J-1_SOD_06182015.docx

DOCX document 65 KB Posted Jun 23, 2015

Attached to: ESRD Networks Preproposal Conference Federal contract opportunity
Solicitation number: CMS-2016-ESRD-NETWORKS
Issued by: Department of Health and Human Services Centers for Medicare and Medicaid Services

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Attachment J.1 Scehdule of Deliverables

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Other files for this federal contract opportunity

Other files attached to ESRD Networks Preproposal Conference, newest first.
File	Type	Posted
Amendment_000008_SF30.pdf	PDF	Oct 16, 2015
J_24-B_NCC_SOW_10.16.15.pdf	PDF	Oct 16, 2015
J_24-C_NCC_SOD_10.16.15.pdf	PDF	Oct 16, 2015
ESRD_NCC_Questions_ _Answers.pdf	PDF	Oct 16, 2015
ESRD_Amendment_000008_Cover_Letter_.pdf	PDF	Oct 16, 2015
J-5_Recommendations_for_Sanctions_and_Alternative_Sanctions.docx	DOCX document	Jun 23, 2015
J-21_Question_Submission_Template.xlsx	XLSX spreadsheet	Jun 23, 2015
J-3_Paperwork_Reduction_Act.docx	DOCX document	Jun 23, 2015
ESRD_NETWORK_RFP.pdf	PDF	Jun 23, 2015
J-7_Quality_Improvement_Activities.docx	DOCX document	Jun 23, 2015
J-6_Learning_and_Action_Networks.docx	DOCX document	Jun 23, 2015
J-15_HHS_565_Form.pdf	PDF	Jun 23, 2015
J-22_ESRD_BP_Forms_-_ESRD_2016-20.xlsx	XLSX spreadsheet	Jun 23, 2015
J-9__Healthcare-Associated_Infections_and_the_National_Healthcare_Safety_Network.docx	DOCX document	Jun 23, 2015
J-11_Contract_Evaluation.docx	DOCX document	Jun 23, 2015
J-2_Style_Guide.docx	DOCX document	Jun 23, 2015
J-19_Compliance_Program_Attestation.docx	DOCX document	Jun 23, 2015
J-20_Information_Security_Attestation.docx	DOCX document	Jun 23, 2015
J-12_CROWNWeb.docx	DOCX document	Jun 23, 2015
J-8_Grievance_Overview.docx	DOCX document	Jun 23, 2015
J-4_Reporting_Requirements.docx	DOCX document	Jun 23, 2015
J-14_Consent_to_Subcontract.docx	DOCX document	Jun 23, 2015
J-17_Small_Business_Subcontracting_Plan_Template.doc	DOC document	Jun 23, 2015

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The Network shall submit all required reports and deliverables in accordance with the following schedule unless otherwise specified by CMS. CMS reserves the right to modify deliverable date(s) by up to 60 days beyond the dates listed in the deliverable chart below. CMS CORs, CO or other CMS designee shall authorize the changed deliverable date by listing the new deliverable date in an email to the contractor.

Days=Calendar Days, including holidays Business Days=Weekdays, excluding holidays IAW=In Accordance With DAGC=Days After Government Comments Electronically = ELT Quantity = QTY Hard copy = HC COR=Contracting Officer’s Representative CMS SME= CMS Subject Matter Expert ISSO=Information Systems Security Officer CO=Contracting Officer NCC=Network Coordinating Center

Item No.

SOW source

Item Description

Data Source

Method/Recipient

Due Date

Conduct Post-Award Meeting with OAGM/QIG

Network

ELT to COR

On or before January 31 of contract for base year only, unless instructed otherwise by OAGM

C.3.3A-E

Identification of NC, BOD, MRB, and PAC members

Network

ELT to COR

February 1 of each contract period

C.3.3

Bylaws

Network

ELT to COR

February 1 of each contract period

C.3.3F

Network staffing plan

Network

ELT to COR

February 1 of each contract period

C.3.18

Internal Quality Improvement (IQI) Plan

Network

ELT to COR

45 days after start of contract period

C.3.8

Network committee/LAN minutes

Network

ELT to COR

Available on request

C.3.4

Provide NEPOP Letter to NCC

Network

ELT to COR/NCC

February 1 of each contract period

C.3.7

COR Monthly Report:

Network to report the following:

