Attachment_J.2_-_Schedule_of_Deliverables.pdf

191668 06/20/2019

Schedule of Deliverables (SOD) End Stage Renal Disease-Quality Incentive Program (ESRD-QIP) Data

Validity and Reliability

Items to be Furnished and Deliverable Schedule

The Contractor shall submit all required reports and deliverables in accordance with the following schedule. All reports and deliverables submitted under this contract shall be in accordance with the SOW.

KEY:

COR: Contracting Officer Representative DUA: Data Use Agreement CMS: Centers for Medicare and Medicaid Services ERB: Engineering Review Board ICD: Interface Control Document NHSN: National Healthcare Safety Network

Item Description Recipient Delivery* Background 1 Written Notification to CMS of change in key personnel COR Within 2 business days of key personnel change 2 Data Use Agreement (DUA) between Contractor and CMS COR Within 30 days post contract award

3 Complete Request to Connect to CMS QualityNet Resources according to ERB User Guide process

COR Within 30 days post contract award

4 Written verification required by Exec Order 12989 COR Within 30 days post contract award and as staff are added to the contract

Task 1. Project Management, Communication and Equipment Procurement

5 Project Kick-Off Meeting COR Within 5 business days post contract award

6 Project Kick-Off Agenda COR 2 business days prior to Kick-off Meeting

7 Project Kick-Off Meeting Minutes/Notes COR 7 days after Kick-Off meeting 8 Project Management Plan and Schedule, to include a personnel section and organizational chart showing responsibilities and reporting chain of Contractor personnel

COR Within 30 days post contract award, then as changed

9 Summary of CMS/Contractor Status Meetings COR 2 business days after each call 10 Monthly Status Reports COR Monthly within 15 days following the end of the month service 11 Contract Transition Plan COR As requested by CMS 12 Comprehensive set of technical documentation COR As requested by CMS 13 Business Continuity and Contingency Plan COR 60 days post award 14 Procurement Plan for CMS Approval COR Within 15 days of contract award 15 Copies of all ERB requests and invoices for each procurement COR Monthly 16 Inventory List COR Maintain and report all updates monthly 17 Ad hoc Project communications meeting materials COR As directed by COR 18 Ad hoc Project communications meeting summary COR Within 5 business days of meeting

Task 2. Develop Data Validation Methodology and Sampling Plan

19 Data Dictionary (complete definition of data sets and data elements to be validated and traced to/from source records for both CROWNWeb and NHSN)

COR Within 30 days of contract award

20 Methodology and Sampling Plan for:

a. CROWNWeb validation methodology

b. Validating Reliability of CMS-Form 2746 Data (National Implementation)

c. Validating Reliability of CMS-Form 2728 Data (National Implementation).

COR Within 30 days of contract award

21 Interface Control Document with CROWNWeb and NHSN Data Extract File Specifications for all validation activities

COR Within 30 days of contract award.

22 Analysis Plan (defines plan for validating all data elements, timeframes, frequencies, schedule for performance and format and contents of reports)

COR Within 60 days of contract award

Task 3. Gather Data 23 Memo to facilities describing Validation Study and request for medical records COR 60 days post award.

24 Facility-specific Medical Records Request letter COR 120 days post award or as mutually agreed.

25 Validation Compliance Log COR Upon conclusion of the data collection period.

26 Request Data Extract File from CROWNWeb and NHSN for data elements to be validated

COR 30 days after CMS approval of Validation Methodology and Sampling Plan (ICD must also be submitted)

27 Updated Supporting Statements A and B of our annual Paperwork Reduction Act (PRA) package

COR Upon request

Task 4. Analyze Data 28 Repository of clinical data abstracted from patient medical chart review COR Maintain during performance, deliver final data set as part of contract close out

Task 5. Submit Reports and Recommendations for Improvement

29 Final Report summarizing methodology, trends in validity and reliability, definitions of data elements, and recommendations for training and future validation studies

COR Draft due 45 days prior to end of the period of performance; revised Final Report due 20 days prior to end of the period of performance.

30 Facility-specific CROWNWeb and NHSN results to be shared with facilities that participated in the validation

COR/Facilities Within last 30 days of period of performance

31 Briefings for CMS Management summarizing results of validation assessment, up to 3 briefings

COR Within last 30 days of period of performance

32 Technical Expert Consultation in preparation of CMS white papers, Position papers, briefings, presentations, to articulate options for improving CROWNWeb and NHSN data reliability and validity

COR As requested by CMS

Task 6. Case Review Data Validation 33 Draft of the case review data validation process COR Within 45 days of the contract award 34 Final case review data validation process document COR Within 75 days of the contract award 35 Data correction recommendations COR Delivered weekly

* Calendar days, unless otherwise specified.

Facilities

All dialysis facilities that provided medical records to participate in the Data Quality Data Validation study.