HT940222R0002_Amendment 0003.pdf

(x)

HT940222R0002

x x copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted ; or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGEMENT TO BE RECEIVED AT

THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted , such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

x

HT9402

AURORA CO 80011-9066

16401 E CENTRETECH PARKWAY

DEFENSE HEALTH AGENCY-AURORA

DEFENSE HEALTH AGENCY

HT9402

AURORA CO 80011

16401 E CENTRETECH PARKWAY

DEFENSE HEALTH AGENCY-AURORA

DEFENSE HEALTH AGENCY

07/28/20220003

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

12. ACCOUNTING AND APPROPRIATION DATA (If required) is not extended.is extended, Items 8 and 15, and returning

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended , by one of the following methods: (a) By completing

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

FACILITY CODE CODE

10B. DATED (SEE ITEM 13)

10A. MODIFICATION OF CONTRACT/ORDER NO.

9B. DATED (SEE ITEM 11)

9A. AMENDMENT OF SOLICITATION NO.

CODE

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

7. ADMINISTERED BY (If other than Item 6)CODE 6. ISSUED BY

PAGE OF PAGES

4. REQUISITION/PURCHASE REQ. NO.3. EFFECTIVE DATE2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO. (If applicable)

1. CONTRACT ID CODE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

06/21/2022

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority) appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

E. IMPORTANT: Contractor is not, is required to sign this document and return __________________ copies to the issuing office.

ORDER NO. IN ITEM 10A.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

Please see Continuation Page for details regarding this amendment. As a result of this amendment, the proposal submission due date has been extended to August 10, 2022, 5:00pm MT.

Continued ...

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)15A. NAME AND TITLE OF SIGNER (Type or print)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 15B. CONTRACTOR/OFFEROR 16C. DATE SIGNED

(Signature of person authorized to sign) (Signature of Contracting Officer)

Kristin Moore

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA

FAR (48 CFR) 53.243

NSN 7540-01-152-8070

Previous edition unusable

Except as provided herein, all terms and conditions of the document referenced in Item 9 A or 10A, as heretofore changed, remains unchanged and in full force and effect .

kristin.m.moore13.civ@mail.mil

303-676-3905

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 15

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

HT940222R0002/0003

Change Item 1003AB to read as follows(amount shown is the total amount):

1003AB Joint Commission ORYX® Hospital Quality Measures 95000 EA

(Direct Care) Chart Abstraction (PWS Section 5 paragraph 5.3.3.1) Fixed price per chart.

(Option Line Item)

Add Item 1003AC as follows:

1003AC Clinical Quality Measurement Result Accuracy 2000 EA

Validation (PWS Section 5 paragraph 5.3.4)

Fixed price per chart.

(Option Line Item)

Change Item 1004AA to read as follows(amount shown is the total amount):

1004AA Leapfrog Value-Based Purchasing Program Data & 1 EA

Reports package for Health Plans (PWS Section 5 paragraph 5.3.5.1)

FFP

(Option Line Item)

Change Item 1004AB to read as follows(amount shown is the total amount):

1004AB Leapfrog Communications (PWS Section 5 paragraph 1 EA

5.3.5, 5.3.5.5.3.1)

FFP

(Option Line Item)

Change Item 1004AC to read as follows(amount shown is the total amount):

1004AC Leapfrog Education Series Attendance (PWS Section 6 EA

5 paragraph 5.3.5)

FFP

(Option Line Item)

Continued ...

3 15

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

HT940222R0002/0003

Change Item 1004AD to read as follows(amount shown is the total amount):

1004AD Leapfrog Annual Meeting (PWS Section 5 paragraph 1 EA

5.3.5, 5.3.5.5.2.2)

FFP

(Option Line Item)

Change Item 1004AE to read as follows(amount shown is the total amount):

1004AE MHS Leapfrog Survey and Safety Grade 12 MO

Participation Value-Based Purchasing Program Data

& Reports package for Health Plans analysis (PWS

Section 5 paragraphs 5.3.5.2 & 5.3.5.3)

FFP

(Option Line Item)

Change Item 1004AF to read as follows(amount shown is the total amount):

1004AF MHS Leapfrog Survey and Safety Grade 12 MO

Participation Training, Email Box and Frequently

Asked Question Support (PWS Section 5 paragraph

5.3.5.5.2)

FFP

(Option Line Item)

Cancel Item 1004AG in its entirety.

Cancel Item 1004AH in its entirety.

Cancel Item 1004AJ in its entirety.

Change Item 1019 to read as follows(amount shown is the total amount):

1019 Quality Communications (PWS Section 5 paragraph 12 MO

5.8)

FFP

4 15

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

HT940222R0002/0003

Change Item 2003AB to read as follows(amount shown is the total amount):

2003AB Joint Commission ORYX® Hospital Quality Measures 95000 EA

(Direct Care) Chart Abstraction (PWS Section 5 paragraph 5.3.3.1) Fixed price per chart.

(Option Line Item)

Add Item 2003AC as follows:

2003AC Clinical Quality Measurement Result Accuracy 2000 EA

Validation (PWS Section 5 paragraph 5.3.4)

Fixed price per chart.

