10-236-SOL-00031_CRC_PWS_TE1_2_3_07092010.pdf

INDIAN HEALTH SERVICE: Colorectal Cancer Screening Needs Assessment and Endoscopic Survey Tool

Technical Exhibit #1 - Performance Requirements Summary

REQUIRED PERFORMANCE ACCEPTABLE GOVERNMENT PAYMENT % FOR

SERVICE INDICATORS QUALITY LEVEL SURVEILLANCE MEETINGAQL

(AQL) METHOD

4.1. Meet with DEDP Attend Planning meeting Fully understands Face to Face, phone, Meets deadline - 100 % staff to discuss PWS and to identify minimum tentative activities by email W/in 4 wks of past deadline outline tentative requirements within two verbally reiterating - Minus 5% of invoice total minimum requirements weeks of contract start After 4 wks of past of CRC assessment and date. Discussion of deadline - Minus 10% endoscopy survey different activities invoice total activities associated with both

CRC assessment and endoscopic capacity.

4 ..2. Conduct CRC needs Completion of A minimum of 90% of Periodic inspection Meets deadline - 100 % assessment in at least 5 assignments/projects surveyed customer base W/in 4 wks of past deadline IfT/U health facilities. according to specified (DEDP staff) must be - Minus 5% of invoice total

4.2.1. Develop draft CRC deadlines satisfied with overall After 4 wks of past needs assessment tool level of service provided deadline - Minus 25% and secure approval from invoice total

IRSDEDP.

4.2.4. Develop template

for reporting results of CRC assessment tool.

Submit template for IRS DEDP approval.

4.2.5. Submit results for

CRC assessment.

4.2.6. Revise assessment

tool based on pilot testing. Submit for IRS DEDP approval.

4.2.7. Develop plan for

implementing CRC screening assessment tool throughout remaining lfTlUs.

4.3. Conduct endoscopic Completion of A minimum of 90% of Periodic inspection Meets deadline - 100 % capacity in at least 12 assignments/projects surveyed customer base W/in 4 wks of past deadline VTIU health facilities according to specified (DEDP staff) must be - Minus 5% of invoice total

4.3.1. Develop draft deadlines satisfied with overall After 4 wks of past endoscopic survey and level of service provided deadline - Minus 25% secure approval oftool invoice total from IRS DEDP

4.3.4. Develop template

for reporting results of endoscopic survey.

Submit template for IRS DEDP approval.

4.3.5. Submit results of

endoscopic survey

4.3.6. Revise endoscopic

survey based on pilot testing. Submit for illS DEDP approval

TEl-1 7/9/2010

4.3.7. Develop plan for

implementing endoscopic survey throughout remaining r!flUs.

4.4 Collaborate in Completion of A minimum of 90% of Periodic inspection Meets deadline - 100 % analysis, interpretation, assignments/projects surveyed customer base W/in 4 wks of past deadline presentation, and according to specified (DEDP staff) must be - Minus 5% of invoice total publication of results of deadlines satisfied with overall After 4 wks of past both CRC screening level of service provided deadline - Minus 10% assessment and invoice total endoscopic capacity survey

4.5.1. Monthly Reports Monthly reports should Listed activities/tasks in 100% inspection Meets deadline - 100 % on activities to-date for include a list of monthly report should Wfin 4 wks of past deadline review and approval by activities/tasks worked correspond with DEDP - Minus 5% of invoice total COTR on for the previous staff task orders After 4 wks of past month and be submitted deadline - Minus 15% with the invoice. invoice total

4.5.2. Summary Report Summary report should Listed activities/tasks in 100% inspection Meets deadline - 100 % for two-year's activities be submitted at the end of monthly report should W/in 4 wks of past deadline for review and approval contract period and correspond with DEDP - Minus 5% of invoice total forCOTR. outline all activities, staff task orders After 4 wks of past results, and obstacles. deadline - Minus 15% invoice total

TEl-2 7/9/2010

Technical Exhibit #2 Workload Estimates The tasks will apply to a 2-year period

% of Time TASKS Hours 5.0%

92.5%

2.5%

Task 1 Discuss PWS and outline tentative requirements of eRe screening assessment and endoscopic capacity activities, discuss activities/projects with DEDP team - (200 hrs per professional staff and 200 hrs for tech/support staff) 400

Task 2 Perform ClcC screening assessment and endoscopic capacity activities consisting of drafting assessment/survey tools, securing approvals, defining IITIU participation, pilot testing tools, reporting results, planning for implementation throughout remaining I1TlUs, analyzing data, preparing for reporting/presentations with input by DEDP staff and including any travel to accomplish these tasks.

(2000 hrs by professional staff and 3400 hrs by tech/support staff) 5400

Task 6 Monthly Reports and Summary Report (200 hrs by professional staff) 200

TOTAL HOURS 6000

TE2 -1 7/9/2010

Technical Exhibit #3 - Required Reports and Deliverables

TASK TASK DESCRIPTION DUE DATE

4.5.1. ~ Draft of CRC needs assessment Due with applicable invoice.

survey tool ~ Template for reporting results of survey implementation ~ Results of survey pilot testing in at least 5 IITIU health facilities ~ Revision of CRC needs assessment survey tool based on pilot testing

~ Plan for implementation of CRC needs assessment survey tool throughout remaining IITIU health facilities

~ Draft of endoscopic capacity survey tool

~ Template for reporting results of survey implementation

~ Results of survey pilot testing in at least 12 I/TIU health facilities

~ Revision of endoscopic survey tool based on pilot testing

~ Plan for implementation of endoscopic capacity survey tool throughout remaining IITIU health facilities

4.5.2. ~ Monthly report of activities Due with monthly invoice.

4.5.3. ~ Summary report of year's Due within 2 weeks of contract's end.

activities

TE3-1 7/9/2010