Statement_of_Work_IPC_-final.pdf

Background Information

The overall goal of the IPC Program is to transform the health care system by improving the quality of and access to care for American Indian and Alaska Native (AI/AN) people. The Patient Centered Medical Home (PCMH) model of care processes have been integrated into IPC improvement work as a framework for system wide quality improvement. The IHS plans to expand this work to assist all IHS ambulatory care facilities, including hospital based ambulatory care, health centers and health clinics to attain a PCMH designation in the Indian health system.

The ultimate goal is to provide the support needed by IHS ambulatory care facilities to achieve PCMH recognition and designation, and to benchmark levels of quality improvement capabilities, efficiency and patient experience.

The IPC program continues to assist care teams in the I/T/U to build capability in quality improvement science skills and knowledge to make changes and improvements in the way they organize and provide care.

The work of IPC supports fundamental changes in the system of care to build effective relationships for healthcare that is patient, family and community-centered. The IPC program is a structured, active learning community in which the participating organizations share results from changes tested. The impact of these changes is improved access and continuity of care, decreased utilization of emergent and urgent care, improved staff satisfaction, and improved health and health care outcomes as measured by the Clinical Reporting System (CRS) and iCare, and reported as Government Performance and Reporting Act (GPRA) measures and a core set of measures for the sites that participate in IPC. Health programs participating in IPC have shown measurable improvements in care and will contribute to a larger goal of eliminating health disparities that currently exist for AI/AN people.

The Improving Patient Care Program has adapted the IPC Change Package from the Safety Net Medical Home Initiative as a framework for PCMH transformation. Sites also use the Model for Improvement, associate tools, and report measurable changes in clinical prevention, care of chronic conditions, and patient experience of care. The IHS, Tribal, and Urban Indian Health programs participating in the Improving Patient Care (IPC) Program are working together to implement the Patient Centered Medical Home model for the Indian health system.

Purpose of Objectives of the Acquisition

The purpose of the acquisition is to provide technical assistance and training for the IPC care teams, the National IPC Team, and faculty from across the Indian health system to provide the support needed by IHS ambulatory care facilities to achieve PCMH recognition and designation, and to build capability in quality improvement science skills and knowledge to develop high-performing, innovative health care teams to improve the quality of and access to care.

Need

The Indian Health Service (IHS), Improving Patient Care (IPC) Program, has a need for services to include training and technical assistance for National IPC staff as well as care teams from Indian Health Service, Tribal and Urban (I/T/U) facilities in attaining PCMH designation, and additional quality improvement science training. Services include (see Performance Work Statement below):

Contractor Requirements

3.0 Base Year

3.0.1 Patient Centered Medical Home. The contractor will:

3.0.1.1 Develop subject matter expert plan for delivering PCMH training and technical assistance to assist with implementation of PCMH for all IHS ambulatory care facilities and IPC teams to include: overview of technical capability, approach to performance work statements objectives to include training and TA, support for IPC teams, working with the IPC national team, subject matter expertise identification and training, project planning, benchmarks on progress, quarterly progress reports, dissemination strategy, and customer and IPC staff satisfaction.

3.0.1.2 Development of a crosswalk of various medical home recognition programs and requirements in use across the IHS and Tribal health systems.

3.0.1.3 Develop an outline of a strategic plan to be used by organizations to guide their PCMH journey.

3.0.1.4 Develop guidance as a resource for PCMH Designation to outline the structure and content of materials that will support achievement of Medical Home designation by IHS facilities.

3.0.1.5 Identify the training and resources needed by IHS facilities to achieve Medical Home designation to include on-demand PCMH content modules training videos, PCMH topic focused webinars with subject matter experts.

3.0.1.6 Develop training in a variety of formats, including recorded webinars, shared resources posted to the IPC site and events at national meetings. Use multiple approaches for content delivery and peer to peer interaction.

3.0.1.7 Align all training with the chosen designator’s PCMH standards.

3.0.1.8 Develop templates and example policies related to PCMH.

3.0.1.9 Engage experts from other IHS agencies or individuals in the field with high performance in the chosen topic.

3.0.1.10 Develop external subject matter expert plan for delivering content.

3.0.1.11 Provide monthly reporting, post-session assignments, and sharing experiences for all PCMH and quality improvement calls.

