Download Neonatology Shared Services

Erlanger Health System
Chattanooga, TN 37403
Request for Information (RFI)
Neonatology Shared Services
RFI #0034-1617
Mail or deliver sealed response to:
Erlanger Health System
Supply Chain Management Department
Attn: Kay Hobbs
975 East Third Street, Suite B-708
Chattanooga, TN 37403
Date Bid Publicly Opened: Monday, June 12, 2017 at 2:00 p.m. EST
RFI # 0034-1617 Neonatology Shared Services
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Intent to Respond
Return to [email protected] by: 06/12/2017
RFI Name: Neonatology Shared Services
RFI Ref #:
0034-1617
Please email this document to the Attention of:
Kay Hobbs
Erlanger Health System
[email protected]
Contact Person
Address
Company
City
Telephone
RFI # 0034-1617 Neonatology Shared Services
State
Zip Code
Email Address
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I.
Invitation & Instructions
The purpose of this Request for Information is to solicit responses from qualified Proposers for
Neonatology Shared Services “Services”. Erlanger Health System (EHS) is soliciting
responses from interested Neonatology Services (Group) to provide:
A. An organization and structure that will ensure high quality, safe, timely, efficient,
effective, family/patient centered and equitable care and consultation for:
1. Regional patients and families that are referred from the EHS catchment and
referral areas of Southeast Tennessee, Western North Carolina, Northern Georgia
and Northern Alabama through the development, implementation and
maintenance of a comprehensive regional strategy, the strategic plan and
implementation will be an integrated component of and coordinated with EHS
overall regional strategy including, but not limited to EHS regional strategy and
existing services.
B. Clearly defined teaching, research, advocacy and quality scholarly activity roles for all
members of the NICU staff, and defined time allotment and incentives for such scholarly
activities for all involved Neonatology Physicians and extenders.
C. A robust patient safety and quality program coordinated with EHS and EHS goals and
initiatives and regional and national quality databases and initiatives.
D. The Response submitted from the group shall be a practice proforma including revenue
and expense estimates understanding that there will be no subsidies paid by Erlanger
Health System.
II.
Process
Note: You are therefore invited to submit a response for “Services” as outlined in the
attached documents. The process is expected to be as follows
A. Publishing of RFI.
B. Submittal of Responses time, date and location as specified within this RFI document.
C. Evaluation of Responses are based on the solution that is deemed in Erlanger Health
System’s sole discretion to be in the overall best interest of the health system with
regards to price, terms or any other matter as set forth as a matter of importance as
determined by the health system. It is at the sole discretion of Erlanger Health System to
determine that no response submitted meets an acceptable solution and therefore none are
considered for evaluation.
D. More than one Response may be considered as a final Response.
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E. During Final evaluations, Erlanger Health System reserves the right to ask persons
participating in this process that have provided an Initial Response, to provide a Final and
Best offer that may be based on criteria of either a particular Response submitted or
combination of several Responses.
F. Erlanger may select finalists for presentation schedule TBD.
G. If a selection is made, implementation of this program is expected to take place subject to
approval.
H. Erlanger may at its discretion to Award from this Final and Best submission or to reject
all Responses.
I. Responses must be in accordance with the instructions contained herein or they will not
be considered. Erlanger Health System reserves the right to reject any or all Responses
received, to accept any response which in its opinion may be in the best interest of
Erlanger Health System, and to combine Responses into a final Response upon which it
may solicit additional pricing or best or final offers. Erlanger Health System does not
obligate itself to accept any particular Response.
J. Responses may be mailed, AT YOUR RISK, or delivered to the Kay Hobbs, Contract
Specialist, Erlanger Health System, 975 East Third Street Suite B-708, Chattanooga,
Tennessee 37403. We strongly suggest you hand deliver. Any other method of delivery
puts the bid at risk of not making the deadline.
K. Responses must be received at the Supply Chain Department no later
than 2:00 p.m. on Monday, June 12, 2017, at which time they will be publicly
opened. Public Opening means that Responses will be removed from their sealed
envelopes, but Responses will not be reviewed in public until after they have been
evaluated and an award has been made, if one is made.
L. For the Response to be considered, it must be submitted in accordance with the following
instructions:
1. Response must be submitted with 8 (eight) copies. The Response must consist of a
properly completed and signed Specification section.
2. Response must be submitted in a sealed envelope; with the RFI Reference #, Date
& Time of the opening on the outside of the shipping envelope.
