DISCUSSIONS WITH OFFERORS (ORAL PRESENTATION/NEGOTIATIONS)

An oral presentation by an offeror to clarify a proposal may be required at the sole discretion of the State. However, the State may award a contract based on the initial proposals received without discussion with the Offeror. If oral presentations are required, they will be scheduled after the submission of proposals. Oral presentations will be made at the offeror’s expense.

This process is a Request for Proposal/Competitive Negotiation process. Each Proposal shall be evaluated, and each respondent shall be available for negotiation meetings at the State’s request.

The State reserves the right to negotiate on any and/or all components of every proposal submitted. From the time the proposals are submitted until the formal award of a contract, each proposal is considered a working document and as such, will be kept confidential. The negotiation discussions will also be held as confidential until such time as the award is completed.

2.0 STANDARD CONTRACT TERMS AND CONDITIONS

Any contract or agreement resulting from this RFP will include the State’s standard terms and conditions as listed below, along with any additional terms and conditions as negotiated by the parties:

2.1 The Contractor will perform those services described in the Scope of Work, attached hereto as

Section 3 of the RFP and by this reference incorporated herein.

2.2 The Contractor’s services under this Agreement shall commence on _______TBD______ and end on _____TBD________, unless sooner terminated pursuant to the terms hereof.

2.3 The Contractor will not use State equipment, supplies or facilities. The Contractor will provide the

State with its Employer Identification Number, Federal Tax Identification Number or Social Security Number upon execution of this Agreement.

2.4 The State will make payment for services upon satisfactory completion of the services. The TOTAL

CONTRACT AMOUNT is an amount not to exceed $___TBD_________. The State will not pay Contractor's expenses as a separate item. Payment will be made pursuant to itemized invoices submitted with a signed state voucher. Payment will be made consistent with SDCL ch. 5-26.

2.5 The Contractor agrees to indemnify and hold the State of South Dakota, its officers, agents and employees, harmless from and against any and all actions, suits, damages, liability or other proceedings that may arise as the result of performing services hereunder. This section does not require the Contractor to be responsible for or defend against claims or damages arising solely from errors or omissions of the State, its officers, agents or employees.

2.6 The Contractor, at all times during the term of this Agreement, shall obtain and maintain in force insurance coverage of the types and with the limits as follows:

A. Commercial General Liability Insurance:

The Contractor shall maintain occurrence based commercial general liability insurance or equivalent form with a limit of not less than $1,000,000.00 for each occurrence. If such insurance contains a general aggregate limit it shall apply separately to this Agreement or be no less than two times the occurrence limit.

B. Professional Liability Insurance or Miscellaneous Professional Liability Insurance:

The Contractor agrees to procure and maintain professional liability insurance or miscellaneous professional liability insurance with a limit not less than $1,000,000.00.

C. Business Automobile Liability Insurance:

The Contractor shall maintain business automobile liability insurance or equivalent form with a limit of not less than $1,000,000.00 for each accident. Such insurance shall include coverage for owned, hired and non-owned vehicles.

D. Worker’s Compensation Insurance:

The Contractor shall procure and maintain workers’ compensation and employers’ liability insurance as required by South Dakota law.

Before beginning work under this Agreement, Contractor shall furnish the State with properly executed Certificates of Insurance which shall clearly evidence all insurance required in this Agreement. In the event a substantial change in insurance, issuance of a new policy, cancellation or nonrenewal of the policy, the Contractor agrees to provide immediate notice to the State and provide a new certificate of insurance showing continuous coverage in the amounts required. Contractor shall furnish copies of insurance policies if requested by the State.

2.7 While performing services hereunder, the Contractor is an independent contractor and not an officer, agent, or employee of the State of South Dakota.

2.8 Contractor agrees to report to the State any event encountered in the course of performance of this Agreement which results in injury to the person or property of third parties, or which may otherwise subject Contractor or the State to liability. Contractor shall report any such event to the State immediately upon discovery.

