The vendor required to provide strategic planning, healthcare transformation, and organizational performance improvement for complex public health systems.
- The resulting strategic plan will define agency 3–5-year strategic priorities, align mission, financial, and workforce goals, and establish a measurable roadmap for execution and accountability.
- Organizational context and market understanding
• Demonstrate a clear understanding of agency history, mission, demographic profile, payer mix, and role as a safety-net provider.
• Assess policy, regulatory, and reimbursement trends affecting safety-net and public hospital systems, particularly within state.
• Evaluate external factors - including federal and state funding mechanisms, regional health system dynamics, and competitive pressures - that influence agency current and future positioning.
• Provide informed perspectives on state and federal initiatives impacting safety-net hospitals and identify advocacy or partnership strategies to strengthen agency long-term viability.
- Service line, workforce, and operational assessment
• Conduct a comprehensive service line analysis, identifying opportunities for growth, realignment, consolidation, or external partnership.
• Evaluate medical staff and graduate medical education (GME) programs for alignment with agency academic and clinical mission, incorporating quality, patient outcomes, and acuity data.
• Review current certifications, designations, and specialty programs for optimization against institutional priorities.
• Assess workforce structure, recruitment, retention, and succession planning strategies in collaboration with civil service representatives.
• Recommend position titling, training, and workforce modernization strategies to enhance organizational flexibility and performance.
- Equity, community engagement, and stakeholder strategy
• Design and implement a comprehensive community engagement process, ensuring participation by patients, residents, community-based organizations, elected officials, and advocacy groups.
• Integrate health equity and social determinants of health into the strategic framework and performance measures.
• Demonstrate proven experience in equity-driven strategic planning, including measurable approaches to improving access, outcomes, and community trust.
• Develop stakeholder maps and engagement strategies that align with agency public mission and transparency expectations.
- Financial and market analysis
• Perform a comprehensive financial assessment, including analysis of revenue mix, expense structure, balance sheet strength, and cost-containment opportunities.
• Develop detailed financial modeling scenarios to project the impact of hr1, utilization shifts, supplemental payment changes, and reimbursement reform.
• Conduct market and competitive analyses, including leakage, referral patterns, and partnership or joint-venture opportunities.
• Evaluate Medicaid and medicare reimbursement structures, state financing mechanisms, and potential pathways for increased funding or value-based arrangements.
• Provide actionable recommendations to improve agency financial resilience and long-term sustainability.
- Real estate and capital strategy
• Conduct a facilities and capital assets review, including space utilization, condition assessment, and alignment with clinical service needs.
• Evaluate the housing campus and nursing home facility, identifying modernization, repositioning, sale, or partnership options to maximize community impact and financial performance.
• Align the capital investment strategy with service line priorities, facility master planning, and transformation initiatives.
- Implementation and measurement framework
• Facilitate development of an implementation roadmap with milestones, metrics, and accountability structures.
• Identify required operational, cultural, and financial enablers for plan execution.
• Recommend data analytics frameworks and dashboards for tracking progress, performance, and outcomes.
• Develop change management and communication strategies to ensure alignment and sustained execution.
- Governance, board, and leadership alignment
• Facilitate board and executive workshops to align strategic priorities, governance responsibilities, and oversight structures.
• Recommend a governance and reporting framework that links performance metrics to board oversight and decision-making.
• Provide guidance on communication and accountability protocols between leadership, management, and external stakeholders.
• Offer best-practice insights on board engagement and strategy execution from comparable public health systems.
- Risk, compliance, and organizational resilience
• Identify key internal and external risks—financial, operational, regulatory, and reputational—that could impede plan implementation.
• Evaluate compliance and funding dependencies, including those linked to Medicaid, labor, and regulatory obligations.
• Recommend risk mitigation strategies, contingency planning, and monitoring frameworks.
• Support agency in embedding risk management practices into the overall strategic performance structure.
- Questions/Inquires Deadline: December 19, 2025
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