D.2 QUALITY ASSURANCE SURVEILLANCE CHECKLIST.pdf
PDF 96 KB Posted
- Attached to
- GROUND AMBULANCE SERVICES (ALS/BLS) - El Paso Veteran Affairs Health Care System (ELPVAHCS)
- Solicitation number
- 36C25724Q0386
About this file
The document provided is a Quality Assurance Surveillance Checklist for a Ground Ambulance contract between the VA El Paso Texas Healthcare System and a contractor. The checklist outlines the required services, performance standards, acceptable quality levels, and monitoring methods for the contract. Key details include:
The contractor must provide patient pickups within 45 minutes of receiving a request or the scheduled pick-up time, maintain proper licenses and training for attendants, submit monthly reports within 5 calendar days, and ensure vehicles are in proper condition. The government will conduct 100% reviews of pickups, random surveillance of certifications and training, and 100% inspections of monthly reports. The related federal contract opportunity is Solicitation Number 36C25724Q0386 for Ground Ambulance Services (ALS/BLS) for the El Paso Veteran Affairs Health Care System (ELPVAHCS). This is a full and open competition for a Firm Fixed Price contract with a 5-year period of performance from 8/1/2024 to 7/31/2029. Quotes are due by 4:00pm CDT on 6/25/2024.
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Text version
D.2 QUALITY ASSURANCE SURVEILLANCE CHECKLIST
VA EL PASO TEXAS HEALTHCARE SYSTEM
Contract: Ground Ambulance
Date/Time of Inspection:
Government POC: Primary
Government POC Alternate:
Organization:
VA EL PASO TEXAS
HEALTHCARE SYSTEM
Location: Bldg. Post
Required Services (Tasks)
Performance Standard
Acceptable Quality Level
(AQL)
Method of Monitoring Met Not Met
ALS/BLS SMT
Service
The Contractor shall provide patient pickups within 45 minutes of receiving a request or within 45 minutes of the scheduled pick-up time.
100% 100% review of each patient pick-up
Certifications and Training/Customer Service
Contractor/employee shall maintain current proper licenses and ensure all attendants are properly trained and competent to provide service
100% Random Surveillance/Customer Complaint record
Submit Monthly Reports
Contractor shall ensure monthly reports are submitted within 5 calendar days of the due date.
90% 100% inspection of all monthly deliverables
ALS/BLS Vehicle Maintenance/Safety
Contractor shall ensure all ALS/BLS Vehicles are in proper condition and fit for the patient and public safety
100% Random Surveillance
File details come from the government source that posted it. Updated .