Critical Care RFP Development
Budget: $30 – $250 USD
I need an RFP for critical care services, specifically ICU management for a hospital. The RFP should focus on:
ICU Management
Physician Staffing/Coverage
• Applicant shall provide professional Intensivist Physician coverage 24 hours a day; 7 days per week (including holidays), throughout the term of this agreement. On-site presence required 8 hours per day (8a-4p) and 16 hours on-call (4p-8a). Applicant is responsible for coordinating schedule to guarantee adequate coverage.
• Applicant must be willing and have the ability to provide additional, in-department and/or on- call physician services as deemed necessary, from time to time, to meet department patient demands. In no event, shall the number of in-department intensivist physicians be less than one (1). Applicant is responsible for the coordination of schedules and assignments of physicians to insure adequate coverage.
• The minimum staffing levels are expected to be met through the service of the Applicant’s Intensivist physicians.
• Applicant shall appoint, subject to the approval of ECH and in accordance with its Medical Staff Bylaws, and Intensivist physician as the Medical Director of the Department (“Director”). Payment for services of the Director shall be at the Applicant’s sole cost and expense and are included in the compensation to be paid to the Applicant by ECH. Unless the ECH Medical Staff Bylaws provide otherwise, the Director will be responsible for the operations and administrative duties of the Department.
Physicians/Practitioners-Standards of Care
• All staff must agree to provide medical services within the standard of intensivists and adhere to ECH established standards and policies for providing good patient care and in addition, ensure that its Member Physicians shall also operate & conduct themselves in accordance with the standards & recommendations of The Joint Commission, all applicable National Patient Safety Goals, the Bylaws, Rules and Regulations of the ECH Medical Staff, CMS Conditions of Participation, & any Medical Staff Physician’s Code of Conduct, as may then be in effect.
• All staff must agree to, upon request and in emergent situations, be prepared to perform difficult procedures (i.e., emergency intubation, chest tube, etc.) in other patient care areas outside of the ICU. Intensivist is required to respond to calls/codes throughout the hospital and may be required to lead the code while onsite.
• All staff must work with consulting specialists and/or services to provide appropriate care for all patients during their stay and to ensure effective discharge planning for post-discharge care. All referrals or transfers must be made in accordance with state and federal laws and regulations.
• Staff must strive to improve morbidity and mortality rates at ECH regarding patients seen by providing a level of medical care that enhances and improves patient outcomes.
General Performance Expectations
• Provider shall maintain professional demeanor and engage in positive and proactive communication with colleagues and all members of the care team/organization.
• All staff must agree to actively participate, as needed, on hospital committees or on initiatives related to continuous quality improvement, which may include participation in corrective action plans, case management, utilization review, process improvement, risk management and patient relations.
• All staff shall assist ECH with improvement of patient experience and performance ratings using results from ECH’s patient survey for services performed in Hospital.
• Provider shall work in the development & maintenance of key clinical protocols to standardize patient care.
• Provider shall work with ECH to make recommendations to promote efficient operation of the Department in areas such as budgeting, purchasing of supplies, community relations, process improvement and other areas of quality improvement.
• Provider will keep abreast of advances in critical care medicine procedures & techniques and be proactive in recommending changes to improve facilities, equipment, policies, and procedures.
• Cooperate with the ECH’s administration in effective management of the Department.
• Consistently utilize ECH’s electronic medical record (EMR) for clinical documentation and orders relative to patient care.
• Applicant will contract with and be in network with (“when applicable”) the same payors as ECH.
Licenses/Certifications/Liability
• At the time specified by the deadline for submission of proposals, the Applicant must have and maintain any professional licenses and permits required by federal, state, and local laws for performance of this contract. Applicant’s that do not possess required licenses at the time of RFP deadline will be determined non-responsive. Copies of any licenses or certifications must be included with proposal.
• Professional and educational qualifications as required by the State of California for professional licensing of all employees and subcontractors of respondent's entity who will render the proposed services.
• All licensures, permits, and certifications, as required by the State of California, for the responding entity and all employees and subcontractors who will render the proposed services.
• Applicant shall maintain at all times throughout the term of this Agreement, Professional Liability insurance in an amount not less than One Million Dollars ($1,000,000) per occurrence and Three Million Dollars ($3,000,000) in the annual aggregate which covers company and all Physicians/Practitioners employed by company.
• Statement of Criminal History and Misconduct Registry Checks and drug test for all of Applicant's employees who will render the proposed service is required.
