J.1(a)_QIN-QIO_Schedule_of_Deliverables.docx
DOCX document 137 KB Posted
- Solicitation number
- HHSM-500-2014-RFP-QIN-QIO
About this file
Attachment J.1(a) QIN-QIO Schedule of Deliverables
View the file
Other files
Show 40 more
Latest 50 of 60 listed here. See the rest on GovTribe.
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
No.
| Item |
| Recipient |
| Due Date(s) |
| Reporting Mechanism |
| Notes |
| Evaluation |
of Deliverable
Task A– Excellence in Operations
| 1 |
| Task A.1.1-A.1.4 QIN-QIO Comprehensive Strategic Plan |
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
| COR/GTL |
| RFP Draft Update: Within 45 calendar days of Task order award or within 5 days of any other change event |
| Electronically, via CMS designated system (e.g., DDST). |
| MS Word Format |
| 2 |
| Task A.1.5 Task Order Work Plan Compendium |
a. Develop
b. Maintain on Real-time Basis
c. Updates
| COR/GTL |
| a. Quarterly with a start date of 10/31/2014 until the end of the Task Order |
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
| Electronically, via CMS designated system (e.g., DDST). |
| MS Word Format |
| 3 |
| Task A.1.6. Continuous Internal Quality Improvement Program Plan |
COR/GTL
| RFP Draft Update: Within 45 calendar days of Task order award or within 5 days of any other change event |
| Electronically, via CMS designated system (e.g., DDST). |
| MS Word Format |
| 4 |
| Task A.1.7.a Reporting Requirements |
Monthly Documentation of QIO activities by Task
| COR |
| At least 3 business days prior to the monthly COR monitoring call |
| Electronically, via CMS designated system (e.g., DDST).with email to COR |
| COR will provide direction as to content and format. |
| 5 |
| Task A.1.7.b Reporting Requirements |
Draft Final QIO Report for All Tasks
| COR/GTL |
| December 18, 2018 |
| Electronically, via CMS designated system (e.g., DDST). |
| 6 |
| Final QIO Report for All Tasks |
Task A.1.7.c Reporting Requirements
| COR/GTL |
| February 1, 2019 |
| Electronically, via CMS designated system (e.g., DDST). |
| 7 |
| Task A.1.8. General Contract Management |
a. Orientation Meeting
b. Contract Kick-Off/Planning Meeting
c. Standing Conference Calls
d. Conference Attendance Requests (CAR)
e. SOW Transition Process
f. Collaboration
g. Conference Attendance Requests
| COR/GTL and may include Contracting Officer and/or Contract Specialist |
| Orientation - Within 5 calendar days of Task order award |
Contract Kick-Off/Planning Meeting – Within 21 calendar days of Task order award
Standing Conference Calls – Monthly with COR and Quarterly with COR and GTL
CAR – 4 months prior to the planned meeting
| Electronically, via CMS designated system (e.g., DDST). |
| MS Word Format |
| 8 |
| Section A.1.8, General Contract Management, h, |
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)
| QIN COR, CMS QNET ISSO |
| Within 14 days of Task Order award, and within 15 days of changes made |
| Electronically as directed by the CMS QNET ISSO |
| Template will be provided by CMS QNET ISSO |
| 9 |
| Section A.1.8, General Contract Management, h, |
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
| QIN COR, CMS QNET ISSO |
| Within 14 days of Task Order award, and within 15 days of changes made |
| Electronically as directed by the CMS QNET ISSO |
| Template will be provided by CMS QNET ISSO |
| 10 |
| Section A.1.8, General Contract Management, h, |
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
| CMS QNET ISSO |
| Initial within 14 days after Task Order award and annually thereafter. Also, within 30 days after any major changes |
| Electronically as directed by the CMS QNET ISSO |
| Template will be provided by CMS QNET ISSO; Submit additional artifacts upon request |
| 11 |
| Section A.1.8, General Contract Management, h, |
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
| QIN COR, CMS QNET ISSO |
| Initial within 14 days after Task Order award and and every 30 calendar days thereafter |
| Monthly Report |
| Include in Monthly Report |
| 12 |
| Section A.1.8, General Contract Management, h, Base Section C.3.3.1 Certification by Security Point of Contact (SPOC) for Compliance with CMS Systems Security Requirements |
h.5. Submit a Business Continuity and Contingency Plan (BCCP)
| QIN COR, CMS QNET ISSO |
| Initial within 14 days after Task Order award and annually thereafter and annually thereafter. Also, 30 days after completion of any serious structural changes |
| Electronically as directed by the CMS QNET ISSO |
| Template will be provided by CMS QNET ISSO. Serious structural changes consist of building relocations or major structural changes to the current infrastructure. |
| 13 |
| Section A.1.8, General Contract Management, h, Base Section C.3.3.1 Certification by Security Point of Contact (SPOC) for Compliance with CMS Systems Security Requirements |
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
| CMS QNET ISSO |
| Initial within 14 days after Task Order award and annually thereafter. Also, within 30 days after any major changes |
| As Directed by CMS |
| 14 |
| Section A.1.8, General Contract Management, h, Base Section C.3.3.1 Certification by Security Point of Contact (SPOC) for Compliance with CMS Systems Security Requirements |
h.7. QIN System Security Plan and Information Security Risk Assessment
| CMS QNET ISSO |
| Initial within 14 days after Task Order award and annually thereafter. Also, within 30 days after any major changes |
| Electronically as directed by the CMS QNET ISSO |
| Template will be provided by CMS QNET ISSO |
| 15 |
| Section A.1.8, General Contract Management, h, |
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)