(Option Line Item)

Change Item 2004AA to read as follows(amount shown is the total amount):

2004AA Leapfrog Value-Based Purchasing Program Data & 1 EA

Reports package for Health Plans (PWS Section 5 paragraph 5.3.5.1)

FFP

(Option Line Item)

Change Item 2004AB to read as follows(amount shown is the total amount):

2004AB Leapfrog Communications (PWS Section 5 paragraph 1 EA

5.3.5, 5.3.5.5.3.1)

FFP

(Option Line Item)

Change Item 2004AC to read as follows(amount shown is the total amount):

2004AC Leapfrog Education Series Attendance (PWS Section 6 EA

5 paragraph 5.3.5)

FFP

5 15

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

HT940222R0002/0003

Change Item 2004AD to read as follows(amount shown is the total amount):

2004AD Leapfrog Annual Meeting (PWS Section 5 paragraph 1 EA

5.3.5, 5.3.5.5.2.2)

FFP

(Option Line Item)

Change Item 2004AE to read as follows(amount shown is the total amount):

2004AE MHS Leapfrog Survey and Safety Grade 12 MO

Participation Value-Based Purchasing Program Data

& Reports package for Health Plans analysis (PWS

Section 5 paragraphs 5.3.5.2 & 5.3.5.3)

FFP

(Option Line Item)

Change Item 2004AF to read as follows(amount shown is the total amount):

2004AF MHS Leapfrog Survey and Safety Grade 12 MO

Participation Training, Email Box and Frequently

Asked Question Support (PWS Section 5 paragraph

5.3.5.5.2)

FFP

(Option Line Item)

Cancel Item 2004AG in its entirety.

Cancel Item 2004AH in its entirety.

Cancel Item 2004AJ in its entirety.

Change Item 2019 to read as follows(amount shown is the total amount):

2019 Quality Communications (PWS Section 5 paragraph 12 MO

5.8)

FFP

6 15

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

HT940222R0002/0003

Change Item 3003AB to read as follows(amount shown is the total amount):

3003AB Joint Commission ORYX® Hospital Quality Measures 95000 EA

(Direct Care) Chart Abstraction (PWS Section 5 paragraph 5.3.3.1) Fixed price per chart.

(Option Line Item)

Add Item 3003AC as follows:

3003AC Clinical Quality Measurement Result Accuracy 2000 EA

Validation (PWS Section 5 paragraph 5.3.4)

Fixed price per chart.

(Option Line Item)

Change Item 3004AA to read as follows(amount shown is the total amount):

3004AA Leapfrog Value-Based Purchasing Program Data & 1 EA

Reports package for Health Plans (PWS Section 5 paragraph 5.3.5.1)

FFP

(Option Line Item)

Change Item 3004AB to read as follows(amount shown is the total amount):

3004AB Leapfrog Communications (PWS Section 5 paragraph 1 EA

5.3.5, 5.3.5.5.3.1)

FFP

(Option Line Item)

Change Item 3004AC to read as follows(amount shown is the total amount):

3004AC Leapfrog Education Series Attendance (PWS Section 6 EA

5 paragraph 5.3.5)

FFP

7 15

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

HT940222R0002/0003

Change Item 3004AD to read as follows(amount shown is the total amount):

3004AD Leapfrog Annual Meeting (PWS Section 5 paragraph 1 EA

5.3.5, 5.3.5.5.2.2)

FFP

(Option Line Item)

Change Item 3004AE to read as follows(amount shown is the total amount):

3004AE MHS Leapfrog Survey and Safety Grade 12 MO

Participation Value-Based Purchasing Program Data

& Reports package for Health Plans analysis (PWS

Section 5 paragraphs 5.3.5.2 & 5.3.5.3)

FFP

(Option Line Item)

Change Item 3004AF to read as follows(amount shown is the total amount):

3004AF MHS Leapfrog Survey and Safety Grade 12 MO

Participation Training, Email Box and Frequently

Asked Question Support (PWS Section 5 paragraph

5.3.5.5.2)

FFP

(Option Line Item)

Cancel Item 3004AG in its entirety.

Cancel Item 3004AH in its entirety.

Cancel Item 3004AJ in its entirety.

Change Item 3019 to read as follows(amount shown is the total amount):

3019 Quality Communications (PWS Section 5 paragraph 12 MO

5.8)

FFP

8 15

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

HT940222R0002/0003

Change Item 4003AB to read as follows(amount shown is the total amount):

4003AB Joint Commission ORYX® Hospital Quality Measures 95000 EA

(Direct Care) Chart Abstraction (PWS Section 5 paragraph 5.3.3.1) Fixed price per chart.

(Option Line Item)

Add Item 4003AC as follows:

4003AC Clinical Quality Measurement Result Accuracy 2000 EA

Validation (PWS Section 5 paragraph 5.3.4)

Fixed price per chart.

(Option Line Item)

Change Item 4004AA to read as follows(amount shown is the total amount):

4004AA Leapfrog Value-Based Purchasing Program Data & 1 EA

Reports package for Health Plans (PWS Section 5 paragraph 5.3.5.1)

FFP

(Option Line Item)

Change Item 4004AB to read as follows(amount shown is the total amount):

4004AB Leapfrog Communications (PWS Section 5 paragraph 1 EA

5.3.5, 5.3.5.5.3.1)

FFP

(Option Line Item)

Change Item 4004AC to read as follows(amount shown is the total amount):

4004AC Leapfrog Education Series Attendance (PWS Section 6 EA

5 paragraph 5.3.5)

FFP

9 15

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

HT940222R0002/0003

Change Item 4004AD to read as follows(amount shown is the total amount):

4004AD Leapfrog Annual Meeting (PWS Section 5 paragraph 1 EA

5.3.5, 5.3.5.5.2.2)

FFP

(Option Line Item)

Change Item 4004AE to read as follows(amount shown is the total amount):

4004AE MHS Leapfrog Survey and Safety Grade 12 MO

Participation Value-Based Purchasing Program Data

& Reports package for Health Plans analysis (PWS

Section 5 paragraphs 5.3.5.2 & 5.3.5.3)

FFP

(Option Line Item)

Change Item 4004AF to read as follows(amount shown is the total amount):

4004AF MHS Leapfrog Survey and Safety Grade 12 MO

Participation Training, Email Box and Frequently

Asked Question Support (PWS Section 5 paragraph

5.3.5.5.2)

FFP

(Option Line Item)

Cancel Item 4004AG in its entirety.

