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["Request for Onsite Clinic Proposal (RFP) for Arlington County Government"]
["22-HRD-RFP-338"]
["Arlington County Government hereinafter referred to as \"County\""]
["Arlington County has an established onsite clinic.  The Clinic provides certain low acuity, urgent and episodic health care, prescription services, laboratory services, personalized coaching, limited immunizations, and primary care referrals for the benefit of County eligible employees. The onsite clinic does not dispense any prescriptions or OTC medications.  Also please note the clinic charges $10 per clinic visit for HDHP participants"]
[]
[]
[]
[]
["Clinic Instructions"]
[]
["Arlington County Government is seeking proposals from qualified organizations to provide administration of the current Clinic program."]
[]
["Important: As a reminder, please provide complete responses in your RFP submission as there will be no requests for clarification and your responses will be scored according to how you reply to each question and on requested materials provided."]
[]
["Worksheet Files:  Worksheet(s) to enter your proposal are contained within this Excel file and the accompanying Attachment A - General RFP Excel file.  You are expected to provide the requested information by completing both of these RFP workbooks."]
[]
[]
["In order to help you organize your proposal and ensure that it is complete, please review the following list to ensure that you have provided each required item. "]
[]
["Questionnaire File (s):"]
["Information/Name of Worksheet"]
["Introduction"]
["Clinic Background"]
["Clinic Questionnaire"]
["Clinic Explanation, if necessary"]
["Clinic Implementation Costs"]
["Clinic Operating Costs"]

{"sheet":"Clinic Background","index":1,"n_rows":36,"n_cols":9,"rows_kept":36,"merged":[[0,1,0,12],[1,1,1,5],[3,1,3,12],[4,1,4,12],[5,1,5,12],[6,1,6,12],[7,1,7,12],[8,1,8,3],[8,5,8,6],[8,8,8,11],[20,2,21,2],[20,5,21,5]]}
[null,{"$f":"Introduction!A1","v":"Request for Onsite Clinic Proposal (RFP) for Arlington County Government"}]
[null,{"$f":"Introduction!A2","v":"22-HRD-RFP-338"}]
[]
[null,"Description"]
[null,"Arlington has an established onsite clinic.  The Clinic provides certain low acuity, urgent and episodic health care, prescription services, laboratory services, personalized coaching, limited immunizations, and primary care referrals for the benefit of County eligible employees. The onsite clinic does not dispense any prescriptions or OTC medications."]
[null,"Population Eligible for Selected Services"]
[null,"All Full and Part time permanent employees, working at least 10 hours a week, who are benefits eligible may use the clinic regardless of their insurance coverage."]
[null,"Health Center Details"]
[null,"Hours of Operation",{"$nulls":3},"Recognized Holidays",null,null,"Current Staffing Model"]
[]
[null,"Mon","Closed",null,null,"New Year's Day","Thanksgiving",null,"APN - 32 Hours a week"]
[null,"Tue","8:30-4:30",null,null,"Martin Luther King Day","Day after Thanksgiving",null,"CMA - 32 Hours a week"]
[null,"Wed","8:30-4:30",null,null,"Memorial Day","Christmas Day"]
[null,"Thu","8:30-4:30",null,null,"Independence Day","Day After Christmas"]
[null,"Fri","8:30-4:30",null,null,"Labor Day","Juneteenth"]
[null,"Sat","Closed"]
[null,"Sun","Closed"]
[]
[]
[null,null,"Onsite Clinic Data "]
[null,null,"Category","CY 2019",null,"Top Diagnosis","CY 2019"]
[{"$nulls":3},"Data",null,null,"Data"]
[null,null,"Total Visits",{"v":2274,"d":"2,274"},null,"Preventive/Screening",{"v":0.43,"d":"43%"}]
