Attachment_J.10-B_SOD_TO_0002.pdf

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Attached to
Measure and Instrument Development and Support (MIDS) Federal contract opportunity
Solicitation number
75FCMC18R0019
Issued by
Department of Health and Human Services Centers for Medicare and Medicaid Services

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Hospital Quality Initiatives Public Reporting Support Schedule of Deliverables

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Text version

Attachment J.10-B SOD TO 0002

MIDS Task Order 0002

Schedule of Deliverables (SOD)

Hospital Quality Initiatives (HQI) Public Reporting Support

The contractor shall submit all required reports and deliverables in accordance with the following schedule. Reports and/or deliverables submitted shall be in accordance with the TO SOW.

CO = Contracting Officer CS = Contract Specialist COR = Contracting Officer’s Representative (Task Order COR) IDIQ COR = Indefinite Delivery, Indefinite Quantity COR (MIDS IDIQ COR) MMC = Measures Management Contractor IAW = In Accordance With EC= Electronic Copy HC= Hard Copy

* The Blueprint is updated periodically to improve and streamline processes. As a result, forms and tools may be updated and new tools may be developed as needed. The Contractor shall comply with the updated Blueprint processes, forms, and tools noted as deliverables in the schedule here and as directed by the COR.

IAW

Chap ter

Delive rable Numb er

Deliverable Title

Format Due Date Base Year

Option Year 1

Option Year 2

Option Year 3

Optio n

Year

2 2-1 Draft Project Management Plan (PMP)

EC to CORs and MMC

5 calendar days after TO award

Yes Yes Yes Yes Yes ter

Delive rable Numb er

Deliverable Title

Format Due Date Base Year

Option Year 1

Option Year 2

Option Year 3

Optio n

Year

2 2-2 Final PMP EC to CORs and MMC

15 calendar days after TO award

Yes Yes Yes Yes Yes

2 2-3 Kick Off Meeting

In person or by teleconference

Within first 30 calendar days following TO award

2 2-4 EC of all TO Deliverables

Original to CORs Within 30 calendar days of TO end date

Yes Yes Yes Yes Yes

2 2-5 Ad Hoc Requests

As requested by CMS

Yes Yes Yes Yes Yes

2 2-6 Meeting Agendas

EC to COR 2 business days prior to meetings

Yes Yes Yes Yes Yes

2 2-7 Meeting Minutes EC to COR 5 business days after meetings

Yes Yes Yes Yes Yes

2 2-8 Joint Accountability Determination

(JAD)

EC to COR and meeting participants

5 business days before the meeting ter

Delive rable Numb er

Deliverable Title

Format Due Date Base Year

Option Year 1

Option Year 2

Option Year 3

Optio n

Year

Preparation- Agenda and Documents

2 2-9 JAD Minutes and Action Items

EC to COR and meeting participants

10 calendar days after the

JAD

Yes Yes Yes Yes Yes

2 2-10 Timeline Alignment Agenda and Documents

EC to COR 5 business days before the meeting.

Yes Yes Yes Yes Yes

2 2-11 Timeline Alignment Meeting Minutes and Action Items

EC to COR 5 business days after the Timeline Alignment Meeting.

Yes Yes Yes Yes Yes

3, 4 3-1 Information Gathering Report (Summary Report of Environmental Scan and Empirical Analysis)

EC and HC to CORs EC to MMC

NA NA NA NA NA NA

3, 4 3-2 List of Potential Measures

EC and HC to CORs ter

Delive rable Numb er

Deliverable Title

Format Due Date Base Year

Option Year 1

Option Year 2

Option Year 3

Optio n

Year

3, 4, 3-3 Measure

Information Form (MIF) (including algorithm) and corresponding document summarizing changes made (e.g., Release Notes if not included in the updated MIF) if applicable or Health Quality Measure Format (HQMF) document for eMeasures, the eMeasure XML file, and the eMeasure style sheet* Note: IAW with the Blueprint -updated versions ter

Delive rable Numb er

Deliverable Title

Format Due Date Base Year

Option Year 1

Option Year 2

Option Year 3

Optio n

Year of this deliverable are required at various points for measure development and maintenance

3, 4, 3-4 Measure Justification Form (MJF)*

3 3-5 Business case development for measure concepts, topics and/or candidate measures

3, 4 3-6 Expert Input Report

4 4-1 Technical Expert Panel (TEP) Composition ter

Delive rable Numb er

Deliverable Title

Format Due Date Base Year

Option Year 1

Option Year 2

Option Year 3

Optio n

Year

Documentation Form*

4 4-2 Measure Evaluation Report for each Measure

Note: IAW with the Measures Manager Blueprint -updated versions of this deliverable are required at various points for measure development and maintenance