| CMS QNET ISSO |
| Within 30 days after audit or finding |
| Electronically as directed by the CMS QNET ISSO |
| Template will be provided by CMS QNET ISSO |
| 16 |
| Section A.1.8, General Contract Management, h, |
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
| Within 15 days of approval of CAP; monthly thereafter until CAP is closed |
| Electronically as directed by the CMS QNET ISSO |
| Template will be provided by CMS QNET ISSO; |
Monthly due date will be as determined by CMS QNET ISSO
| 17 |
| Section A.1.8, General Contract Management, i, |
Base Section C.4 General Requirements i.1. Adherence to Privacy, Confidentiality, and Disclosure Requirements - Provide documentation of adherence
| COR/GTL |
| Initial within 90 days after Task Order award and annually thereafter. Also, within 30 days after any major changes |
| DDST |
| 18 |
| Section A.1.8, General Contract Management, i, |
Base Section C.4 General Requirements i.2. Provide a copy of Training Materials Developed or Used to Meet Confidentiality Training Requirements
| COR/GTL |
| Initial within 90 days after Task Order award and annually thereafter. Also, within 30 days after any major changes |
| DDST |
| 19 |
| Section A.1.8, General Contract Management, i, |
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
| COR/GTL |
| a. As Directed by CMS |
b. Immediately- all instances
DDST
| 20 |
| Section A.1.8, General Contract Management, i, |
Base Section C.4 General Requirements i.6. Participate in Collaborative Activities Sponsored by CMS
| COR/GTL |
| Initial within 90 days after Task Order award and annually thereafter. Also, within 30 days after any major changes |
| DDST |
| 21 |
| Section A.1.8, General Contract Management, i, |
Base Section C.4 General Requirements i.7. Review CMS Contractor Website Guidelines
| COR/GTL |
| Initial within 90 days after Task Order award and annually thereafter. Also, within 30 days after any major changes |
| Monthly Report |
| 22 |
| Section A.1.8, General Contract Management, i, |
Base Section C.4 General Requirements i.8. Assist CMS’ Public Health Efforts by Disseminating Information
| COR/GTL/CO |
| Initial within 90 days after Task Order award and annually thereafter. Also, within 30 days after any major changes |
| Monthly Report |
| Include in Monthly Report |
| 23 |
| Section A.1.8, General Contract Management, i, |
Solicitation Section H.3, H.15 and H.21 Conflict of Interest Certification
| COR/GTL/CO |
| Initial within 90 days after Task Order award and annually thereafter. Also, within 30 days after any major changes |
| 24 |
| Section A.1.8, General Contract Management, i, |
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
| COR/GTL |
| Initial within 90 days after Task Order award and annually thereafter. Also, within 30 days after any major changes |
| DDST |
| The CP includes a Disaster Recovery Plan |
| 25 |
| Section A.1.8, General Contract Management, i, |
Base Section C.4 General Requirements i.11. Compliance and Cooperation with Data Requests Subject to QIO Confidentiality Provisions
| COR/GTL |
| Submitted annually on date of award and as directed by CMS |
| 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
For the QIN-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.
| No. |
| Item |
| Recipient |
| Due Date(s) |
| Reporting Mechanism |
| Notes |
| Evaluation |
of Deliverable
Task B.1 – Cardiac Health
| 1 |
| Task Work Plan |
Task B.1.1
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). |
| 2 |
| Provider Recruitment. |
Task B.1.2, Task B.1.2.1., and B.1.2.2
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). |
| This report shall include the type and number of providers utilizing certified EHRs to report on PQRS ABCS measures specified in B.1.2.2. |
| QIOs will be evaluated on whether the proposed and approved number and type of participating providers are actually maintained based on a review of the documents submitted via DDST |
| 3 |
| Recruitment Proposal |
Task B.1.2
(Include in Task Work Plan)
| COR/GTL |
| 10/31/2014 |
| Task Work Plan, Electronically, via CMS designated system (e.g., DDST). |
| 4 |
| Beneficiary and Family Engagement |
Task B.1.3
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). |
| 5 |
| Partner and/or Stakeholder Recruitment |
Task B.1.4
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). |
| The QIO may use the same partners and stakeholders for Task B.4. |
| QIOs will be evaluated on whether the proposed number of partners and/or stakeholders are actually recruited and maintained based on a review of the documents submitted via DDST. |
| 6 |
| Report on Technical Assistance Activities |
Task B.1.5
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). |
| Include at a minimum the requirements set forth in each task area. |
| QIOs will be evaluated on compliance with the technical assistance requirements set forth in B.1.5, B.1.6, and B.1.7 based on review of the documents submitted. |
| 7 |
| LAN Quarterly Report |
Task B.1.6
| 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). |
| Include in the report documentation about convening the first meeting by the due date. |
| 8 |
| Blood Pressure (BP) Control – Data from CEHRT Users |
Task B.1.2.2
| 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). |
QIOs will be evaluated on timely submission of BP data obtained from all CEHRT users.
| 9 |
| Smoking – Screening and Cessation – Data Report from CEHRT Users |
Task B.1.2.2
| 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). |
QIOs will be evaluated on timely submission of smoking data obtained from all CEHRT users.
