SOW_75N95021Q00251.pdf

Version 11-30-2016-1 FAR Part 11—Describing Agency Needs

STATEMENT OF WORK (SERVICES)

(SOW)

GENERAL INFORMATION

Title of Project:

HANDLS Medicaid Data Linkage and Analyses

Statement of Need and Purpose:

Investigators in the Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS) study require documented health data to facilitate analyses of health disparities. State Medicaid services track services, procedures, and diagnoses associated with hospitalizations, physician visits, and other healthcare utilization. HANDLS requires these records to document healthcare utilitzation and prevalence of various disease classifications among study participants. These records are especially valuable because they are the administrative records of healthcare. Consequently, they avoid the likelihood of unintentional misreporting health histories by participants. In addition, historical administrative healthcare records provide the basis for assessing the accuracy of participants’ self-reported health histories. These data will lead to a better and more complete understanding of the factors influencing health disparities throughout participants’ adulthood.

As part of using these data for research, investigators require an assessment of the HANDLS-Medicare linked data to examine and report on the representativeness of study participants to the broader Medicaid cohort. These results are crucial for future work by HANDLS investigators because this information provides evidence for the legitimacy of extrapolatation to other high‐risk populations.

Background Information and Objective:

The HANDLS study is a longitudinal study on a representative sample of Baltimore residents to understand the impact of disparities on health outcomes. HANDLS is an ongoing study. Thus far, HANDLS has collected extensive information on the health status of over 3,000 individuals since 2004, including self‐reported health care utilization, physiological and psychological wellbeing, social supports and environmental characteristics, and vital signs. Data have been collected in five waves, each of which include a set of standard study questions and tests in addition to wave‐specific items of interest. These data have provided the base for over 200 academic journal articles covering a range of topics from cell biology to psychological wellbeing (https://handls.nih.gov). The objective of the present contract is to provide administrative healthcare records of Medicaid service use by HANDLS participants so investigators can link objective diagnostic and procedural data to health outcomes over time.

Period of Performance:

Base Year: One (1) year from the date of award with one (1) year option period.

SCOPE OF WORK

General Requirements:

Independently and not as an agent of the Government, the Contractor shall furnish all the necessary services, qualified personnel, material, equipment, and facilities, not otherwise provided by the Government as needed to perform the Statement of Work below:

Specific Requirements:

The Contractor shall deliver electronic data on Medicaid utilization for HANDLS participants. These data shall include enrollment, claims, and encounter data from the Maryland Medicaid Management Information System as well as monthly chronic condition assignments for HANDLS study participants.

The Contractor shall match all available Medicaid records at the individual participant level for all available data from 2002 to present.

The Contractor shall also provide a report containing a set of statistical tests to determine if Medicaid‐ covered HANDLS participants are a representative subset of the entire Maryland Medicaid population.

Using their expertise in the demographics of the Medicare cohort, the Contractor shall explore and recommend methods for adjusting the “unrepresentativeness” of the HANDLS sample that would enable an extrapolation to a broader population.

GOVERNMENT RESPONSIBILITIES

Government furnished information: The Government will provide the Contractor with electronic data containing HANDLS identifiers and sufficient information for the Contractor to link their Medicaid data with participants’ data.

DELIVERY OR DELIVERABLES

The contractor will provide the following deliverables:

• Maryland Medicare utilization electronic data linked to HANDLS identifiers

• A report on the representativeness of HANDLS participants compared with subscribers in

Maryland Medicaid services

REPORTING REQUIREMENTS

The Contractor shall participate in occasional teleconferences to report on progress achieved, problems encountered, and to discuss potential solutions to problems if any arose.

Travel:

Travel is not required.

Key Personnel:

The Contractor shall identify a Principal Investigator who has an advanced degree (either PhD or MD).

The proposed Principal Investigator shall have a demonstrated record of performing large-scale quality control and analyses of administrative health data derived from sources such as Medicaid or Medicare databases.

Information System Security Plan:

Contractor personnel performing work under this contract shall satisfy all requirements for appropriate security eligibility as specified in dealing with access to sensitive information and information systems belonging to or being used on behalf of the HANDLS study in the National Institutes of Health. To satisfy those requirements, a moderate Risk Background Investigation shall be conducted before performing work under this contract. Appropriate background investigation forms will be provided upon contract award and are to be completed and returned to the Contract Officer Representative within 30 days for processing. Contractors will be notified when the investigation has been completed and adjudicated.

All costs associated with obtaining clearances for contractor-provided personnel will be the responsibility of the contractor. Further, the contractor will be responsible for the actions of all individuals provided to work under this contract. If damages arise from work performed by contractor-provided personnel under the auspices of this contract, the contractor will be responsible for all resources necessary to remedy the incident.

Data Rights:

The National Institute on Aging shall have unlimited rights to and ownership of all deliverables provided under this contract, including reports, data updates and statistical results. This includes the deliverables provided under the basic contract and any optional task deliverables exercised by the contracting officer.

In addition, it includes any additional deliverables required by contract change. The definition of “unlimited rights” is contained in Federal Acquisition Regulation (FAR) 27.401, “Definitions.” FAR clause 52.227-14, “Rights in Data-General, is hereby incorporated by reference and made a part of this contract/order. The Government will entertain Contractor proposals for collaborative research projects under a separate process described by HANDLS study policies for data sharing (https://hands.nih.gov/06Coll.htm).

Section 508—Electronic and Information Technology Standards:

The contractor shall comply with Section 508 of the Rehabilitation Act (29 U.S.C. § 794d), as amended by the Workforce Investment Act of 1998 (P.L. 105-220), August 7, 1998.

Publications and Publicity:

The Contractor is prohibited from undertaking any public presentations or publications without prior approval from the Government. The Government invites the Contractor to submit manuscript proposals using the methods established for HANDLS collaborators (https://handls.nih.gov/06Coll.htm). The Contractor is welcome to perform work on approved manuscript proposal at their own cost.

Confidentiality of Information:

The Government furnished information provided to the Contractor contain confidential privacy data.