Contractor's obligation under this section shall only be to report the occurrence of any event to the State and to make any other report provided for by their duties or applicable law. Contractor's obligation to report shall not require disclosure of any information subject to privilege or confidentiality under law (e.g., attorney-client communications). Reporting to the State under this section shall not excuse or satisfy any obligation of Contractor to report any event to law enforcement or other entities under the requirements of any applicable law.

2.9 This Agreement may be terminated by either party hereto upon thirty (30) days written notice. In the event the Contractor breaches any of the terms or conditions hereof, this Agreement may be terminated by the State at any time with or without notice. If termination for such a default is affected by the State, any payments due to Contractor at the time of termination may be adjusted to cover any additional costs to the State because of Contractor's default. Upon termination the State may take over the work and may award another party an agreement to complete the work under this Agreement. If after the State terminates for a default by Contractor it is determined that Contractor was not at fault, then the Contractor shall be paid for eligible services rendered and expenses incurred up to the date of termination.

2.10 This Agreement depends upon the continued availability of appropriated funds and expenditure authority from the Legislature for this purpose. If for any reason the Legislature fails to appropriate funds or grant expenditure authority, or funds become unavailable by operation of law or federal funds reductions, this Agreement will be terminated by the State. Termination for any of these reasons is not a default by the State nor does it give rise to a claim against the State.

2.11 This Agreement may not be assigned without the express prior written consent of the State. This

Agreement may not be amended except in writing, which writing shall be expressly identified as a part hereof, and be signed by an authorized representative of each of the parties hereto.

2.12 This Agreement shall be governed by and construed in accordance with the laws of the State of

South Dakota. Any lawsuit pertaining to or affecting this Agreement shall be venued in Circuit Court, Sixth Judicial Circuit, Hughes County, South Dakota.

2.13 The Contractor will comply with all federal, state and local laws, regulations, ordinances, guidelines, permits and requirements applicable to providing services pursuant to this agreement, and will be solely responsible for obtaining current information on such requirements.

2.14 The Contractor may not use subcontractors to perform the services described herein without the express prior written consent of the State. The Contractor will include provisions in its subcontracts requiring its subcontractors to comply with the applicable provisions of this Agreement, to indemnify the State, and to provide insurance coverage for the benefit of the State in a manner consistent with this Agreement. The Contractor will cause its subcontractors, agents, and employees to comply, with applicable federal, state and local laws, regulations, ordinances, guidelines, permits and requirements and will adopt such review and inspection procedures as are necessary to assure such compliance.

2.15 Contractor hereby acknowledges and agrees that all reports, plans, specifications, technical data, miscellaneous drawings, software system programs and documentation, procedures, or files, operating instructions and procedures, source code(s) and documentation, including those necessary to upgrade and maintain the software program, and all information contained therein provided to the State by the Contractor in connection with its performance of services under this Agreement shall belong to and is the property of the State and will not be used in any way by the Contractor without the written consent of the State. Papers, reports, forms, software programs, source code(s) and other material which are a part of the work under this Agreement will not be copyrighted without written approval of the State.

2.16 The Contractor certifies that neither Contractor nor its principals are presently debarred, suspended, proposed for debarment or suspension, or declared ineligible from participating in transactions by the federal government or any state or local government department or agency.

Contractor further agrees that it will immediately notify the State if during the term of this Agreement Contractor or its principals become subject to debarment, suspension or ineligibility from participating in transactions by the federal government, or by any state or local government department or agency.

2.17 Any notice or other communication required under this Agreement shall be in writing and sent to the address set forth above. Notices shall be given by and to Lance Iversen on behalf of the State, and by ______TBD_______, on behalf of the Contractor, or such authorized designees as either party may from time to time designate in writing. Notices or communications to or between the parties shall be deemed to have been delivered when mailed by first class mail, provided that notice of default or termination shall be sent by registered or certified mail, or, if personally delivered, when received by such party.

2.18 In the event that any court of competent jurisdiction shall hold any provision of this Agreement unenforceable or invalid, such holding shall not invalidate or render unenforceable any other provision hereof.

2.19 All other prior discussions, communications and representations concerning the subject matter of this Agreement are superseded by the terms of this Agreement, and except as specifically provided herein, this Agreement constitutes the entire agreement with respect to the subject matter hereof.

