36C79119R0007-002.docx

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

QUALITY ASSURANCE SURVEILLANCE PLAN

For: Medical Services – Retail Pharmacy Immunizations (Flu Shots) Contract Number: < Upon award, Government will enter contract number> Contract Description: This contract provides funding for Influenza vaccines administered to Veterans at Contractor’s facilities across the nation in effort to improve Veterans access and immunization rates.

Contractor’s name: < Upon award, Government will enter Contractors 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:

1. What will be monitored?

2. How monitoring will take place.

3. Who will conduct the monitoring?

4. 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/monitoring activities.

2. GOVERNMENT ROLES AND RESPONSIBILITIES

The following personnel shall oversee and coordinate surveillance/monitoring 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 Contracting Officer:

Assigned Contract Specialist: Caroline West Organization or Agency: Department of Veterans Affairs, Commodities & Services Acquisition Service.

b. Contracting Officer’s Representative (COR) - The COR is responsible for technical administration of the contract and shall assure proper Government surveillance/monitoring 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 Contracting Officer’s Representative: Elizabeth Tyler

c. Other Key Government Personnel - <Upon award, Government will enter name, if applicable. This may include Performance Monitors, Clinical Quality experts, etc. who act on behalf of the COR to monitor performance.>

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 monitoring to determine if the contractor meets or does not meet these standards.

The Performance Work Statement (PWS) includes performance standards. The Government shall use these standards to determine contractor performance and shall compare contractor performance to the Acceptable Quality Level (AQL).

Training (for all outpatient services other than dental)

5. INCENTIVES

The Government will use positive past performance reports as an incentive. Incentives will be based on 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.

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

Performance standard(s) IDs: 1/3/4/5/7 Progress or status meetings.

Performance standard ID: 3 Analysis of contractor's progress reports. (Evaluate cost, schedule, etc.)

Performance standard(s) IDs: 2/7

7. DOCUMENTING PERFORMANCE

1. ACCEPTABLE PERFORMANCE

1.1. The Government shall document positive performance. Any report may become a part of the supporting documentation for any contractual action.

2. UNACCEPTABLE PERFORMANCE

2.1. 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.

2.2. 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.

2.3. 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 must present this corrective action plan to the COTR. The Government shall review the contractor's corrective action plan to determine acceptability.

2.4. Any CDRs may become a part of the supporting documentation for any contractual action deemed necessary by the CO.

8. FREQUENCY OF MEASUREMENT

1. Frequency of Measurement.

1.1. During contract performance, the COR will periodically analyze whether the negotiated frequency of monitoring is appropriate for the work being performed.

2. Frequency of Performance Assessment Meetings.

2.1. The COR shall meet with the contractor periodically to assess performance and shall provide written assessment.

<After award, both the contractor’s Program Manager and the COR shall sign this document.> Signature – Contractor Program Manager

Signature – Contracting Officer’s Representative