Cancel Item 4004AH in its entirety.

Cancel Item 4004AJ in its entirety.

Change Item 4019 to read as follows(amount shown is the total amount):

4019 Quality Communications (PWS Section 5 paragraph 12 MO

5.8)

FFP

10 15

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

HT940222R0002/0003

Change Item 5003AB to read as follows(amount shown is the total amount):

5003AB Joint Commission ORYX® Hospital Quality Measures 95000 EA

(Direct Care) Chart Abstraction (PWS Section 5 paragraph 5.3.3.1) Fixed price per chart.

(Option Line Item)

Add Item 5003AC as follows:

5003AC Clinical Quality Measurement Result Accuracy 2000 EA

Validation (PWS Section 5 paragraph 5.3.4)

Fixed price per chart.

(Option Line Item)

Change Item 5004AA to read as follows(amount shown is the total amount):

5004AA Leapfrog Value-Based Purchasing Program Data & 1 EA

Reports package for Health Plans (PWS Section 5 paragraph 5.3.5.1)

FFP

(Option Line Item)

Change Item 5004AB to read as follows(amount shown is the total amount):

5004AB Leapfrog Communications (PWS Section 5 paragraph 1 EA

5.3.5, 5.3.5.5.3.1)

FFP

(Option Line Item)

Change Item 5004AC to read as follows(amount shown is the total amount):

5004AC Leapfrog Education Series Attendance (PWS Section 6 EA

5 paragraph 5.3.5)

FFP

11 15

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

HT940222R0002/0003

Change Item 5004AD to read as follows(amount shown is the total amount):

5004AD Leapfrog Annual Meeting (PWS Section 5 paragraph 1 EA

5.3.5, 5.3.5.5.2.2)

FFP

(Option Line Item)

Change Item 5004AE to read as follows(amount shown is the total amount):

5004AE MHS Leapfrog Survey and Safety Grade 12 MO

Participation Value-Based Purchasing Program Data

& Reports package for Health Plans analysis (PWS

Section 5 paragraphs 5.3.5.2 & 5.3.5.3)

FFP

(Option Line Item)

Change Item 5004AF to read as follows(amount shown is the total amount):

5004AF MHS Leapfrog Survey and Safety Grade 12 MO

Participation Training, Email Box and Frequently

Asked Question Support (PWS Section 5 paragraph

5.3.5.5.2)

FFP

(Option Line Item)

Cancel Item 5004AG in its entirety.

Cancel Item 5004AH in its entirety.

Cancel Item 5004AJ in its entirety.

Change Item 5019 to read as follows(amount shown is the total amount):

5019 Quality Communications (PWS Section 5 paragraph 12 MO

5.8)

FFP

12 15

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

HT940222R0002/0003

Change Item 6003AB to read as follows(amount shown is the total amount):

6003AB Joint Commission ORYX® Hospital Quality Measures 47500 EA

(Direct Care) Chart Abstraction (PWS Section 5 paragraph 5.3.3.1) Fixed price per chart.

(Option Line Item)

Add Item 6003AC as follows:

6003AC Clinical Quality Measurement Result Accuracy 1000 EA

Validation (PWS Section 5 paragraph 5.3.4)

Fixed price per chart.

(Option Line Item)

Change Item 6004AA to read as follows(amount shown is the total amount):

6004AA Leapfrog Value-Based Purchasing Program Data & 0.5 EA

Reports package for Health Plans (PWS Section 5 paragraph 5.3.5.1)

FFP

(Option Line Item)

Change Item 6004AB to read as follows(amount shown is the total amount):

6004AB Leapfrog Communications (PWS Section 5 paragraph 0.5 EA

5.3.5, 5.3.5.5.3.1)

FFP

(Option Line Item)

Change Item 6004AC to read as follows(amount shown is the total amount):

6004AC Leapfrog Education Series Attendance (PWS Section 3 EA

5 paragraph 5.3.5)

FFP

13 15

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

HT940222R0002/0003

Change Item 6004AD to read as follows(amount shown is the total amount):

6004AD Leapfrog Annual Meeting (PWS Section 5 paragraph 0.5 EA

5.3.5, 5.3.5.5.2.2)

FFP

(Option Line Item)

Change Item 6004AE to read as follows(amount shown is the total amount):

6004AE MHS Leapfrog Survey and Safety Grade 6 MO

Participation Value-Based Purchasing Program Data

& Reports package for Health Plans analysis (PWS

Section 5 paragraphs 5.3.5.2 & 5.3.5.3)

FFP

(Option Line Item)

Change Item 6004AF to read as follows(amount shown is the total amount):

6004AF MHS Leapfrog Survey and Safety Grade 6 MO

Participation Training, Email Box and Frequently

Asked Question Support (PWS Section 5 paragraph

5.3.5.5.2)

FFP

(Option Line Item)

Cancel Item 6004AG in its entirety.

Cancel Item 6004AH in its entirety.

Cancel Item 6004AJ in its entirety.

Change Item 6019 to read as follows(amount shown is the total amount):

6019 Quality Communications (PWS Section 5 paragraph 6 MO

5.8)

FFP

Continuation Page

The purpose of amendment 0003 is as follows:

1. Amend Section C to clarify and/or modify certain requirements based on questions submitted. Please see revised Section C below with changes tracked. All questions and government responses has been posted on sam.gov.

