10th SOW Sect F Revised.docx

SECTION F - SCHEDULE OF DELIVERABLES - Amendment #2 as of May 6, 2011

F.1. PERIOD OF PERFORMANCE

The period of performance for the 9th SOW QIO contracts is August 1, 2011 through July 31, 2014.

All work and deliverables required under this contract shall be completed by the expiration date of the period of performance.

For Section F – QIO Schedule of Deliverables, unless otherwise specified all deliverable due dates required monthly, quarterly, or annually are defined as due 10 “calendar” days after the given time period. If a due date falls on a weekend or holiday, the due date shall be the very next business day.

For example: If the contract period of performance begins on August 1, then a deliverable due date of “quarterly” would be due on the 10th day following the end of each quarter (i.e., November 10 for the period of August 1 – October 31).

F.2. ITEMS TO BE FURNISHED AND DELIVERY SCHEDULE

The QIO shall furnish the reports and deliverables required under this contract in accordance with the Delivery Schedule and Reporting Instructions as set forth below:

Deliveries or Performance Reports/Items to be Furnished and Delivery Schedule Section F – QIO Schedule of Deliverables

(of Deliverable)

C.4. General Requirements

C.4.A. Infrastructure Operations Support and Data Management

Monthly due date will be as determined by CMS QNET ISSO.

N/A

C.6 Beneficiary and Family Centered Care

Jan 31, 2013 Apr 30, 2013 Jul 31, 2013, Oct 31, 2013 Jan 31, 2014 Apr 30, 2014 Jun 30, 2014 Data and Deliverable Submission Tool - Document Storage

QIO is expected to address knowledge gaps by promoting beneficiary centered care.

The QIO shall highlight their efforts, report barriers, list accomplishments, and outline next steps in support of beneficiary centered care

Annual report of QIO Case Review information.

Jul 31, 2013, June 30, 2014

Annual posting of QIO Case Review information on the QIO website.

Jul 31, 2013, June 30, 2014

C.7 Improve Individual Patient Care

Recruited Hospitals (ICU and Non-ICU) with signed commitment letters to participate in the HAI initiative and Learning and Action Network

Including their status (CLABSI, CAUTI, CDI, SSI) and completion of specified tasks within C.7.1.B.2

Jan 31, 2012.

And updates Apr 30, 2012, Jul 31,2012, Oct 31, 2012, Jan 31, 2013, Apr 30, 2013, Jul 31,2013, Oct 31, 2013, Jan 31, 2014, Apr 30, 2014, Jul 31, 2014

QIO must supply all relevant identifiers for each facility, completing all relevant fields in the supplied template.

QIO Tool Development and Distribution

June 30, 2013 Dec 31, 2013 June 30, 2014

Request for Partnership

Report of Partnership

Jul 31, 2012, Jan 31, 2013, Jul 31, 2013, Jan 31, 2014 Data and Deliverable Submission Tool - Document Storage

Report to include identified committed partnerships, and activities as they contribute to national HAI reduction goals.

Data and Deliverable Submission Tool - Document Storage

QIO must supply all relevant identifiers for each facility.

Recruitment eligibility criteria in C.7.2.B.1.

Jul 31,2012, Oct 31, 2012, Jan 31, 2013, Apr 30, 2013, Jul 31,2013, Oct 31, 2013, Jan 31, 2014, Apr 30, 2014, Jul 31, 2014

Data and Deliverable Submission Tool - Document Storage

Report to include description of membership, activities and plans of the network. The report should address the elements found in C.7.2.B.2. a-e.

(or alternatively designated schedule determined by CMS) COTR Monthly call report

Duplication of Effort Mitigation Plan

Plan should identify which improvements are already being targeted in the state and how the QIO will work collaboratively to leverage existing activities without duplicating efforts.

Formation of Community Teams And Recruitment of Beneficiaries.

( baseline) Apr 30, 2012 Oct 31, 2012 Apr 30, 2013 Oct 31, 2013

Data and Deliverable Submission Tool - Document Storage

Electronic copy to HRSA Project Lead

FILE UPLOAD

Text file QIOs shall provide a summary report of all QIO-supported and of all newly QIO-formed community teams which includes: information on team structure, number of beneficiaries recruited, all team partners as well as the profile(s) of the population of focus of each community team.

