Spreadsheet: 8e8a71e1-016b-49c8-a067-5617a4e80b64
Sheet: Attachment A

STATE OF ARKANSAS
REQUEST FOR QUALIFICATION FOR PCMH CARE COORDINATION SUPPORT
RFQ NO: SP-13-0162
Attachment A: Checklist for goals
Instructions
In this attachment, respondents should attest to whether they at least plan to perform or offer services to achieve all of the goals.  Intent to achieve all of the goals is the minimum bar that respondents must meet.  If a respondent expresses that it “will not perform or offer” services towards any one of the goals, then the respondent is disqualified from this procurement.  Vendor(s) should provide a complete and descriptive response to Attachment A (Excel file located on the OSP website) of the RFQ regarding the goals described in Section 2.7.
 |  | Status
Checklist for Goals |  | Already perform/offer | Plan to perform/ offer | Will not perform/ offer
Capabilities
C1 | Help the care team to prioritize groups of patients with high-risk conditions who warrant increased care coordination support | ⃝ | ⃝ | ⃝
C2 | Collaborate with the care team to ensure coordinated care plans for shared patients that incorporate perspectives from providers, family, and peer supports and in an evidence-informed manner | ⃝ | ⃝ | ⃝
[NAME] | Facilitate the execution of care plans by the care team and medical neighborhood | ⃝ | ⃝ | ⃝
C4 | Help patients become informed, take accountability in the execution of their care plans, and become responsible healthcare consumers | ⃝ | ⃝ | ⃝
C5 | Document care coordination activities and track performance to inform quality and process improvement | ⃝ | ⃝ | ⃝
C6 | Identify and remedy medical neighborhood barriers to coordinated care at the practice-level | ⃝ | ⃝ | ⃝
Staffing approach
S1 | Hire, train, and deploy practice transformation staff who will deliver service in-person at least once per month | ⃝ | ⃝ | ⃝
S2 | Service providers in all regions of the state | ⃝ | ⃝ | ⃝
S3 | Establish an in-state management presence | ⃝ | ⃝ | ⃝
Payer collaboration
P1 | Offer similar service options to all providers regardless of payer pool(s) | ⃝ | ⃝ | ⃝
P2 | Integrate platforms and workflows across multiple payers | ⃝ | ⃝ | ⃝
P3 | Maintain compliance with HIPAA with regard to claims data provided by other contracting payers, as well as confidentiality of information proprietary to participating payers | ⃝ | ⃝ | ⃝
Complementary SIP efforts
Co1 | Align with care coordination work | ⃝ | ⃝ | ⃝
Co2 | Align with Health Homes (when implemented) | ⃝ | ⃝ | ⃝
Co3 | Align with episode-based care | ⃝ | ⃝ | ⃝
Co4 | Align with enabling initiatives (i.e., payment innovation, healthcare workforce development, consumer engagement and personal responsibility, and health information technology adoption) | ⃝ | ⃝ | ⃝
Commitment to other elements of AR health system transformation
O1 | Commit to and innovate for statewide primary care transformation | ⃝ | ⃝ | ⃝
Value and appropriateness of offerings
V1 | Provide comprehensive value through services that are affordable, and with a fair and transparent pricing structure | ⃝ | ⃝ | ⃝
Tools and technology
T1 | Leverage tools and technology to improve efforts to educate patients | ⃝ | ⃝ | ⃝
T2 | Leverage tools and technology to improve efforts to conduct targeted outreach | ⃝ | ⃝ | ⃝
T3 | Leverage tools and technology to improve efforts to support clinical decision-making | ⃝ | ⃝ | ⃝
T4 | Leverage tools and technology towards other care coordination goals defined by the | ⃝ | ⃝ | ⃝
Innovation strategy
I1 | Establish a vision for how to innovate beyond the current goals | ⃝ | ⃝ | ⃝
I2 | Develop an operational plan for how to innovate beyond the current goals | ⃝ | ⃝ | ⃝