Sources_Sought_Clinical_Documentation_Improvement_Specialists.doc

Joint Base Lewis-McChord Health Contracting Cell (JBLM-HCC) is considering a requirement for on-site Clinical Documentation Improvement Specialist (CDI) Services to Support the Patient Administration Division (PAD) at Madigan Army Medical Center (MAMC), Tacoma, WA. The Contractor is responsible for ensuring timely delivery of the required Clinical Documentation Improvement Specialist services and that the candidates submitted meet the qualifications and requirements of the Performance Work Statement (PWS). The Government anticipates that a solicitation, if issued, would be a twelve month base period plus four subsequent one-year option periods, if exercised.

Joint Base Lewis McChord Health Contracting Cell (JBLM-HCC) is conducting a sources sought to identify small business contractors who possess the capability to provide the services as specified above and determine their availability, capability, and adequacy. If your firm may be interested in this requirement, is a qualified small business for the NAICS Code 541611 Administrative Management and General Management Consulting Services, and has performed similar projects, we request the information shown below. An organization that is not considered a small business under the applicable NAICS code should not submit a response to this notice.

As permitted by FAR Part 10, this is a market research tool being utilize for information and planning purposes. Your responses will assist the Government in the development of its acquisition strategy for a possible Request for Quote (RFQ), to be issued at a late date, and in determining whether any type of small business set-aside is possible for this procurement or whether full and open competitive procedures should be utilized. If full and open competition is ultimately pursued, responses to this synopsis will be used to aid in establishing small business subcontracting goals.

This notice shall not be construed as a RFP or as any commitment or obligation on the part of the Government to issue a solicitation. The Government does not intend to award a contract on the basis of this request, so quotes will not be considered. No reimbursement will be made for any costs associated with providing information in response to this synopsis or any follow-up information requests.

Response is strictly voluntary – it is not mandatory to submit a response to this notice to participate in any formal RFQ proves that may take place in the future. However, it should be noted that information gathered through this notice may significantly influence our acquisition strategy. All interested parties will be required to respond separately to any solicitations posted as a result of this sources sought notice.

Qualifications:

Education: The required credentials for Clinical Documentation Improvement Specialists performing the coding services of this contract will be either by the American Health Information Management Association (AHIMA) as a Clinical Documentation Improvement Practitioner (CDIP); or certified by the Association of Clinical Documentation Improvement Specialists (ACDIS) as a Certified Clinical Documentation Specialist (CCDS). Annual credentials shall be maintained.

Certification: CDI Specialists shall provide proof of certification and maintain at least one of the following certificates from either AHIMA or ACDIS:

Clinical Documentation Improvement Practitioner (CDIP)

Certified Clinical Documentation Specialist (CCDS)

Annual reporting of accreditation certification is a requirement and shall be provided without request. Reference from previous healthcare facilities will be made to determine compatibility with the MTF needs.

Degree concentration in Health Informatics and Information Management, Health Care Administration, or clinical background such as Registered Nurse or comparable clinical experience in addition to at least one of the following is required: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Bachelor in Science in Nursing (BSN), Registered Nurse (RN), Physician Assistant (PA), Medical Doctor (MD) or comparable clinical degree.

Applicants must be credentialed/licensed through or have a degree from a school accredited from one of the following organizations:

1. The Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM)

2. Educational Commission for Foreign Medical Graduates (ECFMG)

3. Commission on Graduates of Foreign Nursing Schools (CGFNS)

4. Accreditation Commission for Education in Nursing (ACEN)

5. The Commission on Collegiate Nursing Education (CCNE)

6. The Liaison Committee on Medical Education (LCME)

7. The American Medical Association (AMA)

8. The Commission on Osteopathic College Accreditation (COCA)

9. The American Osteopathic Association (AOA)

10. The Accreditation Review Commission on Education for the Physician Assistant (ARC-PA)

11. Or a U.S. based school of higher learning that is accredited from a nationally recognized accrediting agency according to the US Department of Education.