3.0.2 Leadership for IPC. The contractor will:

3.0.2.1 Develop a Leadership track or series for implementing QI information to all Area

Service Units, identifying pertinent topics and faculty, provide orientation for leaders, and implement training sessions.

3.0.2.2 Develop a Leadership track or series for implementing PCMH guidance to all Area Service Units, identifying pertinent topics and faculty, provide orientation for leaders, and implement training sessions.

3.0.2.3 Develop a Leadership “Boot Camp” to train leadership in QI information.

3.0.2.4 Develop a Leadership Peer-to-Peer Network for knowledge gathering and sharing among all Area Service Units.

3.0.2.5 Develop a QI Strategy/Plan (Operational Aim) - national guidance on strategic plans, with the flexibility to adapt implementation to local needs.

3.0.3 Improvement Support Team. The contractor will:

3.0.3.1 Rebrand the IST to an “Area Quality Improvement Team.”

3.0.3.2 Restructure the Area IST roles and responsibilities to include quality improvement activities in the job descriptions of Area ISTs.

3.0.3.3 Develop Customized training program specific to Area IST needs including data management training.

3.0.3.4 Provide quality improvement training sessions for Area ISTs - “train the trainer” sessions in quality and PCMH.

3.0.4 Quality Improvement Training. The contractor will:

3.0.4.1 Provide subject matter expertise in the development of content for short, 10 minute training videos on quality improvement.

3.0.4.2 Develop dissemination methods for sharing best practices among all Service

Units.

3.0.4.3 Define modifications to IPC 2.0 Elements needed to ensure the Elements support

IHS strategic priorities.

3.0.4.4 Augment the IPC-MS curriculum with additional tools and resources related to empanelment, effective care teams, managing supply and demand, patient engagement, running effective meetings, and data management.

3.0.4.5 Develop additional technical assistance and coaching/ training support for the PCMH Teams.

3.0.4.6 Provide ongoing coaching and mentoring for the IPC National Team.

3.0.4.7 Provide Faculty quality improvement training for key leadership throughout the

Indian Health system.

3.0.4.8 Facilitate planning sessions for National IPC Team and IPC Leadership.

3.0.4.9 Provide quarterly reports on progress of IPC/PCMH programming.

3.0.4.10 Identify sites to host organizations pursuing PCMH and implement site visits.

3.0.5 Technical Assistance. The contractor will:

3.0.5.1 Develop a program for providing technical assistance to IHS health care facilities regarding implementation of PCMH Model of Care.

3.0.5.2 Identify subject matter experts to provide technical assistance to IHS health care facilities via tele-conferencing, video-conferencing, and onsite.

3.0.5.3 Identify subject matter experts to provide technical assistance and expertise to respond to the “Ask the Expert” component of the IPC web portal.

3.0.6 Partnerships

3.0.6.1 Develop a plan for engaging partnerships with other HHS federal agencies, IHS

Offices, communities, and tribal entities, professional societies, government, and consumer organizations to provide a knowledge exchange to support achievement of PCMH designation for all ambulatory care facilities.

3.0.7 QILN Re-design

3.0.7.1 Revise, re-brand, and launch “QILN like” network, as a peer-to-peer learning network at the national and/or regional level to support IHS ambulatory facilities to achieve PCMH designation.

3.0.7.2 Provide a 5 year framework for implementation of restructured QILN that includes a needs assessment of teams, development of new curriculum with pertinent content of PCMH elements, training series, and Intensives.

3.0.7.3 Develop training in a variety of formats, including recorded webinars, shared resources posted to the IPC site and events at national meetings. Use multiple approaches for content delivery and peer to peer interaction.

3.0.8 Reporting. The contractor will:

3.0.8.1 Develop an annual report that provides an overview of the work completed, evaluation of where the IHS Healthcare System is regarding QI and PCMH, and recommendations to improve QI capacity and PCMH implementation including sustainability.

3.0.8.2 Provide quarterly status reports on work tasks including timeline of work tasks, issues, best practices, and estimation of task completion.

3.1 Option Year One

Continued development of all components.