2.20 Stevens Amendment Language

2.20.1 This contract is supported by the Centers for Medicare & Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $___TBD____ with 100 percent funded by CMS/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CMS/HHS, or the U.S. Government.

3.0 SCOPE OF WORK

The purpose of this RFP is to support implementation of the Enhancing Sustainable Emergency Medical Services (EMS) Initiative under the Rural Health Transformation (RHT) Project administered by the South Dakota Department of Health. This initiative is focused on strengthening, modernizing, and sustaining EMS systems across rural, frontier, and Tribal communities in South Dakota.

This effort advances a comprehensive approach to EMS system transformation, including workforce sustainability, clinical quality improvement, financial sustainability, community-based care models, and enhanced coordination across healthcare and public safety partners. Proposed projects must clearly align with these priorities and contribute to a more integrated, resilient, and sustainable statewide EMS system.

Applicants must identify one or more of the subcomponents outlined in the Scope of Work and present a clear, well-defined project approach that aligns with the intended use of funds to enhance sustainable EMS.

Project goals must be specific, measurable, achievable, relevant, and time-bound (SMART).

Proposals must also incorporate strategies to support long-term financial sustainability. This may include, as appropriate, exploration of alternative reimbursement models, service diversification, and regional or shared funding approaches.

For purposes of this RFP, sustainability refers to the initiative’s ability to maintain or continue key project ac-tivities, operational benefits, partnerships, or system improvements beyond the funding period.

The selected contractor(s) will work closely and collaboratively with the South Dakota Department of Health (SDDOH) throughout the project period to support implementation, coordination, reporting, and alignment with statewide EMS system priorities.

Successful proposals will:

Identify and address real EMS system challenges Improve sustainability and long-term system stability Demonstrate measurable impact Support rural, frontier, and Tribal communities Strengthen collaboration and coordination Improve patient care and EMS readiness Include realistic implementation and sustainability plans

Projects should align with statewide EMS transformation priorities while remaining practical, scalable, and operationally achievable.

3.0.1 Stakeholder Coordination Expectations

Applicants should demonstrate appropriate coordination and engagement with relevant EMS, healthcare, public safety, educational, and community partners necessary to support successful implementation of the proposed project activities.

Applicants should describe how relevant stakeholders will be engaged in planning, implementa-tion, and evaluation of proposed activities, which may include:

EMS agencies, first responder organizations, and regional EMS partners EMS education programs, technical colleges, and higher education institutions

Hospitals, healthcare systems, and rural healthcare partners State, Tribal, and local organizations involved in workforce or healthcare initiatives Community partners supporting recruitment, retention, wellness, or career pathway develop-ment

The intent of stakeholder engagement is to encourage meaningful collaboration that supports pro-ject coordination, communication, and successful implementation across EMS services and or-ganizations in South Dakota. In several sections of the RFP, you will see the term “should” to al-low flexibility based on the specific component and project needs. The DOH believes thoughtful stakeholder engagement can help strengthen partnerships, maintain project alignment, and im-prove overall outcomes.

Applicants should also describe how proposed activities will complement existing statewide and regional EMS initiatives, avoid duplication of efforts, and support long-term sustainability of the EMS workforce in rural and frontier communities.

Applicants must identify one or more of the allowable activities for which funding is being requested, as outlined below:

3.1 Workforce Development, Leadership, and EMS System Sustainability

The South Dakota Department of Health (SDDOH) is seeking proposals from qualified organiza-tions, training institutions, healthcare systems, consultants, and regional EMS partnerships to support workforce development, human resources, organizational capacity, leadership advance-ment, and long-term sustainability of Emergency Medical Services (EMS) systems across South Dakota. This effort supports the state’s Rural Health Transformation initiatives and aims to strengthen sustainable EMS delivery systems serving rural, frontier, and Tribal communities.

Funding will support projects that increase access to EMS education and certification programs, expand continuing education and skills training opportunities, and develop innovative strategies to recruit new EMS professionals and retain current providers. Applicants may propose partnerships with educational institutions, healthcare systems, regional EMS organizations, or local governments to increase the number of trained EMS personnel and strengthen career pathways within the EMS profession.

