This paper examines information on the RFP requested by California Department of Corrections and Rehabilitation (CDCR), California Correctional Health Care Services (CCHCS) for an Electronic Medical Record. The Health Care System suggests that all the proposals must have a signature from an authorized officer who has legal authority. In addition, all proposals lacking a signature will fail and face rejection.
RFP in Healthcare Industry
Request for proposal in health care industry
Request for Proposal (RFP) in Healthcare Industry
In order to continually provide adequate Medicare to patients, a review of the electronic health record options reveal that the appropriate strategy is to procure Electronic Medical Record software. The primary objective of this RFP is to implore bids from system integrators or commercial off the shelf software merchants to devise, install, construct and implement integrated EMR software solution. The health care system, Future Correctional Center seeks to procure a software solution including licenses, hardware (as recommend by the bidder), execution, and maintenance and support services. In addition, the software configuration should present a core set of EMR attributes that meet particular requirements such as order entry, outcome review, nursing and physician documentation, registration.
Something significant to note; Future Correctional Center will not consider proposals from bidders offering software as a service solution, offer available software as an open source solution, or custom software established from scratch. The proposal should provide a detailed evaluation on the costs related to system acquisition of an EMR. Apart from that, the proposal should include mandatory EMR functionality modules for at least programs such as medical, mental health, nursing and medical administration. For instance, if a bidder's solution does not comprise fundamental EMR components for the suggested programs, the bidder's solution should at least integrate with another commercial software application.
In addition to the fundamental functionality, other significant suggestions of software solutions include laboratory information system and electronic unit health record. However, Future Correctional Center recognizes that some information offered in this RFP can have some inadequacy for bidders to submit a comprehensive solution and costing for an Electronic Medical Record. Therefore, Future Correctional Center proposes a multi-stage procurement for bidders to submit their best proposal based on software functionality, system integration expertise, experiences with other projects of this kind and costs incurred. This approach will assist in implementation of the EMR in a way that modifies proposal services; alter timelines for design, installation and configuration of EMR functionality.
Background
In the year 2001, the Future Correctional Center faced a court action, which brought a lawsuit against the Correctional facility over the eminence of Medicare in the correctional facility. The prison violated an Amendment, which prohibits bizarre punishment of the incarcerated. This resulted to placement of the Correctional center into Receivership. The situation aimed at creating a collaborative environment where imprisonment and health care practitioners improve the standards of medical services in the correctional facilities. Therefore, the Receiver adopted objectives significant for the Future Correctional Center health care system. The objectives aimed to: 1) ensure timely access to medical services; 2) develop a correctional center medical system that will address in full health care services; 3) recruit and train an able medical workforce; 4) establish medical support infrastructure, and 6) offer required nursing, administrative and housing facilities.
Problem
The patient-inmate population in the Future Correctional Center is complex and resembles a socio-economically challenged civilian population at risk of substance abuse, mental illness and chronic diseases. In addition, the medical status of the patient-inmate is that of chronologically older patients. Into the bargain, trauma is common, illicit drug use, hepatitis, HIV / AIDS and several other communicable diseases are in high prevalence. For these reasons, Future Correctional Center proposed to enhance pharmacy structures by acquiring a software that will combine patient-inmate information into an integrated appliance. Future Correctional Center plans to accomplish the following goals by acquiring an EMR:
Reduce flaws and unnecessary tests and medications;
Improve patient care and efficient operations;
Improve management of chronic care conditions and transfer of information within the healthcare systems; and Comply with federal health standards.
In addition, implementing an EMR software solution in the Correctional center healthcare system, will efficiently deliver medically competent patient inmate care. The proposed EMR's should leverage the bidder's software to supply an EMR that generates a full perception of patient-inmate information, highly used by health practitioners, and automated clinical systems.