3.1.1 Patient Centered Medical Home. The contractor will:

3.1.1.1 Develop subject matter expert plan for delivering PCMH training and technical assistance to assist with implementation of PCMH for all IHS ambulatory care facilities and IPC teams to include: overview of technical capability, approach to performance work statements objectives to include training and TA, support for IPC teams, working with the IPC national team, subject matter expertise identification and training, project planning, benchmarks on progress, quarterly progress reports, dissemination strategy, and customer and IPC staff satisfaction.

3.1.1.2 Development of a crosswalk of various medical home recognition programs and requirements in use across the IHS and Tribal health systems.

3.1.1.3 Develop an outline of a strategic plan to be used by organizations to guide their PCMH journey.

3.1.1.4 Develop guidance as a resource for PCMH Designation to outline the structure and content of materials that will support achievement of Medical Home designation by IHS facilities.

3.1.1.5 Identify the training and resources needed by IHS facilities to achieve Medical Home designation to include on-demand PCMH content modules training videos, PCMH topic focused webinars with subject matter experts.

3.1.1.6 Develop training in a variety of formats, including recorded webinars, shared resources posted to the IPC site and events at national meetings. Use multiple approaches for content delivery and peer to peer interaction.

3.1.1.7 Align all training with the chosen designator’s PCMH standards.

3.1.1.8 Develop templates and example policies related to PCMH.

3.1.1.9 Engage experts from other IHS agencies or individuals in the field with high performance in the chosen topic.

3.1.1.10 Develop external subject matter expert plan for delivering content.

3.1.1.11 Provide monthly reporting, post-session assignments, and sharing experiences for

3.1.2 Leadership for IPC. The contractor will:

3.1.2.1 Develop a Leadership track or series for implementing QI information to all Area

Service Units, identifying pertinent topics and faculty, provide orientation for leaders, and implement training sessions.

3.1.2.2 Develop a Leadership track or series for implementing PCMH guidance to all Area Service Units, identifying pertinent topics and faculty, provide orientation for leaders, and implement training sessions.

3.1.2.3 Develop a Leadership “Boot Camp” to train leadership in QI information.

3.1.2.4 Develop a Leadership Peer-to-Peer Network – for knowledge gathering and sharing among all Area Service Units.

3.1.2.5 Develop a QI Strategy/Plan (Operational Aim) - national guidance on strategic

3.1.3 Improvement Support Team. The contractor will:

3.1.3.1 Rebrand the IST to an “Area Quality Improvement Team.”

3.1.3.2 Restructure the Area IST roles and responsibilities to include quality improvement activities in the job descriptions of Area ISTs.

3.1.3.3 Develop Customized training program specific to Area IST needs including data management training.

3.1.3.4 Provide quality improvement training sessions for Area ISTs - “train the trainer” sessions in quality and PCMH.

3.1.4 Quality Improvement Training. The contractor will:

3.1.4.1 Provide subject matter expertise in the development of content for short, 10 minute training videos on quality improvement.

3.1.4.2 Develop dissemination methods for sharing best practices among all Service

Units.

3.1.4.3 Define modifications to IPC 2.0 Elements needed to ensure the Elements support

IHS strategic priorities.

3.1.4.4 Augment the IPC-MS curriculum with additional tools and resources related to empanelment, effective care teams, managing supply and demand, patient engagement, running effective meetings, and data management.

3.1.4.5 Develop additional technical assistance and coaching/ training support for the PCMH Teams.

3.1.4.6 Provide ongoing coaching and mentoring for the IPC National Team.

3.1.4.7 Provide Faculty quality improvement training for key leadership throughout the

Indian Health system.

3.1.4.8 Facilitate planning sessions for National IPC Team and IPC Leadership.

3.1.4.9 Provide quarterly reports on progress of IPC/PCMH programming.

3.1.4.10 Identify sites to host organizations pursuing PCMH and implement site visits.

3.1.5 Technical Assistance. The contractor will:

3.1.5.1 Develop a program for providing technical assistance to IHS health care facilities regarding implementation of PCMH Model of Care.

3.1.5.2 Identify subject matter experts to provide technical assistance to IHS health care facilities via tele-conferencing, video-conferencing, and onsite.

