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REQUEST FOR PROPOSALS: Puerto Rico/USVI Situational Analysis

Tuesday, December 11, 2018  

Proposal Date: Monday, December 3, 2018 

RFP ID#: PRUSVI223

Proposal Closing Date: January 11, 2019

Eligibility Requirements: 

* Demonstrated proficiency in community-based participatory research and approaches to addressing health disparities within vulnerable and multicultural populations.
* Proven capabilities to effectively and efficiently complete a healthcare system situational analysis (or equivalent process) with vulnerable population groups from different geographic regions and cultures, using a participatory approach. 
* Preference will be given to a local Puerto Rico (PR) or US Virgin Islands (USVI) entity and bi-lingual staff with proven capability to efficiently and effectively complete the scope of work.

Overview: 
The burden of chronic disease, particularly diabetes and cardiovascular disease (CVD), is increasing in the US territories (e.g., Puerto Rico [PR] and US Virgin Islands [USVI]). US territories also lag behind US states in diabetes care practices and hospital-based care processes. Additionally, PR and USVI suffered significant damage to their healthcare systems from Hurricanes Irma/Maria, causing limitations on access and gaps in services that have led to worsened chronic conditions, such as diabetes and hypertension. An April 2018 report by the Henry J. Kaiser Family Foundation (Issue Brief), shows that, while post-hurricane recovery efforts are underway, PR and USVI healthcare systems face challenges related to infrastructure and supplies (i.e., rebuilding hospitals/clinics, telephone /internet connectivity, IT infrastructure and hardware), health professional staffing (i.e., personal hardships post hurricane), and health services and functions (i.e., community outreach, pharmacy, and on-site diagnostic services). 

Since 2009, the Pacific Chronic Disease Council (PCDC), a council of NACDD, has provided leadership in the development of the Pacific Care Model (PCM) and Non-Communicable Disease (NCD) Collaborative, patterned after the Health Resources and Services Administration's (HRSA) Health Disparities Collaborative, that proactively targets healthcare system change, expansion of population outreach, and public health leadership capacity building. The Pacific NCD Collaborative has shown promising outcomes within the US Affiliated Pacific Island jurisdictions (USAPI) and continues to gain endorsement from the public health leadership as an effective strategy for healthcare system transformations that lead to improved healthcare quality. 

Building on the success of the USAPI NCD Collaborative, the PCDC seeks to share experiential learning and technical assistance to establish (or re-establish) similar NCD Collaboratives in PR and the USVI. To accomplish this, PCDC will engage a contractor to facilitate a situational analysis of PR/USVI healthcare systems and develop an outcomes report. The situational analysis will examine the healthcare environments, strategies, leadership, assets, and other characteristics that could influence the readiness for establishing (or re-establishing) a Collaborative Model within the region. 

Background: 
The National Association of Chronic Disease Directors (NACDD), a 501(c)3 non-profit organization, is a capacity-building organization and for almost 30 years, has been providing support and technical assistance to state health departments (SHDs), including territorial health departments. The mission of NACDD is to improve the health of the public by strengthening the state-based leadership and expertise for chronic disease prevention and control in states and at the national level. The mission of the PCDC is to bridge the gap in disparities by reducing the chronic disease burden, mobilizing resources, and recognizing the uniqueness of our communities and people

Since 2009, the PCDC has provided leadership in the development of the USAPI NCD Collaborative, patterned after the Health Resources and Services Administration's (HRSA) Health Disparities Collaborative, that proactively targets healthcare system change, expansion of population outreach, and public health leadership capacity building. 
                                                                                                                  The USAPI NCD Collaborative supports a participatory process that promotes co-learning and supports collaborative and equitable partnerships, building the skills and strengths of local leadership responsible for health. This approach helps to 1) develop shared outcomes and indicators of success, 2) identify promising practices, 3) builds local leadership capacity, and 4) allows for meaningful dialogue about challenges and solutions to improve systems of care. 

Project Description: 
PCDC/NACDD seeks a contractor to facilitate a situational analysis of PR/USVI healthcare systems readiness for establishing (or re-establishing) a Collaborative Model, patterned after the USAPI NCD Collaborative. The situational analysis, using a participatory approach, will engage key public health and clinical care leaders from PR/USVI and other stakeholder groups, during a 3-day, in-person meeting. It is expected that the situational analysis will: 
1. Provide a better understanding of the post-hurricane recovery process and challenges that the territories continue to face; 
2. Assess and integrate prior assessments, evaluations, and archival data completed in the region (such as NACDD STAR assessments, and other surveys); and 
3. Proactively engage PR/USVI in strategic design for a Collaborative Model, tailored within the local context, to transform healthcare systems and improve patient outcomes. 