[null,null,"Scheduled Visits",{"v":1799,"d":"1,799"},null,"Immune Disorder",{"v":0.15,"d":"15%"}]
[null,null,"Walk-in Visits",475,null,"ENT",{"v":0.13,"d":"13%"}]
[null,null,"Unique Employee Patients",804,null,"Heart/Circulatory",{"v":0.03,"d":"3%"}]
[null,null,"Average visit per day",11.5,null,"Internal/External Injury",{"v":0.03,"d":"3%"}]
[{"$nulls":5},"Other",{"v":0.23,"d":"23%"}]
[null,null,"Services Provided"]
[null,null,"Lab Procedure",217,null,"Service Type","CY 2019 Data"]
[null,null,"Prescriptions Issued",679,null,"Allergy Injection",431]
[null,null,"Physician Referrals",228,null,"Acute care",{"v":1043,"d":"1,043"}]
[null,null,"HealthSmart Referral",149,null,"Blood draw",145]
[{"$nulls":5},"Flu Shot",406]
[{"$nulls":5},"Blood pressure check",192]
[{"$nulls":5},"Other",132]

{"sheet":"Clinic Questionnaire","index":2,"n_rows":186,"n_cols":8,"rows_kept":186,"merged":[[5,8,11,8],[98,3,98,7]]}
[{"$f":"Introduction!A1","v":"Request for Onsite Clinic Proposal (RFP) for Arlington County Government"}]
[{"$f":"Introduction!A2","v":"22-HRD-RFP-338"}]
["General Questionnaire"]
[]
[]
["I.","","","GENERAL PLAN INFORMATION","Answer Format","Format Type","Response","Explanation"]
[null,"1.",null,"Offeror Brand Name","text","Text"]
[null,"2.",null,"Parent Co. Legal Entity Name","text","Text"]
[null,"3.",null,"Home Office Location","text","Text"]
[null,null,"a.","Address Line #1","text","Text"]
[null,null,"b.","Address Line #2","text","Text"]
[null,null,"c.","City","text","Text"]
[null,null,"d.","State","text","Text"]
[null,null,"e.","Zip","text","Text"]
[null,"4.",null,"Web Address","text","Text"]
[null,"5.",null,"Confirm you have completed the accompanying Attachment A General RFP workbook","drop down box","Listbox"]
[]
["II.","","","Financial and Operational Reports","Answer Format","Format Type","Response","Explanation"]
[null,"1.",null,"What reports are provided to assist with monthly payment and invoicing reconciliations?","text","Text"]
[null,"2.",null,"Confirm ability to provide monthly, quarterly and annual reporting for the following:"]
[null,null,"a.","   Clinic employee utilization","drop down box","Listbox,ListYesNo"]
[null,null,"b.","   Operations (including appointments per day and month; wait times; walk-ins; referrals, etc.) ","drop down box","Listbox,ListYesNo"]
[null,null,"c.","   Medical Cost Savings (employee and employer)","drop down box","Listbox,ListYesNo"]
[null,null,"d.","Patient Satisfaction","drop down box","Listbox,ListYesNo"]
[null,null,"e.","Patient Acuity","drop down box","Listbox,ListYesNo"]
[null,null,"f.","ROI","drop down box","Listbox,ListYesNo"]
[null,null,"g.","   Referrals","drop down box","Listbox,ListYesNo"]
[null,"3.",null,"Required quarterly reporting to confirm compliance with County Living Wage policy","drop down box","Listbox,ListYesNo"]
[null,"4.",null,"Confirm ability to provide ad hoc reporting","drop down box","Listbox,ListYesNo"]
[null,"5.",null,"Are there additional charges for ad hoc reports?","drop down box","Listbox,ListYesNo"]
[]
["III",null,null,"Vendor Transition","Answer Format","Format Type","Response","Explanation"]
[null,"1.",null,"Confirm you will obtain medical records from the current vendor","drop down box","Listbox,ListYesNo"]
[null,"2.",null,"Describe the transition process for obtaining medical records from current vendor","text","Text"]
[null,"3.",null,"Confirm your willingness to provide employees with a copy of their medical records should the vendor change in the future","drop down box","Listbox,ListYesNo"]
