Att C- IN performance measures - rtp.xlsx
XLSX spreadsheet 41 KB Posted
- Solicitation number
- 27-88516
- Issued by
- Marion County, Indiana
About this file
This is a Performance Measures document for the Indiana Department of Correction (IDOC) Medical Contract, specifically outlining healthcare service standards for pharmaceutical vendor operations as of July 22, 2025. The document establishes nine performance categories encompassing 22 distinct measures that the pharmaceutical vendor must meet, including prescription accuracy maintained at 99.8%, timely dispensing and delivery of routine prescriptions within 48 hours and refills within three business days, 100% adherence to the IDOC approved formulary, cost containment reporting on a quarterly basis, inventory control with less than 2% waste or expiration rates, clinical support available 24/7, invoice accuracy and timeliness within 10 business days of month-end, maintenance of all required licenses and regulatory compliance, and submission of reports according to contract schedules. All services provided by the vendor are subject to inspection and evaluation by IDOC Health Services Division through ad hoc site visits, interviews, inspections, and electronic medical record reviews to ensure compliance with established performance measures and IDOC policies.
The IDOC requires all performance measures to achieve a passing score of 90% or better, with any score below 90% considered a failure. Vendors are allowed a single 30-day cure opportunity following an audit deficiency, after which failure to remediate results in mandatory reimbursement to IDOC of a minimum $10,000 per deficiency at each facility, credited against future invoices. If the vendor fails to maintain an average pass rate of 90% or higher across all IDOC facilities for any quarter, this constitutes a breach of contract. Additionally, vendors are responsible for reimbursement to IDOC for staffing vacancies, backlogs, contract monitoring costs, failure to meet staffing salary requirements, and inadequate telehealth service provision as specified in the RFP. The IDOC retains the right to add, revise, or delete performance measures and audit tools during the contract term.
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Measures
| Indiana Department of Correction Medical Contract Performance Measures |
| Version 7-22-2025 |
All services provided by the Vendor will be subject to inspection and evaluation by the IDOC. The Vendor must provide all files, records or other data which are necessary for the IDOC to conduct quality assurance activities. The IDOC has set Performance Measures for all healthcare services to be provided under the current contract. These Performance Measures are based on the standards for each area of care underlined in this document. The Vendor shall meet these standards and shall be required to reimburse the IDOC for additional action, oversight, and review expended by the IDOC in dealing administratively with the Vendor’s failure to meet a Performance Measure, after an opportunity to cure. The IDOC has the right to add, revise, or delete performance measures and audit tools during the course of the contract.
| REIMBURSEMENT FOR PERFORMANCE MEASURE DEFICIENCIES |
| All Performance Measures have been included into the IDOC’s audit tools. The IDOC Health Services Division will then conduct audits of health care services through ad hoc site visits, interviews, inspections, and review of health records to assess and monitor contract compliance, adherence to IDOC policy and procedure, and compliance with Performance Measures. As a part of such audit quality assurance staff will pull an adequate number of medical record packets and review the Electronic Medical Record (EMR). Each performance measure requires a passing score of 90% or better. Less than 90% is considered a fail. If a Performance Measure does not meet the passing score, the IDOC will allow the Vendor 30 days to correct or cure the failure by passing a re-audit of the services found deficient at 90% or greater. There shall be only one opportunity given to correct a deficiency. |
| On a quarterly basis, the Vendor will be provided with a summary of all quality assurance activities completed during that Quarter. Any deficiencies found at a facility and not cured will require the Vendor to reimburse the IDOC for additional action, oversight and review expended by the IDOC in responding administratively to the deficiency. The minimum cost to the IDOC of such additional action, oversight and review shall be $10,000 per deficiency at each facility. Each deficiency found during an audit shall be subject to this reimbursement. This reimbursement shall be paid as a credit on the next invoice to the IDOC after notification. |
| It is expected that the Vendor will address reported deficiencies within the next reporting period, so that each performance measure receives a passing score of 90% or higher. |
| Additionally, if the Vendor does not obtain an average pass rate of 90% or higher on each Performance Measure across all IDOC facilities for any quarter, this shall be considered as a breach of contract by the Vendor, who shall be entitled to an additional opportunity to cure under the terms for default to be set out in the contract resulting from this RFP. |
| In addition to the reimbursement of costs for failure to meet Performance Measures, the Vendor shall also be required to reimburse the IDOC for staffing vacancies, backlogs, seat charges, contract monitoring, failure to meet required staffing salaries, failure to provide telehealth to the extent proposed, as further specified in this RFP. |
Categories
| PERFORMANCE CATEGORIES | ||
| ID # | Category | # of Measures |
| 1. | Prescription Authority | 1 |
| 2. | Timelines | 3 |
| 3. | Formulary Compliance | 3 |
| 4. | Cost Containment | 3 |
| 5 | Inventory Control and Waste Reduction | 4 |
| 6 | Clinical Support and Advisory Participation | 3 |
| 7 | Invoice Accuracy and Timeliness | 2 |
| 8 | Compliance and Regulatory Standards | 2 |
| 9 | Reporting and Documentation | 1 |
tc={44577B30-2BD8-4F9F-B364-4EEBE2B654B9}: [Threaded comment]
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Comment:
Recommendation:
The # of measures is not defined here. Recommend outlining.