Proposed activities may include, but are not limited to: Development or expansion of EMT, Ad-vanced EMT and Paramedic training programs; regional training hubs and simulation opportuni-ties; mentorship, human resource integration, leadership development, and workforce recruitment initiatives designed to attract new individuals to EMS careers, including students, volunteers, and career-transitioning professionals. Funding may also support retention and sustainability strate-gies such as continuing education, career advancement opportunities, peer support programs, workforce wellness initiatives, leadership and management training, and workforce sustainability planning.

Proposed activities may further include development and/or expansion of Community Paramedi-cine, Mobile Integrated Health (MIH), and Community Health Worker (CHW) integration, as well as initiatives that strengthen EMS organizational infrastructure and regional system leadership capacity. This may include development or enhancement of regional medical direction models, human resources and workforce management support, succession planning, governance devel-opment, regional hub coordination, and technical assistance to improve organizational sustaina-bility, operational readiness, and long-term EMS system resilience.

Applicants must demonstrate how their proposed activities will expand the EMS workforce pipeline, support the professional development of current providers, and improve the capacity of local EMS agencies to maintain a stable and well-trained workforce through the development of a sustainability plan.

Successful proposals will include sustainability plans for collaboration with regional partners and measurable outcomes that strengthen EMS workforce capacity and readiness statewide.

3.1.1 Outcomes may include, but are not limited to:

Expanded EMS workforce pipeline across South Dakota, with increased enrollment and completion in EMT, AEMT, and Paramedic education and certification programs

Improved recruitment and retention of EMS personnel, including students, volunteers, and career-entry and career-transitioning professionals

Strengthened workforce retention and professional development through continuing education, mentorship, leadership development, and career advancement pathways

Increased workforce readiness and clinical competency through expanded access to regional training hubs, simulation-based education, and skills development opportunities

Improved workforce wellness, resilience, and mental health support, resulting in reduced burnout and improved long-term retention

Strengthened EMS organizational and leadership capacity, including improved succession planning, workforce management, and administrative infrastructure

Enhanced sustainability of EMS systems in rural, frontier, and Tribal communities through coordinated workforce planning and regional collaboration

Improved system performance and EMS readiness through a stable, well-trained, and adequately supported workforce

Development or expansion of integrated care models such as Community Paramedicine, Mobile Integrated Health (MIH), and Community Health Worker (CHW) programs where applicable

Support workforce wellness, mental health, and resilience to reduce burnout and improve long-term retention.

3.2 Specialized Equipment and Technology Integration

The South Dakota Department of Health (SDDOH) is seeking proposals from vendors, healthcare systems, and EMS or public health partners to support the implementation of near real-time data systems, telemedicine infrastructure, and hospital interface integration across South Dakota’s EMS and emergency care networks. This initiative is part of the state’s Rural Health Transformation efforts, aimed at improving care coordination, patient outcomes, and emergency response efficiency in rural and frontier communities. The selected partner will work closely with SD DOH, regional EMS agencies, hospitals, and other stakeholders and/or contractors to deploy interoperable systems that enable rapid communication, data exchange, and clinical decision support between EMS providers and receiving hospitals.

Proposed activities may include but are not limited to the following: the development or expansion of near real-time patient data transmission systems, integration of EMS reporting platforms with hospital electronic health records (EHRs), deployment of telemedicine solutions for pre-hospital, interfacility and/or Treat in Place consultation, and implementation of secure communication interfaces that allow EMS crews and hospital teams to coordinate care efficiently. Projects may also include training for EMS personnel and hospital staff on system use, protocols for telehealth and data exchange, and ongoing technical support to ensure system reliability.

Applicants must demonstrate how their proposed solutions will enhance the timeliness and quality of patient care, improve interoperability between EMS and hospital systems, and support statewide emergency response readiness.

Successful proposals will include measurable outcomes for system implementation, adoption, and performance, as well as a plan for sustainable integration into regional EMS and hospital networks. Projects must also support clinical quality improvement (CQI) processes, standardized data collection, and performance benchmarking to enhance patient care and system accountability.

