Responses_to_TQMC_Pre-proposal_Conference_Questions_6-10-15.docx
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- TRICARE Quality Monitoring Contract (TQMC)
- Solicitation number
- HT9402-15-R-0005
- Issued by
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Defense Health Agency
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Responses to TQMC Pre-proposal Conference Questions
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TQMC HT9402-15-R-0005
Pre-proposal Conference Questions &Answers TQMC Pre-proposal Conference Questions &Answers Offerors shall not use the responses to potential offerors’ questions as a substitute for reading and complying with the solicitation requirements posted on fbo.gov on May 19, 2015. The offeror is solely responsible for reading the solicitation and any amendments issued and submitting a proposal in compliance with all terms and conditions.
| No: |
| Solicitation Citation |
| Question/Comment |
| DHA Response |
| 1 |
| Section C, paragraph 6.0 |
| What is the difference between ORYX “core measures” and ORYX “core measure set”? |
| The Joint Commission quality measures are known as “Core Measures.” These measures are grouped into 14 core measure sets based upon the clinical areas of focus. The measure sets and individual measures within each of the 14 core measure sets can be found at: http://www.jointcommission.org/core_measure_sets.aspx |
See Section C, paragraph 6.3.3
| 2 |
| Section C, paragraph 6.6.1 |
| When responses are released, will the Government provide the direct care quality study and purchased care study responses? |
| Section L Exhibit L-7, TRICARE Direct Care Studies (2011-2013) – Historical Information, lists the Direct Care System quality studies performed in Fiscal Years 2011-2013. There were approximately 4 quality improvement studies performed per year in the Purchased Care System during Fiscal Years 2012-2014. See Section C, paragraph 6.6.1. |
| 3 |
| Section C, paragraph 6.6.2 |
| Is Autism Care Demonstration (ACD) currently being performed? |
| No. This is a new requirement. See Section C, paragraph 6.6.2, and Pre-proposal Conference PowerPoint Presentation Slide 18. |
| 4 |
| Section C, paragraph 6.3 Performance Measurement and Reporting |
| Need clarification of response on question #119 [of the draft RFP Q&As] regarding ORYX measure. |
| The Joint Commission 14 Core Measure Sets include: Perinatal Care, Venous Thromboembolism, Hospital Outpatient Department, Pneumonia Measures, Heart Failure, Acute Myocardial Infarction, Substance Use, Stroke, Tobacco Treatment, Surgical Care Improvement Project, Hospital-Based Inpatient Psychiatric Services, Emergency Department, Children's Asthma Care, Immunization |
The Government currently collects data for the Perinatal Care, Pneumonia Measures, Heart Failure, Acute Myocardial Infarction, Surgical Care Improvement Project, Hospital-Based Inpatient Psychiatric Services, Children's Asthma Care at all MTFs. The Government also collects any additional measure sets selected by the MTF for submission to the Joint Commission to meet accreditation requirements.
Section C. paragraph 6.3.1.4 requires the contractor to collect Timely and Effective Care measures not already collected above. The Hospital Compare Timely and Effective Care Measures include Perinatal Care, Venous Thromboembolism, Hospital Outpatient Department, Pneumonia Measures, Heart Failure, Acute Myocardial Infarction, Stroke, Surgical Care Improvement Project, Hospital-Based Inpatient Psychiatric Services, Emergency Department, Children's Asthma Care, Immunization measures.
| 5 |
| Section B, CLIN X008 |
| Please confirm if the information in Section B on Quality Utilization Review is correct. |
| Without a specific question, the information is correct as far as DHA determined. See Section L, paragraph 2.1.3, Discrepancies and Ambiguities; DHA’s responses to TQMC Solicitation Questions 10, 11, and Pre-proposal Conference PowerPoint Presentation Slide 22. |
| 6 |
| Section C paragraph 6.8.3 |
Who can access the MHQ CQM website?
Can the purchased care contractors access the MHQ CQM website?
