Calhoun County Sealed Solicitation

Title: RFP#114-24 INMATE MEDICAL

Deadline: 9/19/2024 10:00 AM   (UTC-05:00) Eastern Time (US & Canada)

Status: In Review

Solicitation Number: RFP#114-24

Description: The County of Calhoun invites all qualified contractors and firms (hereinafter referred to as "Vendors") experienced in the delivery and management of correctional healthcare to submit a proposal for comprehensive adult healthcare for the County of Calhoun and the Calhoun County Sheriff's Office, Corrections Division (hereafter collectively referred to as the "County".

Documents:

Documents as of 8/22/2024
Login to view documents
Addition 1

Posted: 9/12/2024

Type of Addition: ADDENDUM NUMBER 01 - Q#27 2024 HSR 9.10.24

Deadline: 9/19/2024 10:00 AM

Solicitation #: RFP#114-24

Documents:

Addition 2

Posted: 9/20/2024

Type of Addition: In Review

Question 1

Posted: 8/22/2024

Question: Would the County agree to remove the Performance Bond listed on page 26 Section 3.6 of the RFP? Performance Bonds are usually required for Constructional Bids and not Professional Services. The analysis is whether the County Attorney, who is probably on retainer, must also pay a performance bond? Both are professional services and should be treated the same. The first reason they are used in construction services are that the contractor is allowed to pull down a large portion of the money awarded to buy materials. For a $12 million dollar project, this could result in the contractor pulling down around $3,600,000 for the materials to be bought for a new facility. This means that the county would be out $3.6 million if the contractor takes the money and leaves the project without doing any work. In the professional services field, the county is billed only 30 days in advance of services being performed. Let’s say it is a $6 million dollar project, this would result in a $500,000 loss for the county if the services were not rendered. Performance Bonds leaves it up to a county to determine if a contractor is providing the services requested in the RFP response is a dangerous standard. We rather work with the County to make sure that the services that are being requested are being performed as required. For example, if a contractor staffs the facility at 95%, the county could say that since we did not staff the facility at 100%, they could call the bond to be paid to the county. The last reason is that the fee to get the performance bond will be passed along to the county, costing the county more money in the long run. For these reasons, we are asking that the Performance Bond be removed from the requirements.

Response: The County will not remove the requirement for the performance bond however the county will reduce it to $500,000.

Question 2

Posted: 8/26/2024

Question: Two questions: 1. Is it possible to get a tour of the jail so that we may develop a customized inmate correctional healthcare proposal, 2. Is it possible to remove the bond requirement given that such provision is very uncommon in healthcare and adds substantial cost to the bid. In my 25 years of providing correctional healthcare across the country, I have never seen a bond utilized. Thank you

Response: Yes, a tour can be scheduled for no more than three company representatives. Please email Chief David Tendziegloski at Dtendzie@calhouncountymi.gov. Copy Brad Wilcox at Bwilcox@calhouncountymi.gov on all requests.

Question 3

Posted: 9/4/2024

Question: Question #1 - Rx/month What is the average number of prescriptions dispensed to CCJ per month for the past 12 months?

Response: The County will request this information from the incumbent. The average number of prescriptions dispensed over the last 12 months is 520

Question 4

Posted: 9/4/2024

Question: Question #2 Patient Specific vs. Stock What percentage of medications are dispensed as patient specific vs. stock?

Response: Currently pharmacy is a stock based system with ICE medications ordered patient specific. The bidders pharmacy must be able to order ICE/federal inmate medications through the ICE TPA, as well as direct bill for ICE/federal medications.

Question 5

Posted: 9/4/2024

Question: Question #3 - Packaging What type of medication packaging (blister cards, vials, strips, other) do you currently use and do you wish to keep the same packaging system?

Response: Blister card packaging is preferred however, the awarded vendor can make that decision.

Question 6

Posted: 9/4/2024

Question: Question #4 - Quantities How many days’ worth of medication (7, 14, 30 days) is typically dispensed for routine medication orders, and do you wish to keep it the same?

Response: 30-day cards, however again, the vendor can make that decision.

Question 7

Posted: 9/4/2024

Question: Question #5 340B Who is the 340B covered entity that your current medical or pharmacy vendor has negotiated with on behalf of CCJ to obtain cost savings on HIV and other costly medications?

Response: Currently, there is no 340B program in place.