NA NA NA NA NA NA

4 4-3 Summary of TEP Evaluation of Measures * ter

Delive rable Numb er

Deliverable Title

Format Due Date Base Year

Option Year 1

Option Year 2

Option Year 3

Optio n

Year

4, 6 4-4 Risk Adjustment Section of the

MIF *

4 4-5 Draft Documentation Set*

(Contains the MIF, MJF and risk adjustment materials into a “draft” package for COR review and approval)

NA NA NA NA NA NA

4 4-6 Final Documentation Set*

(Contains the MIF, MJF, and risk adjustment materials into a “final” package

EC and HC to CORs ter

Delive rable Numb er

Deliverable Title

Format Due Date Base Year

Option Year 1

Option Year 2

Option Year 3

Optio n

Year for COR review and approval)

4 4-7 Consensus- Based Entity

(CBE)

Endorsement Submission Materials - Draft documentation of the measure

4 4-8 CBE

Endorsement Submission Materials - Final documents for all measures

EC and HC to CORs EC to MMC and to

NQF COR

NA NA NA NA NA NA

4 4-9 Maintenance Reevaluation *

(Requires updated MIF and release notes)

4 4-10 Comprehensive Reevaluation *

EC and HC to CORs ter

Delive rable Numb er

Deliverable Title

Format Due Date Base Year

Option Year 1

Option Year 2

Option Year 3

Optio n

(Contains updated MIF, MJF, and Measure Evaluation Report. If applicable, NQF maintenance documentation)

4 4-11 Ad Hoc Reevaluation *

(Ad Hoc Reevaluations require updated MIF, MJF, and Measure Evaluation Report)

4 4-12 Public Description of Quality Measures ter

Delive rable Numb er

Deliverable Title

Format Due Date Base Year

Option Year 1

Option Year 2

Option Year 3

Optio n

Year

5 5-1 Data Collection Tools/Assessme nt Instruments, Manuals or Instructions, and Updates

EC to CORs

5 5-2 Summary Report of New/Revised Data Collection Instruments or Data Items

6 6-1 Measure Testing Plan

6 6-2 Measure Testing Summary Report

EC to CORs and

MMC

6 6-3 Risk Adjustment Methodology Report and EC to MMC

7 7-1 Monthly Status Report

EC to CORs and to

MMC

By the 20th of each month.

ter

Delive rable Numb er

Deliverable Title

Format Due Date Base Year

Option Year 1

Option Year 2

Option Year 3

Optio n

Year

7 7-2 Monthly Workload Report

EC to CORs By the 20th of each month.

Yes Yes Yes Yes Yes

7 7-3 Cost Report EC to CORs By the 20th of each month

Yes Yes Yes Yes Yes

7 7-4 Annual Self- Assessment Report

EC to CORs 4.5 Months prior to anniversary date for TO w/Options

7 7-5 Monthly Status Calls

Monthly Teleconference

Monthly – agenda submitted 2 business days prior to meeting

Yes Yes Yes Yes Yes

7 7-6 Weekly Status Call Minutes

EC to CORs Within 5 business days of call date

Yes Yes Yes Yes Yes

7 7-7 Office of Management and Budget (OMB)/Paper Work Reduction Act (PRA)

EC and HC to CORs NA NA NA NA NA NA ter

Delive rable Numb er

Deliverable Title

Format Due Date Base Year

Option Year 1

Option Year 2

Option Year 3

Optio n

Year

Submission Materials

8 8-1 Timeline for Data Item and/or Quality Measure Implementation

8 8-2 Implementation Stakeholder Meetings

Tele-conference or other mode as specified

8 8-3 Question and Answer Support

8 8-4

Implementation Process Roadmap

8 8-5 Measure Calculations/Res ults

8 8-6 Program and Initiative Assessment Report

9 9-1 “Compare Site” Files and Measures

IAW TO SOW

IAW COR Yes Yes Yes Yes Yes ter

Delive rable Numb er

Deliverable Title

Format Due Date Base Year

Option Year 1

Option Year 2

Option Year 3

Optio n

9 9-2 Pre-Posting

Preview Report

IAW TO SOW

9 9-3 Implementation Algorithm

(Note: For measures developed under this TO, this is included with the measure specifications that are documented in the MIF)

EC to COR and MMC NA NA NA NA NA NA

9 9-4 Prioritized list of website enhancements

EC to COR Weekly discussion at Contractor’s Call Document included in meeting materials ter

Delive rable Numb er

Deliverable Title

Format Due Date Base Year

Option Year 1

Option Year 2

Option Year 3

Optio n

Year

9 9-5 Content Management and Support

EC to COR 45 calendar days prior to website release/refresh

Yes Yes Yes Yes Yes

9 9-6 New Measure Template

EC to COR According to PR timeline

Yes Yes Yes Yes Yes

9 9-7 VA Workplan Maintenance

EC to COR Maintain the existing work plan for discussion at bi-weekly Department of Veterans Affairs (VA) meetings