3.2.1 Outcomes may include, but are not limited to:

Improved interoperability and real-time data exchange across EMS, hospitals, and healthcare partners through integrated communication and information systems Enhanced clinical decision-making and care coordination through expanded use of telemedicine in pre-hospital, interfacility, and treat-in-place settings Increased timeliness, accuracy, and availability of patient data through integration of EMS electronic patient care reporting (ePCR) systems with hospital electronic health records (EHRs)

Strengthened communication and coordination between EMS and hospital care teams through secure, reliable, and standardized data-sharing platforms

Improved patient outcomes and emergency response and inter-facility transfer efficiency, particularly in rural, frontier, and Tribal communities

Established standardized data collection, reporting, and benchmarking to support statewide EMS performance monitoring and accountability

Strengthened clinical quality improvement (CQI) capacity through improved access to real-time and historical performance data and analytics tools

Increased system adoption and sustainability through effective training, technical assistance, and ongoing user support for EMS and hospital personnel

Enhanced system reliability, cybersecurity, and long-term operational sustainability of integrated EMS technology platforms

3.3 Regional EMS Coordination, Shared Resources, and Integrated Dispatch Systems

The South Dakota Department of Health (SDDOH) is seeking proposals from qualified regional EMS partners, public safety organizations, healthcare systems, technology vendors, and other eligible entities to support projects that strengthen regional EMS coordination, improve opera-tional efficiency, enhance interoperability, and support integrated dispatch and shared resource models across South Dakota.

This initiative is part of the state’s Rural Health Transformation efforts focused on strengthening EMS system capacity, reducing fragmentation, improving response coordination, and ensuring reliable emergency medical response in rural, frontier, and Tribal communities.

The selected contractor(s) will work collaboratively with SDDOH, regional EMS agencies, hospi-tals, Public Safety Answering Points (PSAPs), fire departments, law enforcement, emergency management agencies, and other system partners to develop sustainable regional approaches that improve coordination, optimize resource utilization, and enhance emergency response per-formance.

Proposed activities may include development or implementation of interoperable dispatch and communication systems; regional coordination of EMS resources; shared staffing, equipment, or deployment models; integrated or centralized dispatch strategies; regional response coordination protocols; technology solutions supporting near real-time situational awareness and resource tracking; mutual aid and service-sharing agreements; and initiatives that improve operational alignment among EMS, healthcare, and public safety partners.

Projects may also include planning, governance development, operational assessments, work-flow redesign, policy alignment, training, and implementation support necessary to improve re-gional coordination and long-term system sustainability.

Applicants must demonstrate how proposed activities will:

Improve operational efficiency and regional coordination Reduce duplication of services and optimize resource utilization Improve EMS response reliability and coverage Strengthen interoperability and communication across agencies and systems Support sustainable regional EMS collaboration models Enhance data-informed operational decision-making and system performance

Successful proposals will include measurable outcomes, clear stakeholder engagement strate-gies, implementation timelines, and sustainability plans that support long-term regional coordina-tion and EMS system resilience.

3.3.1 Outcomes may include, but are not limited to:

Improved regional coordination and collaboration among EMS, healthcare, public safety, and emergency communications partners

Enhanced operational efficiency through shared resources, coordinated deployment, and optimized use of personnel, equipment, and infrastructure

Improved EMS response reliability, coverage, and response times, particularly in rural, frontier, and Tribal communities

Strengthened interoperability and real-time communication across EMS agencies, dispatch centers, hospitals, and public safety systems

Improved situational awareness and resource tracking to support timely and coordinated emergency response decision-making

Increased system capacity and resilience through regional coordination models, shared service strategies, and integrated operational planning

Standardized regional protocols and improved alignment of dispatch and response procedures across participating jurisdictions

Expanded use of operational and performance data to support benchmarking, evaluation, and continuous system improvement

Strengthened mutual aid coordination and formalized regional agreements supporting shared response and service delivery models

Enhanced sustainability of regional EMS systems through coordinated governance, operational alignment, and long-term resource planning

3.4 Clinical Quality Improvement and EMS Performance Oversight

The South Dakota Department of Health (SDDOH) is seeking proposals from qualified organizations or consultants to provide technical assistance and statewide EMS performance oversight. This initiative supports the state’s Rural Health Transformation efforts to strengthen EMS systems, improve patient outcomes, and ensure consistent, high-quality emergency care across South Dakota’s rural and frontier communities.

