Rev. 3/2026- Services

Request for Proposal No. DPHE26-CHC-6419 Comprehensive Obstetrics/Gynecology

Services for the Desert Region

San Bernardino County Department of Public Health

451 E. Vanderbilt Way San Bernardino, CA 92417

8/3/2026

Purchasing Department

Request for Proposal OB/GYN Comprehensive

Services for the Desert Region

No.DPE26-CHC-6419

I. INTRODUCTION

A. Purpose The San Bernardino County, Public Health Department (County), is seeking Proposals from interested and qualified Proposers to provide comprehensive OB/GYN (Obstetric) services at the Hesperia Health Center. The number of awards will be determined by the quality of the proposals received.

B. RFP Contact All correspondence, including Proposals and questions (not bid questions), must be submitted to the person identified below (RFP Contact):

San Bernardino County Department of Public Health Attn: Stephanie Ramos 451 E Vanderbilt Way, 3rd Floor San Bernardino, CA 92408 Phone: (840) 587-6596 Email: stephanie.ramos@dph.sbcounty.gov

E-mail address may only be used to submit questions (not bid questions). Proposals will not be accepted by email or facsimile. Proposals must be submitted electronically through the County Electronic Procurement Network (ePro). All Proposers must register with the ePro system prior to the date and time to submit the proposal or they will be disqualified.

C. Budget The County estimates a budget of $490,024 for completion of this work.

D. Contract Term

Services to be provided under this Request for Proposals (RFP) are outlined under Section V, Scope of Work. The Contract period will be for a maximum of three (3) years beginning on July 1, 2027 and ending on June 30, 2030. The County may, but is not obligated to, extend awarded Contract(s) for up to two (2) additional one (1) year periods or one (1) additional two (2) year period, contingent on the availability of funds and Contractor performance.

E. Location of Services Location where Services are to be provided, completed and managed is at

Hesperia Federally Qualified Health Center 16453 Bear Valley Road Hesperia, CA 92345.

The Proposer must include in Proposal, Attachment E - Cost, all transportation, lodging, and per diem costs sufficient to pay its personnel and travel to the aforementioned locations.

F. Assistance to Proposers with a Disability

Proposers with a disability may request accommodation regarding the means of communicating this RFP or participating in the procurement process. For more information, contact the RFP Contact no later than ten (10) days prior to the Deadline for Proposals.

II. PROPOSAL TIMELINE

Release of RFP Monday, August 3, 2026, at 10:00 a.m.

Deadline for Submission of Questions Wednesday, September 16, 2026, at 4:00 p.m.

mailto:stephanie.ramos@dph.sbcounty.gov

Request for Proposal OB/GYN Comprehensive

Services for the Desert Region

Deadline for Proposals Friday, October 23, 2026, at 4:00 p.m.

Tentative Date for Presentation/Demonstration Monday, November 16, 2026, Wednesday, November 18, 2026, Date for Tentative Contract Award March 2027

Questions regarding the contents of this RFP must be submitted in writing in ePro on or before the Deadline for Submission of Questions. All questions will be answered, and both the question and answer will be posted as an Addendum to the RFP in ePro.

III. DEFINITIONS

Capitalized terms used in this RFP shall have the meanings given to them in the RFP and as defined below:

Board: The San Bernardino County Board of Supervisors.

Board Certified Physician: A licensed physician who has been granted certification in a specialty or subspecialty by the American Board of Medical Specialties (ABMS). Board certification demonstrates a physician’s exceptional expertise in a particular specialty and/or subspecialty of medical practice and is often considered the “gold standard” for treatment.

Contract: The Contract between the County and the Proposer resulting from the award issued pursuant to this RFP to the successful Proposer.

Contractor: Any individual, company, firm, corporation, partnership or other organization to whom a contract award is made by the County.

Department of Public Health (DPH): The County department that helps to prevent epidemics and the spread of disease, protect against environmental hazards, prevent injuries, promote and encourage healthy behaviors, respond to disasters and assist communities in recovery, and assure the quality and accessibility of health services throughout the San Bernardino County.

Electronic Health Record (EHR): An electronic health record, or electronic medical record is the systemized collection of electronically-stored patient health information. Records are shared through network-connected, enterprise-wide information system or other information networks and exchanges.

Facilitator: A County Purchasing Department buyer or designated individual tasked with managing the processes of the evaluation panel.

Federally Qualified Health Center (FQHC): Community based health care providers that receive funds from the Health Resource and Service Administration (HRSA) Health Center Program to provide primary care services in underserved areas. FQHCs must meet a stringent set of requirements, including providing care on a sliding fee scale based on ability to pay, and operating under a governing board that includes patients.

Health Resources and Services Administration (HRSA): The Health Resources and Services Administration (HRSA), an agency of the U.S. Department of Health and Human Services, is the primary federal agency for improving access to health care services for people who are geographically isolated, economically or medically vulnerable.

Medical Board of California: State agency that licenses doctors, investigates complaints, disciplines those who violate the law, conducts physician evaluations, and facilitates rehabilitations where appropriate.