Question 8

Posted: 9/4/2024

Question: Question #6 - Utilization Data Knowledge of, and access to, actual medication utilization data is extremely important for bidders in determining a final and accurate bid rate in response to your solicitation. As CCJ already knows, every correctional institution is unique and utilization at CCJ is not likely the same as institutions in neighboring counties (or of similar size) for a respondent to project an accurate assessment of utilization. Not providing this actual medication utilization data to all bidders will result in a competitive advantage to your incumbent medical vendor who already has this information and knows those utilization numbers and costs. Because public money is used to pay for pharmacy services and medications under the current contract, our understanding is that medication utilization and cost information would not be considered proprietary under any procurement regulations and can be readily separated by your current medical vendor or their subcontracted pharmacy. • To benchmark your current pricing, and more importantly to ensure a transparent and fair procurement process, can CCJ please request a two-month report for July 2024 and August 2024 with actual pharmacy dispensing data detailed by line item reflecting the fill date, medication name and strength, quantity dispensed, and medication price (with patient names redacted) as an addendum to the RFP? o Example: date dispensed | medication name and strength | quantity | price

Response: The County will request this information from the incumbent. The specific cost and details of pharmaceuticals are considered proprietary to the current vendor.

Question 9

Posted: 9/4/2024

Question: Question #7 - Electronic prescription order entry and eMAR Many correctional institutions within the industry are utilizing electronic order entry and eMAR software to decrease their reliance on time consuming paper processes. Electronic med pass will decrease the time required for med pass by up to 50%, eliminate the need and overtime for end of month changeovers, eliminate transcription errors from faxed orders that are profiled for MAR purposes, improve staff productivity and efficiency, and saves time that can be used by your medical staff to provide other health care services? • What is the name of your current electronic prescription order entry and eMAR software that is provided by your current medical vendor at no additional cost? • If a software is provided, is the system Electronic Prescribing of Controlled Substances (EPCS) compliant? • Would you find value in adding a requirement to your current solicitation for bidders to provide a no cost solution for electronic prescription order entry and eMAR if a solution is not currently in place? • If not, what reservations does CCJ have regarding a no cost web-based software solution for electronic order entry and eMAR?

Response: The incumbent currently uses eOMIS. eOMIS has computerized physician order entry capability and electronic medication administration functionality. The county cannot confirm EPCS compliance but would presume the EMR is compliant. Bidders will most likely propose their own proprietary EMRs which will typically include CPOE and eMAR. The County does not wish to modify the requirements in place.

Question 10

Posted: 9/4/2024

Question: Question #8 - Electronic Reconciliation Many correctional institutions within the industry are using electronic check-in and return programs for inventory management. Manual daily order check-in and return processing time can be decreased by up to 75%, medication diversion potential is virtually eliminated, and CCJ will have full accountability of all medications received by, and returned from, your facility for accounting purposes. • What is the name of your current barcode electronic order reconciliation (check-in) and medication return management system that is provided by your current medical or pharmacy vendor at no additional cost? • Would you find value in adding this requirement to your current solicitation for bidders to provide a free solution for electronic inventory management if a solution in not currently in place so all medications shipped to, and returned from CCJ are accounted for? • If not, what reservations does CCJ have regarding a no cost web-based software solution for medication check-in, inventory management, and electronic returns?

Response: There is certainly accuracy and efficiency enhancements with the system described. The County however will allow bidders to determine the inventory management process they desire to put in place. Currently there is no barcode scanning for administration to inmates at med pass.

Question 11

Posted: 9/4/2024

Question: Question #9 - Online Reporting Access Many correctional institutions within the industry have fingertip access to meaningful and actionable electronic reporting available to County administrative personnel monitoring contract expenses. Analyzing prescriber ordering trends and expenditures to better manage facility operations is critical to your County administrative team and dependent upon reliable and accurate pharmacy reporting. • What is the name of the current online reporting dashboard used by facility and county administrative staff to access meaningful and accurate reporting? • Would you find value in adding this requirement to your current solicitation for bidders to provide a no cost solution for online reporting so your facility-level staff and administrators can access online reports 24/7/365 if a solution is not currently in place? • If not, what reservations does CCJ have regarding a no cost web-based software solutions that provides actionable and meaningful reporting to help your clinical and financial teams?

Response: Bidders and their contracted pharmacy's will determine and provide pharmaceutical reporting based upon requirements provided in the RFP. Depending on the contract model proposed, various levels of shared risk proposed, more detailed financial reporting would be required.

