Attachment 1 VISN 23 Home Oxygen Roles and Responsibilities.pdf

ATTACHMENT 1: HOME OXYGEN CONTRACT ROLES AND RESPONSIBILITIES

Scope/Type of Service VAMC Contracted Provider

1. Role and responsibilities of the organization and the contracted provider in:

a. Veteran Admission Process Clinical coordinator or designee reviews, verifies medical need, obtains physician order, and contacts contracted oxygen provider.

Contractor will furnish oxygen supplies, equipment, and services to VA beneficiaries for the VA Health Care Systems during the period of the contract.

b. Veteran Assessment Process, initial and ongoing Service provided solely by the contractor Contractor, as part of the initial delivery protocol, completes the initial equipment assessment. Ongoing assessment related to equipment use and patient compliance, is the responsibility of Contractor who will monitor patient for variances in usage (compliance) and client-related issues during every 4-month during follow-up visits.

c. Plan of Care, development, review and revision Service provided solely by the contractor The Contractor is responsible for developing, reviewing, and revising the

Veteran's plan of care. The Plan of Care will be maintained at the Contractor’s local office providing service to the VA beneficiary and will be developed, reviewed, and revised per contract.

d. Scheduling care or services Clinical Coordinator and/or COR will complete contractor site visits, these visits may be scheduled or unannounced, in keeping with the most current VHA Directive on Home Oxygen Therapy.

The Contractor is responsible for scheduling services with VA beneficiaries.

e. Discharge Planning (e.1) Discontinuing therapy

Clinical Coordinator or designee, either by direct notification from physician, death of the VA beneficiary (Veteran), or reassessment no longer qualifies patient for therapy, will contact the contracted provider to discontinue therapy.

The Contractor will notify patient/family and arrange time for pickup of equipment.

(e.2) Travel outside usual service area The VA reserves the right to arrange for services for VA beneficiaries during travel status and use a non-contract source.

Arrangements for air travel are the responsibility of the patient.

Contractor is responsible for arranging for services when VA beneficiaries travel outside the contract catchment area (excluding air travel).

Contractor will obtain pre-approval from the COR on pricing if above the contract price.

f) Veteran t Privacy and OI&T Security VA will abide by local policy related to patient privacy and record security

Contractor is responsible for maintaining the integrity of the VA Beneficiary’s Veteran records and compliance with Joint Commission standard related to patient confidentiality and privacy.

Scope/Type of Service VAMC Contracted Provider

2. Documentation requirements and time frames Service provided solely by the contractor The Contractor will maintain a complete record of services provided to VA beneficiaries to meet current Joint Commission standards and as stipulated in the contract. The contractor will maintain this documentation in the VA beneficiary’s folder.

3. Monitoring, evaluating, and auditing of contracted care and/or services.

The Clinical Coordinator and/or the COR will make unscheduled on-site contractor on at least a quarterly basis, to monitor the contracted provider's performance under this contract.

The Contractor agrees to make available all records and documentation necessary to perform these reviews.

4. Responsibility of contracted provider to comply with applicable organization policies and personnel qualifications

Policies: the Clinical Coordinator and/or COR will review the Contractor’s policies/procedures for compliance with VA policies/procedures and Joint Commission standards.

The Contractor agrees to make available all records and documents necessary per Article 27 of the Contract.

The Contractor responsible for policy and personnel compliance with current Joint Commission standards

5. Procedures for determining charges and reimbursement

COR or designee reviews monthly bills from the contracted provider for appropriate charges.

The Contractor will submit billing reports monthly as stipulated in this contract.

6. Terms of agreements and conditions for renewal or termination

The Government may extend the term of this contract by written notice to the Contractor. The total duration of this contract, including the exercise of any options under this clause, shall not exceed 5 years.

Termination for the Government's convenience:

the Government reserves the right to terminate this contract for its sole convenience.

Termination for cause: the Government may terminate this contract for cause in the event of any default by the Contractor

Reference: CAMHC, current edition; LD.11