Request for Proposal OB/GYN Comprehensive

Services for the Desert Region

Medical Equipment: Equipment designed to aid in diagnosis, monitoring, or treatment of medical conditions.

Midwife: A health professional who has advanced training that works in partnership to help women during pregnancy, labor, delivery, and after the birth of their babies.

Obstetrician: A licensed medical doctor who specializes in women’s health care for pregnancy, childbirth, and the postpartum period.

Obstetrics and Gynecology: A medical specialty that involves the two subspecialties of obstetrics, covering pregnancy, childbirth and the postpartum period and gynecology, covering the health of the female reproductive system.

Obstetric Services: Provider provision of preventive, primary health care/treatment, and gestational related medical care for women during pregnancy, childbirth, and the postpartum period. Women of reproductive age may also be referred to an obstetrician for preconception care counseling.

Postpartum period: The period beginning after childbirth and up to the first six (6) weeks after giving birth.

Proposal: The offer to provide specific goods or services at specified prices and/or other conditions specified in the RFP.

Purchasing Agent: The Director of the County Purchasing Department.

Request for Proposal (RFP): The request for an offer from Proposers interested in providing the identified services sought to be procured by the County. The RFP specifies the evaluation factors to be used and contains or incorporates by reference contractual terms and conditions applicable to the procurement.

Services: The requested services described in this RFP.

Subcontractor: An individual, company, firm, corporation, partnership or other organization, not in the employment of or owned by Contractor who is performing services on behalf of Contractor under the Contract or under a separate contract with or on behalf of Contractor.

IV. PROPOSAL CONDITIONS

A. Authorized Signatures All proposals must be signed by an individual authorized to bind the Proposer to the provisions of the

RFP.

B. Term of Offer

Proposals shall remain open, valid and subject to acceptance anytime within nine (9) months after the Proposal submission.

C. Required Review Proposers should carefully review this RFP for defects and questionable or objectionable material.

Comments from Proposers concerning defects and objectionable material in this RFP must be made in writing and received by the RFP contact prior to the deadline for submission of questions identified in Section II or at least ten (10) calendar days before the Deadline for Proposals (whichever occurs last).

This will allow issuance of any necessary amendments or addendums to the RFP. It will also help prevent the opening of a defective RFP and exposure of Proposals upon which an award could not be made. Protests based on any omission or error, or on the content of this RFP, may be disallowed if not submitted in writing to the attention of the RFP Contact, prior to the deadline for submission of questions identified in Section II or at least ten (10) calendar days before the Deadline for Proposals (whichever occurs last).

Request for Proposal OB/GYN Comprehensive

Services for the Desert Region

D. Incurred Costs The County is not obligated to pay any costs incurred by Proposer in the preparation of a Proposal in response to this RFP. Proposers agree that all costs incurred in developing a Proposal are the Proposer’s responsibility.

E. Amendments/Addendums to RFP The County reserves the right to issue amendments or addendums to this RFP if the County considers that changes are necessary or additional information is needed.

Changes to a Proposal or withdrawal of a Proposal will only be allowed if a request is received prior to the Deadline for Proposals. No amendments or withdrawals will be accepted after the Deadline for Proposals.

F. Best Value Evaluation As established in this RFP, the County realizes that criteria other than price are important and will award contract(s) based on the Proposal that best meets the needs of the County. The County seeks the optimal combination of quality, price, and various qualitative elements of the required Services that will provide the County the greatest or best value for its money.

G. Right of Rejection Offers must comply with all of the terms of the RFP, and all applicable local, state, and federal laws, codes, and regulations. The County may reject as non-responsive any Proposal that does not comply with all of the material and substantial terms, conditions, and performance requirements of the RFP.

Further, the County may reject a proposal from any entity that is a parent, affiliate, or subsidiary, or that is under common ownership, control, or management with any other entity submitting a Proposal in response to this RFP.

A Proposer may not qualify the Proposal nor restrict the rights of the County. If Proposer does so, the Proposal may be determined to be a non-responsive counter-offer and the Proposal may be rejected.

No Proposal shall be rejected, however, if it contains a minor irregularity, defect or variation. If the irregularity, defect or variation is considered by the County to be immaterial or inconsequential, the County may choose to accept the Proposal.

Minor irregularities may be waived by the Purchasing Agent when they are any of the following:

1. Do not affect responsiveness;

2. Are merely a matter of form or format;

3. Do not change the relative standing or otherwise prejudice other offers;

4. Do not change the meaning or scope of the RFP;

5. Are trivial, negligible, or immaterial in nature;

6. Do not reflect a material change in the work; or

7. Do not constitute a substantial reservation against a requirement or provision.

In such cases the Proposer will be notified of the deficiency in the Proposal and given an opportunity to correct the irregularity, defect or variation or the County may elect to waive the deficiency and accept the Proposal. The decision to provide a waiver shall in no way modify or compromise the overall purpose of the submittal, nor excuse the Proposer from compliance with all requirements if awarded a Contract.