Discovery
Ref ID Category/Criteria Description
1. Company Information
a. Has your company acquired or merged with any other organizations in the past three years? If so, please list each organization and the purpose behind such activity.
b. How long has your company been in the business of providing intensivist services?
c. Please provide organizations that currently utilize your full time (non-locums) intensivist services and a list of clients who have terminated your services.
d. What has been the length of your longest client relationship?
e. Describe any services you provide other than intensivist Services, how these services work as a group and how this grouping could potentially benefit ECH.
f. Describe any known factors that could impair the ability of your company to carry out its duties and obligations under this agreement.
Ref ID Category/Criteria - Intensivist Description
2. Providers/Process
a. What is your proposed staffing model?
Percent of full time vs. locums.
b. What is your ability to flex staffing and subsidy requirements based on patient census fluctuations?
c. Do you operate with a capped patient volume/provider? If so, what is the cap?
d. What are the key workflows/daily processes for your providers?
e. Describe your company’s culture regarding onboarding, leadership, coaching, training, and development?
f. Describe how your physicians interact with the ED, hospitalist and the case management teams.
Ref ID Category/Criteria Description
3. Clinical Leadership and Support
a. What are the roles/responsibilities of the Medical Director?
b. Describe resources, compliance education and training you provide to the Medical Director and other providers to ensure their success.
c. Describe career path opportunities within your organization for physicians/providers.
d. Describe resources you have for your providers to ensure engagement and retention.
e. Provide an overview of how you handle scheduling emergencies and limiting or avoiding diversion of patients.
Ref ID Category/Criteria Description
4. Performance, Quality and Reporting
a. What quality and management reporting is provided to the client? With what frequency?
b. Can you provide a current (blind) quality and financial metric report for a currently served hospital? Please include Length of Stay, Case Mix Index, Core Measures, Readmission (30 day, all cause), HCAHPS – physician communication, discharge orders timeliness.
c. Describe the company’s values regarding the patient experience.
Ref ID Category/Criteria Description
5. Financial
a. Describe your financial model and terms
b. Provide a detailed financial model for the program
Attachments
Please also include the following with the completed RFP Response:
1. Implementation plan with estimated timeline
2. A copy of your support policies and procedures as applicable to the proposed solution
3. A copy of your standard contract
4. Dashboard or other method of reporting
5. Itemized list of all attachments included with the RFP response.
ICU Management
Physician Staffing/Coverage
• Applicant shall provide professional Intensivist Physician coverage 24 hours a day; 7 days per week (including holidays), throughout the term of this agreement. On-site presence required 8 hours per day (8a-4p) and 16 hours on-call (4p-8a). Applicant is responsible for coordinating schedule to guarantee adequate coverage.
• Applicant must be willing and have the ability to provide additional, in-department and/or on- call physician services as deemed necessary, from time to time, to meet department patient demands. In no event, shall the number of in-department intensivist physicians be less than one (1). Applicant is responsible for the coordination of schedules and assignments of physicians to insure adequate coverage.
• The minimum staffing levels are expected to be met through the service of the Applicant’s Intensivist physicians.
• Applicant shall appoint, subject to the approval of ECH and in accordance with its Medical Staff Bylaws, and Intensivist physician as the Medical Director of the Department (“Director”). Payment for services of the Director shall be at the Applicant’s sole cost and expense and are included in the compensation to be paid to the Applicant by ECH. Unless the ECH Medical Staff Bylaws provide otherwise, the Director will be responsible for the operations and administrative duties of the Department.
Physicians/Practitioners-Standards of Care
• All staff must agree to provide medical services within the standard of intensivists and adhere to ECH established standards and policies for providing good patient care and in addition, ensure that its Member Physicians shall also operate & conduct themselves in accordance with the standards & recommendations of The Joint Commission, all applicable National Patient Safety Goals, the Bylaws, Rules and Regulations of the ECH Medical Staff, CMS Conditions of Participation, & any Medical Staff Physician’s Code of Conduct, as may then be in effect.
• All staff must agree to, upon request and in emergent situations, be prepared to perform difficult procedures (i.e., emergency intubation, chest tube, etc.) in other patient care areas outside of the ICU. Intensivist is required to respond to calls/codes throughout the hospital and may be required to lead the code while onsite.
• All staff must work with consulting specialists and/or services to provide appropriate care for all patients during their stay and to ensure effective discharge planning for post-discharge care. All referrals or transfers must be made in accordance with state and federal laws and regulations.
