Attachment_J.1(a)_QIN-QIO_Schedule_of_Deliverables_2.docx

The period of performance for the QIN-QIO SOW IDIQ contract is August 1, 2014 through July 31, 2019.

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

Attachment J.1(a) – Schedule of Deliverables, unless otherwise specified all deliverable due dates required monthly, every six months, quarterly, annually or bi-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).

of Deliverable

Task A– Excellence in Operations

Plan Key Components

· A.1.1 Implementation Strategy

· A.1.2 Management Plan

· A.1.3 Integrated Communications Plan

· A.1.4 Information Systems and Emergency Preparedness Plans

Proposal is required for any purchase of:

· Outreach item with a per-cost state of at least $1,000; or

· Any paid media item, regardless of cost.

(See Glossary for definition of terms “outreach item” and “paid media.”)

a. Develop

b. Maintain on Real-time Basis

c. Updates

b. Add new Task Order Work Plans upon new Task Order awards

c. Updates: When modifications are executed and changes made to approved Task Order Work Plans

COR/GTL

Monthly Documentation of QIO activities by Task

Draft Final QIO Report for All Tasks

Task A.1.7.c Reporting Requirements

a. Orientation Meeting

b. Contract Kick-Off/Planning Meeting

c. Comprehensive Strategic Plan

d. Standing Conference Calls

e. Transition Process

f. Collaboration

g. Conference Attendance Requests

b. Contract Kick-Off/Planning Meeting – Within 21 calendar days of Task order award

c. See above Task A.1

d. Standing Conference Calls – Monthly with COR and Quarterly with COR and GTL

e. No more than 120 days before the end of the contract

f. Ongoing

g. CAR – 4 months prior to the planned meeting

Base Section C.3.3.1 Certification by Security Point of Contact (SPOC) for Compliance with CMS Systems Security Requirements h.1. Appointment of QIN Security POC (SPOC)

Base Section C.3.3.1 Certification by Security Point of Contact (SPOC) for Compliance with CMS Systems Security Requirements h.2. List of assigned QIN Information Technology staff with required information

Base Section C.3.3.1 Certification by Security Point of Contact (SPOC) for Compliance with CMS Systems Security Requirements h.3. QNET Security Awareness Training (SAT) and Certification Letter

Base Section C.3.3.1 Certification by Security Point of Contact (SPOC) for Compliance with CMS Systems Security Requirements h.4. Review the CMS security website and check for updates

h.5. Submit a Business Continuity and Contingency Plan (BCCP)

h.6. Artifacts resulting from compliance with CMS, FISMA, OIG, and other relevant audits, reviews, evaluations, tests, and assessments of QIN systems, processes, and facilities as it relates to program security and compliance

h.7. QIN System Security Plan and Information Security Risk Assessment

Base Section C.3.3.1 Certification by Security Point of Contact (SPOC) for Compliance with CMS Systems Security Requirements h.8. Corrective Action Plans (CAPs)

Base Section C.3.3.1 Certification by Security Point of Contact (SPOC) for Compliance with CMS Systems Security Requirements h.9. Plan of Action and Milestones (POA&M)

CMS QNET ISSO

Monthly due date will be as determined by CMS QNET ISSO

Base Section C.4 General Requirements i.1. Adherence to Privacy, Confidentiality, and Disclosure Requirements - Provide documentation of adherence

Base Section C.4 General Requirements i.2. Provide a copy of Training Materials Developed or Used to Meet Confidentiality Training Requirements

Base Section C.4 General Requirements i.4. and i.5.

a. Execute CDAC Subcontract

b. Copy the COR on all communications with CDAC subcontractor

b. Immediately- all instances

DDST

Base Section C.4 General Requirements i.6. Participate in Collaborative Activities Sponsored by CMS

Base Section C.4 General Requirements i.7. Review CMS Contractor Website Guidelines

Base Section C.4 General Requirements i.8. Assist CMS’ Public Health Efforts by Disseminating Information