Scope -- Project Overview
In order for the California State Prison to adequately provide healthcare to patient-inmates and establish a strategy to accomplish Future Correctional Center, CDR and pharmacy systems, the correctional center opts to acquire an EMR. In addition, the State prison will reject proposals from bidders who offer the EMR software as a service. In addition, the correctional center offers all healthcare related services for patient-inmates including medical, mental health, dental, nursing, dietary, rehabilitation, laboratory, pharmacy, radiology, health records and registration. The center also offers primary outpatient care; however, there is also unit-based care offered within the institutions.
In addition to unit-based care, Future Correctional Center offers medical services through telemedicine for the patient inmates. Therefore, this calls for remote accessibility of the Electronic Medical Record solution in order to comply with HIPAA standards favoring telemedicine and tele-psychiatry. Although EMR billing elements are out of scope of the medical data such as diagnostic procedure, there is a need to track and report the procedure codes and performance indexes. Overall, the center wishes to implement EMR software, which has the fundamental functionality such as order entry, results review, nursing and physician documentation, and registration.
Mandatory Vendor/Bidder Requirements
The bidders shall meet the following fundamental requirements to qualify consideration to win the contract:
Minimum Bidder Requirements
The bidders shall meet the following least required bidder requirements to win the contract:
1. Two years experience in EMR system integrator or Commercial off the Shelf vendor offering EMR software.
2. The bidder should provide an independently audited financial statements prepared by a certified public accountant according to the accepted accounting principles.
3. The center expects the bidder to provide clinical documentation that supports its clinical holding.
4. The software solution should be in accordance with the medical industry standards.
5. The software must operate in collaboration with the existing clinical applications already present.
6. The bidder should include the laboratory diagnostic imaging results displayable, searchable in diverse views and formats.
Minimum System Requirements
The selected system should easily integrate with the existing systems. Therefore, it should have the capability to interface with the centre's current health applications and have the ability to send data and records whenever required. In addition, the system should have the capability to push data and patient care record in community care document. On the other hand, the system should allow for pull of data and records into reporting and evaluation systems. The center requires a system that complies with HIPAA. The system should comply with security breach notifications imposed by the HIPAA security standards. Therefore, the vendor or bidder will have to execute the applicable business associate agreement.
Into the bargain, the correctional center will require licensed software. Therefore, the software license and license description should appear on the service contract. In addition, the software must include the business purpose described by the center. Additionally, Future Correctional Center will require the system's warranty, which the vendor should include in the service contract. Into the bargain, the centre will also require the contract language
. Therefore, the chosen bidder or vendor must comply with the federal requirements. In addition, the center requires the vendor to attach the language provided in the service contract.
Current Future Correctional Centre IT Infrastructure
The center currently uses IBM AIX using Oracle and Microsoft technologies. The center presently supports the technologies through their Information Technology Services department. In addition, the center requests that the vendors proposed EMR solution describes how they either will utilize the infrastructure or illustrates how modification to suit the solution will take place. However, for an alternate infrastructure hosting proposals, the vendor's proposal should include all the additional costs if any that they will require.
Current Future Correctional Centre Clinical Applications
Most of the systems are custom-built using Microsoft technologies such as NET, Access, SharePoint and CRM. In addition, they run on Microsoft Windows and SQL servers. In addition, Future Correctional Center Information Technology Department maintains and offers IT support to these systems. Into the bargain, the health care IT platform consists of automated systems for medical, mental, dental, pharmaceutical, laboratory, radiology, nursing, health and registration records.
System's Service Required
The system must have the capability to provide the following 1) electronic medical record system should hold the inmate patient conditions results from the care provided; 2) it should have the ability to identify uniqueness in every patient; 3) it should have the ability to improve clinical care in and allow for evaluation in healthcare practice; 4) the system should have a web connected, and 5) the system should provide patient care record and future information on the patient's health.
