A05 - SOW_HCAHPS_BFSU.pdf

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Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey
Solicitation number
SS-BFSU-26-007
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This Statement of Work (SOW) details the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey contract for the Blackfeet Community Hospital. The vendor will be responsible for submitting and analyzing clinical inpatient discharge data monthly, ensuring compliance with HIPAA and CMS guidelines. Key tasks include generating monthly inpatient discharge lists, conducting interviews, performing 100% data abstraction, and reporting results to the Quality Net national website.

The contract period spans five years, with a base year from 11/01/2025 to 10/31/2026 and four additional one-year option periods through 10/31/2030. The primary objectives are to: (1) produce objective data about patients' perspectives of care, (2) create incentives for hospitals to improve care quality, and (3) enhance healthcare accountability through transparency. Failure to meet requirements could result in a 2% annual reduction in Medicare reimbursement, underscoring the critical nature of accurate survey implementation and reporting.

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Statement of Work (SOW)

1. PROJECT TITLE: Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey.

2. BACKGROUND/PURPOSE: Submit clinical inpatient discharges data to Hospital

Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey and quality assurance guidelines.

3. SCOPE: Submit clinical inpatient discharges data that HCAHPS hospital survey and quality assurance guild lines. All work must be done in compliance with HIPAA to protect protected health information. Vendor will perform data analysis for inpatient stay to meet the requirement or our Medicare reimbursement will be cut 2% annually.

Services will include generating a monthly list of hospital inpatient discharges for Survey.

The objective of this assignment would be to execute the HCAHPS program for inpatients at the Blackfeet Community hospital in compliance with requirements and guidelines set forth by CMS for this activity. This includes all phases of process from conducting the interviews through reporting to the national website (Quality Net).

Prior to the population and sampling submission deadline, verify population and sampling numbers in order to identify and correct discrepancies.

Perform and complete data abstraction on 100% of hospital monthly inpatient discharges for required clinical process

Monitor emails, program updates, reports and other communications to remain current in compliance with participation requirements.

4. TASKS: Three broad goals of HCAHPS.

a. The survey is designed to produce data about patients' perspectives of care that allow objective and meaningful comparisons of hospitals on topics that are important to consumers.

b. Public reporting of the survey results creates new incentives for hospitals to improve quality of care.

c. Public reporting serves to enhance accountability in health care by increasing transparency of the quality of hospital care provided in return for the public investment.

5. PLACE OF PERFORMANCE: Inpatient discharges surveys are sent to the vendor monthly.

6. PERIOD OF PERFORMANCE: The period of performance is for one year from the date of award plus four one-year options if exercised.

Base Year: 11/01/2025 – 10/31/2026 Option Year 1: 11/01/2026 – 10/31/2027 Option Year 2: 11/01/2027 – 10/31/2028 Option Year 3: 11/01/2028 – 10/31/2029 Option Year 4: 11/01/2029 – 10/31/2030

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