SOLICITATION NOTICE
R -- Inpatient Rehabilitation Facility (IRF), Long Term Care Facility (LTCH) and Hospice Quality Reporting Programs Support, Outreach and Program Support.
- Notice Date
- 3/31/2015
- Notice Type
- Presolicitation
- NAICS
- 541618
— Other Management Consulting Services
- Contracting Office
- Department of Health and Human Services, Centers for Medicare & Medicaid Services, Office of Acquisition and Grants Management, 7500 Security Blvd., C2-21-15, Baltimore, Maryland, 21244-1850
- ZIP Code
- 21244-1850
- Solicitation Number
- HHSM-500-2015-RFP-0106
- Point of Contact
- Jonathan R. Chattler, Phone: 4107860352, Christina F Heller, Phone: 410-786-1896
- E-Mail Address
-
Jonathan.Chattler@cms.hhs.gov, christina.heller@cms.hhs.gov
(Jonathan.Chattler@cms.hhs.gov, christina.heller@cms.hhs.gov)
- Small Business Set-Aside
- Competitive 8(a)
- Description
- The purpose of this action is to synopsize a small business, 8(a), set-a-side in accordance with FAR Subpart 5.203 for procurement entitled: Inpatient Rehabilitation Facility (IRF), Long Term Care Facility (LTCH) and Hospice Quality Reporting Programs Support, Outreach and Program Support. CMS seeks to promote higher quality and more efficient health care for Medicare beneficiaries, and our efforts are furthered by quality reporting programs coupled with public reporting of that information. Quality reporting programs already exist for various settings such as hospital inpatient services via the Hospital Inpatient Quality Reporting (IQR) Program, hospital outpatient services via the Hospital Outpatient Quality Data Reporting Program, and physicians and other eligible professionals' services via the Physician Quality Reporting System (PQRS). This project supports the administration of the Quality Improvement Organizations Program (QIO). The Social Security Act, as set forth in Part B of Title XI - Section 1862(g), established the Utilization and Quality Control Peer Review Organization Program, now known as the Quality Improvement Organizations Program. The statutory mission of the QIO Program is to improve the effectiveness, efficiency, economy, and quality of services delivered to Medicare beneficiaries. This project will provide outreach, education, communications, payment determination, reconsideration, help desk and business process support for the Patient Protection and Affordable Care Act Section 3004 Program Support and Analysis. Moreover, the work under this contract aligns with the work and mission under Section 3004 of Health Care Reform H.R. 3590, Quality Reporting for Long-Term Care Hospitals (LTCH), Inpatient Rehabilitation Hospitals (IRF), and Hospice Programs amending Sections 1886(j)(m) and 1814(i) of the Social Security Act (42 U.S.C. 1395). Quality reporting programs have been established LTCHs, IRFs and Hospices. Under the new quality reporting programs (QRP) for Hospices, IRFs, and LTCHs, providers began data collection on October 1, 2012 for payment determination in fiscal year 2014. CMS implemented these new programs with a very small number of quality measures for the first year. CMS has been expanding these QRPs and will continue to do so over the next several years. This particular scope of work pertains to support needed for the programs created by Section 3004. Primary functions of this work include data analysis, support data validation methodologies, implement program evaluation activities, support public reporting of quality data, quality assurance, policy support, annual payment update determination, and technical assistance, and provide education and outreach to providers in support of the LTCH, IRF, and Hospice quality reporting programs. Additionally this contract shall support stakeholders including, but not limited to providers, CMS, and other Federal partners, to achieve success in the public reporting of quality measures and the direct improvement of quality of care. A support contractor for these programs is necessary so that CMS can continue performance measurement and quality improvement at the National level. The overall objectives of this contract are as follows: 1. Ensures providers have the necessary information to successfully and accurately report data such as developing provider communications; facilitating national conference calls/webinars; and maintaining the program specific websites for 3-6 programs. 2. Make arrangements to access data or to receive a copy of the data in order to perform detailed analysis to support annual payment decisions, reconsiderations, outreach and monitoring. Additionally, the contractor will provide the necessary outreach to ensure provider success. This work could range from 5,000-30,000 providers. 3. Maintain a help desk for questions that require knowledge of how the quality report program compliance programs. The inquiries are provider-specific and often are related to calculation of the quality measures. The help desk would be staffed with program subject matter experts, able to assistance with program compliance issues. Work closely with other help desks that may also support different aspects of the programs such as quality measure support or data collection systems support. 4. Provide a plan to randomly selected records/providers for validation from all records submitted. Processes all validation appeals and requests for educational feedback from providers. Assist with the development documentation and implementation of the validation sampling methodology, and verification of data completeness. 5. Assist with ongoing development and implementation of public reporting; developing business requirements for reports and final data files for all quarterly and annual public reporting releases. Perform quality assurance testing of data prior to initial publication. 