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36C24518Q0118 Quality Assurance Surveillance Plan.docx

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Quality Assurance Surveillance Plan (QASP) Women's Healthcare Services Clinical Skills Training The contractor will be evaluated in accordance with the following:

1. PURPOSE

This Quality Assurance Surveillance Plan (QASP) provides a systematic method to evaluate performance for the stated contract. This QASP explains the following:

· What will be monitored?

· How monitoring will take place.

· Who will conduct the monitoring?

· How monitoring efforts and results will be documented.

This QASP does not detail how the contractor accomplishes the work. Rather, the QASP is created with the premise that the contractor is responsible for management and quality control actions to meet the terms of the contract. It is the Government’s responsibility to be objective, fair, and consistent in evaluating performance.

This QASP is a “living document” and the Government may review and revise it on a regular basis. However, the Government shall coordinate changes with the contractor through contract modification. Copies of the original QASP and revisions shall be provided to the contractor and Government officials implementing surveillance activities.

2. GOVERNMENT ROLES AND RESPONSIBILITIES

The following personnel shall oversee and coordinate surveillance activities.

a. Contracting Officer (CO) – The CO shall ensure performance of all necessary actions for effective contracting, ensure compliance with the contract terms, and shall safeguard the interests of the United States in the contractual relationship. The CO shall also assure that the contractor receives impartial, fair, and equitable treatment under this contract. The CO is ultimately responsible for the final determination of the adequacy of the contractor’s performance.

Assigned CO: Ryan Mullins Organization or Agency: Department of Veterans Affairs (IDENTIFY YOUR DIVISION)

b. Contracting Officer’s Representative (COR) – The COR is responsible for technical administration of the contract and shall assure proper Government surveillance of the contractor’s performance. The COR shall keep a quality assurance file. The COR is not empowered to make any contractual commitments or to authorize any contractual changes on the Government’s behalf.

Assigned COR: Gregory Moore

3. CONTRACTOR REPRESENTATIVES

The following employee(s) of the contractor serve as the contractor’s program manager(s) for this contract.

Primary: (fill in) Alternate: (fill in)

4. PERFORMANCE STANDARDS

The contractor is responsible for performance of ALL terms and conditions of the contract. CORs will provide contract progress reports quarterly to the CO reflecting performance on this plan and all other aspects of the resultant contract. The performance standards outlined in this QASP shall be used to determine the level of contractor performance in the elements defined.

Performance standards define desired services. The Government performs surveillance to determine the level of Contractor performance to these standards.

The Performance Requirements are listed below in Section 6. The Government shall use these standards to determine contractor performance and shall compare contractor performance to the standard and assign a rating. At the end of the performance period, these ratings will be used, in part, to establish the past performance of the contractor on the contract.

5. METHODS OF QA SURVEILLANCE

Various methods exist to monitor performance. The COR shall use the surveillance methods listed below in the administration of this QASP.

a. PERIODIC INSPECTION. Inspections scheduled and reported quarterly per COR delegation or as needed.

For example, randomly selected test will be reviewed for compliance to the PWS.

b. Verification and/or documentation provided by Contractor. VHA will credential personnel through VA processes and require HIPAA Training and other Patient Security Training for contracted employees working on this requirement.

6. SAMPLE QASP PERFORMANCE REPORT DATE: __________________

Applicable to the Physician Instructors, Nurse Instructors and Equipment Support Individual

Performance Indicator
Performance Standard
Acceptable Quality Level
Frequency
Method of Surveillance
Task 5.3
Contractor demonstrates mastery of all GFI and GFE each training event to include “train-the-trainer”
Score of at least 4 on a 5-point likert scale on summative quantitative data sources
Each “train-the-trainer” workshop and each training event
Direct observation by WHS Program Office team and/or learner evaluation
Task 5.4.1
Contractor demonstrates ability to effectively instruct, facilitate and lead all elements of training event
Score of at least 4 on a 5-point likert scale on summative quantitative data sources
Each training event
Direct observation by WHS Program Office team and/or learners evaluations.
Task 5.4.2
Contractor demonstrates ability to manage all aspects of GFE onsite at training event including GFE transportation and security; assists and supports instructors and VHA point of contact at each training site
Score of at least 4 on a 5-point likert scale on summative quantitative data sources
Each training event
Direct observation by WHS Program Office team and/or Site POC

Task 5.5.1 5.5.2

Contractor will meet all deliverable dates as stated in the related tasks.

