Amendment 0004.docx

Amendment 0003

Section L.4 Proposal contents

Part I: Organizational Requirements (shall not exceed 2 pages) The following “go no go” criteria have been established to identify organizations most suited to effectively complete the tasks included in the Statement of Work.

In order to meet the intent of federal code PPACA Section 3021, the model approved for the implementation of this activity calls for direct contracting with hospitals and organizations that fulfill the following organizational requirements:

· Organizations that are national, regional, or state association of hospitals as identified through an organizational charter or agreement and a governing body that represents affiliated members.

· Organizations that functions as national affinity organization that represent hospitals which address specific patient and/or regional health issues identified through an organizational charter or agreement and a governing body that represents affiliated members.

· Organizations that hold corporate ownership and operational control of a hospital chain of at least 25 hospitals Additionally, these organizations must demonstrate the existing capacity-through their own organization and through relationships with other organizations- to collect, track, and monitor hospital quality data and systems in place to support such activities relative to hospitals slated to participate in the PfP. These procurements must be awarded to organizations that have the capacity to complete the contracted tasks as the prime contractor upon award. Failure to provide documentation to support this organizational requirement will remove your proposal from further consideration for this procurement.

Failure to provide documentation to support this organizational requirement will remove your proposal from further consideration for this procurement.

Section C – Statement of Work

TASK FOUR: MEASURE AND TRACK HOSPITAL PERFORMANCE

The HEC shall establish and implement a system to track and monitor hospital progress towards operational and quality improvement goals. Within this task, the HEC shall at a minimum collect operational metrics, and improvement metrics amongst participating hospitals.

The HEC must collect data to track improvements in care delivered by hospitals participating in the collaborative efforts of the HEC (e.g., process and outcome measures associated with hospital improvements); the data collection plan must be in compliance with HIPAA as well as FISMA as defined in Sections H and I of this contract);

To complete the measurement and tracking task the HEC must establish a set of “improvement measures” for each improvement project. These measures should be determined in collaboration the contractor’s constituent hospitals, and should be selected based on their usefulness in supporting hospital improvement activities and with an understanding of the capabilities of member hospitals. Unless the contractor can provide a strong argument to do otherwise, each improvement project should include at least one process measure and one outcome measure. (Outcome measures need not be risk adjusted.) Participating hospitals should be strongly encouraged to use these measures in support of their improvement activities; however, they are not required to do so. Relevant educational resources related to basic statistics and the role of measurement in improvement projects should be deployed to hospitals.

The HEC will provide unlimited rights in data to the government for all data it submits to the PFP collected under this contract, including, but not limited to, hospitals names and locations of hospital participants and non-participants within its jurisdiction, as well as operational metrics and aggregate improvement measures results.

TASK FIVE: ONGOING STATUS AND QUARTERLY UPDATES

The HEC will be responsible for providing ongoing ad hoc status information at the request of the COTR as well as formal monthly and quarterly reports to CMS/CMMI staff to address progress issues and lessons learned during each quarter of the performance period. Monthly reports must include an update on operational metrics describing the participation status among hospital participants. The updates should also include information on the status of the project to include data on hospital progress on improvement measures. At a minimum the monthly report must include the following metrics:

· Number, name, and location (city, state) of hospitals that have joined the contractor’s improvement network;

· Number, name, and location (city, state) of eligible hospitals that have not joined the contractor’s improvement network;

· Number, name, and location (city, state) of hospitals participating in each improvement projects;

· Percent of applicable hospitals participating in major training sessions or meetings (to be tracked for each such event); and

· Number, name, and location (city, state) of hospitals participating in each improvement projects that have submitted all available improvement measure data

The quarterly reports should include information on the status of the project, including aggregate data on hospital progress on improvement measures for each project. Additionally, noteworthy aggregate improvements and milestones, identification of areas of outstanding improvement, and identification of areas where progress has not been made, should be addressed. The report shall provide information to the government on successes, failures, pitfalls and areas of improvement in each requirement performed by the HEC. The update shall also provide recommended next steps to the government for the continuation of the work in both the option year of this particular contract and the work possibly under new contracts in support of.

The exact form of monthly and quarterly reports will be determined in conjunction with the COTR and the PFP Evaluation contractor.