MEDTAPP/ BEACON Quality Improvement Coordinators. Request for Applications

MEDTAPP/ BEACON Quality Improvement Coordinators Request for Applications Application Due Date: September 25, 2013 Application Release Date: August 22, 2013 Request for Applications Contact: Ohio Colleges of Medicine Government Resource Center Allison Lorenz Quality Improvement Program Specialist Email: Allison.Lorenz@osumc.edu Phone: 260-450-7842 Page 1

Table of Contents I. Funding Opportunity Description.......3 II. III. IV. Background.........3 Qualifications...3 Scope of Work.....4 V. Deliverables...6 VI. VII. VIII. IX. Timeline...... 6 Roles and Responsibilities...6 Project Budget..7 RFA Response Requirements...... 7 X. How to Apply......... 7 XI. XII. RFA Terms and Conditions.. 8 Appendices..11 Page 2

I. Funding Opportunity Description Request for Applications Quality Improvement Coordinators The Ohio Colleges of Medicine Government Resource Center (GRC) is requesting applications for up to two fulltime Quality Improvement Coordinators (QICs). The QICs will work with providers and stakeholders in Ohio to implement MEDTAPP directed and BEACON (Best Evidence for Advancing Childhealth in Ohio NOW!) supported projects for initiatives in quality improvement, as well as implement spread strategies for projects that have achieved replication status. The request for applications (RFA) is issued on behalf of the Ohio Department of Medicaid (ODM) and the Ohio Department of Health (ODH). This project is funded by federal Medicaid funds from MEDTAPP (Medicaid Technical Assistance and Policy Program) and state funds from ODH, which is being used as non-federal match for the federal funding. Each position will be funded up to $105,000 per year including fringe benefits and travel based on experience and education. II. Background The Ohio Office of Medical Assistance manages the Medicaid and SCHIP programs serving over 1 million children and over 55,000 pregnant women in Ohio. The Early and Periodic Screening, Diagnosis, and Treatment Program (EPSDT) serves as Medicaid s comprehensive and preventive child health program for individuals under the age of 21. The EPSDT has two purposes: to assure health care resources are available and accessible, and to help Medicaid recipients and their caregivers use these resources. Pregnant women are covered for all care related to the pregnancy, delivery and any complications that may occur during pregnancy and up to 60 days postpartum. The BEACON projects will create a work force development strategy that will serve as the infrastructure for using health care quality improvement science to improve the delivery of health care to pregnant women and children in the Medicaid and SCHIP programs. Quality Improvement Science experts will be deployed on a regional basis to work in peer-to-peer relationships with health care practitioners (including physicians, physician assistants, certified nurse midwives, and nurse practitioners) serving Medicaid consumers, in practice based quality improvement collaboratives. Projects will include clinical practices related to perinatal care, preventive health, developmental screening, diagnosis and therapeutic intervention practices for children with chronic conditions, children s mental healthcare, and other clinical issues as identified relevant to the efficient and effective administration of the Medicaid program. III. Qualifications An application may be submitted by an individual or organization employing an individual possessing the required education and experience and ability to complete the essential functions and major responsibilities. The minimum required qualifications are described below: 1. Education: Bachelors degree required, healthcare field preferred Certificate of Completion for Basic Level of the Institute for Healthcare Improvement Open School Certification in LEAN or Six-Sigma preferred Page 3