Yes Yes Yes Yes Yes

9 9-8 VA Conf. Calls EC to COR Agendas-2 business days prior to meetings;

minutes 5 business days after meetings

Yes Yes Yes Yes Yes

9 9-9 CMS Access for VA File Testing and CMS Access

EC to COR Provide Enterprise User ter

Delive rable Numb er

Deliverable Title

Format Due Date Base Year

Option Year 1

Option Year 2

Option Year 3

Optio n

Year

Administratio n (EUA) forms to VA participants.

Submit completed forms within 30 calendar days of TO award.

9 9-10 Work Plan Maintenance (Department of Defense (DoD) Work plan)

EC to COR Maintain the existing work plan for discussion at bi-weekly DoD meetings

Yes Yes Yes Yes Yes

9 9-11 DoD Conf. Calls EC to COR Agendas-2 business days prior to meetings;

minutes 5 business days after meetings ter

Delive rable Numb er

Deliverable Title

Format Due Date Base Year

Option Year 1

Option Year 2

Option Year 3

Optio n

Year

9 9-12 File Testing and CMS Access (for DoD)

EC to COR Provide EUA forms to DoD participants.

Submit completed forms within 30 calendar days of TO award.

Yes Yes Yes Yes Yes

9 9-13 Preview Communication Documents

EC to COR Submitted to

CMS 30

calendar days before opening of Preview or release of Hospital Specific Reports (HSRs).

Yes Yes Yes Yes Yes

9 9-14 Downloadable File Production

EC to COR Prepare the downloadable databases according to ter

Delive rable Numb er

Deliverable Title

Format Due Date Base Year

Option Year 1

Option Year 2

Option Year 3

Optio n

Year the Hospital Compare master timeline.

9 9-15 Downloadable Database Dictionary

EC to COR IAW Hospital Compare master timeline

Yes Yes Yes Yes Yes

9 9-16 Communications Materials

EC to COR 30 calendar days prior to each website release

Yes Yes Yes Yes Yes

9 9-17 Roll out Materials

EC to COR 30 calendar days prior to a Hospital Compare roll-out

Yes Yes Yes Yes Yes

9 9-18 Email Inbox EC to COR The Contractor shall provide appropriate triage within 2 business days of email receipt, and ter

Delive rable Numb er

Deliverable Title

Format Due Date Base Year

Option Year 1

Option Year 2

Option Year 3

Optio n

Year responses within 7 business days.

9 9-19 Email Inbox Reports

EC to COR Submitted with the required monthly report

Yes Yes Yes Yes Yes

9 9-20 Correspondence Responses

EC to COR Draft responses within 2 business days of CMS request

Yes Yes Yes Yes Yes

9 9-21 User Acceptance Testing (UAT) (Sign Off Log)

EC to COR Submitted to CMS within 5 business days of UAT completion.

Yes Yes Yes Yes Yes

9 9-22 User Acceptance Testing Report

EC to COR Submitted to CMS within 5 business days of UAT completion ter

Delive rable Numb er

Deliverable Title

Format Due Date Base Year

Option Year 1

Option Year 2

Option Year 3

Optio n

Year

9 9-23 Defect Tracker EC to COR Disseminated with each Contractor’s Call on a bi-weekly basis.

Yes Yes Yes Yes Yes

9 9-24 File Test and CMS Access

EC to COR Within 30 calendar days of TO award.

Yes Yes Yes Yes Yes

9 9-25 Timelines EC to COR Quarterly within 5 business days after each public reporting timeline becomes available from the Information Systems Group (ISG) Contractors.

Yes Yes Yes Yes Yes

9 9-26 Roadmap EC to COR Discussed and updated at bi-weekly ter

Delive rable Numb er

Deliverable Title

Format Due Date Base Year

Option Year 1

Option Year 2

Option Year 3

Optio n

Year

Contractor’s Call

9 9-27 Cost Tracking- (separate for VA and DoD work)

EC to COR Submitted with each monthly report

Yes Yes Yes Yes Yes

9 9-28 Task Tracking- (separate for VA and DoD work)

EC to COR Submitted with each monthly report

Yes Yes Yes Yes Yes

10 10-1 Data Use Agreement

EC and HC to CORs 30 calendar days after TO award

NA NA NA NA NA

12 12-1 Transition Plan EC to CORs 3 months prior to TO end date, as requested by

COR

N/A N/A N/A N/A As requeste d by

COR

Recipient Addresses:

Refer to Section G of the Task Order

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