Attachment D - Workflow.pdf

PDF 117 KB Posted

Attached to
MLRM External Clinical Review BPA
Solicitation number
36C10X24R0038
Issued by

About this file

This document appears to be a workflow diagram related to a federal contract opportunity. The attached solicitation is for the Department of Veterans Affairs (VA) to establish multiple Blanket Purchase Agreements (BPAs) for external clinical review services under NAICS code 813920 and PSC R499. The scope of work includes peer review for quality management, management review, medical advisory opinions, executive summaries, reports, and inter-rater reliability studies. The BPAs will have a 5-year performance period. Quotes are due by July 2, 2024 at 10:00 AM ET, and all questions must be submitted by June 11, 2024 at 10:00 AM ET. Additional information and updates will be posted on SAM.gov. The workflow diagram appears to depict the process flow for reviewing cases submitted under this BPA.

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Other files

File Type Posted
S06 36C10X24R0038 0004.pdf PDF
S06 36C10X24R0038 0003.pdf PDF
S02 36C10X24R0038 - Amended Solicitation 0002.pdf PDF
S06 36C10X24R0038 0002.pdf PDF
S02 36C10X24R0038 0001.pdf PDF
S02 36C10X24R0038 - Amended Solicitation.pdf PDF
Attachment M - Proposal Form Updated.pdf PDF
S02 36C10X24R0038 0001.pdf PDF
Q-A - BPA 36C10X24R0038.xlsx XLSX spreadsheet
Attachment I - Example of Executive Summary.pdf PDF
Attachment B - Contractor Onboarding Process.pdf PDF
Attachment E - Audit Review Template.pdf PDF
Attachment C - QASP Table.pdf PDF
Attachment K - InterRater Reliability Criteria.pdf PDF
Attachment E1 - Example of Audit Review.pdf PDF
Attachment G1- Example of Medical Advisory Opinion.pdf PDF
Attachment M - Proposal Form.pdf PDF
Attachment H - Clinical Appeals Template.pdf PDF
Attachment F1 - Example of Management Review.pdf PDF
Attachment J - Example of Task Order Report.pdf PDF
Attachment A1 - Historical Data.pdf PDF
S02 36C10X24R0038 MLRM External Clinical Review BPA.pdf PDF
Attachment H1 - Example of Clinical Appeal.pdf PDF
Attachment A - Specialties.pdf PDF
Attachment E2 - Example of Facility Requested Review.pdf PDF
Attachment G - Medical Advisory Opinion Template.pdf PDF
Attachment F - Management Review Request Template.pdf PDF
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Text version

Assign Case to Reviewer

Reviewer accesses Case in

JLV

Reviewer Accepts Case

No

Case Needs Additional

Supps?

Request Supps from VISN/Facility/OGC

Supps ReceivedMark Received

Yes

No

YesYes

Case Reviewed by SME

Review Uploaded to case in PRTS

Case Reviewed by

VACO

Review requires Revision?

Case Reviewed by VISN/Facility/OGC

Accepted

Is Case Correctable?

Review corrected by SME Yes Yes

No

Concern Reviewed by VACO

Valid Concern

Case TerminatedCase Accepted

No

Yes

No

Yes

No

Case ready for Review

Vendor Reviews Case

Case needs additional

Supps?

Request Supps from VISN/Facility/OGC

Supps Received? Mark Received

Reviewer Available?

Case Marked Terminated

VACO Approves Termination

Yes Yes

No

No

Yes

Specialty Match?

Yes

Asks VACO for clarification

VACO asks for clarification and updates case No

Attachment D: Workflow

Attachment D Workflow 2023.vsdx
PRTS Workflow 2024

File details come from the government source that posted it. Updated .