S02 D.1 Quality Assurance Surveillance Plan QASP Final.docx
DOCX document 34 KB Posted
- Attached to
- G004--Temporary Emergency Housing - Killeen, TX
- Solicitation number
- 36C25724Q0281
About this file
This document is a Quality Assurance Surveillance Plan (QASP) for a federal contract to provide emergency housing and supportive services to homeless veterans in Killeen, Texas. The contract description states that the contractor will be expected to provide safe emergency community-based residential housing and quality services including case management, life skills training, sobriety maintenance, mental health recovery education, vocational and housing counseling services.
The QASP outlines the purpose, government roles and responsibilities, contractor representatives, performance standards, surveillance methods, and quality assurance ratings that will be used to evaluate the contractor's performance. Key performance standards include timely completion of individual service plans, provision of required services, documentation, data entry, transportation, and bed census reporting. The QASP is a "living document" that may be regularly reviewed and revised. This QASP is associated with Solicitation Number 36C25724Q0281 for Temporary Emergency Housing in Killeen, TX issued by the Department of Veterans Affairs.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C25724Q0281 0003.docx | DOCX document | |
| 36C25724Q0281 0002.docx | DOCX document | |
| 36C25724Q0281 0001.docx | DOCX document | |
| S02 D.3 Contractor Rules of Behavior.docx | DOCX document | |
| S02 D.2 WD 2015-5237 Rev 23 12 26 23.pdf | ||
| 36C25724Q0281_1.docx | DOCX document | |
| S02 D.5 Organizational Conflicts of Interest.docx | DOCX document | |
| S02 D.4 Contractor Certification - Immigration and Nationality Act.docx | DOCX document | |
| S02 D.6 Experience Worksheet.docx | DOCX document |
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Text version
TITLE: Emergency Housing for Homeless Veterans – Temple, TX
Contract Number: <Government will enter number upon award>
Contract Description: The Contractor will be expected to provide safe emergency community-based residential housing and quality services for homeless Veterans. Supportive services provided include case management, life skills training, sobriety maintenance and mental health recovery education, vocational and housing counseling services to aid the Veterans in reaching goals of attaining permanent housing. Contractor shall provide supportive housing for up to seven (7) homeless Veterans within Killeen, Texas.
Contractor’s name: _________________<Government will enter name upon award>
The contractor will be evaluated in accordance with the following:
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 will monitoring take place?
· Who will conduct the monitoring?
· How will monitoring efforts and results 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 through contract modification. 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: Carlos Jaquez Organization or Agency: Department of Veterans Affairs – VHA RPO West – NCO 17
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: Luis Ovalle Organization or Agency: Department of Veterans Affairs – CTVHCS – Central Texas VA Medical Center.
3. CONTRACTOR REPRESENTATIVES
The following employee(s) of the contractor serve as the contractor’s program manager(s) for this contract.
Primary:
Alternate:
PERFORMANCE STANDARDS
The contractor is responsible for performance of ALL terms and conditions of the contract. CORs will provide contract progress reports quarterly to the CO reflecting performance on this plan and all other aspects of the resultant contract. The performance standards outlined in this QASP shall be used to determine the level of contractor performance in the elements defined. Performance standards define desired services. The Government performs surveillance to determine the level of Contractor performance to these standards.
The Performance Requirements are listed below in Section 6. The Government shall use these standards to determine contractor performance and shall compare contractor performance to the standard and assign a rating. At the end of the performance period, these ratings will be used, in part, to establish the past performance of the contractor on the contract.
4. METHODS OF QA SURVEILLANCE
Various methods exist to monitor performance. The COR shall use the surveillance methods listed below in the administration of this QASP.
0. DIRECT OBSERVATION. 100% surveillance: Staff and management’s direct observation of methods, process adherence, and quality during the performance of contractual duties.
0. PERIODIC INSPECTION. Inspections scheduled and reported quarterly per COR delegation or as needed. Clinical or operational reports and/or five (5) randomly selected patient files will be reviewed per inspection period. All inspections and reports will be conducted in compliance with VA Privacy and Information security standards.
0. VALIDATED USER/CUSTOMER COMPLAINTS. Each customer complaint will be investigated by the Department Administrative Officer. Methods of investigation include the examination of the medical record, EDIS data, and statements provided by the patient, other staff/patients, and the contract personnel. Final determination on the validity of the complaint’s rests with the Department Section Chief.
0. RANDOM SAMPLING. Five (5) randomly selected patient files will be reviewed per quarter. All reviews and reports will be conducted in compliance with VA Privacy and Information security standards.
0. VERIFICATION AND/OR DOCUMENTATION PROVIDED BY CONTRACTOR. Random inspection quarterly to assess the progress of their work for the need to utilize available option years If needed. This information will be obtained from the Department Section Chief.
The Government may, at its discretion, choose any time, announced or unannounced, to have VA personnel inspect the contractor’s records.