The public portion of the website is open to civilian, government and contract personnel. The secure portion of the website is role based and access is granted to contractor and government (civilian and military) staff. See Section C, paragraph 6.8.3
Yes, after they are granted access.
| 7 |
| Section C paragraph 1.1.1 |
| How many purchased care contractors are there? |
| Per Section C paragraph 1.1.1, “The purchased care system provides care through private sector contractors including the three Managed Care Support Contracts (MCSCs); the six Designated Providers (DP) under the Uniformed Services Family Health Plan (USFHP); the TRICARE Overseas Program (TOP) contractor; the TRICARE Dual Eligible Fiscal Intermediary Contract (TDEFIC); TRICARE Dental Program (TDP); TRICARE Retiree Dental Program (TDP) and the TRICARE Pharmacy Program (Pharm) contractor.” See Pre-proposal Conference PowerPoint Presentation Pre-proposal Slide 11. |
| 8 |
| Section B, CLINs X017, X018, X019 |
| How does the volume reconcile to two studies per year? |
See Pre-proposal Conference PowerPoint Presentation Slide 22; Section B, Section G paragraph 3.1, and DHA Responses to Solicitation Questions 10, 11. 53-56
| 9 |
| Section C, paragraph 6.3.1.1 (HEDIS®) |
| Is there a reference where a list of those measures can be found? |
HEDIS® measures currently collected:
Purchased care HEDIS measures currently collected include:
| • | Appropriate Meds Asthmatics |
| • | Antidepressant Meds (Acute Phase) |
| • | Antidepressant Meds (Continuation Phase) |
| • | Breast Cancer Screening |
| • | Cervical Cancer Screening |
| • | Colorectal Cancer Screening |
| • | Diabetes A1c Screening |
| • | Mental Health Follow-up 7 days |
| • | Mental Health Follow-up 30 days |
| • | Use of Imaging Studies for Low Back Pain |
| • | Well Child Visits |
| • | Appropriate Testing for Children With Pharyngitis |
| • | Appropriate Treatment for Children With Upper Respiratory Infection (URI) |
Direct care HEDIS measures currently collected include:
| • | Appropriate Meds Asthmatics |
| • | Antidepressant Meds (Acute Phase) |
| • | Antidepressant Meds (Continuation Phase) |
| • | Breast Cancer Screening |
| • | Cervical Cancer Screening |
| • | Colorectal Cancer Screening |
| • | Diabetes A1c Screening |
| • | Diabetes A1c Control |
| • | Mental Health Follow-up 7 days |
| • | Mental Health Follow-up 30 days |
| • | Use of Imaging Studies for Low Back Pain |
| • | Well Child Visits |
| • | Appropriate Testing for Children With Pharyngitis |
| • | Appropriate Treatment for Children With Upper Respiratory Infection (URI) |
| • | All Cause Readmissions |
| 10 |
| Section C, paragraph 6.6.2.2 |
| How are the participants selected? [for Autism Care Demonstration] |
| Per Section C, Paragraph 6.6.2.2, the contractor shall audit claims data to identify the total population of children meeting the criteria for having an autism spectrum diagnosis and who are also receiving Applied Behavior Analysis (ABA) therapy. All children receiving ABA therapy are enrolled in the Autism Care Demonstration. The contractor shall then identify a statistically valid sample from this population from which to conduct the study. |
| 11 |
| Section C, paragraph 6.1.13 |
| Remote access to MTFs. How long will it take? |
| The incumbent contractor currently has obtained remote access to all 54 inpatient MTFs. The successful offeror will be required to obtain remote access to these 54 sites during Transition-In, or will be required to perform chart abstractions on-site following the start of OP-1 until remote access is obtained. See Section C, paragraph 6.1.13. |
| 12 |
| Section L, paragraph 9.7 and Section Exhibit L-4. Section L, DCMA Form 1620 04-04, Guaranty Agreement for Corporate Guarantor, |
| When is it required? |
| If the offeror is a subsidiary, then a financial guaranty from the parent corporation will be required. See Section L, paragraph 9.7, and Section Exhibit L-4. |
| 13 |
| Section B, CLINs |
| What does the NTE refer to? |
Do they apply to the entire Option Period?
