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<SPECIAL PROJECT LETTERHEAD>
<SPECIAL PROJECT LOGO>
ESRD NATIONAL COORDINATING CENTER (NCC)
MONTHLY STATUS REPORT – <MONTH> <YEAR>
| Contract Name: <NAME> | Reporting Period: <Month> <Year> | | | |
| Project Director: | | <NAME> | Date Submitted: | <Month Date>, <Year> |
CMS Contracting Officer Representative: <NAME>
Issues Needing Executive Intervention
· Ex. Currently, there are no items identified that need executive intervention.
Key Accomplishments Performed during the Period
· Ex. Grievance Satisfaction Survey: The pilot was completed with 9 administered initial tests and 8 administered re-test surveys on July 15, 2014.
Key Milestones for Next Period
· Ex. 07/24/14 Release 12.0 Pre-Release Distribution V
| STATUS KEY |
| TREND FROM PREVIOUS MONTH |
| Controlled |
| Caution |
| Critical |
| Not Started |
| Complete |
| Improved |
| Stable |
| Declined |
| None/minor issues or risks; proceeding as planned |
| At risk; plan in place to avoid getting off track or pending a CMS decision |
| Off track; needs intervention |
| Project has not started as of yet; not applicable |
| All deliverables within the subtask have been completed |
| Improving and expected to remain so |
| No changes but not expected to need escalation outside of project team |
| Worsening and may need executive intervention to resolve |
Overall Contract Performance Assessment
| Topic |
| Status/ Trend |
| Comments and Concerns |
Overall Status & Trending
Contract Management
| Topic |
| Status/ Trend |
| Comments and Concerns |
Overall Contract Management
Scope Adherence
Contract Team Communication
Contract Change Management
Contract Budget
Deliverables (list for reporting month)
| Subtask |
| Deliverable # |
| Date Submitted |
| Date Approved by COR |
| Details/Comments |
Individual Task Assessment
Task 1 – Support for Clinical AIM 1
Subtask 1.A Foster Patient and Family Engagement at the National Level
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Subtask 1.A.1 Develop and Recruit Members for a National Patient LAN
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Subtask 1.A.2 Enhance and Sustain the NPFE_LAN
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Subtask 1.A.3 Spread the Work of the NPFE_LAN
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Subtask 1.B – Improve Grievant Experience of Care and Evaluation and Resolution of Grievances
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Subtask 1.B.1 ESRD Grievant Satisfaction Survey
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Subtask 1.B.2 Administration of the Grievant Satisfaction Survey
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Subtask 1.B.3 Process for the Administration of the Grievant Satisfaction Survey including initial preparation for Survey administration; and actual Survey Administration
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Subtask 1.B.4 Analysis of National Grievance Data
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Subtask 1.B.5 Development of Grievance Related CMS Publications
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Subtask 1.C. ICH-CAHPS
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Subtask 1.C.1. Data Support for ICH-CHAPS
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Subtask 1.C.2 Clinical Support for ICH-CAHPS
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Subtask 1.D Supporting Facility Vascular Access Reporting, Spread of Best Practices, and Provision of Technical Support
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Subtask 1.D.1 Fistula First Catheter Last Workgroup Coalition
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Subtask 1.D.2 Data Support for the Increased use of AVFs and Decreased Use of Catheters
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Subtask 1.E.1 Reduce HAIs – Establish National HAI LAN
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Subtask 1.E.2 Data Support for HAI Vaccination QIA
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
TASK 2
Support for Population Health Projects
Subtask 2.A Data Support for Network Population Health Projects
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Subtask 2.B Clinical Support for Network Population Health Projects
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
TASK 3
Support for Clinical AIM 3
Subtask 3.A Support for the ESRD QIP, DFC, Star Ratings and DFR for Performance Improvement
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Subtask 3.B Clinical Support for the ESRD QIP Projects
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Task 4 Maintenance, Enhancement, Security of the ESRD Network Data Warehouse
Subtask 4. A Data Warehouse
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
| Next Month’s Action Items |
| · |
Notes
Subtask 4.B Support for Crown Web
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Subtask 4.C Participation in CROWNWEB User Group Meetings
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Subtask 4.D ESRD Dashboard Support
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Subtask 4.E Support for Clinical AIM Data Analysis
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Subtask 4.F Clinical AIMs Data Extract, Reporting Business Requirements, and Development of Business Requirements
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Subtask 4.G Support for Change Management
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Subtask 4.H Infrastructure Operations Support
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Subtask 4.I ESRD Security Compliance
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Task 5 ESRD NCC Project Management and Communication
Subtask 5.A Strategic Plan
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Subtask 5.B Internal Quality Improvement Program
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Subtask 5.C Comprehensive Progress and Status Report
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
GTL/COR Hot List
Notes
Subtask 5.D Change of Key Personnel
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Task 6 End of Contract Transition
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Task 7 National Coordinating Role for the ESRD Network Program
Subtask 7.A Plan, Facilitate, Participate in National/Regional/Local Meetings
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Subtask 7.B Serve as Lead ESRD Program Planner/Organizer for the CMS Annual QualityNet Conference
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Subtask 7.C Actively Participate in and or attend National and Regional Meetings
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Subtask 7.D Support ESRD Network Refresh of Standard Computer hardware and Software
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Subtask 7.E Clinical Aim Resource Library – Facilitate and Exchange of ESRD Network and Patient Information, Tools, Resources, and other Materials
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Subtask 7.F Clinical AIMS Marketing and Social Media Responsibilities
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Task 8 Development and Lead Authorship, Limited Printing, and Distribution of the Directory of ESRD Network Organizations
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Task 9 Development, Lead Authorship, Printing and Distribution of the End Stage Renal Disease Network Organization Program Summary Annual Report
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Task 10 Maintenance and Ongoing Development/Enhancement of a Centralized Website for the ESRD Network Program, Including All ESRD – Related Special Projects
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Task 11 Maintain a System for the Identification of all New Dialysis Patients and Distribute New Patient Orientation packets (NEPOPs) Monthly to New Patients
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Task 12 Provide Administrative Support to CMS as Requested
Status/Trend
| Risks and Mitigation Actions |
| · |
| Next Month’s Action Items |
| · |
Notes
Scheduled Milestones
| Milestone |
| Due Date(s) |
| Current Forecast |
| Status |
Monthly Status Report Appendices
The CMS COR/GTL as well as the NCC Program Director shall be consulted as to what data and/or supplementary documentation should be included in each Monthly Status Report’s Appendix section.
Version 1.0 July 15, 2015
ESRD National Coordinating Center Monthly Status Report – <Month>
Version 3.0: 07-14-2015 image7.png image8.png image9.png image10.png image11.png image12.png