RFP-2027-DPH-09-OCHSE: Overdose to Action (OD2A) Clinician and Health System Engagement

New Hampshire Department of Health and Human Services
Overdose to Action (OD2A) Clinician and Health System Engagement
Appendix A - Scope of Services
The final Scope of Services is subject to modification based on the proposal submitted
by the selected Vendor
Scope of Services
1. Statement of Work
1.1. The Contractor must provide statewide academic detailing and operational
support to healthcare organizations to reduce prescription drug-related harms,
including opioid misuse. The Contractor must ensure:
1.1.1. Academic detailing sessions include evidence-based educational
materials, assessment of a provider's current knowledge, actionable
messages that support adoption of best practices, monitoring, and
evaluation of academic detailing outreach and outcomes.
1.1.2. Operational support includes direct, practical assistance that assists
providers with integrating evidencebased practices into daily
workflows.
1.1.3. Services promote safe pain management, strengthen patient linkage
to care and treatment, and include the development and delivery of
resources and academic detailing for providers.
1.1.4. Academic detailing sessions, materials, resources, and related
content are submitted to the Department for review and approval
prior to dissemination.
1.2. The Contractor must participate in a project kick-off meeting with the
Department, within ten (10) business days of the Effective Date of the
Agreement, to review:
1.2.1. Contract requirements,
1.2.2. Criteria for development of the initial Work Plan,
1.2.3. Performance measures,
1.2.4. Required report formats, and
1.2.5. Project timelines.
1.3. The Contractor must submit an initial Work Plan and timeline to the Department
for approval within ten (10) business days following the project kick-off meeting.
The Work Plan must define goals, objectives, activities, deliverables, and due
dates. The Contractor must obtain Department approval before implementing
any changes to the Work Plan or associated timelines.
Academic Detailing Sessions
1.4. The Contractor must implement academic detailing, consisting of structured
providereducation sessions that deliver evidencebased guidance and
practicechange support to participants through a one-on-one model delivered
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Overdose to Action (OD2A) Clinician and Health System Engagement
Appendix A - Scope of Services
either in-person or virtually.
1.5. Through State Fiscal Year 2028, the Contractor must engage at least 300
providers for academic detailing sessions, across a minimum of 100 practice
settings that serve individuals at risk for substance use disorder (SUD) or
prescription-drug-related harms. These practice settings include, but are not
limited to:
1.5.1. Community health centers.
1.5.2. Recovery community organizations.
1.5.3. Emergency departments.
1.6. The Contractor must document each academic detailing session, including the
date, provider type, practice setting, topics covered, resources provided, and
followup actions required.
1.7. The Contractor must use reports and epidemiological data identified by the
Department to develop a localized prioritization plan, which must be submitted
to the Department annually for approval and will be used to determine
scheduling for academic detailing sessions.
1.8. The Contractor must ensure that academic detailing employes a train-the-
trainer approach and be adapted for each practice setting served, including
primary care, specialty care, behavioral health, pharmacies, urgent care clinics,
emergency departments (EDs), and Recovery Care Organizations (RCOs).
1.9. The Contractor must offer a minimum of twenty (20) one (1)-hour Continuing
Education Unit (CEU)-approved academic detailing training sessions at
community and healthcare agencies within one (1) year of the Effective Date
of the Agreement.
1.10. The Contractor must assess operational support needs of providers during
academic detailing sessions and through post-academic detailing evaluations,
which include a one (1) month follow-up assessment.
1.11. The Contractor must acknowledge operational support requests within one (1)
week of receiving requests.
Academic Detailing Materials
1.12. The Contractor must develop or adapt academic detailing resources, such as
provider reference materials, patient education tools, and related training
materials, pilot test these materials with a range of audiences across practice
settings and refine them based on feedback to ensure they are appropriate for
each practice location.
1.13. The Contractor must ensure program planning, resource development, and the
delivery of academic detailing services are consistent with the National
Resource Center for Academic Detailing (NaRCAD) evidence-based
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Overdose to Action (OD2A) Clinician and Health System Engagement
Appendix A - Scope of Services
guidelines on resource development.
1.14. The Contractor must ensure that all materials and academic detailing sessions
developed under the resulting Agreement are accessible and comply with
applicable state and federal accessibility standards.
1.15. The Contractor must review and update all training and academicdetailing
session materials at least annually to ensure alignment with current
evidencebased guidelines.
1.16. The Contractor must develop or adapt academic detailing materials, session
curricula, and related resources on the following content areas:
1.16.1. Safe opioid prescribing for acute and chronic pain, including dosage
limits, duration, Prescription Drug Monitoring Program (PDMP)
checks, tapering, withdrawal management, and disposal;
1.16.2. Buprenorphine and naloxone protocols;
1.16.3. Nonopioid medication, nonpharmacologic pain management
strategies, and complementary and alternative evidence-based
interventions for acute and chronic pain management.
