Attachment J - Example of Task Order Report.pdf

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MLRM External Clinical Review BPA
Solicitation number
36C10X24R0038
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This document is an Example of Task Order Report for a VHA Clinical Peer Review for Quality Management Task Order under Contract # XXXXXXXXXXXXX. The report covers audit reviews, facility requested reviews, and management reviews completed between Month Day, YEAR and Month Day, Year. The contractor, COMPANY NAME, performed XXX Audit Reviews, XXX Facility Requested Reviews, XXX Management Reviews, XXX Clinical Appeals, XXX Medical Advisory Opinions, and wrote XXX Executive Summaries. The report provides details on the number and types of cases reviewed, the most reviewed clinical specialties, and cases that were unable to be reviewed.

The related federal contract opportunity is for the Department of Veterans Affairs to establish multiple Blanket Purchase Agreements (BPAs) for external expert peer review of selected episodes of care, including audit reviews, facility request reviews, management reviews, clinical appeals, medical advisory opinions, and executive summaries. The BPAs will have a 5-year period of performance. Quotes are due by July 02, 2024 at 10:00 AM ET, and all questions must be submitted by June 11, 2024 at 10:00 AM ET.

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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 D - Workflow.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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VHAClinicalPeerReviewforQualityManagement
TaskOrder#X,(FYxxxxQxifneeded)
Contract#XXX‐XXXX‐XXXX‐XX

This report covers audit reviews, facility requested reviews, and management reviews for Task Order #xx

(FYxx QX if needed). This reporting period includes audit, facility requested, and management reviews completed between Month Day, YEAR and Month Day, Year. COMPANY NAME performed XXX Audit

Reviews, XXX Facility Requested Reviews, XXX Management Reviews, XXX Clinical Appeals, XXX Medical

Advisory Opinions, and wrote XXX Executive Summaries.

The external reviewer panel was comprised of XXX reviewers.

Audit Review

X cases – Level 1

X Cases – Level 2

X Cases – Level 3

The most reviewed cases by clinical specialty of the treating practitioner in question were as follows:

1) SPECIALTY XX/XXX (XX.X%)

2) SPECIALTY XX/XXX (XX.X%)

3) SPECIALTY XX/XXX (XX.X%)

4) SPECIALTY XX/XXX (XX.X%)

5) SPECIALTY XX/XXX (XX.X%)

XXX cases were unable to be reviewed during this task order. The clinical specialty of the treating practitioner in question for these cases were as follows: SPECIALTY and SPECIALTY.

Facility Requested Review

X cases – Level 1

X Cases – Level 2

X Cases – Level 3

The most reviewed cases by clinical specialty of the treating practitioner in question were as follows:

1) SPECIALTY XX/XXX (XX.X%)

2) SPECIALTY XX/XXX (XX.X%)

3) SPECIALTY XX/XXX (XX.X%)

4) SPECIALTY XX/XXX (XX.X%)

5) SPECIALTY XX/XXX (XX.X%)

Attachment J: Example of Task Order Report

XXX cases were unable to be reviewed during this task order. The clinical specialty of the treating practitioner in question for these cases were as follows: SPECIALTY and SPECIALTY.

Management Review

X cases – General Management

X Cases – Clinical Appeal

X Cases – Medical Advisory Opinion

The most reviewed cases by clinical specialty of the treating practitioner in question were as follows:

1) SPECIALTY XX/XXX (XX.X%)

2) SPECIALTY XX/XXX (XX.X%)

3) SPECIALTY XX/XXX (XX.X%)

4) SPECIALTY XX/XXX (XX.X%)

5) SPECIALTY XX/XXX (XX.X%)

XXX cases were unable to be reviewed during this task order. The clinical specialty of the treating practitioner in question for these cases were as follows: SPECIALTY and SPECIALTY.

Executive Summary

X cases – Executive Summary

The most reviewed cases by clinical specialty of the treating practitioner in question were as follows:

1) SPECIALTY XX/XXX (XX.X%)

2) SPECIALTY XX/XXX (XX.X%)

3) SPECIALTY XX/XXX (XX.X%)

4) SPECIALTY XX/XXX (XX.X%)

5) SPECIALTY XX/XXX (XX.X%)

XXX cases were unable to be reviewed during this task order. The clinical specialty of the treating practitioner in question for these cases were as follows: SPECIALTY and SPECIALTY.

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