A0001_Attachment 02 - QASP_Redline.docx

Quality Assurance Surveillance Plan

The QASP provides a performance requirement and an Acceptable Quality Level (AQL) for select activities in the PWS and the contract itself. A performance requirement describes a required element of contractor performance. An AQL defines the minimum level of performance that is deemed satisfactory. The contract requires the contractor to perform all work as specified.

AQLs take into account that, in some instances, an allowable level of deficiency (deviation) is possible while overall performance continues to meet ICE’s desired level of service. AQL’s define that level or number of performance deficiencies tolerable under this contract. They take into account the difference between an occasional defect and a gross number of defects. AQLs are expressed as a percentage as calculated per the performance measure. The AQLs directly relate to the performance requirement and are a direct percentage of the performance requirement percentage. There may be instances where 100% compliance is necessary, and no deviation is acceptable.

AQLs for contractor performance are structured to allow for the contractor to manage how it performs work while providing negative incentives for performance shortfalls which may have a serious impact on mission performance. If the quality level does not meet or exceed the AQL, the Government may consider the contractor’s performance unsatisfactory.

(as % of Perf. Req.)

Reporting/ Deduction Criteria

Overall Staffing

(# of hired working staff / # of required positions) x 100

92% / 80%

Note: This number will not be rounded when begin calculated All QASP Metrics will be reported in CPARS.

(# of hired working staff / # of required positions for each location) x 100

Unfilled position codes due to a contract modification, will be exempt from assessment for 45 days from the effective date of the signed modification.

For classification within this document only the following definitions are used

Large Site: ≥ 30 FTE

Small Site: < 29 FTE

· The Site Status Report containing the last day of each month will be used to assess this monthly metric.

Large Site:

92% / 80%

Small Site:

80% / 60%

The monthly amount invoiced per site will be reduced by the sum of deductions applicable to each labor category at that site.

Large Sites:

LVN/LPNs < 85% = 0.25% < 80% = 0.50% < 75% = 1.00% < 60% = 3.00%

RNs < 88% = 0.25% < 83% = 0.50% < 78% = 1.00% < 65% = 3.00%

APPs < 90% = 0.25% < 83% = 0.50% < 78% = 1.00% < 65% = 3.00%

BHPs < 90% = 0.25% < 83% = 0.50% < 78% = 1.00% < 65% = 3.00%

Techs/Assistants < 92% = 0.25% < 87% = 0.50% < 82% = 1.00% < 65% = 3.00%

MD/DO-DDS-PharmD-CC < 75% = 0.25% < 50% = 3.00%

Small Sites:

RN/LVN/LPN

< 75% = 0.25% < 67% = 0.50% < 60% = 1.00% < 50% = 3.00%

All Other Positions:

< 75% = 0.25% < 67% = 0.50% < 60% = 1.00% < 50% = 3.00%

((total # of hired submitted staff for eQIP - #staff with active waivers) / total hired submitted staff for eQIP) x 100

· Waiver request submitted and approved to the government.

95%

(Less than 5% contractor staff receive waivers when submitted) All QASP Metrics will be reported in CPARS.

(Total staff at end of quarter / (# total staff at the start of quarter – those hired working after start of quarter)) x 100

Sites closing, conversions to GS and positions removed during a contract year will not be included.

# of separations during the measurement period divided by the average # of employees during the measurement period

(# of staff which left during quarter / ((total hired working staff month 1 + total hired working staff month 2 + total hired working staff month 3) / 3)) x 100

Sites closing, conversions to GS and positions removed during a contract year will not be included.

(Required backfill shifts covered / Total backfill shifts required) x 100

Successful back-fill is defined as having worked:

6 of an 8-hour shift 8 of a 10-hour shift 10 of a 12-hour shift

· Assessment from local GTMs.

Start Dates

(total staff that started within 30 days of favorable determination / total staff which started during period) x 100

· Assessment from local GTMs.

Competency Assessment

(total staff that completed competency assessment within 90 / total staff that were required to complete assessment within the month) x 100

· Assessment from local GTMs.

Collaborative Practice and Prescriptive Authority Agreement (CP&PA Agreement)

(total APP staff that have an agreement in place within 90 days / total APP staff required to have an agreement in place within 90 days)) x 100

· Assessment from local GTMs.

· Assessment from IHSC Credentialing.

Credentialing (Non-Licensed Independent Practitioners) 100% of complete credentialing packets shall be submitted to the government no less than 7 business days before their start date.

APPs – 12 business days.

Number of complete credentialing packets submitted to the government no less than seven business days before their start date as a percentage of the total submitted monthly.

APPs-12 days

(total # of complete packets submitted within timeline / total # of packets required to be submitted) x 100

· Assessment from local GTMs.

· Assessment from IHSC Credentialing.

Privileging (Non-Licensed Independent Practitioners)

(total # of complete packets submitted within timeline / total # of packets required to be submitted) x 100

· Assessment from local GTMs.

· Assessment from IHSC Credentialing.

Deliverables

(total # of deliverables submitted on time / total # of deliverables required) x 100

*as applicable Note: The contractor is responsible for performance of ALL terms and conditions of the contract. The contractor will provide progress reports quarterly to the CO and CORs reflecting QASP performance according to the QASP table above. The performance measures outlined in this QASP shall be used to determine Contractor performance in each Functional Area. All metrics will be reported in CPARS.