Experience: The contractor shall provide qualified Clinical Documentation Improvement Specialists with a minimum of 3-5 years of recent CDI experience in an acute care hospital setting including minimum of two years of CDI experience in ICD-9, ICD10-CM/PCS and MS-DRGs with experience in providing physician and/or CDI education or similar clinical background experience providing education. Experience with MHS DoD coding is preferred.

CDI Specialists with no Department of Defense (DoD) experience must provide copies of certificates and a resume to include three years of CDI experience within the last five years prior to assignment at the MTF.

CDI Specialists with DoD experience must provide copies of certificates and a resume to include two years of CDI experience within the last five years prior to assignment at the MTF.

CDI Specialists must have extensive knowledge of disease processes, clinical indicators, pharmacology medical terminology and usage, including general medical, surgical, pharmaceutical, hospital terms and abbreviations, and abstracting techniques.

CDI Specialists are required to have extensive knowledge of the official ICD-9/10-CM, ICD-10/PCS, CPT, APC, DRG and MHS Coding Guidelines for coding and reporting. Previous coding experience is desired.

CDI Specialists must have extensive knowledge of healthcare regulations, including reimbursement and documentation requirements for severity of illness, risk of mortality, quality outcomes, accurate coding and DRG assignment.

CDI Specialists must be able to complete initial medical record reviews of patient records within 24-48 hours of admission for specified patient population to: (a) evaluate documentation to assign the principal diagnosis, pertinent secondary diagnosis, and procedures for accurate DRG assignment, risk of mortality and severity of illness; and (b) initiate a review sheet.

CDI Specialists must conduct follow-up reviews of patients every 2-3 days to support and assign a working or final DRG assignment upon patient discharge.

CDI Specialists will complete a minimum of 500-550 initial and subsequent concurrent reviews each month.

CDI Specialists will complete 97% initial and subsequent reviews in required timeframe for timeliness metrics.

CDI Specialists will complete workload with an accuracy of 97% for initial and subsequent reviews.

CDI Specialists must be able to formulate physician queries regarding missing, unclear or conflicting health record documentation by requesting and obtaining additional documentation within the health record.

CDI Specialists must be able to collaborate with case managers, nursing staff and other ancillary staff regarding interaction with physicians regarding documentation and to resolve physician queries prior to discharge.

CDI professionals should also be familiar with important areas such as privacy, security, and confidentiality that also impact sharing of clinical information.

Contract personnel shall provide proof of U.S. Citizenship.

Submission Instructions: Responses via email, fax, and/or mail are due 1 AUG 18 @ 4:00 PM Pacific Standard Time (PST) to Felicia Jones, felicia.m.jones16.civ@mail.mil and must include the information requested below. Responses greater than six pages double sided including all attachments will not be considered. Late responses will not be accepted. This is strictly market research and the Government will not entertain any questions. Respondents will not be notified of the results of the evaluation. We appreciate your interest and thank you in advance for responding to the Sources Sought.

Qualified firms shall submit a statement of interest on company letterhead demonstrating the firm’s qualifications to perform the defined work. Responses must be complete and sufficiently detailed to address the specific information. The documentation shall address, at a minimum, the following:

A. Company Profile to include:

· Company name and address;

· Affiliate information: parent company, joint venture partners, and potential teaming partners;

· Two points of contact (names, titles, phone numbers and email addresses);

· DUNS number and Cage Code, as registered in the System for Award Management (SAM) at http://www.sam.gov/;

· Small Business designation/status (must correlate with SAM registration):

Small Business, HUBZone, WOSB, 8(a), SDVOSB, VOSB, and or Small Disadvantaged Business;

B. Performed on at least one or more current commercial contracts in the last three years of similar size and scope. These services must be for Clinical Documentation Improvement Specialists Services. Please use the table below:

Include a brief statement as to why each project is relevant to this sources sought notice and other relevant information such as any teaming or joint venture partners, whether the company was responsible for staffing the Clinical Documentation Improvement Specialists and/or agreements. In addition include proof of satisfactory past performance on the reference projects.

Additional Comments:

This information is true and correct to the best of my knowledge.

Signature Date

Name