HomeMy WebLinkAboutExhibit A - Scope of Services (Street Medicine) (CLEAN)-c1EXHIBIT A
Scope of Services
Disclaimer: The Scope of Services is reflective of Healthcare in Action’s customary operational practices based on their experience of similar service programs.
Healthcare in Action Inc. Street Medicine Program
Contract Term: 24 Months
Total Amount: $600,000
Within thirty (30) calendar days of the Effective Date of this Agreement, Consultant shall submit a comprehensive Street Medicine Operations Plan to the City for review and approval.
The Operations Plan shall include, at a minimum:
Program staffing and organizational structure;
Hours and geographic areas of operation;
Service delivery protocols;
Coordination with the City's Housing & Homelessness Division and other community partners;
Safety and emergency response procedures;
Documentation and data reporting procedures;
Quality assurance and performance monitoring;
HIPAA compliance and medical record management; and
Any other operational procedures reasonably requested by the City.
Program Objectives
Healthcare In Action, Inc. (Contractor) will operate a Street Medicine Program in the city of San Bernardino, delivering mobile medical care, providing full-scope primary care, and offering
supportive services to individuals experiencing homelessness and living in encampments. Services will prioritize high-acuity individuals and aim to unhoused individuals annually.
Program Site Location
The Contractor will operate the program in the City of San Bernardino. The Program will operate Monday-Thursday or Tuesday – Friday, 8:00 am to 5:00 pm.
Program Services
The Consultant shall meet the following minimum annual performance targets:
Services
Contractor shall provide the following services:
Full scope primary medical care;
Addiction counseling and medication-assisted treatment;
Psychiatric care, including medication management;
Laboratory testing;
Point-of-care ultrasonography;
Medication dispensary/delivery of medications from pharmacies;
Referrals and transportation to medical specialist appointments;
Enrollment in the Coordinated Entry System;
Other social services, including support with food stamps, disability, and other social services program applications
Persons Served
In a one (1) year period, Contractor will provide at least 75 unique unhoused individuals in the community with medical, mental health, addiction, and case management services, with
a maximum caseload of 45 patients at one time (new patients are enrolled when existing patients “graduate” to a stable environment in which they no longer require street medicine).
Contractor will seek grants, public support, and other funding to fill in ongoing gap in programmatic costs.
Program Eligibility
The Program will target individuals experiencing homelessness living in street encampments. However, the following criteria may not be used to determine Program eligibility:
Requirement to take medication if the individual has a mental illness;
Participation in religious services or activities;
Participation in drug treatment services (including AA/NA);
Payment of ability to pay;
Identification; or
The city in which the individual or household was last stably housed, although there in an intended focus to serve individuals or households last stably housed within the City of San Bernardino.
Program Components
Contractor will provide:
A program with low barriers to entry and operations.
Coordination with and referrals to County, State, and Federal programs, as well as nonprofits and social service agencies, as appropriate.
Outreach Coordinator(s) who will, at a minimum:
Be trained to identify eligible Program participants.
Contact and refer to reliable resources (relative, close friend, treatment facility, shelter, rapid rehousing provider, etc.) to maximize the opportunity for a successful transition
out of homelessness.
iii. Follow-up communications with participants at regular intervals to ensure they remain stabilized.
Program Data & Reporting Requirements
The Homelessness Management Information System (HMIS) is a local information technology system used to collect client-level data and data on the provisions of housing and services to
homeless individuals and families and persons at risk of homelessness. Each Continuum of Care is responsible for selecting an HMIS software solution that complies with UD’s data collection,
management, and reporting standards. San Bernardino County regional HMIS software is called Clarity. Contractor shall record all data (client information and outcomes) in the RTFH-approved
HMIS system, reporting for comparison and review.
The Contractor will comply with the HMIS Policies and Procedures in effect during the Agreement Term, including those for data collection, data entry, data quality, standards for missing
data, incomplete data, and timeliness of data entry.
The City will be listed as a program administrator once the Program has been enrolled in HMIS and registered with the RTFH.
Any health information provided to, or maintained within HMIS, shall not be subject to public inspection or disclosure under the California Public Records Act (Chapter 3.5 (commencing with
Section 6250) of Division 7 of Title 1 of the Government Code). For purposes of this paragraph, “health information” means “protected health information,” as defined in Part 160.103
of Title 45 of the Code of Federal Regulation, and “medical information,” as defined in subdivision (j) of Section 56.05 of the Civil Code. The City may, as required by grant funders
or otherwise, amend or modify required data elements, disclosure formats, or disclosure frequency.
Track and report unduplicated individuals served;
Submit monthly performance reports, including:
Total contacts and encounters
Unduplicated individuals served
Types of medical and behavioral health services
Housing referrals and outcomes
Maintain data in HMIS and/or approved health systems
Participate in quarterly performance reviews
Performance Accountability
Failure to meet the minimum threshold of unduplicated individuals annually or other key benchmarks may result in:
Corrective Action Plan
Increased Monitoring
Contract modification or reallocation of funds
Program Outcomes
All program progress must be documented to the City through recurring reports (i.e. monthly, quarterly, and term-end) in a form, format, and submission timeline determined by the City.
Delays in responding to inquiries from the City regarding recurring reports may result in an action of noncompliance.
If stated benchmarks as defined below are not met, Contractor may be required to submit a performance improvement plan in a form and format determined by the City.
For the Agreement term, Contractor must use good faith efforts to accomplish the following primary Program outcomes and targets:
Goal: By the end of the 24-month contract period, the Contractor will demonstrate measurable improvement in the Quality of Life for at least 70% enrolled clients through increased access
to healthcare, basic needs, and stability supports, as documented through case notes, service records, and standardized assessments.
PERFORMANCE, OUTPUTS & OUTCOMES
MEASURES
TARGET
The City reserves the right to amend the Agreement to modify or add new performance metrics based on any revised guidance from RTFH or subject matter experts hired by the City to provide
technical assistance.
Number of Persons Served
Persons Served
At least 150 individuals from date of execution – August 31, 2028
(75 individuals during a period of one (1) year)
System Coordination
Resource Referrals
Reporting Only
Need for Mental Health or Substance Use
Number of Individuals who self-report as having mental health issues, and impairment caused by alcohol use, or an impairment caused by drug abuse
Reporting Only