Notice ID: HT0011-23-RFI-0172
Description
Credentialing and Privileging (C&P) and Healthcare Risk Management (HRM) require a centralized, integrated, application for Medical Quality Assurance Activities and Records. When CCQAS was created over 20 years ago well before the Defense Health Agency (DHA) transition, it was not designed as an integrated enterprise system, nor employed to implement the Joint Concepts for Health Services (JCHS) (August 31, 2015) as is presently needed. The lack of flexibility, scalability, and adaptability of the current system severely limits the ability to perform the functions related to clinical quality management which in turn significantly impairs the capability to provide quality and safety oversight in these areas. Without the capability to access enterprise C&P and HRM data within all MTFs and theater environments, health care providers are not capable of executing Globally Integrated Operations (GIO). The overarching goal is integration and deployment of a modern information technology system that standardizes and centralizes the medical staff management capabilities of credentialing and privileging and incorporates the HRM capabilities for DHA MTFs and the Services’ operational environment.
DHA’S SPECIFIC DESCRIPTION OF PROBLEM & MARKET RESEARCH NEED:
- The DHA intends to replace the current IT system, Centralized Credentials Quality and Assurance System (CCQAS) – a 20-year-old Government-Off-the-Shelf (GOTS) solution that provides four functions – Credentialing, Privileging, Healthcare Risk Management (HRM), and tracking Potentially Compensable Events (PCE). C&P are critical elements of MHS compliance with The Joint Commission (TJC) accreditation standards for hospitals, clinics, and ambulatory surgery centers. HRM activities include malpractice claims, active-duty adverse events associated with health care (Active Duty Deaths and Disabilities), clinical adverse privileging actions, and administrative and criminal adverse actions associated with health care providers.
- The goal is a seamless integration and deployment of an IT system or suite of systems that standardize, centralize, and integrate the medical staff management capabilities of credentialing and privileging, and health care risk management for DHA MTFs and for the Service operational commands. This effort requires an innovative, cost-effective approach for migrating and/or archiving legacy data to guarantee accessibility for up to 50 years after cut-off date.
- The Defense Health Agency (DHA) has established a market-based structure to manage the hospitals and clinics. National Defense Authorization Act (NDAA) of FY 2017 Section 702 and NDAA for FY 2019 Sections 711 and 712 requires the DHA to undergo the largest transformation in the history of the MHS where DHA assumes Authority, Direction, and Control (ADC) of the Markets and MFTs.