Question 12

Posted: 9/4/2024

Question: Question #10 - EHR/EMR Item 3.2.13.5 on page 19 of the RFP implies that CCJ uses an EHR. • What is the name of the system and current software version in use? • Is the system also used for prescription order entry and eMAR purposes? • Is the system Electronic Prescribing of Controlled Substances (EPCS) compliant? • Can you please provide the name and email of your EHR/EMR contact so that bidders can contact them for system specifications, interface requirements, and capabilities?

Response: The incumbent currently uses eOMIS by Marquis. The County doe not have contact information for Marquis however a brief internet search should assist.

Question 13

Posted: 9/4/2024

Question: Question #11 - Current Pharmacy Vendor What company is your current pharmacy services provider? • Is the current pharmacy vendor subcontracted by the current medical vendor or are they operating under an independent contract? • What, if any, are the current struggles in the provision of pharmacy services at CCJ to your level of expectation and needs? • If there are no struggles or issues, what are the top three areas in which you wish to see improvement or enhanced pharmacy services provided? • Are Offerors permitted to subcontract with a pharmacy partner of their choice regarding medication dispensing and pharmacy program management services?

Response: The information requested is not known by the County. Yes, bidders can subcontract with a pharmacy vendor of their choice.

Question 14

Posted: 9/4/2024

Question: Question #12 - Current Pharmacy Pricing Structure Is the current medical provider responsible for all pharmacy costs; or is there a cost pool regarding pharmaceuticals with an annual contract cap before those expenses become the responsibility of the County? • If there is a cost pool, what is the annual cap and how many months into the contract year is the cap typically reached? • If there is a cost pool and the cap is reached, are medications billed at cost plus a dispensing fee to the County, discount to AWP, discount to WAC, NADAC, or full retail pricing for the remainder of that contract year? • If not, what is the pricing formula used to bill the County for these medications? • Are there any high-cost medications or medication categories that are always the responsibility of the County? • For calendar or contract years 2022 and 2023 and 2024 YTD what is the annual spend for medications at CCJ? • If this information is unknown or not provided by your medical vendor, what metric(s) is the county using to assess best value regarding your pharmacy program management and medications costs?

Response: The current model is an aggregate cap share for pharmacy expenditures. The County reimburses for the first $120,000. The County is 100% responsible for Rx costs above $$120,000. In this current contract, HIV, HEP, Factor are paid by the County. This RFP allows for bidders to propose their own delivery model which may or may not include a defined cost share.

Question 15

Posted: 9/5/2024

Question: Please provide an inventory of all medical equipment available for the successful vendor's use.

Response: Available equipment may be viewed when a site visit is scheduled. Some needs included a new dental chair lamp, one high-speed and low-speed handpiece, some various extraction instruments. There is need for two new sterile tray for procedures. For nursing, two EMR compatible dinamaps, one for booking and one for the clinic. The vendor would need to determine the number of laptops needed for EMR support.

Question 16

Posted: 9/5/2024

Question: Please provide a copy of the current contract.

Response: The current medical contact is available by FOIA. https://www.calhouncountymi.gov/departments/administration/foia.php

Question 17

Posted: 9/5/2024

Question: How, where, and by which position(s) is med pass conducted?

Response: Medication is passed from a med cart in each housing area. Currently one med cart is used for medication pass and is performed by an LPN. The med pass takes nearly 4-hours. The County wants two med carts and two nurses to pass meds on the day and evening med passes. There is an additional MAT med cart in which the MAT nurse uses to pass MAT.

Question 18

Posted: 9/5/2024

Question: What is the current electronic medical records system being utilized?

Response: eOMIS by Marquis.

Question 19

Posted: 9/5/2024

Question: What company is currently utilized for pharmaceutical services?

Response: PharmaCorr

Question 20

Posted: 9/5/2024

Question: What were the total costs of pharmaceuticals for each of the last three years?

Response: The County will request this information from the incumbent. The specific cost of pharmaceuticals are considered proprietary to the current vendor.

Question 21

Posted: 9/5/2024

Question: What company is currently utilized for mobile on-site x-ray?

Response: Mobile-X to be verified The current company utilized for imaging services is considered proprietary to the current vendor.

Question 22

Posted: 9/5/2024

Question: What company is currently utilized for laboratory specimen pick-up and testing?

Response: Bio Reference to be verified The current company utilized for laboratory services is considered proprietary to the current vendor.