Solicitation Section H.3, H.15 and H.21 Conflict of Interest Certification

Base Section C.4 General Requirements i.9. and i.10. Continuity of Operations Plan (COOP) and Contingency Plan (CP)

a. Develop COOP and CP

b. Table Top Test

Base Section C.4 General Requirements i.11. Compliance and Cooperation with Data Requests Subject to QIO Confidentiality Provisions

QIN-QIO IDIQ

of Deliverable

Task B.1 – Cardiac Health

Task B.1.1

COR/GTL

Task B.1.2, Task B.1.2.1., and B.1.2.2

(Include in Quarterly Report Task B.1.7)

COR/GTL

Quarterly with a start date of report submission by 10/31/2014 until the end of the Task Order. Recruitment ends 10/31/14.

Electronically, via CMS designated system (e.g., DDST).

Quarterly and after review and approval of the recruitment proposal, the QIOs will be evaluated on whether the proposed and approved recruitment is actually maintained based on a review of the documents submitted via DDST

Task B.1.2

(Include in Task Work Plan)

Task B.1.3

(Include in Quarterly Report Task B.1.7)

COR/GTL

Task B.1.4

(Include in Quarterly Report Task B.1.7)

COR/GTL/

Task B.1.5

(Include in Quarterly Report Task B.1.7)

COR/GTL

Task B.1.6

(Include in Quarterly Report Task B.1.7)

Task B.1.2.2

(Include in Quarterly Report Task B.1.7)

QIOs will be evaluated on timely submission of data obtained from all EHR users.

Quarterly Reports

Task B.1.7

Task B.1.8

(Include in Task Work Plan)

10/31/2015 and annually until the end of the Task Order Task Work Plan, Electronically, via CMS designated system (e.g., DDST).

of Deliverable

Task B.2 - Everyone with Diabetes Counts (EDC)

Task B.2.1

Electronically, via CMS designated system (e.g., DDST).

Should include Task B.2.2, Task B.2.3, Task B.2.4, Task B.2.5.2, Task B.2.5.3, Task B.2.5.6, Task B.2.8.5

COR/GTL

QIN.B.2#3

Environmental Scan of Medicare Beneficiaries

Task B.2.5.4

COR/GTL

Quarterly with a start date of 10/31/2014 until the end of the Task Order

Electronically, via CMS designated system (e.g., DDST).

Task B.2.5.5

COR/GTL

Quarterly with a start date of 10/31/2014 until the end of the Task Order

Electronically, via CMS designated system (e.g., DDST).

The QIO shall submit an environmental scan to CMS detailing the number of CDEs and CHWs in its state/jurisdiction by county and zip code. Scan should also include current diabetes education initiatives in the QIO’s state/jurisdiction to avoid duplication of services.

Based on thoroughness and completeness of scan.

Task B.2.7 and Task B.2.8.6

(Include in Task Work Plan)

CMS designated template The QIO shall develop and implement a sustainability plan that will promote, facilitate, and ensure continued training of diabetes educators as well as continuation of DSME training classes after the QIO has completed its SOW.

of Deliverable

Task B.3- Using IIS to Improve Prevention Coordination - RESERVED

of Deliverable

Task B.4 - REC Collaboration

Task B. 4.1

Electronically, via CMS designated system (e.g., DDST).

Tasks B.4.2 and B.4.4

(Include in Task Work Plan)

Task B.4.2

(Include in Quarterly Report Task B.4.7)

Electronically, via CMS designated system (e.g., DDST).

Task B. 4.4

Task B. 4.3 (Include in Quarterly Report Task B.4.7)

COR/GTL

Quarterly with a start date of 10/31/2014 until the end of the Task Order

Electronically, via CMS designated system (e.g., DDST).