3. Response must be submitted to arrive no later than the time and date set for
opening. Response must be mailed or delivered to Supply Chain Management
Department as stated in the invitation. A date/time stamp will be affixed to the
envelope immediately upon its arrival to the Supply Chain Department. The date/time
stamp must be on or before the date and time shown for the opening or the Response
will not be considered. Responses arriving late will be returned, unopened, to the
Respondent.
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III.
Introduction
A. Organizational Profile
Children’s Hospital at Erlanger is a 135 licensed bed tertiary care system and regional
referral hospital that provides a full range of services in two (2) facilities – Children’s
Hospital at Erlanger, Erlanger East. The NICU Unit at Children’s Hospital at Erlanger is
a 70 (seventy) bed unit, and the NICU Unit at Erlanger East is a ten (10) bed unit.
1. University Of Tennessee College Of Medicine, Memphis Affiliate.
2. Only regional trauma center operating five (5) helicopters to serve the
surrounding tri-state area.
B. Site Statistics
1. Children’s (Table)
Children’s NICU Statistics
7/1/15 - 6/30/16
Total Patients Days
Total Admissions
LOS
22,307
940
23.73
Billable Level of Care (based on volume)
Level 1
0.1%
Level 2
12.9%
Level 3
56.1%
Level 4
30.9%
Payor Mix (based on volume)
Commercial
29.3%
Medicaid/TennCare
69.9%
Indigent
0.4%
Self-Pay
0.4%
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2. East (Table)
East NICU Statistics
7/1/15 - 6/30/16
Total Patients Days
1,593
Total Admissions
234
LOS
6.81
Billable Level of Care (based on volume)
Level 1
Level 2
Level 3
Level 4
0.1%
30.5%
47.1%
22.3%
Payor Mix (based on volume)
Commercial
Medicaid/TennCare
Indigent
Self-Pay
40.3%
59.5%
0.0%
0.3%
C. Goals
Please list goals, measures, metrics and timelines to address the following:
1. Quality
a) Provide appropriate, high quality (defined by the IOM as safe, timely, efficient,
effective, family/patient centered) and equitable care to all patients meeting or
exceeding national best practice standards.
b) Provide all necessary care within the scope of the patient’s needs.
c) Provide Service resulting in the highest levels of satisfaction as it applies to our
patients, families, referring and employed physicians, EHS staff.
d) Provide timely communication to all referring providers.
e) Maintain a patient-centered care team while participating in performance
improvement activities for the EHS System.
f) All Neonatology physicians will represent EHS, and provide all care and services
in a manner consistent with the mission, vision and values of Erlanger Health
System and EHS.
2. Strategic Plan-Regional and Community
a) Develop, implement and maintain a regional strategic plan for all areas of EHS,
EHS referral region, including, but not limited to coordination with existing and
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future services. This also includes participating in outreach education and
communication and the potential for collaboration with the regional providers.
b) When directed, serve as liaison with the community and participate in such
community education and civic activities when reasonably requested.
3. Hospital and Department of Pediatrics Administration
a) Representatives of the Neonatology physician services group shall attend on
behalf of the NICU Department, all appropriate committee meetings at
Hospital/Department and medical staff level.
b) Representatives of the Neonatology physician services group shall review with
the management team all quality indicators and the satisfaction surveys and
develop plan of action to improve the areas identified as needing improvement.
4. Efficiency AND Utilization
a) Participate in cost containment efforts with the NICU management team and
provide information to third party payers as requested.
b) Assure appropriate coding and billing for all procedures.
c) Effectively manage the utilization of hospital-based resources to improve
utilization performance while maintaining high quality care.
d) Advise the Hospital regarding suggested purchases of equipment and supplies.
e) Audit NICU department charts and document the results in compliance with the
requirements of the Joint Commission and EHS quality initiatives.
5. Teaching and Scholarly Activities
a) Provide the highest levels of educational and scholarly experience for the
residents, medical students and other students including written evaluation of
residents and medical students in a timely manner.
b) Provide nurse and physician in-service education programs as reasonably
requested by hospital.
c) Assist Hospital management to satisfy requirements for grant activities, research,
quality, translational and implementation grants.
d) Active participation in the Neonatology Medicine didactic curriculum for
residents and medical students.