3.1.5.3 Identify subject matter experts to provide technical assistance and expertise to respond to the “Ask the Expert” component of the IPC web portal.

3.1.6 Partnerships

3.1.6.1 Develop a plan for engaging partnerships with other HHS federal agencies, IHS communities, and tribal entities, professional societies, government, and

3.1.7 QILN Re-design

3.1.7.1 Revise, re-brand, and launch “QILN like” network, as a peer-to-peer learning network at the national and/or regional level to support IHS ambulatory facilities to achieve PCMH designation.

3.1.7.2 Provide a 5 year framework for implementation of restructured QILN that includes a needs assessment of teams, development of new curriculum with pertinent content of PCMH elements, training series, and Intensives.

3.1.7.3 Develop training in a variety of formats, including recorded webinars, shared

3.1.8 Reporting. The contractor will:

3.1.8.1 Develop an annual report that provides an overview of the work completed, evaluation of where the IHS Healthcare System is regarding QI and PCMH, and recommendations to improve QI capacity and PCMH implementation including sustainability.

3.1.8.2 Provide quarterly status reports on work tasks including timeline of work tasks,

3.2 Option Year Two

By Option Year Two each component should be fully developed and operational.

3.2.1 Patient Centered Medical Home. The contractor will:

3.2.1.1 Develop subject matter expert plan for delivering PCMH training and technical assistance to assist with implementation of PCMH for all IHS ambulatory care facilities and IPC teams to include: overview of technical capability, approach to performance work statements objectives to include training and TA, support for IPC teams, working with the IPC national team, subject matter expertise identification and training, project planning, benchmarks on progress, quarterly progress reports, dissemination strategy, and customer and IPC staff satisfaction.

3.2.1.2 Development of a crosswalk of various medical home recognition programs and requirements in use across the IHS and Tribal health systems.

3.2.1.3 Develop an outline of a strategic plan to be used by organizations to guide their PCMH journey.

3.2.1.4 Develop guidance as a resource for PCMH Designation to outline the structure and content of materials that will support achievement of Medical Home designation by IHS facilities.

3.2.1.5 Identify the training and resources needed by IHS facilities to achieve Medical Home designation to include on-demand PCMH content modules training videos, PCMH topic focused webinars with subject matter experts.

3.2.1.6 Develop training in a variety of formats, including recorded webinars, shared resources posted to the IPC site and events at national meetings. Use multiple approaches for content delivery and peer to peer interaction.

3.2.1.7 Align all training with the chosen designator’s PCMH standards.

3.2.1.8 Develop templates and example policies related to PCMH.

3.2.1.9 Engage experts from other IHS agencies or individuals in the field with high performance in the chosen topic.

3.2.1.10 Develop external subject matter expert plan for delivering content.

3.2.1.11 Provide monthly reporting, post-session assignments, and sharing experiences for

3.2.2 Leadership for IPC. The contractor will:

3.2.2.1 Develop a Leadership track or series for implementing QI information to all Area

Service Units, identifying pertinent topics and faculty, provide orientation for leaders, and implement training sessions.

3.2.2.2 Develop a Leadership track or series for implementing PCMH guidance to all Area Service Units, identifying pertinent topics and faculty, provide orientation for leaders, and implement training sessions.

3.2.2.3 Develop a Leadership “Boot Camp” to train leadership in QI information.

3.2.2.4 Develop a Leadership Peer-to-Peer Network – for knowledge gathering and sharing among all Area Service Units.

3.2.2.5 Develop a QI Strategy/Plan (Operational Aim) - national guidance on strategic

3.2.3 Improvement Support Team. The contractor will:

3.2.3.1 Rebrand the IST to an “Area Quality Improvement Team.”

3.2.3.2 Restructure the Area IST roles and responsibilities to include quality improvement activities in the job descriptions of Area ISTs.

3.2.3.3 Develop Customized training program specific to Area IST needs including data management training.

3.2.3.4 Provide quality improvement training sessions for Area ISTs - “train the trainer” sessions in quality and PCMH.

3.2.4 Quality Improvement Training. The contractor will:

3.2.4.1 Provide subject matter expertise in the development of content for short, 10 minute training videos on quality improvement.

