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COST ANALYSISS FIRST YEAR

MOBILE CLINICFIXED CLINICCLINICAL and ADMINISTRATIVE CLINIC SUPPORT (for all clinics)

Salaries and Wages:Salaries and Wages:Salaries and Wages

CEO$ 167,000.00

Clinic Director/Provider$ 165,000.00Clinic Director/Provider$ 165,000.00Medical Director$ 225,000.00

RN$ 120,000.00RN$ 120,000.00Information Tech.$ 62,000.00

MA$ 52,000.00MA$ 52,000.00Website and Graphic Designer$ 53,000.00

Administrative$ 45,000.00Administrative$ 45,000.00Operations Director & Procurement Manager$ 76,000.00

Commercial Licensed Driver$ 60,000.00Funding and Compliance Manager$ 76,000.00

Total$ 442,000.00Total$ 382,000.00Program Manager$ 53,000.00

Community Outreach Manager$ 53,000.00

Rent and UtilitiesRent and UtilitiesFinance Manager & Administrative Assistant$ 68,000.00

HR Manager$ 68,000.00

Mobile Clinic Lease$ 180,000.00Lease (3,000 sf)$ 75,000.00Quality Assurance manager$ 45,760.00

Fuel$ 32,500.00Utilities$ 12,000.00$ -

Maintnance$ 3,200.00Maintnance$ 3,200.00$ -

Mobile Phone / Internet$ 1,500.00

Total$ 217,200.00Total$ 90,200.00Total$ 946,760.00

Medical Supplies and PharmacuticalsMedical Supplies and Pharmacuticals

Rent and Utilities

Medical Supplies$ 62,000.00Medical Supplies$ 62,000.00

Pharmaceutcals$ 50,000.00Pharmaceutcals$ 50,000.00Lease (1,500 sf)$ 37,500.00

Contraceptives$ 80,000.00Contraceptives$ 80,000.00Utilities$ 8,400.00

Lab Testing Supplies$ 84,000.00Lab Testing Supplies$ 84,000.00Maintnance$ 1,500.00

Total$ 276,000.00Total$ 276,000.00

Total$ 47,400.00

Equipment & MaintnanceEquipment & Build-out

Build-out$ 82,000.00General

Equipment$ 28,000.00Equipment$ 65,000.00Advertising$ 18,000.00

Maintenance$ 5,000.00Maintenance$ 5,000.00Staff Training$ 8,000.00

Lab Equipment$ 65,000.00Lab Equipment$ 65,000.00Office Supplies$ 2,000.00

IT$ 18,000.00Software Licenses$ 5,000.00

Total$ 98,000.00Total$ 235,000.00Misc Contingecy$ 25,000.00

Frindge benefits$ 186,890.00

GeneralGeneralIT$ 2,500.00

IT$ 5,500.00IT$ 8,500.00Total$ 247,390.00

Staff Training$ 8,000.00Staff Training$ 8,000.00

Outreach Materials$ 12,500.00Outreach Materials$ 12,500.00Grand Total$ 1,241,550.00

Office Supplies$ 1,500.00Office Supplies$ 2,000.00

Software Licenses$ 7,000.00Software Licenses$ 7,000.00Mobile Clinic #1$ 1,161,460.00

Misc Contingecy$ 25,000.00Misc Contingecy$ 25,000.00Mobile Clinic #2$ 1,161,460.00

Frindge Benefits$ 68,760.00Frindge Benefits$ 68,760.00Fixed Clinic #1$ 1,114,960.00

Total$ 128,260.00Total$ 131,760.00Fixed Clinic #2$ 1,114,960.00

Grand Total$ 1,161,460.00Grand Total$ 1,114,960.00Grand Total- All clinics & Support$ 5,794,390.00

Instructions: Provide detailed responses in the text boxes to the questions below. If additional attachments are required as specified below, submit the attachments in the order they are requested below. There is no page limit for this Appendix D – Technical Response to Questions or any associated attachments.

Vendor Name

On-site Medical Services

 

  1. What is your organization’s experience providing sexual and reproductive health services? Include a summary of the services currently provided. If your organization is not currently providing specific SRH clinical services but plans to as a result of this contract to the populations identified in Section 1.4.4, please list the services and describe each in narrative form.