| 10 |
| Monitoring and Reporting Requirements |
Quarterly Reports
Task B.1.7
| Quarterly with a start date of 10/31/2014 until the end of the Task Order |
| Electronically, via CMS designated system (e.g., DDST). |
| 11 |
| Sustainability Plan |
Task B.1.8
(Include in Task Work Plan)
10/31/2014 and annually until the end of the Task Order Task Work Plan, Electronically, via CMS designated system (e.g., DDST).
| No. |
| Item |
| Recipient |
| Due Date(s) |
| Reporting Mechanism |
| Notes |
| Evaluation |
of Deliverable
Task B.2 - Everyone with Diabetes Counts (EDC)
| 1 |
| Task Work Plan |
Task B.2.1
| 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).
| Plan should include resource planning activities, key milestones including due dates, risk mitigation, task descriptions, including a detailed description of activities necessary to complete each task, activity planning through personnel. |
| Determined by GTL based on feasibility of plan |
| 2 |
| Quarterly Report Task B.2.6 |
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
| Quarterly with a start date of 10/31/2014 until the end of the Task Order |
| Electronically, via CMS designated system (e.g., DDST). |
| Quarterly Reports should include at a minimum: participating practices/provider recruitment targets, beneficiary recruitment targets (see Quarterly Targets in Table 1 in SOW), report on amount of clinical measures obtained, numbers of completed beneficiary surveys (PAS) obtained, lower extremity amputation rates, any barriers encountered and mitigation strategies implemented, successes, including beneficiary success stories, any partner/stakeholder recruitment updates. Initial quarterly report should include marketing strategy/plan, train-the-trainer strategy/ plan and sustainability strategy/plan. Quarterly report updates should also include progress reports on sustainability plan and trainer-the-trainer plan. |
| QIOs will be evaluated based on meeting targets in Quarterly Targets Table 1 in SOW, on clinical data for a minimum of 10% of beneficiaries who complete DSME classes, and on feasibility of train-the-trainer and sustainability plans. |
Environmental Scan of Medicare Beneficiaries
Task B.2.5.4
COR/GTL
| 30 days from Task Order award |
| Electronically, via CMS designated system (e.g., DDST). |
| The QIO shall submit an environmental scan to CMS detailing the number of Medicare beneficiaries with diabetes by county and zip code in the targeted population. |
| Based on thoroughness and completeness of scan. |
| 4 |
| Environmental Scan of certified diabetes educators and community health workers (CDEs/CHWs) |
Task B.2.5.5
COR/GTL
| 30 days from Task Order award |
| 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.
| 5 |
| Monitoring and Reporting Requirements |
Quarterly Reports
Task B.2.6
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).
| 6 |
| Sustainability Plan |
Task B.2.7 and Task B.2.8.6
(Include in Task Work Plan)
| COR/GTL |
| 10/31/2014 and annually until the end of the Task Order. |
| Task Work Plan Electronically, via CMS designated system (e.g., DDST). |
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.
| No. |
| Item |
| Recipient |
| Due Date(s) |
| Reporting Mechanism |
| Notes |
| Evaluation |
of Deliverable
Task B.3- Using IIS to Improve Prevention Coordination
| 1 |
| Task Work Plan |
Task B.3.1
| 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). |
| Include recruitment goal |
| 2 |
| Beneficiary and Family Engagement |
Task B. 3.3
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). |
| 3 |
| Recruitment Plan |
Task B. 3.2
(Include in Task Work Plan)
Identify and recruit participating practices and other healthcare providers (includes signed consent form).
The QIO must recruit at least 50% of the target number within 12 months of the effective date, and 95% within 24 months of the effective date. At least 40% of the recruited practices/providers must provide care to a predominately minority/underserved population.
| COR/GTL |
| Within 90 days of Task Order award |
| Task Work Plan Electronically, via CMS designated system (e.g., DDST). |
| 4 |
| Task B.3.5.1. - Meet with CDC grantee to discuss logistics |
| Within 20 days of Task Order award |
| Electronically, via CMS designated system (e.g., DDST) quarterly report |
| 5 |
| Task B.3.5.2. - Begin training on IIS |
| Within 30 days of Task Order award |
| Electronically, via CMS designated system (e.g., DDST) quarterly report |
| 6 |
| TaskB.3.5.4. - Provide technical assistance in reporting to the participating practices, i.e., education in using IIS |
| Ongoing |
| Electronically, via CMS designated system (e.g., DDST). quarterly report |
| 7 |
| TaskB.3.5.5. - Work with vendors to identify barriers and solutions to reporting issues |
| As needed |
| Electronically, via CMS designated system (e.g., DDST). |
quarterly Report
| 8 |
| Quarterly Reports to CMA |
Task B.3.5.6
Submit quarterly reports, including progress on recruitment, technical assistance & education provided to practices, practices’ progress in reporting, timeliness and completeness of practices’ reporting to IIS, etc. The quarterly reports must include documentation from the IIS (or EHRs) to support that practices’ reporting to IIS has been successful.
| 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).
