SOLICITATION NOTICE
R -- ASSESSING PERFORMANCE MEASURES FOR ALCOHOL AND DRUG TREATMENT IN MANAGED CARE PLANS
- Notice Date
- 6/24/2004
- Notice Type
- Solicitation Notice
- NAICS
- 541611
— Administrative Management and General Management Consulting Services
- Contracting Office
- Department of Health and Human Services, Program Support Center, Division of Acquisition Management, Parklawn Building Room 5-101 5600 Fishers Lane, Rockville, MD, 20857
- ZIP Code
- 20857
- Solicitation Number
- Reference-Number-04M000196
- Response Due
- 7/9/2004
- Archive Date
- 7/24/2004
- Point of Contact
- Chris Ganey, Contract Specialist, Phone 301-443-4379, Fax 301-443-3849,
- E-Mail Address
-
cganey2@psc.gov
- Description
- The Substance Abuse and Mental Health Services Administration (DHHS), through the Program Support Center, intends to negotiate a sole-source award with The National Committee for Quality Assurance , Washington, DC. Purpose: Over the past few years, SAMHSA funded the National Committee for Quality Assurance (NCQA) for several discrete projects related to performance measurement. NCQA accredits managed care and other medical and behavioral health provider organizations. Through NCQA?s HEDIS? (Health Plan Employer Data Information Set), performance measurement data can be accessed from more than half of the nation?s Health Maintenance Organizations and almost ninety percent of all health plans. SAMHSA also funds performance measurement activities of the Washington Circle (WC), a group that has expertise in alcohol and other drug (AOD) disorders, managed care, and performance measurement. For the last several years, the WC has worked to improve the quality and effectiveness of AOD prevention and treatment services through the development and implementation of performance measurement systems in the public and private sectors. The WC identified seven measures as an initial core set for comparing systems? performance in the delivery of AOD services to adults, reflecting four domains of the continuum of AOD services, i.e. prevention/education, recognition, treatment, and maintenance. These domains are comparable to those used in the management of other chronic illnesses. Of the seven core measures, four are designed to be calculated using claims or encounter and eligibility data that is available from managed care organizations. Last year, SAMHSA funded NCQA to partner with WC to modify the specifications of two WC performance measures for adults (initiation and engagement) to allow for the inclusion of the measures into the NCQA HEDIS? 2004 (Health Plan Employer Data Information Set). The measures are currently concluding their first year of implementation and will yield valuable information about the nature of substance abuse treatment in the private, managed care sector. Additionally, NCQA developed a technical subgroup to review the theoretical and methodological issues related to the development of performance measures related to children and adolescents. The subgroup is responsible for advising NCQA on the feasibility of including measures for children and adolescents in the HEDIS?. The National Committee on Quality Assurance (NCQA) is the organization responsible for development and implementation of HEDIS. Their performance measures for treatment and prevention of substance abuse under managed behavioral healthcare committee of NCQA, and its technical performance measures experts have provided comments on the specification of the measures by Brandeis University for the Washington Circle Group. The NCQA has initiated testing of performance measures for a various health conditions and populations collaborating with a number of their health plans that have research staff and large databases. The NCQA is able to work with these same plans to test substance abuse performance measures. It is particularly important that some questions be answered about the measures before they are included in HEDIS; it is also important that the measures be tested not only in comprehensive health plans, as they already have, but in specialty managed behavioral healthcare plans to which only NCQA has access. Since only NCQA is responsible for implanting the process through which measures are added to HEDIS, it is the only organization that can assist CSAT and the Washington Circle Group to further test the measures for inclusion in HEDIS. THE PROPOSED SIMPLIFIED ACQUISITION ACTION IS FOR SUPPLIES OR SERVICES FOR WHICH THE GOVERNMENT INTENDS TO SOLICIT AND NEGOTIATE WITH ONLY ONE SOURCE UNDER AUTHORITY OF FAR 13.106-1 INTERESTED PERSONS MAY IDENTIFY THEIR INTEREST AND CAPABILITY TO RESPOND TO THE REQUIREMENT OR SUBMIT PROPOSALS WITHIN 7 DAYS AFTER THE DATE OF PUBLICATION OF THIS NOTICE. A DETERMINATION BY THE GOVERNMENT NOT TO COMPETE THIS PROPOSED SIMPLIFIED ACQUISITION BASED UPON RESPONSES TO THIS NOTICE IS SOLELY WITHIN THE DISCRETION OF THE GOVERNMENT. INFORMATION RECEIVED WILL NORMALLY BE CONSIDERED SOLELY FOR THE PURPOSE OF DETERMINING WHETHER TO CONDUCT A COMPETITIVE PROCUREMENT.
- Record
- SN00609365-W 20040626/040624211828 (fbodaily.com)
- Source
-
FedBizOpps.gov Link to This Notice
(may not be valid after Archive Date)
| FSG Index | This Issue's Index | Today's FBO Daily Index Page |