Organization's Experience in Providing Sexual and Reproductive Health Services

On-site Medical Services, through its sister company, has been a trusted provider of comprehensive sexual and reproductive health services for over a decade. Our healthcare team has extensive experience in offering inclusive care to a diverse clientele, including LGBTQ+ and heterosexual individuals. We focus on serving underinsured, less-educated, and blue-collar communities.

 

Summary of Services Currently Provided

Gynecological Services:

  • Birth Control Management: We offer a comprehensive range of contraceptive options, including oral contraceptives, injectables like Depo-Provera, and long-acting reversible contraceptives such as IUDs and Nexplanon.

  • Pap Smears and Pelvic Exams: Available for individuals over 21 and all sexually active females, irrespective of age.

  • STI Treatment and Prevention: Comprehensive STI screening and treatment, including injectable antibiotics at diagnosis.

  • Infertility Services: We provide initial infertility assessments and short-term treatments before specialist referrals.

 

Pregnancy Services:

  • Preconception Counseling: Includes comprehensive lab work, prenatal vitamin initiation, and lifestyle modification guidance.

  • Pregnancy Testing and Early Care: Comprehensive prenatal care, including lab work and pelvic exams.

  • Continued Non-Obstetric Care: We see pregnant patients for non-obstetric-related needs, including unplanned and unwanted pregnancies, providing them with the necessary support and referrals.

 

 

Urological Services:

  • Testosterone Therapy: Comprehensive care for individuals requiring testosterone replacement.

  • Vasectomy Referrals: Referrals to qualified specialists for vasectomy procedures.

Services for LGBTQ+ Community:

  • Comprehensive STI Testing: Includes oral, anal, and genital testing.

  • Vaccination: Hepatitis A and B vaccinations.

  • Pre-Exposure Prophylaxis (PrEP): For HIV risk and prevention.

 

Pediatric Services:

Comprehensive Newborn to Adolescent Care: Includes immunizations, developmental assessments, and point-of-care testing for various conditions.

 

 

Planned Services for Populations Identified in Section 1.4.4

If awarded this contract, On-site Medical Services plans to expand its offerings to include:

  • Telehealth Services: To make healthcare more accessible, especially for populations hesitant to seek in-person care.

  • Mobile Clinics: To serve remote and underserved communities, addressing transportation barriers.

  • Rapid PCR Screening for STIs: For immediate and accurate diagnosis, aiming to curb the spread of infections.

  • Community Outreach Programs: Utilizing platforms like radio, TV, and social media to educate the community on sexual and reproductive health.

 

Our extensive experience and commitment to providing comprehensive and inclusive care positions us as a strong candidate for this contract. We are fully prepared to meet the requirements and performance measures outlined in RFP-2024-DPHS-05-REPRO.

 

 

 

 

 

 

 

 

 

 

 

 

 

  1. What is your organization’s capacity to provide services in this RFP to the covered populations in your proposed area?

 

 

 

  1. Does your organization have the capability to provide same-day insertion of LARC methods and same-day contraception access? If your response is no to either, include and explain the length of time required. Specify which contraceptive methods are in stock and which methods require a referral.

Same-Day Insertion of LARC Methods

  • Capability: Yes

  • Details: On-Site Medical Services offers immediate insertion for the following Long-Acting Reversible Contraception (LARC) methods::

    • I Intrauterine Device (IUD): Both hormonal and non-hormonal variants

    • Nexplanon (subdermal implant)

    • Injectable Depo Provera (150 mg every 3 months)

 

Implementation Plan:

  • Comprehensive pre-insertion consultation, including a pregnancy test, to determine the most suitable LARC method for the patient.

  • Immediate availability of devices in stock to ensure same-day service.

  • Highly skilled healthcare providers who have undergone specialized training in LARC insertion techniques.

  • Post-insertion care and follow-up appointments to monitor patient well-being.

 

Same-Day Contraception Access

  • Capability: Yes

  • Details: We provide immediate access to the following contraceptive methods:

    • Oral contraceptives: Monthly, quarterly, dual hormone, and single progesterone options

    • Condoms: Both male and female variants

    • Emergency contraception: Plan B

    • Transdermal birth control patches

    • Vaginal contraceptive rings

             

 Implementation Plan:

  • Partnership with local pharmacies for immediate dispensing of contraceptives.