1) Educational activities/effectiveness

2) Emergency Preparedness Activities

3) Security Incidents

4) NEPOP results/activities

5) SSA activities

6) Patient Engagement as part of Facility visits

7) Network/SSA Collaborations

8) Focused Audit results & interventions

9) Grievance Case review summary

10) Access –to-care summary

11) OCR Referrals

12) Facilities recommended for sanctions

13) Grievance QIA Activities

14) ICH CAHPS Activities

15) ICH CAHPS QIA activities

16) Grievance statistics

17) Access to care statistics

18) Vascular Access/LTC activities

19) Vascular Access reporting activities

20) Vascular Access Technical support

21) HAI LAN activities

22) NHSN Support activities

23) NHSN Monthly Data Check results

24) HAI BSI QIA activities

25) HAI Immunization QIA activities

26) AIM2 Project activities/attributes

27) QIP Activities

28) QIP QIA Activities

29) Data Quality QIA Activities

30) CrownWeb Activities

Network

ELT to COR

3 Business days prior to scheduled Monthly calls

C.3.7

Dashboard Input Form (DIF):

Network to report all QIA measures for:

1) Grievance QIA

2) ICH CAHPS QIA

3) Vascular Access LTC QIA

4) HAI BSI QIA

5) HAI Immunizations QIA

6) AIM2 QIA

7) AIM2 Hospitalization QIA (OY3/OY4)

8) QIP QIA

9) Data Quality QIA

ELT to COR

15th Calendar day of Month

C.3.7

Semi-Annual Cost Report

Network

ELT to COR / BOG

(Send report to COR and esrdnwreports@cms.hhs.gov ) 15th working day of the second calendar month after close of each semiannual cost reporting period; for the final period of the contract in OY4, the deliverable is due 12/31/20

C.3.7

Draft Annual Report of Network Activities

Network

ELT to COR

April 30 of each contract period

C.3.7

Final Annual Report of Network activities

Network

ELT to COR / CO / NCC

(COR checks Network website) June 15 of each contract period

C.3.8

Submit title(s), objective(s), and list of attendees for annual QualityNet conference, LAN meetings, and/ or other conferences

Network

ELT to COR

30 days prior to scheduled meeting

C.3.11

Recommend sanctions for recalcitrant facilities

CROWNWeb for clinical outcomes; PCU for information on IVD/IVT/failure to place

ELT to COR

ELT to SA as directed by CMS

15a

C.3.13

Identify and develop MOA with back-up Network

Network

ELT to COR/CMS SME / Back-up Network

1/31 of each contract period

15b

C.3.13

Provide copy of Emergency Preparedness plan

Network

ELT to CO/KCER

On or before February 15th of each contract period

15c

C.3.13

Participate in annual emergency preparedness drill in conjunction with the NCC and conduct a self-assessment of performance

Network

ELT to COR / CMS SME / NCC

30 days after completion of activity

16a

C.3.15-16

Log of daily incremental back-up and weekly full backup Tape Validation and Rotation Schedule

Network

ELT as directed by the CMS QualityNet ISSO COR

ELT to CMS QNet ISSO Available on request

16b

C.3.15-16

Log of offsite storage of back-up media and rotation schedule

Template will be provided by CMS QNet ISSO; logs maintained locally by IT staff/SPOC

ELT as directed by the CMS QualityNet ISSO COR

ELT to CMS QNet ISSO Available on request

16c

C.3.15-16

List of assigned Network Information Technology (IT) staff with required information

Template will be provided by CMS QNet ISSO

ELT as directed by the CMS QualityNet ISSO COR

ELT to CMS QNet ISSO January 24 of each contract period

16d

C.3.15-16

Completion of Remedy ticket assignments

Remedy

Remedy AR System COR , HCQIS Infrastructure Contractor

As assigned to Network IT staff through Remedy Action Request (AR) System; Must be completed within the designated timeframe

16e

C.3.15-16

Maintenance of systems and software in compliance with applicable configuration requirements

Memorandums or Remedy AR System COR, HCQIS Infrastructure Contractor

As released

16f

C.3.15-16

Update Remedy inventory for all procured and received Government Property (including hardware and software) Maintain HHS-22 process within Remedy

Submit HHS-22 for approval via Remedy; updated record in Remedy Inventory Module. COR, CMS Government Property Administrator

As requested (i.e., when Government Property, including hardware and software, is transferred, retired, or disposed)

16g

C.3.15-16

List of all purchased and leased equipment in HHS-565 submission Final Report

ELT to CMS Government Property Administrator

ELT to CO October 31 of each contract period or upon request, upon contract termination or normal contract conclusion

16h

C.3.15-16

Update Remedy inventory for all Government Property (including hardware and software) transferred. Maintain HHS-22 process within Remedy

Submit HHS-22 for approval via Remedy; update record in Remedy Inventory Module to COR, CMS Government Property Administrator

As requested (i.e., when Government Property, including hardware and software, is transferred, retired, or disposed)

16i

C.3.17

Network System Security Plan (SSP) and Information Security (IS) Risk Assessment (RA)