2. Experience Minimum of 3 year of program management experience preferred Minimum of 3 years experience in quality improvement programming preferred Knowledge of perinatal care, behavioral healthcare, disease management practices, and network development Knowledge of Breakthrough Series model and how it has been/ will be applied to BEACON projects Knowledge of The Improvement Guide, Team Handbook and Crucial Conversations techniques Knowledge of Quality Improvement theories Experience completing a quality improvement project Experience in the implementation of practice transformation in a medical setting Expertise in the use of IHI quality improvement processes (e.g., plan-do-study-act), strategic planning, data driven report development, and analysis Expertise in and/or knowledge of creating AIM statements, Key Driver diagrams, and measures and operational definitions Experience preparing, analyzing, and reporting data Knowledge of health services research design and implementation 3. Additional Requirements Strong working knowledge of MS Office Suite Strong organizational skills and attention to detail Excellent verbal and written communication skills Strong skills in data presentation to diverse audiences Ability to comprehend and deliver on contract expectations and requirements Must be able to travel within the State of Ohio using personal vehicle. Must have desktop computer and laptop computer with Microsoft Office products for business use. IV. Scope of Work: The applicant procured through this RFA will undertake activities as defined and requested by Ohio Medicaid and ODH and agreed to by GRC to support the efficient and effective administration of the Medicaid program. Specifically, the applicant will complete the following activities related to the MEDTAPP directed and supported BEACON Quality Improvement Science project: 1) Design Phase o Participate with project team in design of project o Contribute to the workplan and timeline o Participate in discussions to clarify roles and responsibilities of all team members o Work with the Quality Improvement Science and content leads to plan the project design/expert meetings o Assist with the development of the Project Framework Work with the content lead to develop the collaborative charter Work with the Quality Improvement Science lead to develop the Key Driver Diagram and measurement strategy for the collaborative (including data collection tools and instructions) Work with the data analyst and Data Infrastructure group to develop a measurement strategy to ensure ongoing data quality o Assist in the development of the recruitment plan Page 4

o Assist in the development of the curriculum for the learning collaborative with a focus on improvement methodology o Develop the monthly progress report template 2) Implementation Phase a. Lead and/or assist with recruitment activities (work with the project lead and project manager to carry out the recruitment plan) i. Work with the Faculty to identify and develop recruitment strategy ii. Reach out to potential teams to encourage participation in the learning collaborative iii. Work with the project manager to track recruitment activities iv. Assess teams QI knowledge prior to enrolling in the Learning Collaborative b. Engage improvement teams in QI activities i. Develop pre-work materials to prepare teams for the learning sessions 1. Work with the project management team to incorporate QI Science methodology into the pre-work packet ii. Plan and facilitate pre-work and action period calls iii. Lead the development of the Learning Session Agenda incorporating QI Science methods and clinical content iv. Assist in development of materials for use at the learning session 1. Contribute to the development of resource materials (e.g. on-line learning modules, toolkits) v. Assist with the facilitation of learning sessions and Action Period Calls 1. Develop agendas and slide decks 2. Prepare teams to present their work at the learning sessions and action period calls 3. Facilitate meetings to encourage engagement of teams vi. Teaching/Coaching 1. Teach Intro to QI methodology during pre-work calls, action period calls and learning sessions 2. Coach improvement teams on the use of QI tools 3. Coach teams to develop aims and plan PDSA cycles vii. Monitor improvement teams progress 1. Review monthly data and use to engage teams 2. Review PDSA cycles and provide feedback to teams 3. Review monthly team narrative reports 4. Summarize team progress and performance for the project faculty viii. Arrange and attend site visits, as needed, to provide 1:1 support to teams to plan and implement PDSA cycles ix. Support implementation of data collection for improvement teams by assisting sites as needed. This does not include doing data collection for sites x. Contribute to quarterly and annual reporting for project on improvement team activities 3) Spread and Key Learning Phase a. Participate in the development of plans for sustainability and spread b. Capture key learning from sites and summarize c. Contribute to website, emails, listserv, presentations at regional and national meetings, and other communication venues for sharing/learning as needed d. Participate with project team in manuscript, abstract, and presentation development e. Assist with project closeout activities i. Assist with project evaluation (e.g. development and fielding of surveys, interviews, data analysis) ii. Assist with final data analysis as needed Page 5