Task B.4.6

(Include in Quarterly Report Task B.4.7)

Task B.4.6

(Include in Quarterly Report Task B.4.7)

Task B.4.6

Task B.4.5

(Include in Quarterly Report Task B.4.7)

Task B.4.6

Task B.4.7 Quarterly Reports

Task B.4.8

(Include in Task Work Plan)

No.

of Deliverable

Task C.1 – HAI

Task C.1.1

COR/GTL

Quarterly with a start date of 10/31/2014 until the end of the Task Order

Task Lead

Task C.1.2

a. Recruitment Plan (Include in Task Work Plan)

b. Recruit Hospitals (ICU and Non-ICU) with signed commitment letters to actively participate in the HAI initiative and Learning and Action Networks.

Hospitals that previously worked with a QIO and wish to continue HAI work for CLABSI, CAUTI, and CDI, will update their commitment letters for this Task Order to actively participate in the HAI initiative and Learning and Action Networks.

Including their status (CLABSI, CAUTI, and CDI) and completion of specified tasks within Task C.1.1. (Include in Quarterly Report Task C.1.8.)

COR/GTL

a.10/31/2014 b.Quarterly with a start date of 10/31/2014 until the end of the Task Order

Task C.1.3

(Include in Quarterly Report Task C.1.8.)

COR/GTL

Task C.1.4

Task C.1.4

(Include in Task Work Plan)

Task C.1.4

COR/GTL

Task C.1.4

(Include in Quarterly Report Task C.1.8.)

Electronically, via CMS designated system (e.g., DDST).

Report shall provide committed partnerships and collaborations along with activities undertaken as they contribute to national HAI reduction and prevention goals.

QIO shall demonstrate and document in the above mentioned report, the activities, partnerships, and collaborations they have with local agencies to develop and implement HAI prevention and reduction interventions as well as the data that was used to document progress of said interventions.

QIN.C.1#8

Reporting on QIO Tool Development and Distribution Task C.1.8

Statewide Environmental Scan of CLABSI SIRs

(Include in Quarterly Report Task C.1.8.)

Electronically, via CMS designated system (e.g., DDST).

Will be based in SOW requirements in C.1.6.1

Provide CLABSI outcome data quarterly until national benchmark SIR has been reached.

Electronically, via CMS designated system (e.g., DDST).

Will be based in SOW requirements in C.1.6.1

Statewide Scan of CAUTI SIRs

(Include in Quarterly Report Task C.1.8.)

Electronically, via CMS designated system (e.g., DDST).

Will be based in SOW requirements in C.1.6.2

NHSN

Will be based in SOW requirements in C.1.6.3

a. Conduct at least one educational LAN even regarding VAE by 7/31/15

b. Document the number of hospitals that have attended the LAN and been trained on the elements of VAE reduction and reporting in hospitals to the NHSN by 7/31/16

c. Report the number of QIO recruited hospitals trained by QIOs with or without conjunction from their regional partner on VAE by 7/31/17

d. Establish a baseline for VAE by 7/31/17

e. Report baseline data from by 7/31/18 and continue to work and monitor VAE

COR/GTL

Electronically via CMS designated system (e.g., DDST)

Will be based in SOW requirements in C.1.6.4

Section a.3, Strategies Develop strategies for identifying current and potential duplication of HAI work and mitigating such duplication when and if it occurs.

Sections a.4, Duplicative Activities and a.5, Partnerships Partnerships and duplicative activities and their resolution should be reported to CMS at least quarterly.

Electronically, via CMS designated system (e.g., DDST).

Based on SOW requirements in C.1.7

a. HAI Map

b. Documentation of HAI Work, Recruitment Reports, Tool Development and Distribution Reports

c. Hospital patient and family engagement activities (C.1.8.f)

c. Quarterly Electronically, via CMS designated system (e.g., DDST).

Based on SOW requirements in C.1.8

(Include in Task Work Plan)

QIN-QIO IDIQ

HHSM-500-2014-RFP-QIN-QIO Excellence in Operations and Quality Improvement Task Order No. 001 Attachment J.1(a) – Schedule of Deliverables

No.

of Deliverable

Task C.2 – Nursing Homes

Task C.2.1

Section B.2.d.