1.16.4. Universal Substance Use Disorder (SUD) screening tools, including
Screening, Brief Intervention, and Referral to Treatment (SBIRT);
Tobacco, Alcohol, Prescription medication, and other substance use
(TAPS); and Screening to Brief Intervention (S2BI).
1.16.5. Harmreduction practices, including strategies to engage clients who
use prescription drugs in reducing prescription-drug-related harms
and dependence.
1.16.6. Effective support for clients starting or currently engaged in SUD
treatment.
1.16.7. Referral pathways, including linkage-to-care information regarding
ED protocols, referrals to specialized care, and law enforcement and
first responder resource awareness.
Group/Meeting Facilitation
1.17. The Contractor must facilitate advisory group meetings, as needed, with
Department-selected experts in opioid use disorder, harm reduction, and
practice change to guide program implementation and quality improvement.
1.18. The Contractor must meet with the Department on a monthly basis to discuss
meeting and call schedules, activities, budgets and/or performance measures.
The Contractor must collaborate with the Department to assess joint progress
toward objectives and activities on a monthly basis and to support the
Department in sharing products related to grant activities.
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Overdose to Action (OD2A) Clinician and Health System Engagement
Appendix A - Scope of Services
1.19. The Contractor must provide biweekly case conferencing sessions with up to
ten (10) participants to share opioid-prescribing guidelines and to support the
implementation of nonopioid and nonpharmacologic pain management
through operational support.
1.20. The Contractor must facilitate biweekly internal team meetings to review topics
including statewide training coverage, provider engagement, academic
detailing, operational support, evaluation, and any outreach modifications.
Evaluations and Assessments
1.21. The Contractor must develop and provide evaluations of academic detailing
sessions that include, but are not limited to:
1.21.1. Site feedback and evaluation, including pre- and post-session
evaluations.
1.21.2. Follow-up and operational support needs assessments within one (1)
month of academic detailing session.
1.22. The Contractor must send academic detailing session evaluations and
operational support evaluations to participants via email. The Contractor must:
1.22.1. Send a minimum of two (2) e-mail reminders to participants who have
not completed the program evaluations, requesting that the
evaluations be submitted.
1.22.2. Contact non-responding participants by telephone to request
completion of evaluations if the evaluation response rate falls below
80%.
1.23. The Contractor must implement a multi-level evaluation framework that
measures:
1.23.1. Reach and engagement of academic detailing services;
1.23.2. Knowledge and evidence-based resource material dissemination
1.23.3. Implementation of recommended practices; and
1.23.4. System-Level impacts, including Return on Investment (ROI) and
whether changes result in measurable improvements in prescribing
patterns, care utilization, and cost avoidance.
1.24. The Contractor must conduct a process evaluation to measure the progress of
the project on Department goals and objectives, as well as to collect program
data that includes but is not limited to:
1.24.1. The numbers, types, and locations of sites and participants enrolled.
1.24.2. Session attendance.
1.24.3. Follow-up operational support requests and sessions.
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Overdose to Action (OD2A) Clinician and Health System Engagement
Appendix A - Scope of Services
1.25. The Contractor must conduct outcome evaluations to measure short,
intermediate, and longer-term effects of the academic detailing sessions,
measuring changes in participant knowledge through surveys conducted pre-,
post-, and at a onemonth followup.
Staffing
1.26. The Contractor must hire, train, and supervise staff in the following roles:
1.26.1. Project Director,
1.26.2. Project Coordinator and Evaluator,
1.26.3. Institute of Health Policy & Practice (IHPP) Evaluation Expert,
1.26.4. Project Support Expert, and
1.26.5. IHPP Provider Engagement Expert.
1.27. The Contractor must ensure continuous staffing for all required roles and must
notify the Department within five (5) business days of any staffing vacancy or
change in staffing. The Contractor must ensure that all proposed replacement
staff are submitted to the Department for approval prior to the individual
assuming their duties.
1.28. The Contractor must retain at least three (3) academic detailers who each
participate in a two (2)-day session that includes mock academic detailing
sessions.
Additional Requirements
1.29. The Contractor must coordinate with other Departmentsupported initiatives, as
directed by the Department, to ensure aligned messaging, prevent duplication
of effort, and promote consistent statewide practices. Coordination may include
aligning outreach to shared audiences, sharing or adapting materials
developed under this contract, and providing training that complements related
Department initiatives. These initiatives may include:
1.29.1. NHHRC Care Navigator Expansion,
1.29.2. NHHRC overdose prevention supply distribution,
1.29.3. NH Care Connections (UniteUs),
1.29.4. The Naloxone Saturation Policy Workgroup,
1.29.5. PDMP Compliance, and
1.29.6. Other initiatives, as directed by the Department.
2. Reporting
2.1. The Contractor must complete and submit the following reportable data, in the
frequency specified, in a format approved by the Department:
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Overdose to Action (OD2A) Clinician and Health System Engagement
Appendix A - Scope of Services
2.1.1. Monthly summaries of reach, fidelity, and early outcomes, including
as applicable, the number, type, and location of academic-detailing
engagements; session topic, format and adaptations; early indicators
of practice change; and any additional measures approved by the
Department.
