Quality Improvement Organization Manual (Pub. 100-10), Ch. 15 § 15210

Methods of Evaluation

Last amended: 2017Year: 2017Length: 258 wordsOfficial source
15210 - Methods of Evaluation (Rev.31, Issued: 07-21-17, Effective: 07-21-17, Implementation: 07-21-17) Substantial elements of QIO contracts are performance-based, such that a QIO is assessed relative to specific performance measures established in the contract. Performance on these measures can be used to objectively make determinations about non-competitive renewals and/or be used as objective criteria in competitive procurements. Additionally, CMS may also assess QIO performance based on annual routine assessment, regularly scheduled teleconferences, data analysis, off-site reviews of QIO project activities, contract deliverables, reporting, data reports, interviews with QIO staff, customer satisfaction and/or an examination of other pertinent records. CMS follows federal acquisition regulations when assessing QIO contractor performance on the contract. CMS conducts contract performance monitoring activities throughout the contract term and will act upon findings as necessary. CMS performs regular formal assessment of each QIO’s overall contract performance based on the general evaluation criteria and standards identified in each QIO contract. The assessment is provided to the QIO through the CMS Contracting Officer using the Contractor Performance Assessment Reporting System (CPARS) criteria used in performance evaluations: Quality, Schedule/Timeliness, Cost/Price Control, Business Relations, Management, and Small Business. CMS considers the published general evaluation criteria and standards within the Quality sub-factor within the CPARS assessment of overall contractor performance. CMS performs regular program impact assessments and may contract with an independent entity to perform assessment of overall QIO Program performance. Program evaluations are conducted separately from individual QIO contractual performance evaluations. CMS makes QIO Program performance assessment results available to each QIO as part of regular QIO program evaluations.
Quality Improvement Organization Manual (Pub. 100-10), Ch. 15 § 15210: Methods of Evaluation | Justis AI