The vendor is required to provide for star analytics software an advanced analytics software to assist in tracking, monitoring, and implementing strategies for improvement.
- Provide a targeted, multi-faceted approach to assist agency in achieving this improvement goal.
- Agency a software-as-a-service (SaaS) platform with advanced analytics to monitor and improve its e centers for medicare and Medicaid services (CMS) star ratings.
- The platform should include implementation and offer post-implementation support requested by agency
- Star ratings analytics platform
1. Usage: The star ratings analytics platform (“star tool”) will be used by agency business users from various departments to monitor the progress of strategic initiatives aimed at improving CMS star ratings.
2. Capabilities: The stars tool should enable business users to track year-over-year and month-over-month measure level performance for all CMS star ratings measures, including:
• Monthly performance reporting
• Trend analysis
• Member-level gap data
• Year-end projections for both measure-level and overall performance projections
• Identifying data discrepancies
• Preferred: targeted campaign development
• Preferred: monitoring the success of initiatives
3. Required features
• Measure level detail for all CMS star ratings measures
• Measure level and overall performance projections
• Support data uploads from multiple sources
• Predictive analytics to forecast future star ratings
• Measure level cut point projections for current and future star rating measurement years
• Create attainable targets for specific measures based on current data and past performance
• Business self-service, “low-code and no-code” platform for agency business users to build queries and analyze data without any need for contractor professional services or internal it supports
• Preferred: campaign tracking and performance
• Preferred: analysis of performance data with recommendations for improvement
• Preferred: measure-level best practices for future initiatives
4. Security, privacy, data exchange, and system interface requirements
• Compliance with state and federal regulations, (e.g., food and drug administration (FDA), affordable care act (aca), centers for medicare and Medicaid services (CMS), the provisions of the health insurance portability and accountability act of 1996 (HIPAA))
• Provide a HIPAA compliant platform and secure encryption texting capability to ensure the safe management of protected health information (PHI) and other sensitive data
• System interfaces should be compatible with restful and json APIs and flat file data interfaces
• Support ingestion of responses and structured and unstructured information
• Ability to use optical character recognition (OCR) to ingest data from documents and forms
• Support data record retention for ten (10) years at minimum
• Successful offeror agrees, upon termination of the relationship to provide all information required for successful data transition files at no additional cost
5. Minimum functional requirements
• Data analytics (e.g., trending, comparative analysis)
• Software monitoring and tracking for star program changes
• Integration and system configuration capabilities
• Data transfer
• Reporting requirements
i Dashboard reporting with graphical, at-a-glance key indicators for campaign progress and results
ii Summary reports shall be provided at the conclusion of each month that measures performance and outcomes
iii Ability to perform analytics on campaigns in progress
iv Flexibility for summary or detailed reporting
v Reports should be in a format that allows results to be integrated into agency systems
vi Customization
• Single sign on (SSO) - The successful vendor shall:
• Develop a project implementation work plan and schedule as part of the proposal.
• Maintain a log of risks, management issues, and mitigation strategies
• Validation of detailed business requirements
• Test and integrate the system with agency data sources.
• Test and ensure successful implementation of deployed software and equipment prior to system launch
• Provide end-user training to business users and its application support resources, via written guide manuals and webinars
• Provide system configuration and technical training to it resources
• Provide live on-going support services 8am – 5pm pacific time, Monday - Friday
• Provide end-user reference guides
- Agency responsibilities
• Provide accurate data files for implementation
• Approve project timelines
• Provide a point of contact to work with vendor
• Coordinate meetings and assist with implementation as needed
- Deliverables
• Provide and implement a SaaS platform
• Provide ongoing support of the platform
• Present ongoing reports on findings, outcomes, and program performance.
• Optional: provide recommendations for future campaigns and initiatives.
- Contract Period/Term: 1 year
- Questions/Inquires Deadline: March 14, 2025
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