RFQ Physician Peer Review.docx

Request for Quotation (RFQ) for Medical Physician Peer Review Services Introduction Three Rivers Health Center (TRHC) dba Confederated Tribes of Coos, Lower Umpqua and Siuslaw Indians (CTCLUSI) is seeking quotations from qualified physician, physician groups, or company to provide medical physician peer review services. These services will help ensure the highest standards of medical care, compliance with regulatory requirements, and continuous quality improvement within our clinic.

Three Rivers Health Center is owned by CTCLUSI is a new 5,500+ sq. ft. health center to offer a range of healthcare services, integrating traditional and modern practices. Its innovative care model will support body, mind and spirit through medical, behavioral, pharmacy, telehealth and laboratory services, making it a unique and vital resource for the region. Headquartered in Coos Bay, Oregon with ancestral lands in a five-county service area including Coos, Curry, Lincoln, Douglas and Lane Counties, The Confederated Tribes of Coos, Lower Umpqua and Siuslaw Indians are a federally recognized tribe made up of three tribes: 2 bands of Coos Tribes: Hanis Coos (Coos Proper), Miluk Coos; Lower Umpqua Tribe; and Siuslaw Tribe.

Scope of Work The selected provider will be responsible for conducting physician peer reviews, which include:

• Reviewing patient records for quality of care, accuracy, and adherence to best practices.

• Evaluating clinical decision-making and treatment appropriateness.

• Providing objective feedback and recommendations for quality improvement.

• Assisting in compliance with accreditation and regulatory standards.

• Participating in periodic meetings to discuss findings and recommendations.

• Delivering written reports with detailed assessments and action items.

Definitions:

* Peer review may include case complication review, critical incident review, morbidity and mortality (M&M) reviews and other quality and performance reviews regarding credentialed staff; Oregon State law provides legal protection for peer review as that term is defined by statute; it is the intent of the Medical Staff that those protections apply to all forms of such activities.

* Practitioner peer review is the evaluation of an individual practitioner’s professional performance and includes the identification of opportunities to improve care. Peer review differs from other quality improvement processes in that it evaluates the strengths and weaknesses of an individual practitioner’s performance, rather than appraising the quality of care rendered by a group of professionals or a system.

Circumstances requiring peer review:

Peer review is conducted on an ongoing basis and reported to the appropriate staff member for review and action. Peer review indicators for individual case and for aggregate performance measures for a physician.

Qualifications and Experience Interested parties must meet the following criteria:

• Licensed physician in [State/Region].

• Board-certified in a relevant specialty.

• Minimum of [X] years of clinical experience.

• Experience in conducting physician peer reviews.

• Familiarity with state and federal healthcare regulations.

• Strong analytical and communication skills.

Submission Requirements Interested vendors must submit a proposal including:

• A cover letter summarizing experience and qualifications.

• A description of the approach and methodology for conducting peer reviews.

• Examples of past peer review work (if applicable).

• A list of three professional references.

• Pricing structure (per case or hourly rate).

• Availability and estimated turnaround time for reviews.

* Peer review indicators.

Evaluation Criteria Proposals will be evaluated based on:

• Relevant experience and expertise (30%)

• Quality and thoroughness of the proposed approach (25%)

• Cost-effectiveness (20%)

• References and past performance (15%)

• Availability and turnaround time (10%) Submission Instructions Please submit your email proposal by April 17, 2025 3 pm PST via email to:

Email with the subject line “RFQ – Physician Peer Review” to:

Norbert Johnson, MBA, MHEd, RRT njohnson@ctclusi.org

(541) 435-7173 Late submissions will not be considered.

For any questions thru April 14, 2025 at 3 PM PST:

Norbert Johnson, MBA, MHEd, RRT njohnson@ctclusi.org

(541) 435-7173 Terms and Conditions

• TRHC reserves the right to accept or reject any proposal.

• The contract term will be 2 years with a possible renewal option of one (1) additional year

• All work must comply with HIPAA and other applicable privacy laws.

We appreciate your consideration in submitting your Request for Quote. Please ensure that all required details are included for a thorough evaluation. We look forward to reviewing your submission.