3.2.4.2 Develop dissemination methods for sharing best practices among all Service Units.

3.2.4.3 Define modifications to IPC 2.0 Elements needed to ensure the Elements support IHS strategic priorities.

3.2.4.4 Augment the IPC-MS curriculum with additional tools and resources related to empanelment, effective care teams, managing supply and demand, patient engagement, running effective meetings, and data management.

3.2.4.5 Develop additional technical assistance and coaching/ training support for the PCMH Teams.

3.2.4.6 Provide ongoing coaching and mentoring for the IPC National Team.

3.2.4.7 Provide Faculty quality improvement training for key leadership throughout the

Indian Health system.

3.2.4.8 Facilitate planning sessions for National IPC Team and IPC Leadership.

3.2.4.9 Provide quarterly reports on progress of IPC/PCMH programming.

3.2.4.10 Identify sites to host organizations pursuing PCMH and implement site visits.

3.2.5 Technical Assistance. The contractor will:

3.2.5.1 Develop a program for providing technical assistance to IHS health care facilities regarding implementation of PCMH Model of Care.

3.2.5.2 Identify subject matter experts to provide technical assistance to IHS health care facilities via tele-conferencing, video-conferencing, and onsite.

3.2.5.3 Identify subject matter experts to provide technical assistance and expertise to respond to the “Ask the Expert” component of the IPC web portal.

3.2.6 Partnerships

3.2.6.1 Develop a plan for engaging partnerships with other HHS federal agencies, IHS communities, and tribal entities, professional societies, government, and

3.2.7 QILN Re-design

3.2.7.1 Revise, re-brand, and launch “QILN like” network, as a peer-to-peer learning network at the national and/or regional level to support IHS ambulatory facilities to achieve PCMH designation.

3.2.7.2 Provide a 5 year framework for implementation of restructured QILN that includes a needs assessment of teams, development of new curriculum with pertinent content of PCMH elements, training series, and Intensives.

3.2.7.3 Develop training in a variety of formats, including recorded webinars, shared

3.2.8 Reporting. The contractor will:

3.2.8.1 Develop an annual report that provide an overview of the work completed, evaluation of where the IHS Healthcare System is regarding QI and PCMH, and recommendations to improve QI capacity and PCMH implementation including sustainability.

3.2.8.2 Provide quarterly status reports on work tasks including timeline of work tasks,

3.3 Option Year Three

Continued technical assistance and training.

3.3.1 Patient Centered Medical Home. The contractor will:

3.3.1.1 Develop subject matter expert plan for delivering PCMH training and technical assistance to assist with implementation of PCMH for all IHS ambulatory care facilities and IPC teams to include: overview of technical capability, approach to performance work statements objectives to include training and TA, support for IPC teams, working with the IPC national team, subject matter expertise identification and training, project planning, benchmarks on progress, quarterly progress reports, dissemination strategy, and customer and IPC staff satisfaction.

3.3.1.2 Development of a crosswalk of various medical home recognition programs and requirements in use across the IHS and Tribal health systems.

3.3.1.3 Develop an outline of a strategic plan to be used by organizations to guide their PCMH journey.

3.3.1.4 Develop guidance as a resource for PCMH Designation to outline the structure and content of materials that will support achievement of Medical Home designation by IHS facilities.

3.3.1.5 Identify the training and resources needed by IHS facilities to achieve Medical Home designation to include on-demand PCMH content modules training videos, PCMH topic focused webinars with subject matter experts.

3.3.1.6 Develop training in a variety of formats, including recorded webinars, shared resources posted to the IPC site and events at national meetings. Use multiple approaches for content delivery and peer to peer interaction.

3.3.1.7 Align all training with the chosen designator’s PCMH standards.

3.3.1.8 Develop templates and example policies related to PCMH.

3.3.1.9 Engage experts from other IHS agencies or individuals in the field with high performance in the chosen topic.

3.3.1.10 Develop external subject matter expert plan for delivering content.

3.3.1.11 Provide monthly reporting, post-session assignments, and sharing experiences for

3.3.2 Leadership for IPC. The contractor will:

3.3.2.1 Develop a Leadership track or series for implementing QI information to all Area

Service Units, identifying pertinent topics and faculty, provide orientation for leaders, and implement training sessions.

