36C26119Q0318-002.docx

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Radiology Technologists for VA Southern Nevada Health Care System in Las Vegas, NV
Solicitation number
36C26119Q0318
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This document outlines a quality assurance surveillance plan for contracted radiology staffing services at the VA Southern Nevada Health Care System in Las Vegas, Nevada. Key details include:

  • The plan defines performance standards and acceptable quality levels for diagnostic radiology technologist positions in CT and MRI. Performance will be monitored through methods such as direct observation, validated user complaints, random sampling, and user surveys.

  • The contracting officer and contracting officer's representative are responsible for oversight and coordination of surveillance activities. The contractor's program manager is also identified as the main point of contact.

  • A related federal contract opportunity posting indicates the Department of Veterans Affairs intends to conduct a sole source award to a verified Service-Disabled Veteran-Owned Small Business for radiology technologist services. The award is authorized by the Veterans First Contracting Program and is not expected to exceed $5 million over the contract period including options.

36C26119Q0318 S02 QASP.docx

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QUALITY ASSURANCE SURVEILLANCE PLAN

Contractor’s name:

Contract Number:

Contract Description: Contracted Radiology staffing services for the Las Vegas VA Imaging Services, 6900 North Pecos Road, North Las Vegas, Nevada 89086.This contract is for the use of contracted staff for the following vacant positions in the Radiology:

- Diagnostic Radiology Technologist (CT)

- Diagnostic Radiology Technologist (MRI)

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: <Upon award, Government will enter name>

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: <Upon award, Government will enter name>

3. CONTRACTOR REPRESENTATIVES

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

Program Manager – <Upon award, Government will enter name>

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 Summary Matrix, contained in the Statement of Work under required tasks. The Government shall use these standards to determine contractor performance and shall compare contractor performance to the Acceptable Quality Level (AQL).

Task
ID
Indicator
Performance Standard
Acceptable Quality Level (AQL)
Method of Surveillance
Rating
Diagnostic Radiology Technologist (CT)
1
Performs inpatient and outpatient CT Imaging. Balances the needs of the patients and staff while still performing complex scans and procedures
Completes all Images as designated by the VASHNS Radiology SOPs and by ACR guidelines
95%
Direct observation, validated user/customer complaints, random & periodic sampling, user survey, periodic inspection
Exceeds: AQL = 100%; Meets: AQL >= 95%; Not Met: AQL <95%
2
Properly Identifies patients as listed in the VHA directive and demonstrates appropriate techniques to gather relevant information from the medical record, significant others, and health care providers
No more than 2 ID errors per year can occur.
95%
Direct observation, validated user/customer complaints, random & periodic sampling, user survey, periodic inspection
Exceeds: AQL = 100%; Meets: AQL >= 95%; Not Met: AQL <95%
3
Receives requests or instructions for procedures. Interprets requests or instructions from radiologist. As Diagnostic Radiology technologist (CT), interprets and directs the accomplishment of the most difficult requests.
Employee understands and carries out the requests made by physicians or seeks assistance of the supervisor or a higher graded technologist when an uncommon, unique or new procedure is required. Independently interprets and carries out the requests made by physicians
95%
Direct observation, validated user/customer complaints, random & periodic sampling, user survey, periodic inspection
Exceeds: AQL = 100%; Meets: AQL >= 95%; Not Met: AQL <95%
4
Performs all aspects of CT-Scan. Function as expert regarding software and hardware capabilities in the performance of the instrument and advices the radiologist on which pulse sequence are available and which selection of acquisitions parameters are necessary to produce optimum images and generate efficiency in data collection
No more than 2 errors per quarter may be made.
95%
Direct observation, validated user/customer complaints, random & periodic sampling, user survey, periodic inspection
Exceeds: AQL = 100%; Meets: AQL >= 95%; Not Met: AQL <95%

Diagnostic Radiology Technologist

(MRI)

1
Performs inpatient and outpatient (MRI) Imaging. Balances the needs of the patients and staff while still performing complex scans and procedures
Completes all Images as designated by the VASHNS Radiology SOPs and by ACR guidelines
95%
Direct observation, validated user/customer complaints, random & periodic sampling, user survey, periodic inspection
Exceeds: AQL = 100%; Meets: AQL >= 95%; Not Met: AQL <5%
2
Properly Identifies patients as listed in the VHA directive and demonstrates appropriate techniques to gather relevant information from the medical record, significant others, and health care providers
No more than 2 ID errors per year can occur.
95%
Direct observation, validated user/customer complaints, random & periodic sampling, user survey, periodic inspection
Exceeds: AQL = 100%; Meets: AQL >= 95%; Not Met: AQL <95%
3
Receives requests or instructions for procedures. Interprets requests or instructions from radiologist. As Diagnostic Radiology technologist (MRI), interprets and directs the accomplishment of the most difficult requests.
Employee understands and carries out the requests made by physicians or seeks assistance of the supervisor or a higher graded technologist when an uncommon, unique or new procedure is required. Independently interprets and carries out the requests made by physicians
95%
Direct observation, validated user/customer complaints, random & periodic sampling, user survey, periodic inspection
Exceeds: AQL = 100%; Meets: AQL >= 95%; Not Met: AQL <95%
4
Performs all aspects of MRI-Scan. Function as expert regarding software and hardware capabilities in the performance of the instrument and advices the radiologist on which pulse sequence are available and which selection of acquisitions parameters are necessary to produce optimum images and generate efficiency in data collection
No more than 2 errors per quarter may be made.
95%
Direct observation, validated user/customer complaints, random & periodic sampling, user survey, periodic inspection
Exceeds: AQL = 100%; Meets: AQL >= 95%; Not Met: AQL <95%

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.

a. DIRECT OBSERVATION. (Can be performed periodically or through 100% surveillance) Performance Standards IDs: 1, 2, 3, 4, 5, 6, 7

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

Performance Standards IDs: 1, 2, 3, 4, 5, 6, 7

c. USER SURVEY. (Combines elements of validated user complaints and random sampling) Random survey is conducted to solicit user satisfaction. (May also generate inspections and sampling) Performance Standards IDs: 1, 2, 3, 4, 5, 6, 7

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

Performance Standards IDs: 1, 2, 3, 4, 5, 6, 7

f. PERIODIC SAMPLING. (Variation of random sampling) However, sample is only taken when a problem/deficiency is suspected. Sample results are applicable only for the specific work inspected. Since sample is not entirely random, it cannot be applied to total activity performance.)

Performance Standards IDs: 1, 2, 3, 4, 5, 6, 7

g. RANDOM SAMPLING. (Designed to evaluate performance by randomly selecting and inspecting a sample of cases Performance Standards IDs: 1, 2, 3, 4, 5, 6, 7

7. 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.

8. FREQUENCY OF SURVEILLANCE

· Frequency of Surveillance. During contract performance, the CO will periodically analyze whether the frequency of surveillance is appropriate for the work being performed with the COR.

· Performance Assessment Meetings. The COR shall meet with the contractor Quarterly to assess performance and shall provide a written assessment.

Printed Name/Signature – Contractor Representative

Printed Name/Signature – Contracting Officer’s Representative image1.emf

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