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Home My WebLink AboutAMI Expeditionary Healthcare LLC-Skilled Personnel for Countys COVID-19 Alternate Care Site_D-20-418.pdfExhibit A AMI Expeditionary Healthcare Randy Cook, Chief Operating Officer randy.cook@ami.health • +1 202 826 3277 11150 Sunset Hills Road • Reston VA 20190 Request for Proposal State of California Fresno County MHOAC 22 July 2020 AMI Expeditionary Healthcare Commercial in Confidence AMI EXPEDITIONARY HEALTHCARE 11150 Sunset Hills Road • Suite 307 • Reston • VA • 20191 • USA ami.health • +1.571.375.8366 • info@ami.health AMI 11150 Sunset Hills Road, Suite 307 Reston, VA 20190 Contact Randy Cook Chief Operating Officer randy.cook@ami.health DUNS 962357179 CAGE 7BLL9 https://ami.health This proposal includes data that shall not be disclosed outside Fresno and shall not be duplicated, used or disclosed—in whole or in part—for any purpose other than to evaluate this proposal. If, however, a contract is awarded to AMI as a result of—or in connection with—the submission of this data, Fresno C. shall have the right to duplicate, use, or disclose the data to the extent provided in the resulting contract. This restriction does not limit Fresno C’s right to use information contained in this data if it is obtained from another source without restriction. The data subject to the restriction is contained in the entire proposal. REQUEST FOR INFORMATION Fresno County For MHOAC medical TF surge support July 22, 2020 AMI EXPEDITIONARY HEALTHCARE 11150 Sunset Hills Road • Suite 307 • Reston • VA • 20191 • USA ami.health • +1.571.375.8366 • info@ami.health Mr. Curtis Jack EMS Coordinator – Disaster Services Fresno County MHOAC Date: 22 July 2020 Request for Proposal - UPDATED Medical TF support to Fresno County MHOAC Dear Mr. Jack, AMI fully understands and appreciates the need for refined approaches in structure and pricing to ensure needs are met with sustainability in mind. With this and in the spirit of collaboration kindly find this updated pricing schedule. You will note a slight increase in NP/PA’s and RN’s, this is a direct result of increases in the market place due to supply and demand strain across the U.S.. You will also note that we have amended the shift cycle from 12 hours to 8. To answer your question of the Project Management Office (PMO) this billable line item covers both direct and indirect costs. Direct, is a fulltime Management Analyst supporting all project deliverables and integration into AMI’s corporate functions and oversight (operational and clinical). Indirect, is the time allocation for all recruiters, travel coordinators, lab coordinators, strategic logistics management, contracting officer, finance team, HR Business Partner, and Senior (Program Management). The AMI team is at your disposal for further collaboration and to address any questions. Moreover, we are eager to provide you and the community you serve with the highest standards of support. Yours Sincerely, Randy Cook Chief Operating Officer AMI Expeditionary Healthcare LLC 22 July 2020 Page 1 Use or disclosure of data on this sheet is subject to the restrictions on the title page of this document Table of Contents 1 AMI Corporate Overview ............................................................................................ 2 2 Relevant COVID-19 Corporate Experience ................................................................ 3 3 Concept of Operations/Staffing Table: Medical Task Force ....................................... 5 3.1 Team Composition ................................................................................................... 5 4 Pricing ........................................................................................................................ 6 4.1 MACRO Table (30.4 days of operations).................................................................. 6 4.2 Notes and Caveats ................................................................................................... 