36C24519R0026-004.docx

QUALITY ASSURANCE SURVEILLANCE PLAN-**For informationally purposes and not part of the contract.

For: Prosthetics DME, VAMHCS Contract Number:

Contract Description: The purpose of this QASP is to monitor the performance of the Prosthetics DME Contractor’s Name:

1. PURPOSE

This QASP specifies the surveillance methodology to be used for surveillance of the contractors performance. This QASP explains the following:

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 term 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. Copies of the original QASP and revisions shall be provided to the contractor and Government officials implementing surveillance activities.

2. GOVENRMENT 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 terms of the contract, and safeguards the interests of the United States in the agreement relationship. The CO shall also assure that the contractor receives impartial, fair, and equitable treatment under this contract. The CO is ultimately responsible for final determination of the adequacy of the contractor’s performance.

Organization or Agency: Department of Veterans Affairs, Network Contracting Office (VISN 5)

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: name and contact info

c. Other Key VAMHCS Personnel:

3. CONTRACTOR REPRESENTATIVES

The following employees of the contractor serve as the contractor’s program manager for this contract.

4. PERFORMANCE STANDARDS

Performance Standards define minimum performance standards for services. The GOVERNMENT performs surveillance to determine if the contractor exceeds, meets or does not meet these standards.

Maryland in the State of Work includes performance standards. The GOVERNMENT shall use these standards to determine the performance and shall compare contractor performance to the Acceptable Quality Level (AQL).

Measurement Standards

Disincentive: 10% decrease in invoice for each noncompliant month.

Disincentive: 10% decrease in invoice for each noncompliant month.

Disincentive: 10% decrease in invoice for each noncompliant month.

Disincentive: 10% decrease in invoice for each noncompliant month

Disincentive: 10% decrease in invoice for each noncompliant month.

Disincentive: 10% decrease in invoice for each noncompliant month.

5. INCENTIVES

The Government shall use past performances as incentives. Incentives shall be based on ratings received on the performance standards.

6. METHODS OF QA SURVEILLANCE

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

c. Validated User/Customer Complaints

7. RATINGS

Metrics and methods are designed to determine if performance exceeds, meets, or does not meet a given standard and acceptable quality level. A rating scale shall be used to determine an exceptional, very good, satisfactory, marginal, or unsatisfactory rating. The following ratings shall be used:

Note: To justify an Exceptional rating, you should identify multiple significant events in each category and state how it was a benefit to the GOVERN M ENT. 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.

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 GOVERN M ENT. Also there should have been NO significant weaknesses identified.

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.

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 GOVERNM ENT. 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 or Environmental Deficiency Reports, or letters).

8. DOCUMENTING PERFORMANCE

a. ACCEPTABLE PERFORMANCE The GOVERNMENT shall document positive OR NEGATIVE performance. Any report shall become a part of the supporting documentation for any contractual action.

b. UNACCEPTABLE PERFORMANCE When unacceptable performance occurs, the COR shall work with the Contracting Officer (CO), and inform the contractor. This will normally be in writing unless circumstances necessitate verbal communication. In any case, the COR shall document the discussion and place it in the COR’s file. In order to assure that contractor receives impartial, fair, and equitable treatment under this agreement, the COTR will work with the contractor to increase performance to an acceptable level.

When the COR and CO determines formal written communication is required, the COR and CO shall prepare a Contract Discrepancy Report (CDR) and present it to the contractor’s program manager.

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 COR. The GOVERNMENT shall review the contractor’s corrective plan to determine acceptability.

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

9. FREQUENCY OF MEASUREMENT

a. Frequency of Measurement.

During contract performance, the government (COR or CO) will periodically analyze whether the negotiated frequency of surveillance is appropriate for the work being performed.

b. Frequency of Performance Assessment Meetings.

The COR shall communicate via phone, email or in person with the contractor and will provide written reports to the CO quarterly (or as outlined in the contract or COR delegation) to review Contractor performance. Performance assessment can be done at any time but shall at least be done quarterly and shall provide a written assessment.

10. COR AND CONTRACTOR ACKNOWLEDGEMENT OF QASP

SIGNED:

DATE

Contracting Officer’s Representative

SIGNED:

DATE

Contracting Officer