HEC_Webinar.pptx

Partnership for Patients:

Hospital Engagement Contractor Industry Day

The Webinar will begin in 30 Minutes

Logging In for the Webinar We want to know who you are!

When logging on as a guest, please indentify your:

Name Title Organization

Example:

John Jacob, Outreach Director – JHU Hospital Network

Webinar Housekeeping:

Teleconferencing for Audio If your network does not support the bandwidth to stream audio or you are unable to access the webinar site, teleconferencing for this event is available:

Conference Number: (877) 267-1577 Meeting ID: 5045 We ask that you please put your phones on mute to avoid having noise disruptions during the presentation We are also limited to 200 call-in lines, so please use only as needed to allow maximum participation Today’s slides and a document containing questions and answers will be available soon after the completion of the call.

Patient Safety Fact At any given time, about one in every 20 patients has an infection related to their hospital care.

CDC. “Vital Signs: Central Line-Associated Blood Stream Infections- United States, 2001, 2008 and 2009.” Morbidity and Mortality Weekly Report. March 4, 2011/60(08);243-248.

20 Minutes you are!

When logging on as a guest, please indentify your:

Name Title Organization

On average, one in seven Medicare beneficiaries is harmed in the course of their care, costing the government an estimated $4.4 billion every year.

Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries. Office of the Inspector General. OEI-06-09-00090. November 2010.

If your network does not support the bandwidth to stream audio or you are unable to access the webinar site, teleconferencing for this event is available:

Conference Number: (877) 267-1577 Meeting ID: 5045 We ask that you please put your phones on mute to avoid having noise disruptions during the presentation We are also limited to 200 call-in lines, so please use only as needed to allow maximum participation Today’s slides and a document containing questions and answers will be available soon after the completion of the call.

10 Minutes you are!

When logging on as a guest, please indentify your:

Name Title Organization

New data show that 58% fewer bloodstream infections occurred in hospital ICU patients with central lines in 2009 than in 2001. Overall, the decrease in infections saved up to 27,000 lives and is associated with $1.8 billion in excess medical costs.

CDC Vital Signs. Making Health Care Safer: Reducing Bloodstream Infections. March 2011.

5 Minutes

WELCOME

If your network does not support the bandwidth to stream audio or you are unable to access the webinar site, teleconferencing for this event is available:

Conference Number: (877) 267-1577 Meeting ID: 5045 We ask that you please put your phones on mute to avoid having noise disruptions during the presentation We are also limited to 200 call-in lines, so please use only as needed to allow maximum participation Today’s slides and a document containing questions and answers will be available soon after the completion of the call.

Hospital Engagement Contract Industry Day Program Overview:

Webinar Housekeeping Contracting Preliminary Brief Partnership for Patients Initiative Overview Hospital Engagement Contract Overview Government Contracting and Proposal Submissions

Joey Eakle, CMS/CMMI Acquisition Support Specialist

Using “chat” to ask questions If you have questions, enter your questions into the chat pod located on the left side of your screen.

type in your question on the single line at the bottom of the chat pod click the button with the arrow to the right of the text input field.

Questions submitted through the chat pod can only be seen by the CMS team and will be monitored throughout the webinar.

The questions submitted will be compiled by our staff and answers will be made available as an attachment to the solicitation on FedBizOpps

Answering Poll Questions Helps Us Take time to answer poll questions at the beginning of each session:

Provides you an opportunity to share Provides us essential feedback Gives us both the best information to address your needs You will have 2 minutes to respond to each question.

You can also track the real-time responses when you answer the questions.

Contracting Preliminary Brief:

Dan Kane, CMS Director, Office of Acquisition and Grants Management

If your network does not support the bandwidth to stream audio or you are unable to access the webinar site, teleconferencing for this event is available:

Conference Number: (877) 267-1577 Meeting ID: 5045 We ask that you please put your phones on mute to avoid having noise disruptions during the presentation We are also limited to 200 call-in lines, so please use only as needed to allow maximum participation Today’s slides and a document containing questions and answers will be available soon after the completion of the call.

Partnership for Patients Program Overview:

Dr. Donald Berwick, CMS Administrator

Better Care for Individuals

Better Health for the Population Lower Cost Through Improvement

A Three-Part Aim

Partnership for Patients: Better Care, Lower Costs

Keep patients from getting injured or sicker. By the end of 2013, preventable hospital-acquired conditions would decrease by 40% compared to 2010.

Achieving this goal would mean approximately 1.8 million fewer injuries to patients with more than 60,000 lives saved over the next three years.

Help patients heal without complication. By the end of 2013, preventable complications during a transition from one care setting to another would be decreased so that all hospital readmissions would be reduced by 20% compared to 2010.

Achieving this goal would mean more than 1.6 million patients would recover from illness without suffering a preventable complication requiring re-hospitalization within 30 days of discharge.

