36C25818Q0188-003.docx

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HEALTH CARE FOR HOMELESS VETERANS PROGRAM (HCHV) CONTRACTED EMERGENCY RESIDENTIAL SERVICES (CERS) WITHIN 20 MILES FROM THE NEW MEXICO VA HEALTH CARE SYSTEM
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36C25818Q0188
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36C25818Q0188 ATTACHMENT 2 Performance Requirements Summary.docx

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ATTACHMENT 2

TECHNICAL EXHIBIT 1

Performance Requirements Summary The Contractor service requirements are summarized into performance objectives that relate directly to mission essential items. The performance threshold briefly describes the minimum acceptable levels of service required for each requirement. These thresholds are critical to mission success.

Performance Objective

Standard
Performance Threshold
Method of Surveillance

PRS # 1.

The Contractor shall provide a Release of Information from the Veteran upon admission to the program. PWS 5.1

The Contractor provided a Release of Information from the Veteran at the time of admission to the program.
No deviation from requirement permissible.
Monthly Random Sampling conducted by COR.

PRS # 2

The Contractor shall provide documentation in accordance with CARF Standards within 24 hours of admission. PWS 5.2

Contractor and VA Program Case Manager to submit monthly reports to COR. CARF 2015 Behavioral Standards Manual

Compliance with CARF requirements on 90% of documents reviewed.
Monthly reports from Contractor and Case Manager to COR.

PRS # 3

The Contractor shall participate in Clinical Assessments of Veterans within 7 business days of admission. PWS 5.3

Contractor to meet weekly, at a minimum, with VA staff treatment team to participate in Veteran assessments and treatment plan updates.

Compliance with Clinical Assessment within 7 business days of admission 98% of documents reviewed
Random Sampling conducted by COR.

PRS# 4

The Contractor shall provide on-site drug or alcohol testing methods PWS 5.4

The Contractor to submit results of drug test within one business day to the COR in writing.
Compliance with drug testing requests from COR or as clinically appropriate 98% of tests done within two hours from the time they were requested.
Reports as need from Contractor and Case Manager to COR.

PRS# 5

The contactor shall participate in case management and treatment services beginning day one of admission to the program. PWS 5.5, PWS 5.6, PWS 5.7

Contractor and VA Program Case Manager to submit monthly reports regarding individual case management and individual treatment plan updates to COR.
Compliance with treatment services beginning day one of admission to program 90% of cases reviewed.
Monthly reports from Contractor and Case Manager to COR.

PRS# 6

The Contractor shall provide updates to the treatment plan. PWS 5.8

Contractor and VA Program Case Manager to submit monthly reports regarding individual case management and individual treatment plan updates to COR.
Compliance with treatment services beginning day one of admission to program 90% of cases reviewed.
Monthly reports from Contractor and Case Manager to COR.

PRS# 7

The Contractor shall provide individual progress notes to the Treatment Team PWS 5.9

The Contractor to submit weekly progress notes to the treatment team for each Veteran in the program.
Compliance with weekly reporting 97% of cases reviewed.
Weekly Treatment Team reports

PRS# 8

The Contractor shall provide exit summary reports to the Treatment Team. PWS 5.10

The Contractor to submit exit summary reports to the treatment team for each Veteran who is terminated from the program within 48 hours of discharge
No deviation from requirement permissible.
Ad Hoc reports

PRS# 9

The Contractor shall provide an incident report in writing to the COR and a phone call immediately. PWS 5.11

The Contractor to submit by close of business on the day of the incident and phone call immediately and a report in writing.
No deviation from requirement permissible.
Reports as need from Contractor and Case Manager to COR.

PRS# 10

The Contractor shall participate in treatment plan development and maintenance. PWS 5.12

Contractor and VA Program Case Manager to submit monthly reports regarding individual treatment plan updates to COR.
No deviation from requirement permissible.
Monthly reports from Contractor and Case Manager to COR.

PRS# 11

The Contractor shall provide therapeutic and rehabilitative services to Veterans in the Program. PWS 5.13

Contractor and VA Program Case Manager to submit monthly reports to the COR regarding treatment and rehabilitative services provided by the contactor.
No deviation from requirement permissible.
Monthly reports from Contractor and Case Manager to COR.

PRS# 12

The Contactor shall provide exit/discharge planning for all Veterans starting at the time of admission into the program. PWS 5.14

Contractor and VA Program Case Manager to submit monthly attestation to the COR stating that exit/discharge planning was started at the time of admission.
No deviation from requirement permissible.
Monthly reports from Contractor and Case Manager to COR.

PRS# 13

The Contractor shall participate in the termination of a Veterans participation in the program. PWS 5.14

Contractor and VA Program Case Manager to submit monthly reports to the COR regarding any Veteran/s terminating participation in the program.
No deviation from requirement permissible.
Weekly Treatment Team reports

PRS# 14

The Contractor shall participate with the Housing First Program staff to coordinate aftercare and or re-engagement services for Veterans leaving the program.

PWS 5.8

Contractor and VA Program Case Manager to submit weekly reports to the COR regarding any Veteran terminating participation in the program and the subsequent aftercare or re-engagement services initiated.
No deviation from requirement permissible.
Weekly reports from Contractor and Case Manager to COR.

PRS# 15

The Contractor shall provide continuous coverage by key personnel to include Housing Manger, Clinical Supervisor, Case Manager, Security personnel at a minimum.

PWS 1.16

Contractor to employ key personnel as identified in the PWS and will report any changes to the COR within 15 business days.
No deviation from requirement permissible.
Ad hoc reports from Contactor and Random Sampling conducted by COR.

PRS# 16

50% or greater of all Veterans admitted to the program will be discharged through Positive Discharge definition.

PWS 4.5.1.

Veterans approved to stay beyond 90 days as clinically warranted.
Compliance with discharges as outlined in PWS 4.5a, 50% of cases reviewed for Veterans approved to stay beyond 90 days as clinically warranted
Quarterly reports from Contractor to COR.

PRS#17

No more than 20% of all Veterans admitted to the program will be discharged in an Administrative Discharge.

PWS 4.5.2.

Contractor to report performance progress yearly to the COR, concurrent with the yearly inspections.
Compliance with discharges as outlined in PWS 4.5b, 20% of cases reviewed.
Yearly reports from Contractor to COR.

PRS#18

No more than 30% of all Veterans admitted to the program will be discharged in accordance with the Negative Discharge category.

PWS 4.5.3.

Contractor to report performance progress yearly to the COR, concurrent with the yearly inspections.
Compliance with discharges as outlined in PWS 4.5c, 30% of cases reviewed.
Yearly reports from Contractor to COR.

PRS#19

No Veterans admitted to the program will be discharged in accordance with the Unacceptable Discharge category.

PWS 4.5.4.

Contractor to report performance progress yearly to the COR, concurrent with the yearly inspections.
Compliance with discharges as outlined in PWS 4.5d, Zero Occurrences
Yearly reports from Contractor to COR.

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