Question 23

Posted: 9/5/2024

Question: What is the annual cost of the current contract?

Response: $1.9 Million

Question 24

Posted: 9/5/2024

Question: Please confirm that the County requires initial health assessments to be conducted at booking, in addition to the receiving screening.

Response: That is the new requirement the County wants implemented.

Question 25

Posted: 9/5/2024

Question: Does the County wish to become ACA accredited under the new contract?

Response: Probably not. If the County were to opt for accreditation by ACA in the future, the vendor and County would work out an amendment for cost.

Question 26

Posted: 9/5/2024

Question: What type of mental health programming is the County wanting to implement under the new contract?

Response: An increase in mental health staffing is provided in the RFP. The bidder will propose their mental health program. The county does wish to see group therapy as well as more patient encounters. The County would also like to see better coordination with Summit Point who provides some MAT and mental health coordination services for their clients being released.

Question 27

Posted: 9/5/2024

Question: Please provide copies of the health services report or other statistical tracking form currently used for the past year.

Response: The County will request this information from the incumbent.

Question 28

Posted: 9/5/2024

Question: RFP Page 34, Proposed Staffing Plan: The current staffing plan, as included on page 33 of the RFP, indicates that currently there is a QBHP onsite seven days per week (Sunday – Saturday.) The proposed staffing plan included on page 34 of the RFP indicates the desire for a QBHP on site six days per week (Monday-Saturday.) Please clarify the intent. Does the County wish to continue seven day per week coverage with behavioral health professionals in the new contract?

Response: The proposed staffing plan on page 34 is the plan requested by the County. Any deviation form this plan should be noted in the vendor response.

Question 29

Posted: 9/5/2024

Question: Page 13, Facility 3.1.1: Will the County provide a dedicated space for the Intake/H&P/Sallyport assessment RN in intake?

Response: No

Question 30

Posted: 9/5/2024

Question: Page 14, Section 3.2: Is medication assisted treatment currently being offered in the facility? If so, which medications and how many patients on each within the last year? If not, is there a desire to offer MAT?

Response: MAT is in the process of implementation in the CCJ

Question 31

Posted: 9/5/2024

Question: Page 17, Section 3.2.9: What medications are currently being used for detox/medically supervised withdrawal?

Response: The County will request this information from the incumbent. Patients are monitored and treated for substance withdrawal in compliance with evidenced-based practices and nationally recognized standards. Specific medications are considered proprietary to the current vendor.

Question 32

Posted: 9/5/2024

Question: Page 21, Section 3.4.4: Please confirm that the qualifications referenced in Section 3.4.4 as “itemized under Section I of this RFP” are actually those listed in Section 3.3. If not, please identify the page number on which the required vendor qualifications are listed.

Response: Qualifications are referenced in Section 3.3

Question 33

Posted: 9/5/2024

Question: Page 21, Section 3.2/3.5: Please confirm that unless something is spelled out as a requirement in Section 3.5 or otherwise stated as required to be included in the proposal, we should not address in detail any of the scope of work requirements detailed in Section 3.2.

Response: Vendor responses should not address in detail any SOW requirements in Section #3.2.

Question 34

Posted: 9/5/2024

Question: Page 24, Section 3.5.12.2: Section 3.5.12.2 states “Complete Section 1.3 – Legal Status of Bidder.” However, Section 1.3 page 2 states “Indemnification and Hold Harmless”. Please clarify which information we need to provide under section 3.5.12.2.

Response: Legal Status is no required as a response to this RFP. The County may request this information on a case by case basis

Question 35

Posted: 9/5/2024

Question: Page 24, Section 3.5.12.3: Section 3.5.12.3 states “ Current certificate of Insurance per Section 1.8” Section 1.8 says Gratuities” Please clarify which information we need to provide under section 3.5.12.3.

Response: Certificates of Insurance will be requested only for vendors who are identified as a high probability of award.

Question 36

Posted: 9/5/2024

Question: Page 24, Section 3.5.12.4: Section 3.5.12.4 states Response to Exemption(s) to Contract Terms and Conditions Section 1.24. Please confirm we need to provide responses to Section 1.23.

Response: Confirm vendors need to provide responses to Section #1.23

Question 37

Posted: 9/5/2024

Question: Page 28, Section 3.10.4: The vacant position penalty references “(45) days”, and also “450-day count”. Please confirm the “450” should be 45 or clarify the language’s intent as written.

