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Objective:
The City of Newport Beach (“City”) is seeking proposals from qualified licensed medical providers in and around the Orange County and Newport Beach area to provide occupational medical services, pre-employment health examinations, and other related medical services for City employees, safety personnel, Department of Transportation (DOT) - regulated positions, and support staff as required on an on-call/as-needed basis. Experience in occupational health services, pre-employment examinations, with California local governments, specifically fire and/or emergency response service agencies are desirable.
Contract Term: Five (5) years
Minimum Qualifications:
The ideal service provider will:
x Possess extensive experience providing high quality, timely, and cost-effective medical services in the public sector environment.
x Demonstrate a sound understanding of laws associated with employment-related medical testing.
x Demonstrate adequate personnel, capital resources, required knowledge, expertise, experience, innovation, insight and customer service skills to deliver the requested services.
x Possess working knowledge in the subject areas of occupational health, the Americans with Disabilities Act (ADA), U.S. Department of Transportation (DOT), Federal Motor Carrier Safety Administration (FMCSA), Health Insurance Portability and Accountability Act (HIPPA), Department of Fair Employment and Housing (DFEH), National Fire Protection Association (NFPA) guidelines, and other State and Federal regulations and/or guidelines which may apply to the City’s workforce.
x Thorough knowledge of the essential physical, psychological and environmental components for various City Department job classifications is highly desirable.
x Meet the insurance requirements detailed in this RFP document.
x Selected vendor shall maintain a City of Newport Beach business license during the term of this Agreement.
Note that any unsatisfactory references or unsatisfactory work performance with the City may eliminate the proposer from further consideration.
Proposers who do not meet the Minimum Qualifications may be disqualified.
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Description:
For purposes of identification, this RFP classifies the types of employee screening services typically requested by the City into ten (10) sections:
1. Class I Examinations
2. Class II Examinations
3. Class Ill Examinations
4. Executive Management Positions Evaluation
5. Fitness for Duty Evaluation
6. Annual Fire Department Physical and Medical Evaluation
7. Skin Screening Services
8. Cardiac and Other Specialized Tests
9. Lab Work
10. Additional Miscellaneous Tests and Services
*NOTE* The City reserves the right to retain multiple consultants as the result of this RFP solicitation. As such, please clearly demonstrate in your submittal which of the 10 services/screenings you intend to provide. The City does not expect any single provider to be able to provide ALL 10 screenings.
**Additionally, those who wish to provide annual physicals for Fire Department personnel may choose to provide information related to additional service offerings above and beyond the standard physical as described herein.
The tables below detail each type of screening and the City requirements related to them. It is the City’s intention to identify multiple proposers to address the entire breadth of services requested.
1. Class I Examinations
Complete medical and health history review by physician, including a review of job description.
A physical examination will include:
1.1 Vital signs: temperature, blood pressure, pulse, respiration, height, weight, pain scale
1.2 Skin, HEENT, lungs, heart, abdomen, extremities, range of motion (back and extremities), grip testing
1.3 Hernia exam (umbilical/inguinal)
1.4 Physician summary, clearance and comments
1.5 Urine Drug Screen (7 drug panel, no alcohol)
2. Class II Examinations
Complete medical and health history review by physician, including a review of job description.
A physical examination will include:
2.1 Vital signs: temperature, blood pressure, pulse, respiration, height, weight, pain scale RFP No. 25-22 15
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2.2 Skin, HEENT, lungs, heart, abdomen, extremities, range of motion (back and extremities), grip testing
2.3 Hernia exam (umbilical/inguinal)
2.4 Urine Drug Screen (7 drug panel, no alcohol)
2.5 TB skin testing (one step)
2.6 Vision testing: Titmus
2.7 Physician summary, clearance and comments
3. Class III Examinations
Complete medical (including immunization history) and health history by physician, including a review of job description.
A physical examination will include:
3.1 Vital signs: Temperature, blood pressure, pulse, respiration, height, weight, pain scale
3.2 Skin, HEENT, lungs, heart, abdomen, extremities, range of motion (back and extremities), grip testing
3.3 Hernia exam (umbilical/inguinal)
3.4 Urine drug screen (seven drug panel, no alcohol)
3.5 TB skin testing (quantiferon)
3.6 Vision testing, titmus
3.7 Resting ECG
3.8 Exercise ECG (submaximal HR treadmill test) * Must indicate if testing will be onsite*
3.9 Audiogram
3.10 Spirometry
3.11 Labs: CBC, comprehensive metabolic panel, lipid panel, U/A (microscopic analysis)
3.12 Physician summary, clearance and comments
4. Executive Management Positions Evaluation
Executive physicals include a traditional comprehensive medical evaluation. The goal of the examination is to detect medical conditions at an early stage, to identify health risk factors and habits which can negatively impact health, and to refer the individual to appropriate community health care providers for additional testing or follow-up for identified problems.