3.3.2.2 Develop a Leadership track or series for implementing PCMH guidance to all Area Service Units, identifying pertinent topics and faculty, provide orientation for leaders, and implement training sessions.

3.3.2.3 Develop a Leadership “Boot Camp” to train leadership in QI information.

3.3.2.4 Develop a Leadership Peer-to-Peer Network for knowledge gathering and sharing among all Area Service Units.

3.3.2.5 Develop a QI Strategy/Plan (Operational Aim) - national guidance on strategic

3.3.3 Improvement Support Team. The contractor will:

3.3.3.1 Rebrand the IST to an “Area Quality Improvement Team.”

3.3.3.2 Restructure the Area IST roles and responsibilities to include quality improvement activities in the job descriptions of Area ISTs.

3.3.3.3 Develop Customized training program specific to Area IST needs including data management training.

3.3.3.4 Provide quality improvement training sessions for Area ISTs - “train the trainer” sessions in quality and PCMH.

3.3.4 Quality Improvement Training. The contractor will:

3.3.4.1 Provide subject matter expertise in the development of content for short, 10 minute training videos on quality improvement.

3.3.4.2 Develop dissemination methods for sharing best practices among all Service

Units.

3.3.4.3 Define modifications to IPC 2.0 Elements needed to ensure the Elements support

IHS strategic priorities.

3.3.4.4 Augment the IPC-MS curriculum with additional tools and resources related to empanelment, effective care teams, managing supply and demand, patient engagement, running effective meetings, and data management.

3.3.4.5 Develop additional technical assistance and coaching/ training support for the PCMH Teams.

3.3.4.6 Provide ongoing coaching and mentoring for the IPC National Team.

3.3.4.7 Provide Faculty quality improvement training for key leadership throughout the

Indian Health system.

3.3.4.8 Facilitate planning sessions for National IPC Team and IPC Leadership.

3.3.4.9 Provide quarterly reports on progress of IPC/PCMH programming.

3.3.4.10 Identify sites to host organizations pursuing PCMH and implement site visits.

3.3.5 Technical Assistance. The contractor will:

3.3.5.1 Develop a program for providing technical assistance to IHS health care facilities regarding implementation of PCMH Model of Care.

3.3.5.2 Identify subject matter experts to provide technical assistance to IHS health care facilities via tele-conferencing, video-conferencing, and onsite.

3.3.5.3 Identify subject matter experts to provide technical assistance and expertise to respond to the “Ask the Expert” component of the IPC web portal.

3.3.6 Partnerships

3.3.6.1 Develop a plan for engaging partnerships with other HHS federal agencies, IHS communities, and tribal entities, professional societies, government, and

3.3.7 QILN Re-design

3.3.7.1 Revise, re-brand, and launch “QILN like” network, as a peer-to-peer learning network at the national and/or regional level to support IHS ambulatory facilities to achieve PCMH designation.

3.3.7.2 Provide a 5 year framework for implementation of restructured QILN that includes a needs assessment of teams, development of new curriculum with pertinent content of PCMH elements, training series, and Intensives.

3.3.7.3 Develop training in a variety of formats, including recorded webinars, shared

3.3.8 Reporting. The contractor will:

3.3.8.1 Develop an annual report that provide an overview of the work completed, evaluation of where the IHS Healthcare System is regarding QI and PCMH, and recommendations to improve QI capacity and PCMH implementation including sustainability.

3.3.8.2 Provide quarterly status reports on work tasks including timeline of work tasks,

3.4 Option Year Four

Continued technical assistance and training.

3.4.1 Patient Centered Medical Home. The contractor will:

3.4.1.1 Develop subject matter expert plan for delivering PCMH training and technical assistance to assist with implementation of PCMH for all IHS ambulatory care facilities and IPC teams to include: overview of technical capability, approach to performance work statements objectives to include training and TA, support for IPC teams, working with the IPC national team, subject matter expertise identification and training, project planning, benchmarks on progress, quarterly progress reports, dissemination strategy, and customer and IPC staff satisfaction.