Provides completed reports within 5 business days of each training event 98% of the time.

Within 5 days of each training event.

Random samples to ensure deadlines are being met.

Applicable to the Gynecologic Teaching Associate

Performance indicator
Performance Standard
Acceptable Quality Level
Frequency
Method of Surveillance
5.3
Contractor demonstrates strong understanding of all GFI and GFE
Score of at least 4 on a 5-point likert scale on summative quantitative data sources
At the “train-the-trainer workshop and each training event.
Direct observation by WHS Program Office team and/or learners evaluations
5.4
Demonstrates ability to effectively provide guidance and constructive feedback to provider and nurse participants for all components of the GTA activity
Score of at least 4 on a 5-point likert scale on summative quantitative data sources
Each training event
Direct observation by WHS Program Office team and/or learners evaluations
5.5
Contractor will meet all deliverable dates.
Provides completed reports within 5 business days of each training event 98% of the time.
Within 5 (five) business days of each training event
Random samples to ensure deadlines are being met.
EXCEPTIONAL:
Performance meets contractual requirements and exceeds many to the

Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Note: To justify an Exceptional rating, you should identify multiple significant events in each category and state how it was a benefit to the GOVERNMENT. However a singular event could be of such magnitude that it alone constitutes an Exceptional rating. Also there should have been NO significant weaknesses identified.

VERY GOOD:
Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Note: To justify a Very Good rating, you should identify a significant event in each category and state how it was a benefit to the GOVERNMENT. Also there should have been NO significant weaknesses identified.

SATISFACTORY:
Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

Note: To justify a Satisfactory rating, there should have been only minor problems, or major problems the contractor recovered from without impact to the contract. Also there should have been NO significant weaknesses identified.

MARGINAL:
Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.
Note: To justify Marginal performance, you should identify a significant event in each category that the contractor had trouble overcoming and state how it impacted the GOVERNMENT. A Marginal rating should be supported by referencing the management tool that notified the contractor of thecontractual deficiency (e.g. Management, Quality, Safety or Environmental Deficiency Report or letter).
UNSATISFACTORY:
Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element being assessed contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.
Note: To justify an Unsatisfactory rating, you should identify multiple significant events in each category that the contractor had trouble overcoming and state how it impacted the GOVERNMENT. However, a singular problem could be of such serious magnitude that it alone constitutes an unsatisfactory rating. An Unsatisfactory rating should be supported by referencing the management tools used to notify the contractor of the contractual deficiencies (e.g. Management, Quality, Safety orEnvironmental Deficiency Reports, or letters).

7. CPAR RATINGS ASSIGNED TO QASP ITEMS:

Metrics and methods are designed to determine rating for a given standard and acceptable quality level. The following ratings shall be used (Reference: CPARS User Manual https://www.cpars.gov/pdfs/CPARS-Guidance.pdf p. A2-1):

Metrics and methods are designed to determine rating for a given standard and acceptable quality level. The following ratings shall be used:

8.DOCUMENTING PERFORMANCE
a.The Government shall document positive and/or negative performance. Any report may become a part of the supporting documentation for any contractual action and preparing annual past performance using CONTRACTOR PERFORMANCE ASSESSMENT REPORT (CPAR).

b. If contractor performance does not meet the Acceptable Quality level, the CO shall inform the contractor. This will normally be in writing unless circumstances necessitate verbal communication. In any case the CO shall document the discussion and place it in the contract file. When the COR and the CO determines formal written communication is required, the COR shall prepare a Contract Discrepancy Report (CDR), and present it to CO. The CO will in turn review and will present to the contractor's program manager for corrective action.

The contractor shall acknowledge receipt of the CDR in writing. The CDR will specify if the contractor is required to prepare a corrective action plan to document how the contractor shall correct the unacceptable performance and avoid a recurrence. The CDR will also state how long after receipt the contractor has to present this corrective action plan to the CO. The Government shall review the contractor's corrective action plan to determine acceptability. The CO shall also assure that the contractor receives impartial, fair, and equitable treatment. The CO is ultimately responsible for the final determination of the adequacy of the contractor’s performance and the acceptability of the Contractor’s corrective action plan.

Any CDRs may become a part of the supporting documentation for any contractual action deemed necessary by the CO.

9. COR AND CONTRACTOR ACKNOWLEDGEMENT OF QASP

SIGNED:

(Fill in)

COR NAME/TITLE DATE

SIGNED:

(Fill in)

CONTRACTOR NAME/TITLE DATE

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