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A Vision for a Comprehensive Online Offering for Stroke Survivors: Request for Proposal, Heart and Stroke Foundation of Ontario

[Ed: This competition is now closed and contact information has been removed at the request of the hiring organization. 01-13-11]

Deadline: January 10, 2011

A Vision for a Comprehensive Online Offering for Stroke Survivors: Request for Proposal

Heart and Stroke Foundation of Ontario

Due Date: Monday January 10th, 2011

Overall goal
The Broad goal of this project is to help define a vision for a comprehensive online offering to stroke survivors and caregivers by HSFO.

Purpose of this RFP
The purpose of this RFP is to understand the needs of stroke survivors and caregivers; determine what eHealth tools are available in the marketplace and their state of development, effectiveness, options to offer (i.e. build vs. licence);  resources to implement and manage  while offering eHealth expertise to develop online scenarios for HSFO to consider for future investment.

By issuing this RFP, HSFO intends to engage a third party consulting firm that will provide proven expertise in researching health programs, interviewing key informants and writing a report that accurately reflects the needs and available products and services  for stroke survivors that HSFO could provide in an online format. In addition, HSFO is looking for a team approach where expert(s) in eHealth solutions would be part of the team.   HSFO is open to innovative and creative solutions from respondents that provide opportunities to satisfy business objectives.

Please note:  A literature review is currently underway and the results will be shared with the supplier once the project is awarded. The purpose of the literature review is to determine  the research studies/programs on potential solutions for stroke survivors and caregivers in Ontario/Canada.  This is being done through a comprehensive literature review and web searches. Work within this RFP will be building on this literature review by adding information gathered from key informant interviews.

Future stages of this project may involve focus groups with stroke survivors to test the scenarios and determining the optimal architecture and presentation of the entire online offering.

Specific objectives of this RFP
HSFO has issued this RFP to procure third party consulting services to provide three deliverables to HSFO related to stroke survivors.

The first deliverable of this project is to complete an environmental scan including key informant interviews with researchers, clinicians and professionals working in stroke management. The purpose of the interviews will be to determine what programs exist in the marketplace today, or will be available soon, in the digital environment and what successful off-line programs can be adapted to an on-line environment.

Specifically, the first part of the project is to:
- Contact key sources to attain any information on programs or services that can be used, licenced or adapted to an online environment. The HSFO will provide a list of leads but the supplier will be required to also pursue leads and avenues that are not identified in the HSFO list, but might surface during interviews with key informants or their independent research. 
- Investigate market developments with regard to developing electronic devices/programs that could help stroke patients in their rehabilitation - both extending services cost effectively, and allowing stroke patients the flexibility to do so in their homes (e.g.  Brain games to help stroke patients regain cognitive function, video games, including Nintendo Wii™, to help regain physical mobility and address physical issues).
- Create a clear outline of the program or service and evaluate the success of the program from the information that is available.
- Note whether the program is available in English and/or French.
- Document the interest in the organization for potentially sharing or partnering with HSFO to offer programs or services to stroke survivors.

Secondly, the HSFO wants to gather any additional research that has been completed related to the needs of stroke survivors in Ontario or Canada that would be applicable to proposing solutions for the on-line needs of stroke survivors. HSFO is interested specifically in online needs, however, general stroke survivor needs that have applicability to an online environment are important to include as well.

Specifically, the second part of the project is to:
- Contact key sources to attain any needs analysis or market research that has been done with this stroke survivor population. There are many organizations and health service providers that do extensive work with stroke survivors, but results would not be published, and therefore are not picked up in the literature search. Included on the list are key contacts at LHIN’s, the Ontario Stroke Network team, selected contacts from the Regional Stroke Centres, Centre for Stroke Recovery and Canadian Stroke Strategy.
- The Heart and Stroke Foundation of Ontario will provide a list of leads but the supplier will be required, in addition, to pursue leads and avenues that are not identified in the list provided by HSFO but will surface during interviews with key informants or discovered through the project work.
- Create a summary that outlines the needs of the stroke patients from their interviews, literature search and documents uncovered. The focus of the summary is on what needs the stroke patients have that should be considered or met by (an) eHealth solution(s).

Finally, the supplier will take the information uncovered and working with a leading eHealth technology and program development expert(s) on their team, will determine the most feasible options for the HSFO to support stroke survivors in an on-line environment. By requesting this team approach, the Foundation hopes to ensure that the most effective and feasible technology options are proposed to best meet the needs of stroke survivors.  

HSFO speculates at this point, without the benefit of the completed literature review, needs assessments and environmental scan, that a comprehensive online offering would provide:
* Comprehensive resource section for stroke survivors, their families and caregivers, to support them in managing their condition. This would be offered in format(s) that best meet the communication needs of this  target population(i.e. static vs. audio visual)
* Self-management programs
* Some sort of information, catalogue, database or info sharing forum of gadgets to help with daily living (e.g. for stroke survivors to learn what, where, how much, etc.)
* Some sort of social networking/community features to allow for stroke patients and caregivers to share information and provide each other with support within a secure and private environment.
* Games to help stroke patients regain cognitive, communication and physical function.
However, we are interested and open to scenarios that goes beyond the above listed offerings and that are developed based on the completed key informant interviews, literature search and expertise of the team.

Specifically, the supplier will be required to state clearly for each scenario:
- how the scenario meets the needs of stroke patients,
- options to offer (i.e. build vs. licence, etc.),
- costs and resources needed to implement and manage,
- how success would be measured and evaluated
- timeline required to develop
In addition, the supplier will need to identify suppliers that provide tools, devices or commercial solutions to help stroke survivors cope with challenges post-stroke. Also, any tools or devices that are used directly by stroke survivors at home for rehab purposes to regain some of the abilities they lost due to the stroke. Ultimately, this might be used to create an on-line information source to inform stroke survivors of what is available in the marketplace that might assist them. The Heart and Stroke Foundation of Ontario would not be endorsing, sponsoring or recommending these tools or devices but merely providing a central place where stroke survivors could easily find all the options that are available to them.

Additional information that Heart and Stroke has available currently:

* Analysis of the stroke survivor data from the Heart and Stroke Risk Assessment
* Extensive Stroke information for consumers, caregivers, healthcare providers and survivors, both on-line and in hard copy.
* Living with Stroke program for stroke survivors: offered in communities throughout Ontario and Canada. HSFO will pilot an online version of same, to extend reach into communities lacking a program, and/or allow for like stroke patients (i.e. Chinese stroke patients; young stroke patients) to have access to the program.