This RFP does not commit the County to award a contract. The County reserves the right to reject any or all Proposals if it is in the best interest of the County to do so. The County also reserves the right to terminate this RFP process at any time.

H. Reserved.

I. Clarification of Offers In order to determine if a Proposal is reasonably susceptible for award, communications by the Facilitator

Request for Proposal OB/GYN Comprehensive

Services for the Desert Region for the evaluation panel are permitted with a Proposer to clarify uncertainties or eliminate confusion concerning the contents of a Proposal. Clarifications may not result in a material or substantive change to the Proposal. The evaluation by the panel may be adjusted as a result of a clarification under this section.

J. Public Records Act All Proposals and other material submitted become the property of the County and are subject to release according to the California Public Records Act (Government Code § 7920.000). All Proposal information, including cost information, will be held in confidence during the evaluation and negotiation process.

Thereafter, Proposals are subject to becoming a non-exempt public record.

If a Proposer believes that any portion of its Proposal is exempt from public disclosure, it must indicate the specific portions believed to be confidential and not subject to disclosure on Attachment I - Public Records Act Exemptions. The Proposer also must include a brief description that sets out the reasons for exemption from disclosure. Each stated exemption must include a citation to supporting legal authority, including statutory authority or case law, to support exemption from the Public Records Act. Requested exemptions that do not meet the requirements of this section will not be considered.

The County will use reasonable means to ensure that such information is safeguarded, but will not be held liable for inadvertent disclosure of the information. Proposals marked “Confidential” in their entirety will not be honored, and the County might not deny public disclosure of any portion of Proposals so marked.

By submitting a Proposal with portions identified in Attachment I as “Confidential,” Proposer represents that it has a good faith belief that such portions are exempt from disclosure under the California Public Records Act. Proposer may be requested to obtain legal protection from disclosure should a Public Records Act request be received. In the event the County does not disclose the information marked “Confidential,” Proposer agrees to reimburse the County for, and to indemnify, defend (with counsel approved by County) and hold harmless the County, its officers, employees, agents, and volunteers from and against any and all claims, damages, losses, liabilities, suits, judgments, fines, penalties, costs and expenses, including without limitation, attorneys’ fees, expenses and court costs of any nature arising from or relating to the County’s non-disclosure of any such designated portions of a Proposal.

K. Employment of Former County Officials Information must be provided in Attachment G regarding former County Administrative Officials (as defined below) who are employed by or represent Proposer. The information provided must include a list of former County Administrative Officials who terminated County employment within the last five years and who are now officers, principals, partners, associates or members of Proposer and should also include the employment and/or representative capacity and the dates these individuals began employment with or representation of Proposer. For purposes of this section, “County Administrative Official” is defined as a member of the Board of Supervisors or such member’s staff, Chief Executive Officer or member of such officer’s staff, County department or group head, assistant department or group head, or any employee in the Exempt Group, Management Unit or Safety Management Unit.

Failure to provide this information may result in the Proposal being deemed non-responsive.

L. Reserved.

M. Disclosure of Criminal and Civil Proceedings The County reserves the right to request the information described herein from the Proposer selected for Contract award. Failure to provide the information may result in a disqualification from the selection process and no award of Contract to the Proposer. The County also reserves the right to obtain the requested information by way of a background check performed by an investigative firm. The selected

Request for Proposal OB/GYN Comprehensive

Services for the Desert Region

Proposer may also be asked to provide information to clarify initial responses. Negative information provided or discovered may result in disqualification from the selection process and no award of Contract.

The selected Proposer may be asked whether the firm, or any of its partners, principals, members, associates or key employees (as that term is defined herein), within the last ten years, has been indicted on or had charges brought against it or them (if still pending) or convicted of any crime or offense arising directly or indirectly from the conduct of the firm’s business, or whether the firm, or any of it partners, principals, members, associates or key employees, has within the last ten years, been indicted on or had charges brought against it or them (if still pending) or convicted of any crime or offense involving financial misconduct or fraud. If the response is affirmative, the Proposer will be asked to describe any such indictments or charges (and the status thereof), convictions and the surrounding circumstances in detail.

In addition, the selected Proposer may also be asked to disclose whether the firm, or any of its partners, principals, members, associates or key employees, within the last ten years, has been the subject of legal proceedings as defined herein arising directly from the provision of services by the firm or those individuals. “Legal proceedings” means any civil actions filed in a court of competent jurisdiction, or any matters filed by an administrative or regulatory body with jurisdiction over the firm or the individuals. If the response is affirmative, the Proposer will be asked to describe any such legal proceedings (and the status and disposition thereof) and the surrounding circumstances in detail.

For purposes of this provision “key employees” includes any individuals providing direct service to the County. “Key employees” do not include clerical personnel providing service at the firm’s offices or locations.

N. Debarment and Suspension; California Secretary of State Business Entity Registration.

Proposer certifies in Attachment D that neither it nor its principals or subcontractors are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any federal department or agency. (See Attachment D and the following United States General Services Administration’s System for Award Management website https://www.sam.gov). Proposer also certifies in Attachment D that if it or any of the subcontractors listed in the Proposal are business entities that must be registered with the California Secretary of State, they are registered and in good standing with the Secretary of State.

