36C25719Q1296-013.xlsx

XLSX spreadsheet 12 KB Posted Sep 24, 2019

Attached to: Male-Only HCHV Services Federal contract opportunity
Solicitation number: 36C25719Q1296
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 17

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36C25719Q1296 HCHV Quality Assurance Surveillance Plan.xlsx

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Sheet1

Tasks	ID	Performance Measures	Acceptable Quality Level (AQL)	Remedies
Maintain Patient Privacy/Confidentiality	1	Daily	100%	Zero tolerance for violations
Maintain VA request for services , adult admission and consent form, medication/disposal form and self administration of medication forms on the patient's chart.	2	Daily	100%	All documentation will met or exceed standards, to include but not limited to accuracy, content and signature.
Adheres to all HIPPA requirements	3	Daily	100%	Zero tolerance for violations
Current Fire Drill and self inspection/business inspection forms on file.	4	Quarterly	100%	Provide documentation to Contracting Officer Technical Representative for review during Inspecton.
Maintain appropriate Federal, State licensure/certification requirements (mandatory prior to performance of duties).	5	Quarterly	100%	Provide documentation to Contracting Officer Technical Representative for review during inspection.

&"-,Bold"Residential Service for Homeless Veterans Contract General Quality Assurance

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