SOLICITATION NOTICE
R -- G1 Medical Case Management Service - Package #1
- Notice Date
- 2/18/2016
- Notice Type
- Combined Synopsis/Solicitation
- NAICS
- 541611
— Administrative Management and General Management Consulting Services
- Contracting Office
- Department of the Army, National Guard Bureau, USPFO for Utah, PO Box 2000, Draper, Utah, 84020-2000
- ZIP Code
- 84020-2000
- Solicitation Number
- W911YP-16-R-0003
- Point of Contact
- Otha B Henderson, Phone: 8014324093
- E-Mail Address
-
otha.b.henderson.mil@mail.mil
(otha.b.henderson.mil@mail.mil)
- Small Business Set-Aside
- Competitive 8(a)
- Description
- W911YP-16-R-0003 request for proposal for G1 Medical case management personnel. The Department of Defense (DoD) and TRICARE Management Activity (TMA) values all staff involved in the delivery of high-quality care to service members. In 2009, a Medical Management Guide was issued by the Office of the Assistant Secretary of Defense for Health Affairs (ASD [HA]), TMA, Office of the Chief Medical Officer (OCMO), Population Health and Medical Management Division (PHMMD). The guide covers the components of a medical management (MM) program, including applicable principles, implementation concepts, processes, tools/databases for utilization management (UM), case management (CM), and disease management (DM). It complements the 2001 DoD Population Health Improvement Plan and Guide published by TMA and the Government Printing Office http://www.tricare.mil/ocmo/download/mhs_phi_guide.pdf. Under legislative mandates, the ASD (HA) submitted an annual report to Congress regarding healthcare delivery for Military Health System (MHS) beneficiaries. The 2009 report documented the MHS goals to provide high-quality care, improve performance through clinical and process outcomes, and increase patients' confidence in the care they receive. The Guide describes crucial components of MM within the MHS, including the link between MM and population health and the dynamics between UM, CM and DM in helping reduce unnecessary or inappropriate services and/or duplicated services. In the military setting, CM targets active duty service members and beneficiaries with complex, multi-system healthcare needs who require care coordination or case management services. Originally, CM almost exclusively targeted in-patients with catastrophic illnesses or injuries. However, a number of developments have served to change that strategy; notably: - The emergence of the National Committee for Quality Assurance (NCQA): http://www.ncqa.orgorg/. - The development of accreditation standards by the Utilization Review Accreditation Commission (URAC): http://www.urac.org. While CM continues to focus on catastrophic illnesses or injuries, CM practices are also directed at addressing more prevalent chronic conditions in the general patient population. Case managers can affect patient outcomes through proactive interventions across multiple healthcare settings. Additionally, case managers are expected to engage community resources and facilitate ongoing and consistent patient education. The MHS has three primary goals for CM: - Improve the care, management, and transition of recovering service members. - Broaden the application of CM to include those with complex and at-risk needs before the Soldier requires complex care. - Evaluate how CM impacts the quality of military health care. The Army National Guard (ARNG), recognizing the importance of medical readiness after several years of combat deployments, implemented the Case Manager Support Contract in August 2005 as a time and materials contract, not firm fixed price and Performance Statement of Work-based. The current contract was originally awarded August 2009 to Skyline Ultd (with 49% subcontract to Sterling Medical). At the end of FY09, case managers in 31 states were using the medical non-deployable module to manage their caseloads. During the period of August 2008 to August 2009, 15,292 cases were put into the module; of these, 6,734 were closed as return to duty, fit for duty, or forwarded for an MEB/PEB evaluation. Additionally, readiness increased from 35% fully-ready in FY08 to 44% in FY09. This success resulted from increased targeted funding and a concerted effort by the National Guard Bureau. On 29 March 2012, the ARNG achieved the Department of Defense (DoD) goal of 75% (FMR) Soldiers per DoD Instruction (DoDI) 6025.19, IMR. This monumental accomplishment marked the highest medical readiness percentage the ARNG has achieved in documented history. Over the past year, ARNG readiness has continued to increase to over 80%. Continued utilization of medical case managers is essential to maintaining established medical readiness goals for the ARNG. This is a combined synopsis/solicitation. No additional synopsis or solicitation will be issued.
- Web Link
-
FBO.gov Permalink
(https://www.fbo.gov/spg/USA/NGB/DAHA42/W911YP-16-R-0003/listing.html)
- Place of Performance
- Address: Utah Army National Guard, JFHQ, 12953 South Minuteman Drive, Draper, Utah, 84020, United States
- Zip Code: 84020
- Record
- SN04023530-W 20160220/160218234501-308e6bb3ed1038accfe7dbc8ea0a7c25 (fbodaily.com)
- Source
-
FedBizOpps Link to This Notice
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