Report of Intervention Strategies

Jan 31, 2013 Jan 31, 2014 Data and Deliverable Submission Tool - Document Storage

Electronic copy to HRSA Project Lead

Report should be inclusive of intervention strategies and tools identified to reduce adverse drug events in the QIO’s State.

Quarterly Adverse Drug Reporting

(baseline) Jul 31,2012, Oct 31, 2012, Jan 31, 2013, Apr 30, 2013, Jul 31,2013, Oct 31, 2013, Jan 31, 2014, Apr 30, 2014, Jul 31, 2014 Data and Deliverable Submission Tool - Document Storage

Electronic copy to HRSA Project Lead

Final Evaluation Summary on Achieving National Goal of Reducing Adverse Drug Events in PoF

Electronic copy to HRSA Project Lead

Report should summarize the impact efforts in C.7.3.B.1-6 have had on achieving the national goal of reducing adverse drug events in PoF. The report must address all identified evaluation metrics.

C.7.4 - Quality Reporting and Improvement

Oct 31, 2011

Jan 31, 2012, Apr 30, 2012, Jul 31, 2012, Oct 31, 2012, Jan 31, 2013, Apr 30, 2013, Jul 31, 2013, Oct 31, 2013, Jan 31, 2014, Apr 30, 2014

Once Annually (electronic file format provided by CMS by 9/30/2011 and linked by provider CCN)

Jun 30, 2012, Jun 30, 2013, Jun 30, 2014 Data and Deliverable Submission Tool - Document Storage

QNET application

Review and make final determination on quarterly hospital validation appeals on IQR

C.8. Integrate Care for Populations and Communities

QIO must identify a target number of communities to recruit per quarter through quarter 8

Jan 31, 2012 Apr 30, 2012 Jul 31, 2012 Oct 31, 2012 Jan 31, 2013 Apr 30, 2013 Jul 31, 2013 Oct 31, 2013 Jan 31, 2014 Apr 30, 2014 Data and Deliverable Submission Tool - Document Storage

QIO must describe: 1. Recruiting communities of providers. 2. Engagement in Care-Transitions funded initiatives and Learning Network. 3. Learning Network activities. 4. Community Support available and utilized.

Apr 30, 2012 Jul 31, 2012 Oct 31, 2012 Jan 31, 2013 Apr 30, 2013 Jul 31, 2013 Oct 31, 2013 Jan 31, 2014 Apr 30, 2014 Data and Deliverable Submission Tool - Document Storage

Will include information on all new and revised interventions for communities not accepted into a formal Care Transitions Program. Include measurement strategies, data collection methods, quarterly data trends and rationale for continuing or discontinuing intervention.

Oct 31, 2013

1 report due: Jan 31, 2014 Data and Deliverable Submission Tool - Document Storage

QIOs will choose three drivers and look across the state to write the reports using SQUIRE guidelines.

Jan 31, 2012 Apr 30, 2012 Jul 31, 2012 Oct 31, 2012 Jan 31, 2013 Apr 30, 2013 Jul 31, 2013 Oct 31, 2013 Jan 31, 2014 Apr 30, 2014

C.9 Improve Health for Populations and Communities

(below, this group is referred to as the “C9 PQRS providers”)

COTR/GTL/

Aim Lead/National Coordinating Center Oct 31, 2011 Jan 31, 2012, Apr 30, 2012, Jul 31, 2012.

Data and Deliverable Submission Tool - Document Storage

Aim Lead/National Coordinating Center Oct 31, 2011 Jan 31, 2012, Apr 30, 2012, Jul 31,2012, Oct 31, 2012, Jan 31, 2013, Apr 30, 2013, Jul 31,2013, Oct 31, 2013, Jan 31, 2014, Apr 30, 2014, Jul 31, 2014.

Data and Deliverable Submission Tool - Document Storage

Each EP must report numerators and denominators for each measure (as available). Required to report on at least 3 PQRS measures listed under C.9.1.C.2

Jan 31, 2013, and as needed thereafter based on new discoveries.