D. Objectives
The Neonatology Service objectives are to provide a structure that will:
1. General Areas
a) Provide 24/7 coverage at Erlanger East Level III NICU and in house coverage for
Children’s Level IV NICU, including holidays, by a sufficient number of
physicians as mutually agreed between EHS and Contractor, including on-call
schedules.
b) Provide timely neonatology services to infants requiring transfer to the Facility
(“transport services”) 24/7 including holidays.
c) Attend high-risk cesarean sections and deliveries when necessary and appropriate
and in keeping with applicable standards of care.
d) Render non-emergency medical services to patients of Hospital as reasonably
requested.
e) Provide a sufficient number of board certified neonatologist available to supervise
neonatal nurse practitioners and pediatric residents.
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f) Perform procedures and consultations with respect to patients served.
g) Consult with other physicians on the Hospital’s medical staff, as required.
h) Assist in the development and implementation of appropriate policies and
procedures for the NICUs and for Hospital’s other departments.
i) Provide Board Certified in Neonatology Medical Director responsible to perform
administrative and medical services.
j) Provide sedation services for NICU patients by neonatologists certified in
sedation for procedures, including those certified needing ROP repair.
k) Provide consultation as requested, for the NICU follow-up Clinic.
2. Strategic Plan
a) Develop, implement and maintain a regional strategic plan for all areas of the
EHS, EHS referral region, including, but not limited to coordination with existing
and future services.
b) Develop and conduct community outreach programs relating to EHS designation
as a regional perinatal center.
c) Develop and approve annually plan for EHS participation in receiving perinatal
grant funding.
d) Serve as liaison with the community and participate in community education and
civic activities, including but not limited to the requirements for CRPC.
3. Quality
a) Monitor and develop specific action plans to improve flow and function of the
department (discharge by 11:00 a.m., participation of collaborative daily
rounding, participation in predictive model around LOS, appropriate transfer
between NICU units etc.).
b) Address community and regional physician issues and concerns in a timely
manner.
c) Assure a smooth and coordinated transfer of care occurs every time on every
patient.
d) Assist the Hospital in complying with all Joint Commission standards applicable
to the NICU and other departments of Hospital.
e) Promote cost effective and efficient delivery of service and improvements in
clinical quality.
f) Participate in a national neonatal database such as the Vermont Oxford or
database approved by Children’s Chief Medical Officer and Children’s Chief
Executive Officer in order to compare local outcomes data to a national
benchmark. Provide quarterly data outcomes as well as the status of quality care
and process improvement initiatives planned and on-going in the NICU.
g) Collaborate with MFM to provide continuum of care across service lines and
participate in fetal boards.
4. Academic
a) Support residency and fellowship programs at the University of Tennessee
College of Medicine, Chattanooga by performing lectures, grand-rounds,
conferences and other teaching and scholarly activities, including research,
advocacy and quality. This includes, but not limited to assuming responsibility for
development and implementation of curriculum and evaluation methods and
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actual bedside teaching and fellow, resident and medical student evaluations.(As
outlined in UTCOMC Memorandum of Understanding).
b) Participate in the development and presentation of educational seminars for
registered nurses and other professional personnel with regard to neonatal
services.
IV.
Medical Director
A. Medical Director of NICU will devote 20-30% of time to administrative
responsibilities.
B. NICU Medical Director will require approval by the Children’s Chief Medical
Officer and Children’s Chief Executive Office. The NICU Medical Director will
report directly to Children’s Chief Medical Officer.
C. The Medical Director will have responsibility and accountability for the following:
1. Oversee quality, patient safety, service excellence and behavior of physicians
and NNP providing neonatology services to all facilities within the EHS.
2. Participation in neonatal initiatives set by EHS.
3. Serve as a physician liaison with hospital administration with respect to issues
impacting care in the NICU and /or administrative practices.
4. Provide nurse and physician in-service education programs as reasonably
requested by hospital.
5. Provide orientation and evaluation of new physicians and NNP in the NICU.
6. Support hospital’s mission and commitment as an academic medical center.
7. Oversee the performance of all Neonatology Services provided by Specialist
at the facility.
a) In conjunction with Children’s CMO and quality oversight committee
develop standardized pathways of care that will be implemented by
early 2018.
b) Quality measurement and performance reporting including but not
limited to:
1) Compliance with standardized pathways of care for each
physician/NNP.
2) Participate of submission of “U.S. News world report top 50
Hospital” and use as quality measures of achievement.
