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EXHIBIT A <br />CITY OF SANTA ANA <br />REQUEST FOR PROPOSALS FOR MEDICAL SERVICES REVIEW PROGRAM <br />SCOP OF SERVICES <br />DESCRIPTION AND SCOPE OF SERVICES j <br />The City of Santa Ana.is issuing this Request for Proposals (RFP) for a medical services review program; <br />such program to include organizing, scheduling, managing, and/or evaluating a comprehensive range of <br />medical services and examinations, including but not limited to: <br />a) For prospective and current City employees to perform the duties of the position for which they are being <br />considered (pre-employment assessments), using pre -determined medical protocols for each job <br />classification such protocols may be modified by the physician, in consultation with the City's Executive <br />Director of the Human Resources Department, or his/her designee, as is necessary to make a <br />determination as to suitability for employment; <br />b) For current City employees being considered for employment in Department of Transportation (DOT) and <br />non -DOT positions requiring pre -placement or pre -assignment drug screens; <br />c) Fitness for Duty examinations (industrial and non -industrial), and provide reports and recommendations <br />regarding the suitability of current employees to continue to perform their duties; <br />d) Urine and breath specimen collection, laboratory analysis and Medical Review Officer (MRO) <br />responsibilities; <br />e) Department of Motor Vehicles (DMV) Driver's License physical examinations; <br />f) DOT -mandated drug and alcohol testing of employees considered 'safety sensitive' as defined under <br />DOT regulations and City policy. Consultant shall ensure all such testing complies with DOT testing <br />procedures as per 49 CFR, Part 40; such testing to include pre-employment and pre -assignment. <br />City shall be responsible for the organization, scheduling, and management of DOT and non -DOT random <br />and reasonable suspicion drug and alcohol testing, and DOT post -accident drug and alcohol testing. <br />Consultant shall evaluate results of said testing, in accordance with the provisions of the Agreement and <br />relevant laws and regulations. <br />Consultant shall ensure clinic(s) used for DOT -related drug and alcohol testing maintains a current valid <br />contract with a Substance Abuse and Mental Health Services Administration (SAMSHA)-certified laboratory <br />that is agreed upon with the City of Santa Executive Director of Human Resources. Consultant shall ensure <br />turn -around time from specimen collection to obtained test results shall be a maximum of three (3) working <br />days for a negative test, and a maximum of five (5) working days for a positive test. <br />As part of the medical services review program, Consultant shall: <br />1) Analyze current job classification specifications and make recommendations for the City's use in the pre- <br />employment medical examination and drug testing process, random drug screen inclusion for safety <br />sensitive positions inclusive of DOJ regulations, and occupational injury medical examination for return- <br />to-work/fitness for duty. <br />2) Provide training to Human Resources personnel in administration procedures of Consultant's medical <br />services review process. <br />3) Communicate with City Human Resources staff regarding applicants' or employees' progress throughout <br />the medical services review process. <br />4) Communicate directly with applicants and City Human Resources staff throughout the pre-employment <br />or pre -assignment process in regard to results and medical conditions as ascertained through the medical <br />or physical examinations. <br />5) Provide an electronic final report in a format established by City Human Resources staff at its sole <br />City of Santa Ana Human Resources Department <br />RFP for Medical Services Review — August 27, 2018 <br />25&'15 <br />