O. Unsatisfactory Performance Proposer affirms that it has no record of unsatisfactory performance with the County in the twenty-four

(24) month period immediately preceding the date of issuance of this RFP.

P. Final Authority The final authority to award a contract(s) as a result of this RFP rests solely with the County Board of Supervisors, or as delegated by the Board of Supervisors.

Q. Reserved.

R. Mandatory Minimum Qualification Contractor physicians must be licensed to work in the State of California and be board certified. Maintain current Provider BLS certification by the American Heart Association (AHA).

https://www.sam.gov/

Request for Proposal OB/GYN Comprehensive

Services for the Desert Region

V. SCOPE OF WORK

A. BACKGROUND INFORMATION

Since it was established in 1962, DPH has provided categorically funded health services focused on public health issues relating to reproductive health, communicable disease, emergency preparedness, maternal and child health, environmental health, and animal control. DPH operates four Federally Qualified Health Centers (FQHCs). FQHCs must provide required primary health services as listed in Section 330(b)(1) of the Public Health Service (PHS) Act which include:

• General primary medical care

• Diagnostic laboratory

• Diagnostic radiology

• Screenings

• Coverage for emergencies during and after hours

• Voluntary family planning (birth control and sexually transmitted infection [STI] prevention)

• Immunizations

• Medication-assisted treatment

• Well child services

• Gynecological care

• Obstetrical care

• Preventative dental services

• Pharmaceutical services

• Psychiatry

• Refugee health assessments

• Case management

• Eligibility assistance

• Health education

• Outreach

• Transportation

• Translation

In 1994, DPH began providing health services under Section 330 to the Adelanto community at the Westside Park School Based Health Center. Services have since transitioned into its current location known as the Adelanto Health Center. The Hesperia Health Center was added to the scope of the grant in 2011, while the Ontario and San Bernardino Health Centers were added in 2015. In 2022, collaboration between DPH and the County’s Preschool Services Department resulted in the development of two SBSS locations in the cities of Apple Valley and Ontario. The four FQHCs and two SBSSs have expanded access to comprehensive, culturally competent, quality adult and pediatric primary health care services for the communities and vulnerable populations currently served by the Health Center Program. As DPH services have expanded, so has the need for qualified providers.

B. PROJECT DESCRIPTION

1. Program Objective - Program Objective – Contract with a professional physician group or corporation to provide board certified physicians (obstetricians) to meet the demand for comprehensive obstetric services in the High Desert region.

2. Program Requirements –

a. Physicians providing obstetric services must:

i. Be licensed in the State of California in good standing. They must be qualified for practicing the medical specialty of Obstetrics and/or its subspecialties.

ii. Have a minimum of one (1) year of experience providing obstetric services, excluding residency.

Request for Proposal OB/GYN Comprehensive

Services for the Desert Region

iii. Obtain and maintain the proper credentialing and background checks required for the provision of services, as required by FQHC designated Health Centers. This requirement must be met, verified, and approved by DPH prior to providing services.

iv. Attend mandatory DPH and Clinic Operations Section New Employee Orientation, which includes EHR Training, within two (2) weeks of coming on board. No providers can shadow or engage in any prerequisite patient care activities without completing this orientation and training.

b. The selected Contractor(s) shall:

i. Provide comprehensive obstetric services a minimum of twelve (12) hours per week not to exceed sixteen (16) hours per week for direct patient care during regular business hours of Monday through Thursday, 8:30 a.m. to 5:30 p.m. and on Friday, 8:00 a.m. to 5:00 p.m. at the location below. Service locations may be added depending on population need and resource availability. The days and time of providing services are subject to change based on patient need and volume. Schedule to be coordinated with DPH Clinic Operations Section.

High Desert Region

• Hesperia Federally Qualified Health Center 16453 Bear Valley Road Hesperia, CA 92345

ii. Replace an associated obstetrician if his or her professional license to practice medicine in the State is denied, suspended, restricted, terminated, revoked, or relinquished for any reason, whether voluntarily or involuntarily.

c. Participate in all managed care programs sponsored by or approved by DPH.

d. Not compete with DPH by re-directing patients to private practice ventures for services that can be completed at the DPH site. This includes but is not limited to the following antepartum tests:

ultrasounds, biophysical profiles (BPP), and nonstress tests (NST); or obstetric procedures, such as external cephalic versions or amniocentesis. Contractor must complete justification in the EHR for having testing or procedures done elsewhere that are available on-site. Referrals will follow the managed care assigned insurance process when applicable. DPH patients are to be referred to the health center for all prenatal and postnatal visits.

e. Assign a single point of contact to deal with any contractual issues that may arise

f. Work with associated local hospitals, in which DPH has agreements with; to coordinate care of health center patients specifically referrals made for labor and delivery care. Currently, DPH has agreements with six (6) local hospitals, (Arrowhead Regional Medical Center, Desert Valley Hospitals, St. Mary’s Medical Center, Pomona Valley Hospital Medical Center, Montclair Hospital Medical Center and San Antonio Regional Hospital). Each institution agrees to the terms and conditions of their Memorandum of Understanding (MOU) to collaborate and cooperate with the respective FQHC and FQHC patients who received treatment at the respective hospital.

