S-DASOBO-00009374 DDCMS RFP Att_D_Reference_Check_Form~1.docx

DOCX document 53 KB Posted

Attached to
Developmental Disabilities Case Management System
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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Other files

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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

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