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MONTHLY STATUS REPORT
Contractor Name, Contract Number, Project Name.
Submitted to the COR, Mr. Diego Esguerra Date:
Period of Performance Covered by Report: 1-31 January XXXX
| Summary and Issues |
| Resolution/Proposed Resolution: |
List any issues
Recovery Care Coordination
| Performance Objective / Elements |
| Acceptable Quality Level |
| Performance Standards |
| Max Allowable Deviation (AQL) for Requirement |
| Quality Standard Met (Y/N) |
| Remedy/Corrective Action |
| RCC Documentation of RCP within the WCP Database |
| Case documentation in WCP Database is accurate and IAW format, procedures, and guidelines as established by the RCC SOP |
| Case documentation in WCP Database is accurate and IAW format, procedures, and guidelines as established by the RCC SOP |
| Accuracy: No more than 15% of cases reviewed have more than 3 discrepancies |
| Y |
| Recovery Care Coordinator Initial Contact |
| Initial contact is made with RSM within 1 business day upon assignment of case IAW RCC SOP |
| Initial contact is made with RSM within 1 business day upon assignment of case IAW RCC SOP |
| Timeliness: No more than 15% of cases exceed the 1 business day initial contact time requirement. |
| Y |
| Recovery Care Coordinator Frequency of Contact |
| Frequency of contact is made within parameters of case frequency assignment |
| Frequency of contact is made within parameters of case frequency assignment |
| Timeliness: No more than 15% of cases exceed their respective frequency of contact requirement. |
| Y |
| Quality of Recovery Care Coordination provided to Case |
| Part 1. No more than 3 substantiated complaints per Period of Performance |
| Part 1. No more than 3 substantiated complaints per Period of Performance |
| Effective: No more than 3 substantiated complaints per POP. |
| Y |
| Part 2. Active Case review passes the Case Competency Assessment |
| Part 2. Active Case review passes the Case Competency Assessment |
| Accuracy: No less than 80% score on case competency assessment. |
| Y |
| Part 3. Pass SAV inspection |
| Part 3. Pass SAV inspection |
| Accuracy: No less than 90% upon inspection. |
| Y |
| NOTE – No SAV’s conducted this month. Next SAV scheduled for Ft Campbell office on 3/8 |
| Part 4. Receive average rating of 80% on Satisfaction Survey |
| Part 4. Receive average rating of 80% on Satisfaction Survey |
| Effective: No less than 80% on satisfaction survey. |
| Y |
RCC Caseload-See attachment.
Benevolence
| Performance Objective / Elements |
| Acceptable Quality Level |
| Performance Standards |
| Max Allowable Deviation (AQL) for Requirement |
| Quality Standard Met (Y/N) |
| Remedy/Corrective Action |
| Benevolence response rate to support request |
| Response within 2 business days of initial email request |
| Response within 2 business days of initial email request |
| Timeliness: No more than 15% of cases exceed the 2-business day response requirement. |
| Y |
| Benevolence Documentation |
| Part 1. Success on accuracy of data input into BSS NIPR board |
| Part 1. Success on accuracy of data input into BSS NIPR board |
| Accuracy: No more than 4 discrepancies/errors per quarter. |
Y
| Part 2. Success in meeting time requirements for BSS data input into WCP Database |
| Part 2. Success in meeting time requirements for BSS data input into WCP Database |
| Timeliness: Information is entered into the WCP Database does not exceed 3 business days for 90% of cases. |
| Part 3. Success on complete and accurate Data input into WCP Database |
| Part 3. Success on complete and accurate Data input into WCP Database |
| Accuracy: No more than 4 discrepancies/errors per quarter. |
Career Transition
| Performance Objective / Elements |
| Acceptable Quality Level |
| Performance Standards |
| Max Allowable Deviation (AQL) for Requirement |
| Quality Standard Met (Y/N) |
| Remedy/Corrective Action |
| Career Transition Initial Contact |
