Common use of PERFORMING AGENCY RESPONSIBILITIES Clause in Contracts

PERFORMING AGENCY RESPONSIBILITIES. Task 1: Texas Improved Distribution and Evaluation of Single-use disposal pouches (TIDES) Performing Agency shall: 1. Assess previous SUDP distribution efforts to inform future SUDP dissemination and evaluation strategies. a. Previous data will be provided by System Agency. b. In the first 60 days post-contract start date or September 29, 2019, whichever is sooner, compile previous data, create, and submit a Baseline Report for System Agency review. The report will include previous methods for SUDP distribution, end- user groups who received SUDPs, SAMHSA Center for Substance Abuse Prevention (CSAP) strategies implemented along with SUDP distribution, and categorized Prevention Programs based on their served target population. This information will also help the Performing Agency to estimate the need for SUDPs (quantity and size [small, medium, or large]) for each distributor. i. The CSAP strategies are Information Dissemination, Prevention Education, Positive Alternatives, Environmental Strategies, Community-Based Process, and Identification of Problems and Referral to Services. ii. Additional information about the prevention and CSAP strategies can be found in the Substance Abuse and Mental Health Services Administration, Focus on Prevention, HHS Publication No. (SMA10–4120). Rockville, MD: Center for Substance Abuse Prevention, Substance Abuse and Mental Health Services Administration, Revised 2017: ▇▇▇▇▇://▇▇▇▇▇.▇▇▇▇▇▇.▇▇▇/product/Focus-on- Prevention/sma10-4120. 2. Coordinate with System Agency to identify the target populations listed in Section II. Target Population. System Agency will provide contact information for each System Agency substance abuse prevention program funded by the SAMHSA SABG. 3. Collaborate with a manufacturer of SUDPs to discuss the specific needs for the project as they relate to distribution and data collection. 4. Coordinate the provision of SUDPs to distributors (e.g., Prevention Programs, physician offices, hospitals) with data collection questionnaires attached to each unit. 5. Cover all costs associated with SUDP delivery to distributors. 6. After estimating need and target population, contact each distributor, by any means necessary to discuss distribution method, prevention strategies, and physical mailing address for the SUDP order. Create a Contact Log of each discussion to record the organization’s name, phone number, address, staff contact name, staff position, and brief summary of the discussion. Make the Contact Log available by request of System Agency. 7. Place regularly-scheduled (e.g., weekly) requests to the manufacturer to ship the orders to individual distributors throughout Texas. 8. Interact with the distributers, by any means necessary, to disseminate SUDPs and educate on ways to improve end-user intention to use SUDPs. End-user is defined as the person actually using the SUDP to dispose of their medications. Performing Agency will refer HHSC substance abuse prevention program staff funded by the SAMHSA SABG to the System Agency for technical assistance regarding CSAP strategy implementation. 9. Develop a data collection instrument for collecting distributor-level information. Distributors include System Agency substance abuse prevention programs funded by the SAMHSA SABG, primary care providers, and hospitals. All distributors will be evaluated based on their (1) target population, (2) geographic location, (3) staff interacting with end-users of the SUDPs, (4) previous knowledge of SUDPs, (5) number of SUDPs distributed, (6) location of distribution, (7) number of adults receiving SUDPs, (8) number of youth receiving SUDPs, and (9) CSAP strategy implemented during distribution. A 100% response rate is required from distributors that receive SUDPs. 10. Compile distributor-level data into a monthly Distributor Report and submit to System Agency by the 15th day of the following month for the month being reported. 11. Develop a data collection instrument for collecting end-user-level data that allows for multi-modal response. Performing Agency may work with SUDP manufacturer to coordinate instrument dissemination. The information to be collected will include (at minimum): type of medication(s) being disposed; number of pills (units) per type being disposed; and county of end-user. This will allow disposal of controlled substances to be estimated and attributed to specific distributor(s) throughout the state. All response data will be submitted to the Performing Agency, not SUDP manufacturer. By working with the distributors, data collection procedures will aim for a response rate of 3% overall. 12. Compile end-user-level data into an End-User Report and submit to System Agency at six months and twelve months-post contract execution date, but not later than September 29, 2019. If the overall response rate for end-user-level data is not at least 3%, a section of the report will include information for how to improve data collection to improve response rate. Task 2: Assessing current non-medical prescription drug use prevention practices by prescribers in Texas. Performing Agency will: 1. Recruit, and coordinate with, controlled substance prescribers in a Houston-area clinical health system to evaluate the current methods of initial opioid regimen monitoring including the distribution of SUDPs by prescribers (or their delegates). All SUDPs distribution will follow the guidelines outlined in Task 1:

PERFORMING AGENCY RESPONSIBILITIES. A. Task 1: Texas Improved Distribution and Evaluation of Single-use disposal pouches Use Disposal Systems (TIDES) ). Each state fiscal year, Performing Agency shall: 1. Assess previous SUDP distribution efforts to inform future SUDP dissemination and evaluation strategies. a. Previous data will be provided by System Agency. b. In the first 60 days post-contract start date or September 29, 2019, whichever is sooner, compile previous data, create, and submit a Baseline Report for System Agency review. The report will include previous methods for SUDP distribution, end- user groups who received SUDPs, SAMHSA Center for Substance Abuse Prevention (CSAP) strategies implemented along with SUDP distribution, and categorized Prevention Programs based on their served target population. This information will also help the Performing Agency to estimate the need for SUDPs (quantity and size [small, medium, or large]) for each distributor. i. The CSAP strategies are Information Dissemination, Prevention Education, Positive Alternatives, Environmental Strategies, Community-Based Process, and Identification of Problems and Referral to Services. ii. Additional information about the prevention and CSAP strategies can be found in the Substance Abuse and Mental Health Services Administration, Focus on Prevention, HHS Publication No. (SMA10–4120). Rockville, MD: Center for Substance Abuse Prevention, Substance Abuse and Mental Health Services Administration, Revised 2017: ▇▇▇▇▇://▇▇▇▇▇.▇▇▇▇▇▇.▇▇▇/product/Focus-on- Prevention/sma10-4120. 2. Coordinate with System Agency to identify the target populations listed in Section II. Target Population. System Agency will provide contact information for each System Agency substance abuse prevention program funded by the SAMHSA SABG.populations; 32. Collaborate with a manufacturer manufacturers of SUDPs SUDS to discuss the specific needs for the project as they relate to distribution and data collection.; 3. Coordinate with distributors to distribute SUDS and data collection questionnaires. Distributors include but are not limited to Texas Health and Human Service Commission (HHSC) funded substance use and misuse prevention programs, physician offices and hospitals; 4. Coordinate the provision of SUDPs to distributors (e.g., Prevention Programs, physician offices, hospitals) with data collection questionnaires attached to each unit. 5. Cover all costs associated with SUDP SUDS delivery to distributors.; 65. After estimating need and target population, contact each distributor, by any means necessary necessary, to discuss distribution method, prevention strategies, and physical mailing address for the SUDP SUDS order. Create a Contact Log of each discussion to record the organization’s name, phone number, address, staff contact name, staff position, and brief summary of the discussion. Make the Contact Log available by request of System Agency.; 76. Place regularly-regularly scheduled (e.g., weekly) requests to the manufacturer to ship the orders to individual distributors throughout Texas. 87. Interact with the distributersdistributors, by any means necessary, to disseminate SUDPs SUDS and educate on ways to improve end-user intention to use SUDPsSUDS. End-user is defined as the person actually using the SUDP SUDS to dispose of their medications. 8. Performing Agency will refer HHSC Refer any HHSC-funded substance abuse use and misuse prevention program staff funded by the SAMHSA SABG to the System Agency for technical assistance regarding CSAP Center for Substance Abuse Prevention (CSAP) strategy implementation. System Agency will provide contact information for each HHSC-funded substance use and misuse prevention program. The CSAP strategies are Information Dissemination, Prevention Education, Positive Alternatives, Environmental Strategies, Community-Based Process, and Identification of Problems and Referral to Services. 9. Develop and distribute a data collection instrument for collecting to participating HHSC-funded substance use and misuse prevention programs in order to collect distributor-level information. Distributors include System Agency substance abuse prevention programs funded by the SAMHSA SABG, primary care providers, and hospitals. All distributors will be evaluated based on their (1) target population, (2) geographic location, (3) staff interacting with end-users of the SUDPs, (4) previous knowledge of SUDPs, (5) number of SUDPs distributed, (6) location of distribution, (7) number of adults receiving SUDPs, (8) number of youth receiving SUDPs, and (9) CSAP strategy implemented during distribution. A 100% response rate is required from distributors that receive SUDPs. 10. Compile distributor-level data into a monthly Distributor Report and submit to System Agency by the 15th day of the following month for the month being reported. 11. Develop a The data collection instrument for collecting end-user-level data that allows for multi-modal response. Performing Agency may work with SUDP manufacturer must be designed to coordinate instrument dissemination. The information to be collected will include (at minimum): type of medication(s) being disposed; number of pills (units) per type being disposed; and county of end-user. This will allow disposal of controlled substances to be estimated and attributed to specific distributor(s) throughout collect the state. All response data will be submitted to the Performing Agency, not SUDP manufacturer. By working with the distributors, data collection procedures will aim for a response rate of 3% overall. 12. Compile end-user-level data into an End-User Report and submit to System Agency at six months and twelve months-post contract execution date, but not later than September 29, 2019. If the overall response rate for end-user-level data is not at least 3%, a section of the report will include information for how to improve data collection to improve response rate. Task 2: Assessing current non-medical prescription drug use prevention practices by prescribers in Texas. Performing Agency willfollowing information: 1i. Target population, ii. RecruitGeographic location, and coordinate with, controlled substance prescribers in a Houston-area clinical health system to evaluate the current methods iii. Number of initial opioid regimen monitoring including the distribution of SUDPs by prescribers (or their delegates). All SUDPs distribution will follow the guidelines outlined in Task 1:SUDS distributed,