REQUEST FOR PROPOSAL PATIENT SAFETY ORGANIZATION SERVICES FOR MISSOURI HOSPITALS

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REQUEST FOR PROPOSAL PATIENT SAFETY ORGANIZATION SERVICES FOR MISSOURI HOSPITALS Release Date: March 15, 2016 Due Date: 6 p.m., CDT, Friday, April 15, 2016 On behalf of Missouri hospitals, your federally-designated AHRQ patient safety organization is invited to submit a proposal to MHA Management Services Corporation (MSC) for consideration as the vendor for PSO services. This offering is intended to help Missouri hospitals with more than 50 beds comply with the Patient Safety Quality Improvement Act of 2005 and the 2017 CMS Benefit Payment and Parameters final rule. The proposal must be in accordance with the requirements and instructions of this RFP. This opportunity has been sent to select PSOs, but proposals from all eligible PSOs will be reviewed and considered. It is anticipated that one award will be made for a period of time not to exceed two years. The contract will be a fee- and performance-based service, and payment will be based on the number of hospitals that submit AHRQ Common Format harm data to the PSO. It is possible that some, but not all, elements of the accepted proposal will be required. Offerors shall submit the following: 1. One complete proposal submitted electronically to lporth@mhanet.com. 2. Technical specifications including specific data collection and repository capacity. 3. Evaluation plan for hospitals and MHA Management Services Corporation. 4. Support services plan. 5. Fee structure based on the number of hospitals submitting data and the agreed-upon services. 6. References. The proposal must be concise, yet provide sufficient detail. The proposal is limited to 40 pages (narrative must be double-spaced) including attachments, and must be written using no smaller than 11-point font. The proposal must be received electronically no later than 6 p.m. CDT, Friday, April 15, 2016. Effective date of service to be provided: on or after July 1, 2016. Questions during the bid period are allowed until 8 a.m. CDT, Thursday, April 14, 2016, and should be directed to Leslie Porth, Ph.D., MPH, R.N., Senior Vice President of Strategic Quality Initiatives, Missouri Hospital Association, at lporth@mhanet.com. Please address all questions with the subject line: MHA Management Services Corporation RFP for PSO 2016. A list of all questions will be maintained and posted as an FAQ document on MHAnet.com.

MHA MANAGEMENT SERVICES CORPORATION BACKGROUND INFORMATION MHA Management Services Corporation is a wholly-owned, for-profit subsidiary of the Missouri Hospital Association, formed in 1988. MSC develops and provides high-quality, market-driven programs and services to hospitals in Missouri, on a self-sustaining basis, to enhance hospitals effectiveness. Specific programs currently provided by MSC include the following: Advocacy support for Missouri s three children s hospitals Medicaid and FRA administrative support services Quality Works performance measurement system and consultative services Background Check Advantage employee background check services HIDI Solutions TM data analytics MSC, through agreements with Missouri hospitals, serves as an agent for selected activities, including selection of a PSO. Missouri s 148 hospitals are very diverse and include the following: 114 Not-for-Profit 34 For-Profit 74 PPS Acute Care/Medical Surgical Hospitals 2 Non-PPS Other Acute Care Hospitals 36 Critical Access Hospitals 15 Behavioral Health (includes eight State Mental Health Facilities) 8 Long-Term Acute Care/LTACs 5 Federal (Veterans and Army Hospital) 5 Rehabilitation 3 Free-Standing Children s Hospitals 2

TERMS AND CONDITIONS Proposals must comply with the provisions of this RFP and all applicable local, state and federal laws and regulations. Proposals and any accompanying materials will become the property of MSC and returned solely at MSC s discretion. Proposals will be held in confidence, except that MSC may share any proposal and accompanying materials with its affiliated companies, member hospitals and their directors, officers or employees. Information designated by an Offeror as a trade secret or proprietary information may be restricted from disclosure at the written request of the Offeror. MSC will not pay for any costs associated with the preparation or submission of a proposal. All proposals will be reviewed for responsiveness, and MSC may reject any proposal it deems non-responsive. Proposals will be evaluated on the basis of the Offerors qualifications, experience and cost. MSC reserves the right to accept a proposal in whole, or in part, or may reject any and all proposals. Upon evaluation of all proposals, MSC will submit a proposed contract to the Offeror of the highest ranked proposal, which contract shall represent the agreement between the parties and shall supersede the provisions of this RFP. Such contract terms shall be negotiated in good faith; however, in the event MSC and the highest ranked Offeror are unable to mutually agree to contract terms, MSC reserves the right to terminate negotiations and negotiate with the Offeror of the next highest ranked proposal. 3