| 9 |
| Task B.3.5.7. - Review IIS reports to monitor progress of practices |
| 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). |
| 10 |
| Sustainability Plan |
Task B.3.7
(Include in Task Work Plan)
| COR/GTL |
| 10/31/2014 and annually until the end of the Task Order. |
| Task Work Plan Electronically, via CMS designated system (e.g., DDST). |
| No. |
| Item |
| Recipient |
| Due Date(s) |
| Reporting Mechanism |
| Notes |
| Evaluation |
of Deliverable
Task B.4 - REC Collaboration
| 1 |
| Task Work Plan |
Task B. 4.1
| 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).
| 2 |
| Recruitment Plan |
Tasks B.4.2 and B.4.4
(Include in Task Work Plan)
| COR/GTL |
| Quarterly with a start date of 10/31/2014 until the end of the Task Order |
| Task Work Plan Electronically, via CMS designated system (e.g., DDST). |
| QIO must identify a target number of communities and providers to recruit per quarter through quarter 10. The recruitment plan must identify number of communities in need of assistance. |
| 3 |
| Provider and Practitioner Recruitment |
Task B.4.2
| COR/GTL |
| Quarterly with a start date of 10/31/2015 until the end of the Task Order |
Electronically, via CMS designated system (e.g., DDST).
| 4 |
| Partner and Stakeholder Recruitment |
Task B. 4.4
| 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). |
| 5 |
| Beneficiary and Family Engagement |
Task B. 4.3
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).
| 6 |
| Educational Materials & Strategy |
Task B.4.6
(Include in Task Work Plan)
| COR/GTL |
| Quarterly with a start date of 10/31/2014 until the end of the Task Order |
| Task Work Plan Electronically, via CMS designated system (e.g., DDST). |
| QIO must provide list of educational materials, invitations, webinar information and others |
| 7 |
| Communication and Collaboration Strategy |
Task B.4.6
(Include in Task Work Plan)
| COR/GTL |
| Quarterly with a start date of 10/31/2014 until the end of the Task Order |
| Task Work Plan Electronically, via CMS designated system (e.g., DDST). |
| QIO must provide a communication and collaboration plan with multiple stakeholders including plans for joint presentations, co-branding and educational sessions |
| 8 |
| Learning Community Strategy |
Task B.4.6
(Include in Task Work Plan)
| COR/GTL |
| Quarterly with a start date of 10/31/2014 until the end of the Task Order |
| Task Work Plan Electronically, via CMS designated system (e.g., DDST). |
| The QIO will facilitate participating provider, partner, meetings, and stakeholder collaboration and discussions, through the Learning and Action Network (LAN). |
| 9 |
| Provider Technical Assistance |
Task B.4.5
| 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). |
| 10 |
| LANs |
Task B.4.6
| COR/GTL |
| Quarterly with a start date of 10/31/2014 until the end of Task Order |
| Electronically, via CMS designated system (e.g., DDST). |
| 11 |
| Monitoring and Reporting Requirements |
Task B.4.7 Quarterly Reports
| 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). |
| QIO must provide updates on recruitment, progress, engagement activities, measure rates, opportunities and barriers. |
| 12 |
| Community/Sustainability Plan |
Task B.4.8
(Include in Task Work Plan)
| COR/GTL |
| 10/31/2014 and Annually until the end of the Task Order. |
| Task Work Plan Electronically, via CMS designated system (e.g., DDST). |
| Provide recommendations for community sustainability and consider local, state and federal resources |
| Item |
| Recipient |
| Due Date(s) |
| Reporting Mechanism |
| Notes |
| Evaluation |
of Deliverable
Task C.1 – HAI
| 1 |
| Task Work Plan |
Task C.1.1
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). |
| Plan must include: resource planning activities, key milestones including due dates, risk mitigation, task descriptions including a detailed description of activities necessary to complete each task, activity planning through personnel, and a recruitment strategy. |
| COR/GTL/ |
Task Lead
| 2 |
| Provider Hospital Recruitment |
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.
COR/GTL
a.10/31/2014 b.Quarterly with a start date of 10/31/2014 until the end of the Task Order
| Electronically, via CMS designated system (e.g., DDST). |
| CMS will provide reporting template and technical assistance to QIOs on template use as required |
| QIO must provide all relevant identifiers for each facility, completing all relevant fields in the supplied template. This deliverable applies to all HAI projects. |
| 3 |
| Beneficiary and Family Engagement |
Task C.1.3
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). |
| 4 |
| Partner and Stakeholder Recruitment and Collaboration |
Task C.1.4
| Quarterly with a start date of 10/31/2014 until the end of the Task Order |
| Electronically, via CMS designated system (e.g., DDST). |
| 5 |
| Partnership/Collaboration Plan |
Task C.1.4
(Include in Task Work Plan)
| COR/GTL |
| A start date of 10/31/2014 and annually thereafter |
| Task Work Plan Electronically, via CMS designated system (e.g., DDST). |
| 6 |
| Request for Partnership/Collaboration |
Task C.1.4
COR/GTL
| Ongoing |
| Electronically, via CMS designated system (e.g., DDST). |
| QIO to craft request letter |
| Request Letter - the QIO shall identify the partnering entity, purpose of partnership and shall also include an attestation of non-duplicative State and Federally-sponsored efforts. |
| 7 |
| Report of Partnership/Collaboration |
Task C.1.4
| COR/GTL |
| On the last day of the sixth month of the Task Order and every six months thereafter. |
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.
