QASPHOSPITALIST.docx

C-6 Performance Surveillance Plan

PERFORMANCE SURVEILLANCE PLAN

FOR

HOSPITALIST/INTERNAL MEDICINE/FAMILY PRACTICE

Performance surveillance monitors will be established to comply with regulatory guidelines and to monitor contract performance. The performance surveillance plan has been developed to describe the Indian Health Service’s general plan in providing effective and systematic surveillance and reporting of all aspects of contract performance. This plan recognizes the responsibility of the contractor to carry out its own quality control obligations in the performance of this contract.

Surveillance will be accomplished via insight into the contractor’s performance against requirements listed in the work statement and performance standards listed in this plan. Performance-based incentives are consistent with the intent and purpose of the contract and are outlined on the following grid:

Upon completion of the contract, the Government will complete and keep on record the Contractor’s performance evaluation form, see (Section J).

METHOD/MEASURES

CONTRACTOR

INCENTIVE

PERFORMANCE OBJECTIVE 1

THE CONTRACTOR SHALL ESTABLISH A TECHNICAL APPROACH AND MANAGEMENT PLAN FOR THE PLACEMENT OF HOSPITALIST PHYSICIANS

INTO TEMPORARY ASSIGNMENTS IN AAIHS FACILITIES

ONCE A CALL/REQUEST IS RECEIVED: CONTRACTOR SHALL LOCATE A BOARD ELIGIBLE, BOARD CERTIFIED, PHYSICIAN WITHIN 21 DAYS

COMPLETE IHS CREDENTALING PACKET INFORMATION & RETURN TO LOCAL IHS CD WITHIN 5 DAYS

PLACEMENT OF STAFF 100% OF THE TIME

REFERENCES FROM INDIVIDUALS THAT HAVE WORKED WITH APPLICANT WITHIN LAST 12 MONTHS OR DOCUMENT WHY THIS IS NOT POSSIBLE

CD’S SHALL SUBMIT MONTHLY SPREADSHEET OF PLACEMENT DATES TO THE CONTRACTING OFFICER’S TECHNICAL REPRESENTATIVE (COTR) TO MONITOR THE 21 DAY PLACEMENT REQUIREMENT

SPREADSHEET TO COTR MONTHLY

AAIHS WILL PROVIDE A POSITIVE PERFORMANCE REPORT ON HOSPITALIST PHYSICIAN PLACEMENT CAPABILITIES

METHOD/MEASURES

CONTRACTOR

INCENTIVE

PERFORMANCE OBJECTIVE 2

PROVIDERS CAPABLE AND KNOWLEDGABLE OF EFFECTIVE COMMUNICATION

PROVIDERS SHALL BE RESPECTFUL, COURTEOUS, AND CULTURALLY SENSITIVE TO IHS PATIENTS AND STAFF

THREE (3) ANNUAL COMPLAINTS PER PROVIDER ARE ACCEPTABLE

THE CONTRACTOR SHALL RESPOND TO THE CONTRACTING OFFICER’S TECHNICAL REPRESENTATIVE (COTR) IN WRITING. WHENEVER, THEY RECEIVE NOTICE OF MORE THAN THREE COMPLAINTS AGAINST A PROVIDER WITH AN EXPLANATION OF WHAT WAS DONE TO ADDRESS THE MATTER

THE INVOICE FOR THE PHYSICIAN IN QUESTION WILL BE PUT ON HOLD UNTIL THE COMPLAINT IS INVESTIGATED AND RESOLVED IN 7 WORKING DAYS.

PERFORMANCE OBJECTIVE 3

COMPLETION OF MEDICAL RECORD DOCUMENTATION

COMPLETES MEDICAL RECORD DOCUMENTATION PRIOR TO LAST WORKDAY & NOTIFIES MEDICAL RECORDS DEPARTMENT OF LAST WORKDAY

DOCUMENTATION COMPLETED 100% OF THE TIME

CLINICAL DIRECTOR REVIEWS CHECKLIST FROM MEDICAL RECORDS PRIOR TO PHYSICIAN LEAVING FACILITY

THE INVOICE FOR THE PHYSICIAN IN QUESTION WILL BE PUT ON HOLD UNTIL PROPER DOCUMENTATION OF THE CHART IS COMPLETED