36C25520Q0112-008.pdf

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Cardiology Monitors Services - Columbia VA Medical Center
Solicitation number
36C25520Q0112
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This document contains a Quality Assurance Surveillance Plan (QASP) for cardiac monitoring services and a related federal contract opportunity notice. The QASP outlines performance standards and monitoring methods for a contractor to provide cardiac monitoring services for veterans at the Harry S Truman Memorial Veterans Hospital in Columbia, Missouri. Key responsibilities for the contractor include making contact with patients within 24 hours of an order, posting patient data and reports within 24 hours of receipt, responding to emergency events within one hour, and meeting technical and patient satisfaction standards. The government will evaluate the contractor using methods like direct observation, inspections, complaints, and random sampling to determine if performance meets standards. The related federal contract opportunity notice indicates the Department of Veterans Affairs intends to release a solicitation on January 27, 2020 to provide wireless cardiac event and holter monitoring services at the same facility, with a response due date of February 7, 2020.

36C25520Q0112 Attachment 2 - QASP- HolterEvent Monitoring Service.pdf

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36C25520Q0112-0001000.docx DOCX document
36C25520Q0112-006.docx DOCX document
36C25520Q0112-007.pdf PDF
36C25520Q0112-009.pdf PDF

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Cardiac Monitoring

Quality Assurance Surveillance Plan (QASP)

For: Cardiac Monitoring

Contract Number:

Contract Description: The contractor shall provide Cardiac Monitoring for VA patients to include but not limited to all management, supervision, manpower, materials, supplies and equipment in accordance with the requirements of this contract.

Contractor’s name:

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:

Organization or Agency: Department of Veterans Affairs

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

Assigned COTR:

c. Other Key Government Personnel – Chief Quality Management Compliance Officer Privacy Officer Auditor Safety Specialist

3. CONTRACTOR REPRESENTATIVES

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

a. Program Manager -

b. Other Contractor Personnel -

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.

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

Task ID Indicator Standard Acceptable

Quality Level

Method of Surveillance

Incentive

Access

Patient must receive instructions for device use

Upon receipt of order, the contractor shall contact patient within 24 hours by phone 98%

Validated user/customer complaints &

Random sampling

Exercise of Option

Period and Past

Performance

Quality Care

VA must receive patient reports in a timely manner

Posting non-emergent patient data, analysis, and interpretation for immediate review by the appropriate Truman VA employee within 24 hours of receipt 95%

Validated user/customer complaints &

Random sampling

Exercise of Option

Period and Past

Performance

Task ID Indicator Standard Acceptable

Quality Level

Method of Surveillance

Incentive

Quality Care

Response to Emergency/STAT

Events

Emergency or STAT events shall be phones to the appropriate Truman VA employee no later than one

(1) hour after receipt 99%

Validated user/customer complaints &

Random sampling

Exercise of Option

Period and Past

Performance

Quality Care

Timely Communication of

Results

Daily wireless holters shall be posted every 24 hours for physician review. 99%

Validated user/customer complaints &

Random sampling

Exercise of Option

Period and Past

Performance

Quality Care

Timely

Communication of Results

Non-wireless holter results will be posted within 24 hours of download 98%

Validated user/customer complaints &

Random sampling

Exercise of Option

Period and Past

Performance

Quality Care

Adequate technical quality of cardiac monitoring provided

Evidence Based

Guidelines 95%

Validated user/customer complaints &

Random sampling

Exercise of Option

Period and Past

Performance

Patient Satisfaction

Patient Satisfaction

Patients that interact with contractor staff for device set up have valid complaints 95%

Validated user/customer complaints &

Random sampling

Exercise of Option

Period and Past

Performance

5. INCENTIVES

The Government shall use Exercise of Option Period and Past Performance as incentives.

Incentives shall be based on exceeding, meeting, or not meeting performance standards.

6. METHODS OF QA SURVEILLANCE

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

a. DIRECT OBSERVATION. (Can be performed periodically or through 100% surveillance.)

b. PERIODIC INSPECTION. (Evaluates outcomes on a periodic basis. Inspections may be scheduled [Daily, Weekly, Monthly, Quarterly, or annually] or unscheduled, as required.)

d. VALIDATED USER/CUSTOMER COMPLAINTS. (Relies on the patient to identify deficiencies. Complaints are then investigated and validated.)

g. RANDOM SAMPLING. (Designed to evaluate performance by randomly selecting and inspecting a sample of cases.

8. 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:

9. 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 COTR shall inform the contractor and contracting officer. This will normally be in writing unless circumstances necessitate verbal communication.

In any case the COTR shall document the discussion and place it in the COTR file.

When the COTR determines formal written communication is required, the COTR shall prepare a Contract Discrepancy Report (CDR), and present it to the contractor's program manager and contracting officer.

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 COTR. The Government 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.

Poor, Marginal, Satisfactorily, Very Good & Excellent

10. FREQUENCY OF MEASUREMENT

a. Frequency of Measurement.

During contract performance, the COTR will periodically analyze whether the negotiated frequency of surveillance is appropriate for the work being performed.

b. Frequency of Performance Assessment Meetings.

The COTR shall meet with the contractor on an as needed basis to assess performance and shall provide a written assessment.

<After award, both the contractor’s Program Manager and the COTR shall sign this document.>

Signature – Contractor Program Manager Date

Signature – Contracting Officer’s Technical Representative Date

File details come from the government source that posted it. Updated .