V. Deliverables: A. The applicant will submit detailed monthly reports identifying work activities with a focus on key accomplishments contributing to assigned projects to GRC. GRC will review, reject or approve and compile approved reports and submit to project sponsors. The monthly reports will provide detailed information on the status on each of the action items identified in the scope of work and deliverables. The status of each item in the scope of work and each deliverable will be coded as P=Progress, NP= No Progress, or C= Completed in the monthly report. A detailed description must accompany each code for each reported action item and deliverable. In the first monthly report, the applicant will also identify a target date that the action item and/or deliverable being reported on will be completed. Once the action item and/or deliverable is completed, the applicant will report on the end date. If the target completion date is not met, the contractor will be required to submit an explanation in writing as an attachment to the monthly report. This written explanation will include the following components: a) reason why the target completion date was not met, b) identified next steps for completing the action item and/or deliverable, and c) new target completion date. Please see Attachment A for an example of the format of the monthly report. B. The applicant will submit monthly invoices to GRC according to the guidelines provided by the Ohio State University Office of Sponsored Programs. C. The applicant will participate in quarterly project calls with the SQIM, Government Resource Center, and state sponsors as requested. D. The applicant will assist in compiling the final report for their assigned projects as requested by the SQIM. VI. Timeline: August, 2013 GRC Issues RFA September, 2013 GRC receives proposals, and applicant is selected. September, 2013 November, 2013 GRC executes contract and begins work Projects are assigned SQIM provides intensive training to integrate QIC December, 2013-June, 2014 QIC participates in design, implementation and spread phase of assigned QI project Participate in assigned training Monthly reports and invoices are submitted Final annual report is submitted July, 2014-June, 2015 Contract renewed for an additional year based upon applicants ability to meet deliverables Participate in assigned training Projects continued, including the design, implementation and spread phase of assigned QI project Monthly reports and invoices are submitted Final annual report is submitted VII. Roles and Responsibilities: The GRC will be responsible for overall performance of the contract. The GRC will provide project management support for the quality improvement science effort including monitoring the performance of the applicant to Page 6

ensure adherence with the scope of work and completion of the deliverables, coordinate communication between the applicant and the State Quality Improvement Manager (SQIM) to provide QI expertise and resources for the project, provide administrative and financial support for the applicant in regards to project specific activities, and provide written feedback on project deliverables. GRC will participate in all executive meeting calls, pre-work calls, action-period calls, learning sessions, monthly project management calls, and quarterly calls as part of their role. The applicant will be responsible for executing the deliverables outlined in the scope of work above for the Quality Improvement Science project. The applicant s role is to ensure the adequate completion of the activities listed under the scope of work and the deliverables, provide detailed documentation and feedback to sponsors on work completed, and collaborate with the GRC on all identified tasks listed under the scope of work and deliverables section. VIII. Project budget: The Project budget is limited to $105,000 for each fiscal year through June 30, 2015. The applicant should provide a detailed budget (on the attached template) that includes annual salary, benefits, travel and institutional indirect rate capped at 10% that does not exceed that amount. The institution will be required to cost share unrecovered F&A (unrecovered F&A is the difference between the institutions federally negotiated rate and the allowable 10% indirect rate). The evaluation of proposals will consider the applicant s ability to fulfill the scope and meet the deliverables within the established timeframe and budget. There will not be any evaluation credit given for budgets that are less than this amount. The contract may be renewed for an additional three year period with a revised scope of work and pricing. IX. RFA Response Requirement: RFA Schedule of Events RFA Issued to Bidders 08/22/13 Bidder Questions Due 08/29/13 @12:00 Noon ET Response to Bidder Questions 09/5/13 @5:00 P.M. ET RFA Due Date 09/25/13 @12:00 Noon ET Award information Estimated Posting Date To be determined Bidder Questions: Send questions to Allison.Lorenz@osumc.edu. Responses will be posted at http://grc.osu.edu/faqs/. X. How to Apply: Applications should include the following: 1. Applicant Information Forms (attachments B-D) for each individual seeking a position. 2. Identification of the position(s) for which you are applying: Quality Improvement Coordinator. 3. Cover Letter 4. Provision of a detailed description of training, experience and expertise relevant to the minimum requirements, essential functions and major responsibilities identified in this request. Specifically address any training/ experience you possess in Quality Improvement Science (limited to 5 pages). 5. A resume and three letters of reference. 6. Budget Form (attachment G) Please submit your application as a searchable PDF file. Applications must be e-mailed to Allison Lorenz at Allison.Lorenz@osumc.edu. Page 7