D.1 Quality Assurance Surveillance Plan (QASP) – RFQ 36C25724Q0281
| Task |
| Standard |
| Performance Threshold/ Acceptable Quality Level |
| Method of Surveillance |
| Clinical care services to include; working with homeless Veterans and finding them permanent housing and linkage and referrals to other community services. |
| Completion of Individual Service Plan within 7 calendar days from day of entry into program. |
| 95% |
| Observation and random inspection (auditing) of admissions. |
| Individual Service Plan Update within each 90-day increment of stay if Length of Stay is greater than 90 days. |
| 95% |
| Observation and random records review. |
| Provision of or linkage to services needed to enable the person served to perform daily living activities including but not limited to budgeting, meal planning, personal care, financial services, medical or other healthcare, assistive technology assessment, or, other identified needs |
| Ongoing documented weekly face-to-face contact/ISP review with Veteran. |
| 95% |
| Observation and random records review. |
| Completion of documentation needs |
| Completion of Discharge plan completed at program discharge |
| 95% |
| Observation and random records review. |
| Length of stay from program entry will be no greater than 90 days. |
| 80% |
Random Records Review
| Extension approval provided and documented in chart if Length of Stay goes beyond 90 days. |
| 95% |
| Random records review. |
| Work toward assisting Veteran in obtaining goals. |
| Contractor will complete Release of Information prior to Veteran entry into the program. |
| 95% |
| Random records review. |
| Work toward assisting Veteran in obtaining cash income or non-cash benefits. |
| Accurate Data Entry of HMIS information to include VI-SPDAT completion into community HMIS system. Errors corrected within 30 days of notification from HMIS staff. |
| 95% |
| Monthly report by HMIS staff and Quarterly Chart Review. |
| Assist Veteran with transportation. |
| Contractor will provide ADA compliant transportation for Veteran to attend medical, dental and mental health appointments. |
| 95% |
| Observation and random records review. |
| Discharging Veterans from program in a timely manner. |
| Bed census reports shall be due daily for each veteran occupying a bed unless the day is a holiday or weekend, in which case it shall be due the next business day. |
| 95% |
| Random records review. |
| Contractor shall be responsible for providing VA with bed census reports on each veteran. |
| Bed census reports shall be due daily for changes for each veteran occupying a bed unless the day is a holiday or weekend, in which case it shall be due the next business day. |
| 95% |
| Daily Receipt of submitted Bed Census Reports. |
| It will be the responsibility of the contractor to meet applicable performance metrics. |
| Daily Bed census reports submitted without errors on all Veterans who occupy a bed. |
| 95% |
| Daily Receipt of submitted Bed Census Reports. |
| It will be the responsibility of the contractor to meet applicable performance metrics. |
| End-of-month bed census reports must be submitted to the VA by the 5th business day of every month for the appropriate reporting period. |
| 95% |
| End of Month submitted bed census report |
| End-of-Month bed census reports submitted without errors |
| 95% |
| End of Month submitted bed census report |
| End-of-Month bed census reports returned for errors, reconciled and re-submitted for payment by the 10th business day of every month |
| 95% |
| End of Month submitted bed census report. |
| Agency occupancy rate is full or agency has implemented adequate measures to expand outreach and coordination to improve program utilization |
| Percent of Veterans discharged to Independent Housing. |
| >= 65% |
| Internal Tracking System |
| Notify VA through their Contracted Residential Services program liaison of any negative incident occurring with a Veteran. |
| Complete a verbal incident report within 24 hours of occurrence. |
| 95% |
| Internal Tracking |
| Complete and submit a written incident report within 24 hours of occurrence to Residential Services Liaison. |
| 95% |
| Internal Tracking |
| Notify (COR) or representative of staff start and end dates and submit proper documentation for contract employees. |
| Resume will be sent to COR or designee for all contract staff assigned to work on contract. For new hires, resume will be sent prior to staff start date. |
| 95% |
| Internal Tracking |
| Ensure that contract employees complete required trainings and submit proof of trainings to COR or representative |
| Contractor will provide immediate notification to Contracting Officer’s Representative (COR) or designee when contract staff is no longer assigned working with the contract. COR or designee will notify Contracting Officer of changes. |
| 95% |
| Internal Tracking |
6. CPARS RATINGS ASSIGNED TO QASP ITEMS:
Metrics and methods are designed to determine rating for a given standard and acceptable quality level. The following ratings shall be used (Reference: CPARS User Manual https://www.cpars.gov/documents/CPARS-Guidance.pdf
| 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. |
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.
| 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. |
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.
| 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. |
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.
| 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. |
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).
| 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. | |
| 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). |
7. DOCUMENTING PERFORMANCE
a. The Government shall document positive and/or negative performance. Any report may become a part of the supporting documentation for any contractual action and preparing annual past performance using CONTRACTOR PERFORMANCE ASSESSMENT REPORT (CPAR).
b. If contractor performance does not meet the Acceptable Quality level, the CO shall inform the contractor. This will normally be in writing unless circumstances necessitate verbal communication. In any case the CO shall document the discussion and place it in the contract file. When the COR and the CO determines formal written communication is required, the COR shall prepare a Contract Report (CR), and present it to CO. The CO will in turn review and will present to the contractor's program manager for corrective action.
The contractor shall acknowledge receipt of the CR in writing. The CR 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 CR will also state how long after receipt the contractor has to present this corrective action plan to the CO. The Government shall review the contractor's corrective action plan to determine acceptability. The CO shall also assure that the contractor receives impartial, fair, and equitable treatment. The CO is ultimately responsible for the final determination of the adequacy of the contractor’s performance and the acceptability of the Contractor’s corrective action plan.
Any CRs may become a part of the supporting documentation for any contractual action deemed necessary by the CO. See Sample CR on the following page.
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 every six months to assess performance and shall provide a written assessment
COR AND CONTRACTOR ACKNOWLEDGEMENT OF QASP
SIGNED:
| _______________________________________ | ____ | |
| Luis Ovalle, COR | Date |
SIGNED:
Contractor Name, Title Date
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