Medicaid EHR Incentive Program Electronic Submission of Clinical Quality Measures Request for Information (RFI) RFI # DHCAA

Transcription

1 RFI # /21/13 Medicaid EHR Incentive Program Electronic Submission of Clinical Quality Measures Request for Information (RFI) RFI # DHCAA Issued by: The State of Wisconsin Department of Health Services Division of Health Care Access and Accountability Issued on: June 21, 2013 Responses are requested by: July 26, 2013 For further information regarding this RFI contact Tricia LaPlant DHSRFIEHR2013@dhs.wisconsin.gov

2 I. INTRODUCTION The American Recovery and Reinvestment Act (ARRA) signed into law on February 17, 2009 established the Medicaid Electronic Health Record (EHR) Incentive Program. The program was established to encourage, through the provision of incentive payments, certain eligible Medicare and Medicaid professional providers and hospitals to adopt certified EHR technology and become meaningful users of the technology. To be considered meaningful users, Hospitals and Eligible Professionals are required to report Clinical Quality Measures (CQMs). In the initial years of the program, Centers for Medicare & Medicaid Services (CMS) and the Wisconsin Department of Health Services (DHS) have been accepting CQM reporting purely via attestation; however, in future years of the program, States administering Medicaid EHR incentive payments have the option to establish a process to receive CQM reporting electronically from Hospitals and Eligible Professionals. DHS is exploring the options available to collect the CQMs electronically. A list of the Clinical Quality Measures can be found at: and Guidance/Legislation/EHRIncentivePrograms/ClinicalQualityMeasures.html. II. PURPOSE OF THE REQUEST FOR INFORMATION The State of Wisconsin, as represented by its Department of Health Services (DHS), intends to use the results of this process to gather information and explore solutions available in the marketplace on vendors demonstrated technologies and solutions for electronically collecting and validating Clinical Quality Measures (CQM) submitted as a part of the Medicaid EHR Incentive Program. This RFI is not a solicitation and no purchases will be made on the basis of responses to this RFI. The results of this information gathering process may be used to aid DHS in the development of a Request for Proposals (RFP) or Request for Bids (RFB) that could lead to either a certification process for vendors or the selection of a vendor(s) to electronically collect, validate, analyze and store CQMs submitted as a part of the Medicaid EHR Incentive Program. DHS will be looking for flexible solutions that meet the capacity needs of the organization for future quality initiatives undertaken by DHS including, but not limited to Accountable Care Organizations and Patient Centered Medical Home. DHS is interested in responses from firms with experience working with a vast array of Wisconsin providers, clinics and hospitals on activities related to clinical quality measurement and reporting in the State of Wisconsin. DHS is only interested in existing, installed solutions and is not interested in having a system custom developed to meet its needs in this area. DHS may request demonstrations from qualified vendors for the purpose of developing the RFP or RFB criteria. This request for information is not intended to result in a contractual relationship. 2

3 III. SUBMITTING QUESTIONS OR RESPONSES TO THE RFI RFI Schedule of Events Date RFI Released June 21, 2013 Vendor Written Questions Due July 5, 2013 Answers to Questions & Clarifications posted on VendorNet July 12, 2013 Vendor RFI Responses Due Date July 26, :00 PM CDT Vendor Questions Regarding the RFI Any questions regarding the CQM RFI or on submission requirements, should be submitted via to the following address prior to July 5, 2013: The subject line in the should state: CQM RFI Question. is the only method by which questions will be accepted. In the event it becomes necessary to provide additional clarifying data or information or to revise any part of this RFI, supplements or revisions will be provided to all recipients of this initial RFI. All questions and answers will be distributed to all respondents according to the date specified in the RFI Schedule of Events. Vendor Responses Responses to this RFI should address all questions in RFI Section IV, RFI Vendor Questions and Required Response and are limited to 30 pages in length. Responses to the requested information and any supplemental materials should be submitted electronically, in either Microsoft Office or PDF formats (PDF preferred), to the following address no later than July 26, :00 PM CDT: The subject line in the should state: CQM RFI Response. is the only method by which responses will be accepted. Respondents should submit a listing of their existing clients on Appendix A. Respondents must also review Appendix B: Designation of Confidential and Proprietary Information. This form must be used to designate any material as trade secret as provided in s (5), Wis. Stats. RESPONDENTS MUST NOTE: This RFI is not a solicitation for proposals, bids or services, nor does it represent any other formal procurement device. The Department, at its sole discretion, may elect to conduct a formal solicitation based upon, among other factors, the information received in response to this RFI. IV. RFI VENDOR QUESTIONS AND REQUIRED RESPONSES The questions below represent DHS main principles in identifying potential solutions to electronic collection, validation, analysis, and storage of clinical quality measures. Interested vendors should address all of the questions in this section. If you are unable to address any of the questions, please make note of those questions in the response. Responses should clearly indicate how they are based on the vendor s actual experience in the deployment and 3