[null,"4.",null,"Confirm your willingness to to provide employee medical records to a new vendor should the vendor change in the future (i.e. upon contract termination)","drop down box","Listbox,ListYesNo"]
[null,"5.",null,"Please provide a detailed implementation project plan. Include details about your interface with the existing clinic for exchange of data and other transition items.","Attachment","Attachment"]
[null,"6.",null,"Confirm you will obtain all necessary licenses or other approvals required to do business in Arlington County, VA (i.e. county, state or other licensing)","drop down box","Listbox,ListYesNo"]
[null,"7.",null,"Confirm your data platform or other internal systems can integrate with outside recources from the County's other vendors (TPAs, Wellness offerors, Health Exchanges, Etc.)","drop down box","Listbox,ListYesNo"]
[]
["IV",null,null,"Clinic Staffing","Answer Format","Format Type","Response","Explanation"]
[null,"1.",null,"Clinical and administrative staff are employed by or are independent contractors of your organization, affiliates, or parent company.","drop down box","Listbox,ListYesNo"]
[null,"2.",null,"Confirm you will provide the following staff:"]
[null,"3.",null,"Advanced Practice Registered Nurse with current Virginia license or the ability to obtain one (clinical services)","drop down box","Listbox,ListYesNo"]
[null,null,"a. ","Provide proposed APN's experience and length of service with your company","text","Text"]
[null,"4.",null,"Certified Medical Assistant (clinical and administrative services)","drop down box","Listbox,ListYesNo"]
[null,null,"a. ","Provide proposed MCA's experience and length of service with your company","text","Text"]
[null,"5.",null,"Clinic Implementation Director ","drop down box","Listbox,ListYesNo"]
[null,null,"a. ","Provide proposed CID's experience and length of service with your company","text","Text"]
[null,"6.",null,"Clinic Operations Director","drop down box","Listbox,ListYesNo"]
[null,null,"a. ","Provide proposed Clinic Operations Director experience and length of service with your company","text","Text"]
[null,"7.",null,"You agree that the County will be provided the opportunity to interview all of the above staff, and the County has the right to request new staff.","drop down box","Listbox,ListYesNo"]
[null,"8.",null,"Independently contract with physician to supervise clinic staff","drop down box","Listbox,ListYesNo"]
[null,"9.",null,"Provide back-up per diem staffing for planned absences of regular staff at no additional cost to the County","drop down box","Listbox,ListYesNo"]
[null,"10.",null,"Provide County opportunity to meet and provide feedback regarding staff under consideration for placement at clinic","drop down box","Listbox,ListYesNo"]
[null,"11.",null,"In the event of a vendor change, consideration of hiring current clinic staff","drop down box","Listbox,ListYesNo"]
[null,"12.",null,"What is the expected impact to your current staffing if awarded the County clinic?  Specifically, would you anticipate hiring new staff, and would those new staff be assigned to the County? Provide a comprehensive response.","text","Text"]
[]
[]
["V","","","LEGAL/CONTRACTUAL CONSIDERATIONS","Answer Format","Format Type","Response","Explanation"]
[null,"","","We understand that terminology and general contract provisions may vary from Offeror to Offeror.  We will permit such alternative language provided they are reviewed and approved by the County."]