Task C.2.1 Task C.2.6.1.b

Task C.2.2

a. Recruitment Plan (Include in Task Work Plan)

b. Collaborative I: Recruitment Target Number (RTN) and 1-Star Category Target Count (SCTC) and required documentation of participation: Participation Agreements and Decisions Not to Participate

C.2.2 and C.2, Section G - Appendix 2

Template: Participant Agreement or Decisions Not to Participate

C.2.2 and C.2, Section G - Appendix 2

Template: ParticipationAgreement or Decisions Not to Participate

Electronically, via CMS designated system (e.g., DDST).

Template: Participant Agreement or Decisions Not to Participate

Template: Participation Agreement or Decisions Not to Participate

Electronically, via CMS designated system (e.g., DDST).

C.2.6.3 Areas for Rapid Cycle Quality Improvement Testing and Implementation

4/30/2015 – 9/30/2018 Electronically, via CMS designated system (e.g., DDST).

Nursing homes will complete and /or update QAPI Self Assessment.

For NHs with existing QAPI Tools, update at least once during each Collaborative in which the NH participates . For NHs without an existing Tool, the NH will evaluate itself, complete the Self Assessment, and identify its beginning status.

QIO must recruit >95% of total number of nursing homes participating in Collaborative I and II and shall have NHs initiate, update and maintain QAPI Self Assessment Tool

Template: Participation Agreement or Decision Not to Participate

Template: Participation Agreement or Decisions Not to Participate

C.2.2

A Participation Agreement must be submitted for every nursing home counted as a part of the RTN.

C.2.2

C.2.3 Peer-Coach Recruitment

12/31/2014 3/31/2015

Electronically, via CMS designated system (e.g., DDST).

QIO shall provide Peer-Coach Recruitment and training information consisting of no less than the information specified in C.2.3

QIN.C.2#19

Beneficiary and Family Engagement

Peer-Coach Recruitment: Beneficiary and Family Member Engagement:

Task C.2.3 Peer-Coach Recruitment

COR/GTL

10/30/2014 12/31/2014 3/31/2015

Electronically, via CMS designated system (e.g., DDST).

For every service area – state or territory - there shall be at least one (1) resident or family member participating as a Peer-Coach.

Report shall include activities, dates, and role of beneficiary and/or family members involvement as Peer-Coaches

Task C.2.4 Beneficiary Recruitment

Electronically, via CMS designated system (e.g., DDST).

Beneficiary involvement in QIO QI activities.

(1)The QIO shall include residents and/or family members in > 2 quality improvement activities Report shall include activities, dates, and methods of Beneficiary and Family-member engagement in QIO QI activities

Task C.2.4 Beneficiary Recruitment

Electronically, via CMS designated system (e.g., DDST).

The QIO shall foster beneficiary and family-member involvement in nursing home QI activities.

Report shall include activities, dates, and methods QIO used to promote increased participation of Beneficiary and Family-member engagement in nursing homes

State Survey Agency and Letter of Agreement C.2.5 Partner and Stakeholder Recruitment

9/30/2014, continuing quarterly ad hoc until end of SOW Electronically, via CMS designated system (e.g., DDST).

Section B. General Desired Outcomes

4/30/2015 and continuing until 9/28/2018 Electronically, via CMS designated system (e.g., DDST).

Section B. General Desired Outcomes

4/30/2015 and continuing until 9/28/2018

Section B. General Desired Outcomes

4/30/2015 and continuing until 9/28/2018

TBD

C.2.5 Partner and Stakeholder Recruitment

Task C.2.7.

Electronically, via CMS designated system (e.g., DDST).

Task C.2.8

(Include in Task Work Plan)

Electronically, via CMS designated system (e.g., DDST).

QIN-QIO IDIQ

HHSM-500-2014-RFP-QIN-QIO Excellence in Operations and Quality Improvement Task Order No. 001 Attachment J.1(a) – Schedule of Deliverables

of Deliverable

Task C.3 – Coordination of Care

Task C.3.1

Task C.3.2

(Include in Task Work Plan)

Electronically, via CMS designated system (e.g., DDST).