  • The clinic maintains samples on hand for immediate initiation of contraceptive methods.

  • Consultation with healthcare providers to assist patients in selecting the most appropriate contraceptive method.

  • Comprehensive patient education on proper usage, potential side effects, and follow-up care.

 

Contraceptive Methods Requiring Referral

  • Methods:

    • Certain specialized IUDs are not in stock.

    • Permanent methods like tubal ligation or vasectomy.

    • Patient preference for a method not offered on-site.

  • Referral Time:

    • Specialized IUDs: 1-2 weeks for ordering and scheduling.

    • Permanent methods: Immediate referral to specialized clinics for further evaluation and treatment.

 

On-Site Medical Services is committed to providing these services in alignment with the guidelines and requirements outlined in the RFP and its appendices. Our recent accolade, the "New Hampshire Community Health Service Award," attests to our dedication to enhancing the health of New Hampshire residents. We are committed to delivering these services effectively and efficiently to cater to the diverse populations we serve, including those identified in Section 1.4.4 of the RFP.

 

 

  1. Provide your organization’s proposed plan for Outreach and Education. Include efforts to reach diverse populations and how your agency will collaborate with community partners in outreach efforts.

Proposed Plan for Outreach and Education

Introduction

On-site Medical Services is deeply committed to enhancing the sexual and reproductive health landscape in New Hampshire. Our Outreach and Education plan is designed to be inclusive, culturally sensitive, and impactful, ensuring equitable access to high-quality healthcare services. We will actively collaborate with a variety of community partners to amplify our reach and effectiveness.

 

Target Populations

  1. Adolescents and Young Adults

  2. Low-Income Families

  3. LGBTQ+ Community

  4. Ethnic and Racial Minorities

  5. Rural Residents

  6. Elderly Populations

  7. Persons with Disabilities

 

 

Outreach Strategies

Digital Platforms

  1. Social Media Campaigns: Daily posts across multiple platforms like Facebook, Instagram, Twitter, and LinkedIn, featuring interactive quizzes, infographics, and live Q&A sessions.

  2. Webinars: Bi-weekly online sessions featuring healthcare professionals, community leaders, and patient testimonials.

  3. Online Resource Hub: A comprehensive section on our website offering downloadable materials, video tutorials, and an FAQ section.

 

Community Events

  1. Health Fairs: Quarterly health fairs in collaboration with local NGOs, schools, and faith-based organizations.

  2. Workshops: Weekly workshops in schools, colleges, community centers, and religious institutions.

 

 

 

 

 

 

Print Media

  1. Brochures and Flyers: Distributed in public places and mailed directly to households.

 

  1. Local Newspapers: Bi-weekly columns and advertorials.

 

Collaboration with Community Partners

  1. Local Schools: For curriculum-integrated workshops.

  2. NGOs: Partnering for community health fairs.

  3. Local Businesses: For sponsorship and employee education programs.

  4. Faith-Based Organizations: To reach specific demographic groups.

  5. Regional Public Health Network relationships:  For data sharing and collaborative programs.

 

I&E Materials Review and Approval

In compliance with the NH Family Planning Program's I&E Materials Review and Approval Process Policy, we will establish an I&E/Advisory Committee. This committee will review and approve all informational and educational materials to ensure they are factually correct, medically accurate, culturally and linguistically appropriate, inclusive, and trauma-informed.

 

Committee Functions

  1. Review Content: To ensure it aligns with the target population's educational, cultural, and diverse backgrounds.

  2. Frequency of Review: The committee will meet at least twice annually to review and approve all I&E materials.

 

Monitoring and Evaluation

  1. Feedback Forms: Distributed during community events and online sessions.

  2. Social Media Analytics: To measure the reach and engagement of our digital campaigns.

  3. Quarterly Reports: To assess the effectiveness of our outreach strategies.

Conclusion

Our Outreach and Education plan is a comprehensive, multi-faceted approach designed to serve the diverse populations of New Hampshire. We are committed to working closely with community partners to ensure that everyone has equitable access to

 

  1. Provide your organization’s proposed Staffing Plan to perform all requirements included in this RFP. Include an organizational chart, resumes for filled positions, and job descriptions for any vacant positions. In addition, complete Appendix Q, Program Staff List, for each Calendar Year (January 1 – December 31) of the contract period.