Template will be provided by CMS QNet ISSO

ELT to CMS QNet ISSO

May 28 of each contract period; also, within 15 days of any change

16j

C.3.17

Network annual CMS Security Assessment and Authorization (SA&A)

Template will be provided by CMS QNet ISSO

ELT to CMS QNet ISSO

Annually; Date TBD

16k

C.3.17

Business Continuity and Contingency Plan (BCCP) that demonstrates how the organization shall establish, maintain, and effectively implement plans for emergency response, back-up operations, and post-disaster recovery for organizational information systems to ensure the availability of critical information resources and continuity of operations in emergency situations

Template will be provided by CMS QNet ISSO

ELT as directed by the CMS QNet ISSO COR

ELT to CMS QNet ISSO May 28 of each contract period; also within 15 days of any change

16l

C.3.17

List of active and inactive QNet user accounts with required data

Logs maintained locally; template will be provided by CMS QNet ISSO

ELT as directed by the CMS QNet QualityNet ISSO to COR

ELT CMS QNet QualityNet ISSO

ELT to QNet Security Team Date TBD

16m

C.3.17

Corrective Action Plan (CAP)

(Also known as a Performance Improvement Plan, PIP)

Template will be provided by CMS QNet ISSO

ELT as directed by the COR and CMS QNet ISSO

Within 30 days after audit or finding

16n

C.3.17

Plan of Action and Milestone

Template will be provided by CMS QNet ISSO

ELT as directed by the COR and CMS QNet ISSO

Within 15 days of approval of CAP: monthly thereafter until CAP is closed.

16o

C.3.17

QNet Security Awareness Training (SAT)

Logs maintained locally by IT staff/SPOC with required data and artifacts; template will be provided by CMS QNet ISSO

ELT as directed by the CMS QualityNet ISSO COR

ELT to CMS QNet ISSOCOR QNet Before Network employee receives a QNet User Account and on request

16p

C.3.17

QNet Security Awareness Training (SAT) Certification Letter

Template will be provided by CMS QNet ISSO

ELT to CMS QNet ISSO

Submit additional artifacts on request.

Date TBD

16q

C.3.17

Record of security incident response

ELT to COR

Within 24 hours of occurrence to COR; Report on Monthly COR Report

16r

C.3.19

Performance Improvement Plan (PIP)

Network

ELT as directed by the COR

Within 5 working days of notification

AIM-1 Better care for the ESRD Individual

C.4.1.A.1

Provide 25% of facilities located in the Network area with patient representative forms to identify 15 patients to participate in activities

Network

ELT to COR/ AIM CMS SME

On or before January 31st

C.4.1A.1

Provide list of 15 Patient SMEs, if different than PAC member list

Network

ELT to COR/AIM CMS SME

On or before February 15 of each contract period, if applicable

C.4.1.A.1

Develop a summary report of PE activities and learning resulting from the activity in preparation for next contract year

Network

ELT to COR/AIM CMS SME

November 30 of each contract period

C.4.1.A.3

Provide list of 5 patients working with NCC Patient Engagement LAN

Network

ELT to COR/AIM CMS SME/NCC

On or before February 15 of contract award

C.4.1.A.3

Provide an update on the number of participants who remain active in patient-and family-engagement activities, including the N-PFE LAN and QIAs

Network

ELT to COR/AIM CMS SME

Last business day of each quarter for each contract period

C.4.1.B.1

Notify COR of all QoC cases which are referred to State Agency (SA)

Network

ELT to COR/AIM CMS SME/SA

Within one working day of identification

C.4.1.B.1

Networks will submit patient data for those who have agreed to participate in Grievance Survey to the NCC.

PCU Query

ELT to NCC

By fifth day of month

C.4.1.B.1

Provide Grievance QIA Template for review

PCU

ELT to COR/AIM CMS SME

3/31 for Base year, 1/31 for Option years

C.4.1.C.1

Provide ICH CAHPS QIA Short Form for review

Network

ELT to COR/AIM CMS SME

3/31 for Base year; 1/31 for Option years

C.4.1.D.3

Provide HAI BSI QIA Short Form for review

Network

ELT to COR/AIM CMS SME

3/31 for Base year; 1/31 for Option years

C.4.1.D.4

Provide HAI Immunizations QIA Short Form for review

Network

ELT to COR/AIM CMS SME

3/31 for Base year; 1/31 for Option years

C.4.1.A-D

Networks shall provide updated QIA target facility/populations lists to the NCC for the subsequent contract period