2. As a result of the revised Section C, SLIN X003AC, Clinical Quality Measurement Result Accuracy Validation, has been added. Additionally, all associated SLINs under X004, Leapfrog Program Support, have been revised as follows:

Original solicitation Amended via amendment 0003

X004AA Leapfrog Group Reports X004AA Leapfrog Value-Based Purchasing Program Data & Reports package for Health Plans

X004AB Leapfrog Group Reports (custom cohort report)

X004AB Leapfrog Communications

X004AC CAHPS Child Hospital Survey X004AC Leapfrog Education Series Attendance

X004AD CAHPS Outpatient and Ambulatory Surgery (OAS) Survey

X004AD Leapfrog Annual Meeting

X004AE Leapfrog Communications X004AE MHS Leapfrog Survey and Safety Grade Participation Value-Based Purchasing Program Data & Reports package for Health Plans analysis

X004AF Leapfrog Education Series Attendance

X004AF MHS Leapfrog Survey and Safety Grade Participation Training, Email Box and Frequently Asked Question Support

X004AG Leapfrog Annual Meeting X004AG Removed

X004AH Leapfrog Health System Analyst X004AH Removed

X004AJ Leapfrog Administrative Assistant

X004AJ Removed

Please see revised Section B for additional details.

3. SLIN X003AB has been renamed to “Joint Commission ORYX® Hospital Quality Measures (Direct Care) Chart Abstraction”. CLIN X019 has been renamed to “Quality Communications” and the unit of issue has changed from “HR” to “MO”.

4. As a result of the removal of Section C, 5.3.5.4, CDRLs Q090 and Q100 are no longer required and reference to these CDRLs has been removed throughout the amended solicitation.

5. CDRL 0T010, Transition-in Plan v1, has been amended to remove reference to “key personnel”.

6. Section J has been amended to include Attachment J-23, QSRS Software Installation and Update Process. Additionally, Attachment J-4, OGC Appeals & Hearings Internal and External Reviews v1, has been updated to provide correct reference to Section C, 1.8 Travel in Section 7 of the attachment.

7. Section L and associated exhibits has been amended as follows:

a) L.4 Table 1, L.10.2, and L.10.9 has been amended to indicate the DCMA Form 1620 04-04 Guaranty Agreement for Corporate Guarantor is only required as applicable.

b) L.4 Table 1 has been amended to indicate that D&B Comprehensive Report(s) “(or equivalent)” is required for submission in Volume V.

c) L.4.11.1 has been amended to indicate that the organizational chart is only required in front of Volume I.

d) L.8.10 has been amended to include the appropriate link for price-related guidance.

e) Exhibit L-1, Sample Client Authorization Letter v1 has been amended to clarify client authorization letters are required for each identified commercial past performance effort.

f) Exhibit L-11, Price Proposal Template v1 has been amended to reflect all line item changes noted above.

g) Exhibit L-12, Solicitation Cross-Reference Table (Sections L, M and C) v1 has been amended to include reference to PWS 5.2 under Subfactor 1, Management and Staffing.

h) Section L Exhibits have been updated to include L-13, CMS Care Compare Quarterly T&E Rate Data – Redacted and L-14, CMS Care Compare Quarterly T&E Continuous Data – Redacted.

8. The proposal submission due date has been extended to August 10, 2022, 5:00pm MT.

SECTION C

DESCRIPTION/SPECIFICATIONS/STATEMENT OF WORK

HT940222R0002 Page C1 of C74

Department of Defense

Defense Health Agency

Performance Work Statement

TRICARE Quality Monitoring Contract

Health Care Administration Directorate, Medical Affairs

Clinical Support Division, Clinical Quality Management Branch

Solicitation Number: HT9402-22-R-0002

Version: 1

Date: June 2022

HT940222R0002 Page C2 of C74

PART 1

1.0 GENERAL INFORMATION

1.1 This is a non-personal services contract to provide clinical quality monitoring support.

1.2 Description of services/introduction: The contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to perform clinical quality monitoring support as defined in this

Performance Work Statement (PWS) except for those items specified as government furnished property and services. The contractor shall perform to the standards in this PWS.

1.3 Background: The Defense Health Agency (DHA) is a joint, integrated Combat Support

Agency that enables the Army, Navy, and Air Force medical services to provide a medically ready force and ready medical force to Combatant Commands in both peacetime and wartime.

The DHA supports the delivery of integrated, affordable, and high quality health services to approximately 9.6 million Military Health System (MHS) beneficiaries and is responsible for driving greater integration of clinical and business processes across the MHS. The DHA oversees the military medical treatment facilities (MTFs), TRICARE health plan, and medical resources.

DHA works in collaboration with the Service Surgeons General to support the readiness mission.

The MHS is a complex integrated healthcare system that consists of healthcare delivery, medical education, public health, the TRICARE health plan administered through regional contracts to implement the Civilian Health and Medical Program (CHAMPUS) authority to cost-share on claims from TRICARE authorized providers for private sector care, certain authorized private sector partnerships, and innovative medical research and development. The MHS has two major care delivery systems. The direct care system is in the process of implementing a congressionally mandated transition. DHA will oversee the provision of care through MTFs while the Services focus on readiness and care provided in the operational healthcare units. The private sector care system provides care through private sector contractors including the Managed Care Support

Contracts (MCSCs); the TRICARE Overseas Program (TOP) Contract, the Designated Providers

(DPs) under the Uniformed Services Family Health Plan (USFHP); the TRICARE Medicare

Eligible Program (TMEP); TRICARE Dental Program (TDP); TRICARE Retiree Dental

Program (TRDP), the TRICARE Pharmacy Program (TPharm), and the TRICARE Overseas

Program (TOP).

