Statement of Work.pdf

Indian Health Service

STATEMENT OF WORK

HEALTHCARE IMPROVEMENT CONSULTANT

1.0 BACKGROUND

The Overall Project Goal is to improve the health status of American Indian/ Alaska Native (AI/AN) people with chronic illness and provide foundations to improve healthcare systems.

There are 37 Tribal and Urban clinics in the California Area that provide chronic illness care and would benefit from healthcare systems improvement. Quarterly site visits made by the Office of Public Health (OPH) of the Indian Health Service/California Area Office (IHS/CAO) and Improvement Support Team (IST) serves to provide programs with tools and techniques to work on improved teamwork and communication for their organization.

Through the Government Performance and Results Act (GPRA) the Office of Management and Budget (OMB) sets standards of healthcare as benchmarks for IHS/Tribal/Urban(I/T/U) programs to evaluate the quality of care provided by their organization. Quarterly and Annual reports are provided to all I/T/U sites nationally.

The contractor will provide follow up support to each health program visited by the IHS/CAO/OPH team through face to face and virtual contacts.

This contract will focus on 8 sites for the year:

1. Riverside/San Bernardino –

2 sites: Morongo Soboba

2. Chapa-De – 2 Sites: Woodland

Auburn

3. Tuolumne

4. Tule River

5. Redding

6. Karuk

2.0 ABBREVIATIONS AND DEFINITIONS

ADC Area Diabetes Consultant AI/AN American Indian/Alaska Native CAC Clinical Applications Coordinator CAO California Area Office CDE Certified Diabetes Educator CQI Continuous Quality Improvement CRS Clinical Reporting System DM Diabetes Mellitus GPRA Government Performance and Results Act

HbA1c Hemoglobin A1c IHS Indian Health Service IT Information Technology PA-C Physician Assistant-Certified RPMS Resource and Patient Management System SDPI Special Diabetes Program for Indians SOW Statement of Work Web Audit Diabetes Audit submitted via the internet to IHS

Best Practices – Indian Health Services approach to Quality Diabetes Care Standards of Care – IHS evidence based standards of Quality Diabetes Care

3.0 OBJECTIVE

This Statement of Work (SOW) is to provide 1 visit to each of the 8 California Indian Health clinic sites, 2 per quarter over the next 12 months, to optimize the health and wellness of California Area AI/AN people by improving healthcare outcomes, improving efficiency, coordination of services and increasing resource utilization.

4.0 SCOPE

This SOW describes the general requirements of the contractor under this agreement. The contractor will coordinate site visits with the Tribal/Urban Indian Health clinic site staff, specifically the Executive Director and/or Medical Director, Diabetes Coordinator, GPRA Coordinator and core improvement team created during the OPH site visit.

The Contractor will be responsible to provide technical assistance virtually, in person, and by phone to the above listed sites. This includes Standards of Care guidelines, healthcare systems improvement and program evaluation using the GPRA report as benchmarks/long-term goals.

Indian Health Service (IHS) utilizes the Resource and Patient Management System (RPMS) solely as its patient data base system. The Contractor will assist the Tribal/Urban Indian Health program sites using RPMS to provide GPRA reports using the Clinical Reporting System (CRS).

Assist clinics in setting up healthcare improvement meetings with the core healthcare improvement teams, provide tools to enhance communication and team work and lead teams through process mapping and PDSA (Plan, Do, Study, Act) improvement tool.

Be a support person while teams are attempting improvement activities.

Promote positive health outcomes for patients served by the health program.

Clinical Processes

1. Participate in a multi-disciplinary Improvement Support Team.

2. Retain minutes and goals/plans for each health care program visited.

3. Healthcare Improvement Contractor will conduct site visits to 8 California tribal/urban health care programs. Written reports will be retained on the CAO intra-net for easy access by CAO staff.

4. Encourage participation in the readiness webinar training provided by IHS; The Foundation Series to support the healthcare program assess their readiness to participate in the national collaborative: Improving Patient Care 3.

5. Provide technical support to healthcare programs to move forward in healthcare system improvement efforts.

6. Continue to promote and teach concepts of Healthcare improvement to all tribal/urban programs contacted.

The Contractor will be responsible to report to the Area Diabetes Consultant (ADC)/Improvement Advisor (IA), Helen Maldonado, PA-C, CDE and collaborate with other key personnel at the California Area Office (CAO):

Improvement Support Team, Chief Medical Officer, GPRA Coordinator, IT Specialist/RPMS Training Coordinator, Clinical Applications Coordinator (CAC), Contract Specialist, and Tribal & Urban Project Officers

5.0 CONTRACTOR QUALIFICATIONS

The contractor performing this assistance to the programs shall be a licensed Registered Nurse, Physician Assistant, Physician or Registered Dietitian. The contractor shall have a minimum of 5 years experience working with healthcare programs and a minimum of 3 years of experience with AI/AN programs. The Contractor shall have working knowledge of RPMS, and basic techniques of healthcare improvement science.

6.0 PERIOD OF PERFORMANCE

The period of performance for this agreement is one (1) year from time of award.

7.0 REPORTS, DATA, AND OTHER DELIVERABLES

7.1 Letter Report

The letter report will be a brief 1-2 page summary of a site visit or other task, based on an individual task item.

7.2 Site Visit Report

The site visit report must include:

a. Health program name, location, date

b. Staff names and titles participating in site visit

c. Purpose of Visit

d. Organizational Overview

e. Healthcare Improvement Team This section must state:

1. Improvement focus of the team,

2. Assessment for chronic illness care tool completed (ACIC)

3. Recommended trainings or education to be provided from IHS

4. Readiness assessment to be included in IPC3

g. Description of Clinical/Data Committees within organization

h. Clinical Care Data Review

This section must state:

1. Status of the Government Performance and Results Act (GPRA) for previous year

(July 1 – June 30)

2. Summary of discussion of the results with appropriate staff

i. Summary of the visit

j. Recommendations to the program made in partnership of the program

This section must state:

1. Improvement focus

2. Use of data to measure goals and objectives

8.0 ANTICIPATED WORK SITES

Please see attachment 2 for a list of the health programs.

9.0 POINT OF CONTACT

Michael Hodahkwen Contract Specialist Indian Health Service California Area Office 650 Capitol Mall, Suite 7-100 Sacramento, CA 95814

(916) 930-3981 Ext. 318 Phone

(916) 930-3952 Fax michael.hodahkwen@ihs.gov

10.0 ATTACHMENTS

1 List of Health Programs mailto:michael.hodahkwen@ihs.gov