Additional MOU’s may be added.

g. In an effort to provide whole person care to FQHC patients, Contractor shall also ensure coordination of health, behavioral health, dental and social services, as applicable, in a patient centered manner with the goal of improved beneficiary health and well-being.

h. Provide additional obstetric physicians to meet the demand of the FQHC in consultation with DPH or provide replacement coverage as needed. Staffing and scheduling will be determined by DPH.

It is the expectation that the Contractor will maintain a consistent team. If Contractor deems it necessary to include residents in the scheduling process, the residents must have a preceptor present and complete credentialing, privileging, and Clinic Operations orientation process.

Request for Proposal OB/GYN Comprehensive

Services for the Desert Region

Contractor will be responsible for providing the receptor at no additional cost to the County.

Contractor must request written approval to engage in this process prior to initiation.

i. Understand that all patients fall under the care of DPH and cannot be transferred to the assigned Physician’s private practice or corporation. Contractor must ensure that patients, either directly or indirectly, are not coerced into transferring. DPH patients are to be referred to the health center for all prenatal and postnatal visits.

j. Ensure that all contracted physicians, including midwives, comply with the policies and procedures applicable to the FQHC location, and all relevant Federal and State laws and regulations, in addition, contract providers will comply with, all County of San Bernardino policies, procedures, and standard practices.

k. Maintain all patient records of medical care, including hospital and labor/delivery documents, e.g.

admission/discharge summaries, labor/delivery notes, operative procedures, etc. using the Electronic Health Record (EHR). All documents, e.g., work status orders and disability forms, etc.

must be completed as required by the Public Health Director or designee. Contractor may utilize a medical scribe, but Contractor shall be responsible for the associated cost. The scribe must also pass the County background process.

l. Use (DPH’S EHR) to document all patient service encounters and manage patient care. Provide accurate, up-to-date, and complete information about patients at the point of care within twenty-four (24) hours.

m. Meet quarterly with DPH staff to discuss Contract compliance.

n. Refer DPH patients in need of follow-up specialty care beyond the FQHC scope to other community providers.

o. Develop and provide oversight related to specialty care referral services.

p. Ensure compliance with provider productivity standards. The baseline is eighteen (18) to twenty two (22) patients per 8-hour day per provider. Provider productivity may fluctuate (increase or decrease) based on patient volume. It is the expectation that Contractor will meet the increase in demand as necessary.

3. Provide Administrative Services. Under the direction of the Public Health Chief of Medicine Officer

(CMO) or designee, Contractor shall

a. Engage in appropriate service-level practice to ensure regulatory requirements, in accordance with local, state and federal law.

b. Provide a substitute physician and or midwife to address obstetric clinical practice issues in the absence of the contacted provider and be available for consultation with health center staff and Clinic Operations Section Administration.

c. Provide and adhere to current evidence-based clinical guidelines, standards of care, standards of practice in the provision of health center services.

d. Assist in developing and implementing policies, procedures, and practice guidelines for obstetric providers.

e. Participate in continuous quality improvement/quality assurance, peer reviews, and chart audit activities based on identified HRSA performance measures, as part of an assessment of clinical care.

f. Respond to requests and requirements that deal with credentialing in a timely manner.

4. Ensure provider coverage for vacation, sick days, and during other scheduled or unscheduled absences. This includes providing timely, (within 14 days) notice of planned absences when provider will not be available. Maintain contract approved staffing plan and schedule throughout the Contract.

Request for Proposal OB/GYN Comprehensive

Services for the Desert Region

Replacement staff for scheduled and unscheduled absences (sick days) may be provided by a midwife that has previously met and completed DPH credentialing and new employee orientation process. Midwife salary rates apply.[SR1.1]

5. Provide provider staffing schedule three (3) months in advance for review by DPH.

6. Agree to replace any assigned Contractor staff, at County’s request.

7. Appear in any legal proceedings on behalf of the County, where the need for such appearances arises out of the Contractor’s work with the County without any additional compensation.

8. Agree that any and all individuals providing services, under the contract, including but not limited to physician(s) are employees of Contractor and will not be considered for any purpose employees of the County.

9. Shall not bring personal electronic tools to document or dictate proprietary FQHC patient information in compliance with HIPPA.

10. Adhere to applicable County policies and procedures, FQHC requirements, and complete any and all required training, including but not limited to HIPPA training. All Contractor staff must complete all required trainings prior to commencing services at a DPH location. Verification must be noted.

11. Agree that no locum-tenens nor sign on bonuses are allowed. DPH is unable to pay recruitment fee to Contractor to augment salaries or recruit physicians. Agree that DPH is unable to pay start-up costs or advance payment related to the initiation of services.

12. Assist DPH management in preparation for and conduct, any inspections, investigations and oversite surveys of the FQHCs conducted by governmental agencies or accrediting organizations.

