The Vendor is required to provide enterprise credentialing, privileging, and medical staff functions technology system.
- The ideal system will be able to manage enterprise-wide required credentials, privileges, state licensure, certifications, provider enrollment, etc.
- Selecting a product that standardizes enterprise-wide credentialing and privileging business functions.
- Selecting a product that will automate the credentialing and re-credentialing process including applications for initial appointments, reappointments, and verification.
- Selecting a product that will improve interoperability using a streamlined platform by integrating provider data across the network.
- Selecting a product that will support the enterprise-wide operations with collecting and managing practitioner data following regulatory requirements and communicating with the practitioners.  - Selecting a product that has the ability to integrate with complex organizational structures and multiple technology platforms.
- Selecting a product that has ability to assist in reducing exposure to overall risks that include, but are not limited to financial, pandemic, cybersecurity, and talent.  -  System must support compliance with the joint commission (TJC), committee and center for medicare and medicaid services (CMS).
- System must be customizable/flexible and implemented according to county requirements.
- System must be commercially available “turnkey”, either intended to be hosted onsite, installed, implemented, and maintained by county or hosted by an application service provider (asp) for which county would subscribe to the service/software (i.e. a software-as-a-service, SaaS, offering)system will deliver maximum software/infrastructure performance with best practice up-time and system availability.
- System will demonstrate leading security, data integrity, and cyber prevention leading practices.
- System must have capability to interconnect with financial and electronic health records systems to include practitioner-specific data that will integrate with the privileging process.
- System must have capability to overcome challenges related to primary source verification of licensure and certification with systems using completely automated public turing test to tell computers and humans apart (captcha) and other cyber safety in place.
- System must have ability to generate standard and customized reports.
- Ability to provide automation for ongoing primary source verification of medical staff for credentialing, privileging, and licensing.
- Ability to initiate and update provider enrollment applications electronically for initial enrollment, re-enrollment and revalidations
- Maintain multiple, customized master group rosters tailored for the specific data elements required by each payer/pay or.
- System must integrate with internal/external systems to import and export various data components (for e.g.: PeopleSoft, epic, SQL database, fire, etc.)
- System must automate data integrations and processing of source data on an as needed or scheduled routine basis.
- System must have a stable, documented, supported restful application programming interface (API) that allows for secure read/write access to the underlying data in standard formats (i.e. JSON, xml, etc.) and enforces proper permissions and workflows.
- System must promote best practice tools that allow for effective master data management and efficient data reconciliation with fast processing speeds.
- System must allow users the ability to set-up and utilize role-based user access control that aligns with county system access and data security standards.
- System must include and have the ability to configure to the state standardized credentialing application and managed care payor application templates to meet legal and managed care payor requirements.
- System must allow for electronic review and electronic signatures for all phases of the established processes (i.e. credentialing processes, provider enrollment processes, termination processes, licensing processes, etc.).
- System must have the capability to import data stored in other institutional structures (i.e. people soft, taleo, etc.).
- System must have the ability to capture primary source verification of credentialing data as required by TJC, CMS and committee, including but not limited to;
• Status of imported data,
• Source of verified data,
• Documentation of end user authentication of verified data and date of verification. - System must have the ability to create a chronological, historical inventory of information contained in the provider record on an as needed basis.
- System must have the ability to create customized provider profiles mimicking data stored in system dashboards.
- System must provide standard and customized reports along with audit and reconciliation abilities.
- Solution must be able to provide productivity reports, turnaround time reports, and error reporting.
- System must have the ability to manage provider enrollment requirements for a minimum 5,000 licensed providers who render services to county patients that are members of third-party payers such as medicaid, managed medicaid, medicare, managed medicare, commercial markets, etc. this includes enrollment in those plans that are contracted on a roster-based system.
- Support file reconciliation and audit activities on an ongoing and periodic basis for credentialing, licensing, and provider enrollment services.
- Support active communication with county personnel on daily operations related to the medical staff, credentialing, privileging and provider enrollment processes with the individual practitioner.  - Support availability options for cancer center end users and administrators during normal business hours, and on an as-needed, emergent basis.
- Comprehensive problem response and resolution methodology; such problem response and resolution methodology shall identify standard and urgent support hours, methods of reporting problems, methods of providing support, major downtime, etc.