RFA Response Format: Responses must address all aspects of the RFA and provide detail how the bidder meets the education and experience requirements outlined in Section 3: Qualifications (page 3). Please limit your response to no longer than 5 pages, not including appendices. Submit 1 copy of your electronic response in MS Word format to: Allison.Lorenz@osumc.edu, and 12 hard copies to the following address: Attn: Allison Lorenz 150 Pressey Hall 1070 Carmack Road Columbus, Ohio 43210 Attachments such as resumes and Vitae (limited to 4 pages) may be in PDF format. The document should be double spaced, in Times New Roman 12 pt font, include page numbers, and a table of contents. Cover Letter The cover letter must be in the form of a standard business letter and must be signed by an individual authorized to legally bind the Bidder. The cover letter will provide an executive summary of the solution the Bidder plans to provide. The letter must also have the following: 1. A statement regarding the Bidder s affiliation, Federal tax identification number, and address. 2. A list of the people who prepared the application, including their titles; 3. The name, phone number, fax number, and email address of a contact person who has authority to answer questions regarding the application; 4. The name, phone number, fax number, and email address of the Sponsored Programs Officer/ grants officer who is responsible for this application. 5. Identification of the position(s) for which you are applying: Quality Improvement Coordinator. Contract. If this RFA results in a Contract award, the Contract will consist of this RFA, written amendments to this RFA, the applicant s Application, written authorized amendments to the applicant s Application, OSU Terms and conditions, and the agreement between OSU and the projects prime funding sponsor (OMA). It will also include any materials incorporated by reference in the above documents and any purchase orders and change orders issued under the Contract. The form of the Contract is attached as a one-page attachment to this RFA, but it incorporates all the documents identified above. The general terms and conditions for the Contract are contained in another attachment to this RFA. If there are conflicting provisions between the documents that make up the Contract, the order of precedence for the documents is as follows: 1. Prime Sponsor Agreement (Attachment I); 2. OSU Terms and Conditions (Attachment H): 3. This RFA, as amended by OSU; 4. The documents and materials incorporated by reference in the RFA or OSU amendments; 5. The applicant s Application, as amended by the applicant; and 6. The documents and materials incorporated by reference in the applicant s Proposal. Notwithstanding the order listed above, purchase orders, change orders, and amendments issued after the Contract is executed may expressly change the provisions of the Contract. If they do so expressly, then the most recent of them will take precedence over anything else that is part of the Contract. Page 8

XI. RFA Terms and Conditions The Ohio State University reserves the right to: Reject any or all Proposals received in response to this RFA; Request clarification from any Bidder on any or all aspects of its proposal; Cancel and/or reissue this RFA at any time; Retain all Proposals submitted in response to this RFA; and, Invite some, all, or none of the Bidders for interviews and further discussion. Provisions: If any provisions in a resultant agreement are held to be invalid, void, or unenforceable, the remaining provisions shall continue in full force and effect without being impaired or invalidated in any way. Funding will be adjusted to reflect any changes in the deliverables. Applicants will submit any changes in deliverables to the Government Resource Center. Ethical Conduct: Apart from a contact required for any on-going business at the University, applicants are specifically prohibited from contacting any individual at, or associated with the University regarding this RFA. Applicants communication shall be limited to the contact named on the cover page of this document. An applicant s failure to adhere to this prohibition may, at the University s sole discretion, disqualify the applicant s Proposal. Cancellation for Lack of Funding: A resultant agreement may be canceled without any further obligation on the part of The Ohio State University in the event that sufficient appropriated funding is unavailable to assure full performance of its terms. The applicant shall be notified in writing of such non-appropriation at the earliest opportunity. Quote: Response must be valid for 120 days. Contract Term: The contract term will commence on the date of award and continue through June 30, 2015. Pricing will remain firm for the initial period. At the end of the initial period, the contract may be renewed for an additional three 1-year periods (at the same terms and conditions, and with a revised scope of work and pricing), upon the signed mutual agreement between the University and the awarded applicant. The University will review requests for price increases for each renewal period. Requirements For Advance Approval a. Prior to out-of-state travel or conference attendance by the applicant, the applicant will consult with OSU concerning the nature of, and cost of, each out-of-state travel plan and conference registration for an amount exceeding $1,000. b. For equipment purchases by the applicant which are expected to exceed $2,000 the applicant will obtain approval from OSU prior to the purchase. All equipment over $2,000 purchased for use under this Agreement remains the property of ODM. The applicant shall provide equipment inventories to account for the equipment purchased under this Agreement Data Use and Management: a. The Contractor will become familiar with and fully implement all requirements of HIPAA. b. The contractor will be in compliance with Federal, HIPAA and State confidentiality law,for data use, and management including but not limited to access, storage, and transmission, shall be role-based, specific to this agreement. Page 9