3.4.1.2 Development of a crosswalk of various medical home recognition programs and requirements in use across the IHS and Tribal health systems.

3.4.1.3 Develop an outline of a strategic plan to be used by organizations to guide their PCMH journey.

3.4.1.4 Develop guidance as a resource for PCMH Designation to outline the structure and content of materials that will support achievement of Medical Home designation by IHS facilities.

3.4.1.5 Identify the training and resources needed by IHS facilities to achieve Medical Home designation to include on-demand PCMH content modules training videos, PCMH topic focused webinars with subject matter experts.

3.4.1.6 Develop training in a variety of formats, including recorded webinars, shared resources posted to the IPC site and events at national meetings. Use multiple approaches for content delivery and peer to peer interaction.

3.4.1.7 Align all training with the chosen designator’s PCMH standards.

3.4.1.8 Develop templates and example policies related to PCMH.

3.4.1.9 Engage experts from other IHS agencies or individuals in the field with high performance in the chosen topic.

3.4.1.10 Develop external subject matter expert plan for delivering content.

3.4.1.11 Provide monthly reporting, post-session assignments, and sharing experiences for

3.4.2 Leadership for IPC. The contractor will:

3.4.2.1 Develop a Leadership track or series for implementing QI information to all Area

Service Units, identifying pertinent topics and faculty, provide orientation for leaders, and implement training sessions.

3.4.2.2 Develop a Leadership track or series for implementing PCMH guidance to all Area Service Units, identifying pertinent topics and faculty, provide orientation for leaders, and implement training sessions.

3.4.2.3 Develop a Leadership “Boot Camp” to train leadership in QI information.

3.4.2.4 Develop a Leadership Peer-to-Peer Network for knowledge gathering and sharing among all Area Service Units.

3.4.2.5 Develop a QI Strategy/Plan (Operational Aim) - national guidance on strategic

3.4.3 Improvement Support Team. The contractor will:

3.4.3.1 Rebrand the IST to a “Area Quality Improvement Team.”

3.4.3.2 Restructure the Area IST roles and responsibilities to include quality improvement activities in the job descriptions of Area ISTs.

3.4.3.3 Develop Customized training program specific to Area IST needs including data management training.

3.4.3.4 Provide quality improvement training sessions for Area ISTs - “train the trainer” sessions in quality and PCMH.

3.4.4 Quality Improvement Training. The contractor will:

3.4.4.1 Provide subject matter expertise in the development of content for short, 10 minute training videos on quality improvement.

3.4.4.2 Develop dissemination methods for sharing best practices among all Service

Units.

3.4.4.3 Define modifications to IPC 2.0 Elements needed to ensure the Elements support

IHS strategic priorities.

3.4.4.4 Augment the IPC-MS curriculum with additional tools and resources related to empanelment, effective care teams, managing supply and demand, patient engagement, running effective meetings, and data management.

3.4.4.5 Develop additional technical assistance and coaching/ training support for the PCMH Teams.

3.4.4.6 Provide ongoing coaching and mentoring for the IPC National Team.

3.4.4.7 Provide Faculty quality improvement training for key leadership throughout the

Indian Health system.

3.4.4.8 Facilitate planning sessions for National IPC Team and IPC Leadership.

3.4.4.9 Provide quarterly reports on progress of IPC/PCMH programming.

3.4.4.10 Identify sites to host organizations pursuing PCMH and implement site visits.

3.4.5 Technical Assistance. The contractor will:

3.4.5.1 Develop a program for providing technical assistance to IHS health care facilities regarding implementation of PCMH Model of Care.

3.4.5.2 Identify subject matter experts to provide technical assistance to IHS health care facilities via tele-conferencing, video-conferencing, and onsite.

3.4.5.3 Identify subject matter experts to provide technical assistance and expertise to respond to the “Ask the Expert” component of the IPC web portal.

3.4.6 Partnerships

3.4.6.1 Develop a plan for engaging partnerships with other HHS federal agencies, IHS communities, and tribal entities, professional societies, government, and

3.4.7 QILN Re-design

3.4.7.1 Revise, re-brand, and launch “QILN like” network, as a peer-to-peer learning network at the national and/or regional level to support IHS ambulatory facilities to achieve PCMH designation.