Response: 450 should be 45

Question 38

Posted: 9/5/2024

Question: The last two sentences of RFP Section 3.2.9.2 reads “After the pre-proposal meeting, all bidders shall provide an explanation of what processes will be in place to manage drug and alcohol withdrawal of new admissions. The County requires withdrawal management be compassionate and comfortable for the patient, including appropriate medication as necessary.” a. Since there was no pre-proposal process, please clarify this reference. b. Would it be appropriate to include this information in our response to Section 3.5.9.1 Define inmate health assessment protocol?

Response: Vendors should include management of withdrawal of new admissions in Section #3.5.9.1

Posted: 9/12/2024

Type of Addition: ADDENDUM NUMBER 01 - Q#27 2024 HSR 9.10.24

Deadline: 9/19/2024 10:00 AM

Solicitation #: RFP#114-24

Documents:

Posted: 9/20/2024

Type of Addition: In Review

Posted: 8/22/2024

Question: Would the County agree to remove the Performance Bond listed on page 26 Section 3.6 of the RFP? Performance Bonds are usually required for Constructional Bids and not Professional Services. The analysis is whether the County Attorney, who is probably on retainer, must also pay a performance bond? Both are professional services and should be treated the same. The first reason they are used in construction services are that the contractor is allowed to pull down a large portion of the money awarded to buy materials. For a $12 million dollar project, this could result in the contractor pulling down around $3,600,000 for the materials to be bought for a new facility. This means that the county would be out $3.6 million if the contractor takes the money and leaves the project without doing any work. In the professional services field, the county is billed only 30 days in advance of services being performed. Let’s say it is a $6 million dollar project, this would result in a $500,000 loss for the county if the services were not rendered. Performance Bonds leaves it up to a county to determine if a contractor is providing the services requested in the RFP response is a dangerous standard. We rather work with the County to make sure that the services that are being requested are being performed as required. For example, if a contractor staffs the facility at 95%, the county could say that since we did not staff the facility at 100%, they could call the bond to be paid to the county. The last reason is that the fee to get the performance bond will be passed along to the county, costing the county more money in the long run. For these reasons, we are asking that the Performance Bond be removed from the requirements.

Response: The County will not remove the requirement for the performance bond however the county will reduce it to $500,000.

Posted: 8/26/2024

Question: Two questions: 1. Is it possible to get a tour of the jail so that we may develop a customized inmate correctional healthcare proposal, 2. Is it possible to remove the bond requirement given that such provision is very uncommon in healthcare and adds substantial cost to the bid. In my 25 years of providing correctional healthcare across the country, I have never seen a bond utilized. Thank you

Response: Yes, a tour can be scheduled for no more than three company representatives. Please email Chief David Tendziegloski at Dtendzie@calhouncountymi.gov. Copy Brad Wilcox at Bwilcox@calhouncountymi.gov on all requests.

Posted: 9/4/2024

Question: Question #1 - Rx/month What is the average number of prescriptions dispensed to CCJ per month for the past 12 months?

Response: The County will request this information from the incumbent. The average number of prescriptions dispensed over the last 12 months is 520

Posted: 9/4/2024

Question: Question #2 Patient Specific vs. Stock What percentage of medications are dispensed as patient specific vs. stock?

Response: Currently pharmacy is a stock based system with ICE medications ordered patient specific. The bidders pharmacy must be able to order ICE/federal inmate medications through the ICE TPA, as well as direct bill for ICE/federal medications.

Posted: 9/4/2024

Question: Question #3 - Packaging What type of medication packaging (blister cards, vials, strips, other) do you currently use and do you wish to keep the same packaging system?

Response: Blister card packaging is preferred however, the awarded vendor can make that decision.

Posted: 9/4/2024

Question: Question #4 - Quantities How many days’ worth of medication (7, 14, 30 days) is typically dispensed for routine medication orders, and do you wish to keep it the same?

Response: 30-day cards, however again, the vendor can make that decision.

Posted: 9/4/2024

Question: Question #5 340B Who is the 340B covered entity that your current medical or pharmacy vendor has negotiated with on behalf of CCJ to obtain cost savings on HIV and other costly medications?

Response: Currently, there is no 340B program in place.