Reporting on QIO Tool Development and Distribution Task C.1.8
| COR/GTL |
| On the last day of the sixth month of the Task Order and every six months thereafter. |
| Electronically, via CMS designated system (e.g., DDST). |
| Table format preferred |
| Report must identify tools developed and/or distributed through action networks, purpose of tool, distribution date, and technical assistance provided by the QIO. |
| 9 |
| C.1.6.1 Central Line-Associated Bloodstream Infection (CLABSI) – section a.1. |
Statewide Environmental Scan of CLABSI SIRs
| NCC/ COR/GTL |
| At Task Order award and quarterly thereafter |
| Electronically, via CMS designated system (e.g., DDST). |
Will be based in SOW requirements in C.1.6.1
| 10 |
| C.1.6.1 Central Line-Associated Bloodstream Infection (CLABSI) section a.4. |
Provide CLABSI outcome data quarterly until national benchmark SIR has been reached.
| NCC/ COR/GTL |
| At Task Order award then quarterly thereafter |
| Electronically, via CMS designated system (e.g., DDST). |
Will be based in SOW requirements in C.1.6.1
| 11 |
| C.1.6.2.a. Catheter-Associated Urinary Tract Infections (CAUTI): |
Statewide Scan of CAUTI SIRs
| NCC/ 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).
Will be based in SOW requirements in C.1.6.2
| 12 |
| C.1.6.3. Clostridium Difficile Infection (CDI): g. Statewide Environmental Scan of CDI SIRs |
| COR/GTL |
| Quarterly with a start date of 10/31/2014 until the end of the Task Order |
NHSN
Will be based in SOW requirements in C.1.6.3
| 13 |
| C.1.6.4 Ventilator-Associated Events (VAE) |
a. Conduct at least one educational LAN even regarding VAE by 7/31/15
b. Document the number of QIOs 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
| 14 |
| Task C.1.7. Learning and Action Networks (LANs): |
Section a.3, Strategies Develop strategies for identifying current and potential duplication of HAI work and mitigating such duplication when and if it
Sections a.4, Duplicative Activities and a.5, Partnerships Partnerships and duplicative activities and their resolution should be reported to CMS at least quarterly.
| 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).
Based on SOW requirements in C.1.7
| 15 |
| Task C.1.8. Monitoring and Reporting Requirements: |
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)
| COR/GTL |
| a. and b. By the end of the month to coincide with the environmental scan. |
c. Quarterly Electronically, via CMS designated system (e.g., DDST).
Based on SOW requirements in C.1.8
| 16 |
| Task C.1.9 Sustainability Plan |
(Include in Task Work Plan)
| COR/GTL |
| Within 45 days of Task Order Award and Annually until the end of the Task Order. |
| Electronically, via CMS designated system (e.g., DDST). |
QIN-QIO SoW IDIQ HHSM-500-2014-RFP-QIN-QIO Quality Improvement Task Order No. 001 Attachment J.1(a) – Schedule of Deliverables
| Item |
| Recipient |
| Due Date(s) |
| Reporting Mechanism |
| Notes |
| Evaluation |
of Deliverable
Task C.2 – Nursing Homes
| 1 |
| Task Work Plan |
Task C.2.1
| 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). |
| See Part 4 of this TO, Core Requirements Applicable to All Task Orders for Task Work Plan specifications |
| QIO will be evaluated for compliance with Part 4 of this TO, Core Requirements Applicable to All Task Orders and Task C.2- Nursing Home, and any elements identified in teleconference with COR/GTL. |
| 2 |
| Collaborative Structure |
Section C. General Desired Outcomes
| COR/GTL/NCC |
| September 30, 2014 |
| Electronically, via CMS designated system (e.g., DDST). |
| QIN, consulting with the NCC, shall create an operational structure for Collaborative I and II |
| QIO will be evaluated based upon needs of QIN service area and feasibility of structure. |
| 3 |
| Provider Recruitment |
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
| COR/GTL |
| Oct. 31, 2014 |
| Electronically, via CMS designated system (e.g., DDST). |
Template: Participant Agreement or Decisions Not to Participate
| QIO must meet RTN and 1-Star SCTC counts as calculated for each individual participating state and territory |
| QIO must recruit >6% of RTN, inclusive of >6% SCTC. QIO must have a fully executed Participation Agreement for each QIO represented as a part of its RTN. |
| 4 |
| 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
| COR/GTL |
| Nov. 30, 2014 |
Electronically, via CMS designated system (e.g., DDST).
Template: ParticipationAgreement or Decisions Not to Participate
| QIO must meet RTN and SCTC counts as calculated for each individual participating state and territory |
| QIO must recruit >12% of RTN, inclusive of >12% SCTC. QIO must have a fully executed Participation Agreement for each QIO represented as a part of its RTN. |
| 5 |
| 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 |
| COR/GTL |
| December 31, 2014 |
Electronically, via CMS designated system (e.g., DDST).
