ATAMMC ACC Exhibit B Performance Requirements Summary.pdf
PDF 243 KB Posted
- Solicitation number
- HT0015-24-RFI-ATAMMC
- Issued by
-
Defense Health Agency
About this file
This document outlines the performance requirements summary for the AT Augusta Military Medical Center Ambulatory Care Center contract opportunity. Key personnel are required to meet stated qualifications within five business days of award, and any changes must be reported three business days before implementation. Manpower data in DMHRSi must be submitted and approved by the second business day after the pay period for on-time reporting 81% of the time. Contractors cannot serve as both timekeepers and approvers. All patient encounters must be completed and closed within three business days by certified coding specialists. Primary care managers must not have ghost empaneled patients and must maintain empaneled patient loads between 650-1300 depending on full or part time status. Specialty care productivity must meet or exceed 50th percentile MGMA standards. Secure messaging responses are required within one business day. Primary care screening metrics for breast, cervical and colorectal cancer screenings must meet minimum 75% standards monthly. Primary care acute appointments must be scheduled within 24 hours and seen within 24 hours, while routine appointments must be scheduled within seven days and seen within seven days.
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Other files
| File | Type | Posted |
|---|---|---|
| ATAMMC ACC RFI Feedback update 1 20231017 V2.xlsx | XLSX spreadsheet | |
| ATAMMC ACC RFI Feedback update 1 20231017.xlsx | XLSX spreadsheet | |
| ATAMMC ACC CLINS.pdf | ||
| ATAMMC_PWS.pdf | ||
| ATAMMC ACC Special Clause - Contract Per Member Per Month rates.pdf | ||
| ATAMMC ACC RFI_20231004.pdf | ||
| ATAMMC ACC Exhibit C - Laboratory Services.pdf | ||
| ATAMMC ACC RFI Feedback 20231004.xlsx | XLSX spreadsheet | |
| ATAMMC ACC Exhibit D- Radiology.pdf |
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Text version
Exhibit B – Performance Requirement Summary (PRS)
Performance Objectives
Standards Acceptable Quality Level
(AQL)
Method of Assessment
Remedies
Key Personnel
PWS para 1.18
Contractor Key Personnel required on this contract meet the experience and qualifications stated in the PWS.
Key Personnel names are submitted to COR NLT five (5) business days after contract award.
Key personnel qualifications are met 100% of the time.
COR review of CVs for Key Personnel and date submitted.
Past Performance Documentation
(CPARS)
Changes to Key Personnel
PWS para 1.18
Changes to Key Personnel are reported to COR.
Key personnel changes reported to COR NLT three (3) business days before the change is made.
Review staffing report submitted monthly
Past Performance Documentation
(CPARS)
Manpower Data
PWS para 1.19
DMHRSi information on 100% of all contracted employees shall be submitted and approved NLT COB second business day after the end of the government pay period.
On-time reporting 81% of the time.
Random inspection for training and clinical DMHRSi coding compliance
Past Performance Documentation
(CPARS)
Contractor Timekeepers
PWS para 1.19
Contractor Timekeepers cannot be Timecard Approvers per DHA PM 6010.13- M Vol 1 & Vol 2
Meets standard 95% of the time.
DMHRSi report to inspect names of submitted and approved timecards.
Past Performance Documentation
(CPARS)
Patient Encounter Notes
PWS para 5.3.4.2
All MHS Genesis patient encounters are completed and closed by Certified Coding Specialist.
All encounters are documented and closed within three (3) business days.
Observation & random sampling
Past Performance Documentation
(CPARS)
Primary care manager empanelment
PWS para 5.11.1
All beneficiaries are assigned to a Primary Care Manager (PCM), no ghost empanelment exists.
No more than 1300 enrolled beneficiaries empaneled to one (1) full-time PCM.
No fewer than 650 enrolled beneficiaries empaneled to one (1) part-time PCM.
Zero enrollees ghost empaneled.
Govt runs a daily DEERS enrollment report, taking average of the number for the month.
75% payment per member per month rate for each enrollee ghost empaneled for the average in the month.
ATAMMC PWS Exhibit B Performance Requirements Summary
Medical Group Management Association
(MGMA)
Standards
PWS para 5.13.3
Specialty care will meet or exceed productivity standards when compared to MGMA standards.
All ACC locations together meet an average of 50th percentile for RVU productivity.
Monthly report submitted by contractor; COR Surveillance and Performance Monitoring module in Procurement Integrated Enterprise Environment (PIEE).
Past Performance Documentation
(CPARS)
MHS Genesis Portal Secure Messaging
PWS Para 5.16.10
Timely response to beneficiary messages submitted and received through MHS Genesis Portal Secure Messaging.
100% of messages received from beneficiaries through the MHS Genesis Portal Messaging System shall be responded to within one business day of submission.
Observation & random sampling
Past Performance Documentation
(CPARS)
Healthcare Effectiveness Data and Information Set
(HEDIS)
measures
PWS para 5.16.14.1
Primary Care screening metrics.
-Breast Cancer Screening
Meets standard at a minimum of 75% for the month.
Monthly report for all enrolled beneficiaries who meet the metric requirement.
Past Performance Documentation
(CPARS)
Healthcare Effectiveness Data and Information Set
(HEDIS)
measures
PWS para 5.16.14.1
Primary Care screening metrics.
-Cervical Cancer Screening
Meets standard at a minimum of 75% for the month.
Monthly report for all enrolled beneficiaries who meet the metric requirement.
Past Performance Documentation
(CPARS)
Healthcare Effectiveness Data and Information Set
(HEDIS)
measures
PWS para 5.16.14.1
Primary Care screening metrics.
-Colorectal Cancer Screening
Meets standard at a minimum of 75% for the month.
Monthly report for all enrolled beneficiaries who meet the metric requirement.
Past Performance Documentation
(CPARS)
ATAMMC PWS Exhibit B Performance Requirements Summary
Primary Care Access (acute appt)
PWS para 5.17.1.1
Contractor shall meet TRICARE access standard for primary care ACCs, and acute appointments are scheduled within 24 hours of request.
Patient will be seen within 24 hours 100% of the time for acute appts.
Govt reviews data quality and percentage of patients sent to network.
Past Performance Documentation
(CPARS)
Primary Care Access (routine appt)
PWS para 5.17.1.2
Contractor shall meet TRICARE access standard for primary care ACCs and routine appointments are scheduled within seven
(7) days.
Patient is seen within seven
(7) days of appt request 100% of the time.
Govt reviews data quality and percentage of patients sent to network.
Past Performance Documentation
(CPARS)
| Exhibit B – Performance Requirement Summary (PRS) |
| Standards |
| Remedies |
File details come from the government source that posted it. Updated .