2.0 Integrated
Master Plan (Imp) And Integrated Master Schedule (IMS)
2.1 The contractor
shall submit an IMP and IMS as identified by DD Form
1423, Contract Data Requirements List (CDRL),
located in Section J of the applicable contract, to
allow Government oversight of transition progress. The contractor’s
IMP shall demonstrate that the contract transition is structured
to provide a balanced technical approach, to minimize and control
risk, to accomplish up-front summary planning and commitment, and
to provide a basis for subsequent detailed planning. The IMP shall
include milestones and measurable indicators that can be used to
evaluate the contractor’s satisfactory progress toward being fully
capable of delivering health care services at the start of health
care delivery (SHCD).
2.2 The IMP/IMS shall address
all processes and interdependencies associated with the provision
of services to TRICARE beneficiaries. Interdependencies may include
data such as exchanges, interfaces, and documents from the outgoing
contractor and other entities, e.g., Defense Manpower Data Center (DMDC)
and Military Treatment Facilities (MTFs)/Enhanced Multi-Service
Markets (eMSMs).
2.3 The contractor shall identify
an individual responsible for transition management who will serve
as the single point of contact for the Government for all transition
activities. This individual will be the overall coordination point
for the management of the IMP and IMS and coordinate and integrate interdependencies
with the outgoing contractor and other entities associated with
the transition of the contract.
2.4 The IMP shall include the
contractor’s in-process verification approaches. The IMP shall provide the
Government the ability to validate progress in order to make informed
decisions. If multiple tasks are combined and identified in the
IMP as a single event, sufficient detail shall be provided to clearly identify
all subtasks related to the single action.
2.5 The contractor’s IMP/IMS shall
address the contractor’s plan to mitigate identified risks. The
IMP shall be supported by a Risk Management Plan (RMP) that identifies
risks to the successful execution of the contractor’s IMP, to include
risks resulting from interdependencies on activities by other parties associated
with the transition. The IMP shall include a Risk Management Strategy
that clearly demonstrates how the contractor plans to mitigate risks
identified in the RMP.
2.6 The IMP/IMS shall include
a subsection specific to Information Systems (IS). The IS subsection shall
identify the management process and schedule to be used to develop
and implement all IS, technical interfaces and security protocols.
At a minimum, the subsection shall include contractor developed
systems/applications, contractor and Government security, connectivity
with all Government interfaces and applications and testing. The
IS subsection shall be maintained and updated as appropriate to
reflect changes to development and implementation of IS.
2.7 The contractor
shall coordinate data conversion and testing activities with the
Government and submit required documents within the timeframes established
during integration/testing meetings, i.e. Test Plan, and Test Scenarios
as indicated in the IMP/IMS, but no later than 30 days following
the Systems Integration Interface Meeting.
2.8 The IMP/IMS shall include
a subsection that provides a staffing plan that delineates the hiring and
training schedule of employees relevant to the stand-up of the contractor’s
responsibilities. The Plan and Schedule should be incorporated into
the contractor’s IMP/IMS. The training schedule shall be developed
in order to ensure staff is trained with the requisite knowledge
to perform the responsibilities of their position.
2.9 The contractor
shall develop processing guidelines, desk instructions/user’s manuals
and reference materials for internal use, at least 10 calendar days
prior to the SHCD. Desk instructions shall be available to each
employee in the immediate work area. Reference materials such as
procedure codes, diagnostic codes, and special processing guidelines,
shall be available to each work station with a need for frequent
referral. Other reference materials shall be provided in each unit
with a reasonable need and in such quantity as to ensure the ease
of availability needed to facilitate work flow. Electronic versions
may be used.
2.10 Contractor
Weekly Status Reporting
The contractor shall
provide a weekly status report of IMP/IMS providing transition schedule progress,
identifying schedule modifications and impacts, as
identified in DD Form 1423, CDRL, located in
Section J of the applicable contract. The contractor
shall document meetings with formal minutes and submit them as
identified in DD Form 1423, the CDRL,
located in Section J of the applicable contract.
2.11 Outgoing
Contractor Weekly Status Reporting
Until
all claims inventories have been processed, the outgoing contractor
shall submit a weekly status report of inventories and phase-out
activities to DHA beginning the 20th calendar day following the
Specifications Meeting until otherwise notified by the Procuring
Contracting Officer (PCO) to discontinue. This shall be done in
accordance with specifications of the official transition schedule.
3.0 Performance
Readiness Validation (PRV) And Performance Readiness Assessment
And Verification (PRAV)
3.1 During
contract transition, the contractor shall conduct validation reviews
to assess their performance readiness in seven critical performance
areas. This self-assessment process is called PRV. The seven critical
performance areas that are subject to PRV reviews are:
• Provider
networks;
• Enrollment;
• Customer service;
• Management;
• Referral management;
• Claims processing;
and
• Medical
management.
PRV activities
and milestones shall be identified in the IMP/IMS and shall be reported
to the Government via the Weekly Status Report.
3.2 Following
the completion of PRV activities, the contractor shall provide the
Government transition team(s) with a comprehensive briefing on the
processes, results, and findings of all PRV reviews. The briefing
shall include a description of specific performance issues and/or
risks identified by the contractor, lessons learned, and a comprehensive
discussion of the steps contemplated or taken by the contractor
to ensure full performance readiness at the SHCD. A revised IMP/IMS
will be submitted if the contractor anticipates any significant
deviation from any stated activities and milestones.
3.3 Following
the completion of the PRV briefing, the Government will conduct
PRAV activities to assess and verify the contractor’s readiness
to perform in the seven critical performance areas identified in
paragraph 3.1.
PRAV activities will be conducted by one or more Government transition
teams utilizing a variety of methods, including, but not limited
to: on-site testing/inspection at one or more contractor and/or
subcontractor locations; remote assessment via telephone or other
method; random sampling of contractor’s work products; direct observation
of contractor performance and systems operability; and evaluation
of transition deliverables and data as required by the contract.
Projected PRAV dates, location(s), transition team structure, and
specific assessment/verification methods will be identified by the
Government during the transition specification meeting.
3.4 Following
the completion of all PRAV activities, the Government shall provide
a summary out brief to the contractor on the processes, results,
and findings of all PRAV activities. Results will be briefed as
assessed or verified performance against PRAV acceptable quality
levels in each critical performance area.