This contract meets the regulatory requirements of TRICARE’s Quality and Utilization

Peer Review Organization Program, 32 Code of Federal Regulations (CFR), Section 199.15, the

Department of Defense (DoD) policy Medical Quality Assurance and Clinical Quality

Management in the Military Health System, DoD Instruction 6025.13, and the DHA procedures

Clinical Quality Management in the Military Health System (MHS), DHA Procedures Manual

(PM) 6025.13. In the event of conflict between the DODI 6025.13 and DHA PM 6025.13, DHA

PM 6025.13 takes precedence.

The purpose of this contract is to assist DHA Health Care Administration Directorates for

Medical Affairs, Health Care Operations, and the TRICARE Health Plan in assessing and

HT940222R0002 Page C3 of C74 improving the safety and quality of care delivered under the TRICARE benefit across the direct and private sector care systems. The contract will assist DHA in decreasing unwarranted variation in the quality of medical care, implementing proven clinical and healthcare business practices, and creating an environment for learning and continuous improvement across the

MHS. The contract will also support DHA with the management of clinical quality measurement to validate the quality of care.

TRICARE quality monitoring is accomplished through a variety of tasks supporting the direct care and private sector care systems. The tasks include external, third party data collection, analysis and reporting of clinical quality measures, and comparison with national healthcare benchmarks; reviewing, evaluating, and reporting on published clinical care studies, evolving practices, and other data to identify superior quality healthcare services and recommend means to transfer successes; and conducting comprehensive, timely medical peer reviews to ensure medically-appropriate healthcare.

1.4 Objectives: The objectives of this contract are twofold: To support the MHS mission of greater integration of the direct and private sector care delivery systems, and to support the

MHS’s Quadruple Aim of Increased Readiness, Better Health, Better Care, and Lower Cost per

Capita. The objectives below represent the expected performance outcomes for this contract and are supported by the technical requirements. The acceptable performance standards are explained further in the contract. Where specific performance standards are not stated, the contractor shall use healthcare industry best practices and standards.

1.4.1 Provide timely and accurate independent and impartial evaluation of the healthcare provided to MHS beneficiaries to ensure quality of care, appropriate medical utilization, and patient safety.

1.4.2 Provide timely, comprehensive reviews that are consistent with the TRICARE requirements to ensure that appropriate levels of healthcare are provided for all beneficiaries.

1.4.3 Measure, evaluate, and compare clinical quality performance to national benchmarks and standards to develop recommendations to share successful practices and identify opportunities for improvement.

1.4.4 Support MHS initiatives for data transparency.

1.4.5 Use an effective management approach to provide the necessary services, incorporating healthcare leading practices and standards when practicable.

1.4.6 Provide support to enhance the effectiveness and efficiency of MHS clinical quality management programs.

1.5 Scope: The scope of services include clinical quality monitoring and applies to the entire

MHS (both direct and private sector care). The contractor shall accomplish the following services:

HT940222R0002 Page C4 of C74

1.5.1 Collecting, analyzing, submitting, and reporting clinical quality measures data for the direct and/or private sector care systems, and conducting comparative analyses with national benchmarks in support of the MHS strategic plan and meet accreditation requirements of DoD facilities.

1.5.2 Supporting the Clinical Quality Management Patient Safety Program (CQM PSP) through data collection and analysis of healthcare events.

1.5.3 Determining initial fee rates for behavioral health facilities in order to enroll as network providers.

1.5.4 Conducting medical reviews of selected medical, surgical, and mental health cases to determine the medical necessity, appropriateness of care, standard of care, and/or quality of care provided.

1.5.5 Conducting standard of care reviews for direct and private sector care cases identified by the Government to evaluate the quality of care provided.

1.5.6 Conducting clinical quality studies, within the direct and/or private sector care systems, for topics which DHA identifies as having significant importance to the MHS mission and beneficiaries.

1.5.7 Determine if evolving healthcare practices, devices, medicines, treatments, and procedures are evidence-based by conducting comprehensive, in-depth assessments and shorter limited-scope assessments on specific focused healthcare topics.

1.5.8 Conducting monthly, interactive, web-based seminars and annual conferences focused on clinical quality topics that promote knowledge transfer and the sharing of leading practices in healthcare quality and safety.

1.5.9 Supporting clinical quality management programs through information and meeting management.

1.6 Period of Performance (PoP):

The period of performance shall be for one (1) Base Period of five (5) months, five (5) 12-month option periods, and a FAR 52.217-8 six (6) month option period. The Period of Performance reads as follows:

Name Start End

Base Period Date of Award Through 5 months of performance

Option Period 1 Expiration of Base Period Through 12 months of performance

Option Period 2 Expiration of Option Period 1 Through 12 months of performance

Option Period 3 Expiration of Option Period 2 Through 12 months of performance

Option Period 4 Expiration of Option Period 3 Through 12 months of performance

Option Period 5 Expiration of Option Period 4 Through 12 months of performance

52.217-8 Expiration of Option Period 5 Through 6 months of performance

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1.6.1 Transition: Transition-in/transition-out period. Full performance start date is 5 months after the effective date of the contract award. Transition-in performance will occur during the base period, i.e. the first 5 months after the effective date of the contract award.

