P01 - SOW NCQA Quality Compass License.docx

STATEMENT OF WORK:

BACKGROUND:

Quality Compass is a tool used for selecting a health plan, conducting competitor analysis, examining quality improvement and benchmarking plan performance. The Office of Performance Measurement collects and reports NCQA’s HEDIS based measures for all VHA hospitals, per the requirements of the MISSION Act of 2018. The data contained in Quality Compass is not publicly available therefore when our office is requested to provide a specific benchmark for a measure, we are unable to provide it unless we have access to this proprietary data. The ability to have regional benchmarked data allows VHA to compare hospital performance on a measure to other hospitals in the same region of the country.

Each Quality Compass product comes with different options—we can access multiple years of data at a time (up to three years trended data), with or without the Data Exporter functionality. This feature allows us to download customized reports into Excel documents for enhanced analysis, as well as provides access to the All Measure Download which is a file containing all individual plan submission data with confidence intervals. With the Data Exporter feature we will be able to export any customized report (regardless of number of measures) into excel. Also, this gives us access to the All Measure Download, which is a download file containing all individual plan submission data. We would be using this for various comparison reports for VA leadership personnel.

Scope: The Contractor shall provide Quality Compass License, Commercial, Medicaid and Medicare (Current-Year) with Data exporter.

REQUIREMENTS:

One (1) license

A. DELIVERABLES: Equal to or Better than the following:

1. Quality Compass License, Commercial, Medicaid and Medicare (Current-Year) with Data exporter.

B. Type of Contract: Firm Fixed Price.

C. Performance Period: Twelve (12) month base year plus four (4) 12-month option periods.

D. Type of Order: Firm Fixed Price

E. Place of Delivery: Contractor’s Site

F. Additional Language: The Department of Veteran’s Affairs (VA) is granted a non-exclusive, non- transferable license to access and use Quality Compass any portion thereof, including the data contained therein (i.e., individual indicators of certain HEDIS measures, averages and percentiles) as follows: benchmark analysis; trended data analysis; quality improvement initiatives; data analysis; cost analysis; analysis of performance from year to year; profiling performance goals and surveillance; custom reporting; market research; and/or marketing/advertising plan performance (the “License”). No modifications or derivatives of the Product or data therein is permitted except for calculation of regional averages of performance based on the VA’s Veterans Integrated Service Network (VISN) geographic boundaries. The VA agrees to include the following disclaimer as a footnote wherever the custom VISN regional averages are displayed: “*VISN Regional Average is derived from QC state data based on states within the given VISN. NCQA has not validated and disclaims all liability for this calculation.” The License may not be transferred or used outside the VA.

In each period of performance (Base Year and for each Option Year), the maximum number of individual HEDIS Measure Indicators contained in the Product which may be shared externally by the VA (whether in a single or multiple reports) is thirty (30), and no more than two (2) averages or percentiles per HEDIS Measure Indicator. The VA may publish (whether in a single or multiple publications) the information for a maximum of twenty (20) health plan product rates contained in the Product.