[null,"1.","","The Offeror must agree to transfer to requested entity, within legal limitations, within 30 days of notice of termination, all required data and records from the clinic.  The transfer may be made electronically, in a file format to be determined based on the mutual agreement between the County and the provider of services.","drop down box","Listbox,ListYesNo"]
[null,"2.","","During the past three years, has the company been involved in any regulatory or legal action as either a plaintiff or defendant? If so, what is the status or outcome?","drop down box","Listbox,ListYesNo"]
[null,"3.","","Please describe any judgment or settlement during the past three years or pending litigation or regulatory enforcement action that could result in fees, fines, judgments or settlements in excess of $100,000.","drop down box","Listbox,ListYesNo"]
[null,"4.","","Offeror agrees to support client with any legal documents necessary to implement and maintain the plan, including policies, amendments, contracts, and required state filings.","drop down box","Listbox,ListYesNo"]
[]
["VI",null,"","Compliance","Answer Format","Format Type","Response","Explanation"]
[null,"1.","","Offeror agrees to submit all needed reports, documentation and claims at no cost to County to comply with HSA reporting requirements.","drop down box","Listbox,ListYesNo"]
[null,"2.","","Offeror agrees to give guidance and support to County on decisions about ERISA, HSA, COBRA and any other compliance issues that may arise; however, the final decisions will be solely the responsibility of County and their compliance team.","drop down box","Listbox,ListYesNo"]
[null,"3.","","Offeror will meet all applicable standards of care, satisfy state and federal health care laws applicable to health clinic operations (and lab, pharmacy, and any other supplementary service), and will comply with all health care regulatory requirements.  Offeror will ensure that all providers are duly licensed under applicable state licensing law, will ensure that all providers are appropriately qualified and maintain appropriate credentials, and will comply with state and federal law applicable to medical record maintenance and custody.","drop down box","Listbox,ListYesNo"]
[null,"4.","","Confirm offeror has not had a material cyberserity event or breach of security, including a breach of unsecured PHI, in the past 2 years. ","drop down box","Listbox,ListYesNo"]
[null,"5.","","The offeror agrees to ensure that any agent, including a subcontractor, to whom it provides PHI or if PHI is created or received by the offeror, agrees to the same restrictions and conditions that apply to offeror with respect to such information.","drop down box","Listbox,ListYesNo"]
[null,"6.","","The offeror agrees to (i) implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the PHI and other nonpublic information that it creates, receives, maintains, or transmits, (ii) report to the plan sponsor within 48 hours of determining a security incident may have occured, assist with any required breach reporting, and will provide a report about the event to the plan sponsor, and (iii) ensure that any offeror employee or agent, including any subcontractor to whom it provides PHI received from, or created or received by the offeror agrees to implement reasonable and appropriate safeguards to protect such PHI.","drop down box","Listbox,ListYesNo"]
[]
["VII","","","Security and Electronic Record","Answer Format","Format Type","Response","Explanation"]
[null,"1.",null,"Confirm you use an Electronic Health Records Platform (EHR)","drop down box","Listbox,ListYesNo"]
[null,"2.",null,"Provide the name of the EHR platform that you will use in the health clinic. Is it internally hosted or externally hosted?","text","text"]
[null,"3.",null,"Confirm this EHR platform is capable of data and information exchange with authrozied entities like laboratories, PCP, specialists, etc. ","drop down box","Listbox,ListYesNo"]