1.6.1.1 During the transition-in period, the contractor shall prepare to meet all contract requirements and ensure personnel are functionally trained and qualified on the full performance start date, except for cybersecurity requirements which must be fully adhered to during both the transition and full performance periods, in accordance with (IAW) Contract Data Requirements

List (CDRL) 0T010 Transition-In Plan.

1.6.1.1.1 The contractor shall comply with transition-in requirements for contractors needing to be issued Common Access Card (CAC) identification, including DoD and DHA-directed training and forms submission, prior to network access as listed in Section 1.11.,.

1.6.1.2 The contractor shall develop and execute a transition-out plan to facilitate the accomplishment of a seamless transition from the incumbent to an incoming contractor/Government personnel at the expiration of the contract IAW CDRL 0T020 Transition-

Out Plan.

1.6.1.2.1 The contractor shall comply with transition-out requirements of the DHA for contractors who have been issued a CAC or who generate “records,” as defined by DoD (records manual), including DoD-directed disposition of records, and others displayed on the In/Out (I/O)

Processing Portal.

1.7 Administrative specifications

1.7.1 Place of performance: Services other than on-site meeting support are performed at the contractor’s location or a designated site agreed to by the Government if the contractor’s location is unable to meet a requirement of the contract.

1.7.2 Recognized Federal holidays:

New Year’s Day Labor Day

Martin Luther King Jr.’s Birthday Columbus Day

President’s Day Veteran’s Day

Memorial Day Thanksgiving Day

Juneteenth Day Christmas Day

Independence Day

1.7.3 Hours of operation: The contractor is responsible for conducting business Monday through Friday between 8:00 a.m. to 6:00 p.m. Eastern Time (ET), except Federal holidays. The contractor must otherwise at all times maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS.

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1.7.4 Emergency Services: On occasion, services may be required to support an activation or exercise of contingency plans outside the normal duty hours.

1.8 Contractor travel:

1.8.1 The contractor shall travel to accomplish contract requirements at the direction of the COR.

The Government projects minimal travel with the advancements of remote access to electronic health records and data.

1.8.1.1 To minimize travel costs, the contractor shall establish remote access to both inpatient and outpatient direct care medical records to the fullest extent practicable. At the majority of sites, the initiation of remote access will not involve travel. Remote access is currently available for all outpatient records. The contractor shall make good faith efforts to obtain remote access to all MTFs. Despite remote access capabilities, quality improvement studies may require on-site visits for records abstraction or data collection if the required documents are not available in an electronic format. In instances where the contractor is unable to use remote access for an MTF’s medical records, the contractor shall travel to obtain access onsite at the approval of the

Contracting Officer Representative (COR).

1.8.2 Meeting Attendance: The CO may require the contractor to participate in other MHS meetings, annual conferences, or summits. The contractor may participate in these meetings by telephone conference call, video telephone conference (VTC), or if authorized, in person. If required, the CO may authorize the contractor to travel to attend a specific meeting in person.

1.8.3 Contractor shall be authorized travel expenses consistent with the cost principles and procedures in Federal Acquisition Regulation (FAR) Part 31.2, Travel Costs and the limitations of funds specified in this contract. All travel requires Government approval/authorization and notification to the COR.

1.9 Other Direct Costs (ODC): Reserved

1.10 Quality

1.10.1 Quality Control (QC): The contractor shall develop and maintain an effective QC program to ensure services are performed in accordance with this PWS. The contractor shall develop and implement procedures to identify, prevent, and ensure nonrecurrence of defective services. The contractor’s QC program is the means by which the contractor ensures work complies with stated requirements. CDRL A010 Quality Control Plan (QCP) is to be delivered, within 30 days after contract award. Any changes made to the QCP thereafter shall be submitted to the to the CO and COR within 5 working days. The CO shall provide written acceptance of the changes to the QCP.

1.10.2 Quality assurance (QA): The government will evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP) (See

Section E, 4.0 and Attachment J-17). This plan provides a systematic method for the

Government to evaluate performance and to ensure that the contractor has performed in

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1.11 Contractor personnel

1.11.1 CAC requirements: For all contractors who will work in Government facilities, the

Facilities Security Officer (FSO)/Company's Security point of contact (POC) will provide the

Government all the required information per the DHA CAC request process current version 2.1, January 2018. See process attached at Part 7 Section 7.1.1 of the PWS. A CAC is the standard identification for eligible DoD contractor personnel.

1.11.1.1 The contractor shall return all CACs to the nearest CAC office or the COR upon the departure of the contractor(s).

1.11.2 Contractor onboarding and training. The contractor shall complete all requirements, training, and forms as prescribed in the following requirements:

Reserved.

1.11.2.1 The DHA’s “Onboarding Checklist for Contractor Employees” is located at the DHA

Onboarding and Offboarding Portal at https://info.health.mil/cos/admin/hr/IO/SitePages/Home.aspx

1.11.2.2 The DHA’s contractor training instructions embedded at Part 7 Section 7.1.2.

1.11.2.3 The contractor shall comply with onboarding requirements of the DHA for contractors needing to be issued CAC identification, including DoD- and DHA-directed training and forms submission, prior to network access, as displayed in the In/Out-Processing Portal at:

https://info.health.mil/cos/admin/hr/IO/SitePages/home.aspx (note: Public Key Infrastructure

(PKI)-restricted, printed versions available).

1.11.3 Physical Security: The contractor shall be responsible for safeguarding all government equipment, information and property provided for contractor use.