Posted: 9/4/2024

Question: Question #6 - Utilization Data Knowledge of, and access to, actual medication utilization data is extremely important for bidders in determining a final and accurate bid rate in response to your solicitation. As CCJ already knows, every correctional institution is unique and utilization at CCJ is not likely the same as institutions in neighboring counties (or of similar size) for a respondent to project an accurate assessment of utilization. Not providing this actual medication utilization data to all bidders will result in a competitive advantage to your incumbent medical vendor who already has this information and knows those utilization numbers and costs. Because public money is used to pay for pharmacy services and medications under the current contract, our understanding is that medication utilization and cost information would not be considered proprietary under any procurement regulations and can be readily separated by your current medical vendor or their subcontracted pharmacy. • To benchmark your current pricing, and more importantly to ensure a transparent and fair procurement process, can CCJ please request a two-month report for July 2024 and August 2024 with actual pharmacy dispensing data detailed by line item reflecting the fill date, medication name and strength, quantity dispensed, and medication price (with patient names redacted) as an addendum to the RFP? o Example: date dispensed | medication name and strength | quantity | price

Response: The County will request this information from the incumbent. The specific cost and details of pharmaceuticals are considered proprietary to the current vendor.

Posted: 9/4/2024

Question: Question #7 - Electronic prescription order entry and eMAR Many correctional institutions within the industry are utilizing electronic order entry and eMAR software to decrease their reliance on time consuming paper processes. Electronic med pass will decrease the time required for med pass by up to 50%, eliminate the need and overtime for end of month changeovers, eliminate transcription errors from faxed orders that are profiled for MAR purposes, improve staff productivity and efficiency, and saves time that can be used by your medical staff to provide other health care services? • What is the name of your current electronic prescription order entry and eMAR software that is provided by your current medical vendor at no additional cost? • If a software is provided, is the system Electronic Prescribing of Controlled Substances (EPCS) compliant? • Would you find value in adding a requirement to your current solicitation for bidders to provide a no cost solution for electronic prescription order entry and eMAR if a solution is not currently in place? • If not, what reservations does CCJ have regarding a no cost web-based software solution for electronic order entry and eMAR?

Response: The incumbent currently uses eOMIS. eOMIS has computerized physician order entry capability and electronic medication administration functionality. The county cannot confirm EPCS compliance but would presume the EMR is compliant. Bidders will most likely propose their own proprietary EMRs which will typically include CPOE and eMAR. The County does not wish to modify the requirements in place.

Posted: 9/4/2024

Question: Question #8 - Electronic Reconciliation Many correctional institutions within the industry are using electronic check-in and return programs for inventory management. Manual daily order check-in and return processing time can be decreased by up to 75%, medication diversion potential is virtually eliminated, and CCJ will have full accountability of all medications received by, and returned from, your facility for accounting purposes. • What is the name of your current barcode electronic order reconciliation (check-in) and medication return management system that is provided by your current medical or pharmacy vendor at no additional cost? • Would you find value in adding this requirement to your current solicitation for bidders to provide a free solution for electronic inventory management if a solution in not currently in place so all medications shipped to, and returned from CCJ are accounted for? • If not, what reservations does CCJ have regarding a no cost web-based software solution for medication check-in, inventory management, and electronic returns?

Response: There is certainly accuracy and efficiency enhancements with the system described. The County however will allow bidders to determine the inventory management process they desire to put in place. Currently there is no barcode scanning for administration to inmates at med pass.

Posted: 9/4/2024

Question: Question #9 - Online Reporting Access Many correctional institutions within the industry have fingertip access to meaningful and actionable electronic reporting available to County administrative personnel monitoring contract expenses. Analyzing prescriber ordering trends and expenditures to better manage facility operations is critical to your County administrative team and dependent upon reliable and accurate pharmacy reporting. • What is the name of the current online reporting dashboard used by facility and county administrative staff to access meaningful and accurate reporting? • Would you find value in adding this requirement to your current solicitation for bidders to provide a no cost solution for online reporting so your facility-level staff and administrators can access online reports 24/7/365 if a solution is not currently in place? • If not, what reservations does CCJ have regarding a no cost web-based software solutions that provides actionable and meaningful reporting to help your clinical and financial teams?

Response: Bidders and their contracted pharmacy's will determine and provide pharmaceutical reporting based upon requirements provided in the RFP. Depending on the contract model proposed, various levels of shared risk proposed, more detailed financial reporting would be required.

Posted: 9/4/2024

Question: Question #10 - EHR/EMR Item 3.2.13.5 on page 19 of the RFP implies that CCJ uses an EHR. • What is the name of the system and current software version in use? • Is the system also used for prescription order entry and eMAR purposes? • Is the system Electronic Prescribing of Controlled Substances (EPCS) compliant? • Can you please provide the name and email of your EHR/EMR contact so that bidders can contact them for system specifications, interface requirements, and capabilities?