The contractor will be selected based on:
*demonstrated knowledge of community-based participatory research and approaches to addressing health disparities within vulnerable and multicultural populations and 
*proven capabilities to effectively and efficiently complete a healthcare system situational analysis (or equivalent) with vulnerable population groups from different geographic regions and cultures, using a participatory approach. 
Preference will be given to a local PR/USVI entity and bi-lingual staff with proven capability to efficiently and effectively complete the scope of work.

Scope of Work:
Through the situational analysis, the contractor is expected to: 
*Develop a process for facilitating a situational analysis; 
*Uncover the challenges that the PR/USVI healthcare systems continue to face during the post-hurricane recovery process;
*Identify limitations on access to and gaps in NCD healthcare systems in PR/USVI;
*Map the perceptions (of key PR/USVI leaders) related to healthcare system transformation targeting improvements in NCD prevention and management;
*Identify existing strategies and potential opportunities for establishing (or re-establishing) a Collaborative Model to expand healthcare transformation and address NCD prevention and management; and
*Identify the local healthcare systems that could be successful piloting a PR/USVI NCD Collaborative Model.

Timeline:

DESCRIPTION/DUE DATE 
Release Request for Proposal 12/3/18
Proposals due 1/11/19
Notice of contract award 2/11/19
Project workplan, approach and timeline due 2/22/19
Situational analysis complete  4/30/19
Draft summary report on findings and recommendations 5/17/19
Complete all deliverables 6/30/19

Expected Performance Period: February 2018 - June 30, 2019 

RFP Content Requirements:
Proposals should be no longer than 5 pages, (excluding appendices) and include the following: 
1. A description of the strategy the contractor will use to facilitate a situational analysis, using a participatory approach with leaders from PR/USVI and other stakeholders. 
2. A timeline that describes key activities with milestones the contractor will undertake to achieve project deliverables by June 30, 2019. The milestones must include interim phone and email contact to discuss project updates with NACDD project consultants and key stakeholders.
3. A proposed outline for the situational analysis outcomes report. 
4. A detailed budget inclusive of all fees for personnel. 
5. A description of the contractor's prior experience that demonstrates its ability to complete a healthcare system situational analysis (or equivalent process) with vulnerable population groups. Examples of previously developed situational analysis are welcomed.  
6. Three client references to include reference name, organization, phone number, email address and context of relationship (client, previous employer, etc.) 
7. Biographical sketches of proposed staff, by name, title, and functional project role. 
8. Resumes of key staff should be included in the appendices section of the proposal. 

Deliverables:
The contractor is expected to:

1. Develop workplan for facilitating a situational analysis using a participatory approach with key public health and clinical care leaders from PR/USVI, and other stakeholder groups, during a 3-day, in-person meeting. Location TBD. 

 2. Produce a report documenting the outcomes and key findings of the situational analysis. The report should be inclusive of:

o Executive Summary 
o Overview of process used for situational analysis 
o Qualitative and quantitative outcomes of the analysis and recommendations
o Synopsis of Participant Evaluations 
o Appendices (agenda, participant lists, relevant data sources to include charts, graphs, etc.) 

3. Present report and recommendations to regional public health and clinical care leadership and other key stakeholders. 
4. Other as negotiated based on the outcomes of the situational analysis. 

Submission Process: 
The proposal must be delivered by the close of business on Friday, January 11, 2019 by email to Tasha Moses, MPA, Consultant, National Association of Chronic Disease Directors at tmoses@chronicdisease.org. On the email subject line please include the name of your organization and RFP ID# (shown above). 

Process for questions: 
Questions related to this RFP should be emailed to Tasha Moses at tmoses@chronicdisease.og. Please include the RFP ID# in the subject line. Questions will be answered within 4 business days via email with a return email acknowledging receipt requested. 

Evaluation Criteria:
Responsive proposers who meet the minimum RFP qualifications will be evaluated based on the
following criteria and ratings (up to 100 points [pts.]):
1. Compliance with requirements of the RFP. (15 pts.)
2. Relevant knowledge of community based participatory research principles, facilitation skills, ability and experience to engage vulnerable and multicultural populations using a community-based participatory approach. (30 pts.)
3. Approach (process and workplan) to complete situational and develop outcomes report. (40 pts.)
4. Results of communication with references. (15 pts.)

While we sincerely appreciate all applications, only proposals that fully meet the evaluation criteria will be selected for review.


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