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"Tampereen kaupunki valmistelee avohuumehoidon palvelukokonaisuuden hankintaa. Palvelujen kohderyhm\u00e4n\u00e4 ovat huumeita k\u00e4ytt\u00e4v\u00e4t aikuiset asiakkaat, joille avohoidon palvelut ovat tarkoituksenmukaisia p\u00e4ihderiippuvuuden hoitamiseksi. Hankinta pit\u00e4\u00e4 sis\u00e4ll\u00e4\u00e4n seuraavat osa-alueet: ",
"",
"\u2022 Osa-alue A) Avohuumehoito (sis. opioidikorvaushoidon)",
"\u2022 Osa-alue B) Terveysneuvonta",
"\u2022 Osa-alue C) Asumispalvelu",
"",
"Tarkemmat kuvaukset hankittavan kokonaisuuden osa-alueista, prosesseista ja palvelujen sis\u00e4ll\u00f6st\u00e4 on kuvattu tietopyynn\u00f6n liitteiss\u00e4 1\u20134.",
"",
"Avohuumehoidon palvelukokonaisuuden palveluja tuottaa t\u00e4ll\u00e4 hetkell\u00e4 kaksi palveluntuottajaa\/konsortiota. Avohuumehoidon mukaisissa palveluissa vuonna 2021 asiakkaita oli yhteens\u00e4 molemmilla palveluntuottajilla noin 576, joista noin 390 asiakasta oli opioidikorvaushoidossa. Terveysneuvonnan palvelussa asiakkaiden k\u00e4yntej\u00e4 seurataan nimimerkkien avulla. Vuonna 2021 kirjattiin toisen palveluntuottajan pisteess\u00e4 reilu 800 erilaista nimimerkki\u00e4 ja toisen palveluntuottajan pisteess\u00e4 yli 900 erilaista nimimerkki\u00e4. Osa asiakkaista asioi vuoden aikana molemmissa terveysneuvontapisteiss\u00e4. Asumispalveluja tuottaa yksi palveluntuottaja. Asumispalvelujen k\u00e4ytt\u00f6aste oli vuonna 2020 noin 87 prosenttia (asumisvuorokausia yhteens\u00e4 vuoden 2020 aikana noin 6 370 ja kriisiasumisessa noin 380). ",
" ",
"Nykyinen sopimus avohuumehoidon palvelukokonaisuuden tuottamisesta on kilpailutettu edellisen kerran vuonna 2016 ja hankinnassa on t\u00e4ll\u00e4 hetkell\u00e4 k\u00e4ynniss\u00e4 toistaiseksi voimassa oleva optiokausi. Tilaajan tarkoituksena on irtisanoa nykyinen sopimus ja kilpailuttaa avohuumehoidon palvelukokonaisuuden hankinta uudelleen lokakuussa 2022. Tavoitteena on, ett\u00e4 uusi sopimuskausi astuisi voimaan 1.3.2023 alkaen. Kilpailutuksen hankintamenettelyn\u00e4 on tarkoitus k\u00e4ytt\u00e4\u00e4 avointa menettely\u00e4. Osana k\u00e4ynniss\u00e4 olevaa sosiaali- ja terveyspalveluja koskevaa uudistusta kuntien ja kuntayhtymien palvelujen tuottamiseen liittyv\u00e4t sopimukset siirtyv\u00e4t hyvinvointialueille 1.1.2023 alkaen. ",
"",
"Aiemman hankinnan tavoin uudessa kilpailutuksessa on tarkoituksena hy\u00f6dynt\u00e4\u00e4 kumppanuusmallia sek\u00e4 tulosperusteisen hankinnan elementtej\u00e4. Kumppanuusmallin edellytyksen\u00e4 on osapuolten v\u00e4linen yhteisty\u00f6 sek\u00e4 sitoutuminen toiminnan aktiiviseen kehitt\u00e4miseen sopimuskaudella paitsi tilaajan, my\u00f6s muiden kilpailutuksessa valituksi tulleiden toimijoiden kanssa. Yhteisty\u00f6n varmistamiseksi tarkoituksena on perustaa sopimuskauden ajaksi hankinnan ohjausryhm\u00e4, jonka j\u00e4seniksi nimet\u00e4\u00e4n tilaajan, valittujen palveluntuottajien sek\u00e4 asiakkaiden\/omaisten edustajia. Kumppanuussopimusmallin ja yhteisty\u00f6n rakentamisen varmistamiseksi Tilaajan tahtotilana on tavoitella mahdollisimman pitk\u00e4\u00e4 sopimuskautta (esimerkiksi 3 vuotta + toistaiseksi voimassa oleva optio). ",
"",
"Tulevan hankinnan my\u00f6t\u00e4 tarkoituksena on kehitt\u00e4\u00e4 asiakkaille tarjottavaa palvelukokonaisuutta, tarkentaa hankinnalle ja palveluille asetettuja tavoitteita sek\u00e4 p\u00e4ivitt\u00e4\u00e4 tavoitteille asetettuja mittareita ja seurantakeinoja vastaamaan paremmin tulevan hyvinvointialueen tarpeita. Hankinnan tavoitteena on, j\u00e4rjest\u00e4\u00e4 asiakkaille sellaisia palveluja, jotka ottavat huomioon yksil\u00f6lliset tavoitteet sek\u00e4 edist\u00e4v\u00e4t hoidon toteutumista matalalla kynnyksell\u00e4. Tavoitteena on lis\u00e4ksi lis\u00e4t\u00e4 asiakkaiden ja ymp\u00e4rist\u00f6n terveysturvallisuutta, edist\u00e4\u00e4 moniammatillisella ty\u00f6otteella ja tiiviill\u00e4 yhteisty\u00f6ll\u00e4 resurssien vaikuttavampaa k\u00e4ytt\u00f6\u00e4 sek\u00e4 vahvistaa hankinnan osapuolten v\u00e4list\u00e4 kumppanuutta ja palvelujen yhteiskehitt\u00e4mist\u00e4. Hankinnalle asetetut p\u00e4\u00e4- ja osatavoitteet sek\u00e4 niit\u00e4 kuvaavat mittarit ja seurantakeinot on kuvattu tarkemmin tietopyynn\u00f6n liitteell\u00e4 5. Lis\u00e4ksi hankinnalla pyrit\u00e4\u00e4n ty\u00f6llist\u00e4misehdon avulla (liite 6) tukemaan vaikeassa asemassa olevien ty\u00f6llistymist\u00e4 Tampereen kaupungin hankintojen yleisien periaatteiden sek\u00e4 strategisten tavoitteiden mukaisesti.",
""
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"",
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"LIITTEET",
"1 Palvelukuvausluonnos Avohuumehoito",
"2 Avohuumehoidon ja opioidikorvaushoidon prosessikuvaukset luonnos",
"3 Palvelukuvausluonnos Terveysneuvonta",
"4 Palvelukuvausluonnos Asumispalvelu",
"5 Hankinnan tavoitteet ja mittarit luonnos",
"6 Ty\u00f6llist\u00e4misehto hankinnassa luonnos"
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