36C25518Q9591-002.docx

ATTACHMENT 1:

QUALITY ASSURANCE SURVEILLANCE PLAN (QASP)

1. Purpose This Quality Assurance Surveillance Plan (QASP) provides a systematic method to evaluate performance for the contract. The QASP does not detail how the Contractor accomplishes the work or monitors the quality of its 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.

1.1 Intent

The intent of this plan is to hold the Contractor accountable for the terms and conditions of their base contract and to encourage the contractor to take appropriate steps to control and improve quality. The Contractor is responsible to develop an efficient methodology to ensure they meet and/or exceed the required thresholds of service as outlined in this acquisition. The Government intends to perform surveillance on this contract in accordance with (IAW) this Quality Assurance Surveillance Plan (QASP), but reserves the right to monitor the contract in any manner necessary, at any times necessary, and at all places necessary to ensure that the rendered services conform to contract requirements. The Government reserves the right to perform quality assurance at the subcontract level and perform quality assurance at the contractor's place of business, if applicable. Non-conforming services discovered with subcontractors will be addressed with the prime contractor for resolution.

1.2 Scope

The Contractor, and not the Government, is responsible for management and quality control actions to meet the terms of the contract. The role of Government Quality Assurance is to ensure contract standards are achieved. The QASP provides guidelines and methods for the Government’s oversight of the Contractor’s quality control efforts to assure timely, effective services are provided in accordance with the contract. The QASP provides a framework that enables the Government to monitor the contractor's performance and notify the contractor of deficiencies observed during surveillance and initiate appropriate action to effect correction.

2. Government Roles and Responsibilities The following personnel shall oversee and coordinate surveillance activities in accordance with the QASP.

a. Contracting Officer (CO) – The CO is a person duly appointed with the authority to enter into, administer and terminate contracts on behalf of the Government. The CO is the only person who can legally commit the Government and only the CO, as the Government’s agent, can modify the contract &/or task order. 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 the final authority for determining the adequacy of the Contractor’s performance. The CO has retained the responsibility of a COR for this contract. A COR will be appointed for each resultant task order.

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 maintain 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. Any changes that the Contractor deems may affect contract price, terms or conditions shall be referred to the CO for action.

Assigned COR shall be selected and communicated upon award.

3. Methods of Surveillance

Include but are not limited to:

a. 100% Inspection - Reserved for the highest risk areas where consequence of failure is high (i.e. life or limb are threatened) or there is likelihood of mission failure.

b. Random Sampling - When a service is performed relatively frequently and a statistically valid sample can be selected for audit. The most appropriate method for frequently recurring tasks.

c. Periodic Sampling - Planned sampling of a service at specific predetermined dates and times. May be appropriate for tasks that occur infrequently.

d. Customer Feedback – Not necessarily a valid method of surveillance but a good indicator for areas surveillance should be conducted or intensified.

4. Quarterly Surveillance Schedule

Solicitation 36C25518Q9591 Radiology Technology Services Attachment 1, QASP

Since the COR duties will be retained at the Contracting Officer level, a monthly surveillance will be done to support the statutory and regulatory requirements for the base contract as well as any other critical contractual requirements determined to be higher risk requiring oversight. The surveillance outlined in the quarterly schedule will be as detailed and in-depth as necessary to provide the Government with the objective quality evidence required to support acceptance of the services at the base contract level provided by the Contractor. The schedule is “FOR

OFFICIAL USE ONLY” and is not releasable to anyone other than authorized Government personnel.

Documentation of Inspections. All inspections/observations will be documented and will include what was inspected, to what standard and the results. Successful or exceptional performance will be documented as well as deficiencies in Contractor performance. Documentation will be maintained for future reference, audit and proof of inspection and past performance documentation. The QASP Quarterly Report shall be used to report a summary of inspection results each quarter of the contracts period of performance.

5. Non-Conforming Performance The CO will provide notification to the Contractor each time a contractual noncompliance is observed and require the Contractor to immediately correct the problem. All valid non-conformances observed by the Government will be documented! The CO will record the contract requirement, the specific deficiency to the requirement, and record the date and time it was discovered. Deficiencies that cannot be immediately corrected will be reported via a Contract Deficiency Report for further action.

Contract Discrepancy Reports. The Contract Discrepancy Report (CDR) will state the Contract Requirement, the specific contract reference and the specific violation (s) to the requirement. The CO will forward copies of CDR to the Contractor and request corrective action to the specific non-conformance, identification of the root cause and corrective action for the root cause with a required suspense date. The Contractor will return a copy of the completed and signed document along with their Corrective Action Plan (CAP) to the CO for review, approval and inclusion in the contract/order file. The CO will conduct a review of the CAP and re-inspect the items that were found deficient to ensure the CAP included adequate root cause analysis, corrective action for the root cause and that it was accomplished in the timeframe agreed upon. The CO will not consider the CDR closed until all deficiencies have been corrected and all agreed upon actions of the CAP have been completed. Contractor’s failure to follow through and complete corrective actions will cause the CO to take for further action. The CO shall follow-up after the Contractor has completed the corrective action to ensure that the Contractor’s corrective action was sufficient to preclude recurrence.

6. Performance Standards All deliverables shall meet the following QASP performance standards to the acceptable quality level. The Government shall perform surveillance to determine if the Contractor meets or does not meet these standards.

Task 4.4 Technologist Administration

Radiology Technologists are responsible for recording exam information in the patient’s file.

Electronically record exam information in the patient’s file within one hour post exam.

Case edit all work, i.e., enter the name of the technologist performing the exam, and any modifiers to the examination, within 15 minutes of the exam’s completion.

Complete within one hour post exam with no more than 10 failures on an annual basis.

All exams must be case edited within fifteen minutes of the exam’s completion and maintain less than 15 failed attempts on an annual basis.

Periodic Sampling

Task 4.4.3 Safety Policy Compliant

Task 4.5.2 Room Procedures Cleanliness of rooms and equipment.

All supplies are to be stocked in an orderly manner.

Responsible to set - up assigned room for procedures and to keep it clean in order to comply with medical center infection control policies.

Equipment shall be wiped down between each patient and at the end of the day.

All supplies are to be stocked or restocked, in an orderly manner, daily or when supplies are low.

All expended supplies/linens from the previous exams should be properly disposed of in the room as appropriate for either the trash can or linen cart.

Task 4.5.3 Exposure Control Plan

Task 4.6.2 Quality Radiographs

Random Sampling

Not more than three valid complaints concerning lack of courtesy toward medical staff on an annual basis.

Random Sampling