The selected partner will collaborate closely with SDDOH, regional EMS agencies, hospitals, and other stakeholders to support data-driven decision-making, system evaluation, and performance improvement initiatives statewide.

Proposed activities may include supporting the development and implementation of standardized clinical protocols and guidelines; facilitating statewide continuous quality improvement (CQI) initiatives; providing technical guidance on EMS operational best practices; conducting regular regional performance assessments; and supporting compliance with applicable state and federal EMS standards.

The contractors may also provide expertise in data analysis, benchmarking, and reporting, assisting SDDOH in monitoring response times, service coverage, workforce performance, and patient outcomes.

Applicants must demonstrate the ability to deliver actionable insights, support statewide EMS system improvement, and provide ongoing technical assistance to ensure regional EMS agencies are able to meet operational and performance goals. Successful proposals will include clear plans for collaboration, measurable outcomes for system performance, and strategies for sustaining oversight and technical support over time.

3.4.1 Outcomes may include, but are not limited to:

Improved EMS system performance through consistent statewide quality improvement and data-driven evaluation practices

Strengthened consistency in EMS clinical care and operational practices across all regions, including rural, frontier, and Tribal communities

Improved patient outcomes through application of evidence-based practices and continuous performance feedback loops

Established and standardized EMS performance metrics and key performance indicators (KPIs) to support statewide benchmarking and accountability

Enhanced capacity for continuous quality improvement (CQI) through routine performance monitoring, evaluation, and actionable feedback

Improved data analysis, reporting, and benchmarking capabilities to support EMS agencies and state-level decision-making

Strengthened collaboration among EMS agencies, hospitals, and the South Dakota Department of Health to support system-wide performance improvement

Sustained improvement in EMS system quality and performance through ongoing technical assistance and statewide support structures

4.0 PROPOSAL REQUIREMENTS AND COMPANY QUALIFICATIONS

4.1 The offeror is cautioned that it is the offeror's sole responsibility to submit information related to the evaluation categories and that the State of South Dakota is under no obligation to solicit such information if it is not included with the proposal. The offeror's failure to submit such information may cause an adverse impact on the evaluation of the proposal.

4.2 Offeror's Contacts: Offerors and their agents (including subcontractors, employees, consultants, or anyone else acting on their behalf) must direct all of their questions or comments regarding the RFP, the evaluation, etc. to the buyer of record indicated on the first page of this RFP. Offerors and their agents may not contact any state employee other than the buyer of record regarding any of these matters during the solicitation and evaluation process.

Inappropriate contacts are grounds for suspension and/or exclusion from specific procurements.

Offerors and their agents who have questions regarding this matter should contact the buyer of record.

4.3 Provide the following information related to at least three previous and current service/contracts, performed by the offeror’s organization, which are similar to the requirements of this RFP:

a. Specialized expertise, capabilities, and technical competence as demonstrated by the proposed approach and methodology to meet the project requirements, specifically with Emergency Medical Services work in South Dakota;

b. Resources available to perform the work, including specialized services as related to reimbursement and other payment frameworks, within the specified time limits for the project;

c. Record of past performance, including price and cost data from pervious projects, quality of work, ability to meet schedules, cost control, and contract administration;

d. Familiarity with project locale and population, including demonstrated understanding of rural, frontier and/or Tribal healthcare delivery challenges such as geographic isolation, low call volume, workforce shortages, and limited access to higher levels of care;

e. Familiarity with working with volunteer organizations

f. Proposed project management techniques, specifically for expansion and sustainability of

Emergency Medical Services; and

g. Ability and proven history in handling special project constraints;

5.0 PROPOSAL RESPONSE FORMAT

5.1 Disclosure of other RHT Funding (2 pages or less single-spaced)

5.1.1 Disclose any other RHT funding applied for with the state of South Dakota and any po-tential duplication between this application and other funding.

