S-DASOBO-00009374 DDCMS RFP Att_D_Reference_Check_Form~1.docx
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- Solicitation number
- S-DASOBO-00009374
- Issued by
- Marion County, Oregon
About this file
This document is a Reference Check Form for a Request for Proposal (RFP) issued by the state of Oregon, Developmental Disabilities Case Management System. The RFP seeks a comprehensive statewide case management solution for Intellectual and Developmental Disabilities to help the Oregon Department of Human Services (ODHS) achieve compliance with legislative policy and mandates, as well as optimization around program integrity and operational efficiency. The scope includes the necessary services to install, configure, implement, maintain, and support the solution. The jurisdictions involved are Marion County and the City of Salem.
The Reference Check Form requests the reference to rate the proposer's overall quality of services, delivery of service, responsiveness to customer service issues, and ability to integrate the case management system with other systems and prepopulate with information from other sources. The reference is also asked if they would purchase the solution again from the proposer and to provide comments explaining their ratings.
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Text version
ATTACHMENT D — REFERENCE CHECK FORM
| Proposer Name: | ____________________________________________________________ |
| Reference Entity: | ____________________________________________________________ |
| Reference Contact Name: | ____________________________________________________________ |
| Contact Telephone Number: | ____________________________________________________________ |
| Contact Email Address: | ____________________________________________________________ |
Please rate the following questions on a scale of 0-10:
0 = Not Satisfied 5 = Moderately Satisfied 10 = Extremely Satisfied
1. If you had the opportunity to purchase a Case Management System, would you purchase this Solution again from the Solution Provider? Explain why.
| Ranking: | __________ | |
| Comments: | ______________________________________________________________________________________ | |
| ______________________________________________________________________________________ | ||
| ______________________________________________________________________________________ |
2. How would you rate the Proposer’s overall quality of services provided and your overall relationship with the proposer?
| Ranking: | __________ | |
| Comments: | ______________________________________________________________________________________ | |
| ______________________________________________________________________________________ | ||
| ______________________________________________________________________________________ |
3. How would you rate the Proposer’s delivery of service?
| Ranking: | __________ | |
| Comments: | ______________________________________________________________________________________ | |
| ______________________________________________________________________________________ | ||
| ______________________________________________________________________________________ |
4. How would you rate the Proposer’s responsiveness to customer service issues and special requests (e.g., reported problems, service changes, etc.)?
| Ranking: | __________ | |
| Comments: | ______________________________________________________________________________________ | |
| ______________________________________________________________________________________ | ||
| ______________________________________________________________________________________ |
5. How would you rate the Proposer’s ability to integrate their Case Management System with other systems and prepopulate with information from other sources?
| Ranking: | __________ | |
| Comments: | ______________________________________________________________________________________ | |
| ______________________________________________________________________________________ | ||
| ______________________________________________________________________________________ |
RFP [###-####-##] – [RFP title] Page 1 of 3
File details come from the government source that posted it. Updated .