2.1.2. Quarterly data, including the number of individuals and practice
settings that received academic-detailing sessions, stratified by
profession type and county.
2.1.3. Quarterly outcome and return on investment (ROI) reports aligned
with Section 1.23.4
2.1.4. A final evaluation report within 45 business days of the end of the
project period, summarizing:
2.1.4.1. Provider engagement and reach;
2.1.4.2. Effectiveness of academic detailing session/knowledge
retention;
2.1.4.3. Provider implementation of academic detailing session
knowledge;
2.1.4.4. System-level impact;
2.1.4.5. Lessons learned and recommendations for sustainability
and scalability; and
2.1.4.6. Updates to the approved Work Plan, if applicable,
including explanation for any deviations.
2.1.5. The Contractor may provide other data metrics that enable the
Department to track practice changes with respect to opioid
prescribing, SUD screening, and SUD treatment as requested or
approved by the Department.
2.1.6. The Contractor must provide key data in a format and at a frequency
specified by the Department for the following performance
measures:
2.1.6.1. The Contractor must ensure 80% of the academic
detailing sessions result in follow up operational support,
specific to the use of opioid prescribing guidelines and
non-opioid medications or non-pharmacologic treatment
for pain management.
2.1.6.2. The Contractor must ensure 80% of operational support
sessions result in evaluation results that reflect an
intended change in practice to integrate harm reduction
strategies into client services.
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New Hampshire Department of Health and Human Services
Overdose to Action (OD2A) Clinician and Health System Engagement
Appendix A - Scope of Services
2.1.6.3. The Contractor must ensure at least 80% of academic
detailing sessions result in documented follow-up
operational support.
2.1.6.4. The Contractor must ensure at least 70% of academic
detailed providers demonstrate measurable
implementation of at least one evidence-based practice
within 90 days.
2.1.6.5. The Contractor must ensure at least 60% of practices
demonstrate a measurable improvement in at least one
prescribing or referral metric within six months.
2.1.6.6. The Contractor must ensure 40% of academic detailing
sessions occur in areas in the localized prioritization plan,
as referenced in Section 1.7
2.1.6.7. The Contractor must ensure at least one ROI or cost-
avoidance indicator is documented and reported annually.
2.1.6.8. The Contractor must measure and report the degree to
which academic detailing session and operational support
recommendations are adopted and sustained, including:
2.1.6.8.1. Percentage of academic detailed providers
who:
2.1.6.8.2. Implement opioid prescribing
guideline changes (e.g.,
dosage limits, duration, PDMP
checks).
2.1.6.8.3. Increase use of non-opioid or
non-pharmacologic pain
treatments.
2.1.6.8.4. Adopt standardized screening
tools (e.g., SBIRT).
2.1.6.8.5. Increase referrals to SUD
treatment, medications for
addiction treatment (MAT), or
harm reduction services.
2.1.6.8.6. Measurement methods, which may include:
2.1.6.8.7. Structured follow-up surveys at
30, 90, and 180 days post-
academic detailing session.
2.1.6.8.8. Self-reported implementation
checklists.
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Overdose to Action (OD2A) Clinician and Health System Engagement
Appendix A - Scope of Services
2.1.6.8.9. Practice-level policy or protocol
changes.
2.1.6.8.10. Chart audits or de-identified
EHR extracts where feasible.
2.1.6.8.11. PDMP trend comparisons pre-
and post-academic detailing.
2.1.6.9. Any additional academic detailing data, as requested and in a format
specified by the Department.
3. Contract End-of-Life Transition Services
3.1. General Requirements
3.1.1. If applicable, upon early termination or expiration of the Agreement
the parties agree to cooperate in good faith to effectuate a secure
transition of the services ("Transition Services") from the Contractor
to the Department and, if applicable, the new Contractor ("Recipient")
engaged by the Department to assume the services. Ninety (90)
days prior to the end-of the contract or unless otherwise specified by
the Department, the Contractor must begin working with the
Department and if applicable, the Recipient to develop a Data
Transition Plan (DTP). The Department shall provide the DTP
template to the Contractor.
3.1.2. The Contractor must assist the Recipient, in connection with the
transition from the performance of Services by the Contractor and its
End Users to the performance of such Services. This may include
assistance with the secure transfer of records (electronic and hard
copy),transition of historical data (electronic and hard copy), the
transition of any such Service from the hardware, software, network
and telecommunications equipment and internet-related information
technology infrastructure ("Internal IT Systems") of Contractor to the
Internal IT Systems of the Recipient and cooperation with and
assistance to any third-party consultants engaged by Recipient in
connection with the Transition Services.