tc={45425539-61F6-4855-B8AC-DD48F7F59115}: [Threaded comment]
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Comment:
Recommendation:
The 1-10 PMs tab shows 10 performance categories. Recommend update to show the 10th or update document to reflect current number of PMs.Recommendation:
The # of measures is not defined here. Recommend outlining.
Recommendation:
The 1-10 PMs tab shows 10 performance categories. Recommend update to show the 10th or update document to reflect current number of PMs.
1-10 PMs
| PERFORMANCE MEASURES | |
| 1. Prescription Accuracy | |
| 1.1 | Pharmaceutical Vendor maintains a 99.8% accurae rate in prescription prepartion and dispensing as evidenced by demonstrating the number of verified dispensing errors per total prescrptions filled |
| 2. Timelines of Dispensing and Delivery | |
| 2.1 | New prescriptions for routine medications with a 100% delivery within 48 hours including weekends and holidays |
| 2.2 | Refills are delivered within 3 business days of request |
| 2.3 | STAT and emergency orders are obtained from backup pharmacy or clinic stock and patient stock is receved within 24hrs of order receipt. |
| 3. Formulary Compliance | |
| 3.1 | Pharmacy vendor shall maintain 100% adherence to the IDOCs approved formulary (not including approved NFER) |
| 3.2 | Sites maintain a nonformulary medication request log for tracking purposes. |
| 3.3 | NFER medication are not sent until the NFER has been approved. Medication orders are not active until the NFER has been approved. |
| 4. Cost Containment and Value Optimization | |
| 4.1 | Pharmacy vendor provides quarterly cost savings and utilization reports- compaing with prior quarters to show savings. |
| 4.1.1 | Pharmacy provides uses MMCAP for all medications |
| 4.1.2 | All medications purchased outside of MMCAP must acompany rationale and approval from IDOC Health Services Team. |
| 5. Inventory Control and Waste Reduction | |
| 5.1 | All facilities determine stock par levels for clinic stock medications. Par level is maintained |
| 5.2 | Pharamcty vendor is able to demonstrate that less than 2% of stock medications are wasted or allowed to expire due to no use |
| 5.3 | Clinician stock (Provider stock) Par levels are determined and maintained. |
| 5.4 | Weekly reconciliation and stock level checks for clinic stock and provider stock medications. |
| 6. Clinical Support and Advisory Participation | |
| 6.1 | Pharmacy Vendor Participates and Provides data for the quarterly P&T meetings. |
| 6.2 | Pharmacist provides clinical recommendations and therapeutic drug utilization reviews. |
| 6.3 | Clinical and operational support is available 24/7 to all IDOC facilities. |
| 7 Invoice Accuracy and Timeliness | |
| 7.1 | 100% of monthly invoices are accurate and sent within 10 business days of end of each month. |
| 7.2 | Invoices reflect charges, rebates, credits, and returns accurately |
| 8 Compliance and Regulatory Standards | |
| 8.1 | Phamacy vendor maintains all licensures for all staff employed |
| 8.2 | Pharmacy vendor maintains all facility licensing and meets state, federal, and local pharmacy regulations: as evidenced by no lapses in licensures |
| 9 Reporting and Documentation | |
| 9.1 | All reports are received in accordance with policy and according to contract: monthly, quarterly, yearly etc. |
tc={5F8728C1-C6B0-4BAE-B0E4-C14BED279DCC}: [Threaded comment]
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Comment:
All recommendations have been cleaned up
All recommendations have been cleaned up
File details come from the government source that posted it. Updated .