Attachment 1 - Quality Assurance Surveillance Plan - Apheresis.doc
DOC document 47 KB Posted
- Attached to
- Onsite Apheresis Treatment Services Federal contract opportunity
- Solicitation number
- 36C25923Q0494
About this file
This Quality Assurance Surveillance Plan outlines performance standards and monitoring methods for an apheresis therapy services contract between a contractor and the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 19. The contract provides facility and non-facility apheresis services for patients at the Rocky Mountain Regional VA Medical Center. Key personnel for the VA include the Contracting Officer, Contracting Officer's Representative, and clinicians from the Nephrology Section and Laboratory/Pathology. Performance will be monitored through medical record reviews, customer complaint tracking, random sampling, and documentation from the contractor. Standards address inpatient procedures, quality of care, patient safety, and patient satisfaction. Performance will be rated on acceptance of these standards and incentives include exercise of future contract options and past performance evaluations.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36C25923Q0494 0001 - Apheresis Amdt 1.pdf | ||
| 36C25923Q0494 - Denver Apheresis RFQ.pdf | ||
| Attachment 2 - Contractor Certification (Immigration).docx | DOCX document | |
| Attachment 3 - Contractor Certification (Conflict of Interest).docx | DOCX document |
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Text version
D.1 Quality Assurance Surveillance Plan
The contractor shall be evaluated in accordance with the following QASP.
Quality Assurance Surveillance Plan
For: Medical Services/Apheresis Therapy Contract Number: 36C25923Q0494 Contract Description: Apheresis Therapy services for patients at the Rocky Mountain Regional VA Medical Center. Services include facility and non-facility components.
Contractor’s name: (hereafter referred to as the contractor).
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: Yomika Brock Organization or Agency: Department of Veterans Affairs, VISN 19 Contracting Office
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: Claudia Weir, Administrative Officer, Emergency Department, VA Eastern Colorado Health Care System.
c. Other Key Government Personnel: Dr Alkesh Jani, Nephrology Section, VA Eastern Colorado Health Care System.
3. Contractor Representatives
The following employees of the contractor serve as the contractor’s program manager for this contract.
a. Program Manager –
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 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 Acceptable Quality Level (AQL).
5. Incentives
The Government shall use Exercise of Option Period and performance reviews 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 COR shall use the surveillance methods listed below in the administration of this QASP.
| Task |
| ID |
| Performance |
Requirement
| Standard |
| Acceptable Quality Level |
| Method of Surveillance |
| Incentive |
Inpatient
Information
| 1 |
| Inpatient Procedure: Review of complications |
| Quality Assurance Committee review of complications |
| 100% |
| Lab/Path Department audits all complications for National reporting |
| Exercise of Option Period and past performance |
| Quality Care |
| 2 |
| Quality Care Review |
| Nurses/techs under this contract will have all notes reviewed during the 12 months in the patient medical records |
| 95% |
| Patient medical records review (auditing) |
| Nurses/techs found to be providing care less than standard will be subject to |
Restriction from participating in contract
| Patient Safety |
| 3 |
| Patient safety incidents must be reported using Patient Safety Report. |
| All incidents reported immediately (within 24 hours.) |
| 100% |
| Direct Observation |
| None |
| Patient Satisfaction |
| 4 |
| Patient complaints about the quality of care are reported to the Medical Center Patient Advocate, the COR, and the Contractor |
| All patient complaints are reported immediately (within 24 hours) and resolved within 7 days |
| 95% |
| Random inspection (auditing). |
| Exercise of Option Period and past performance |
a. DOCUMENTATION REVIEW: the nurses and technicians in this contract will have regular quality reviews of their medical records in the same way that our staff nurses and technicians reviewed. These reviews will include all charting reviewed during 12 month contract period. If the record reviews demonstrate that the care being provided falls below our standard the practitioner will be notified and will be restricted from participating in this contract.
b. VALIDATED USER/CUSTOMER COMPLAINTS. Customer complaint data is compiled quarterly and reviewed by Section Chief – any validated complaints against a contractor that are not resolved within the required seven day period will be further investigated.
c. RANDOM SAMPLING. Patient treatment files to be reviewed will be randomly selected and cover the period of service.
d. Verification and/or documentation provided by contractor.
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:
One (1) incident of not meeting the performance standard will result in verbal counseling, second incident will be documented in a written warning any further incidents will result in immediate dismissal.
8. 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 COR shall inform the contractor. This will normally be in writing unless circumstances necessitate verbal communication. In any case the COR shall document the discussion and place it in the COR file.
When the COR determines formal written communication is required, the COR shall prepare a Contract Discrepancy Report (CDR), and present it to the contractor's program manager.
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.
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.
b. Frequency of Performance Assessment Meetings.
The COR shall review with the Chief, Nephrology and the Chief, Laboratory/Pathology annually to assess performance and shall provide a written assessment.
Signature – Contractor Program Manager
Signature – Contracting Officer’s Representative
File details come from the government source that posted it. Updated .