6. Develop templates and data analytic methodologies necessary to produce reports to identify each provider's compliance with CMS' quality reporting requirements including reporting compliance with different measure sets for future payment years of each program perform data analysis and create options papers to support future policy decisions on implementation of thresholds for quality reporting. And provide ad hoc data analyses in support of Quality Reporting as requested by the COR and GTL. A Solicitation will be forthcoming. he purpose of this action is to synopsize a small business, 8(a), set-a-side in accordance with FAR Subpart 5.203 for procurement entitled: Inpatient Rehabilitation Facility (IRF), Long Term Care Facility (LTCH) and Hospice Quality Reporting Programs Support, Outreach and Program Support. CMS seeks to promote higher quality and more efficient health care for Medicare beneficiaries, and our efforts are furthered by quality reporting programs coupled with public reporting of that information. Quality reporting programs already exist for various settings such as hospital inpatient services via the Hospital Inpatient Quality Reporting (IQR) Program, hospital outpatient services via the Hospital Outpatient Quality Data Reporting Program, and physicians and other eligible professionals' services via the Physician Quality Reporting System (PQRS). This project supports the administration of the Quality Improvement Organizations Program (QIO). The Social Security Act, as set forth in Part B of Title XI - Section 1862(g), established the Utilization and Quality Control Peer Review Organization Program, now known as the Quality Improvement Organizations Program. The statutory mission of the QIO Program is to improve the effectiveness, efficiency, economy, and quality of services delivered to Medicare beneficiaries. This project will provide outreach, education, communications, payment determination, reconsideration, help desk and business process support for the Patient Protection and Affordable Care Act Section 3004 Program Support and Analysis. Moreover, the work under this contract aligns with the work and mission under Section 3004 of Health Care Reform H.R. 3590, Quality Reporting for Long-Term Care Hospitals (LTCH), Inpatient Rehabilitation Hospitals (IRF), and Hospice Programs amending Sections 1886(j)(m) and 1814(i) of the Social Security Act (42 U.S.C. 1395). Quality reporting programs have been established LTCHs, IRFs and Hospices. Under the new quality reporting programs (QRP) for Hospices, IRFs, and LTCHs, providers began data collection on October 1, 2012 for payment determination in fiscal year 2014. CMS implemented these new programs with a very small number of quality measures for the first year. CMS has been expanding these QRPs and will continue to do so over the next several years. This particular scope of work pertains to support needed for the programs created by Section 3004. Primary functions of this work include data analysis, support data validation methodologies, implement program evaluation activities, support public reporting of quality data, quality assurance, policy support, annual payment update determination, and technical assistance, and provide education and outreach to providers in support of the LTCH, IRF, and Hospice quality reporting programs. Additionally this contract shall support stakeholders including, but not limited to providers, CMS, and other Federal partners, to achieve success in the public reporting of quality measures and the direct improvement of quality of care. A support contractor for these programs is necessary so that CMS can continue performance measurement and quality improvement at the National level. The overall objectives of this contract are as follows: 1. Ensures providers have the necessary information to successfully and accurately report data such as developing provider communications; facilitating national conference calls/webinars; and maintaining the program specific websites for 3-6 programs. 2. Make arrangements to access data or to receive a copy of the data in order to perform detailed analysis to support annual payment decisions, reconsiderations, outreach and monitoring. Additionally, the contractor will provide the necessary outreach to ensure provider success. This work could range from 5,000-30,000 providers. 3. Maintain a help desk for questions that require knowledge of how the quality report program compliance programs. The inquiries are provider-specific and often are related to calculation of the quality measures. The help desk would be staffed with program subject matter experts, able to assistance with program compliance issues. Work closely with other help desks that may also support different aspects of the programs such as quality measure support or data collection systems support. 4. Provide a plan to randomly selected records/providers for validation from all records submitted. Processes all validation appeals and requests for educational feedback from providers. Assist with the development documentation and implementation of the validation sampling methodology, and verification of data completeness. 5. Assist with ongoing development and implementation of public reporting; developing business requirements for reports and final data files for all quarterly and annual public reporting releases. Perform quality assurance testing of data prior to initial publication. 6. Develop templates and data analytic methodologies necessary to produce reports to identify each provider's compliance with CMS' quality reporting requirements including reporting compliance with different measure sets for future payment years of each program perform data analysis and create options papers to support future policy decisions on implementation of thresholds for quality reporting. And provide ad hoc data analyses in support of Quality Reporting as requested by the COR and GTL. A Solicitation will be forthcoming.
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