ࡱ> { Nbjbjzz OI44444T G$$$$%zL'((pFFFFFFF$ILLRG4(%%((G44$$4G+++(F4$4$F+(F++m?A$ҽp(A@(FG0Gi@:L)NL4AL4A4((+(((((GG+(((G((((L((((((((( :  Request for Quotes Personal Services HIPAA Consultant (PCS #490000-0009-RFQ) Quotes due by: Wednesday, August 14, 2013, at 5:00 p.m. (PDT) Contact: Mike Eyster, Associate Vice President, Student Affairs Fax: 541-346-2747 Email: meyster@uoregon.edu Department: University Health Center Address: 1590 East 13th Street Eugene, OR 97403 Submittal Instructions: Enter the requested information on the Request for Quotes (RFQ) form, print and sign it. Prepare your complete response, including the RFQ form and any additional documents. Submit the complete response via email, facsimile or US mail to the department contact noted above. General Information: The State Board of Higher Education acting by and through the University of Oregon on behalf of the University Health Center (University) is issuing this RFQ for the procurement of personal services as described in this RFQ. Use this form to submit your signed quote pursuant to the submittal instructions by the date and time shown above. Additional documents may be included as part of the response, provide all documents in Word format. If you do not use this form your quote may be deemed non-responsive. If you do not sign this Request for Quotes form or submit it to University by the due date and time, your quote will be deemed non-responsive and will not be considered for award. By providing a quote in response to this RFQ, Contractor agrees to the terms and conditions contained in this RFQ and further agrees to the Personal Services Contract Standard Contract Provisions found at  HYPERLINK "http://pcs.uoregon.edu/content/forms" http://pcs.uoregon.edu/content/forms. Any contract resulting from this RFQ will be subject to the Personal Services Contract Standard Contract Provisions. Quotes submitted that contain any exceptions or modification to the terms and conditions contained in this RFQ or the Personal Services Contract Standard Contract Provisions, may be deemed non-responsive by University in its sole discretion. If modifications to the Personal Services Contract Standard Contract Provisions are requested the sections and specific modifications must be provided. Separate terms to replace the Personal Services Contract Standard Contract Provisions in its entirety will not be considered. Quotes submitted in response to this RFQ will be retained by the University for the required retention period and made a part of the file or record that will be open to public inspection. If a response contains any information that is considered a trade secret under ORS 192.501(2), mark each page containing such information with the following legend: TRADE SECRET. The Oregon public records law exempts from disclosure only bona fide trade secrets, and the exemption from disclosure applies unless the public interest requires disclosure in the particular instance. Non-disclosure of documents or any portion thereof or information contained therein may depend on official or judicial determinations made pursuant to law. An entire response to this RFQ marked as trade secret is unacceptable, and all parts of such quote will be deemed available for public disclosure.  FORMCHECKBOX  Insurance Requirements: If checked, the specified insurance is required for any contract resulting from this RFQ. See Attachment D included in this RFQ, Personal Services Contract Insurance Requirements.  FORMCHECKBOX  Additional Terms and Conditions: If checked, this quote is subject to additional University terms and conditions attached and titled:  FORMTEXT       Scope of Work: Contractor will conduct a comprehensive evaluation of all of the University s divisions, departments, centers, and programs that may meet the definition of a Health Insurance Portability and Accountability Act (HIPAA) covered entity, hybrid entity or business associate, and is therefore required to comply with HIPAA regulations. During its comprehensive evaluation, Contractor will: Assist University in identifying departments that may be subject to HIPAA. Assist University to discern what the appropriate designation(s) will be for the various departments on campus that may be subject to HIPAA (i.e., covered entity, hybrid entity, business associate, etc.); Conduct a high level HIPAA security risk assessment, and provide a gap analysis that outlines potential areas of risk that should be addressed as well as suggestions as to how to best address gaps/risks; Provide consultation and analysis of University systems to assess compliance with the Health Information Technology for Economic Clinical Health Act (HITECH); Provide evidence of best practices of other public universities of Universitys size and scope in regards to HIPAA compliance; Suggest policies and procedures to ensure the University is safeguarding protected health information in the most efficient and secure ways; Suggest a governance structure that will