 

 

  1. Describe in detail how your organization will document expenditures for this contract if awarded. Please include:

  1. Methods to document all related expenditures including salaries and wages.

  2. A list of internal controls utilized by your entity to ensure separation of funds by program/contract.

If requesting funding for cost allocation or indirect costs:

  1. Provide a detailed outline for any cost allocated expenditures such as rent, occupancy, management overhead, etc.

  2. A description of all costs and related cost development methodology that would be included in an Indirect Line.

On-site Medical Services employs a multi-layered approach to document all related expenditures, including salaries and wages:

  1. Accounting Software: We use specialized healthcare accounting software that allows us to categorize and track expenditures by contract, department, and service type. In addition, we utilize Quickbooks Pro Software to maintain our financial statements and segregate each individual contract per “class.” Our Independent CPA, The Milano Group, PLLC, and bookkeeping team handle data entry, monthly reconciliations, and quarterly reviews. Our CPA makes quarterly adjustments and final adjustments at year-end, such as depreciation, payroll, and reclassing of income and or expenses.

  2. Time Tracking: Employees log their hours using a time-tracking system integrated with our payroll software. This ensures accurate allocation of salaries and wages to the specific contract. Our payroll is being handled by agreement with Gusto Inc., a company that provides our firm's cloud-based payroll, benefits, and human resources management. They file all quarterly and annual payroll returns and deposits with the respective Federal and State authorities and provide all employees with a portal where they can find their paystubs, retirement information, and annual wage reports.

  3. Invoice Management: All invoices related to the contract are scanned and stored digitally. Metadata, such as contract ID and expense category, are added for easy retrieval and auditing.

  4. Monthly Reconciliation: Our finance team conducts monthly reconciliations to ensure that all expenditures are accurately recorded and allocated to the correct contract.

  5. Quarterly Audits: Internal audits are conducted quarterly to review the documentation and ensure compliance with the contract's financial reporting requirements.

 

(b) A list of internal controls utilized by your entity to ensure separation of funds by program/contract.

  1. Dedicated Bank Accounts: Separate bank accounts are maintained for each contract to ensure clear segregation of funds. We practice segregation of duties to create sustainable risk management and internal control for our business.

  2. Approval Workflows: Multi-level approval workflows are in place for all expenditures, ensuring only authorized personnel can approve spending.

  3. Budget Monitoring: Real-time budget monitoring tools track spending against the allocated budget for each contract. Separate Spreadsheets are also maintained to have multiple ways to assess checks and balances.

  4. Financial Audits: Regular internal and external audits are conducted to ensure compliance with financial controls.

  5. Data Access Controls: Our accounting software implements Role-based access controls to restrict who can view or modify financial data.

 

If requesting funding for cost allocation or indirect costs:

(a) Provide a detailed outline for cost-allocated expenditures such as rent, occupancy, management overhead, etc.

  1. Rent and Occupancy: Pro-rated based on the square footage dedicated to the contract's activities.

  2. Management Overhead: Calculated as a percentage of total direct costs, covering executive oversight, HR, and administrative support.

  3. Utilities: Allocated based on usage metrics specific to the contract's operations, such as electricity and internet consumption.

  4. Equipment Depreciation: Costs for equipment used exclusively for the contract are fully allocated, while shared equipment costs are pro-rated.

 

(b) A description of all costs and related cost development methodology that would be included in an Indirect Line.

  1. Direct Costs: Include salaries, benefits, supplies, and other costs directly attributable to the contract. These are calculated based on actual expenditures.

  2. Indirect Costs: Include rent, utilities, and management overhead. These are calculated using a federally approved indirect cost rate.

  3. Cost Allocation Methodology: We use the "Direct Allocation Method" for distributing indirect costs, ensuring that each contract bears its fair share of the overhead costs.

 

By implementing these robust financial controls and documentation methods, On-site Medical Services is fully equipped to manage the financial aspects of the RFP-2024-DPHS-05-REPRO contract in a transparent and accountable manner.

