“draft” statement of work 8/17/2016 Introduction
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- 3. Minimum Product Requirements
Industry Benchmarks for Provider Productivity and Compensation Data License “DRAFT” STATEMENT OF WORK8/17/2016 1. Introduction:The Department of Veterans Affairs (VA) Veterans Health Administration (VHA) Office of Productivity, Efficiency and Staffing (OPES) requires an existing commercial off the shelf web based, license for obtaining provider productivity and compensation industry benchmark data. The Office of Productivity, Efficiency and Staffing builds and maintains the VHA corporate data sets related to provider productivity. These data sets allow VHA operational managers and leadership to utilize productivity metrics or staffing level and other operational and policy decisions. From the VA’s actual data, OPES completes various reports (i.e. Capacity Reports, SPARQ, Workforce Reports) and builds additional metrics such as VHA Productivity Standards by specialty. These reports and metrics are based solely on the VHA data. The purpose of this Statement of Work is to identify a source for obtaining provider productivity and compensation industry benchmark data. 2. Performance Period: The period of performance shall be 12 months from date of award,plus three(3) 12-month option periods. 3. Minimum Product Requirements:A. Description: VHA intends to purchase robust provider productivity and compensation industry benchmark data. The data will allow VHA to compare its productivity and compensation data with the industry benchmarks. The data will be available in electronic formats to allow downloading and analysis. The data should include descriptive statistics which, at a minimum, include the mean, median and quartiles. Robust data expectations are described in the Requirements & Goals section of this performance work statement. Product must include ability to: Export data into Excel for more in-depth analysis, Create advanced reports with export options into PDF, Excel, and web viewing formats, Access 5 years of trend data. This request is to obtain the latest annual data available as of calendar year 2016. It is assumed that the industry data is based on the prior calendar year and is routinely made available during the next calendar year. . The license shall be an on-line or web access of the vendor’s data. Any limitation on the number of users must be clearly delineated. Any restrictions on VA staff using the data for research or study publications should also be clearly delineated. B. The product shall include: Provider productivity metrics are defined in Section I. To allow robust comparison analysis with VHA data, the metrics must allow splits into the key groupings as identified in Section II. List of Productivity Metrics: List is provided in categories of A) Critical Metric Requirement (Must have); and B) Potential Metric Requirement (Nice to have) **Reference Figure I (Page 5) for a check list view of the metric requirements.
Critical Metric Requirement (Must have) RVU per FTE / ASA Units per FTE RVU = relative value unit per CPT codes. Include all RVU components - See Figure A.1. CPT = Current Procedural Terminology (CPT®), A medical code set maintained by the American Medical Association ASA = American Society of Anesthesiologists Units FTE = Full-Time Equivalent. Generally defined as 1.0 = 2,080 annual hours Note: Hours for a FTE computation may have variation for survey collections. 
Visits per FTE Visit = patient and provider encounter Compensation per FTE Compensation = Annual Salary for a FTE Support Staff per FTE Support Staff = Staff and labor types that support an independent provider including Administrative, Clerical, Health Technicians, Health Aides, Registered Nurses, Licensed Practical Nurses, Licensed Vocational Nurses, Physician Assistants***, Nurse Practitioners***, Radiology Technologists, Radiology Technicians. *** Support when not practicing independently and practicing under a physician. Provider Time % (Labor Mapping Percentages by categories below) Clinical = direct patient care If available, split between outpatient clinic and inpatient Administrative = time in managerial and organizational administrative duties Education = time providing formal training (didactic education) Research = time performing formal, approved health care research, or in activities in direct support of approved research. Formal/approved research is research that is approved through the hospital’s research review process. Support activities include time spent by the investigator in direct support of research activities. Research can be laboratory, clinical, or health services. Potential Metric Requirement (Nice to have) Visits per day Day = one 24 hour calendar day Procedure per visit Procedure = CPT code count RVU per setting / ASA Unit per setting (inpatient or outpatient) RVU per Square Footage / ASA Unit per Square Footage FTE per Square Footage Support Staff FTE per Visit List of Groupings - Requirements and Definitions of the Metric splits: The metrics must allow splits into the key groupings as identified below. Within each grouping definition, it is noted as either: * Critical requirement (Must have) ** Potential requirement Reference Figure I (Page 5) for list of specialties. Reference Figure II (Page 6) for checklist of other groupings.
Provider Specialties * VHA uses the Centers for Medicare & Medicaid Services (CMS) Physician Taxonomy to define specialties. https://www.cms.gov/medicare/provider-enrollment-and-certification/medicareprovidersupenroll/taxonomy.html VHA has 38 Aggregate Specialties based on the CMS Taxonomy and the list is provided in Attachment A as part of the metric checklist. Provider types (reference list below) Physicians*, Podiatrist*, Optometrist*, Psychologist*, Chiropractor*, Advanced Practice Providers (APP) *, Rehabilitation Therapists** APP (practice independent from physician) = Clinical Nurse Specialist, Certified Registered Nurse Anesthetics (CRNA), Nurse Practitioner, Physician Assistant, Social Worker. Rehabilitation Therapists = Audiology, Blind Rehabilitation, Kinesiotherapy, Occupational Therapy, Physical Therapy, Recreation Therapy, Speech Language Pathology Academic Affiliated Practices * or Non-Academic Affiliated Practices * Academic Affiliated Practice = practices that trains residents Non-Academic Affiliated Practices = practice that does not train residents Geographic Major Regions* = defined by states and grouped into Eastern, Sothern, Midwest, Western Minor Regions* = defined by states and grouped into Northeast, North Atlantic, Mid Atlantic Southeast , Eastern Midwest, Upper Midwest, Lower Midwest, Rocky Mountain/Southwest, Northwest, West. States* = all 50 states Metropolitan Statistical Areas ** = Metropolitan Statistical Areas established by Office of Management and Budget (OMB) to define geographical region with a relatively high population density at its core and close economic ties throughout the area. Demographic (Metropolitan or Rural) ** Practice Type (Single Specialty, Multispecialty) ** Single Specialty: A practice that focuses it clinical work in one specialty. Multiple specialties may be included in a practice focused solely on neurosurgery. Multispecialty: A practice that consists of physicians practicing in different specialties. Additional Multispecialty splits: Multispecialty with primary and specialty care = practice has at least one designated primary care specialty and additional non-primary care specialties. Multispecialty with specialty care only = practice has different specialties but none are designated primary care specialties. Multispecialty with primary care only = practice has multiple specialties that are designated primary care. C. Operating Constraints In past research on obtaining provider productivity and compensation benchmark data, vendors have either required or offered discounts if the VA participated in their survey to build their data set. OPES has not and does not intend to submit VA data to these types of surveys due to various inconsistencies in VA compared to private sector and potential impacts on the overall survey. Figure I - Metrics Requirements - Checklist View (RVU Components & Specialty by Metric) 
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