Template: Participant Agreement or Decisions Not to Participate
| QIO must meet RTN and SCTC counts as calculated for each individual participating state and territory |
| QIO must recruit >18% of RTN, inclusive of >18% SCTC. QIO must have a fully executed Participation Agreement for each QIO represented as a part of its RTN. |
| 6 |
| 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 |
| COR/GTL |
| Jan. 31, 2015 |
| Electronically, via CMS designated system (e.g., DDST). |
Template: Participation Agreement or Decisions Not to Participate
| QIO must meet RTN and SCTC counts as calculated for each individual participating state and territory |
| QIO must recruit >24% of RTN, inclusive of >24% SCTC. QIO must have a fully executed Participation Agreement for each QIO represented as a part of its RTN. |
| 7 |
| Collaborative I: Recruitment Target Number (RTN) and 1-Star Category Target Count (SCTC) and proofs of participation: Participation Agreements and Decisions Not to Participate |
| COR/GTL |
| Feb. 28, 2015 |
Electronically, via CMS designated system (e.g., DDST).
| QIO must meet RTN and SCTC counts as calculated for each individual participating state and territory |
| QIO must recruit >30% of RTN, inclusive of >30% SCTC. QIO must have a fully executed Participation Agreement for each QIO represented as a part of its RTN. |
| 8 |
| Collaborative I: Recruitment Target Number (RTN) and 1-Star Category Target Count (SCTC) and documentation of participation: Participation Agreements and Decisions Not to Participate |
| COR/GTL |
| March 31, 2015 |
| Electronically, via CMS designated system (e.g., DDST). |
| QIO must meet RTN and SCTC counts as calculated for each individual participating state and territory |
| >35% of RTN, inclusive of >35% SCTC |
| 9 |
| Collaborative I and II: QAPI Assessment |
C.2.6.3 Areas for Rapid Cycle Quality Improvement Testing and Implementation
| COR/GTL |
| Monthly beginning |
Apr. 30, 2015 - Sept 30,, 2018 Electronically, via CMS designated system (e.g., DDST).
| Nursing homes will complete and /or update QAPI Assessment |
| >95% of total number of nursing homes participating in Collaborative I and II shall initiate, update and maintain QAPI Assessment Tool |
| 10 |
| Collaborative II: Recruitment Target Number (RTN) and 1-Star Category Target Count (SCTC) and documentation of participation: Participation Agreements and Decisions Not to Participate |
| COR/GTL |
| October 31, 2016 |
| Electronically, via CMS designated system (e.g., DDST). |
| QIO must meet RTN and SCTC counts as calculated for each individual participating state and territory |
| QIO must >50% of RTN, inclusive of >50% SCTC. QIO must have a fully executed Participation Agreement for each QIO represented as a part of its RTN. |
| 11 |
| Collaborative II: Recruitment Target Number (RTN) and 1-Star Category Target Count (SCTC) and documentation of participation: Participation Agreements and Decisions Not to Participate |
| COR/GTL |
| Nov. 30, 2016 |
| Electronically, via CMS designated system (e.g., DDST). |
| QIO must meet RTN and SCTC counts as calculated for each individual participating state and territory |
| QIO must recruit >60% of RTN, inclusive of >60% SCTC. QIO must have a fully executed Participation Agreement for each QIO counted as a part of its RTN. |
| 12 |
| Collaborative II: Recruitment Target Number (RTN) and 1-Star Category Target Count (SCTC) and documentation of participation: Participation Agreements and Decisions Not to Participate |
| COR/GTL |
| December 31, 2016 |
| Electronically, via CMS designated system (e.g., DDST). |
Template: Participation Agreement or Decisions Not to Participate
| QIO must meet RTN and SCTC counts as calculated for each individual participating state and territory |
| QIO must recruit>70% of RTN, inclusive of >70% SCTC. QIO must have a fully executed Participation Agreement for each QIO counted as a part of its RTN. |
| 13 |
| Collaborative II: Recruitment Target Number (RTN) and 1-Star Category Target Count (SCTC) and documentation of participation: Participation Agreements and Decisions Not to Participate |
| COR/GTL |
| Jan. 31, 2017 |
| Electronically, via CMS designated system (e.g., DDST). |
| QIO must meet RTN and SCTC counts as calculated for each individual participating state and territory |
| QIO must recruit>80% of RTN, inclusive of >80% SCTC. QIO must have a fully executed Participation Agreement for each QIO counted as a part of its RTN. |
| 14 |
| Collaborative II: Recruitment Target Number (RTN) and 1-Star Category Target Count (SCTC) and documentation of participation: Participation Agreements and Decisions Not to Participate |
| COR/GTL |
| Feb. 28, 2017 |
| Electronically, via CMS designated system (e.g., DDST). |
| QIO must meet RTN and SCTC counts as calculated for each individual participating state and territory |
| QIO must recruit >90% of RTN, inclusive of >90% SCTC. QIO must have a fully executed Participation Agreement for each QIO counted as a part of its RTN |
| 15 |
| Collaborative II: Recruitment Target Number (RTN) and 1-Star Category Target Count (SCTC) and documentation of participation: Participation Agreements and Decisions Not to Participate |
| COR/GTL |
| March 31, 2017 |
| Electronically, via CMS designated system (e.g., DDST). |
| QIO must meet RTN and SCTC counts as calculated for each individual participating state and territory |
| QIO must recruit 100% of RTN, inclusive of 100% SCTC. QIO must have a fully executed Participation Agreement for each QIO counted as a part of its RTN. |
| 16 |
| Collaborative I and II: Nursing Home Participation Agreement |
C.2.2
| COR/GTL |
| In alignment with RTN and SCTC recruitment dates |
| QIO will submit Participation Agreements electronically, via CMS designated system (e.g., DDST). |
| A the QIO RTN. |
| QIO will maintain a file A Participation Agreements must be submitted for every nursing home counted as a part of the RTN. |
| 17 |
| Collaborative I and II: 1-Star Nursing Home Decisions Not to Participate |
C.2.2
| COR/GTL |
| Ad hoc but in alignment with recruitment requirements for SCTC |
| Electronically, via CMS designated system (e.g., DDST). |
| 1-Star Nursing Homes actively recruited for engagement and deciding not to participate in either Collaborative I and/or II shall have their Decisions not to Participate uploaded into the DDST system. |
| The QIO’s Decisions Not to Participate will provide documentation with no less than the information noted in C.2.2. |
| 18 |
| Peer-Coach Recruitment: Nursing Home Staff |
C.2.3 Peer-Coach Recruitment
| COR/GTL |
| Oct. 30, 2014, |
Dec. 28, 2014 February 30, 2015 Electronically, via CMS designated system (e.g., DDST).
