Please note – this is only a sample, draft and is not intended for distribution. Please feel free to contact to the contract monitor, Bambi Bevill, listed below.
REQUEST FOR PROPOSALS
CHRONIC DISEASE PREVENTION AND CONTROL BUREAU
Health Systems Interventions for Coordinated Chronic Disease Prevention and Management
Date of Issuance: TBD
Deadline for Submission: TBD
PUBLIC HEALTH DIVISION
Chronic Disease Prevention and Control Bureau
Diabetes Prevention and Control Program
Heart Disease and Stroke Prevention Program
Cancer Prevention and Control Section
Contact:
Bambi Bevill
DOH/PHD/CDPCB/HDSP
5301 Central Ave. NE, Ste. 800
Albuquerque, NM 87059
Telephone: (505) 383-0158
STATE OF NEW MEXICO
DEPARTMENT OF HEALTH
PUBLIC HEALTH DIVISION
TABLE OF CONTENTS
Page No.
I. INTRODUCTION
A. Purpose of this Request for Proposal ...... 4
B. Summary Scope of Work ...... 6
C. Scope of Procurement ...... 8
D. Procurement Agent ...... 8
E. Definition of Terminology ...... 9
F. Background Information ...... 13
II. CONDITIONS GOVERNING THE PROCUREMENT
A. Sequence of Events ...... 17
B. Explanation of Events ...... 18
1. Issue of RFP ...... 18
2. Intent to Submit ...... 18
3. Deadline to Submit Written Questions ...... 18
4. Response to Written Questions/RFP Amendments ...... 19
5. Submission of Proposal ...... 19
6. Proposal Evaluation ...... 19
7. Selection of Finalists ...... 19
8. Contract Award...... 19
9. Protest Deadline ...... 20
10. Finalize Contract ...... 20
C. GENERAL REQUIREMENTS
1. Acceptance of Conditions Governing the Procurement ...... 20
2. Incurring Cost ...... 20
3. Prime Contractor Responsibility ...... 21
4. Subcontractors ...... 21
5. Amended Proposals ...... 21
6. Offeror's Rights to Withdraw Proposal ...... 21
7. Proposal Offer Firm ...... 21
8. Disclosure of Proposal Contents ...... 21
9. No Obligation ...... 22
10. Termination ...... 22
11. Sufficient Appropriation ...... 22
12. Legal Review ...... 22
13. Governing Law ...... 22
14. Basis for Proposal ...... 22
15. Contract Terms and Conditions ...... 23
16. Offeror's Terms and Conditions ...... 23
17. Contract Deviations ...... 23
18. Offeror Qualifications ...... 23
19. Right to Waive Minor Irregularities ...... 23
20. Change in Contractor Representatives ...... 24
21. Notice ...... 24
22. Agency Rights ...... 24
23. Right to Publish ...... 24 24. Ownership of Proposals ...... 24
25. Electronic Mail Address Required ...... 24
26. Use of Electronic Versions of this RFP ...... 24
III. RESPONSE FORMAT AND ORGANIZATION
A. Number of Responses ...... 25
B. Number of Copies ...... 25
C. Proposal Format ...... 25
1. Proposal Organization ...... 25
IV. SPECIFICATIONS
A. Information ...... 26
B. Mandatory Specifications ...... 26
1. Letter of Transmittal ...... 26
2. Table of contents ...... 26
3. Abstract ...... 27
4. Offeror Capabilities ...... 27
5. Problem/Needs Statement/Projected Outcomes ...... 28
6. Proposed Scope of Activities ...... 28
7. Performance Monitoring and Program Evaluation ...... 29
8. Budget and Cost Explanation ...... 30
9. Campaign Contribution …………………………………………….31
V. EVALUATION
A. Evaluation Point Summary ...... 31
B. Evaluation Process ...... 31
VI. CHECKLIST...... 33
APPENDICES
- New Mexico Department of Health Strategic Plan ...... 35
- New Mexico Shared Strategic Plan...... 36
- HealthInsight New Mexico 2014 Report...... 37
- Links to Publications and Resources ...... 73
- Intent to Submit Form ...... 75
- Contract Terms and Conditions. . . . SAMPLE Contract ...... 76
G. Budget Table and Cost Explanation...... 94
H. Campaign Contribution Disclosure Form ...... 95
I. INTRODUCTION
A. Purpose of This Request for Proposals
The purpose of this Request for Proposals (RFP) is to secure contracts to improve population health within identified health systems across New Mexico through increasing the adoption of Electronic Health Records (EHR) and the use of health IT to improve performance; increasing the institutionalization and monitoring of aggregated/standardized quality measures; coordinating prevention through Health Information Technology (HIT) meaningful use; increasing the use of team-based health care; increasing use of evidence based patient self-management programs tied with clinical support; and improving the quality and delivery of clinical preventive services including breast, cervical and colorectal cancer screening. Improving health disparities and addressing the needs of disparate populations must be considered as an important part of population health. This may include persons who are un/underinsured, medically underserved, low socioeconomic status (SES), rural/frontier, American Indian, African American, Hispanic and/ or Spanish speaking.