4 maintenance of a solution and its relationship to the future delivery of system functionality that addresses the specific question. Responses should be no longer than 30 pages; however, additional information regarding your system/services is welcome and is not subject to page limits. Responses should be organized as follows: Company Information 1. Introduce your organization (e.g., parent, age, number of customers, offices, number of employees, etc.). Please include ownership structure. 2. Identify name(s) and contact information for individuals able to answer questions or concerns regarding submitted information or the products and services you offer. 3. List any relevant web sites for your company and the services or products it offers. Specifically highlight websites that showcase your installed products or services, in addition to your own company website. 4. Describe your software product(s) and services strategies, including markets served. Include information regarding any strategic partnerships or alliances with other technology or service organizations. 5. Describe experience and/or capabilities using the product(s) and services detailed in #4 to report CQMs to the State, CMS, or other Federal Agencies (include all details on capabilities around the collection, validation, analysis, and/or storage of CQMs). 6. Describe your experience with Quality Reporting Data Architecture (QRDA) 1 and 3 formats. 7. Describe market share in Wisconsin for the collection, validation, analysis, and/or storage of CQMs. Provide information on number of providers you serve, including detail on what type of practice they serve in (e.g. small, large, independent, etc.) Process Information 1. Describe the process your system/service employs in CQM collection, validation, analysis and/or storage. Provide detailed information on any data formats being used, with specific attention paid to QRDA 1 and QRDA 3 and their impacts to the process. 2. What number of providers can your system/service manage? 3. Describe all methods by which providers can submit data to your organization for the submission of their clinical quality data or measures 4. Describe the reporting capabilities of your system/service. Include information about tiered reporting based on authorization levels. Please provide example reports. (Examples should be included as an appendix and will not count toward the 30 page limit.) 4

5 5. What level of data access will be granted to State Authorized Users, what kinds of data can these users extract from your system, and how frequently can users extract the data? 6. Describe the transfer/transport mechanism used for the submission of CQMs by providers who currently use your system/services. Please include any detail you have related to the use of Direct Secure Messaging. 7. Describe how your system/services could or does interface with certified EHR technologies to receive information directly from a provider s system. Please identify the EHR systems with which your solution currently interfaces. Technical Information 1. Provide technical specifications for the system used. Include all approved hardware platforms, operating systems, and data architectures currently supported. 2. List the minimum technical requirements required to use your system (e.g., software, web browsers, browser plug ins, system extensions, databases, etc.). 3. Describe how your system scales up in the face of increased demand or load. 4. With what frequency does your system refresh to capture and relay newly submitted data? 5. Describe the processes and safeguards undertaken to ensure the quality, accuracy, and integrity of the data stored and transmitted. 6. Provide a copy of your privacy policy, and specifically how you address HIPAA compliance 7. Describe the levels of security and authorization built into your system. Pricing Information 1. Describe your pricing/funding model. V. REVIEW OF THE RESPONSES A project committee has been assigned to review responses that comply with the instructions set forth in this RFI. DHS, at its sole discretion, may choose to waive immaterial deviations from the RFI instructions. Upon completion of the RFI process, DHS may seek clarification from respondents. Please note that DHS will not be providing formal notification to respondents when the RFI review is complete. Thank you for your time in reading this Request for Information (RFI). If you have any questions, please contact DHSRFIEHR2013@dhs.wisconsin.gov. 5

6 Appendix A STATE OF WISCONSIN RFI # List existing or former clients that have adopted respondent s approach/option Use multiple sheets if necessary FOR VENDOR: Provide company name, address, contact person, telephone number, and appropriate information on the product(s) and/or service(s) with requirements similar to those included in this Request for Information. If a demonstrator is proposing any arrangement involving a third party, the named references should also be involved in a similar arrangement. Company Name Address (include Zip + 4) Contact Person Phone No. Product(s) and/or Service(s) Used Company Name Address (include Zip + 4) Contact Person Phone No. Product(s) and/or Service(s) Used Company Name Address (include Zip + 4) Contact Person Phone No. Product(s) and/or Service(s) Used 6

7 Appendix B STATE OF WISCONSIN RFI # DOA 3027 N(R01/98) DESIGNATION OF CONFIDENTIAL AND PROPRIETARY INFORMATION The attached material submitted in response to RFI # includes proprietary and confidential information which qualifies as a trade secret, as provided in s (5), Wis. Stats., or is otherwise material that can be kept confidential under the Wisconsin Open Records Law. As such, we ask that certain pages, as indicated below, of this bid/proposal response be treated as confidential material and not be released without our written approval. Prices always become public information when bids/proposals are opened, and therefore cannot be kept confidential. Other information cannot be kept confidential unless it is a trade secret. Trade secret is defined in s (1)(c), Wis. Stats. as follows: "Trade secret" means information, including a formula, pattern, compilation, program, device, method, technique or process to which all of the following apply: 1. The information derives independent economic value, actual or potential, from not being generally known to, and not being readily ascertainable by proper means by, other persons who can obtain economic value from its disclosure or use. 2. The information is the subject of efforts to maintain its secrecy that are reasonable under the circumstances. We request that the following pages not be released Section Page # Topic IN THE EVENT THE DESIGNATION OF CONFIDENTIALITY OF THIS INFORMATION IS CHALLENGED, THE UNDERSIGNED HEREBY AGREES TO PROVIDE LEGAL COUNSEL OR OTHER NECESSARY ASSISTANCE TO DEFEND THE DESIGNATION OF CONFIDENTIALITY AND AGREES TO HOLD THE STATE HARMLESS FOR ANY COSTS OR DAMAGES ARISING OUT OF THE STATE'S AGREEING TO WITHHOLD THE MATERIALS. Failure to include this form in the bid/proposal response may mean that all information provided as part of the bid/proposal response will be open to examination and copying. The state considers other markings of confidential in the bid/proposal document to be insufficient. The undersigned agrees to 7

8 hold the state harmless for any damages arising out of the release of any materials unless they are specifically identified above. Company Name Authorized Representative Signature Authorized Representative Type or Print Date This document can be made available in accessible formats to qualified individuals with disabilities. 8