best address systematic, consistent compliance with HIPAA regulations. Outline steps required if University desires to become a HIPAA compliant covered entity or hybrid entity. Milestones and Deliverables Information Gathering. Contractor will visit campus to meet with the relevant central administrative leaders in the Health Center, Counseling Center, Research Centers, academic programs (i.e., psychology clinics, clinical services, etc.), Information Services, General Counsel, Finance and Administration as well as others from the University that generate protected health information to gain a full understanding of current operations of University. Evaluation Report. Contractor will provide a detailed report that outlines the findings of its comprehensive evaluation that address all items listed above including, but not limited to: (i) optimal designations for various University departments; (ii) risk assessment and a gap analysis of Universitys HIPAA security; (iii) outline of steps needed to become HIPAA compliant; (iv) best practices of similarly situated public universities; and (v) recommended policies/procedures and governance structure to address systematic, consistent compliance with HIPAA regulations. Results Presentation. Contractor will make an on-campus presentation to review the results of its comprehensive evaluation with Universitys leadership. Completion Date. Contractor must complete the work, milestones and deliverables (as set forth in the above Scope of Work) no later than November 15, 2013. Qualifications: Contractor must have demonstrated experience in: HIPAA compliance and best practices for covered entities, hybrid entities, and business associates. Advising higher education institutions on the advantages and disadvantages of becoming a HIPAA covered entity. Advising higher education institutions on the type of HIPAA entity that is optimal for the institution (covered entity, hybrid entity, other). Providing higher education institutions a full explanation of the implications of becoming a HIPAA covered entity or hybrid entity. Submittals: Contractors submittals must include the following: Business name, address, telephone number and email. Provide number of years experience contractor has in consulting in higher education institutions. Responses must include a full description of how responder would approach this project and fully address all requirements listed in the Scope of Work above. Provide names, titles and qualifications of the key personnel who will be assigned to this project, including subcontractors. Include concise business biographies or resumes of key personnel who will be doing the work described in the response. This information must include their areas of expertise, and their experience with projects of similar scope and nature. Provide sufficient evidence of financial capability to meet the responsibilities to perform the contract which may include balance sheets, income statements, financial statements, independent financial compilation/review or other financial information whereby University can determine responders credit rating or financial capability. It will be in University sole discretion to determine if evidence submitted is sufficient to determine financial capability. University reserves the right to request further information as needed for clarification purposes. Include a detailed description of procedures and other aspects of the working relationship expected between project manager and Universitys representative, as well as any other information deemed necessary for the fulfillment of the awarded contract. Include a description of experience performing projects similar in type and magnitude to the subject of this RFQ. Include a minimum of three examples with the dates the final reports/presentations were submitted. Include a list of three clients and contact information for whom similar projects have been completed by the responder. These clients may be contacted by University for an evaluation and assessment of the responders performance. A proposed timeline with breakdown of time allocated for delivery of all deliverables identified in the Statement of Work above and address ability to meet the requested project completion date of November 15, 2013. An itemized budget of cost estimates for work to be performed to complete the project. The itemized budget must set forth a total price. Provide any other information, documents, or materials you wish. Contractors Proposed Statement of Work (SOW) Details To streamline the quote and contracting review process, fill in the SOW details below. Project Name:  FORMTEXT HIPAA Consultant (PCS #490000-0009-RFQ) Contractor Full Legal Name:  FORMTEXT       Contract Term:  FORMTEXT       Proposed Start Date:  FORMTEXT       Proposed End Date:  FORMTEXT       Price Quote for Services:  FORMCHECKBOX Fixed Fee:  FORMTEXT        FORMCHECKBOX Variable Fee  Define Structure (ie. Rate per hour or per deliverable):  FORMTEXT       