 

 

  1. How will your organization meet the required reporting requirements?

On-site Medical Services is committed to meeting all required reporting requirements as outlined in RFP-2024-DPHS-05-REPRO and its associated appendices. Our organization has a robust data management and reporting infrastructure that aligns with the Family Planning Annual Report (FPAR) 2.0 data elements and other performance metrics specified in Appendix M.

 

Data Collection and Management

  • Electronic Health Records (EHR): Our EHR system fully complies with healthcare data standards, ensuring accurate and secure data collection.

  • Data Integrity: Regular audits will ensure data accuracy and completeness.

  • Staff Training: Our staff will undergo the required trainings as outlined in Appendix N to ensure proper data collection and reporting.

 

Reporting Mechanisms

  • Monthly Reports: We will adhere to the Family Planning Reporting Calendar as specified in Appendix L.

  • Quarterly Performance Metrics: As per Appendix M, we will generate quarterly reports to evaluate performance indicators and measures.

  • Annual FPAR 2.0 Reporting: We will compile and submit the annual FPAR 2.0 report, ensuring all data elements in Appendix K are included.

 

Compliance with Policies

  • Title X Sub-recipient Fee Policy: We will follow the sliding fee scales and fee policies as outlined in Appendix F.

  • IE Materials Review and Approval Process: All educational and promotional materials will be reviewed and approved as per the guidelines in Appendix I.

  • TANF Policy: We will adhere to the TANF policies specified in Appendix O.

 

Innovative Reporting Solutions

  • Real-time Analytics: Our EHR system allows for real-time analytics, enabling us to monitor key performance indicators continuously.

  • Automated Alerts: Automated systems will notify relevant staff of upcoming reporting deadlines and any discrepancies in data.

 

Confidentiality and Security

  • Data Encryption: All sensitive data will be encrypted in compliance with healthcare data security standards.

  • Access Control: Only authorized personnel will have access to reporting data.

 

By leveraging our existing infrastructure and incorporating the guidelines and requirements of the RFP, On-site Medical Services is well-positioned to meet and exceed the required reporting requirements for sexual and reproductive health services.

 

 

  1. What is your organization’s capacity to meet the “FPAR 2.0 data requirements”?

On-Site Medical Services has a robust infrastructure and a proven track record in providing comprehensive medical services to various sectors, including employers, schools, and municipalities. We have been recognized for our significant contributions to public health in New Hampshire, as evidenced by our recent "New Hampshire Community Health Service Award."

 

Technological Capabilities:

  1. Data Collection: We have state-of-the-art data collection systems that can capture a wide range of medical and demographic data, in line with FPAR 2.0 requirements.

  2. Data Security: Our systems are HIPAA-compliant, ensuring the utmost security and confidentiality of patient data.

  3. Data Analysis: Our team of data analysts is proficient in handling large datasets and can perform complex analyses to derive actionable insights.

 

Staff Training & Experience:

  1. FPAR 2.0 Training: Our staff will undergo comprehensive training to understand the FPAR 2.0 data elements and reporting requirements, as outlined in the RFP documents.

  2. Continuous Education: We have a dedicated team responsible for keeping up with updates to FPAR and other relevant regulations.

  3. Our practitioners have been providing reproductive  and primary care health services ,for 11+ years to all age groups, particularly in rural, underserved areas and minorities.

  4. Competency assessment of all medical providers prior to any service to patients.

 

Reporting:

  1. Timely Submission: We have a track record of timely data submission to various stakeholders, and we commit to adhering to the FP Reporting Calendar as specified in the RFP.

  2. Quality Assurance: Before submission, all data will undergo rigorous quality checks to ensure accuracy and completeness.

 

Collaboration:

  1. Partnerships: We have established strong relationships with specialists, providers, and clinics throughout New Hampshire, facilitating seamless service integration.

  2. Community Linkages: In line with the Family Planning Performance Measure #7, we are proactive in establishing linkages with key community partners to improve service delivery.

By leveraging our technological capabilities, staff expertise, and commitment to quality, On-Site Medical Services is well-equipped to meet the FPAR 2.0 data requirements as specified in the RFP-2024-DPHS-05-REPRO.

