36C25519Q0233-003.docx

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HCHV CERS - Poplar Bluff VAMC - New Procurement Federal contract opportunity
Solicitation number
36C25519Q0233
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

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36C25519Q0233 Atch 2 Quality Assurance Surveillance Plan.docx

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RFQ 36C25519Q0233

QUALITY ASSURANCE SURVEILLANCE PLAN

For: Temporary Emergency Housing for HCHV John J. Pershing VAMC, Poplar Bluff MO Contract Number: TBD Contractor’s name: TBD Contract Description: Provides Temporary Emergency Housing for John J. Pershing VA Medical Center as determined to be needed by the individual beneficiaries.

1. PURPOSE

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

0. What will be monitored?

0. How monitoring will take place?

0. Who will conduct the monitoring?

0. How monitoring efforts and results will be documented?

1. 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.

1. 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: Kayla M. Haas Organization or Agency: Network Contracting Office 15

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: Jennifer Lay/James Kneiss Organization/Agency: John J. Pershing VA Medical Center

3. CONTRACTOR REPRESENTATIVES

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

a. Program Manager – __________________ (offeror please fill in)

b. Other Contractor Personnel - ____________________ (offeror please fill in)

4. PERFORMANCE STANDARDS

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

b. The Performance Work Statement includes performance standards. The Government shall use these standards to determine contractor performance and shall compare contractor performance to the Acceptable Quality Level (AQL).

ID

Location in PWS

Indicator
Standard
Acceptable Quality Level
Method of Surveillance
Incentive
Disincentive
1
Sub Section 5.1.1 and 5.6.4
Curfew and Census
The Contractor shall enforce curfew and shall provide daily census reports
95%
COR to monitor
Favorable Past Performance Evaluation
Unfavorable Evaluation
2
Sub Section 5.1.4
ADA accessibility
The contracted facility must meet and maintain ADA accessibility requirements
95%
Observation; random, unannounced inspection (auditing), and patient report.
Favorable Past Performance Evaluation
Unfavorable Evaluation
3
Sub Section 5.2
Meals
The Contractor shall provide scheduled nutritional meals
95%
COR to monitor
Favorable Past Performance Evaluation
Unfavorable Evaluation
4
Sub Section 5.5
Case Records
The Contractor shall create individual Veteran case records
95%
Observation; random, unannounced inspection (auditing), and patient report.
Favorable Past Performance Evaluation
Unfavorable Evaluation
5
Sub Section 5.5.3
Medication Management
The Contractor shall at all times maintain Medication Management, Monitoring and Individual Storage.
95%
Observation; random, unannounced inspection (auditing), and patient report.
Favorable Past Performance Evaluation
Unfavorable Evaluation
6
Sub Section 5.6.10.1
Self-Termination and Drop Outs
The Contractor shall notify the HCHV Program Coordinator or designee of any Veteran’s notification of intent to self-termination or Drop Outs
95%
COR to monitor
Favorable Past Performance Evaluation
Unfavorable Evaluation
7
Sub Section 5.3.2
Transportation
Transportation to contractor’s facility will be within a timely manner of receipt of authorization during normal business hours
On Time
COR to monitor
Favorable Past Performance Evaluation
Unfavorable Evaluation
8
Sub Section 5.4

Personnel

There must be a sufficient number of staff members on premises 24/7
Sufficient Number of Personnel
COR to monitor
Favorable Past Performance Evaluation
Unfavorable Evaluation
9
Sub Section 5.4.5
Reporting
All incidents will be verbally reported immediately.
95%
Observation; random, unannounced inspection (auditing), and patient report.
Favorable Past Performance Evaluation
Unfavorable Evaluation
10
Sub Section 5.4.5
Reporting
A written copy of all incidents will be provided within 24 hours
95%
Observation; random, unannounced inspection (auditing), and patient report.
Favorable Past Performance Evaluation
Unfavorable Evaluation

5. INCENTIVES

The Government shall use Favorable Past Performance reports to the Contractor’s Performance as incentives. Incentives shall be based on exceeding, meeting, or not meeting performance standards.

6. METHODS OF SURVEILLANCE

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

a. VALIDATED USER/CUSTOMER COMPLAINTS.

b. 100% INSPECTION. (Evaluates all outcomes.)

c. RANDOM INSPECTION (Random sample of documents for review)

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 a positive, neutral, or negative outcome. The following ratings shall be used:

a. Exceptional

b. Very Good

c. Satisfactory

d. Marginal

e. Unsatisfactory

8. DOCUMENTING PERFORMANCE: The Government will document positive and/or negative performance. Any report may become part of the supporting documentation for any contractual action to include the annual past performance using Contractor Performance Assessment Report (CPAR).

a. 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.

a. 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.

b. 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.

a. 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.

c. 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.

a. 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.

d. 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.

a. 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 the contractual deficiency (e.g. Management, Quality, Safety or Environmental Deficiency Report or letter).

e. 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.

a. 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 or Environmental Deficiency Reports, or letters).

f. When unsatisfactory performance occurs, the COR shall inform the Contracting Officer and the Contractor. This will normally be in writing unless circumstances necessitate verbal communication. In any instance of unacceptable performance the COR shall document the discussion and place it in the COR file.

g. When the COR determines formal written communication is required, the COR shall prepare a Contract Discrepancy Report (CDR), and present it to the Contracting Officer and the Contractor's program manager.

h. 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 action plan to determine acceptability.

i. 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 COR will periodically analyze whether the negotiated frequency of surveillance is appropriate for the work being performed. Reports will be completed on a quarterly basis and a copy will be provided to the contractor.

b.

c. Frequency of Performance Assessment Meetings: The COR shall meet with the contractor quarterly to assess performance and shall provide a written assessment.

Signatures:

Contractor Program Manager (offeror please fill in/sign)

James Kneiss Contracting Officer’s Representative (will be included at time of award)

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