6 Page 2 Use or disclosure of data on this sheet is subject to the restrictions on the title page of this document 1 AMI Corporate Overview AMI is a worldwide healthcare services provider with a presence in the United States, the Americas, South East Asia, Australia, the Middle East, Africa and Europe. AMI was founded in 2011 and has since grown to become one of the world’s leading and most trusted providers of commercial medical services in some of the most complex and challenging environments. AMI, formerly part of the Aspen Medical family of companies until January 2020, grew out of a need to provide the highest quality healthcare in areas of high demand. Led by physicians Andrew Walker and Tom Crabtree, AMI delivers a unique combination of turnkey healthcare solutions composed of extremely flexible teams of health practitioners, fixed and mobile medical facilities, air ambulance services, and highly refined medical processes and procedures. This comprehensive solution-based approach allows AMI to provide an expanding number of health services around the world. AMI’s services range from the deployment of single-person aid posts, through to managing and staffing fully equipped field hospitals, global aeromedical evacuation solutions and consultancy services. Aeromedical evacuation solutions range from deployed AMETs to fully equipped Fixed and Rotary Wing assets staffed with stand-by flight medical teams. AMI provides the people, facilities, equipment, consumables, pharmacy, procedures or any combination of these services depending upon the customer’s needs, requirements and desired healthcare outcomes. AMI is currently supporting over 30,000 UN staff in Africa to include Somalia, Yemen, Liberia, Sierra Leone and South Sudan with both clinical and aeromedical services. A key feature of AMI’s work is our ability to operate in areas where health services are scarce or non-existent. A strong operational model that ensures clinical and fiscal rigor, while maintaining the necessary flexibility to meet changing environmental demands, underpins our methodology. AMI has been providing medical personnel and services for the last decade to some of the most remote and challenging environments in the world and has extensive experience in the provision and management of medical personnel and flight operations. Since our inception, our company has provided over 3,000 medical personnel to over 70 clinical and hospital settings across four continents. AMI has proven expertise in the care of COVID-19 patients and the management of COVID-19 healthcare facilities. We currently have over 700 personnel deployed across the USA, the Caribbean and Africa in the battle against AT A GLANCE •Extensive COVID-19 response effort experience of 100’s of clinicians led by Dr Ryan Azcueta, Dr Andrew Walker and Dr Tom Crabtree •COVID-19 response efforts in the USA, Africa and the Americas with over 700 medical personnel deployed •Management of multiple 100-200 bed ward sites with acuity levels from ICU to lower level care •Currently provide more than 3,000 medical personnel to over 70 clinical and hospital facilities worldwide Page 3 Use or disclosure of data on this sheet is subject to the restrictions on the title page of this document COVID-19. AMI provides the clinical personnel as well as the clinical governance for COVID-19 sites ranging from quarantine facilities and assisted living homes across the US through to 200 bed field hospitals in Atlanta and 100 bed acute care wards at Mt Sinai Beth Israel in Manhattan. We are currently managing patients at all levels of acuity from ICU to low acuity level wards. We are also staffing and running deployable ICUs across a number of Caribbean Islands for the Kingdom of the Netherlands. AMI understands the testing solutions, clinical best practices and clinical governance requirements of the COVID-19 environment better than any expeditionary healthcare provider in the world. 2 Relevant COVID-19 Corporate Experience AMI is currently contracted by numerous, Sovereign, US National, US State and US County government organizations and private agencies to assist in the COVID-19 pandemic. These include, but are not limited to, the United Nations, the US Department of Health and Human Services, the state of Georgia, Mount Sinai Beth Israel Medical Center, and the Netherlands Government. Our service delivery to each of these critical customers is strongly underpinned by our highly credentialed staff, our ability to respond and deploy expediently and our AMI cultured work ethic of exceeding our customers’ expectations through the requisite service delivery process. COVID-19 - Department of Health and Human Services AMI is the sole private contractor in support of emergency services for the US Department of Health and Human Services. AMI was sole sourced on a number of emergent support missions for COVID-19 care which included clinical staffing, management and patient care for a number of quarantined isolation facilities, nursing homes, assisted living care sites, field clinics, and testing sites in Washington, California, Georgia and New Jersey. AMI fielded comprehensive clinical care teams and