 

 

  1. What is your experience and capacity in performing quality improvement activities?

On-site Medical Services has a long-standing commitment to quality improvement (QI) activities, aimed at enhancing the effectiveness and efficiency of our sexual and reproductive health services. Our experience spans over a decade, and we have a dedicated Quality Improvement Team that works with clinical and administrative staff to assess and improve our services continually.

 

Experience in Quality Improvement Activities

  1. Clinical Audits: Regular clinical audits to assess adherence to best practices and guidelines.

  2. Specialized Diagnosis/Testing Screening: monthly audits to ensure appropriate screening measures are taken during patient visits.

  3. Patient Satisfaction Surveys: Conducted periodically to gauge patient experience and identify areas for improvement.

  4. Data-Driven Decision Making: Utilization of performance metrics to inform clinical and operational decisions.

  5. Peer Reviews: Regular case reviews among healthcare providers to ensure the highest standards of care.

  6. Staff Training: Ongoing training programs, including those specified in Appendix N, to ensure staff are up-to-date with the latest best practices.

 

Capacity for Quality Improvement

  1. Technology-Enabled QI: Our Electronic Health Record (EHR) system has built-in analytics capabilities, allowing real-time monitoring of key performance indicators.

  2. Resource Allocation: We have a dedicated budget for QI activities, ensuring that necessary resources are always available.

  3. Expertise: Our QI team includes healthcare professionals, data analysts, and administrative staff trained in quality improvement methodologies.

  4. Partnerships: We collaborate with external quality organizations and participate in statewide QI initiatives to continually improve our services.

 

Innovative Approaches

  1. Telehealth Services: To expand access to care and improve patient satisfaction.

  2. Rapid PCR Screening for STIs: Utilizing state-of-the-art technology for quicker and more accurate diagnoses.

  3. Mobile Clinics: To reach underserved populations and provide on-the-spot services.

  4. Automated Follow-ups: Using automated systems to follow up on patient treatment plans and medication adherence.

 

Compliance and Reporting

  1. Quality Assurance Plan: Developed in line with the guidelines provided in the RFP and associated appendices.

  2. Performance Metrics: Regular reporting based on the performance indicators and definitions outlined in Appendix M.

  3. Transparency: Open sharing of QI findings with stakeholders and using the feedback for continuous improvement.

 

By integrating quality improvement into every aspect of our operations, On-site Medical Services is well-equipped to meet the high standards outlined in RFP-2024-DPHS-05-REPRO. We are committed to delivering exceptional sexual and reproductive health services to the communities we serve in New Hampshire.

 

 

  1. Provide your plan to meet the performance measures in Appendix M.

Based on the information provided in the RFP and its appendices, On-site Medical Services is well-equipped to meet the performance measures outlined in Appendix M of RFP-2024-DPHS-05-REPRO. Below is our plan to meet each performance indicator and measure:

 

Family Planning (FP) Performance Measure #1

Goal: Ensure that 95% of women of childbearing age receive preconception care services.

Method: Utilize telehealth and community outreach.

Action Plan:

  1. Train healthcare providers on telehealth consultations.

  2. Use EMR alerts to schedule telehealth appointments for preconception care.

  3. Educational campaigns on social media, news, etc., for prompt preconception care services.

  4. Monitor monthly reports to track telehealth utilization and effectiveness.

  5. Target geographic areas with women of childbearing age

  6. Target geographic areas without easily accessible health care to provide readily available and convenient care.

 

Family Planning (FP) Performance Measure #2

Goal: To improve the diagnosis of asymptomatic chlamydia infection in women under 25.

Data Source: Family Planning Database System

Method: Implement rapid PCR screening for immediate results.

Action Plan:

  1. Equip clinics with rapid PCR screening technology.

  2. Train staff on the use of rapid PCR screening.

  3. Introduce self-testing kits for chlamydia screening.

  4. Provide pooling services for chlamydia screening in low-prevalence areas.

  5. Provide low-cost or free screening/testing to increase access.

  6. Use EMR alerts to prompt screenings during visits.

  7. Conduct quarterly audits to ensure rapid screening compliance.

  8. Offer testing to any women under 25, regardless of their initial reason for visit.

  9. Provide follow-up appointments with patients, including but not limited to assistance with contact tracing and communication with sexual partners.