Response: The incumbent currently uses eOMIS by Marquis. The County doe not have contact information for Marquis however a brief internet search should assist.

Posted: 9/4/2024

Question: Question #11 - Current Pharmacy Vendor What company is your current pharmacy services provider? • Is the current pharmacy vendor subcontracted by the current medical vendor or are they operating under an independent contract? • What, if any, are the current struggles in the provision of pharmacy services at CCJ to your level of expectation and needs? • If there are no struggles or issues, what are the top three areas in which you wish to see improvement or enhanced pharmacy services provided? • Are Offerors permitted to subcontract with a pharmacy partner of their choice regarding medication dispensing and pharmacy program management services?

Response: The information requested is not known by the County. Yes, bidders can subcontract with a pharmacy vendor of their choice.

Posted: 9/4/2024

Question: Question #12 - Current Pharmacy Pricing Structure Is the current medical provider responsible for all pharmacy costs; or is there a cost pool regarding pharmaceuticals with an annual contract cap before those expenses become the responsibility of the County? • If there is a cost pool, what is the annual cap and how many months into the contract year is the cap typically reached? • If there is a cost pool and the cap is reached, are medications billed at cost plus a dispensing fee to the County, discount to AWP, discount to WAC, NADAC, or full retail pricing for the remainder of that contract year? • If not, what is the pricing formula used to bill the County for these medications? • Are there any high-cost medications or medication categories that are always the responsibility of the County? • For calendar or contract years 2022 and 2023 and 2024 YTD what is the annual spend for medications at CCJ? • If this information is unknown or not provided by your medical vendor, what metric(s) is the county using to assess best value regarding your pharmacy program management and medications costs?

Response: The current model is an aggregate cap share for pharmacy expenditures. The County reimburses for the first $120,000. The County is 100% responsible for Rx costs above $$120,000. In this current contract, HIV, HEP, Factor are paid by the County. This RFP allows for bidders to propose their own delivery model which may or may not include a defined cost share.

Posted: 9/5/2024

Question: Please provide an inventory of all medical equipment available for the successful vendor's use.

Response: Available equipment may be viewed when a site visit is scheduled. Some needs included a new dental chair lamp, one high-speed and low-speed handpiece, some various extraction instruments. There is need for two new sterile tray for procedures. For nursing, two EMR compatible dinamaps, one for booking and one for the clinic. The vendor would need to determine the number of laptops needed for EMR support.

Posted: 9/5/2024

Question: Please provide a copy of the current contract.

Response: The current medical contact is available by FOIA. https://www.calhouncountymi.gov/departments/administration/foia.php

Posted: 9/5/2024

Question: How, where, and by which position(s) is med pass conducted?

Response: Medication is passed from a med cart in each housing area. Currently one med cart is used for medication pass and is performed by an LPN. The med pass takes nearly 4-hours. The County wants two med carts and two nurses to pass meds on the day and evening med passes. There is an additional MAT med cart in which the MAT nurse uses to pass MAT.

Posted: 9/5/2024

Question: What is the current electronic medical records system being utilized?

Response: eOMIS by Marquis.

Posted: 9/5/2024

Question: What company is currently utilized for pharmaceutical services?

Response: PharmaCorr

Posted: 9/5/2024

Question: What were the total costs of pharmaceuticals for each of the last three years?

Response: The County will request this information from the incumbent. The specific cost of pharmaceuticals are considered proprietary to the current vendor.

Posted: 9/5/2024

Question: What company is currently utilized for mobile on-site x-ray?

Response: Mobile-X to be verified The current company utilized for imaging services is considered proprietary to the current vendor.

Posted: 9/5/2024

Question: What company is currently utilized for laboratory specimen pick-up and testing?

Response: Bio Reference to be verified The current company utilized for laboratory services is considered proprietary to the current vendor.

Posted: 9/5/2024

Question: What is the annual cost of the current contract?

Response: $1.9 Million

Posted: 9/5/2024

Question: Please confirm that the County requires initial health assessments to be conducted at booking, in addition to the receiving screening.

Response: That is the new requirement the County wants implemented.

Posted: 9/5/2024

Question: Does the County wish to become ACA accredited under the new contract?

