STATEMENT OF WORK.docx

Statement of Work Training in Team-based Care in the Primary Care Setting

A. General Description- The Center of Excellence in Primary Care Education (COEPCE) and Education for Patient Aligned Care Team (EdPACT) will continue activity and disseminate its accomplishments to other VA Medical Centers. This is a Sole Source agreement between the San Francisco VA Medical Center and the Regents of the University of California San Francisco as required by the original Office of Academic Affiliations Request for Proposal.

B. Overall Requirements- The COEPCE/ EdPACT will continue to provide training in team-based care in the primary care setting, offering practice facilitation to spur and support transformation, and broadening the evidence base through research and evaluation.

Specific priorities for FY21 are to:

1) Optimize learning experiences for trainees at multiple levels and from various professions such that they develop competencies specific to their profession and have opportunities to learn about and from other professionals;

2) Increase workplace learning for faculty, staff, and trainees through direct observation, feedback, and reflection;

3) Engage all team members in continuous quality improvement efforts such as active panel management and team communication/coordination;

4) Identify sites and programs interested in implementing components of our program and providing feedback to enhance the quality, generalizability, and dissemination of our activities.

C. Individual Requirements and Deliverables- The competencies of each person on the contract will be assessed by the Center Directors, Rebecca Shunk and Anna Strewler, and all VA employees. Each contractor will be assessed once per year. The competencies will be agreed upon by both parties and reported to the Designated Education Officer for oversight. All providers will be evaluated by: Maintaining a schedule consistent with their VA funding and attending 80% of designated mandatory meetings as well as contributing to the effort to maintain Center function as measured by annual funding. In addition, the providers listed below have individual evaluation parameters. Over the course of the four years grant, deliverables listed below are to be performed by contract individuals.

1) Assistant Director, will be a Professor of Medicine, Department of Medicine, UCSF School of Medicine (SOM) and Director of the VA Advanced Fellowship in Health Professions Education Evaluation and Research. Assistant Director will be a full-time faculty member in the SOM Center for Faculty Educators who works on educational research and evaluation for the SOM.

Deliverables include:

0. Maintain existing program evaluation efforts

0. Design and help implement new program evaluation plans as needed for changes to the curriculum and expansion of the program

0. Renew and modify human subjects applications for UCSF CHR and VA HSR&D; Submit new applications if needed

0. Prepare report templates and oversee data analysis for reporting purposes; review all reports prior to release

0. Consult with, mentor, and assist faculty with education research projects and scholarship related to VA educational programs

0. Direct the VA Advanced Fellowship in Health Professions Education Evaluation and Research; supervise and mentor up to 3 fellows per year.

Evaluation parameters:

a. Evaluation plans are reviewed and updated on an annual basis

b. New evaluation plans are developed and implemented as needed

c. All CHR and HSR&D applications are reviewed, renewed, and modified on an annual basis

d. Report templates are prepared, and data analyses performed annually

e. Plans for education research and scholarship are created and reviewed on an annual basis; A list of scholarly products is maintained and reviewed annually

f. Fellows report satisfaction with the fellowship program and demonstrate valued contribution to education at the VA through curriculum development, evaluation, design and implementation of assessment tools, and/or presentation and publication of education research.

2) Data Manager– This person will obtain data in a timely manner, assemble the data, and develop reports needed for ongoing evaluation of the project. Develop these activities, at 30% of effort.

Deliverables include:

1) Work with Assistant Director to review, maintain, and modify plans for data management

2) Design databases for various types of data collected for the project (Clinical, educational, institutional)

3) Design and implement systems to clean and check data for accuracy, integrity

4) Maintain databases, including regular data updates

5) Manage data entry **Gillian also maintains RDIS, prepares reports, supports trainees in QI projects and panel management activities, and responds to data requests from trainees and faculty

Evaluation parameters:

a. Annual data management plan is maintained

b. Clinical, educational, and institutional databases are designed

c. System to clean and check data is designed and implemented

d. Databases are maintained

e. Data entry is managed

3) Data Analyst – This person will administer the day-to-day operations of the project including curriculum design and implementation, program evaluation, perform the analysis needed for the project, and be responsible for communicating with faculty and trainees.

Deliverables include:

1) Ensure curriculum scheduling and coordination of all data collection, evaluation activities, and trainee and faculty schedules

2) Collect, organize, and distribute all educational materials needed for didactics, small group sessions and activities

3) Improves communication of schedule to trainees and faculty

4) Assist with preparation of applications, modifications, and renewals for human subjects’ research approval from UCSF CHR and VA HSR&D

5) Design and analyze data

Evaluation parameters:

a. Didactic curriculum schedule, data collection, and the evaluation activities are complete

b. All educational materials will be collected, organized, and distributed

c. Didactic and workshop schedules are communicated to trainees and faculty

d. Operating activities are coordinated, timely planned and implemented

e. CHR and HSR & D applications, modifications, and renewals are prepared

f. Manuscripts and mandated reports, and any other required reports and its data are prepared

g. Newsletter is created and distributed monthly

D. Other Significant Information:

1) Computer Security Requirement: Protects printed and electronic files containing sensitive data in accordance with provisions of the Privacy Act of 1974 and other applicable laws, Federal regulations, VA Statutes and policy, and VHA policy. Protects the data from unauthorized release or from loss, alteration, or authorized deletion. Follows applicable regulations and instructions regarding access to computerized files, release of access codes, etc.

2) Personal Policy:

a. Prior to beginning work at the facility, all contract employees must successfully complete the Department of Veterans Affairs requirements. All contract employees must complete or be current with the online mandatory San Francisco VAMC employee trainings via the Talent Management System (TMS) prior to beginning work

b. All contractor employees who require access to the Department of Veterans Affairs’ sensitive information shall be the subject of a background investigation and must receive a favorable adjudication from the VA Law Enforcement Training Center prior to contract performance.