The need for coordinated chronic disease prevention and management is great, and the primary purpose of this RFP is to work through health systems to improve population health outcomes.
Chronic diseases such as heart disease, cancer, stroke, and diabetes account for four out of the six leading causes of death in New Mexico (New Mexico Death Certificate Database, 2013). Public health efforts to prevent and manage chronic diseases have traditionally been funded and organized to focus on a specific disease or risk factor. There has been growing recognition, however, that this disjointed approach may not best serve populations that are particularly burdened by multiple risk factors and chronic diseases. Heart disease is the leading cause of death in New Mexico and accounts for one in four deaths (24.7%). Cancer is the second leading cause of death in New Mexico (New Mexico's Indicator-Based Information System) with breast cancer being the most commonly diagnosed cancer among women and the second leading cause of cancer deaths among women. Invasive cervical cancer presents approximately 1.9% of all new cancer cases and 1.5% of all cancer deaths in New Mexican women. Colorectal cancer is the fourth most frequently diagnosed cancer in New Mexico and the second leading cause of cancer death, accounting for 10% of new cancer cases and 10% of cancer deaths. (Surveillance, Epidemiology and End Results Program 2007 – 2011). The fifth and sixth leading causes of death respectively for New Mexicans are stroke and diabetes (New Mexico’s Indicator-Based Information System).
The New Mexico Department of Health (NMDOH) uses Behavioral Risk Factor and Surveillance System (BRFSS) data to get a more complete picture about U.S. residents’ health-related risk behaviors, chronic health conditions, and use of preventive services. Respondents report on various indicators, including those for cancer screenings, pre-diabetes, diabetes, hypertension and others. Approximately 30% of New Mexico adults report they have hypertension, a leading cause of heart attack and stroke. Studies indicate however, that many adults are unaware they have hypertension, and those who may be diagnosed with this condition are often poorly controlled. Approximately 10% of NM adults (~204,000) have diabetes with many poorly managing the disease; in addition, many more are unaware they even have the disease. This same lack of awareness is true for those with pre-diabetes. Although 83% of women ages 21-65 years in New Mexico reported having had a Pap test in the past three years according to 2012 BRFSS data, this still falls short of the Healthy People 2020 goal of 93%. The Healthy People 2020 goal for mammography is 81%; however, only about 73% of women report being current with this screening. While approximately 60% of New Mexicans (according to the 2010 BRFSS) are screened regularly for colorectal cancer, disparities exist among New Mexico’s diverse racial and ethnic groups. During FY11-FY14 (YTD), nearly two-thirds of the people screened with FIT/iFOBT or colonoscopy were female. Over the same period, the average age of people screened with FIT/iFOBT or colonoscopy through the NMCRCP was 57.7 years. In addition, the race/ethnic breakdown for NMCRCP-funded screening services during FY11-FY14 (YTD) was: 71% Hispanic, 19% White, 4% American Indian, 2% African American, 2% Asian, and 3% other/unknown. Data from the 2012 NM Behavioral Risk Factor Surveillance System show that just 36% of American Indians, 56% of Hispanics and 65% of Whites, ages 50 years and older, reported being up-to-date with CRC screening recommendations. Deaths from breast, cervical and colorectal cancers could be avoided if cancer screening rates increased among women and men at risk for these cancers. This information indicates a great need for increased public health efforts in prevention and education for improved population health.
There is evidence to show that public health interventions through health systems and use of the EHR is effective in raising awareness for better prevention efforts, identifying those who are at risk and diagnosing and managing chronic conditions. Use of EHR is highly technical, requiring knowledge and experience. Vital to the purpose of this RFP and subsequent activities, is an understanding and agreement to the definition of “Health Systems”. Please refer to Section E, Definition of Terminology, “health systems”, and Appendix C, Report by HealthInsight New Mexico June 2014. Health systems may use the EHR for the following purposes:
§ Patient education and patient population management;
§ Identifying persons who are at increased risk for chronic conditions due to tobacco use, overweight or obesity;
§ Identifying those who have not been screened for breast, colorectal and cervical cancer, hypertension or diabetes;
§ To more effectively treat those with chronic conditions to prevent exacerbation, hospitalizations and premature death.