Response: Probably not. If the County were to opt for accreditation by ACA in the future, the vendor and County would work out an amendment for cost.

Posted: 9/5/2024

Question: What type of mental health programming is the County wanting to implement under the new contract?

Response: An increase in mental health staffing is provided in the RFP. The bidder will propose their mental health program. The county does wish to see group therapy as well as more patient encounters. The County would also like to see better coordination with Summit Point who provides some MAT and mental health coordination services for their clients being released.

Posted: 9/5/2024

Question: Please provide copies of the health services report or other statistical tracking form currently used for the past year.

Response: The County will request this information from the incumbent.

Posted: 9/5/2024

Question: RFP Page 34, Proposed Staffing Plan: The current staffing plan, as included on page 33 of the RFP, indicates that currently there is a QBHP onsite seven days per week (Sunday – Saturday.) The proposed staffing plan included on page 34 of the RFP indicates the desire for a QBHP on site six days per week (Monday-Saturday.) Please clarify the intent. Does the County wish to continue seven day per week coverage with behavioral health professionals in the new contract?

Response: The proposed staffing plan on page 34 is the plan requested by the County. Any deviation form this plan should be noted in the vendor response.

Posted: 9/5/2024

Question: Page 13, Facility 3.1.1: Will the County provide a dedicated space for the Intake/H&P/Sallyport assessment RN in intake?

Response: No

Posted: 9/5/2024

Question: Page 14, Section 3.2: Is medication assisted treatment currently being offered in the facility? If so, which medications and how many patients on each within the last year? If not, is there a desire to offer MAT?

Response: MAT is in the process of implementation in the CCJ

Posted: 9/5/2024

Question: Page 17, Section 3.2.9: What medications are currently being used for detox/medically supervised withdrawal?

Response: The County will request this information from the incumbent. Patients are monitored and treated for substance withdrawal in compliance with evidenced-based practices and nationally recognized standards. Specific medications are considered proprietary to the current vendor.

Posted: 9/5/2024

Question: Page 21, Section 3.4.4: Please confirm that the qualifications referenced in Section 3.4.4 as “itemized under Section I of this RFP” are actually those listed in Section 3.3. If not, please identify the page number on which the required vendor qualifications are listed.

Response: Qualifications are referenced in Section 3.3

Posted: 9/5/2024

Question: Page 21, Section 3.2/3.5: Please confirm that unless something is spelled out as a requirement in Section 3.5 or otherwise stated as required to be included in the proposal, we should not address in detail any of the scope of work requirements detailed in Section 3.2.

Response: Vendor responses should not address in detail any SOW requirements in Section #3.2.

Posted: 9/5/2024

Question: Page 24, Section 3.5.12.2: Section 3.5.12.2 states “Complete Section 1.3 – Legal Status of Bidder.” However, Section 1.3 page 2 states “Indemnification and Hold Harmless”. Please clarify which information we need to provide under section 3.5.12.2.

Response: Legal Status is no required as a response to this RFP. The County may request this information on a case by case basis

Posted: 9/5/2024

Question: Page 24, Section 3.5.12.3: Section 3.5.12.3 states “ Current certificate of Insurance per Section 1.8” Section 1.8 says Gratuities” Please clarify which information we need to provide under section 3.5.12.3.

Response: Certificates of Insurance will be requested only for vendors who are identified as a high probability of award.

Posted: 9/5/2024

Question: Page 24, Section 3.5.12.4: Section 3.5.12.4 states Response to Exemption(s) to Contract Terms and Conditions Section 1.24. Please confirm we need to provide responses to Section 1.23.

Response: Confirm vendors need to provide responses to Section #1.23

Posted: 9/5/2024

Question: Page 28, Section 3.10.4: The vacant position penalty references “(45) days”, and also “450-day count”. Please confirm the “450” should be 45 or clarify the language’s intent as written.

Response: 450 should be 45

Posted: 9/5/2024

Question: The last two sentences of RFP Section 3.2.9.2 reads “After the pre-proposal meeting, all bidders shall provide an explanation of what processes will be in place to manage drug and alcohol withdrawal of new admissions. The County requires withdrawal management be compassionate and comfortable for the patient, including appropriate medication as necessary.” a. Since there was no pre-proposal process, please clarify this reference. b. Would it be appropriate to include this information in our response to Section 3.5.9.1 Define inmate health assessment protocol?

Response: Vendors should include management of withdrawal of new admissions in Section #3.5.9.1