SOO_Hospital_Accreditation_Services.docx

Great Plains Area Indian Health Service Hospital Accreditation Services Statement of Objectives

GENERAL

Except as otherwise specified herein, the Contractor shall furnish the necessary personnel, materials, equipment, services, and facilities and otherwise do all things necessary for or incidental to the performance of the work set forth in the following Statement of Objectives (SOO).

BACKGROUND

Public Law 106-417 Alaska Native and American Indian Direct Reimbursement Act of 2000

The above law amended the Indian Health Care Improvement Act to make permanent the program that allowed for direct billing of Medicare, Medicaid and other third party payors as well as expanding the eligibility under the program to other tribes and tribal organizations.

INTENT

This is a Firm-Fixed Price requirements type contract to obtain hospital accreditation from the Centers for Medicare and Medicaid Services (CMS) through an authorized accrediting organization ultimately allowing billing via CMS as well as increasing the quality and level of care management and compliance in all aspects of a high quality health care system. This is also in support of the Indian Health Service (IHS) mission to raise the health status of the Alaska Native and American Indian people to the highest possible level. Seven (7) IHS hospitals within the Great Plains Area will obtain accreditation to meet the standards set forth by CMS. The facilities covered under this include the following:

Winnebago Indian Health Service Hospital Hwy 77/75 Winnebago, NE 68071-0767

TYPES OF SERVICES

The Government is requesting an Accreditation Contractor to provide services at existing IHS facilities within the Great Plains Area (Nebraska, North Dakota, South Dakota). Typical accrediting services include, but are not limited to, the following:

1. Conduct surveys throughout the hospital.

2. Once the survey is complete the following shall be available:

a. Provide each Organization with the accreditation certification.

b. If a denial of Accreditation is the outcome, a hospital shall be able to appeal the decision within a specified period of time.

3. Provide all on-line and off-line customer service as well as secure portals for communication.

4. Use confidential health records if necessary as provided by IHS, for use only within the facility.

5. Sign one HIPAA required Business Associate Agreement for all submissions made for the Application for Accreditation.

6. Schedule surveys based on information provided in each Organization’s Application for Accreditation.

7. Provide unannounced CMS surveys throughout the one (1) year base period and the (2), one (1) year option periods.

CONFIDENTIAL INFORMATION AND HOW TO OR NOT TO DISTRIBUTE

The vendor will not release the Official Accreditation Report unless the release is required by a government agency.

The vendor will not release the information learned from each Organization used to determine compliance with specific accreditation standards.

The vendor will not release the each Organization’s root cause analysis and related corrective action plan prepared in response to a specific event or in response to other circumstances.

The vendor will not release the each Organization’s annual survey review results and related corrective action plan.

The vendor will not release the all other materials that may contribute to the accreditation decision.

FEES/PAYMENT

Payments are spread over the one (1) year base period and two (2), one (1) year option periods. The "Unit Price" is an all-inclusive cost. All "inclusive cost" is defined to include travel, lodging, per diem, fringe benefits, i.e., life insurance, social security, federal, state, and local and tribal taxes, plus all other costs pertinent to the performance of this purchase order.

Fixed-Price Contracts with Economic Price Adjustment may be revised once annually effective on the contract anniversary date.

PROPERTY, EQUIPMENT, SUPPLIES, FACILITIES, PERSONNEL AND SERVICES

Except as otherwise specifically provided herein, all property, equipment, supplies, facilities, personnel, and services required to perform the work called for under this contract shall be furnished by the Contractor. All data, materials, information, etc., provided by the Government, or developed by the Contractor in the performance of the work, shall remain the exclusive property of the Government and within the IHS facility.

END OF STATEMENT OF OBJECTIVES

ATTACHMENT 1: PERFORMANCE REQUIREMENTS SUMMARY

Required Services (Tasks) Performance Standards Acceptable Quality Levels Methods of Surveillance Incentive (Positive and/or Negative) (Impact on Contractor Payments)

Accreditation & Proof of Accreditation

Must be in compliance with CMS, NIAHO and ISO surveys

Provide account representatives to assist each facility

Scheduled and Unscheduled Surveys

Confidential information shall remain so unless required by a federal agency

Provide an Appeal Process for the Denial of Accreditation

Continue all communication with the GPAO IHS 100% of reports depict current status

100% of reports depict current status

100% of reports depict current status

100% of reports depict current status

100%

100%

Communication with vendor and hospital staff

Communication with vendor and hospital staff

Communication with vendor and hospital staff

Communication with vendor and hospital staff

Possible no option extension.

Possible no option extension.

Possible no option extension.

Possible no option extension.

ATTACHMENT 2: SAMPLE QUALITY ASSURANCE

MONITORING FORM

SERVICE or STANDARD:

SURVEY PERIOD:

SURVEILLANCE METHOD (Check):

Random Sampling 100% Inspection Periodic Inspection Customer Complaint

· LEVEL OF SURVEILLANCE (Check):

ANALYSIS OF RESULTS:

Observed Service Provider Performance Measurement Rate: ______%

Narrative of Performance During Survey Period:

PREPARED BY: ___________________________________ DATE: _________________