3) Create and develop processes around measuring, tracking and
improving HCHAPS, Vermont Oxford and National and State
Children’s Hospitals’ Solutions for Patient Safety.
4) Actively participate and represent Children’s Hospital at
Erlanger in TIPQC (Tennessee initiative for Perinatal Quality
Care).
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V.
8. Assure every employed neonatologist/NNP meets the criteria for UTCOMC
clinical faculty appointment and provides the academic level of performance
including but not limited to teaching and evaluation of residents and medical
students.
Indicators
Please respond to the following indicators and questions in your response:
A. Background
1. Identify Group and Principal Contact.
2. Describe your Group’s structure and leadership.
3. Describe your Group’s experience with Neonatology Services or other similar
ventures.
4. How would you plan to work with Health System to provide regional opportunities to
support a long term strategic plan?
5. Describe the benefits of contracting with your Group.
6. List the names of the proposed professionals for staffing if available at this time.
7. Provide a current client list for reference purposes.
8. Please list all third party payer programs in which the Group participates and indicate
whether the Group would be willing to participate in all third party payer programs in
which EHS participates.
B. Operations
1. Please describe how you will meet the above goals and objectives, including clinical
care, teaching, other scholarly activities, leadership and quality.
2. Describe any hospital obligations for contractor’s billing.
3. Describe your proposed staffing patterns to meet the needs and facilitate efficient
function and flow.
4. Describe your planned on-call schedule to provide for the seasonal influx of patients
and/or changes in volume of patients.
5. Describe your quality review program and processes to improve outcomes, service,
flow and practice.
6. Please describe how your groups Neonatology EHR will interface with the EHS
inpatient EHR.
7. Describe your incentive pay system and corrective action and disciplinary system for
physicians.
8. What are the minimum consecutive days a covering professional will work?
9. Are you familiar with EHS’s Medical Staff’s Bylaws and Policies relating to
admissions, discharges, and medical records completion and are you willing to adhere
to these policies?
10. Will you agree to comply with all applicable laws and regulations, including the laws
more commonly known as Stark and the Anti-Kickback law, EHS’s Code of Conduct
and Ethics, and EHS’s Compliance Program, including participation by professional
personnel in compliance training?
11. What other services or benefits would your group bring to EHS?
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C. Financial
1. Describe any financial arrangements required from EHS. Describe any space or
personnel support required from EHS.
2. Confirm your group is aware that EHS does not intend to have a separate Medical
Director contract. Providing protected Medical Director time and services should be
within the contracted value; time allocation is to be part of the value proposition.
D. Utilization:
1. Describe your plans to manage utilization, efficiency and cost effectiveness of
resources.
2. What would be your implementation timeline?
3. Describe your data measurement process and reporting process for key indicators
(Service, Outcome and Costs).
E. Ethical practice:
1. Please outline current or proposed processes and programs to assure compliance
insurer requirements and with all CMS and state laws and regulations to protect all
parties from health care fraud. Is the applicant or any of the proposed professionals
currently or ever been indicted for health care fraud, Medicare fraud, Medicaid Fraud
or excluded from participation in any insurer program, state or federal health care
program? If so, please list all such exclusions and the underlying reasons, including
state licensure actions, indictments, court findings and/or settlements in chronological
order.
VI.
Response Content - Questions For Response
Please respond to each of the following questions in your response.
A. Group History and Description
1.
Please describe the corporate structure of the Group, provide a list of your
Group’s officers, directors and shareholders, and describe the legal relationship
between the Group and the physicians who would provide services at the Hospital
(e.g., bona fide employees, independent contractors, partners, shareholders).
2.
Does the Group obtain management or billing services from any third party? If
so, describe the nature of that engagement and describe the entity or entities from
which your Group receives these services.
3.
Discuss the stability of the Group (e.g., longevity, recruitment, retention, etc.).
4.
Discuss the leadership experience of the Group and the individual that you
propose to serve as Medical Director. For such individual, please provide
curriculum vitae.
5.
Identify the number of board certified and board qualified Neonatology Services
employed by the Group. Detail the backgrounds, education, credentials and
experience via curriculum vitae of those Neonatology Services who would
provide patient care services at EHS.
6.
Discuss receptivity to and plan for integrating into the Group qualified
Neonatology Services who are currently providing Neonatology Services at the
Hospital.
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7.
8.
9.
10.
11.
12.
13.
Describe the nature of your past/current relationship with Erlanger Health System
and its affiliated organizations, if any.
List the facilities where you are currently providing Neonatology Services. Please
provide the name, address and telephone number of at least two (2) references at
such facilities.
Identify and describe any and all potential conflicts of interest involving the
Group, its officers, shareholders, directors and employees, which may arise if the
Group is awarded the contract to provide services at the Hospital. The term
“potential conflict of interest” includes, but is not limited to: (i) a member of the
Group or immediate family member holding a position of leadership in Erlanger
Health System, serving as a trustee, an officer, or a member of a Medical Staff
committee; (ii) the Group or a member of the Group serving in a leadership
capacity with any hospital or health system that competes with the Hospital in the
Chattanooga, TN. metropolitan area; or (iii) Group or a member of Group having
an ownership interest (other than nominal amounts of stock in publicly traded
corporation) in or a compensation relationship with any vendor doing business
with the Hospital or Erlanger Health System; list any issues (past or present) you
resolved or are currently resolving; and describe the status of such issues.
List any contracts held by the Group during the past three years which have
expired without renewal or have been terminated and describe in detail the
circumstances surrounding such nonrenewal or termination.
Identify your current professional liability insurance company and the amount of
coverage you carry.
Provide a detailed description of any investigation, inquiry, review, litigation or
administrative proceeding initiated by any third-party payor, or the Medicare or
Medicaid program within the past ten (10) years involving the Group, any officer,
director, employee or contractor of the Group.
Provide research and publication history, results and future plans.
B. Operating Expertise and Philosophy
1.
Detail your proposed staffing plan for providing Neonatology Services and the
specific providers and their qualifications that you will assign as Neonatology
Physicians at EHS.
2.
Include details in your proposed staffing plan the use and type of extenders and
ratios.
3.
Explain in detail any sub specialty training your team will bring to EHS (e.g.
pediatrics, etc.).
4.
Describe your working relationship with your staff (e.g. conflict resolution,
employee development plans, disciplinary procedures, etc.).
5.
Describe the Group’s system for compensating physicians, including its
methodology for awarding bonuses.
6.
Discuss the Group’s philosophy of customer service. Define who the customer
(both internal and external) is and any applicable courses your individual
physicians have attended in the last two (2) years.
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7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
Define how the Group would measure patient satisfaction; how you would hold
the Group accountable for patient satisfaction and your plan of correction, should
patient satisfaction decrease or patient satisfaction issues arise.
Define patient satisfaction surveys, results, and any statistics the Group has
collected to support your group’s philosophy.
Detail all Quality Improvement and Process Improvement initiatives the Group
has implemented within the last year and the results of those initiatives.
Describe any benchmarking information you have collected and how you
compare to other Neonatology Services groups. Also provide any third party peer
reviews conducted and describe the Group’s plan to provide such information to
the Hospital on a six- or twelve-month basis.
Describe the Group’s patient safety and risk management programs, including a
description of any risk management or patient safety initiatives undertaken in the
past year and the results of such initiatives.
Define how you have assisted the hospitals at which you have provided services
in controlling costs (e.g. standardization of procedures and/or products,
developing protocols, ordering appropriate procedures with clinical indications,
etc.).
Describe your proposed strategies to market Neonatology services to the
community and physicians. What marketing strategies have worked the best for
your group in the past?
Describe the Group’s vision of the future for Neonatology services (e.g.
technological advances, etc.).
Describe the Group’s mission statement, vision and primary goals as set forth in
your strategic plan.
Define any groups of patients for which the Group would be unable to provide
services, if any, and why.
Detail the clinical appropriateness criteria the Group has developed to ensure
consistent standards of care. Explain how your group educates the physicians in
this process and monitors their activities.
Describe your experience with managed care and what creative pricing strategies
you have used or are presently using to attract managed care entities. List the
names of the managed care entities with which your group currently has a
participating provider agreement.
Describe all data and reports that your group would provide on an ongoing basis
to the Hospital and how such data and reports would be of benefit.
Describe the Group’s data needs from the Hospital as well as your hardware
requirements (e.g., computers, printers, etc.).
Describe the methods or programs that the Group uses to ensure that its
physicians treat patients in a timely manner, consistent with quality health care.
Describe those performance measures that the Group would be willing to have “at
risk,” if any.
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C. References
List the names, contact person(s), addresses and telephone numbers of all references,
which should include:
1. One (1) Hospital Administrator
2. Three (3) Physician References (may be from the following specialties, one must be
from Neonatology):
a) Neonatology
b) Pediatrics
3. One (1) Department of Medicine or Neonatology Services Section Chair
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Attachment 1 – Definitions
1. "Minority Business" - A business where at least fifty-one percent (51%) is owned by one
or more minority persons or socially and economically disadvantaged individuals, or in
the case of a corporation, in which at least fifty-one percent (51 %) of the stock is owned
by one or more minority persons or socially and economically disadvantaged individuals;
and of which the management and daily business operations are controlled by one or
more of the minority persons or socially and economically disadvantaged individuals
who own it.
2. "Minority Individual" - A person who is a citizen or lawful permanent resident of the
United States and who is from a background described in the instructions for completion
of Form EEO-1 and its appendix all as required by Section 709(c) of Title VII, and the
applicable regulations, Sections 1602.7 1602.14, Subpart B, Chapter XIV, Title 29 of the
Code of Federal Regulations, which include as presently drafted:
a. African-American (Black) (Not of Hispanic origin) - All persons having origins in
any of the Black racial groups of Africa;
b. Female;
c. Hispanic - All persons of Mexican, Puerto Rican, Cuban, Central or South American,
or other Spanish culture or origin, regardless of race;
d. Asian or Pacific Islander - All persons having origins in any of the original peoples of
the Far East, Southeast Asia, the Indian Subcontinent, or the Pacific Islands. This
area includes, for example, China, India, Japan, Korea, the Philippine Islands, and
Samoa;
e. American Indian or Alaskan Native - All persons having origins in any of the original
peoples of North America, and who maintain cultural identification through tribal
affiliation or community recognition;
3. “Small business enterprise" includes Proprietorship, Partnership, Limited Liability
Company, Corporation, or other form of business, with annual gross revenues of less than
the sum of Four Million Dollars ($4,000,000).
4. “Socially and Economically disadvantaged individual" means an individual who is within
either or both of the following groups:
a. Socially disadvantaged individuals are those who have been subjected to racial or
ethnic prejudice or cultural bias because of their identity as a member of a group
without regard to their individual qualities.
b. Economically disadvantaged individuals are those socially disadvantaged individuals
whose ability to compete in the free enterprise system has been impaired due to
diminished capital and credit opportunities as compared to others in the same
business area that are not socially disadvantaged.
5. “Disabled Veteran”- an individual who has served in the U.S. Armed Forces and who has
been Disabled in the line of duty.
If your business qualifies for any of the minority categories above, please include a copy
of the certification with the RFI response.
RFI # 0034-1617 Neonatology Shared Services
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Attachment 2 – Proposer Statistical Data
RFI Name:
* This Document is Mandatory*
Neonatology Shared Services
RFI Ref #: 0034-1617
The following information is gathered for statistical use only:
1.
Type of Business:
(Check Appropriate)
_______MANUFACTURING
2.
_______DISTRIBUTION
_______SERVICE
List Specific Product Line(s):
__________________________________________________________________
3.
Type of Ownership:
(Check Appropriate)
_____ Male
______ Female
_____ White
______ African American
_____ Asian or Pacific Islander
______ Hispanic
_____ American Indian or Alaskan Native
______ Small Business Enterprise
_____ Socially & Economically Disadvantaged
_____ Minority Business
_____ Other: (Please Specify)
______________________________________________________
1.
Explain how you demonstrate your good faith commitment for equal opportunity for
Minority Businesses (attach a detailed explanation).
2.
Does your company have physician ownership?
If yes, please provide detailed information as to the ownership.
I, the undersigned, hereby certify that the foregoing statistical information and any attachments
hereto are true, accurate, and in accordance with the definitions set forth in this request for
information to the best of my knowledge, information and belief, and those made on information
and belief are believed to be true, accurate, and in accordance with the definitions set forth in this
request for information.
Signature:
Print Name:
RFI # 0034-1617 Neonatology Shared Services
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Title:
PROPOSER NAME:
CORPORATE ADDRESS:
CITY:
ZIP:
STATE:
PHONE:
For EHS use only:
Attachment 3 – NICU Department Facility List
Children’s Hospital at Erlanger
910 Blackford Street
Chattanooga, TN 37403
423-778-6011
Erlanger East
1755 Gunbarrel Road
Chattanooga, TN 37421
423-778-8400
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