Network

ELT to NCC

Last working day in November

AIM-2 Better Health for the ESRD Population

29a

C.4.2.B

Identify AIM 2 Innovation Pilot Project topic and disparity

Network/

CW Data ELT to COR/

AIM CMS SME

Last business day in February, 1/31 for Option years

29b

C.4.2.B

Finalize proposal with baseline data collection and analysis

Network/

CW Data ELT to COR/

AIM CMS SME

Last business day in March

29c

C.4.2.B

Reporting of the final project target facilities to the NCC

Network/

CW Data ELT to COR/

AIM CMS SME

Second business day in April

C.4.2.D (A3)

Identify AIM2 National Hospital Care Coordination project population and disparity

Network/

CW Data ELT to COR/

AIM CMS SME

Second business day in April for OY3 & OY4

AIM-3 Reduce Costs of ESRD Care

C.4.3.A

Provide MAH Updates quarterly, if needed

Network

ELT to COR/ QMHAG CMS SME/QIP contractor (parrotte@med.umich.edu)

By COB tenth working day of the first month of each quarter

C.4.3.A

QIP QIA Report on facilities selected

Network

ELT to COR/AIM CMS SME

Last business day in January

C.4.3.A

Provide QIP QIA Short Form for review

Network

ELT to COR/AIM CMS SME

Last business day in March

C.4.3.A

Provide QIP QIA facility list of 10 or more facilities

QIP File provided by NCC

ELT to COR/

AIM CMS SME

Last business day in January each contract period and as within five business days of each new facility being added to the QIA

C.4.3.A

Provide QIP QIA facility RCAs

QIP QIA Template

ELT to COR/

AIM CMS SME

Last business day in March of each contract period and within 10 business days of adding a facility

C.4.3.A

ESRD QIP QIA Results Report

QIP QIA Template

ELT to COR/

AIM CMS SME

Monthly, if applicable, on or before 15th calendar day of the month

37A

C.4.3.B

Provide technical support to oversee the timely submission and completion of the 2744 Annual ESRD Facility Survey and provide notification to CMS of successful completion of this survey

CROWNWeb

ELT to COR/CMS SME

Provide notification of validation that all facilities have successfully completed and submitted 2744A forms by First Friday in May

37B

C.4.3.B

Provide technical support to oversee the timely submission and completion of the 2744 Annual ESRD Facility Survey and provide notification to CMS of successful completion of this survey

CROWNWeb

ELT to COR/CMS SME

Report successful completion of the ESRD Facility survey by providing a signed confirmation by the second Friday in May.

C.4.3.B

Complete Bi-Annual Data Quality QIA survey results

CDC will provide template

ELT to COR/

AIM CMS SME

Twice per contract period to be determined by CMS

Entire SOW

Networks shall provide updated QIA target facility/populations lists

Networks

ELT to NCC

by the last working day in November for the subsequent contract period

Table 2 – Conflict of Interest Schedule of Deliverables: ESRD Network Schedule of Deliverables for the Performance Period of December 1, 2015, through November 30, 2016

Item No.

Item Description

Recipient and Reporting Mechanism

Due Date(s)

Data Source

Evaluation

(of Deliverable) Notes

Conflict of Interest Identification

Submission of proposed contract or other agreement with provider of services or health plan for services related to the proposed provider or health plan’s Medicare reimbursement

H.11.C.3(c) CO and CIS

ELT COR

At least 30 days prior to the planned execution date of the agreement

Submission of report listing the agreements entered into with a provider of services or health plan and with federal, state or local government agencies

H.11.3.C.3 (d) CO and CIS

April 1, 2016

Submission of documentation that Network’s subcontractors have mitigated any conflict or potential conflict

H.11.C.4 CO and CIS

At least 30 days prior to the planned execution date of the agreement

Conflict of Interest Disclosure

Submit Organizational Conflicts of Interest Certificate in accordance with H.11.D.1 and H.11.D.2 (a)

CO and CIS

Upon submission of technical proposal

Upon request for revisions from CO

Updates included in April 1, 2016 report

45 days before any change in the information submitted in accordance H.4.2

Submit Ownership Interest Information H.11.D.1(g)

ELT COR

With Technical Proposal

Updates included in April 1, 2016 report

Personnel Changes Requiring Conflict of Interest

Submission of resume or CV and additional information in accordance with paragraph H.11.F

CO and CIS

Prior to engaging the services of the replacement personnel in accordance with paragraph H.6

Start-Ups, Acquisitions and Affiliations

Provide notification of intent to start-up acquire or affiliate with or be acquired by another business

H.11.G CO and CIS

As soon as possible but no case later than 60 days before the projected start-up date

Refresh SOW Schedule of Deliverables (SOD): Base through OY4

File details come from the government source that posted it. Updated Nov 14, 2017.