The QIO must include in their plan:

1. Minimum of 40% of the FFS population in the state, including 60% of the FFS population across the region

2. 10% of beneficiaries must reside in rural areas

3. Identification of level of experience (new, intermediate, experienced)

4. Identification of target beneficiary populations

Template for Plans shall be provided by CMS.

Task C.3.5

Electronically, via CMS designated system (e.g., DDST).

The QIO must include in their plan:

1. Identification of level of experience (new, intermediate, experienced)

2. Identification of target beneficiary populations

3. Number of Beneficiaries on targeted medications(Anticoagulants, Diabetic Agents, Opioids)

Template for Plans shall be provided by CMS.

Quarterly with a start date of 10/31/2014 until the end of the Task Order

Electronically, via CMS designated system (e.g., DDST).

The report should include interventions, toolkits, communication, strategies implemented and barriers and solutions identified.

Quarterly with a start date of 10/31/2014 until the end of the Task Order

Electronically, via CMS designated system (e.g., DDST).

The report should include

1. The number of screened beneficiaries with adverse drug events reported in the region.

2. The number of beneficiaries screened in the community by care setting, state and region.

3. The number of beneficiaries with adverse drug events in the community by care setting, state and region.

4. The number of beneficiaries on anticoagulants, diabetic agents, and or opioids in the screened population by care setting, state, region

5. The number of readmissions associated with adverse drug events in the screened population by state and region.

Template for shall be provided by CMS.

Task C.3.3

Electronically, via CMS designated system (e.g., DDST).

The QIO must work with community to include the following:

1. Inputs, outputs, outcomes and external factors

2. Identification of interventions that address target population and measurement collection methods. Template for logic models shall be provided by CMS.

Task C.3.3.and Task C.3.7

Electronically, via CMS designated system (e.g., DDST).

The QIO shall include the criterion listed in the SOW Task C.3.3.D.c

Template for the report shall be provided by CMS.

Task C.3.7.a

Electronically, via CMS designated system (e.g., DDST).

The QIO must report the following:

1. Recruitment of new communities

2. Community level of experience categories for all communities

3. List by type of community coalition members

4. Intervention implementation and measurement status updates

Template for logs shall be provided by CMS.

Task C.3.7.b

Electronically, via CMS designated system (e.g., DDST).

The QIO shall include the following:

1. Types of support provided to community coalitions

2. Engagement of coalition members by type of stakeholder in LAN activities

3. Engagement of additional stakeholders by type of stakeholder in the region not currently involved in a community coalition in LAN activities

4. Status of sustainable community coalition plans

5. Strengths and barriers

Template for Reports shall be provided by CMS.

Task C.3.8.e

Submitted using SQUIRE format (see Attachment on SQUIRE guidelines)

Task C.3.6

(Include in Task Work Plan)

QIN-QIO IDIQ

HHSM-500-2014-RFP-QIN-QIO Excellence in Operations and Quality Improvement Task Order No. 001 Attachment J.1(a) – Schedule of Deliverables

of Deliverable

Task D.1 – Physician Value-Based Modifier

Task D.1.1

COR/GTL

Microsoft Word

a. Recruitment Plan (Include in Task Work Plan)

b. Recruitment (Include Quarterly reports Task D.1.13)

Task D.1.2

COR/GTL

a. 10/31/2014

b. Quarterly with a begin date of 10/31/2014 until the end of the Task Order

c. Recruitment Plan (Include in Task Work Plan)

d. Recruitment(Include Quarterly reports Task D.1.13)

Task D.1.2

COR/GTL

c. 10/31/2014

d. Annual with a begin date of 10/31/2014 until the end of the Task Order

Task D.1.4

(Include Quarterly reports Task D.1.13)

COR/GTL/

Quarterly with a begin date of 10/31/2014 until the end of the Task Order

Task D.1.7., D.1.8 and D.1.9

(Include Quarterly reports Task D.1.13)

COR/GTL

Quarterly with a begin date of 10/31/2014 until the end of the Task Order

Task D.1.6.1(b)

(Include Quarterly reports…