Specifications include, but are not limited to: C.2.1. The Oklahoma State Department of Health (OSDH) is issuing this Request for Proposals (RFP) using funds from the Civil Monetary Penalty Revolving Fund, pursuant to 63 O.S. 2013, § 1-107.4, to support and provide quality assurance and process improvement through root cause analysis and quality improvement support for NF/SNF that have high level and/or frequency of deficiency citations, recurring deficiency citations, and/or poor performance quality measures as reported to the CMS national Minimum Data Set 3.0. C.2.2. The objective is to identify a Supplier, or multiple Suppliers, with the capability to offer services that benefit, protect or improve nursing home services for residents of nursing facilities, skilled nursing facilities, and dually-certified skilled nursing facilities, in accordance with CMS requirements. C.2.3. The goal of the OSDH is to fund up to two projects through one (1) or more Suppliers that are knowledgeable, skilled, and capable of meeting the project’s purpose in its area of expertise. For the first 12-month period, approximately 1.5 million dollars will be made available to support up to two projects of varying amounts; each project will supply QAPI-RCA to thirty (30) SNF/NF and QI-STAT to five (5) SNF/NF each contract year. Additional funds may be available for multi-year projects. . Qualified Suppliers will provide two (2) services to Medicare and/Medicaid certified nursing homes. C.6.1.1. The first service is referenced as QAPI-RCA: regular on-site consultation services for the purposes of establishing an effective Quality Assurance and Process Improvement program that incorporates root cause analysis of poor performance in clinical quality metrics. QAPI-RCA principles must ensure compliance with CMS mandates and guidance and interventions must be evidence-based. Data-entry and chart review should be a component of the consulting services. C.6.1.2. The second service is referenced as QI-Stat: an on-demand consulting service for nursing homes identified by OSDH as needing immediate consultation to address areas of care. More information is provided below, and Suppliers should describe their approach to delivering these services. All materials must meet OSDH Communications standards and guidelines.