Full name of Patient Safety Organization: Address: Corporation Type: Tax Identification Number (TIN): DUN: Executive Name: Phone: E-mail: Parent Company (if applicable): Address: Corporation Type: Tax Identification Number (TIN): DUN: Executive Name: Phone: E-mail: PSO CONTACT INFORMATION Please indicate the location and person designated to receive the contract, payments and correspondence if awarded. Name: Title: Address: Phone: Email: 4

PROPOSAL ELEMENTS Data Collection and Repository Capabilities and Capacity The proposal must include detailed information about the technical requirements for data collection and repository capabilities and capacity including, but not limited to, the following: List of all current vendors and a description of their services to support data mapping, data submission and analysis. A detailed process, system and timeline to export files from the hospital manual or electronic adverse event reporting system (AERS); map to AHRQ Common Format; capture data into the PSO data system for analysis and improvement. Process and timeline to ensure that changes to AERS that may disrupt the efficacy of data submission to the PSO are proactively managed to ensure consistent and timely PSO data submission. Attestation of current AHRQ Common Format data capability. Number of AHRQ Common Format records in total and from specific organization-types (e.g., hospitals, clinics, etc.). Description of other formats for data submission including, but not limited to, XML, CSV and other formats. Number of other patient safety event records in total and from specific organization-types (e.g., hospitals, clinics, etc.). Attestation of processes and oversight, including policies, procedure and documentation requirements, to ensure compliance with the administrative physical and technical safeguards in accordance with HIPPA, the HITECH Act and the Privacy and Security Rule as codified in 45 C.F.R. 164.308-164.316. A detailed description of technical support provided to hospitals to ensure successful data submission. Evaluation The proposal must include detailed information about current and proposed methods for evaluation including, but not limited to, the following: An evaluation plan that, at a minimum, includes the following. - quarterly hospital reports of events by category and trends with organization, state and national comparison - quarterly MSC reports of aggregate events by category and trends with state and national comparisons Sample reports. Sample analysis. 5

Support Services Plan The proposal must include detailed information about current and proposed methods for support services including, but not limited to, the following. Please note, MHA has an ambitious Triple Aim strategy with emphasis on patient safety, quality improvement and care coordination. It is the intent of MSC that the contracted PSO will serve as a partner, with MHA and its affiliates serving as the lead to Missouri hospitals. Your support services plan should reflect this partnership. Virtual options for Safe Tables or similar PSO-protected shared learning opportunities. Residential options for Safe Tables or similar PSO-protected shared learning opportunities. Current requirements and guidelines used to ensure PSO protection during shared learning opportunities. Current analysis and support available to increase care coordination and quality improvement. Additional analysis and support available by September 1, 2016, to increase care coordination and quality improvement. A listing of publications provided to participating hospitals during the past 15 months. Links to all publications currently available must be provided. Other forms of technical and adaptive support. Fees The PSO contract will be based on hospitals that submit data to the PSO. The proposal must include a detailed fee schedule including, but not limited to, the following. Fee for mapping per submitting hospital. Fee for routine data submission using AHRQ Common Format per submitting hospital. Fee for routine data submission for other data per submitting hospital. Fee for non-routine data submission per submitting hospital. Payment schedule. Other fees. Total contract amount for 50-, 75- and 100-bed hospitals submitting data per 12-month contract. References Provide full contact information for three organizations for which you have provided service longer than two years, including what specific services the PSO has provided to the referenced organizations. 6