| CT initial contact with RSM made within 5 business days of reception of Transition Assistance Request (TAR) |
| CT initial contact with RSM made within 5 business days of reception of TAR |
| Timeliness: No more than 15% of cases exceed the 5-business day initial contact time requirement. |
| Y |
| Career Transition Documentation |
| CT documentation in WCP Database is accurate and IAW format, procedures, and guidelines as established by the CT SOP |
| CT documentation in WCP Database is accurate and IAW format, procedures, and guidelines as established by the CT SOP |
| Accuracy: No more than 4 discrepancies/errors per quarter. |
| Y |
| Quality of Career Transition Assistance |
| Receive average rating of 80% on CT Satisfaction Survey |
| Receive average rating of 80% on CT Satisfaction Survey |
| Effective: No less than 80% on satisfaction survey. |
| Y |
| Career Transition Satisfaction Survey Delivery |
| CT satisfaction survey sent to RSM within 30 days post Service separation |
| CT satisfaction survey sent to RSM within 30 days post Service separation |
| Timeliness: No more than 10% of cases exceed the 30-day post-service separation time requirement for survey delivery. |
| Y |
| Performance Objective / Elements |
| Acceptable Quality Level |
| Performance Standards |
| Max Allowable Deviation (AQL) for Requirement |
| Quality Standard Met (Y/N) |
| Remedy/Corrective Action |
MAS Participant Recruitment
| Part 1. Recruit to fill allocated slots (recruitment goal) for MAS events |
| Part 1. Recruit to fill allocated slots (recruitment goal) for MAS events |
| Effectiveness: No more than 15% deviation from identified recruitment goal for each event. |
| Y |
| Part 2. Recruit new participants |
| Part 2. Recruit new participants |
| Effectiveness: No less than 5% of recruitment goal contains new participants. |
| Y |
| MAS Documentation |
| MAS documentation in WCP Database is accurate and IAW format, procedures, and guidelines as established by the MAS SOP |
| MAS documentation in WCP Database is accurate and IAW format, procedures, and guidelines as established by the MAS SOP |
| Accuracy: No more than 4 discrepancies/ errors per quarter. |
| Y |
MAS Product Timelines
| Part 1. Given 150 days notification of event dates, CONOP product delivered NLT 120 days pre-event |
| Part 1. Given 150 days notification of event dates, CONOP product delivered NLT 120 days pre-event |
| Timeliness: CONOP delivered NLT 120 days pre-event. |
| Y |
| Part 2. Given 150 days notification of event dates, OPORD delivered NLT 60 days pre-event |
| Part 2. Given 150 days notification of event dates, OPORD delivered NLT 60 days pre-event |
| Timeliness: OPORD delivered NLT 60 days pre-event. |
| Y |
| Part 3. AAR delivered within 10 business days post event |
| Part 3. AAR delivered within 10 business days post event |
| Timeliness: AAR delivered NLT 10 business days post-event. |
| Y |
| MAS Event Satisfaction Survey Delivery |
| MAS satisfaction survey sent to RSM within 10 business days post event |
| MAS satisfaction survey sent to RSM within 10 business days post event |
| Timeliness: No more than 10% of cases exceed the 10-business day post-event time requirement for survey delivery. |
| Y |
| MAS Initial Contact |
| MAS initial contact with RSM made within 5 business days of referral by RCC to MAS |
| MAS initial contact with RSM made within 5 business days of referral by RCC to MAS |
| Timeliness: No more than 15% of cases exceed the 5-business day initial contact time requirement. |
| Y |
Military Adaptive Sports
Travel Report
| Trip Start Date |
| Traveler's Name |
| Destination |
| Purpose |
Personnel
| Performance Objective / Elements |
| Acceptable Quality Level |
| Performance Standards |
| Max Allowable Deviation (AQL) for Requirement |
| Quality Standard Met (Y/N) |
| Remedy/Corrective Action |
| Management of Personnel/Issues: |
| Contractor receives no more than 1 formal customer complaints per year |
Contractor provides fully qualified personnel and ensures fully qualified personnel.
