36C10G20R0014-009.xlsx
XLSX spreadsheet Posted
- Solicitation number
- 36C10G20R0014
About this file
This document contains a pre-solicitation notice and related federal contract opportunity. The Department of Veterans Affairs intends to issue a solicitation to establish a contractor network to provide medical, surgical, complementary, pharmacy and dental services to veterans throughout Alaska. The contractor will serve as a third-party administrator responsible for providing managed healthcare services, customer service, quality monitoring, and claims processing and payment. The anticipated contract is a single-award firm fixed price indefinite delivery indefinite quantity contract with a 9-month base period and seven 1-year options. The final solicitation is expected to post on May 11, 2020 with offers due on June 1, 2020. All sources must register in the System for Award Management under NAICS code 524292.
36C10G20R0014 CCN Region 5 Attachment G - CCN Healthcare Services Network Quality and Performance Criteria Template.xlsx
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Physician Measures
| Quality/Performance Measure | Data Source |
| Breast Cancer Screening | HEDIS |
| Colorectal Cancer Screening | HEDIS |
| Annual Flu Vaccine | HEDIS |
| Adult BMI Assessment | HEDIS |
| Diabetes Care - Blood Pressure Controlled | HEDIS |
| Diabetes Care - Kidney Disease Monitoring | HEDIS |
| Diabetes Care - Statin Therapy | HEDIS |
| Controlling Blood Pressure | HEDIS |
| Veteran feedback on appointment experience | VA |
| Referrals from Community Provider to VA | VA |
| Completion of Military Culture Training | VA |
Hospital Measures
| Measure category | Measure identifier | Measure identifier label | Technical measure title | Measure as posted on Hospital Compare |
| Hospital Consumer Assessment of Healthcare Providers and Systems Survey (HCAHPS) | H-COMP-6-Y-P | Patient Given Discharge Information | Discharge information (Composite measure) | Patients who reported that YES, they were given information about what to do during their recovery at home |
| H-COMP-6-N-P | Patient Not Given Discharge Information | Discharge information (Composite measure) | Patients who reported that NO, they were not given information about what to do during their recovery at home | |
| H-COMP-7-SA | Care Transition (Composite measure) | Care Transition (Composite measure) | Patients who "Strongly Agree" they understood their care when they left the hospital | |
| H-COMP-7-A | Care Transition (Composite measure) | Care Transition (Composite measure) | Patients who “Agree” they understood their care when they left the hospital | |
| H-COMP-7-D-SD | Care Transition (Composite measure) | Care Transition (Composite measure) | Patients who “Disagree” or “Strongly Disagree” they understood their care when they left the hospital | |
| H-HSP-RATING-9-10 | 9-10 Overall Rating | Overall rating of hospital (Global measure) | Patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest) | |
| H-HSP-RATING-7-8 | 7-8 Overall Rating | Overall rating of hospital (Global measure) | Patients who gave their hospital a rating of 7 or 8 on a scale from 0 (lowest) to 10 (highest) | |
| H-HSP-RATING-0-6 | 0-6Overal Rating | Overall rating of hospital (Global measure) | Patients who gave their hospital a rating of 6 or lower on a scale from 0 (lowest) to 10 (highest) | |
| H-RECMND-DY | Definitely Recommend the Hospital | Willingness to recommend the hospital (Global measure) | Patients who reported YES, they would definitely recommend the hospital | |
| H-RECMND-PY | Probably Recommend the Hospital | Willingness to recommend the hospital (Global measure) | Patients who reported YES, they would probably recommend the hospital | |
| H-RECMND-DN | Not Recommend the Hospital | Willingness to recommend the hospital (Global measure) | Patients who reported NO, they would not recommend the hospital |
| Acute myocardial infarction (AMI) | OP-3b | AMI-Median time to transfer | Median time to transfer to another facility for acute coronary intervention | Average number of minutes before outpatients with chest pain or possible heart attack who needed specialized care were transferred to another hospital |
| OP-5 | AMI-Median time to ECG | Median time to ECG | Average number of minutes before outpatients with chest pain or possible heart attack got an ECG | |