3.4.7.2 Provide a 5 year framework for implementation of restructured QILN that includes a needs assessment of teams, development of new curriculum with pertinent content of PCMH elements, training series, and Intensives.

3.4.7.3 Develop training in a variety of formats, including recorded webinars, shared

3.4.8 Reporting. The contractor will:

3.4.8.1 Develop an annual report that provides an overview of the work completed, evaluation of where the IHS Healthcare System is regarding QI and PCMH, and recommendations to improve QI capacity and PCMH implementation including sustainability.

3.4.8.2 Provide quarterly status reports on work tasks including timeline of work tasks,

4.0 Quality Assurance Plan

Required Services Performance

Indicators Acceptable Quality Level (AQL)

Method of Surveillance

Required Indicator for Payments

Develop subject matter expert plan for delivering PCMH training and technical assistance to assist with implementation of PCMH designation pathway for all IHS ambulatory care facilities.

Evaluation of PCMH plan is rated as useful by 90% of IPC National staff.

Meets all required elements.

COR will review all materials.

Government must fully accept performance.

Technical assistance materials are developed to assist with implementation of PCMH including on-demand videos, crosswalk of medical home programs, PCMH Guidebook with structure and content materials to support PCMH goals, develop templates.

Evaluation of TA materials is rated as useful by 90% of teams and National staff.

Meets all required elements.

accept performance.

Training materials are developed and delivered including; on-demand PCMH content modules, training videos, PCMH topic focused webinars with subject matter experts.

Evaluation of materials are rated excellent or above average by at least 90 % of the teams.

Work is considered successful if materials and tools are rated at excellent or above average by teams.

COR will

Leadership Series track development is progressing and on track.

Evaluation of Leadership plan is rated as useful by 90% of IPC National staff and Senior Leadership.

Meets all requirements and received by due date.

COR will

IST rebranding and restructuring plan is progressing and on track.

Evaluation of IST plan is rated as useful by 90% of IPC National staff and IST.

Meets all requirements and received by due date.

COR and IST will review all

Provide appropriate and pertinent quality improvement trainings for all IHS ambulatory care facilities.

Work is considered successful if:

trainings are rated as excellent or above average by all team members.

Review results of survey tool evaluations.

analyze all participant feedback and survey results.

100% payment for quality work submitted within required timeline.

Government must fully accept performance.

PCMH teams will be assessed on a quarterly basis to determine progress in their path to PCMH designation.

Assessments will be completed by the 15th of the following month.

Reports are comprehensive and timely.

By the due date, if the quality is sub-optimal and requires additional changes, then contractor will be provided one more opportunity to correct within 30 days.

COR will analyze all team feedback and survey results.

Quarterly Status Reports are delivered to IPC National Staff to include completion of tasks, issues and best practices.

Work is considered successful if:

reports are considered comprehensive and timely.

Meets all the required elements and received by due date.

COR will review all reports and materials submitted.

100% payment for quality work submitted within required timeline.

Government must fully accept performance.

Annual Report is delivered to the IPC National team with comprehensive evaluation of QI Capacity and PCMH implementation.

Work is considered successful if:

reports are considered comprehensive and timely.

Meets all the required elements and received by due date.

COR will review all reports and materials submitted.

100% payment for quality work submitted within required timeline.

Government must fully

5.0 Contractor Supplied Materials

The contractor shall provide all equipment necessary to perform the scope of work.

6.0 Government Furnished Materials

No government furnished materials are provided under this contract.

7.0 Reporting Requirements and Deliverables

The contractor shall provide a quarterly report on all tasks performed as well as an annual report demonstrating the impact of the services provided and progress by teams. A summary of feedback from training sessions will also be provided.

8.0 Inspection and Acceptance

All work will be reviewed by Julie Sadovich, PhD, Acting Director, Improving Patient Care Program, the IPC Program Administrative Officer/Contracting Officer’s Representative and senior leadership at IHS Headquarters. Customer satisfaction surveys will be conducted on vendor services as well as use of Survey Monkey for all trainings.