management support deploying more than 600 clinicians in less than 72 hours. COVID-19 – Atlanta, Georgia Established within the Georgia World Congress Center in Atlanta in under 5 days, AMI is providing all clinical staffing and governance for a 200 bed COVID-19 field hospital. Patient acuities range from ICU step down monitored bed care through to routine COVID ward care. Page 4 Use or disclosure of data on this sheet is subject to the restrictions on the title page of this document COVID-19 – United Nations Support Office Somalia Aspen Medical was awarded Prime Contractor by the United Nations office in Somalia to operate and manage the UN Level 1+ medical facility located on Mogadishu International Airport (MIA) from December 2017 to present day. AMI has provided critical surge capacity including establishment of an ICU to UNSOS in response to COVID-19. The hospital was featured in the May 2020 issue of UN’s “Keeping Connected” Newsletter. In recent weeks, Special Representative of the Secretary-General (SRSG) for Somalia and Head of the United Nations Assistance Mission in Somalia, James Swan visited the hospital’s ICU. While there, he met with Dr. Robert Onebunne, the Chief Medical Officer for UNSOS/UNSOM, along with staff to inspect the ICU and discuss preparations and capabilities of the facility for the COVID-19 response. COVID-19 - Beth Israel Mount Sinai Medical Center (Manhattan, NYC) AMI is currently contracted to the Mt Sinai Beth Israel Hospital System in New York City to provide the clinical staffing and project management support to care for a 100 bed COVID-19 care ward. The entire clinical solution was delivered in under 7 days. Patient acuities range from ICU care and monitored beds through to routine medical ward care. COVID-19 - Netherlands Government Aruba, St Maarten, and Curacao AMI is currently contracted by the Netherlands Government to support the islands of St Maarten, Aruba and Curacao with augmented ICU care for COVID-19 patients. AMI provides the clinical staff, medical equipment, pharmacy and consumable supplies and clinical governance. Our staff ranges from critical care physicians to ICU RNs to respiratory therapists and other support staff. Page 5 Use or disclosure of data on this sheet is subject to the restrictions on the title page of this document 3 Concept of Operations/Staffing Table: Medical Task Force AMI is recommending a low acuity TF based on MHOAC’s needs as prescribed. 3.1 Team Composition When managing ACS facilities this TF will form and 8hr shifts based on craft group and acuity, covering 24/7 operations. When focused on alternate lines of effort, the team will transition to modified 8-10-hour days based on the level of infection control needs. Health Administrator & Medical Director 1 Ward Administration Staff (25 Beds) 2 MD (25 Beds) 2 Nurse Practitioner (25 Beds) 3 Registered Nurse (25 Beds) 7 Paramedic (25 Beds) 2 CNA- EMT(Basic) (25 Beds) 7 Logistician 2 Case Workers 3 PMO 1 Pharmacy Tech 1 Reception Support (25 Beds) 0 Total: 31 Page 6 Use or disclosure of data on this sheet is subject to the restrictions on the title page of this document 4 Pricing 4.1 MACRO Table (30.4 days of operations) 4.2 Notes and Caveats • Costs include 24/7 operations incorporating both straight and overtime rates for clinicians. • Costs include all applicable insurances (General Liability and Professional Liability – Med Mal). • Other Direct Costs: Transportation, Lodging and Per Diem are not to exceed amounts (NTE), AMI will work to reduce via. local talent applications. • NOTE: Flights and Transportation is for initial mobilization and demobilization of entire team. Run rate on a monthly basis will be minimal. • Pricing reflected is for a single Task Force application. Category Cost base / OT days Shift Totals / Notes CLIN QTY Total CLIN Cost Health Administrator & Medical Director 25,189.16$ 0.33 1 25,189.16$ Ward Administration Staff (25 Beds)21,590.71$ 0.66 1 21,590.71$ MD (25 Beds)107,953.56$ 0.66 1 107,953.56$ Nurse Practitioner (25 Beds)104,682.24$ 1.00 1 104,682.24$ Registered Nurse (25 Beds)240,442.02$ 2.45 1 240,442.02$ Paramedic (25 Beds)25,189.16$ 0.66 1 25,189.16$ CNA- EMT(Basic) (25 Beds)63,518.13$ 2.33 1 63,518.13$ Logistician 35,984.52$ 0.66 1 35,984.52$ Case Workers 43,617.60$ 1.00 1 43,617.60$ PMO 16,912.72$ 0.33 1 16,912.72$ Pharmacy Tech 24,469.47$ 0.33 1 24,469.47$ Reception Support (25 Beds)-$ 0.00 1 -$ Flights and transport 2,000.00 Round trip fligts and taxis 30 60,460.00 Lodging 110.00 USG rates 30 99,759.00 Per diem 66.00 USG rates 30 59,855.40 929,623.71$ Total: Macro Pricing