[null,"4.",null,"Confirm the EHR platform allows for the sharing and exchange of information with authorized entities associated with the patient.","drop down box","Listbox,ListYesNo"]
[null,"5.",null,"Confirm the EHR is able to send encounter data to the patient's designated health insurance plan.","drop down box","Listbox,ListYesNo"]
[null,"6.",null,"Is there the ability to set roles and assign security levels to a role within your EMR?","drop down box","Listbox,ListYesNo"]
[null,"7.",null,"What is your standard user ID and password policies for your employees?","text","text"]
[null,"8.",null,"Upon contract termination, for how long would a member be able to access his/her medical  information on the member website?","text","text"]
[null,"9.",null,"Confirm you have routinely scheduled internal and external security audits process and that you are willing to provide your full audit reports to Arlington or their designated partner for review.","drop down box","Listbox,ListYesNo"]
[null,"10.",null,"Confirm your ability to integrate the $10 cost for clinic visits with the medical carrier for satisfying the deductible.   ","drop down box","Listbox,ListYesNo"]
[null,"11.",null,"Provide the names of the medical carriers with whom you have established relationships","text","text"]
[]
[]
["VIII","","","Online Patient Portal","Answer Format","Format Type","Response","Explanation"]
[null,"1.",null,"Confirm ability to offer both in-person and virtual visits","drop down box","Listbox,ListYesNo"]
[null,"2.",null,"Confirm the availability of an on-line patient portal","drop down box","Listbox,ListYesNo"]
[null,"3.",null,"Confirm the portal offers the following functionality:"]
[null,null,"a.","Use of the portal is \"opt-in\"","drop down box","Listbox,ListYesNo"]
[null,null,"b.","Self-scheduling appointments (on-site or virtual)","drop down box","Listbox,ListYesNo"]
[null,null,"c.","Ability to view lab results","drop down box","Listbox,ListYesNo"]
[null,null,"e.","Ability to view electronic medical record","drop down box","Listbox,ListYesNo"]
[null,null,"f.","Ability to email questions to staff","drop down box","Listbox,ListYesNo"]
[]
["IX",null,null,"SCOPE OF SERVICES"]
[]
[null,{"v":1,"d":"1."},null,"Primary Care/Preventive Health\nConfirm ability to provide below services; note any deviations","Answer Format","Format Type","Response","Explanation"]
[null,null,"a.","Routine Physical/Well Check to include assessment of: blood pressure, blood sugar labs, cholesterol and comprehensive lipid panel labs, body mass index and body composition, alcohol use, emotional health, exercise, nutrition and tobacco use.","drop down box","Listbox,ListYesNo"]
[null,null,"b.","Wellness Counseling","drop down box","Listbox,ListYesNo"]
[null,null,"c.","Adult Immunizations"]
[{"$nulls":3},"  - Hepatitis A Vaccine and Antibody","drop down box","Listbox,ListYesNo"]
[{"$nulls":3},"  - Hepatitis B Vaccine","drop down box","Listbox,ListYesNo"]
[{"$nulls":3},"  - Influenza","drop down box","Listbox,ListYesNo"]
[{"$nulls":3},"  - Tetanus","drop down box","Listbox,ListYesNo"]
[{"$nulls":3},"  - Pneumococcal","drop down box","Listbox,ListYesNo"]
[{"$nulls":3},"  - Polio (IPV)","drop down box","Listbox,ListYesNo"]
[{"$nulls":3},"  - Dtap/Tdap","drop down box","Listbox,ListYesNo"]
[{"$nulls":3},"  - Varicella","drop down box","Listbox,ListYesNo"]
[{"$nulls":3},"  - Meningococcal","drop down box","Listbox,ListYesNo"]
[{"$nulls":3},"  - Shingles","drop down box","Listbox,ListYesNo"]
[{"$nulls":3},"  - Gardasil (HPV)","drop down box","Listbox,ListYesNo"]
[null,null,"d.","Allergy Injections"]
[{"$nulls":3}," - Receipt of serum in controlled conditions directly from the manufacturer or from another provider","drop down box","Listbox,ListYesNo"]
[{"$nulls":3}," - Administration of vaccine and post-vaccination monitoring","drop down box","Listbox,ListYesNo"]
