The vendor is required to provide cost-effective and quality health clinic services for eligible district employees and their dependents.
- Clinic operations
• The service provider shall establish, manage, and operate the employee health clinic.
• The clinic shall be a near site clinic via a space provided by the service provider.
• It is expected the service provider will provide the staffing and medical supplies needed to open and maintain the clinic.
• The clinic shall be in a convenient, easily accessible and safe location for use by district employees and their dependents.
• The clinic shall be a permanent location within the boundaries of district, with the option of additional locations in fort city limits.
• Ability to provide 7,000+ urgent care visits annually. the average number of urgent care visits over the past 3 years has been 4,500 per year.
• However, prior to covid the average annual visits were 6,500.
• It’s expected utilization will continue to increase to a higher level.
• The clinic shall provide hours of operation that are convenient for district employees and their dependents.
• Clinic operating hours shall be at a minimum Monday – Friday, 7 a.m. to 7 p.m. and Saturday – Sunday, 9 a.m. to 5 p.m.
• The clinic shall be staffed with at minimum a nurse practitioner.
• A physician’s assistant would be valuable.
• Additional staff shall be available based on clinic utilization.
• The clinic shall be a “walk-in” clinic with no appointment required for care
• The clinic shall meet 60 minute or less door to door performance expectation.
• The clinic shall coordinate with the employee and employee’s/dependent’s primary care physician within 48 hours.
• The clinic shall provide reports, lab results, and treatment regimen to primary care physician.
• The clinic shall provide 30 day-initial prescriptions.
• Clinic shall report and communicate with district designated third-party claims administrator for health care services to include but not limited to utilization management programs, member appeals, and claims and referral procedures.
• Clinic shall report and communicate with district employee assistance services (EAS) for mental and behavioral health services including but not limited to referrals, provider access, and treatment planning.
• Clinic shall maintain medical records in such form that meets acceptable standards of medical practice, medical record keeping, district policies, and applicable federal, state, and local statutes, rules, regulations, and ordinances.
- Clinical services
1. The clinic shall provide virtual/telehealth options.
2. The clinic shall provide the following services:
• Infections such as bladder, ear, eye, respiratory, sinus
• In-office point of care labs: rapid strep throat antigen testing, urine analysis, stool hemoccult, mononucleosis rapid antigen testing, urine pregnancy testing, finger stick glucose, rapid influenza antigen testing, rapid covid testing
• Minor fractures and lacerations including fiberglass and plaster splinting supplies
• Sore throat, cough, cold, and flu
• Sprains and strains
• Skin disorders such as acne, rashes, bites, bee stings, sunburn
• Gastrointestinal disorders such as vomiting, diarrhea, heartburn, abdominal pain
• Headaches
• Immunizations
• Mild asthma exacerbations
• Minor burn care
• Minor surgical procedures such as wart removal, ear irrigation, nail avulsion
• Physical exams
• Radiology imaging (obtaining image only)
• Select generic medications – generally medications used to treat the most common acute ailments
• Outlines all service expectations to be included under the clinic services.
• Provide a detailed response as to how your company will handle these service expectations
- Staffing
• Service provider is responsible for ensuring certification requirements/scope of practice for clinic providers.
• Provide a proposed staffing plan and include staff positions and working hours per week.
• The staffing plan should address key contacts, any potential workload issues, and a plan to provide back-up to the team during vacations, illness and other absences.
- Billing
• Ability to submit claims to third party claims administrators or insurance companies even though payment for clinic services is based on a capitated rate (per employee per month).
• Billing issues shall be resolved within 30 days of the initial complaint.
- Marketing
• Provide a narrative detailing the approach, methodology and activities that will be taken to encourage employee utilization of the clinic
- Outcomes and success
• Please describe how you propose measuring the outcome and success of the clinic tracking the following:
1. Clinic utilization
2. Participant satisfaction
3. Changes in cost of care
• Provide examples of “return on investment” reporting that you have provided to past clients including the explanation of calculations and methodology in the following categories:
1. Cost per visit
2. Medications
3. Emergency room avoidance
4. Overall claims spend.
- Contract Period/Term: 1 year
- Questions/Inquires Deadline: April 10, 2025