1.11.4 Reserved

1.11.5 Reserved

1.12 Reserved.

1.13 Data Use, Retention, Protection, Release, Sharing, and Agreements:

1.13.1. In the performance of this contract, the contractor may have access to data and information proprietary to a Government agency or to another Government Contractor, or of such nature that its dissemination or use, other than as specified in this contract, would be illegal or otherwise adverse to the interests of the Government or others. The Contractor and its personnel shall not retain beyond the term of this contract, divulge, or release data or information https://info.health.mil/cos/admin/hr/IO/SitePages/Home.aspx https://info.health.mil/cos/admin/hr/IO/SitePages/home.aspx

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Government personnel or upon written approval of the CO. The contractor and its contractor personnel shall not retain, use, disclose, or reproduce proprietary information bearing a restrictive legend, other than as specified in the contract. The contractor shall address information and data management in the Transition-Out Plan (CDRL 0T020 Transition-Out

Plan).

1.13.2 The contractor shall be considered a part of the DoD medical quality assurance program and agree to comply with the provisions of Title 10 United States Code (USC) Section 1102 regarding the confidentiality and privilege of information produced in the course of this contract.

The contractor shall abide by all Title 10 USC Section 1102 requirements for release of quality assurance documentation.

1.13.2.1 The contractor shall work with DoD personnel in the clinical quality management functions as part of the medical quality assurance program designed to improve the quality and safety of health care provided in the DoD. The confidentiality of documents and information utilized in the clinical quality management functions shall be maintained in order to preserve the integrity of the clinical quality management process. Confidential information includes:

1.13.2.1.1 The clinical quality measures data and reports, unless its release is required by a federal or state government agency; and approved by the COR or designee.

1.13.2.1.2 The standard of care and medical reviews data unless its release is required by a federal or state government agency; and approved by the COR or designee.

1.13.2.1.3 The clinical quality studies data and reports unless its release is required by a federal or state government agency; and approved by the COR or designee.

1.13.3 The contractor shall complete a Business Associate Agreement (BAA), Data Sharing

Agreement (DSA), and other information protection agreements with DHA for MTFs functions included in the contract. These agreements will be compliant with the Health Insurance

Portability and Accountability Act (HIPAA).

1.13.3.1 The contractor’s agreements shall indicate that the contractor is considered a partner of the DoD medical quality assurance program and abide by Title 10 USC Section 1102 regarding the confidentiality and privilege of information produced from the contract.

1.13.3.2 The contractor shall ensure the language in agreements complies with federal law.

Modifications or addendums to the agreements will be coordinated with the DHA Office of

General Counsel through the COR.

1.13.3.3 Contractors shall support the MHS initiatives to enhance the transparency of data and information per the direction provided by the COR.

1.13.3.4 Contractors shall obtain approval from the COR before release of information resulting from the requirements of this contract.

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1.13.4.1 Personally Identifiable Information (PII), Protected Health Information (PHI) and

Federal Information Requirements:

1.13.4.1.1 The contractor shall comply with the document entitled ”Personally Identifiable

Information (PII), Protected Health Information (PHI) and Federal Information Requirements”

(Section H, Paragraph 2.0)

1.13.4.2 Business Associate Agreement (BAA)

1.13.4.2.1 The contractor shall establish a BAA with DHA within 90 days of contract award.

1.13.4.3 Memorandum of Understanding (MOU)

1.13.4.3.1 The contractor shall develop and execute MOUs with the covered private-sector contractors referenced in Section 1.3.

1.13.4.3.2 The MOUs shall delineate, among other things, each contractor’s responsibilities for addressing any issues that arise when beneficiaries and beneficiary information cross contract boundaries.

1.13.4.3.3 The MOUs should also address any other topics that will facilitate cooperation between contractors and/or the effective and efficient integration of direct care and private sector care systems and processes.

1.13.4.3.4 The contractor shall execute MOUs no later than 90 calendar days after contract award.

1.14 Reporting

1.14.1 Contractor Manpower Reporting (CMR): RESERVED.

1.14.2 Non-Disclosure Agreement (NDA): All contractor personnel who will obtain access to proprietary, classified, or confidential information or any information, release of which is protected or governed by law or regulation, shall be required to complete and sign a DHA contractor NDA (DHA Form 49) prior to beginning work on the subject contract. The contractor shall execute an NDA on behalf of the company and shall ensure that all staff assigned to, including all subcontractors and consultants, or other personnel performing on contract/task order, execute an NDA protecting the procurement sensitive information of the Government and the proprietary information of other contractors. The NDA shall be executed not later than first day of employment and to be renewed upon exercising a contract option period. Assignment of staff who have not executed this statement or failure to adhere to this statement shall constitute default on the part of the contractor. The contractor shall maintain originally signed NDAs of individual employees and provide copy to the COR.

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1.14.3 Government’s COR: The COR monitors all technical aspects of the contract and assists in contract administration. The COR is authorized to perform the following functions: assure that the contractor performs the technical requirements of the contract; perform inspections necessary in connection with contract performance; maintain written and oral communications with the contractor concerning technical aspects of the contract; issue written interpretations of technical requirements, including Government drawings, designs, specifications; monitor contractor's performance and notify both the CO and contractor of any deficiencies; coordinate availability of government furnished property; provide site entry of contractor personnel; and approve contractor travel under paragraph 1.8.1. A letter of designation issued to the COR, a copy of which is sent to the contractor, states the responsibilities and limitations of the COR, especially with regard to changes in cost or price, estimates, or changes in delivery dates. The

COR is not authorized to change any of the terms and conditions of the resulting contract.