Aim Lead/ National Coordinating Center Oct 31, 2011 and updates Jan 31, 2012, Apr 30, 2012, Jul 31,2012, Oct 31, 2012, Jan 31, 2013, Apr 30, 2013, Jul 31,2013, Oct 31, 2013, Jan 31, 2014, Apr 30, 2014, Jul 31, 2014.

Aim Lead/ National Coordinating Center Oct 31, 2011 and updates Jan 31, 2012, Apr 30, 2012, Jul 31,2012, Oct 31, 2012, Jan 31, 2013, Apr 30, 2013, Jul 31,2013, Oct 31, 2013, Jan 31, 2014, Apr 30, 2014.

Oct 31, 2012, Apr 30, 2013 Oct 31, 2013, Apr 30, 2014.

Data and Deliverable Submission Tool - Document Storage

Report must include physician offices clinical measures results for blood pressure control, lipids management, smoking cessation, and aspirin therapy.

Aim Lead Jan 31, 2012, Jul 31, 2012, Jan 31, 2013, Jul 31, 2013, Jan 31, 2014, Jul 31, 2014.

Data and Deliverable Submission Tool - Document Storage

Report should address as many of the following as applicable: improved cardiovascular health through HIT by care coordination, monitoring, patient engagement & spread of best practices; promoted EHR adoption and successful meaningful use; promoted physician office participation in CMS EHR incentive program; promoted best practices; integrated with state and local Health Information Exchange efforts; encouraged physician office reporting; and established new relationships with local partners to improve beneficiary care via EHR use and risk factor reduction in the population.

C.10 - General Protocol Requirements (Drivers)

C.10.3 - Care Reinvention through Innovation Spread (CRISP) Model

ISA semi-annual report of activities.

Mar 31, 2012, Sept 30, 2012, Mar 31, 2013, Sept 30, 2013, Mar 31, 2014 Data and Deliverable Submission Tool - Document Storage

Report should include: record of CRISP conference attendance, summary of ambassador trainings, summary of collaboration tool activities by the QIO, summary of QIO internet web presence, and summary of use of social media by the QIO.

Integrated Innovation Spread Strategy (IISS): Submit an Integrated Innovation Spread Strategy (IISS) deliverable

Nov 30, 2011, Feb 28, 2012, May 31, 2012, Aug 31, 2012, Nov 30, 2012, Feb 28, 2013, May 31, 2013, Aug 31, 2013 Nov 30, 2013, Feb 28, 2014 May 31, 2014 Data and Deliverable Submission Tool - Document Storage

See attachment J-11 of this contract.

Jun 30, 2012, Nov 30, 2012, Jun 30, 2013, Nov 30, 2013, Jun 30, 2014 Email notification of hard copies mailed.

See attachment J-11 of this contract.

Pre-purchase Proposal for Outreach Items: Submit a proposal for expenditure of any outreach costs over $500 or any paid-media costs (of any amount).

G. Contract Administration

1 CD

Reporting Period Oct 1 thru Mar 31

Reporting Period April 1 thru Sept 30

Reporting Period Oct 1 thru Sept 30

H. Special Contract Requirements

Copy of contract or agreement

Subcontractor's OCI certification in accordance with Section H.11.D.l and QIO’s statement of acceptance.

Include the Ownership interest disclosure in Section H.11.D.1.g and Section J, Attachment J-25.

Identify as prime, subcontractor, parent, etc.; contract number; period of performance; point of contact; brief description; OCI analysis summary.

For all Key Personnel identified in Section G.7, the QIO shall submit the a CV or resume including other Board positions and/or ownership interest in health care entities in accordance with Section H.11.D.1. and H.11.D.2.

Description of purpose, proposed staffing, organization, etc. Identify COI and mitigation strategy

Warrenton, VA 20187 Curt Lemar 540-347-7400

I. Aim C.9 GTL Improve Health for Populations and Communities Centers for Medicare & Medicaid Services Division of Quality Improvement Attn: Annette Kussmaul, M.D.

601 East 12th Street, Room 235 Kansas City, MO 64106

F.3. 52.252-2 CLAUSES INCORPORATED BY REFERENCE. (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this address:

http://www.arnet.gov/far/fac.html

52.242-15 Stop Work Order (AUG 1989), Alt.1 (APR 1984)