This is an IDIQ contract. See FAR Clause 52.216-22, Indefinite Quantity. Section B, TQMC Option Year 1 states, “The schedule quantities are estimated except for CLINs 1001, 1002, 1003, 1023, 1024, 1025, 1026 and 1027.” Yes, they apply to the entire Option Period.
See Pre-proposal Conference PowerPoint Presentation Slide 22; Section B, Section G paragraph 3.1, and DHA Responses to Solicitation Questions 10, 11.
| Would the Government proceed with award if received one proposal? |
| DHA cannot comment on hypothetical situations. See Section L, DFARS Clause 252.215-7009 and paragraph 2.1.9 Competition. The Government will proceed in a manner that is in the best interests of DHA and as permitted by Solicitation and the FAR/DFARS. |
| 15 |
| Section L, paragraph 7.0 VOLUME III, PAST PERFORMANCE INFORMATION (FACTOR 2, PAST PERFORMANCE) |
| Is the requirement for three past performance contracts for each first-tier subcontractor a minimum or a maximum ? |
| It is a maximum per Section L, paragraph 7.2.2, Past Performance Contract Descriptions. In addition to the Past Performance Narrative, the offeror shall provide a maximum of three recent contracts for itself and for each of its first-tier subcontractors. See Section L, paragraph 7.7 and Pre-proposal Conference PowerPoint presentation, Slide 35. |
| May a First Tier sub be compliant with a minimum of 1? |
| See response to question 15. DHA will evaluate past performance in accordance with Section M. paragraph 5.0. Also see Section L, paragraphs 7.2.2 and 7.7. |
Common Proposal Mistakes:
Failure to read entire Solicitation carefully, including all sections, attachments and background information and any amendments.
· Section L contains the Instructions, Conditions, and Notices: Proposal preparation instructions.
· Failure to comply with the solicitation instructions could result in the proposal being non-responsive and ineligible for award (Section L, paragraph 2.1.5).
· Past performance: Inadequate specifics in its cover letter or the PPQ, so the Government cannot identify to which offeror the past performance refers and the specific contract referenced.
· Factor 1, Technical Approach Volume II
· Factor 2, Past Performance Volume III:
· Failure to submit PPQs related to the Past Performance Contracts in Factor 2.
· Failure to comply with paragraph 7.7.3. The Client authorization letters are required for each identified past performance effort (Section L Exhibit L-1, Sample Client Authorization Letter).
· Past performance contract POC fails to send the completed PPQ to DHA in accordance with Section L, paragraph 7.7.1, “The Government will not accept or evaluate any PPQs sent directly to Government from a proposing offeror or its subcontractors. For expediency of evaluation, offerors shall instruct past performance POCs to email the completed PPQ to cynthia.d.turk.civ@mail.mil and margaret.a.zancanella.civ@mail.mil as soon as possible but not later than the date specified in Block 9 of the SF 33.”
· A “secure email” from an unknown sender with links to past performance information is not an email with “the completed PPQ” and violates DOD security protocols.
· Failure to submit the consent of proposed first-tier subcontractor(s) and teaming partners, as applicable (see Section L Exhibit L-3, Sample Teaming Partner/Subcontractor’s Consent).
· Section M contains the Evaluation Factors: General information about how DHA will evaluate proposals.
· The solicitation and resulting contract are interpreted as a whole.
· Plain English takes precedence over technical language except where terms are defined within the solicitation.
Offeror is unfamiliar with the applicable FAR and DFARS references and industry best practices and standards.
Offeror emphasizes its capabilities without clearly identifying how it will meet the solicitation requirements to meet agency’s objectives.
TQMC HT9402-15-R-0005 Responses to Pre-proposal Conference Questions Page 1 of 5
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