[null,null,"e.","Referrals"]
[{"$nulls":3},"  - Primary Care Physician","drop down box","Listbox,ListYesNo"]
[{"$nulls":3},"  - Specialist","drop down box","Listbox,ListYesNo"]
[{"$nulls":3},"  - Disease management or other programs offered by County Health Plan","drop down box","Listbox,ListYesNo"]
[{"$nulls":3},"  - County wellness staff","drop down box","Listbox,ListYesNo"]
[null,null,"f.","At the request of the County, Clinic staff will visit and provide services at the County's satellite buildings.","drop down box","Listbox,ListYesNo"]
[null,{"v":2,"d":"2."},null,"Chronic Condition Monitoring\nConfirm ability to treat below conditions; note any deviations","Answer Format","Format Type","Response","Explanation"]
[null,null,"a.","Weight management","drop down box","Listbox,ListYesNo"]
[null,null,"b.","Cardiovascular Disease","drop down box","Listbox,ListYesNo"]
[null,null,"c.","Diabetes","drop down box","Listbox,ListYesNo"]
[null,null,"d.","Hyperlipidemia","drop down box","Listbox,ListYesNo"]
[null,null,"e.","Hypertension","drop down box","Listbox,ListYesNo"]
[null,null,"f.","Asthma and other chronic respiratory diseases","drop down box","Listbox,ListYesNo"]
[null,null,"g.","Allergies","drop down box","Listbox,ListYesNo"]
[null,null,"h.","Arthritis","drop down box","Listbox,ListYesNo"]
[null,null,"i.","GERD","drop down box","Listbox,ListYesNo"]
[null,null,"j.","Depression screening and appropriate referrals","drop down box","Listbox,ListYesNo"]
[null,null,"k.","Stable hyper- or hypothyroidism ","drop down box","Listbox,ListYesNo"]
[null,null,"l.","Medication adherence","drop down box","Listbox,ListYesNo"]
[null,{"$f":"B125+1","v":{"v":3,"d":"3."}},null,"Acute/Episodic Treatment\nConfirm below injuries/illnesses will be treated; note any deviations","Answer Format","Format Type","Response","Explanation"]
[null,null,"a.","Minor to Moderate burns","drop down box","Listbox,ListYesNo"]
[null,null,"b.","Colds","drop down box","Listbox,ListYesNo"]
[null,null,"c.","Sore Throat","drop down box","Listbox,ListYesNo"]
[null,null,"d.","Sinus Infections","drop down box","Listbox,ListYesNo"]
[null,null,"e.","Flu and other viruses","drop down box","Listbox,ListYesNo"]
[null,null,"f.","Minor sprains and strains","drop down box","Listbox,ListYesNo"]
[null,null,"g.","Minor lacerations","drop down box","Listbox,ListYesNo"]
[null,null,"h.","Headaches/migraines","drop down box","Listbox,ListYesNo"]
[null,null,"i.","Dizziness","drop down box","Listbox,ListYesNo"]
[null,null,"j.","Gastroenteritis","drop down box","Listbox,ListYesNo"]
[null,null,"k.","Skin Rashes","drop down box","Listbox,ListYesNo"]
[null,null,"l.","Respiratory issues, including cough, bronchitis, pneumonia, asthma","drop down box","Listbox,ListYesNo"]
[null,{"v":4,"d":"4."},null,"Biometric Screening\nConfirm below capabilities; note any deviations","Answer Format","Format Type","Response","Explanation"]
[null,null,"a.","Provide scheduled screening events that may include:  height, weight, BMI, body composition, blood pressure, total cholesterol, HDL, LDL, coronary risk ratio, blood glucose","drop down box","Listbox,ListYesNo"]
[null,{"v":5,"d":"5."},null,"Laboratory Services\nConfirm below samples can be collected on-site; note any deviations","Answer Format","Format Type","Response","Explanation"]
[null,null,"a.","Confirm lab vendor used is an in-network provider with the health plan","drop down box","Listbox,ListYesNo"]
[null,null,"b.","  Urinary tract infection","drop down box","Listbox,ListYesNo"]
[null,null,"c.","  Hematuria","drop down box","Listbox,ListYesNo"]
[null,null,"d.","  Electrolyte balance","drop down box","Listbox,ListYesNo"]
[null,null,"e.","  Renal function","drop down box","Listbox,ListYesNo"]
[null,null,"f.","Lipid panel/Cholesterol screening","drop down box","Listbox,ListYesNo"]
[null,null,"f.1","  LDL","drop down box","Listbox,ListYesNo"]
