REQUEST FOR PROPOSAL

Transcription

1 REQUEST FOR PROPOSAL Clinic and Community Dementia Care Coordination Initial Project Period April 1, 2018 June 30, 2019 Proposal Control Number: RFP-HHS Aging and Adult Services 10 North San Pedro Road San Rafael, CA Phone: Website: Marin County Aging and Adult Services

2 REQUEST FOR PROPOSAL (RFP) TIMELINE Program Awarding agency Clinic and Community Dementia Care Coordination Marin County Department of Health and Human Services, Aging and Adult Services 10 North San Pedro Road, San Rafael, CA Contact person Available Funding $125,000 Jenay Cottrell, Program Manager Phone: (415) , Project Period April 1, 2018 June 30, 2019 RFP date of issuance Tuesday, January 23, 2018 Bidder s conference Friday, February 2, 2018, 1:00 p.m. 3:00 p.m. 10 North San Pedro Rd., Room 1018, San Rafael, CA RFP Q & A (online submission only) Monday, February 5, 2018 through Friday, February 16, 2018 Proposal submission deadline Proposal submission instructions Tuesday, February 20, :00 p.m. PST Proposals should be submitted via to the following address: agingandadult@marincounty.org. Proposals received after the deadline will not be considered. Intent to Award Contract Friday, March 2, 2018 Protest submission deadline Friday, March 9, 2018 Board of Supervisors/CAO contract approval* TBD Initiation of services Sunday, April 1, 2018 * Subject to approval by the Board of Supervisors and County budget, contract and professional services agreement process. Link to Professional Services Contract Link to Dementia Assessment Report Link to Fiscal Year 2014/2015 Family Caregiver Needs Assessment Report 1

3 What is sought? The County of Marin Aging and Adult Services seeks a licensed medical or health care organization that also provides social services or a partnership between one licensed medical or health care organization and one community based organization (CBO) to develop an innovative person-centered approach to improving care for Marin residents contending with dementia. The individual organization or partnership will focus on bridging the gap between medical care and social and community services to support patients well-being and ability to live in the community. The winning bidder s work will serve as a demonstration project that could be replicated by other medical/health care and community based organizations. All documents submitted by bidders will be subject to public disclosure. Background: Twenty-seven percent of Marin s population is currently over the age of 60. By 2030, it is estimated one of every three persons will be over the age of 60. In the 2016 needs assessment of older adults conducted by the Marin County Area Agency on Aging, approximately 60 percent of the almost 3,000 people who responded stated that memory/cognition loss was a huge concern. Memory/cognition loss ranked as the second highest concern expressed by survey respondents. As the 60-plus segment of the community grows, so does the number of people at risk for dementia. According to the Aging Demographics and Memory Study (ADAMS), in 2007, 14 percent of people age 71 and older have dementia. 1 Data from the 2013 Behavioral Risk Factor Surveillance System (BRFSS) survey showed that 11 percent of Americans age 45 and older reported experiencing worsening confusion or memory loss, but 76 percent had not consulted a health care professional about it. 2 One in three older adults dies with Alzheimer s or another type of dementia, according to the Alzheimer s Association. In California, the projected number of people with Alzheimer s, the most common form of dementia, was approximately 610,000 in 2013 and is expected to rise to 840,000 by This represents a 37.7 percent increase during this period. There are currently 4,000 cases of dementia in Marin County. By 2040, the cases are expected to reach nearly 8, Following a diagnosis of dementia, patients and their family caregivers often don t know where to turn for non-medical support or what community and social services are available. This was a common problem cited by respondents to the Marin Commission on Aging s Fiscal Year 2014/2015 Family Caregiver Needs Assessment that formed the basis for the Family Caregiver 1 Alzheimer s Association, 2016 Alzheimer s Disease Facts and Figures,17 2 Ibid.,18 3 Marin County Health and Human Services Department, 2017 Marin County Dementia Assessment 2