Potential to save up to $35B over three years.

Partnership for Patients Update Current Partnership for Patients Pledges

Media Coverage Earned Media: Nearly 150 articles have been written in national print and online publications about the Partnership and initial outreach events.

Trade Press and Scientific Publications: include JAMA, American Medical News, WSJ blog, The Remington Report Social Media: 300+ blog posts, Facebook links, and Twitter #HHSPFP hits posted post-launch Field Events The Partnership has been central to 51 field events, including 12 organized by HHS and 39 organized by partners.

Alignment A number of Affordable Care Act provisions – including the Medicaid Provider-Preventable Conditions Rule, Medicare IPPS Rule, Medicare Value Based Purchasing Rule, and Community-Based Care Transitions Program - have been aligned with Partnership activity.

Early Engagement Applications are beginning to come in for the Community Care Transitions Program.

How Will Change Actually Happen?

There is no “silver bullet.”

We must apply many incentives.

We must show successful alternatives.

We must offer intensive supports.

We must help providers and communities with the painstaking work of improvement (e.g., Section 3026).

The Innovation Center Affordable Care Act Legislation (Section 3021)

Center for Medicare & Medicaid Innovation (CMMI) Tests of New Models to Meet Three-Part Aim National Spread of Successful Models

Partnership for Patients Supports The Innovation Center seeks to bring effective models of reliable, safe care to scale through federal contracts that will:

Provide meaningful, rigorous support for action in the field;

Drive improvement and learning as rapidly as possible;

Make certain all hospitals and communities have access to technical assistance (broad eligibility so that many types of organizations and geographical areas will be covered).

Hospital Engagement Contract Overview:

Joe McCannon, Senior Advisor to the Administrator, CMS Group Director, Learning and Diffusion Group, CMMI

The Hospital Experience:

General Strategy Deepen incentives and build national awareness, creating a groundswell for change from the public and other stakeholders.

Develop a national learning platform with content and expertise accessible to all.

Harness attention and energy to create a national network of learning and improvement that will support every hospital and help them master the basics of patient safety.

Propel a vanguard group to achieve unseen levels of performance.

Evaluate our progress as we go and introduce lessons learned.

We are seeking to create a national network of learning and improvement that will support hospitals in the hard work of change and help them to learn from one another.

Specifically, we will seek to provide intensive local supports to all hospitals through large systems, associations and state consortia (Hospital Engagement Contractors) that will host rigorous local learning activities and support them in making progress in targeting ten key adverse events and building a culture of safety.

We will simultaneously develop a national learning platform with content and expertise accessible to all contractors. (National Content Developer) We also seek to develop a community of ambitious organizations – advanced participants – who will act as a vanguard, attempting ambitious goals on a very fast timeframe and pioneering new forms of improvement. (Advanced Participant Network) The National Content Developer and the Advanced Participant Network conveners will supply information and support to the Hospital Engagement Contractors, and the Hospital Engagement Contractors will also offer insight and make specific requests for support.

Contracts will also be let to support enhanced public engagement and overall evaluation of the impact of the program.

The Hospital Experience:

General Strategy National Content Developer Expert Input Hospital Engagement Contractor Participating Hospitals & Providers Advanced Participant Network Contractor New Knowledge from Advanced Participants Safety Mentoring in Phase II Patient & Provider Engagement Contractor Will from Patients & Families Patient-Centered Input for Resource Development Best-in-class Learning for All

System X Association X

A

A A A A A A A A A A System X Association X

A A A A A A A A

A A A A A A A

General Strategy A A A A A A A A A A A A A A A A A A A

A A A A A A A

General Strategy A A A A A A A A A A A A A A A A A A A

National Content Developer

Safety Data Evaluator

Base Contract Requirements

National, regional, or state hospital associations identified through an organizational charter or agreement, and a governing body representative of the affiliated members

National affinity groups representing hospitals which address specific patient and/or regional health issues identified through an organizational charter or agreement, and a governing body representative of the affiliated members

Organizations that hold corporate ownership and operational control of a hospital chain of at least 25 hospitals

Specific Contract Tasks

Conduct training activities and improvement projects that address up to 10 (and no fewer than 7) targeted adverse events and general strategies for harm reduction for the hospitals you seek to support

Provide technical assistance and direct support to the hospitals you seek to support

Establish a set of improvement measures for each improvement project and monitor performance

Specific Contract Tasks

Provide ongoing status reports and formal quarterly updates to CMS & the Innovation Center

Collaborate with other Partnership for Patients Activities as necessary

Contract Awards

Up to 100 contracts will be awarded One 24 month base period of performance One optional 12 month period of performance

Evaluation of Proposals

Technical Approach How do you plan on meeting the contract requirements?

Your technical approach will be judged on the basis of its ability to meet all of the goals of the program.