An evaluation will include:
4.1 Review of medical and occupational history
4.2 Health risk assessment questionnaire
4.3 Core physical examination
4.4 Spirometry
4.5 Vision testing, Snellen
4.6 Resting EKG
4.7 Fitness treadmill * Must indicate if testing will be onsite*
4.8 CBC with differential
4.9 Comprehensive metabolic panel
4.10 Lipid profile
4.11 Prostate specific antigen (PSA) for males >50 years of age
4.12 Urinalysis: microscopic
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4.13 Urine drug screen: seven drug panel, no alcohol (New hire and pre-placement only)
4.14 Breast exam for women (optional)
4.15 Digital rectal exam for men over 50 years of age (optional)
4.16 Audiogram
A Health Risk Assessment will include:
4.17 A detailed questionnaire that assesses the individual’s risk factors such as family history, lifestyle factors, weight, and the results of certain tests and measurements such as cholesterol and waist-hip ratios and other factors. The results and interpretation will be discussed with the participant.
5. Fitness for Duty Evaluation – Prepare “Case” File and Use an Encounter Form
5.1 A complete medical, occupational and relevant history review by a physician, physical examination, recommendations by examining physician for additional diagnostic studies or consultations, physician’s completion of “Employer Exam Report,” which indicates work status. Record OEM consulting physician time.
5.2 Prepare a “case” file and use an encounter form
6. Annual Fire Department Physical/Medical Evaluation
The annual Fire Department physicals/medical evaluations performed by a California licensed Physician will include a (1) Comprehensive Evaluation, (2) Screening Procedures, and (3) Summary Reports.
A comprehensive evaluation will include:
6.1 Perform a complete review of medical and health history
6.2 Perform a complete physical examination
6.3 Height and weight measurements
6.4 Blood pressure and heart rate
6.5 Review of medical systems including, but not limited to, cardiovascular, respiratory, gastrointestinal, genitourinary, endocrine, hematology, neurological, and musculoskeletal
6.6 Review fitness assessment results*
6.7 Review 12-lead ECG from graded treadmill exercise*
6.8 Review of the below screening results*
Screening* Procedures will include:
6.9 Urinalysis
6.10 Hemoccult (Screen for colon cancer)
6.11 Vision test for distance
6.12 Hearing test
6.13 Chest x-ray, two views every three years
6.14 Flexible sigmoidoscopy for individuals over 50 years of age
6.15 Physician monitored treadmill (12-lead ECG) for individuals with high to very-high score on coronary risk profile or physician’s decision based on ECG review from graded treadmill results
*Assessments and screening (labs) may be performed at another facility. Results will be provided by NBFD for physician’s review.
Summary Reports will include:
6.16 "Fit for Duty" report to Fire Department and Human Resources; RFP No. 25-22 17
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6.17 Personal participant folder with test results, physician's summary and recommendations, and a copy of the "fit for duty" form.
7. Skin Screening
7.1 Annual skin cancer screening performed by a California licensed Dermatologist.
8. Cardiac and Other Specialized Tests
8.1 As a result of the Annual Medical Evaluation, the City may require specialized diagnostic testing services including but not limited to Cardiac Stress Tests; Magnetic Resonance Imaging (MRI); or Computer Axial Tomography (CT or CAT Scan).
9. Lab Work
9.1 Venipuncture
9.2 Professional lab work including, but not limited to, Hepatitis B, Hepatitis C, PSA, RBC, plasma cholinesterase, C-reactive protein, and any other specialized test that may be ordered by a physician
9.3 Analysis and report of results
10. Additional Misc. Tests
The following tests may be requested by the City (these may include, but not be limited to):
10.1 Farnsworth D-15 (Police Officers additional color vision testing per POST)
10.2 Titers:
Hepatitis B, varicella and MMR (if born after 1956) if no documentation of immunizations or illness (chickenpox);
Hepatitis C (Pre-placement for Police, Firefighters, Career Lifeguard and Rescue workers)
10.3 Tetanus Diptheria booster or Tetanus diphtheria acellular pertusis, if not documented
10.4 Hepatitis B immunization (Post hire)
10.5 Hepatitis A immunization (Post hire)
10.6 MMR Immunization (Post hire)
10.7 Rabies Vaccination (Animal Control personnel)
10.8 Spirometry
10.9 DMV Physical - Medical exam to ensure drivers are capable and fit to perform in job assignments that require a commercial driver’s license
10.10 DOT Drug Screen - Pre-employment and random drug and alcohol testing of employees in safety-sensitive positions that require a commercial driver’s license. Testing needs to be DOT compliant utilizing chain-of-custody forms/protocols per City policies and procedures
10.11 Respiratory Fit Testing – Initial fit testing for employees in a position that may require use of respiratory protection equipment. Surveillance after initial test with questionnaire reviewed by medical professional. Follow up call and/or medical examination may be required depending on the content of the questionnaire.
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10.12 Ultrasound – various (must indicate whether these are performed onsite)
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