 

Family Planning (FP) Performance Measure #3

Goal: To improve the utilization of effective contraceptive methods.

Data Source: Family Planning Database System

Method: Mobile sites to offer contraceptive services in underserved areas.

Action Plan:

  1. Deploy mobile clinics to targeted communities.

  2. Introduce a contraceptive subscription service for home delivery.

  3. Stock mobile clinics with a variety of contraceptive options.

  4. Provide cost-effective contraceptive methods. 

  5. Use community outreach to advertise mobile clinic schedules.

  6. Monitor the effectiveness of mobile clinics through client feedback.

  7. Train practitioners on multiple forms of contraceptive methods, including but not limited to LARCs, OCPs, and IUDs. 

  8. Provide same-day services for LARCs and IUD insertion/removal.

 

Family Planning (FP) Performance Measure #4

Goal: To promote the use of long-acting reversible contraceptives (LARCs).

Data Source: Family Planning Database System

Method: Offer financial incentives for LARC methods.

Action Plan:

  1. Partner with pharmaceutical companies for discounted LARC options.

  2. Train providers on LARC insertion and removal.

  3. Provide same-day services for LARC insertion and removal.

  4. Educate clients on the cost-effectiveness of LARCs using incentives.

  5. Monitor LARC utilization through EMR.

 

Family Planning (FP) Performance Measure #5

Goal: To educate clients under 18 about abstinence as a viable method of birth control.

Data Source: Electronic Medical Records (EMR)

Method: Use interactive online modules for abstinence education.

Action Plan:

  1. Develop age-appropriate online educational modules.

  2. Integrate modules into the client portal.

  3. Use EMR to track module completion.

  4. Evaluate the effectiveness of online education through client surveys.

 

Family Planning (FP) Performance Measure #6

Goal: To ensure all clients receive STI/HIV reduction education.

Data Source: Electronic Medical Records (EMR)

Method: Utilize rapid PCR screening for immediate STI/HIV diagnosis.

Action Plan:

  1. Equip clinics with rapid PCR screening technology for STI/HIV.

  2. Train staff on rapid screening procedures.

  3. Integrate STI/HIV education into all client visits.

  4. Use EMR to document the provision of education and screening.

  5. Utilize EMR to send links/information directly to the patient's cell phone and/or email.

 

Family Planning (FP) Performance Measure #7

Goal: To establish community partnerships.

Method: Use telehealth services to extend partnerships to remote agencies.

Action Plan:

  1. Identify potential community partners, including remote agencies.

  2. Establish telehealth collaborations for joint consultations.

  3. Conduct joint community outreach events, both physical and virtual.

  4. Evaluate the effectiveness of partnerships annually.

 

Family Planning (FP) Performance Measure #8

Goal: To ensure staff are adequately trained.

Method: Use virtual training platforms for continuous education.

Action Plan:

  1. Subscribe to online training platforms for staff.

  2. In-person LARC and IUD training.

  3. Monitor staff attendance and performance in virtual training sessions.

  4. Evaluate staff competency post-training through assessments.

  5. Have the medical director confirm competency before any patient-provider interaction.

  6. Submit an annual training report to the state agency.

 

By leveraging our capabilities in rapid PCR screening, mobile clinics, telehealth services, and other innovative methods, On-site Medical Services is committed to meeting and exceeding the performance measures outlined in Appendix M of the RFP.

 

 

References:

Morré, S. A., Meijer, C. J., Munk, C., Krüger-Kjaer, S., Winther, J. F., Jørgensens, H. O., & van Den Brule, A. J. (2000). Pooling of urine specimens for detection of asymptomatic Chlamydia trachomatis infections by PCR in a low-prevalence population: a cost-saving strategy for epidemiological studies and screening programs. Journal of clinical microbiology, 38(4), 1679–1680.

 

Stoddard, A., McNicholas, C., & Peipert, J. F. (2011). Efficacy and safety of long-acting reversible contraception. Drugs, 71(8), 969–980. https://doi.org/10.2165/11591290-000000000-00000

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