[null,null,"f.2","  HDL","drop down box","Listbox,ListYesNo"]
[null,null,"f.3","  VLDL","drop down box","Listbox,ListYesNo"]
[null,null,"f.4","  HDL to LDL Ratio","drop down box","Listbox,ListYesNo"]
[null,null,"f.5","  Triglycerides","drop down box","Listbox,ListYesNo"]
[null,null,"g.","Pregnancy Testing (blood/urine)","drop down box","Listbox,ListYesNo"]
[null,null,"h.","Medication level monitoring","drop down box","Listbox,ListYesNo"]
[null,null,"i.","CBC complete blood count","drop down box","Listbox,ListYesNo"]
[null,null,"i.1","  Hemoglobin","drop down box","Listbox,ListYesNo"]
[null,null,"i.2","  RBC","drop down box","Listbox,ListYesNo"]
[null,null,"i.3","  WBC","drop down box","Listbox,ListYesNo"]
[null,null,"i.4","  Hematocrit","drop down box","Listbox,ListYesNo"]
[null,null,"i.5","  Platelets","drop down box","Listbox,ListYesNo"]
[null,null,"j.","Complete Metabolic panel (blood chemistry)","drop down box","Listbox,ListYesNo"]
[null,null,"j.1","  Liver Function\n","drop down box","Listbox,ListYesNo"]
[null,null,"j.2","  Electrolyte - BMP","drop down box","Listbox,ListYesNo"]
[null,null,"k.","Glucose / Hemoglobin A1c","drop down box","Listbox,ListYesNo"]
[null,null,"l.","TSH","drop down box","Listbox,ListYesNo"]
[null,null,"m.","CLIA Waived Services\n","drop down box","Listbox,ListYesNo"]
[null,null,"m.1","  Rapid strep test","drop down box","Listbox,ListYesNo"]
[null,null,"m.2","  Rapid flu test (A&B)","drop down box","Listbox,ListYesNo"]
[null,null,"m.3","  Rapid RSV Test","drop down box","Listbox,ListYesNo"]
[null,null,"m.4","  Rapid pregnancy test","drop down box","Listbox,ListYesNo"]
[null,null,"m.5","  Rapid glucose test","drop down box","Listbox,ListYesNo"]
[null,{"v":6,"d":"6."},null,"Prescription Services\nConfirm ability to provide below services; note any deviations","Answer Format","Format Type","Response","Explanation"]
[null,null,"a.","Written and electronic prescriptions by Nurse Practitioner","drop down box","Listbox,ListYesNo"]
[null,null,"b.","Ability to add prescriptions from other providers to patient record","drop down box","Listbox,ListYesNo"]

{"sheet":"Clinic Explanation","index":3,"n_rows":8,"n_cols":2,"rows_kept":8,"merged":[[0,0,0,11],[1,0,1,4],[3,0,4,1]]}
[{"$f":"Introduction!A1","v":"Request for Onsite Clinic Proposal (RFP) for Arlington County Government"}]
[{"$f":"'Clinic Questionnaire'!A2","v":"22-HRD-RFP-338"}]
[]
["This worksheet should be used to provide additional explanations for any questions for which a \"See Explanation\" response exceeds 400 characters."]
[]
[]
["State the number of questions you addressed with further explanation:  "]
["Section/ Question #","Explanation"]

{"sheet":"Clinic Implementation Costs","index":4,"n_rows":26,"n_cols":5,"rows_kept":26,"merged":[[5,0,5,4],[11,1,11,2],[11,3,11,4],[13,5,13,11],[25,0,25,4],[26,0,26,4],[27,0,27,4],[28,0,28,4]]}
[{"$f":"Introduction!A1","v":"Request for Onsite Clinic Proposal (RFP) for Arlington County Government"}]
[{"$f":"Introduction!A2","v":"22-HRD-RFP-338"}]
["Arlington County Government - Clinic Implementation Cost"]
[]
["Instructions: "]
["All pricing models will be considered. (Cost+, PEPM, Fixed Fee)  Financial decisions will be based on total overall costs.  Space will be provided and maintained by Arlington at no cost to operating vendor.  General janitorial services, security and utilities will be provided at not cost.\n\nAll proposals should include estimates for all items including supplies, lab and pharmacy.\n\nPlease fill the table below with your cost estimates based on the pre-determined assumptions stated below. Be sure to add any specific descriptions of cost items in the description column. Ensure to fill the bottom table stating any further explanation or details on items in the pricing provided. "]
[]
["Staffing (Primary, Preventive and Acute Care) "]
["1 - Advanced Practitioner  NP (32 Hours Week)\n1 - Certified Medical Assistant (32 Hours Week)"]