c. The Contractor shall enter separately into a Business Associate Agreement with ODM to receive data funded/authorized under this agreement, in accordance with the Business Associate Agreement between ODM and OSU-GRC. d. The Contractor shall enter separately into a Data Use Agreement (DUA) with OSU-GRC to receive data funded/authorized under this agreement, in accordance with the Data Use Agreement between ODM and OSU-GRC. e. The contractor shall not use any information, systems, or records made available for any purpose other than to fulfill the obligations specified herein. f. The contractor s possession of information provided may be considered confidential or proprietary under the laws of the State of Ohio or under federal law, and that contractor agrees to promptly notify OSU and ODM of the receipt of any public records requests for information related to this Agreement in order to seek to have any confidential or proprietary information withheld from the document prior to its release. g. All data provided to the contractor may only be used for the specific associated agreement and for no other use in projects not associated with the agreement, and that any contractor s data release, sharing, or transfer beyond its initial approved scope and specifications will be considered as unauthorized. Presentation, Publications and Dissemination. a. Applicant shall obtain OSU and ODM prior approval for release of any results including preliminary and/or final results related to funded projects or funded data under this Agreement. b. Time Sensitivity Any data or publication release may be pending or delayed due to ODM policy/program change. c. Applicant shall obtain OSU and ODM prior review and permission to release any products resulting from activities, funded data or projects under this Agreement. d. When issuing press releases, requests for proposals, bid solicitations, and other documents or statements describing projects or programs funded in whole or in part with Federal money, all grantees receiving Federal funds, including but not limited to State and local governments shall clearly state (1) the percentage of total costs of the program or project which will be financed with Federal money, (2) the dollar amount of Federal funds for the program or project, and (3) the percentage and dollar amount of the total costs or the program or project that will be financed by nongovernment sources. Page 10

Attachment A: MEDTAPP Project Progress Report Project Title: Project # Project Information Submission Date: Description of Accomplishments: Emerging/Pending Issues (that could impact schedule, scope or resources): Action Steps for Scope of Work/ Deliverables Status and Description (C= completed, P = progress, NP = no progress) Target Date Completion Date Documents Attached (describe): Recommended Changes to Project Plan: Schedule Deliverables Resource Allocation Other Description: Approved by: Date: Page 11

Attachment B. PAST PROJECT PERFORMANCE Bidders Name: REFERENCE/CONTACT The Bidder must list up to three organizations that have received services of similar size, nature or scope to the Work from the Bidder in the past five years. Include the company or organization, contact name, address, current phone number and beginning and ending dates of work on the project for each. Company/Organization: Contact: Address: Phone Number: Project Name: Beginning Date of Project Month/Year: Ending Date of Project Month/Year: Company/Organization: Contact: Address: Phone Number: Project Name: Beginning Date of project Month/Year: Ending Date of Project Month/Year: Company/Organization: Contact: Address: Phone Number: Project Name: Beginning Date of Project Month/Year: Ending Date of Project Month/Year: Page 12

Attachment C. PERSONAL EDUCATION AND TRAINING SUMMARY For Quality Improvement Science Expert Candidate s Name: (Note: Please attach a copy of your resume to this document) The candidate s name and education and training information must be provided below: Type of Education or Training Months/Years of Education or Training Location of Education or Training Degree/Major/Year Earned Page 13