3.1.3. If a system, database, hardware, software, and/or software licenses
(Tools) was purchased or created to manage, track, and/or store
Department Data in relationship to this contract said Tools will be
inventoried and returned to the Department, along with the inventory
document, once transition of Department data is complete.
3.1.4. The internal planning of the Transition Services by the Contractor
and its End Users shall be provided to the Department and if
applicable the Recipient in a timely manner. Any such Transition
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Overdose to Action (OD2A) Clinician and Health System Engagement
Appendix A - Scope of Services
Services shall be deemed to be Services for purposes of this
Agreement.
3.1.5. In the event the data Transition extend beyond the end of the
Agreement, the Contractor agrees that the Information Security
Requirements, and if applicable, the Department's Business
Associate Agreement terms and conditions remain in effect until the
Data Transition is accepted as complete by the Department.
3.1.6. In the event the Contractor has comingled Department Data and the
destruction or Transition of said data is not feasible, the Department
and Contractor will jointly evaluate regulatory and professional
standards for retention requirements prior to destruction, refer to the
terms and conditions of the Department's DHHS Information Security
Requirements Exhibit.
3.2. Completion of Transition Services
3.2.1. Each service or transition phase shall be deemed completed (and
the transition process finalized) at the end of fifteen (15) business
days after the product, resulting from the Service, is delivered to the
Department and/or the Recipient in accordance with the mutually
agreed upon Transition plan, unless within said fifteen (15) business
day term the Contractor notifies the Department of an issue requiring
additional time to complete said product.
3.2.2. Once all parties agree the data has been migrated the Contractor will
have thirty (30) days to destroy the data per the terms and conditions
of the Department's Information Security Requirements Exhibit.
3.3. Disagreement over Transition Services Results
3.3.1. In the event the Department is not satisfied with the results of the
Transition Service, the Department shall notify the Contractor, in
writing, stating the reason for the lack of satisfaction within fifteen
(15) business days of the final product or at any time during the data
Transition process. The Parties shall discuss the actions to be taken
to resolve the disagreement or issue. If an agreement is not reached,
at any time the Department shall be entitled to initiate actions in
accordance with the Agreement.
4. Exhibits Incorporated
4.1. The Contractor must comply with all Exhibit D Federal Requirements, which are
attached hereto and incorporated by reference herein.
5. Additional Terms
5.1. Impacts Resulting from Court Orders or Legislative Changes
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New Hampshire Department of Health and Human Services
Overdose to Action (OD2A) Clinician and Health System Engagement
Appendix A - Scope of Services
5.1.1. The Contractor agrees that, to the extent future state or federal legislation
or court orders may have an impact on the Services described herein, the
State has the right to modify Service priorities and expenditure requirements
under this Agreement so as to achieve compliance therewith.
5.2. Federal Civil Rights Laws Compliance: Culturally and Linguistically Appropriate
Programs and Services
5.2.1. The Contractor must submit:
5.2.1.1. A detailed description of the language assistance services, within
ten (10) days of the Effective Date of the Agreement, to be
provided to ensure meaningful access to programs and/or
services to individuals with limited English proficiency; individuals
who are deaf or have hearing loss; individuals who are blind or
have low vision; and individuals who have speech challenges.
5.2.1.2. A written attestation, within forty-five (45) days of the Effective
Date of the Agreement and annually thereafter, that all personnel
involved the provision of services to individuals under this
Agreement have completed, within the last twelve (12) months,
the Contractor Required Training Video on Civil Rights-related
Provisions in DHHS Procurement Processes, which is accessible
on the Department's website (https://www.dhhs.nh.gov/doing-
business-dhhs/civil-right-compliance-dhhs-vendors); and
5.2.1.3. The Department's Federal Civil Rights Compliance Checklist
within ten (10) days of the Effective Date of the Agreement. The
Federal Civil Rights Compliance Checklist must have been
completed within the last twelve (12) months and is accessible on
the Department's website (https://www.dhhs.nh.gov/doing-
business-dhhs/civil-right-compliance-dhhs-vendors).
5.3. Credits and Copyright Ownership
5.3.1. All documents, notices, press releases, research reports and other
materials prepared during or resulting from the performance of the services
of the Agreement must include the following statement, "The preparation
of this (report, document etc.) was financed under an Contract with the
State of New Hampshire, Department of Health and Human Services, with
funds provided in part by the State of New Hampshire and/or such other
funding sources as were available or required, e.g., the United States
Department of Health and Human Services."
5.3.2. All materials produced or purchased under the Agreement must have prior
approval from the Department before printing, production, distribution or
use.
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