| Contractor receives no more than 1 formal customer complaints per year. |
| Y |
No more than 1 personnel related changes due to ineffective performance or inappropriate qualifications.
| No more than 1 personnel related changes due to ineffective performance or inappropriate qualifications. |
| Y |
Contractor successfully manages personnel to meet all requirements defined in the PWS, regardless of absences or vacancies, 100% of the time.
| Contractor successfully manages personnel to meet all requirements defined in the PWS, regardless of absences or vacancies, 100% of the time. |
| Y |
Contractor successfully resolves any customer complaint within 2 business days of receipt or less.
| Contractor successfully resolves any customer complaint within 2 business days of receipt or less. |
| Y |
Contractors' monthly report is submitted within 15th calendar day of the month, is error free, and is accurate. No more than 2 late monthly reports is submitted.
| Contractors' monthly report is submitted within 15th calendar day of the month, is error free, and is accurate. No more than 2 late monthly reports is submitted. |
| Y |
Maintain 100% of all key personnel and critical position and 100% fill rate of personnel throughout each TO period of performance
| Maintain 100% of all key personnel and critical position and 92% fill rate of personnel throughout each TO period of performance. |
| Maintain 100% of all key personnel and critical position and 92% fill rate of personnel throughout each TO period of performance. |
| Y |
| Management of Personnel Vacancies |
| Vacancies* are filled within 40 working days of personnel departures when notice is not given |
| Vacancies* are filled within 45 days. |
| Vacancies are filled within 45 days when notice is not given and 30 days when at least a two-week notice is given. |
| Y |
Management of Personnel Vacancies During periods of absences/vacancies gap analysis and contingency plans ensures compliance with DoDI 1300.24
| Vacancies* are filled within 25 working days of personnel departures when at least two-week notice is given. |
| Vacancies* are filled within 30 days. |
| Vacancies* are filled within 30 working days of personnel departures when at least two-week notice is given. |
| Y |
| Must be in compliance with DoDI 1300.24 |
| Must be in compliance with DoDI 1300.24 |
| No deviations from DoDI 1300.24 caseload ratio. |
| Y |
Staffing
| Staffing Rate |
| Turnover Rate |
| Cumulative Turnover Rate |
| Comments |
| % |
| % |
| % |
| List any personnel changes during the reporting month. |
Training
| Training Requirements |
| Number Requiring Training |
| Number Trained |
| Percent Trained |
| Recommendations/ Notes |
| Onboarding/Orientation |
| 64 |
| 64 |
| 100% |
| Bi-Annual (Fall) |
| 64 |
| 64 |
| 100% |
| Bi-Annual (Spring) |
| 64 |
| 64 |
| 100% |
| Annual (On-Line) |
| 64 |
| 64 |
| 100% |
| Joint Suicide Prevention |
| 64 |
| 64 |
| 100% |
| SAPR (Sexual Assault Prevention) |
| 64 |
| 64 |
| 100% |
| Training Needs |
| Recommendations |
Add training comments
Quarterly Training:
By name quarterly Training Rosters and Training Agenda:
· January-March (provided on December MSR)
· April-June (Provided on March MSR)
· July-September (Provided on June MSR)
· October-December (Provided on September MSR)
Surveys
| Survey Type |
| Survey Name |
| # of Participants |
| # Surveyed |
| # Satisfied |
| Satisfaction Rate (> 80%) |
| Recommendations |
| Event |
| Example: Challenge Aspen ski and snowboard Camp |
| 10 |
| 8 |
| 8 |
| 100% |
| Population |
| RCC Satisfaction Survey |
| 63 |
| 32 |
| 31 |
| 97% |
Staff Roster (see TE4)
Provide an updated copy of TE4 in this section.
Funding Report
| CLIN |
| Amount Obligated |
| Amount Expended |
| Balance |
Projected expenditures for the next month: