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Request for Proposals for School-Based Health Centers


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Request for Proposals for School-Based Health Centers

  1. 1. Request for Proposals for School-Based Health Centers FY 2008
  2. 2. Available Funding: Approximately $250,000 for 2 contracts for one year. Contracts may be renewed for two years. Funding in Year 2 is 75% ($93, 750) of original contract and funding in Year 3 is 50% ($62,500) of original contract. Purpose: To provide start-up funding for school-based health centers that deliver primary and preventive health services and related social services to a school-age population on a school campus. Eligible Applicants: School districts, charter schools, and school district cooperatives
  3. 3. What is a School-Based Health Center? A school-based health center is an entity established by a school district or by a school district jointly with a public health agency, health care provider, or university to deliver health care programs, prevention of emerging health threats that are specific to the district, and health services for students and their families at one or more schools in the district.
  4. 4. Eligible Respondents Eligible respondents include school districts, charter schools, and school district cooperatives or any of the preceding jointly with a public health agency, university or a health care provider such as a hospital, community health center.
  5. 5. (Proposed*) Key Dates Request for Proposal released February 26,2007 Deadline for submitting questions March 14, 2007 Answers to questions posted on the March 20, 2007 Electronic State Business Daily (ESBD) Deadline for submitting proposals March 26, 2007 (2:00 p.m. C.S.T.) Announcement of awards June 15, 2007 Contract start date September 1, 2007 *Actual deadlines and important dates can be obtained on the application or DSHS School Health website.
  6. 6. Funding is intended for applicants that:  have a large percentage of children who do not have access to primary health care services;  experience a lack of health care resources (e.g., funds, providers, facilities, etc.); and  have difficulty linking students with health resources in the community
  7. 7. FAQ: What can I use the funds for?  To provide preventive and primary health services to all requesting families in the school population  Funds are intended for start-up expenses and operational costs Appropriate expenditures  Minor remodeling of a school building for health services  Equipment rental fees  Clinic equipment and supplies  Patient transportation  Staff salaries, basic benefits, and contractual services
  8. 8. FAQ: Is a funding match required? Yes. Participating communities shall provide local financial support for the school-based health center that may include actual dollars, services, or other in-kind contributions. Matching funds may be obtained from any source available to the district including in-kind contributions, community and foundation grants, individual contributions, local governmental agency operating funds.
  9. 9. FAQ: What are the program requirements? Programs must…  Provide health services under the guidance of the school district’s school health advisory council  Have a parent consent form for all students receiving services  In conjunction with other school district staff, must coordinate in planning and implementing health education and health programs  Participate in statewide data collection for evaluation of the effectiveness of school health services  Participate in annual meeting for DSHS funded school-based health center projects
  10. 10. FAQ: What services must be provided on-site?  Maintenance of a health record and a health plan for participating students and family members  Coordination of health activities with the patient’s primary physician (medical home)  Physical examinations including sports physical  Preventive health visits including Texas Health Steps (EPSDT) checkups  Dental screenings and referral for services  Immunizations for all children within the school’s attendance zone  Diagnosis and treatment of minor illnesses and minor injuries
  11. 11. FAQ: What services must be provided on-site? continued  Referral and case management of chronic illnesses and emergencies – on-site or through linkages with other health care providers who can provide care when referral is necessary  Basic laboratory services (on-site or by subcontract)  Dispensing of medications for treatment  Education and counseling programs (in coordination with classroom instructions) addressing nutrition, fitness, and the prevention of substance abuse, disease, and injury  Mental health screening and referral for psycho-social counseling
  12. 12. FAQ: What services are not allowed? Family planning services shall not be provided by a school- based health center that receives funding through the Department of State Health Services. However, the school- based health center may treat and/or recommend treatment for sexually transmitted diseases and/or prenatal care.
  13. 13. FAQ: What are the staffing requirements? Core personnel must include:  Physician/Medical Director – direct medical services of the SBHC and be available for consultations, to see referrals, and to review charts  Clinic Director – must be a Nurse Practitioner or Physician’s Assistant  Registered Nurse – should be on the school campus to coordinate services and to receive referrals.
  14. 14. FAQ: What are the staffing requirements? Other personnel may include:  Clerk/secretary  Support staff – a part-time worker with administrative experience  Social worker  Mental health counselor  Research specialist
  15. 15. FAQ: What are the reporting requirements?  Quarterly and annual program reports. Data collection will include number of encounters, number of visits per student, frequency of common physical/mental health problems, attendance data, and data regarding patients with chronic conditions  Financial reports. Budgetary and expenditure reports including third party reimbursements
  16. 16. How to prepare your application?
  17. 17. PREPARING YOUR APPLICATION – Stylistic Requirements  All pages clearly and consecutively numbered  Original and 4 copies unbound, but secured with binder clips or rubber bands  Typed  No less than single-spaced  No less than12-point font on 8 1/2" x 11" paper with 1" margins  Blank forms provided in SECTION VII. BLANK FORMS AND INSTRUCTIONS must be used  Signed in ink by an authorized official (copies must be signed but need not bear an original signature)  An electronic disc copy may be included
  18. 18. PREPARING YOUR APPLICATION Your proposal should include a TABLE OF CONTENTS and FORMS A THROUGH P Next Section – Selected Forms Explained
  19. 19. PREPARING YOUR APPLICATION Form F: Assessment Narrative Guidelines Six Required Items 1) Describe role and experience in public health assessment activities 2) List names of who completed the assessment with dates 3) Synopsis of the community – geographically boundaries (urban or rural, physical environment), demographic data, socioeconomic data, and description of community-wide health status 4) Target population (geographic service area, characteristics of population, health status of population, current population served)
  20. 20. PREPARING YOUR APPLICATION Form F: Assessment Narrative Guidelines Six Required Items continued 5) Gaps in resources and potential barriers to improving health status 6) List the top five health priorities identified by the community assessment. Be sure to include the process utilized in the assessment.
  21. 21. PREPARING YOUR APPLICATION Form G: Performance Measures – REQUIRED PERFORMANCE MEASURE  Measure related to positive health outcomes. Can include physical and/or dental health. Example: # of students with a medical home  Measure related to mental health that utilizes PEIMS behavioral referral data. Example: # of school discipline referrals before and after counseling  Measure related to reducing school absences or improving attendance among students with a chronic illness. Utilize needs assessment to make decisions about which illness (or illnesses) to track.  At least one additional measure for the School-based Health Center developed by the contractor.
  22. 22. PREPARING YOUR APPLICATION - Form G: Performance Measures  Performance measures must be specific, measurable, time-phased, and feasible Type Measure Example Outcome measures the actual % of clients rehabilitated impact or public benefit of % decline in an entity’s actions inappropriate ER usage% decline in school absences Output or Process Counts the goods/services # of clients served provided # of clinic sessions Efficiency Measure the cost, unit Average cost per client cost, or productivity served associated with a given Average time per visit outcome or output Explanatory Shows the resources used # of clients eligible for to produce services and services display factors that affect # and type of available entity performance health services
  23. 23. PREPARING YOUR APPLICATION Form I: Budget  The RFP contains the following materials to assist you through the budget process: -- Budget Summary Instructions -- Budget Summary Example -- Detailed Budget Category Forms – General Information -- Personnel Budget Category Detail Form Example -- Travel Budget Category Detail Form Example -- Equipment Budget Category Detail Form Example -- Supplies Budget Category Detail Form Example -- Contractual Budget Category Detail Form Example -- Other Budget Category Detail Form Example
  24. 24. PREPARING YOUR APPLICATION Form J: Historically Underutilized Business (HUB) Subcontracting Required Forms - Respondents MUST provide a historically underutilized business (HUP) subcontracting plan (FORM J). Check all appropriate boxes on Form J that apply What is a Historically Underutilized Business (HUB)? A HUB is a business formed for the purpose of making a profit in which at least 51 percent of the business is owned, operated, and controlled by selected ethnicity groups and women who are economically disadvantaged.
  25. 25. For more information and questions, contact Nancy Eichner at (512) 458-7111 ext. 2782 before February 26, 2007 The RFP will be available online starting around February 26, 2006 at Check for the Submission Deadline on the Website