Use of the entire health care team to the highest scope of practice is indicated for best practices in chronic disease prevention and management. Physicians, nurses, medical and office assistants, patient navigators, community health workers, pharmacists and emergency medical services (EMS) personnel all contribute to the management of patient conditions through education and treatment for individuals and entire communities. Thus, there is potential to engage at every level of the social-ecological model for overall improved population health.
This RFP incorporates a public health approach to health improvement which is the science and practice of protecting and improving the health of a community. In public health, the goal is to prevent disease in a whole population -- a city, state or country, for example. This is different from the goal of health care, which is to care for individuals.
Offerors will propose initiatives that are aligned with the goals and strategies of the Heart Disease and Stroke Prevention Program (HDSP), Diabetes Prevention and Control Program (DPCP), Breast and Cervical Cancer Early Detection Program (BCC), the Colorectal Cancer Program (NMCRCP) and the New Mexico Chronic Disease Prevention Council’s (NMCDPC) Shared Strategic Plan (SSP). The NMCDPC SSP is included as Appendix B. Goals and background which guide activities of the HDSP, DPCP, NMCRCP and BCC (hereafter referred to as “Programs”) are included in Section F, page 11 of this document. It is expected that offerors awarded the RFP will work closely with the Programs to align activities with Program’s goals and strategies.
Proposals for one, two, three or all four Components will be accepted. The Programs recognize that all activities proposed under Components require fundamental understanding and experience, but there are additional skills and experience that are specific to each of the activities. The best match of offeror qualifications and proposed approaches to each component will be considered in making final funding decisions. If multiple Contractors are awarded funding in this RFP, it is expected that the appropriate collaboration and integration of activities across components will take place.
B. Summary Scope of Work
Offeror(s) may submit proposals that address one or more of the four components below. When submitting proposals, Offeror(s) must identify in the proposal abstract which component(s) they are applying for, including the amount of funding requested for each component. Contracts which propose work to address the following Components and activities will be considered:
Component 1. Increasing implementation of quality improvement processes in health systems:
- Assessment of health systems and Electronic Health Record (EHR) capabilities.
- Promoting the use of EHR by health systems.
- Chronic disease prevention and management through implementation of Health Information Technology (HIT) meaningful use. These must be public health best practices and/or evidence based. Recommended strategies include professional development for use of EHR and HIT to implement provider reminder and recall systems and/or patient reminders to increase breast, cervical and colorectal cancer screening; as well as hypertension and diabetes screenings, diagnosis and management. HIT may also be used for patient education and provider engagement.
- Professional education and technical assistance surrounding the use of EHR by health systems. This may be delivered on site or by distance technology.
Component 2. Data Planning and Management:
a. Assessment of needs for data management by health systems, relevant to identified New Mexico health systems and NMDOH reporting requirements.
b. Professional development for data management planning and reporting by health systems and NMDOH. Data management planning and professional development may be conducted on site or by distance technology.
c. Development of recommendations for data management implementation.
d. Implementation of data management, including necessary professional education and technical assistance. Data management may include mechanisms for referral to health care providers. Professional development and technical assistance may be provided in regards to data collection methods, data management systems and use by the healthcare team for reporting by health systems. Implementation of data management also to include that which is necessary for NMDOH reporting.
e. Must be in compliance with the Health Insurance Portability and Accountability Act (HIPAA).
Component 3. Increasing use of team-based healthcare in health systems and support of community-clinical linkages:
- Professional development and technical assistance to health systems regarding team-based healthcare. Training and TA may be conducted on site or by distance technology.
- Professional development for the entire healthcare team including but not limited to: physicians, nurses, pharmacists, medical office assistants, Emergency Medical Services (EMS) personnel, Community Health Workers/ Community Health Representatives (CHW/CHR), Patient Navigators and Promotoras.
- Work with NMDOH to contribute to efforts to scale and sustain prevention and management programs, including the National Diabetes Prevention Program (NDPP) and the Stanford Chronic Disease Self-Management (CDSMP or MyCD) and Diabetes Self-Management (DSMP) Programs
- Community health promotion strategies may involve outreach and education. Use of Learning in Action Networks (LAN) is highly encouraged
Component 4. Professional Development and Technical Assistance: