Purpose: Orange County, North Carolina is seeking proposals from qualified individuals and organizations to conduct a comprehensive staffing and efficiency analysis of the Orange County Health Department’s Medical and Dental Clinics, located in Chapel Hill and Hillsborough, North Carolina. The analysis shall assess the clinics using a practice management framework which include a variety of administrative and strategic tasks. Specific areas to be assessed include: • Administrative Tasks – review of current staff utilization, appointment scheduling process, billing, managing patient records, and regulatory compliance. • Opportunities to draw down and collect additional revenue. • Strategic Tasks – review of staffing capacity, budgeting, business strategy and marketing of service lines. • Other Tasks – evaluation of workflows, coordination of healthcare team activities, medical supply ordering, and maintenance of equipment. • Practice Compliance – adhering to all applicable laws, regulations, policies, and procedures, including HIPAA and OSHA Compliance regulations. • Assessment of the physical space for operational efficiency. The analysis and recommendations should be based on current standards of practice for local public health department clinics. The goal of practice management is to improve the efficiency, financial livelihood, and patient care of a medical practice. The health department is seeking best practice approaches to the safe, effective, and efficient operation of the clinics. The workflow and process improvement analysis should include all aspects of the department’s clinical service operations to increase access to care for current and future clients of the Health Department, to streamline the information flow between various clinical activities, and to sustainably assign clinician and support staff based on expertise, client needs, and essential functions which are mandated by State and Federal agencies.