| OP-1 | AMI-Median Time to Fibrinolysis | Median Time to Fibrinolysis | Median Time to Fibrinolysis | |
| OP-2 | AMI-Fibrinolytic in 30min of ED arrival | Fibrinolytic therapy received within 30 minutes of emergency department arrival | Outpatients with chest pain or possible heart attack who got drugs to break up blood clots within 30 minutes of arrival | |
| OP-4 | AMI-Aspirin at arrival | Aspirin at arrival | Outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival | |
| AMI-7a | AMI-Fibrinolytic in 30min of hospital arrival | Fibrinolytic therapy received within 30 minutes of hospital arrival | Heart attack patients given fibrinolytic medication within 30 minutes of arrival | |
| AMI-8a | AMI-PCI in 90min of arrival | Timing of receipt of primary percutaneous coronary intervention (PCI) | Heart attack patients given PCI within 90 minutes of arrival | |
| AMI-2 | AMI-Aspirin prescribed at discharge | Aspirin prescribed at discharge | Heart attack patients given aspirin at discharge | |
| AMI-10 | AMI-Statin prescribed at discharge | Statin prescribed at discharge | Heart attack patients given a prescription for a statin at discharge | |
| Heart failure (HF) | HF-1 | HF-Disch. instrution | Discharge instructions | Heart failure patients given discharge instructions |
| HF-2 | HF-Evaluation of LVS function | Evaluation of LVS function | Heart failure patients given an evaluation of left ventricular systolic (LVS) function | |
| HF-3 | HF-ACEI or ARB for LVSD | ACEI or ARB for LVSD | Heart failure patients given ACE inhibitor or ARB for left ventricular systolic dysfunction (LVSD) | |
| Pneumonia (PN) | PN-6 | PN-Given the most Appropriate initial antibiotic | Initial antibiotic for community-acquired pneumonia (CAP) in immunocompetent patient | Pneumonia patients given the most appropriate initial antibiotic(s) |
| Surgical Care Improvement Project (SCIP) | OP-6 | SCIP-outpatient got antibiotic at the right time | Timing of antibiotic prophylaxis | Outpatients having surgery who got an antibiotic at the right time (within one hour before surgery) |
| SCIP-Inf-1a | SCIP-antibiotic at the right time | Prophylactic antibiotic received within one hour prior to surgical incision | Surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection | |
| SCIP-Inf-3a | SCIP-antibiotic stopped at the right time | Prophylactic antibiotics discontinued within 24 hours after surgery end time | Surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery) | |
| SCIP-VTE-2 | SCIP-VTE treat at the right time | Surgery patients who received appropriate venous thromboembolism prophylaxis within 24 hours prior to surgery to 24 hours after surgery | Patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery | |
| OP-7 | SCIP-Outpatient got the right antibiotic | Prophylactic antibiotic selection for Surgical Patients | Outpatients having surgery who got the right kind of antibiotic | |
| SCIP-CARD-2 | SCIP-kept on beta blockers before and after | Surgery patients on beta-blocker therapy prior to arrival who received a beta-blocker during the perioperative period | Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery | |
| SCIP-Inf-2a | SCIP-right antibiotic | Prophylactic antibiotic selection for surgical patients | Surgery patients who were given the right kind of antibiotic to help prevent infection | |
| SCIP-INF-4 | SCIP-blood glucose under good control for heart surgery | Cardiac surgery patients with controlled 6 a.m. postoperative blood glucose | Heart surgery patients whose blood glucose is kept under good control in the days right after surgery | |
| SCIP-INF-9 | SCIP-Urinary catheter removed in 1st or 2nd day | Urinary catheter removed on postoperative day 1 (POD 1) or postoperative day 2 (POD 2) with day of surgery being day zero | Surgery patients whose urinary catheters were removed on the first or second day after surgery | |
| VA Specific Metrics | Veteran feedback on appointment experience | How did the veteran rate their experience with facility? | ||
| Referrals from community providers to VA | Does the facility work with the VA to coordinate care appropriately with VA? | |||
| Completion of Military Cultural training | Has the provider completed VA Military Cultural training? |
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