• Staff must strive to improve morbidity and mortality rates at ECH regarding patients seen by providing a level of medical care that enhances and improves patient outcomes.
General Performance Expectations
• Provider shall maintain professional demeanor and engage in positive and proactive communication with colleagues and all members of the care team/organization.
• All staff must agree to actively participate, as needed, on hospital committees or on initiatives related to continuous quality improvement, which may include participation in corrective action plans, case management, utilization review, process improvement, risk management and patient relations.
• All staff shall assist ECH with improvement of patient experience and performance ratings using results from ECH’s patient survey for services performed in Hospital.
• Provider shall work in the development & maintenance of key clinical protocols to standardize patient care.
• Provider shall work with ECH to make recommendations to promote efficient operation of the Department in areas such as budgeting, purchasing of supplies, community relations, process improvement and other areas of quality improvement.
• Provider will keep abreast of advances in critical care medicine procedures & techniques and be proactive in recommending changes to improve facilities, equipment, policies, and procedures.
• Cooperate with the ECH’s administration in effective management of the Department.
• Consistently utilize ECH’s electronic medical record (EMR) for clinical documentation and orders relative to patient care.
• Applicant will contract with and be in network with (“when applicable”) the same payors as ECH.
Licenses/Certifications/Liability
• At the time specified by the deadline for submission of proposals, the Applicant must have and maintain any professional licenses and permits required by federal, state, and local laws for performance of this contract. Applicant’s that do not possess required licenses at the time of RFP deadline will be determined non-responsive. Copies of any licenses or certifications must be included with proposal.
• Professional and educational qualifications as required by the State of California for professional licensing of all employees and subcontractors of respondent's entity who will render the proposed services.
• All licensures, permits, and certifications, as required by the State of California, for the responding entity and all employees and subcontractors who will render the proposed services.
• Applicant shall maintain at all times throughout the term of this Agreement, Professional Liability insurance in an amount not less than One Million Dollars ($1,000,000) per occurrence and Three Million Dollars ($3,000,000) in the annual aggregate which covers company and all Physicians/Practitioners employed by company.
• Statement of Criminal History and Misconduct Registry Checks and drug test for all of Applicant's employees who will render the proposed service is required.
Discovery
Ref ID Category/Criteria Description
1. Company Information
a. Has your company acquired or merged with any other organizations in the past three years? If so, please list each organization and the purpose behind such activity.
b. How long has your company been in the business of providing intensivist services?
c. Please provide organizations that currently utilize your full time (non-locums) intensivist services and a list of clients who have terminated your services.
d. What has been the length of your longest client relationship?
e. Describe any services you provide other than intensivist Services, how these services work as a group and how this grouping could potentially benefit ECH.
f. Describe any known factors that could impair the ability of your company to carry out its duties and obligations under this agreement.
Ref ID Category/Criteria - Intensivist Description
2. Providers/Process
a. What is your proposed staffing model?
Percent of full time vs. locums.
b. What is your ability to flex staffing and subsidy requirements based on patient census fluctuations?
c. Do you operate with a capped patient volume/provider? If so, what is the cap?
d. What are the key workflows/daily processes for your providers?
e. Describe your company’s culture regarding onboarding, leadership, coaching, training, and development?
f. Describe how your physicians interact with the ED, hospitalist and the case management teams.
Ref ID Category/Criteria Description
3. Clinical Leadership and Support
a. What are the roles/responsibilities of the Medical Director?
b. Describe resources, compliance education and training you provide to the Medical Director and other providers to ensure their success.
c. Describe career path opportunities within your organization for physicians/providers.
d. Describe resources you have for your providers to ensure engagement and retention.
e. Provide an overview of how you handle scheduling emergencies and limiting or avoiding diversion of patients.
Ref ID Category/Criteria Description
4. Performance, Quality and Reporting
a. What quality and management reporting is provided to the client? With what frequency?
b. Can you provide a current (blind) quality and financial metric report for a currently served hospital? Please include Length of Stay, Case Mix Index, Core Measures, Readmission (30 day, all cause), HCAHPS – physician communication, discharge orders timeliness.
c. Describe the company’s values regarding the patient experience.
Ref ID Category/Criteria Description
5. Financial
a. Describe your financial model and terms
b. Provide a detailed financial model for the program
Attachments
Please also include the following with the completed RFP Response:
1. Implementation plan with estimated timeline
2. A copy of your support policies and procedures as applicable to the proposed solution
3. A copy of your standard contract
4. Dashboard or other method of reporting
5. Itemized list of all attachments included with the RFP response.