Case Management Decision Support Tool

Agency:	Nassau University Medical Center
State:	New York
Type of Government:	State & Local
NAICS Category:	511210 - Software Publishers 541511 - Custom Computer Programming Services 541512 - Computer Systems Design Services 541519 - Other Computer Related Services 541611 - Administrative Management and General Management Consulting Services
Posted Date:	Dec 11, 2025
Due Date:	Jan 9, 2026
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NASSAU HEALTH CARE CORPORATION

(a/k/a the NuHealth System)

REQUEST FOR PROPOSAL (RFP)

FOR

CASE MANAGEMENT DECISION SUPPORT TOOL

REQUEST FOR PROPOSAL #: 012-2025

Introduction

Nassau Health Care Corporation (“NHCC”) is seeking proposals from qualified software vendors to

provide a comprehensive, evidence-based Case Management Decision Support Software Tool to assist

Case Management, Utilization Review, and Physician Advisor teams in determining appropriate patient

status. The software must support compliant workflows, integration with NHCC systems, and

regulatory alignment.

Proposal Requirements

Proposals must comply with all instructions outlined in this RFP. Submissions that are incomplete

or fail to meet the specified requirements will be rejected without review. Any contract awarded as

a result of this RFP will supersede all prior contracts, bids, or Group Purchasing Organization

(GPO) agreements related to the specified services.

Communication Guidelines

All written communications regarding this RFP - including email correspondence - must clearly

reference the RFP title and number in the subject line to ensure proper handling.

Contacts and Submission

Email for Questions: VendorRFPQuestions@numc.edu

Email for Submissions: RFPSubmissions@numc.edu

Hard Copy Submission Address:

Nassau Health Care Corporation

Department of Legal Affairs, 19th Floor

2201 Hempstead Turnpike, East Meadow, NY 11554

All packages must reference RFP #012-2025 on the exterior.

Anticipated Schedule*

• Issue RFP

• Deadline for Questions

• Proposals Due

• Interviews, if Required

December 12, 2025

December 23, 2025

January 9, 2026

To be Determined

* Dates indicated above are subject to change at the sole discretion of Nassau Health Care Corporation.

SCHEDULE A

I. GENERAL INFORMATION

A. Background

Nassau Health Care Corporation (“NHCC”), also known as the NuHealth System, is a New York

State public benefit corporation established under the Public Authorities Law. NHCC operates:

• Nassau University Medical Center (NHCC): A 530-bed tertiary care teaching hospital.

• A. Holly Patterson Extended Care Facility (AHP): A 589-bed skilled nursing facility.

• Community Health Practices (CHP): Operated in partnership with Long Island FQHC, Inc.,

a non-profit, consumer-driven organization serving the region’s most vulnerable

populations.

NHCC is committed to delivering high-quality care, advancing medical education, and serving as

the safety-net health system for Nassau County residents.

Nassau University Medical Center (NHCC): Founded in 1935, NHCC is the County’s primary

source of advanced medical care. Its 19-story tower houses the region’s premier Level I Trauma

Center and serves as a hub for medical education through affiliations with the New York Institute of

Technology College of Osteopathic Medicine, the New York College of Pediatric Medicine, the

American University of the Caribbean School of Medicine, and the Donald and Barbara Zucker

School of Medicine at Hofstra/Northwell.

A. Holly Patterson Extended Care Facility (AHP): Nationally recognized as a model for skilled

nursing services, AHP provides innovative, patient-centered care that addresses residents’ physical,

emotional, and social needs in a supportive, healing environment.

Community Health Practices: NHCC’s community-based centers deliver comprehensive,

accessible, and preventive care to underserved communities across Long Island, ensuring every

resident has access to a trusted “medical home.”

B. Proposal Overview

Nassau Health Care Corporation (“NHCC”) is soliciting proposals from qualified Proposers to

provide an evidence-based Case Management Decision Support Software Tool that supports

appropriate patient status determinations, utilization review workflows, documentation, reporting,

and payer audit readiness. All Proposers must demonstrate experience providing robust, clinically

validated software tools that support inpatient, observation, and outpatient level-of-care

determinations across diverse patient populations.

Proposals must align with the requirements set forth in this Request for Proposal (“RFP”). NHCC

reserves the right to reject any submission that is incomplete or fails to comply with the

specifications of this RFP. All communications and submissions must reference RFP #012-2025 to

ensure proper handling.