Oct 30, 2014 QIO shall provide description of training schedule; identify Nursing Homes, staff, and measures.
Dec. 28, 2014 QIO shall provide plans for utilization of Peer-Coaches Feb. 30, 2015 submission shall document activities and use of Peer-Coaches.
QIO shall provide Peer-Coach Recruitment and training information consisting of no less than the information specified in C.2.3
Beneficiary and Family Engagement
Peer-Coach Recruitment: Beneficiary and Family Member Engagement:
Task C.2.3 Peer-Coach Recruitment
COR/GTL
October 31, 2014 and January 30, 2015
Electronically, via CMS designated system (e.g., DDST).
For every service area there shall be at least one (1) resident or family member participating as a Peer-Coach, in qualifying states.
Report shall include activities, dates, and role of beneficiary and/or family members involvement as Peer-Coaches
| 20 |
| Beneficiary and/or Family-member Engagement: Participation in QIO Quality Improvement Activities |
Task C.2.4 Beneficiary Recruitment
| 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).
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
| 21 |
| Beneficiary and/or Family-member Engagement: Participation in Nursing Home Quality Improvement Activities |
Task C.2.4 Beneficiary Recruitment
| 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 foster beneficiary involvement in nursing home QI activities.
(2)The QIO shall encourage nursing homes to include residents and family-members in
Report shall include activities, dates, and methods QIO used to promote increased participation of Beneficiary and Family-member engagement in nursing homes
| 22 |
| Partner and Stakeholder Recruitment |
State Survey Agency and Letter of Agreement C.2.5 Partner and Stakeholder Recruitment
| COR/GTL |
| Beginning |
9/30/2014, continuing quarterly ad hoc until end of SOW Electronically, via CMS designated system (e.g., DDST).
| Foster communication and align efforts. |
| SSA’s Letter of Agreement shall contain no less than the information contained in C.2.5: (1) Initial contact with SSA shall be within first 60 days of SOW. (2) Letter of agreement shall include date, person and plan for participation in LAN, and follow-up. (3) Role of SSA in achieving the goals of the Nursing Home Task Order in the SOW. |
| 23 |
| Monitoring and Reporting Requirements |
Task C.2.7
HAC: Increase mobility among long-stay nursing home residents
Section B. General Desired Outcomes
| COR/GTL |
| Quarterly beginning |
April 30, 2015 and continuing until July 2018 Electronically, via CMS designated system (e.g., DDST).
| TBD |
| TBD |
| 24 |
| HAC: Decrease use of unnecessary antipsychotic medication |
Section B. General Desired Outcomes
| COR/GTL |
| Quarterly beginning |
April 30, 2015 and continuing until July 2018
| Electronically, via CMS designated system (e.g., CASPER). |
| TBD |
| TBD |
| 25 |
| HAC: Develop community specific measure(s) to reduce avoidable hospital admissions and readmissions: Track intervention effectiveness measures targeting the root causes associated with reducing avoidable hospital admissions and readmissions |
Section B. General Desired Outcomes
| COR/GTL |
| Quarterly beginning |
April 30, 2015 and continuing until July 2018 Electronically, via CMS designated system (e.g., DDST).
| In alignment with C.3 Convening Communities to Improve Care Coordination for Beneficiaries and Families LANs, QIO will assist providers to identify and track intervention effectiveness measures targeting the root causes associated with reducing hospital admissions and readmissions. |
| For C.2.B, QIO will determine effectiveness of community measures, identified in C.3. by identifying effectiveness of interventions and QI activities, e.g., RCAs, QIO work to reduce rates of hospital admissions and readmissions |
| 26 |
| Alignment and Coordination (avoiding duplication of effort): Partners and Stakeholder Recruitment |
C.2.5 Partner and Stakeholder Recruitment
| COR/GTL |
| Quarterly with a start date of 10/31/2014 and continuing until July 2018 |
| Electronically, via CMS designated system (e.g. DDST). |
| 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. |
| Duplication of Effort Mitigation Plan |
| 27 |
| Data on -Interventions |
Task C.2.7.
| 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).
| Template |
| TBD |
| 28 |
| Sustainability Plan |
Task C.2.8
(Include in Task Work Plan)
| COR/GTL |
| 10/31/2014 and Annually until the end of the Task Order. |
Electronically, via CMS designated system (e.g., DDST).