Attachment F. TECHNICAL EXPERIENCE SUMMARY Candidate s Name: Position/Role (Position Title) : Bidders may reproduce this page as many times as necessary to complete their information. PROJECT 1 Company/Organization Address Project name Contact Phone Number Beginning and Ending Date of Work (MM/YY) Description of project and role, services provided, and how experience meets or exceeds the minimum requirements. PROJECT 2 Company/Organization Address Project name Contact Phone Number Beginning and Ending Date of Work (MM/YY) Description of project and role, services provided, and how experience meets or exceeds the minimum requirements. Page 14

Attachment G. PROPOSAL BUDGET FORM COVERS ALL DIRECT AND INDIRECT COSTS ASSOCIATED WITH THE RFA S SCOPE-OF-WORK The budget form is located on the Ohio Colleges of Medicine Government Resource Center s website. (see website at: http://grc.osu.edu/currentfunding/) Page 15

REQUIRED WRITTEN JUSTIFICATIONS PERSONNEL: Describe on a page attached to this budget form, any information that will help justify any specific or ALL personnel and their costs, which might be questioned by Proposal reviewers. FRINGE BENEFITS: Describe on a page attached to this budget form, how this rate is calculated (its elements and formulae). OVERHEAD RATE: Describe on a page attached to this budget form, how this rate is calculated (its elements and formulae). May include elements such as fraction of building costs, Bidder staff and applicants for corporate/building/offices services, insurances and such. May not cover costs of advertising, proposal development. Overhead rate is limited to 10%.. ALL OTHER COSTS: Describe on a page attached to this budget form, any information that will help justify other costs (e.g., telephone, supplies, etc., which might be questioned by Proposal reviewers. Page 16

