Attachment 02 - QASP.pdf

Functional Area Performance Requirements Performance Measure

Method of Surveillance

Acceptable Quality Level / Critical

Threshold

Deduction Criteria

Overall Staffing

100% of contractually required FTEs are fully qualified and working.

The number of FTEs working as a percentage of the total contractually required number of FTEs.

• Site Status Report.

92% / 80%

Note: This number will not be rounded when begin calculated

All QASP Metrics will be reported in CPARS.

Site Staffing Levels

100% of contract FTEs are fully qualified and working on site at each IHSC location.

The number of fully qualified FTEs working on site as a percentage of the total contractually required number of FTEs monthly by site.

Unfilled position codes due to a contract modification, will be exempt from assessment for 45 days from the effective date of the signed modification.

For classification within this document only the following definitions are used

Large Site: > 30 FTE

Small Site: < 29 FTE

• Site Status Report.

• The Site Status

Report containing the last day of each month will be used to assess this monthly metric.

Large Site:

92% / 80%

Small Site:

80% / 60%

The monthly amount invoiced per site will be reduced by the sum of deductions applicable to each labor category at that site.

Large Sites:

LVN/LPNs < 85% = 0.25% < 80% = 0.50% < 75% = 1.00% < 60% = 3.00%

RNs < 88% = 0.25% < 83% = 0.50% < 78% = 1.00% < 65% = 3.00%

APPs < 90% = 0.25% < 83% = 0.50% < 78% = 1.00% < 65% = 3.00%

BHPs < 90% = 0.25%

Method of Surveillance

Acceptable Quality Level / Critical

Threshold

Deduction Criteria

< 83% = 0.50% < 78% = 1.00% < 65% = 3.00%

Techs/Assistants < 92% = 0.25% < 87% = 0.50% < 82% = 1.00% < 65% = 3.00%

MD/DO-DDS-PharmD-CC < 75% = 0.25% < 50% = 3.00%

Small Sites:

RN/LVN

< 75% = 0.25% < 67% = 0.50% < 60% = 1.00% < 50% = 3.00%

All Other Positions:

< 75% = 0.25% < 67% = 0.50% < 60% = 1.00% < 50% = 3.00%

Contract Medical Staff

Qualifications

100% of candidates submitted for e-QIP initiation shall be fully qualified according to the position description.

The number of candidates submitted for e-QIP initiation receiving a wavier as a percentage of the total number submitted.

• Site Status Report.

• Waiver request submitted and approved to the government.

95%

(Less than 5% contractor staff receive waivers when submitted)

All QASP Metrics will be

Method of Surveillance

Acceptable Quality Level / Critical

Threshold

Deduction Criteria

Retention

90% of employees that start each quarter shall be remain employed at the end of that quarter.

# of individual employees who employed at the end of the quarter divided by the # of employees which were on contract or started at the start of the quarter

Sites closing, conversions to GS and positions removed during a contract year will not be included.

• Site Status Report. 100% All QASP Metrics will be reported in CPARS.

Turnover

18% of employees that start each quarter shall be remain employed at the end of that same quarter.

# of separations during the measurement period divided by the average # of employees during the measurement period

Sites closing, conversions to GS and positions removed during a contract year will not be included.

• Site Status Report. 100% All QASP Metrics will be reported in CPARS.

Backfill for RN and LVN Callouts

100% of RN and LVN shifts shall be backfilled by the contractor.

The number of RN and LVN/LPN shifts backfilled as a percentage of the total RN and LVN shift call outs each month.

Successful back-fill is defined as having worked:

• Site Status Report.

• Assessment from local GTMs.

85% / 40% All QASP Metrics will be

Method of Surveillance

Acceptable Quality Level / Critical

Threshold

Deduction Criteria

6 of an 8-hour shift 8 of a 10-hour shift 10 of a 12-hour shift

Start Dates

100% of contract staff start within 30 calendar days of receiving a preliminary favorable fitness determination.

The number of staff that start within 30 calendar days of receiving a preliminary favorable fitness determination as a percentage of the total starting each month.

• Site Status Report.

• Assessment from local GTMs.

95% All QASP Metrics will be

Competency Assessment

100% of staff shall successfully complete their competency assessment* within 90 calendar days of start date.

The number of staff that successfully complete competency assessment* within 90 calendar days of their start date as a percentage of the staff that started within the previous 90 days.

• Site Status Report.

• Assessment from local GTMs.

95% All QASP Metrics will be reported in CPARS.

Collaborative Practice and Prescriptive Authority Agreement

(CP&PA

Agreement)

100% of APP staff are covered under an IHSC CP & PA Agreement with a contract collaborating physician within 90 calendar days of their start date.

The number of APP staff covered under an IHSC CP & PA Agreement with a contract collaborating physician within 90 calendar days of their start date as a percentage of the total APP staff.

• Site Status Report.

• Assessment from local GTMs.

• Assessment from

IHSC

Credentialing.

95% All QASP Metrics will be reported in CPARS.

Credentialing (Non-LIP)

100% of complete credentialing packets shall be submitted to the government no less than 7 business days before their start date.

APPs – 12 days.

Number of complete credentialing packets submitted to the government no less than seven business days before their start date as a percentage of the total submitted monthly.

• Site Status Report.

• Assessment from local GTMs.

• Assessment from

IHSC

Credentialing.

Method of Surveillance

Acceptable Quality Level / Critical

Threshold

Deduction Criteria

APPs-12 days

Privileging

(LIP)

100% of complete privileging packets shall be submitted to the government no less than 14 business days before the start date.

Number of complete privileging packets submitted to the government no less than fourteen business days before their start date as a percentage of the total submitted monthly.

• Site Status Report.

• Assessment from local GTMs.

• Assessment from

IHSC

Credentialing.

Deliverables

100% of deliverables listed in the Deliverables Table are provided to the government according to the Deliverable Table schedule.

Number of deliverables as listed in the Deliverables Table provided to the government according to the Deliverable Table schedule, as a percentage of the total.

Email receipt by the government.

100% All QASP Metrics will be reported in CPARS.

*as applicable

Note: The contractor is responsible for performance of ALL terms and conditions of the contract. The contractor will provide progress reports quarterly to the CO and CORs reflecting QASP performance according to the QASP table above. The performance measures outlined in this QASP shall be used to determine Contractor performance in each Functional Area. All metrics will be