13. Participate in the development of pay for performance measures and other measures as appropriate, for obstetric services.

14. Assist in developing and implementing policies, procedures, and practice guidelines pertaining to maternal health to comply with HRSA requirements.

15. Have hospital admitting privileges and assist with discharge planning, after hours care coordination and/or emergency services.

16. Obtain and maintain the proper credentialing and background checks required for the provision of services as required by FQHC designated health centers. This request must be met, verified, and approved by DPH prior to providing services. Respond to requests and requirements regarding provider credentialing in a timely manner.

17. Provide administrative oversight for advanced practice providers (midwife), assign and review work, train staff, participate managing disciplinary actions.

18. Refer patients postpartum to DPH for ongoing reproductive health and/or primary care services.

19. Refer patients’ newborn infants to DPH for pediatric primary care services.

20. Maintain hospital admitting privileges in order to admit and manage intrapartum care for FQHC patients. Provide labor and delivery notes and hospital discharge summary, including newborn’s gender, measurements, and APGAR scores, to FQHC within 72 hours of delivery.

21. Ensure that all physicians, residents, and/or mid-level practitioners comply with all relevant Federal and State laws and regulations and comply with applicable provisions of the following:

a. County of San Bernardino, Department of Public Health, Policies and Procedures

b. Health Insurance Portability and Accountability (HIPPA)

c. Health Resources and Services Administration (HRSA) regulations related to FQHCs

d. Inland Empire Health Plan (IEHP)

Request for Proposal OB/GYN Comprehensive

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e. Molina Healthcare

f. Any other County of San Bernardino, Department of Public Health contractual healthcare agreements in compliance with established contract.

22. Ensure compliance with mandated requirements, such as complying with DPH’s Health Information

Management Policy, in which all patient’s medical records are expected to be completed and signed within 24 working hours of the patients discharge from the health center/clinic.

23. At the request of DPH, Contractor shall immediately replace any individual providing services under this Contract if DPH determines, in its sole discretion, that such individual is unfit or otherwise unsatisfactory to perform Contractor’s obligations under the Contract.

a. Contractor, or any of Contractor’s medical staff, become the subject of, or materially involved in any investigation, proceeding, or disciplinary action by: Medicare and/or Medicaid program or any other Federal Health Care Program or state equivalent, HRSS Office for Civil Rights, any state’s medical board, any agency responsible for professional licensing or standards of behavior.

b. Contractor’s, or any of Contractor’s medical staff’s, license to practice medicine in any jurisdiction is suspended, revoked or otherwise restricted.

c. Director or Officer of the Contractor or any of Contractor’s medical staff, is convicted of a criminal offense.

d. Contractor, or any of Contractor’s medical staff, is debarred, suspended, excluded or otherwise ineligible to participate in any Federal Healthcare Program.

24. Ensure that Residents who participate in direct patient care be credentialed through Public Health and have direct supervision from an attending physician on site. These residents will not be paid as a contracted employee. This accommodation shall not impact flow or patient services.

C. ADDITIONAL REQUIREMENTS

1. Warranties, licensing, and certification, maintenance, change orders and modifications, extension or renewal, correction of performance deficiencies.

2. Experience with low-income, uninsured and under-insured communities

3. Experience delivering a managed care health care system through contracted arrangements between

State agencies.

4. Experience in the use of EHR systems

VI. PROPOSAL SUBMISSION

A. General

1. All interested and qualified Proposers are invited to submit a Proposal for consideration. Submission of a Proposal indicates that the Proposer has read and understands the entire RFP, including all appendixes, attachments, exhibits, schedules, and addenda (as applicable) and that all concerns regarding the RFP have been resolved.

2. Proposals must be received by the designated date and time. All Proposers must register with the ePro system prior to the date and time to receive the proposal or they will be disqualified.

Late or incomplete proposals will not be accepted. Electronic response must be submitted through the San Bernardino County Electronic Procurement Network (ePro) https://epro.sbcounty.gov/bso/view/login/login.xhtml. System-related issues in ePro shall be directed to the Purchasing Department at (909) 387-2060. For procurement questions involving ePro, please contact the RFP Contact identified in Section I, Paragraph B - RFP Contact.

3. The Proposer acknowledges that its electronic signature is legally binding. Submittals in ePro will be opened from the system’s encrypted lock box after the deadline and evaluated as stated in this RFP.

https://epro.sbcounty.gov/bso/view/login/login.xhtml

Request for Proposal OB/GYN Comprehensive

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4. Reserved.

5. Proposals must be submitted in the format described below. Proposals are to be prepared in such a way as to provide a straightforward, concise description of capabilities to satisfy the requirements of this RFP.

6. Proposals must be completed in all respects as required in this section. A Proposal may not be considered if it is conditional or incomplete.

7. The Proposer shall not include Attachment E, “Budget Proposal”, as part of the proposal submittal, but instead shall upload Attachment E as a separate attachment, clearly labeled. The proposal and Attachment E must be received (separately) on or before the Deadline for Proposals in the manner described in Section 1, Paragraph B. Failure to comply with this requirement shall disqualify the Proposer.