1.14.4 Post award conference/periodic progress meetings: The contractor agrees to attend any post award conference convened by the contracting activity or contract administration office in accordance with FAR Subpart 42.5. The post award conference will be held virtually. The CO, COR, and other Government personnel, as appropriate, may meet periodically with the contractor to review the contractor's performance. At these meetings the CO will apprise the contractor of how the government views the contractor's performance, and the contractor will apprise the Government of problems, if any, being experienced. Appropriate action shall be taken to resolve outstanding issues. These meetings shall be at no additional cost to the government and are not included in the meetings referenced in paragraph 1.8.2.

1.15 Contractor Identification

1.15.1 Contractor personnel performing services in a contractor capacity in a Government facility are required to possess and wear an identification badge displaying the contractor employee name and the name of the employeeing company. All contractor personnel shall identify themselves as contractor support personnel in all forms of communication with all entities with whom DHAhas business dealings. The contractor shall also: answer all telephone calls and have a personalized voice message with an introductory statement that includes the fact that the person is contractor support personnel; ensure all those with whom the person interacts in any face-to-face dealings while supporting DHA understands that the person is contractor support personnel. Include a title block in all emails that states the fact that the person is contractor support personnel. Ensure all those with whom the person interacts in any face-to-face dealings while supporting DHA understands that the person is contractor support personnel.

1.15.2 Contractor personnel will be required to attend meetings or otherwise communicate with

Government and/or other contract representatives to meet the requirements of this order.

Contractor personnel shall make their contractor status known during introductions.

1.15.3 Contractor personnel, while performing in a contractor capacity, are prohibited from using their retired or reserve component military rank or title in any written or verbal communications associated with the contracts in which they provide services.

1.16 Contractor Access to Health Affairs (HA)/DHA Network(s)

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1.16.1 FSO/Company's Security POC shall notify the DHA Personnel Security Office after being awarded a contract that requires access to a DoD system. Contractor personnel requiring access to the HA/DHA networks for performance of their tasks require a background investigation and the security awareness training. The contractor shall be prepared for this process as it could take two (2) or more weeks. The FSO/Security POC shall submit a Standard

Form (SF) 85/86 to DHA's Personnel Security Office for a background investigation.

1.16.2 Company's FSO/Security POC must notify the Personnel Security Office when the contractor has submitted the SF-85/86. The FSO/Security POC, or the COR must notify the

DHA Personnel Security Office in writing of a contractor's termination from the contract, including the termination date.

1.17 Personnel Security

1.17.1 In addition to any requirements in Section H, the contractor shall comply with DoD

8570.01-M, “Information Assurance Workforce Improvement Program, CH4” November 10, 2015 as amended; 8500.01, “Cybersecurity”, dated March 14, 2014; DoD Manual (DoDM)

6025.18, “Implementation of the Health Insurance Portability and Accountability Act (HIPAA)

Privacy Rule Compliance in DoD Health Care Programs” dated March 3, 2019, Department of

Defense Instruction (DoDI) 6025.18 “HIPAA Privacy Rule Compliance in DoD Health Care

Programs”, dated March 13, 2019; and DoDM 5200.02 “Procedures for the DoD Personnel

Security Program (PSP),” incorporation change 3, effective September 24, 2020. Contractor responsibilities for ensuring personnel security include, but are not limited to, meeting the following requirements:

1.17.1.1 Follow the DHA Personnel Security Office guidelines for submittal of security clearances. Contact the DHA Personnel Security Office for guidance on the appropriate background investigation required for personnel on the contract. The DHA Personnel Security

Office can be reached at (703) 275-6038.

1.17.1.2 Initiate, maintain, and document personnel security investigations appropriate to the individual’s responsibilities and required access to Controlled Unclassified Information (CUI).

1.17.1.3 DHA Personnel Security Office does not deny any access to any automated information system (AIS), network, or Controlled Unclassified Information (CUI). If a contractor receives an unfavorable background investigation, the request for access will be sent back to the FSO for further action. Any unfavorable adjudication will result in DHA Personnel Security Office not signing off on any access request.

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PART 2

2.0 DEFINITIONS, ACRONYMS, AND APPLICABLE

PUBLICATIONS/INSTRUCTIONS

2.1 Definitions:

2.1.1 Category D: Information Technology (IT) and Telecommunications Services (called D-

Services)

2.1.2 Category R: Support (Professional/Administrative/Management) Services (called R-

Services)

2.1.3 Contracting Officer (CO): A person with the authority to enter into, administer, and/or terminate contracts and make related determinations and findings.

2.1.4 Contracting Officer’s Representative (COR): An individual, including a contracting officer’s technical representative (COTR), designated and authorized in writing by the CO to perform specific technical or administrative functions. This individual does NOT have authority to change the terms and conditions of the contract.

2.1.5 Nonpersonal services contract: a contract under which the personnel rendering the services are not subject, either by the contract’s terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the Government and its employees.

2.1.6 Quality Assurance Surveillance Plan (QASP): An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance. The

Government will prepare the QASP (See Section E, 4.0 and Attachment J-17).

2.1.7 “Actively practicing” means practicing a minimum of 20 hours per week.

2.1.8 “Contract award” throughout this solicitation/contract and any associated attachments refers to the effective date of contract award.

2.1.9 “Start of service delivery” as found throughout the CDRLs correlates to the date of the corresponding CDRL task order award.

2.2 Acronyms

AIS Automated Information System

AO Authorizing Official

APL Approved Products List APL

AQL Acceptable Quality Level

ARRT Acquisition Requirements Roadmap Tool

ASC Ambulatory Surgery Center

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ATO Authority to Operate

BAA Business Associate Agreement

B2B Business-2-Business

CAC Common Access Card

CAP Cloud Access Point

CCEVS Common Criteria Cybersecurity Evaluation and Validation Scheme

CCN CMS Certification Number

CDI…