PWS_HIP_Training_2019.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 by 2021, 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.

Purpose of Objectives of the Acquisition

The purpose of the acquisition is to provide a workshop to train fifteen (15) Indian Health Service staff and quality staff members as candidates to become Improvement Advisors (IA) in 2 separate training sessions for a total of thirty (30) candidates. Improvement Advisors assist the organization by becoming effective leaders that are trained to identify, plan, and implement quality improvement across the agency, and can be integral in assisting IHS care teams to achieve PCMH implementation and designation by 2022.

The Improving Patient Care program has identified this specific training program to develop Subject Matter Experts to equip them with the necessary skills, knowledge, and capability to define, develop, test and implement quality improvement efforts for the agency using the science of improvement.

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 and quality improvement staff across IHS Area facilities to provide with them Subject matter expertise as Improvement Advisors. The IA’s will assist care teams from Indian Health Service, Tribal and Urban (I/T/U) facilities in attaining PCMH designation, and implement quality improvement efforts for the agency using quality improvement science training.

Services include (see Performance Work Statement below):

Contractor Requirements

3.0 Base Training

3.0.1 Improvement Advisor Training. The contractor will:

3.0.1.1 Provide Improvement Advisor Training for thirty (30) staff of the IHS agency in

2 separate training sessions with fifteen (15) staff per session.

3.0.1.2 Contractor shall train IHS staff and identified staff who are working in the field on quality improvement as Improvement Advisor candidates.

3.0.1.3 IA candidates shall receive training in practical skills to drive system changes, spreading changes, and in the theory and methods of the Science of Improvement.

3.0.1.4 Contractor shall assist the IA candidates in developing and implementing an IA

Improvement Project that that should be completed by the end of the IA training and is pertinent to the quality improvement goals of the agency. The improvement project should assist participants in running tests of change, and utilizing data related to project measures that provide changes for system and process improvement.

3.0.1.5 Contractor will provide a collaborative learning environment that encompasses training in the use of tools and models that accelerate quality improvement such as Charter, PDSA cycles, and use of run charts and other data tools for improvement.

3.0.1.6 Contractor will provide appropriate pre-work, coursework, web-ex training sessions, exercises or assignments as required to complete the training.

3.0.1.7 Contractor will provide personalized follow up and coaching by their faculty.

4.0 Quality Assurance Plan

Required Services Performance

Indicators Acceptable Quality Level (AQL)

Method of Surveillance

Required Indicator for Payments

Deliver a comprehensive Improvement Advisor training course for 30 IHS staff members to become IA candidates in 2 separate sessions of

(15) participants.

IA training is acquired, contract secured with all deliverables, and dates are set to deliver the comprehensive training course.

Meets all required elements.

COR will review all materials.

Government must fully accept performance.

Ensure that all candidates are capable in teaching back the theories and methods of the Science of Improvement, tools and resources taught in the course.

Certificate of completion of required training goals and objectives.

Meets all required elements.

COR will review all materials.

Government must fully accept performance.

Ensure the IA candidates complete a quality improvement project by the end of the training that is pertinent to the QI work they are doing in their respective Areas or at IHS headquarters.

Individualized Project Plan is completed by each participant with measurable goals and results that will be achieved by the end of the training.

Meets all required elements.

COR will review all materials.

Government must fully accept performance.

Ensure the IA candidates have developed capability in data analysis specific to their project and can show improvement goals are successful.

Individualized Data Analysis Plan is completed by each participant with measurable goals and results that will be achieved by the end of the training.

Meets all required elements.

COR will review all materials.

Government must fully accept performance.

Deliver individualized Coaching and follow up to the participants after the conclusion of the training.

Coaching Plan delivered by the contractor.

Meets all required elements.

COR will review all materials.

Government must fully accept performance.

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 a final report demonstrating the impact of the services provided and progress by participants. 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, RN, CPHQ, Director of Quality Management, the Office of Quality Program leadership, 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.