B. Proposal Format

Responses to this RFP must be in the form of a Proposal package, which must be submitted in the following format:

1. Presentation

Format the Proposal to fit on an 8-½ v 11 sheet of paper with margins of at least ¾ inches. Text should be single spaced and font size should be no smaller than 11 point. Each page, including attachments, must be clearly and consecutively numbered.

2. Cover Page Use Attachment A as the cover page.

This form must be fully completed and signed by an authorized officer of the Proposer.

3. Table of Contents All pages of the Proposal, including the enclosures, must be clearly and consecutively numbered and correspond to the Table of Contents.

4. Statement of Certification

Include the following on Attachment B:

a. A statement that the offer made in the Proposal is firm and binding for nine (9) months from the

Deadline for Proposals.

b. A statement that all aspects of the Proposal, including cost, have been determined independently, without consultation with any other Proposer (competitor) for the purpose of restricting competition.

c. A statement that all declarations in the Proposal and attachments are true and that this shall constitute a warranty, the falsity of which will entitle the County to pursue any remedy by law.

d. A statement that the Proposer agrees that all aspects of the RFP and the Proposal submitted shall be binding if the Proposal is selected and a Contract awarded.

e. A statement that the Proposer agrees to provide the County with any other information the County determines is necessary for an accurate determination of the Proposer’s ability to perform the Services as proposed.

f. A statement that the Proposer, if selected will comply with all applicable rules, laws and regulations.

g. A statement that the Proposer has reviewed the RFP and General Contract Terms in their entirety and have no exceptions to any requirements, terms or conditions, except as noted in Attachment H.

Request for Proposal OB/GYN Comprehensive

Services for the Desert Region

5. Statement of Experience and Qualifications Include the following in this section of the Proposal:

a. Business name of the Proposer and type of legal entity such as corporation, partnership, etc. If

Proposer is a business entity that must be registered with the California Secretary of State, Proposer shall provide the County the entity number assigned to it by the Secretary of State.

b. Number of years the Proposer has been in business under the present business name, as well as related prior business names.

c. Statement that the Proposer does not have any commitments or potential commitments that may impact the Proposer’s ability to perform the Contract, if awarded.

d. Statement that describes Proposer’s experience working with FQHCs, including scope of services provided, length of engagement, familiarity with FQHC operational and regulatory requirements, and any relevant outcomes or achievements.

e. Statement of experience working with low-income, uninsured and under-insured communities.

f. Statement of experience in delivering a managed care health care system through contracted arrangements between State agencies.

g. Statement of experience with EHR systems.

6. Licenses, Permits, and/or Certifications

Provide copies of all licenses, permits and/or certifications in Attachment C as required under Section X. TERMS AND CONDITIONS Paragraph A, 22.

7. Financials

Provide Proposer’s Annual Report for the previous two years. Proposer must also include independently audited financial statements for the most recent completed fiscal year. If audited financial statements are not available, please provide un-audited financial statements along with a certification from the Proposer’s accountant that the information accurately reflects the Proposer’s current financial status. If the Proposer is a sole proprietorship, please provide Schedule C of the Internal Revenue Service forms as well as a certification from the owner and the accountant that the information accurately reflects the Proposer’s current financial status.

8. Project Team Organization Chart Provide an organization chart illustrating the project team, and clearly show the organization of the team and the hierarchy of the members. It must include:

a. Organizational framework for the proposed project team.

b. Company name and staff name for each role identified in the chart.

c. Resumes of key personnel, including qualifications, education and project experience

9. Proposal Description The Proposal should include the following:

a. A brief synopsis of the Proposer’s understanding of the County’s needs and how the Proposer plans to meet them.

b. A detailed statement of the proposed Services.

c. An explanation of any assumptions or constraints.

10. Work Plan and Schedule

Include the following:

a. Summary of management/work plan for this Project.

b. Project schedule

11. Certification Regarding Debarment or Suspension

Complete Attachment D

Request for Proposal OB/GYN Comprehensive

Services for the Desert Region

12. Cost Complete proposed pricing on Attachment E.

13. References Provide three (3) references from other entities, preferably public agencies, of same or similar size as the County, with whom you have established a contract on a project of this nature. Provide Contact Name, Address, Phone Number, email, and dates Services were provided on Attachment F.

Request for Proposal OB/GYN Comprehensive

Services for the Desert Region

14. Former County Officials Complete Attachment G

15. Exceptions to RFP Complete Attachment H.

16. Public Records Act Exemptions Complete Attachment I – Public Records Act Exemptions if applicable.

17. Indemnification and Insurance Requirements Affidavit

Submit evidence of ability to insure as stated in Section X, Paragraph B – Indemnification and Insurance Requirements. Proposer must complete and submit Attachment J – Indemnification and Insurance Requirements Affidavit, and ensure the form is complete, including the signature from Proposer’s insurance broker/agent.

