36C24918Q9578-003.docx

REGULATED MEDICAL WASTE SERVICE

QUALITY ASSURANCE SURVEILLANCE PLAN (QASP)

For:(9) locations:

3400 Lebanon Pike Murfreesboro, TN 37129

1310 24th Avenue South Nashville, TN 37212

6098 Debra Rd Suite 5200, Bldg 6200 Chattanooga, Tennessee 37411

1919 Charlotte Avenue Nashville, TN 37203

1919 Charlotte Avenue Suite 300 Nashville, TN 37203

1818 Albion Street Nashville, TN 37208

225 Von Karman Road Arnold Air Force Base, TN 37389

2291 Dalton Drive Suite F Clarksville, TN 37043 i.

International Plaza VA Clinic 2 International Plaza Suite 300 Nashville, TN 37217

782 Weatherly Drive Clarksville, TN 37043

Contract Number: Provided Upon Award

Contract Description: Regulated medical Waste Services

Contractor’s name: Provided Upon Award

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. 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: Tara R. Hammrich Organization or Agency: Department of Veterans Affairs, NCO9

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. Additionally, an Alternate COR (ACOR) may be appointed.

a. Assigned COR: Erin Dickey, Administrative Officer, EMS

b. Assigned ACOR: Gary S. McCarthy, Jr., Chief, EMS

c. Assigned ACOR: Sean Stephens, Asst. Chief, EMS

c. Other Key Government Personnel - <Upon award, Government will enter name, if applicable. This may include Performance Monitors, Clinical Quality experts, etc. who may act on behalf of the COR to monitor performance.>

3. CONTRACTOR REPRESENTATIVES

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

a. Program Manager: Completed upon award

b. Other Contractor Personnel: Completed upon award

4. PERFORMANCE STANDARDS

Performance standards define desired services. The Government performs surveillance to determine if the contractor exceeds, meets or does not meet these standards.

5. INCENTIVES

Incentives shall be based on exceeding, meeting, or not meeting performance standards. If applicable, the Government shall use “Potential Exercise of Option Period” as an incentive.

6. METHODS OF QA SURVEILLANCE

The Government facilities may at any time inspect and verify that the accuracy of the work compares to that indicated on the invoice. Any deviation will be deducted from the invoice price

The COR shall use the surveillance methods listed below in the administration of this QASP.

a. DIRECT OBSERVATION: 100% surveillance/Inspection

b. PERIODIC INSPECTION: Inspections will be scheduled Daily, Weekly, Monthly, Quarterly, annually and unscheduled, as needed.

c. USER SURVEY: Customer complaints and random sampling. Random survey is conducted to solicit user satisfaction.

d. VALIDATED USER/CUSTOMER COMPLAINTS: Complaints are investigated and validated.

e. PROGESS/STATUS MEETINGS: Quarterly

7. DOCUMENTING PERFORMANCE

a. ACCEPTABLE PERFORMANCE:

The Government shall document positive performance. Any report may become a part of the supporting documentation for any contractual action.

b. UNACCEPTABLE PERFORMANCE:

When unacceptable performance occurs, the COR shall 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 file.

When the Contracting Officer (CO) determines formal written communication is required, a Contract Discrepancy Report (CDR) shall be prepared and presented 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 Contracting Officer. The Contracting Officer shall review the contractor's corrective action plan to determine acceptability.

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

8. FREQUENCY OF MEASUREMENT

a. Frequency of Measurement:

During contract performance, the COR 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 meet with the contractor quarterly to assess performance and shall provide a written assessment. The written assessment will be placed in the COR file and a copy provided to the Contracting Officer.

Signature – Contractor Program Manager (contractor)

Signature – Contracting Officer’s Representative (COR)