Attachment_J-9B_Sample_Evaluation_Contractor_Subcontract_Agreement.docx

Attachment J-9B Sample Evaluation Contractor Subcontract/Agreement

EVALUATION SUBCONTRACT

BETWEEN (QIO) AND CONTRACTOR TBD

EVALUATION SUBCONTRACT

The BFCC-QIO shall contact and execute a subcontract with CONTRACTOR TBD for the primary purpose of assisting the BFCC-QIO with demonstrating whether the improvements in the outcome measures of the BFCC-QIO SOW may be attributed to the technical assistance provided by the BFCC-QIO to the learning networks, providers, communities, or patients recruited by the BFCC-QIO to work on the measures. It will also determine whether interventions implemented by the BFCC-QIO impacted and/or improved the quality of care provided to Medicare beneficiaries by the providers. Specifically, the subcontractor shall assist the BFCC-QIO with determining which interventions and technical assistance provided by the BFCC-QIO may improve the measures and quality of care and the subcontractor shall make recommendations to the BFCC-QIO regarding which interventions and technical assistance processes are effective. The subcontractor will require a list of and data for the providers the BFCC-QIO is working with. The subcontractor will compare the data related to the providers receiving assistance from the BFCC-QIO to the providers that are not assisted by the BFCC-QIO to determine if BFCC-QIO assistance to providers is making a measureable impact on improvement over providers that do not receive assistance. Data derived from this subcontract shall be aggregated, de-identified of provider and practitioner-specific information and provided to CMS or CMS’ contractors by the BFCC-QIO for further analysis. The subcontract with CONTRACTOR TBD is for reasons of efficiency, continuity and comparability of data and review.

This agreement shall bind CONTRACTOR TBD to the same level of confidentiality as the BFCC-QIO and to the disclosure regulations that apply to quality review studies (QRS) under 42 CFR Part 480. Any confidential data provided by the BFCC-QIO to CONTRACTOR TBD shall be maintained and disposed of in accordance with 42 CFR 480 and procedures outlined in the QIO Manual.

SUBCONTRACT PERIOD OF PERFORMANCE

The period of performance for the subcontract will be from the day that both parties sign the subcontract until July 31, 2019.

DATA HANDLING REQUIREMENTS

All the evaluation data and information provided by the BFCC-QIO to CONTRACTOR TBD under the subcontract is confidential and is protected and restricted by Section 1160 of the Social Security Act, the BFCC-QIO confidentiality regulations at 42 CFR Part 480 and 48 CFR Subpart 324.70 together with 48 CFR 352.224-70.

CONTRACTOR TBD shall ensure the confidentiality and security of all data and information upon receipt from the BFCC-QIO.

All data and information received by CONTRACTOR TBD from the BFCC-QIO under the subcontract shall be destroyed at the end of the contract period. CONTRACTOR TBD shall submit a statement to the BFCC-QIO certifying the data and information obtained under this subcontract was destroyed.

CONTRACTOR TBD has no authority to disclose or release to outside parties any data or information obtained from the BFCC-QIO. CONTRACTOR TBD shall consider all data obtained from the BFCC-QIO that meets the definition of quality review study (QRS) information as defined in 42 CFR Part 480.101 as such and will not disclose or release any of this data to CMS except as authorized under 42 CFR Part 480.140.

CONTRACTING PARTIES CONTACT INFORMATION

Subcontract shall stipulate that the BFCC-QIO and CONTRACTOR TBD provide one another the following contact information, and provide updated information within 1 business day of any change of personnel or any other change that would require a change in any part of the point of contract information. At a minimum, contact information shall include for each party (BFCC-QIO and CONTRACTOR TBD) the primary business POC's and technical POC's name, address, office phone number, office FAX number and business email address.

Further Mandatory Requirements for Subcontractor, CONTRACTOR TBD , and obligations of the BFCC-QIO The subcontract shall provide that the BFCC-QIO shall submit the requested information to CONTRACTOR TBD through secured data transmission.

Deliverables: Refer to Schedule F Data Submission CONTRACTOR TBD and the BFCC- QIO shall exchange data by electronic means using HCQIS Qnet Exchange or other appropriate secure mechanism agreed upon by the BFCC-QIO and CONTRACTOR TBD.

Contact Information for CONTRACTOR TBD

CONTRACTOR NAME, ADDRESS, PHONE NUMBER, EMAIL TBD