VII. EVALUATION

Proposals will be subject to an Initial Review to confirm responsiveness, by determining whether each Proposal includes the stipulated content, required certifications or licensing, etc., and is presented in the required format, in order for the Proposal to advance for evaluation. Any reasonable person reviewing for responsiveness must be able to ascertain that the Proposal meets these requirements.

The evaluation process includes the following categories, and may include additional specific criteria.

Likewise, the listed considerations are possible considerations, and may not be the only factors involved in the evaluation.

A. QUALIFICATIONS AND EXPERIENCE

Weight: 30% Considerations:

• Proposer background and reputation

• Qualifications of the project team

• Experience with providing the same or similar services, including experience with:

o Working in or with a Federally Qualified Health Center o Low-income, uninsured and under-insured communities o An EHR system o Delivering a managed care health care system through contracted arrangements between

State agencies.

B. FINANCIAL REVIEW

Weight: 10% Considerations: Applies when financial stability and responsibility is deemed pertinent to the intended contract award, at the sole discretion of the County. Statements and/or tax information is evaluated by qualified individuals, most often at the Auditor-Controller’s Office.

C. TECHNICAL REVIEW

Weight: 20% Considerations:

• Statement of understanding of the County’s health needs

• Proposal description of how need will be met (work plan)

• Scheduling

Request for Proposal OB/GYN Comprehensive

Services for the Desert Region

• Technical specifications and functionality

• Quality improvement/assurance

• Training and fiscal oversight

• Adequacy of support staff and subcontractors

• Risk management

• Description of how proposer will assist in development of policies and procedures

• Value-added aspects

D. COST

Weight: 30% Considerations: Overall reasonableness of proposed pricing.

E. REFERENCES

Weight: 5% Considerations:

• Satisfactory performance of similar work resumes

• Demonstrated knowledge and expertise

• Work product capability

• Capability of assigned team members

• Likelihood of continued use

F. INTERVIEW, PRESENTATION, OR DEMONSTRATION

Weight: 5% Considerations:

• Content conveyed or demonstrated in person to the evaluation panel

• Proposer demonstrated a clear understanding of the County’s needs

• General organization of the presentation or demonstration

• Proposer’s ability to answer questions posed by the County

• Proposer inspired confidence in the project plan or team

The County may, at its sole discretion, create a shortlist of Proposals for further evaluation; require an oral interview, presentation, or demonstration; and utilize outside experts to assist in the evaluation process;

and/or issue a request for Best and Final Offer (BAFO) from one or more Proposers.

The County will establish an evaluation panel with responsibility for reviewing all Proposals and conducting the evaluation. A Facilitator will manage the integrity of the evaluation process and will not be a voting member of the evaluation panel. An initial meeting will be scheduled and held with the evaluation panel members, wherein the Facilitator will distribute all relevant information to the evaluators including the RFP, evaluation criteria , and evaluation instructions.

After the initial meeting, evaluators will independently review and score the Proposals. The evaluation panel will then convene again to discuss the individual scores to resolve questions and to discuss the basis for individual scores, but not for the evaluators to agree upon scoring. At the end of this discussion, each evaluator will be given an option to revise his/her scores.

Evaluators will make independent determinations for scores, including review and understanding of any additional information obtained by the group discussion. In the event a score is revised, the evaluator will, document the new score, and provide comments to support the revision.

If clarifying information is needed at any point, the Facilitator will contact Proposer(s) to obtain the necessary information. The Facilitator will then provide the information to the evaluation panel electronically or verbally, as appropriate.

Request for Proposal OB/GYN Comprehensive

Services for the Desert Region

If the evaluation process includes components such as oral interviews, product demonstration, and/or site visits, the Facilitator will coordinate those with evaluators. Individual scoring and any subsequent evaluation panel meetings with respect to such components must be conducted.

Once all ratings are finalized and documented, the Facilitator will create a final evaluation scoring worksheet.

VIII. NEGOTIATIONS AND NOTICE OF INTENT TO AWARD

The County may require the potential Proposer(s) selected to participate in negotiations. This may include cost, technical, or other clarifications needed to make a decision.

A. Contract Negotiation

After selection, negotiations may be conducted with the Proposer(s) of the highest-ranked Proposal(s).

Negotiations, if held, shall be within the scope of work in the request for Proposals. If the contract negotiations take place in San Bernardino County, California, the Proposer will be responsible for its travel and per diem expenses of its personnel.

B. Failure to Negotiate

If the selected Proposer:

1. Fails to provide the information required to begin negotiations in a timely manner; or

2. Fails to negotiate in good faith; or

3. Indicates it cannot perform the Contract within the budgeted funds available for the Services; or

4. If the Proposer and the County, after a good faith effort, simply cannot come to terms;

Then the County may terminate negotiations with the Proposer initially selected and commence negotiations with the next highest rated Proposer.

C. Notice of Intent to Award (NOIA) – Proposer Notification of Selection

After the completion of Contract negotiations a written or electronic Notice of Intent to Award (NOIA) and denial letters (or a copy of the NOIA) will be issued to all Proposers. The issuance date of the NOIA is the date the NOIA was delivered by email or into the care of the United States Postal Service for delivery to the Proposer.

D.…