II. SPECIFICATIONS OF THE SERVICES

A. Scope of Work / Requested Services

Nassau Health Care Corporation (“NHCC”) seeks to procure evidence‑based, software‑based

clinical decision support tools used by the Case Management and Utilization Review departments to

determine appropriate patient status. The software must assist with evaluating inpatient,

observation, and outpatient level‑of‑care determinations and must support regulatory compliance,

payer audit defensibility, and standardized documentation.

The requested software must:

• Provide clinical criteria for adult, pediatric, behavioral health, and emergency department

populations.

• Supply evidence‑based, nationally recognized guidelines updated at least annually.

• Deliver a searchable, intuitive software interface.

• Support documentation and audit trails for UR and Physician Advisor review.

• Provide reporting functionality and administrative dashboards.

• Offer licensing for all required NHCC staff.

B. Scope of Services

1. Clinical Criteria Content Requirements

The system must include:

• Medical and surgical criteria

• Emergency department utilization criteria

• Behavioral health criteria

• Pediatric criteria

• Procedure‑ and condition‑specific criteria

2. Functional Requirements of the Software

• Searchable criteria engine

• Documentation tools for level‑of‑care determinations

• User activity audit trails

• Role‑based access controls

• Administrative dashboards and usage metrics

• Exportable reports for payer audits and internal compliance

3. Technical & Integration Requirements

The solution must:

• Support Single Sign‑On (SSO)

• Provide API or HL7 interoperability

• Meet HIPAA security standards

• Integrate with NHCC systems, including SCM, Eagle, Aprima, CarePort, and

revenue cycle platforms

4. Implementation & Training Requirements

Proposers must outline:

• Implementation timeline and milestones

• Staff training plan

• Configuration and testing approach

• Ongoing support structure

5. Support, Maintenance & Update Requirements

The proposal must describe:

• Annual criteria update process

• Software release cycles

• Help desk response standards

• Escalation pathways

• Disaster recovery

6. Performance Standards & KPIs

Minimum KPIs:

• System uptime ≥ 99.9%

• Criteria updates within 30 days of release

• Help desk response within 1 business day

• High‑priority issue resolution within 72 hours

• ≥ 90% user satisfaction

7. Compliance Requirements

Vendor must demonstrate compliance with:

• HIPAA standards

• CMS Conditions of Participation

• NYS confidentiality laws

• Joint Commission requirements

• NHCC internal data protection policies

III. Deliverables

The selected Proposer shall provide the following deliverables throughout the engagement:

1. Implementation Deliverables

• System installation and configuration

• Data integration and interface testing reports

• Implementation schedule and milestone tracking

• End‑user and super‑user training materials

• Go‑live readiness assessment

2. Documentation Deliverables

• Full system user manuals

• Administrative configuration guides

• Criteria methodology and update process documentation

• Business Associate Agreement

• Disaster recovery and cybersecurity documentation

3. Reporting Deliverables

• Monthly usage and audit logs

• Quarterly performance dashboards

• Annual system upgrade documentation

• Annual criteria update documentation

4. Performance Deliverables

Vendors must meet the following KPI standards:

• System availability ≥ 99.9%

• Help desk response within 1 business day

• Critical issue resolution within 72 hours

• Criteria updates deployed within 30 days of official release

• User satisfaction ≥ 90% measured annually

IV. Evaluation Criteria

NHCC will evaluate all responsive proposals in accordance with the criteria outlined below.

Proposers are advised that award will not be based solely on price; rather, it will reflect the overall

best value to the organization, taking into consideration the technical, operational, and financial

merits of the proposal.

Each proposal will be reviewed using the following evaluation factors:

1. Clinical and Technical Merit of the Proposed Software

This includes an assessment of the platform’s ability to meet NHCC’s operational and

regulatory needs, with emphasis on:

• Evidence-based clinical criteria content

• Breadth of adult, pediatric, ED, surgical and behavioral health criteria

• Accuracy and clarity of decision support outputs

• Frequency and reliability of criteria updates

• Compliance with applicable federal and state regulations

• System performance, uptime, and overall stability

This page summarizes the opportunity, including an overview and a preview of the attached documents.

Solicitation:	Case Management Decision Support Tool
Title:	12/12/25
Solicitation Type:	1/9/26
Status:

Case Management Decision Support Tool

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