Corporate Organizational Experience and Capacity What resources and program experience will you employ to meet the contract requirements?

You, and any proposed subcontractors, will be evaluated on your organizational strength and capacity to carry out all of the goals and tasks of the project.

Key Personnel and Staff Management Who do you plan on overseeing and performing the contract requirements?

You will be evaluated on the level of expertise and appropriate education of the personnel you plan on employing to carry out the goals and tasks of the project.

Other Key Considerations

Results Orientation Clear effort to collaborate with appropriate local partners to avoid duplication of effort Prior experience and established relationships with targeted hospitals

Frequently Asked Questions

Do we have to address all ten adverse events?

Can we be put in touch with the prime contractors on the other contract opportunities?

Can two small systems combine to meet the eligibility criteria?

Getting Started in Federal Contracting:

Carol Sevel, CMS/OAGM Contracting Officer

Where to get started?

Federal Business Opportunities (FedBizzOps)

Federal Point of Entry where government awards are advertised Vendors interested in responding to a government request to propose should register at the individual notice level to ensure that they receive alerts when subsequent information on a notice is published Check this site frequently to monitor any changes, amendments, or award information related to solicitations https://www.fbo.gov

Central Contract Registration

Mandatory registration site for any vendor wishing to enter into a contract with the Federal government

Site requires the vendor to provide certain business information

Data Universal Numbering System (DUNS) Number Tax Identification Number (TIN) Statistical Information about your business Average Number of Employees Average Annual Receipts Electronic Funds Transfer (EFT) Information for invoice payment https://www.bpn.gov/ccr

Data Universal Numbering System (DUNS) Number unique nine-digit identification Assigned and maintained solely by D&B means of identifying business entities on a location-specific basis The DUNS Number® is required by the Federal Acquisition Regulation (FAR) To search or register for a DUNS Number, go to:

http://fedgov.dnb.com/webform

Who are the Key Players?

A Contracting Officer (CO or KO) is a person who can bind the government to a contract that is greater than the Micro-Purchase threshold. This is limited to the scope of authority delegated to the Contracting Officer by the head of the agency.

A Contracting Officer's Technical Representative (COTR) is a liason between the government and a contractor. He or she ensures that their goals are mutually beneficial. The COTR is a federal employee who is responsible for recommending authorizing (or denying) actions and expenditures for both standard delivery orders and task orders, and those that fall outside of the normal business practices of its supporting contractors and sub-contractors. Most COTRs have experience in the technical area (i.e., electronics, chemistry, public health, etc.) that is critical to the success of translating government requirements into technical requirements that can be included in government acquisition documents for potential contractor to bid and execute that work. A COTR must be designated by a Contracting Officer (CO).

A project manager is the person responsible for accomplishing the stated project objectives. Key project management responsibilities include creating clear and attainable project objectives, building the project requirements, managing the triple constraints for a project (which are cost, time, and quality) and also to manage project's scope.

Contracting Team

Government

Contracting Officer Technical Representative (COTR)

Program Officer (PO)

Contracting Officer (CO)

Contractor

Project Manager (PM)

Sub-Contractors

What are the rules?

Federal Acquisition Regulation (FAR)

Establishes uniform policies for acquisition by all federal agencies

Satisfies the government’s needs as a consumer

Minimizes administrative costs

Upholds the government’s integrity as a market participant

Fulfills public policy objectives of Congress and the President

How do we play the game?

Uniform Contract Format

Part I – Schedule A – Solicitation/Contract B - Supplies or services and prices C – Description/Specifications D – Packaging and marking E - Inspection and Acceptance F – Deliveries or performance G – Contract Administrative data H – Special contract requirements

Uniform Contract Format

Part II – Contract Clauses I – Contract Clauses

Part III – List of Documents, Exhibits and Other Attachments J – List of Documents, Exhibits and Other Attachments

Uniform Contract Format

Part IV – Representations and Instructions K – Representations and certifications and other statements of bidders L – Instructions, conditions and notices to bidders M – Evaluation factors for award

Fixed-price Contracts

(FAR 16.2)

government and the vendor agree up front to a dollar figure If it costs the vendor less money than negotiated to finish the product, the vendor assumes the delta as a profit if it costs the vendor more than the negotiated amount to complete the product, the vendor is obligated to continue to perform with no additional funding to be provided by the government The risk is on the vendor to appropriate propose and manage under a firm fixed price scenario.

Cost-Reimbursement Contracts (FAR 16.3) government and the vendor agree to a total estimated costs government pays for the time the vendor performs; the vendor promises to do its best to complete the work The risk is on the government to define the work clearly and oversee the progress of the vendor

Closing Remarks

Thank You for Attending image5.jpeg image6.png image7.jpeg image8.jpeg image9.jpeg image10.png image3.png image11.png image12.png image13.png image1.png image2.png