5.1.2 Disclose any other RHT funding applied for with another state and any potential duplica-tion between this application and other funding.

5.2 An electronic copy.

5.2.1 The offeror must provide a proposal via email in Microsoft Word or PDF electronic format by the due date.

5.2.2 The proposal must be page numbered and must have an index and/or a table of contents referencing the appropriate page number.

5.2.3 Proposals must be no more than 50 pages.

5.3 All proposals must be organized and tabbed with labels for the following headings:

5.3.1 RFP Form. The State’s Request for Proposal form (1st page of RFP) completed and signed.

5.3.2 Executive Summary. The one-to-two-page executive summary is to briefly describe the offeror's proposal. This summary must highlight the major features of the proposal. It must indicate any requirements that cannot be met by the offeror. The reader must be able to determine the essence of the proposal by reading the executive summary.

Proprietary information requests must be identified in this section.

5.3.3 Detailed Response. This section must constitute the major portion of the proposal and must contain at least the following information:

5.2.3.1 A complete narrative of the offeror's assessment of the work to be performed, the offeror’s ability and approach, and the resources necessary to fulfill the requirements.

This must demonstrate the offeror's understanding of the desired overall performance expectations.

5.2.3.2 A specific point-by-point response, in the order listed, to each requirement in the RFP. The response must identify each requirement being addressed as enumerated in the RFP.

5.2.3.3 A clear description of any options or alternatives proposed.

5.3.4 Cost Proposal. Cost will be evaluated independently from the technical proposal.

Offerors may submit multiple cost proposals. All costs related to the provision of the required services must be included in each cost proposal offered.

See section 7.0 for more information related to the cost proposal.

6.0 PROPOSAL EVALUATION AND AWARD PROCESS

6.1 After determining that a proposal satisfies the mandatory requirements stated in the Request for Proposal, the evaluator(s) shall use subjective judgment in conducting a comparative assessment of the proposal by considering each of the following criteria:

6.1.1 Specialized expertise, capabilities, and technical competence as demonstrated by the proposed approach and methodology to meet the project requirements;

6.1.2 Resources available to perform the work, including any specialized services, within the specified time limits for the project;

6.1.3 Record of past performance, including price and cost data from previous projects, quality of work, ability to meet schedules, cost control, and contract administration;

6.1.4 Availability to the project locale;

6.1.5 Familiarity with the project locale;

6.1.6 Proposed project management techniques; and

6.1.7 Ability and proven history in handling special project constraints.

6.2 Experience and reliability of the offeror's organization are considered subjectively in the evaluation process. Therefore, the offeror is advised to submit any information which documents successful and reliable experience in past performances, especially those performances related to the requirements of this RFP.

6.3 The qualifications of the personnel proposed by the offeror to perform the requirements of this RFP, whether from the offeror's organization or from a proposed subcontractor, will be subjectively evaluated. Therefore, the offeror must submit detailed information related to the experience and qualifications, including education and training, of proposed personnel.

6.4 The State reserves the right to reject any or all proposals, waive technicalities, and make award(s) as deemed to be in the best interest of the State of South Dakota.

6.5 Award: The requesting agency and the highest ranked offeror shall mutually discuss and refine the scope of services for the project and shall negotiate terms, including compensation and performance schedule.

6.5.1 If the agency and the highest ranked offeror are unable for any reason to negotiate a contract at a compensation level that is reasonable and fair to the agency, the agency shall, either orally or in writing, terminate negotiations with the contractor. The agency may then negotiate with the next highest ranked contractor.

6.5.2 The negotiation process may continue through successive offerors, according to agency ranking, until an agreement is reached or the agency terminates the contracting process.

7.0 COST PROPOSAL

The Contractor must include a cost proposal with their overall proposal and must be clearly labeled “Cost Proposal”. Please include this as a separate document labeled “RFP # 26-09RHT-023 Cost Proposal” in the email submission. The proposal can be in an alternate format but must include the elements detailed below.

The cost proposal will be evaluated independently from the technical proposal. Contractors may submit multiple cost proposals.