Attachment B - Quality Assurance Surveillance Plan.xlsx
XLSX spreadsheet 23 KB Posted
- Solicitation number
- 36C10G25Q0021
About this file
This is a Quality Assurance Surveillance Plan (QASP) spreadsheet detailing performance measures for a National Dialysis Services Contract (NDSC). The document outlines two main performance areas: Clinical Quality & Patient Safety and Cost Control. For Clinical Quality & Patient Safety, the contractor must resolve 95% of all Potential Quality Issues (PQIs), Identified Quality Indicators (IQIs), Patient Safety Indicators (PSIs), and Identified Safety Indicators (ISIs) within 90 days of identification, with the remaining 5% allowed up to 180 days for resolution.
The Cost Control measure focuses on the utilization of CLIN 0001 (Medicare Rates) versus CLIN 0002 (above Medicare Rates) for claims payment. Performance standards are tiered, with "Outstanding" requiring 80% or more services delivered at Medicare Rates, "Very Good" at 70% or more, and "Good" at 60% or more using CLIN 0001. The VA conducts 100% inspection of claims paid under CLIN 0002 on a monthly or more frequent basis through CCRS data.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment X - CLIN 0002 Utilization Justification Template.pdf | ||
| Attachment Z - CLIN 0002 RFI.pdf | ||
| Attachment Y - NDSC Labor Harmony Agreement RFI.pdf | ||
| Attachment H - Progress Report.pdf | ||
| 36C10G25Q0021.docx | DOCX document | |
| Attachment G - Project Risk Register.xlsx | XLSX spreadsheet | |
| Attachment J - Contractor Training Report.pdf | ||
| 36C10G25Q0021 NDSC Draft RFP.pdf | ||
| Attachment E - QASP Summary Report Template.pdf | ||
| Attachment D - Facilities Status Report.xlsx | XLSX spreadsheet |
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Text version
NDSC QASP - Future State
| Measures | PWS | ||||
| Reference | Definition | Performance | |||
| Requirement | Standard | Surveillance Method | |||
| 1.0 Clinical Quality & Patient Safety | |||||
| 1.1 Clinical Quality & Patient Safety | PWS 8.2 | Potential Quality Issues (PQIs) are population based indicators that capture all cases of the potentially preventable complications that occur in a given population (in a community or region) either during an outpatient facility visit or home based treatment setting. Once identified, the PQI becomes an Identified Quality Indicator (IQI). | |||
| Patient Safety Indicators (PSIs) provide information on potentially avoidable safety events that represent opportunities for improvement in the delivery of care. Once identified, the PSI becomes an Identified Safety Indicator (IQI). | The Contractor shall identify, track, trend, report, and implement interventions to resolve any PQI, PSI, IQI, and ISIs. | Resolve 95% of all PQIs, IQIs, PSIs, and ISIs within ninety (90) days from date of identification. | |||
| The Contractor may extend the remaining 5% of PQIs, IQIs, PSIs, and ISIs to 180 days of identification. | Review of reports and deliverable on a monthly basis that are uploaded to the IVC SharePoint. | ||||
| 2.0 Cost Control | |||||
| 2.1 Cost Control | Schedule of Services | Utilization of CLIN 0001 and CLIN 0002 | Contractor minimizes claims paid using CLIN 0002 (above Medicare Rates). | Outstanding – 80% or more delivered at Medicare Rates using CLIN 0001, |
Very Good – 70% or more delivered at Medicare Rates using CLIN 0001, Good – 60% or more delivered at Medicare Rates using CLIN 0001 100% inspection, Monthly or more frequently as determined by VA, of claim paid under CLIN 0002 (CCRS data).
File details come from the government source that posted it. Updated .