4 Services Program contract period. A constant theme among respondents was feeling overwhelmed. One caregiver commented, There seems to be no easy place to access resources except by searching the internet. Another said, It all happened so fast I had no time to research or investigate choices. A third commented, My primary challenges are learning about Alzheimer s disease and assembling the support I am going to need as the disease progresses. Outcomes: At the end of the 15-month period: 1. The organization or partnership will have developed or strengthened a person-centered care program, model of care or practice that better coordinates medical and social and community services for persons living with dementia or persons with dementia, their families and caregivers 2. Persons living with dementia or persons with dementia, their families and caregivers will have benefited from a comprehensive approach that more fully addresses the range of patients needs and better supports their ability to live in the community Deliverables: Quarterly: 1. Quarterly meetings with Aging and Adult Services to discuss the plans and progress 2. Quarterly reports to Aging and Adult Services on the number of patients served and the services provided By May 1, 2019: 1. A written narrative report documenting the problem identified and the person-centered program, model of care or practices developed and implemented to improve care for persons with dementia, the opportunities that were created, the challenges encountered, and the lessons learned 2. A data report including the number of patients served, services provided and the measure of improved care 3. A financial report detailing budget to actual expenses 4. A written implementation guide to make available to other medical/health care and community based organizations interested in developing a similar program to improve care for persons with dementia 5. A presentation of findings to health care and social services leaders to share the results of the demonstration 6. A proposal indicating how the individual organization or partnership would build on its 3

5 work during the demonstration period and serve additional individuals with dementia with another $100,000 over another 12-month period Qualifications: Medical or health care organization: licensed hospital, clinic, medical practice or other provider with experience providing care to persons with dementia Community based organization: 501c3 organization with experience providing services to persons with dementia or persons with dementia and their families and caregivers Funding: Funds are received from the Marin County Board of Supervisors general budget and administered by Aging and Adult Services. A budget of $125,000 has been established for this demonstration project for the period of April 1, 2018 through June 30, Additional funding of $100,000 per year may be available to renew this project for one or two years for a winning bidder to this RFP that conducts a successful program during the demonstration period. Proposal Requirements: Proposals should identify a problem area in providing coordinated medical care and social support for persons with dementia and describe how the organization or partnership will create or strengthen a program, service model or practice to address the problem. The problem should be discussed from both the medical and social services perspectives. Proposals should describe how the organization or partnership will improve care for patients by coordinating medical and social services. Proposals should also include how many individuals would be served and detail how the organization or partnership will improve practices in person-centered care for people with dementia. In addition, proposals should explain how the organization or partnership will make services accessible to persons living in rural or geographically isolated areas. Potential areas of care might include one or more of the following: Helping patients, their loved ones and caregivers navigate coordinated medical care and social services and supports Linking and supporting patients from primary care or specialty care to community supports Involving patients in designing their own care plans Establishing a dementia care team with medical and social services professionals to collaborate on coordinating care for patients Improving end-of-life care (e.g., advance care planning and palliative care) Proposals should also include a statement of qualifications, reasons for interest in the project, deliverables, a budget detailing staffing, operational and administrative costs, and information on what data will be tracked and how improved patient care will be measured. Additionally, for partnerships applying, proposals should describe the partners experience working together. 4

6 Proposal Evaluation: Proposals will be evaluated using a point system for rating each proposal that meets minimum qualifications described under the Qualifications section unless only one proposal is received. Each proposal will be evaluated based on the following criteria: A. Service Design and Approach 50 points 1. Demonstrates appropriate experience and expertise to develop and implement a proposed program, model of care or practices 2. Describes a strategy of providing a person-centered approach to address the problem identified in the proposal 3. Outlines a plan for developing and carrying out the strategy 4. Describes how the proposed program, model of care or practices will result in the desired Outcomes 5. Specifies what data will be collected and reported 6. For partnerships, describes how the two organizations will work together B. Organizational Capacity 25 points 1. Includes qualifications and biographies or resumes of the lead positions 2. Describes capacity to produce the Outcomes and Deliverables 3. Provides documentation of how previous services to persons with dementia or persons with dementia, their families and caregivers have been successful, citing outcomes achieved and program models used C. Administration and Fiscal 25 points 1. The organization s structure and staff are adequate to support the administration of the program, including data collection and reporting, invoicing and other administrative management and fiscal duties 2. The proposed budget includes adequate detail or backup on how costs in the proposed budget were determined D. Bonus Points 5 to 15 points 1. Describes experience employing person-centered care programs, models of care or practices (5 points) 2. Includes an evidence-based program, model of care or evidence-based practices (5 points) 3. Describes the organization s or partnership s experience with the evidence-based program, model of care or practices it proposes (5 points) 5