[]
[]
["Expenses","Current (4 days per week)",null,"Alt Option (5 days per week)"]
["Primary, Preventive and Acute Clinic","Description ","Implementation ","Description ","Implementation "]
["Furnishings, Fixture and Equipment"," ",0," ",0]
["Salaries, wages and benefits "," ",0," ",0]
["Staff Recruitment, Training, Implementation",null,0,null,0]
["Dues, Licenses and Permits",null,0,null,0]
["Information Systems Hardware and Software (includes EMR)\nNote: These expenses are for setting up an internet service connection.  Vendors cannot use the County Network.",null,0,null,0]
["Promotion and Communication",null,0,null,0]
["General and Administrative Fee",null,0,null,0]
["Management Fee",null," ",null," "]
["Other direct expenses- specify in descriptions column ",null,0,null,0]
["Billed as incurred consumables- specify in descriptions column ",null,0,null,0]
["Total Annual Cost",null,{"$f":"SUM(C14:C23)","v":0},null,{"$f":"SUM(E14:E23)","v":0}]
[]
["Pricing Details (if needed)"]

{"sheet":"Clinic Operating Costs","index":5,"n_rows":34,"n_cols":7,"rows_kept":34,"merged":[[5,0,5,6],[24,2,24,6],[34,0,34,6],[35,0,35,6],[36,0,36,6]]}
[{"$f":"Introduction!A1","v":"Request for Onsite Clinic Proposal (RFP) for Arlington County Government"}]
[{"$f":"Introduction!A2","v":"22-HRD-RFP-338"}]
["Arlington County Government - Clinic Operating Cost"]
[]
["Instructions: "]
["All pricing models will be considered. (Cost+, PEPM, Fixed Fee)  Financial decisions will be based on total overall costs.  Space will be provided and maintained by Arlington at no cost to operating vendor.  General janitorial services, security and utilities will be provided at not cost.  If PEPM or Fixed Fee pricing, show any variable or pass-through expenses in the line items below.  Show PEPM or Fixed Fee pricing in the \"Pricing Details\" at the bottom.\n\nAll proposals should include estimates for all items including supplies, lab and pharmacy.\n\nPlease fill the table below with your cost estimates based on the pre-determined assumptions stated below. Be sure to add any specific descriptions of cost items in the description column. Ensure to fill the bottom table stating any further explanation or details on items in the pricing provided. "]
[]
["Staffing (Primary, Preventive and Acute Care) "]
["1 - Advanced Practitioner  NP (24 Hours Week)\n1 - Certified Medical Assistant (24 Hours Week)"]
[]
[]
["Expenses"]
["Primary Clinic and Physical Therapy Costs","Description ","Year 1","Year 2","Year 3","Year 4","Year 5"]
["Salaries, wages and benefits ",null,0,0,0,0,0]
["Staff Training and Development",null,0,0,0,0,0]
["Staff replacement",null,0,0,0,0,0]
["Insurance- professional and general liability ",null,0,0,0,0,0]
["Dues, Licenses and Permits",null,0,0,0,0,0]
["Supplies- (Medical supplies, Vaccinations and injections supplies, Office Supplies, Lab Supplies)",null,0,0,0,0,0]
["Equipment maintenance",null,0,0,0,0,0]
["Professional services- third party lab diagnostic services ",null,0,0,0,0,0]
["Information Systems Hardware and Software (includes EMR)",null,0,0,0,0,0]
["Data lines",null,0,0,0,0,0]
["Promotion and Communication",null,0,0,0,0,0]
["Travel",null,"Travel expenses not allowed by County"]
["Utilities - (Postal Services, Express Delivery, Hazardous & Other Waste Removal, Other Utilities) -- County provides gas/electric, water/sewer",null,0,0,0,0,0]
["General and Administrative Fee",null,0,0,0,0,0]
["Management Fee",null,0,0,0,0,0]
["Other direct expenses- specify in descriptions column ",null,0,0,0,0,0]
["Billed as incurred consumables- specify in descriptions column ",null,0,0,0,0,0]
["Total Annual Cost (Current - 4 days per week)",null,{"$f":"SUM(C14:C30)","v":0},{"$f":"SUM(D14:D30)","v":0},0,0,0]
["Total Annual Cost (Alt Option - 5 days per week / 40 hours)",null,{"$f":"SUM(C15:C31)","v":0},0,0,0,0]
[]
["Pricing Details (if needed)  "]