Proposal Format
Future Correctional Center requires the vendors or bidders to submit (1) master copy proposal, (5) copies of the proposal and (1) compact disk that has all the proposal files. In addition, all proposals that reach the center before the deadline might qualify for award. However, the correctional center will deem proposals that reach the center after the deadline, non-responsive. Future Correctional Center is not accountable for any proposal that fails to reach the center. In addition, the bidder's proposal should comply with the following format requirements. Bidders should follow them strictly, because the center may deem proposals that fail to meet the format requirements as non-responsive.
1. All the soft copy files should either be in MS Word (Word, excel, project, PowerPoint), version 2003-2007 or PDF. The proposal text should have at least 12 points and 8 points for presentation of information in figures and tables.
2. Vendors should provide printable information on pages on standard 8.5" x 14" format. However, the center prefers single sided pages.
3. The pages should follow a sequence in numbering excluding the project schedule. The page numbers must appear in the same page in the bidder's proposal. The vendor should assign index numbers to figures, tables, charts and diagrams, which should reference the numbers in the proposal.
4. Vendors should put their business names in the header or footer of every page.
5. The proposal shall label exhibits such as tables, graphs and graphics.
6. Eligibility of the proposal is a significant requirement
7. Submission of the proposal should follow the specified timeline.
Proposal Requirements
The RFP course of action and information within the proposal are the property of Future Correctional Center and the reactions to the RFP become the property of the issuing organization. Therefore, the State has mandated to use any or the provided information contained in the replies unless the bidder or vendor designates the information as proprietary. Every reply containing proprietary information should have a mark "PROPRIETARY" and the hospital will not release information here within. In addition, the correctional center will choose finalists to illustrate their product and develop a customer visit for the vendor that offers the chosen demonstration. The centre invites vendors who will supply it with an EMR system. However, although the center aims to get a complete health information system, it may decide to uphold its present ancillary systems.
1) Future Correctional Center expects vendors to provide interfaces from their systems to incorporate them into their present system applications.
2) Although the centre seeks to obtain a system through a single vendor, the center may select part or a vendor's entire proposal.
Timeline
The following table shows the timeline for this procurement:
Task
Oct / 13
Nov / 13
Dec/13
Jan / 14
Issue RFP
4
The center will conduct a bidder's teleconference.
18
The centre will receive the letters of purpose (not a must but welcomed). The centre will accept email confirmations.
25
The center will receive and react to questions from vendors.
1
The centre will supply answers to the vendor's questions.
5
Deadline for proposal reception (16:00 hrs)
19
Complete proposal assessments.
26
The centre will conduct illustrations.
8
The center will conduct reference checks.
7
The center will conduct site visits.
14
The center will choose the successful vendor subject to contract agreements.
21
The center will start vendor contract negotiations.
21
Background Information
In order to facilitate the evaluations of responses to this RFP, Future Correctional Center requests the vendors to prepare their proposals and offer the necessary information in accordance with the following requirements:
The vendor should offer s description of their companies
The vendors should offer an organization chart and profile of the proposed team experts including the senior personnel responsible for the center's project
The vendor should include a decision-making model of the command to use during the implementation process and post-project progressing support
The vendor should include a background of experience in handling similar projects
The vendor should list his or her past clients associated with projects of the same type
The vendor should describe the strategy to use in carrying out the project and highlight practices used in other projects
The vendor should include research or lessons learnt that favor his or her recommended approach
The vendor should illustrate any unique methods that may contribute to the success of the project
The vendor should offer the management procedures to use in the project
The vendor should also offer any perceived risks and risk reactions for the project
Corporate Due Diligence
Future Correctional Center created this section in order to identify the common requirements of a viable vendor. The hospital requests the vendors to provide the required information in the outlined format:
Task
Vendor Response
The legal name of the responding organization
The address of the responsible organization in completing the project
The ownership of the organization -- public / private
A definition of the organization's legal structure (e.g., corporation, partnership)
The year of founding the organization
The length of time the organization has operated providing the proposed product
The number of employees the organization has set aside to work on the proposed project
The exact location of the company
The customer service policy
The user training methods and policy
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