| Template |
| The QIO shall develop and implement a sustainability plan that will promote, facilitate, and ensure continued improvement in the goals and measures attained after the end of the SOW. |
QIN-QIO SoW IDIQ Contract No. _________________ Quality Improvement Task Order No. 001 Attachment J-1a – Schedule of Deliverables
| No. |
| Item |
| Recipient |
| Due Date(s) |
| Reporting Mechanism |
| Notes |
| Evaluation |
of Deliverable
Task C.3 – Coordination of Care
| 1 |
| Task Work Plan |
Task C.3.1
| 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). |
| 2 |
| Community Coalition Recruitment Plan |
Task C.3.2
(Include in Task Work Plan)
| 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 must include in their plan:
1. Minimum of 40% of the FFS population in the region, 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.
| 3 |
| Medication Safety and Adverse Drug Event Prevention Recruitment |
Task C.3.5
| 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 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.
| 4 |
| Medication Safety and Adverse Drug Event Prevention Intervention Report |
Task C.3.5
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.
| 5 |
| Adverse Drug Event Report |
Task C.3.5
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.
| 6 |
| Community Logic Models |
Task C.3.3
| 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 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.
| 7 |
| Intervention Effectiveness Measurement Report |
Task C.3.3.and Task C.3.7
| 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).
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.
| 8 |
| Monthly Community Logs |
Task C.3.7.a
| COR/GTL |
| Monthly |
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.
| 9 |
| Quarterly Narrative Report |
Task C.3.7.b
| 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 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.
| 10 |
| Intervention/Driver performance Progress Reports |
Task C.3.8.e
| COR/GTL |
| One report annually beginning year 2 (June 15, 2016, June 15, 2017, June 15, 2018, June 15, 2019) |
| Electronically, via CMS designated system (e.g., DDST). |
Submitted using SQUIRE format (see Attachment on SQUIRE guidelines)
| 11 |
| Sustainability Plan |
Task C.3.6
(Include in Task Work Plan)
| COR/GTL |
| 10/31/2014 and Annually until the end of the Task Order. |
| Electronically, via CMS designated system (e.g., DDST). |
QIN-QIO SoW IDIQ HHSM-500-2014-RFP-QIN-QIO Quality Improvement Task Order No. 001 Attachment J-1a – Schedule of Deliverables
| No. |
| Item |
| Recipient |
| Due Date(s) |
| Reporting Mechanism |
| Notes |
| Evaluation |
of Deliverable
Task D.1 – Physician Value-Based Modifier
| 1 |
| Task Work Plan |
Task D.1.1
COR/GTL
| Quarterly with a begin date of 10/31/2014 until the end of the Task Order |
| Electronically, via CMS designated system (e.g., DDST). |
Microsoft Word
| 2 |
| Practitioner Recruitment |
a. Recruitment Plan (Include in Task Work Plan)
b. Recruitment
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
| Electronically, via CMS designated system (e.g., DDST). |
| Microsoft Word |
| 3 |
| Partner and Stakeholder Recruitment and Collaboration |
Task D.1.4
COR/GTL/
Quarterly with a begin date of 10/31/2014 until the end of the Task Order
| Electronically, via CMS designated system (e.g., DDST). |
| Microsoft Word |
| QIOs will be evaluated on whether the proposed number of partners and/or stakeholders are actually recruited and maintained based on a review of the documents submitted via DDST. |
| 4 |
| Technical Assistance |
Task D.1.7., D.1.8 and D.1.9
COR/GTL
Quarterly with a begin date of 10/31/2014 until the end of the Task Order
| Electronically, via CMS designated system (e.g., DDST). |
| Microsoft Word |
| Fact-specific description of TA QIO has provided, with particular information on barriers and solutions to those barriers. Report on all three subtasks. |
| 5 |
| Agendas and Minutes from Quarterly National Conference Calls with Stakeholders. |
Task D.1.6.1(b)
| 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). |
| Microsoft Word |
| Completeness and accuracy of information. |
| 6 |
| Communications Materials, Tools and Programs |
Task D.1.6.1(a), (c) and (d)
| 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). |
| Format will vary; consult with COR/GTL |
| Completeness and accuracy of communication, usefulness and applicability of tool |
| 7 |
| Plan for Facilitating Measure and Incentive Performance |
Task D.1.7
| COR/GTL |
| October 31, 2014 and when changes are made |
| Electronically, via CMS designated system (e.g., DDST). |
| Microsoft Word |
| Coherent, actionable, feasible and efficacious plan that addresses the nuances of performance. |
| 8 |
| Report of LAN Activities |
Task D.1.10
| COR/GTL |
| Quarterly with a begin date of 10/31/2014 until end of Task Order |
| Electronically, via CMS designated system (e.g., DDST). |
| Microsoft Word |
| Summary of LAN activities, complete with names of participants. |
| 9 |
| Alignment and Coordination with Related CMS Programs |
Task D.1.11
| COR/GTL |
| Quarterly with a begin date of 10/31/2014 until end of Task Order |
| Electronically, via CMS designated system (e.g., DDST). |
| Microsoft Word |
| Summary of activities to identify areas of synergy and interventions that improve quality |
| 10 |
| Data Analysis of Groups that do not Report Electronically |
Task D.1.12
| COR/GTL |
| Biannually with a begin date of 10/31/2014 |
| Electronically, via CMS designated system (e.g., DDST). |
This is the start of the file's text. The full file is on GovTribe.
File details come from the government source that posted it. Updated .