Maximum Not to Exceed: $ FORMTEXT       Deliverables: Contractor will provide to University the following deliverables: No.Description of Deliverables/Tasks/MilestonesResponsible PartyDue Date or Estimated DurationFee/Rate 1.Information Gathering (see above Statement of Work for details)  FORMTEXT   FORMTEXT   FORMTEXT  2.Evaluation Report (see above Statement of Work for details)  FORMTEXT   FORMTEXT   FORMTEXT  3.Results Presentation (see above Statement of Work for details)  FORMTEXT   FORMTEXT   FORMTEXT  4. FORMTEXT    FORMTEXT   FORMTEXT   FORMTEXT  5. FORMTEXT    FORMTEXT   FORMTEXT   FORMTEXT  6. FORMTEXT    FORMTEXT   FORMTEXT   FORMTEXT  7. FORMTEXT    FORMTEXT   FORMTEXT   FORMTEXT  8. FORMTEXT    FORMTEXT   FORMTEXT   FORMTEXT   FORMTEXT   Additional Expenses:  FORMTEXT       FORMTEXT       Grey Shaded Areas to be Completed by Contractor (Must Complete, sign and submit with your proposal by closing date and time.) Contractor:  FORMTEXT       Address:  FORMTEXT       Email:  FORMTEXT       Phone:  FORMTEXT       Fax:  FORMTEXT       Please indicate your Minority Women or Emerging Small Business (MWESB) Status: Women Owned  FORMCHECKBOX  Self Report  FORMCHECKBOX State Certified #  FORMTEXT       Minority Owned  FORMCHECKBOX  Self Report  FORMCHECKBOX State Certified #  FORMTEXT       Emerging Small Business  FORMCHECKBOX  Self Report  FORMCHECKBOX  State Certified #  FORMTEXT       None of the Above  FORMCHECKBOX  Representations and Warranties. By submitting this quote in response to this RFQ, Contractor represents and warrants that: 1. Prices quoted shall be firm for three months from the date quotes are due. 2. Contractor has the power and authority to enter into and perform the contract awarded as a result of this RFQ. 3. The individual signing for Contractor is authorized to execute this quote on behalf of Contractor. 4. Contractor is an independent contractor and not an employee, partner, or agent of University. 5. Contractors name, as it appears in this quote, is Contractors legal name, as it will appear in the Contractors W-9, and if Contractor is an entity rather than an individual that the entity named in this quote is validly existing and in good standing. 6. Proposer has not discriminated against Historically Underrepresented Businesses (defined in OAR 580-061-0010) in obtaining any required subcontracts. 7. No officer, agent or employee of University has participated on behalf of University in preparation of the proposal, that the proposal is made in good faith, without fraud, collusion, or connection of any kind with any other proposer for the same work, and that the Proposer is competing solely in Proposers own behalf without connection with, or obligation to any undisclosed person or firm Signature: Date:  FORMTEXT       Print Name:  FORMTEXT        FORMCHECKBOX No Quote. Date Contacted:  FORMTEXT       Reason:  FORMTEXT       ATTACHMENT D PERSONAL SERVICES CONTRACT INSURANCE REQUIREMENTS During the term of this Contract, Contractor will maintain in full force at Contractors own expense the insurance indicated below and fulfill the following requirements: 1. General Liability Insurance  FORMCHECKBOX  Required by University  FORMCHECKBOX  Not Required by University Contractor will obtain comprehensive general liability insurance with a broad form CGL endorsement or broad form commercial general liability insurance, with a minimum combined single limit of not less than  FORMCHECKBOX  $1,000,000 for each occurrence and $2,000,000 aggregate or  FORMCHECKBOX  $2,000,000 for each occurrence and $5,000,000 aggregate covering bodily injury and property damage, and will include personal and advertising injury liability, products liability, and contractual liability coverage for the indemnity provided under this Contract. It will provide that University and officers and employees are additional insureds but only with respect to the Contractor's services to be provided under this Contract (See Paragraph #4 of this Attachment). 2. Commercial Auto Liability Insurance:  FORMCHECKBOX  Required by University  FORMCHECKBOX  Not Required by University Commercial automobile liability insurance with a minimum combined single limit of $1,000,000 for each accident and $2,000,000 aggregate for bodily injury and property damage, including coverage for owned, hired and non-owned vehicles, as applicable. 3. Professional Liability Insurance: FORMCHECKBOX  Required by University  FORMCHECKBOX  Not Required by University Examples to consider: attorney, physician, dentist, counselor, architects, etc. Professional Liability insurance with a combined single limit, or the equivalent, of not less than  FORMCHECKBOX  $1,000,000 per occurrence and $2,000,000 aggregate or  FORMCHECKBOX  $2,000,000 per occurrence and $5,000,000 aggregate. This is to cover damages caused by error, omission, or negligent acts related to the professional services to be provided under this Contract. 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