Attachment H: THE OHIO STATE UNIVERSITY STANDARD TERMS AND CONDITIONS 1. AUDIT OF BOOKS: This subcontract is subject to the provisions of the Single Audit Act of 1984, P.L.98 502,as implemented by OMB Circular A-I33," Audits of Institutions of Higher Education and Other Non-profit Institutions," By signature to this agreement, SUBRECIPIENT certifies that it has met the audit requirements of OMB Circular A-133 or equivalent Federal Financial Compliance Audit, if applicable, and shall furnish a copy of such audit report to the PRIME RECIPIENT within thirty (30) days of completion of said audit. The SUBRECIPIENT further certifies that, in instances of non-compliance with Federal Laws and regulations, appropriate corrective action will be taken. SUBRECIPIENT agrees to notify the PRIME RECIPIENT of the corrective actions within six (6) months of furnishing the audit report to the PRIME RECIPIENT, Audit reports should be submitted to The Ohio State University, Fiscal Services, 1960Kenny Road, 4th Floor, Columbus, Ohio43210 1063. Notwithstanding any other conditions of this Agreement, the books and records of the SUBRECIPIENT hereunder will be made available for inspection by the PRIME RECIPIENT, the Federal sponsoring agency; U.S, Comptroller General, the PRIME RECIPIENT's Federal Cognizant Audit Agency, or any of their duly authorized representatives during SUBRECIPIENT's normal business hours, 2. COST PRINCIPLES & ALLOWABLE COSTS: The cost principles of Office of Management & Budget2 CFR220 (OMB CircularA-2I) are applicable to this Agreement. In the event any payments to the SUBRECIPIENT are subsequently disallowed by the prime sponsor as items of cost, the SUBRECIPIENT shall repay the PRIME RECIPIENT on demand the amount of any such disallowed items or, at the discretion of the PRIME RECIPIENT, the PRIME RECIPIENT may deduct such amount from subsequent payments. However, without prejudice, the SUBRECIPIENT has the right to establish the allowabiiity of any such item of cost previously disallowed. 3. EQUIPMENT TITLE: Title to any budgeted and approved equipment purchased by SUBRECIPIENT shall vest in SUBRECIPIENT subject to any subsequent disposition instructions by the prime sponsor, Unbudgeted equipment requires prior written approval by the PRIME RECIPIENT. 4. PATENTS & COPYRIGHTS; SUBRECIPIENT agrees that if, during the period of this Agreement, any of its employees shall make an invention or work of authorship in performance of this project, SUBRECIPIENT shall promptly make such invention or work known to PRIME RECIPIENT. All patents and copyrights shall be in accordance with Public Law 98-620 and implementing regulations under 37CFR401, "Rights To Inventions Made By Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts, and Cooperative Agreements," and any implementing regulations issued by the awarding agency, Each party grants to the other party a non-exclusive, royalty-free license to use the results and data developed solely by each other provided that each party uses such results and data only for its own internal research and educational purposes. The parties agree to negotiate in good faith in the event that either requests a license for commercial purposes. 5. STANDARDS OF WORK: In performing services under this agreement, the SUBRECIPIENT is an independent contractor and nothing herein is to be construed as establishing an employer-employee relationship. The SUBRECIPIENT agrees that all work will be performed in accordance with the highest professional standards, Subrecipient shall also comply with all federal and state laws and prime sponsor requirements governing conduct of research. 6. DATA RIGHTS: The SUBRECIPIENT grants to the PRIME RECIPIENT the right to use data created in the performance of the subcontract solely for the purpose of and only to the extent required to meet the PRIME RECIPIENT's obligations to the PRIME SPONSOR, 7. HIPAA: The SUBRECIPIENT WILL COMPLY WITH ALL Health Insurance Portability and Accountability Act (HIPAA) Regulation as applicable. 8. USE OF NAMES: The SUBRECIPIENT shall not use,either directly or indirectly, The Ohio State University, or the name of any members of the staffs thereof, or any unpublished information or data relating to this program in any publicity or advertising unless copy is submitted and written approval of the Executive Director of the PRIME RECIPIENT is obtained in advance, 9. BREACH OF CONTRACT: In the event of violation or breach of contract terms, both parties will make a good faith effort to take necessary remedial actions to correct said breach, However, nothing in this agreement shall constitute a waiver by the PRIME RECIPIENT of any rights to pursue any necessary administrative, contractual, or legal remedies in instances in which the SUBRECIPlENT violates or breaches contract terms. 10.EQUAL OPPORTUNITY; This Agreement is subject to the conditions of Executive Order No, 11246 entitled, "Equal Employment Opportunity," dated September 24, 1965, as amended by Executive Order 11375, and as supplemented in Department of Labor regulations (41 CFRPart 60), Any Certificate of Non-Segregated Facilities is deemed given here under by the signature to this Agreement. 11.TERMINATION: Either party may terminate this Agreement for any reason, including circumstances beyond the control of either Party, upon thirty (30) days' advance written notice, Upon such termination. PRIME RECIPIENT agrees to pay all costs incurred (including non-cancelable commitments incurred by SUBRECIPIENT) at the time of termination. Notwithstanding the above, PRIME RECIPIENT may terminate the Agreement immediately upon default by Subrecipient. 12. PROVISIONS IN CORPORATED BY REFERENCE: The Federal Acquisition Regulations (FAR) reference in the prime contract are incorporated by reference. Page 17

This agreement constitutes the entire agreement between the parties hereto with respect to the subject matter hereof. However, any additional provisions of the prime agreement identified in the header and preamble of this SUBCONTRACT, which are required to be included under this subcontract agreement, are hereby incorporated by reference. 13. ORDER OF PRECEDENCE: a) Terms and Conditions of the Prime Award b) Subcontract including any Special Terms and Conditions and modifications c) Standard Terms and Conditions d) Proposal or Statement Of Work, and approved budget incorporated into the Subcontract 14. EXPORT CONTROL: The SUBRECIPIENT by signing this SUBCONTRACT agrees to comply with any and all applicable export control laws and regulations. Page 18

Attachment I. SUBGRANT/SUBRECIPIENT AGREEMENT THE OHIO DEPARTMENT OF MEDICAID THE OHIO DEPARTMENT OF HEALTH THE CHANCELLOR OF THE OHIO BOARD OF REGENTS THE OHIO DEPARTMENT OF MENTAL HEALTH AND ADDICTION SERVICES THE OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES AND THE OHIO STATE UNIVERSITY, OFFICE OF SPONSORED PROGRAMS G-1415-07-0060 (see website at: http://grc.osu.edu/projects/beacon/medtapp/index.cfm) Page 19