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The final deliverable, consistent with your RFP, will include a comparative analysis considering <br />operational, cost, and revenue projections for the three alternative models: <br /> Full Service Municipal Health Agency <br /> Limited Municipal Health Agency <br /> Regional Health Model <br />Our draft report weighing the pros, cons, and considerations will inform and serve as the <br />foundation for the critical strategic conversations that HMA will help facilitate with City <br />leadership. HMA proposes to work with the City to establish a common criterion that will be <br />applied to all three alternative models to inform the strategic conversation with the City. <br />Suggested criteria may include cost, revenue potential, implementation risk, implementation <br />complexity and other factors identified as priorities by the City. <br />Staff from HMA is available to provide implementation support, pending action by the City <br />Council, to develop City of Santa Ana-specific health programs, policies, and plans. The cost <br />associated with implementation support is not included in the proposal at this time. <br />Proposed Work Streams <br />Figure 6 summarizes these four work streams cross-walked to the specific tasks outlined in the <br />RFP. Further descriptions of each work stream and associated tasks are detailed in Figure 7. <br />FIGURE 6: PROPOSED WORK STREAMS AND KEY QUESTIONS <br />Proposed Work Streams and Key Questions Crosswalk to the <br />Scope of Services <br />1. Regulatory and Statutory Requirements Analysis <br /> What are legally required mandates (state and federal) of public health <br />departments? <br /> What are public health regulations and what are requirements to qualify <br />for funding? <br /> What are the requirements of the regional health district? <br />A, E, F, M <br />2. Community Needs Assessment <br /> What do we know about current health conditions and issues for Santa <br />Ana residents? <br /> What are the specific health issues facing Santa Ana residents and <br />related health priorities? <br /> How did OCHCA’s COVID-19 response address the needs of the City of <br />Santa Ana? <br />G, H <br />3. Current Service Level, Cost, and Revenue Analysis <br /> What are current in-house and contracted services provided by OCHCA <br />and related service levels (mandated and additional)? <br /> What are current service levels and services to Santa Ana? <br /> What are current costs and funding sources? <br /> What has been OCHCA’s COVID-19 response? <br /> What are existing OCHCA public health accreditations? <br />B, C, D <br />4. Comparative Analysis and Forecasting <br /> What are examples of comparative municipal models – full service vs. <br />limited service? <br /> What are the core public health services and related staffing, facilities, <br />and certification requirements? <br /> What is the cost, service, and revenue data from these comparable <br />municipal models? <br /> What are the lessons learned from these municipalities’ experience and <br />relevancy to Santa Ana? <br />I <br />Draft and Final Synthesis of Findings Related to the Three Models K, M, N, O, P <br />EXHIBIT 1