70US0925R7002450 - QASP Medical Examination Services 04_28_25.docx
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- Medical Examination Services
- Solicitation number
- 70US0925R70092450
About this file
This document is a Quality Assurance Surveillance Plan (QASP) for Medical Examination Services for the United States Secret Service (USSS). The QASP outlines the government's method for monitoring and evaluating contractor performance, with specific performance objectives and acceptable quality levels (AQLs) set at 99-100% for various service components. Key performance areas include customer satisfaction, examining facility setup, examination processes, scheduling, exam completion, vaccine provision, travel consults, and staffing contingency plans.
The document includes specific performance standards with financial disincentives for non-compliance, such as $50 per day penalties for missed facility establishment deadlines or incomplete services, not to exceed $1,000 per incident. The surveillance methods include contractor performance reports, customer input, and periodic inspections. The government retains the right to adjust surveillance methods and can require re-performance of services that do not meet contract requirements. The QASP is designed as a "living document" that can be revised throughout the contract performance period to ensure effective service delivery.
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QUALITY ASSURANCE SURVEILLANCE PLAN (QASP)
Quality Assurance Surveillance Plan Medical Examination Facilities Services Performance
1. PURPOSE:
This Quality Assurance Surveillance Plan (QASP) provides a systematic method to evaluate performance for the stated non-personal services contract. This QASP explains the following:
1. What will be monitored?
1. How monitoring will take place.
1. Who will conduct the monitoring?
1. 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. In addition, the QASP should recognize that unforeseen and uncontrollable situations may occur.
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. Updates shall ensure that the QASP remains a valid, useful, and enforceable document. Copies of the original QASP and revisions will be provided to the contractor and Government officials implementing surveillance activities.
a. QASP RELATION TO THE SOLICITATION:
| QASPs shall be developed at pre-award and appear with every solicitation, as well as the resultant service contract/order. The Government will retain the right to change the surveillance methods and Quality Assurance (QA) procedures, or to increase or decrease the degree of surveillance efforts at any time necessary to assure contract compliance. | |
| b. REVISIONS TO THE QASP: | |
| The QASP is a tool for use in Government administration of the Performance Work Statement (PWS) and remains subject to revision at any time by the Government throughout the contract performance period. Revisions to this surveillance plan are the responsibility of the Contracting Officer’s Representative (COR). Changes to the QASP shall be made unilaterally. | |
| The contractor will assume responsibility for all tasks and deliverables in the PWS under this award. As the performance period progresses, the levels of surveillance may be altered for service areas in cases where performance is either consistently excellent or consistently unsatisfactory. If observations reveal consistently good performance, then the amount of surveillance may be reduced. If observations reveal consistent deficiencies, increased surveillance may be implemented. |
2. GOVERNMENT ROLES AND RESPONSIBILITIES:
The following personnel shall oversee and coordinate surveillance activities.
1. Contracting Officer. 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.
b. Contracting Officer’s Representative. The COR is designated in writing by the CO to act as his or her authorized representative(s) to assist in administering a contract/order. COR limitations are contained in the written appointment letter. The COR will be responsible for technical administration of the contract and shall assure proper Government surveillance of the contractor’s performance. The COR shall keep a COR file. At the conclusion of the contract or when requested by the CO, the COR shall provide documentation to the CO. A COR is not empowered to make any contractual commitments or to authorize any contractual changes on the Government’s behalf. The contractor shall refer any changes they deem may affect contract price, terms, or conditions to the CO for action.
3. CONTRACTOR ROLES AND RESPONSIBILITIES:
The contractor shall appoint a single off-site point-of-contact to act as a central recipient of communication from the Government.
The contractor is responsible for delivering services in accordance with the Contract. The Contractor measures that quality through the Contractor’s own Quality Control Program (QCP). The Contractor’s QCP will set forth the procedures for self-inspecting the quality, timeliness, responsiveness, customer satisfaction, and other performance requirements in the PWS.
4. CONTRACT QUALITY REQUIREMENTS:
a. Contract quality requirements are the technical requirements in the contract relating to the quality of the service and those contract clauses prescribing inspection and other quality controls incumbent on the contractor, to assure that the service conforms to the contractual requirements. Government contract quality assurance shall be performed at such times and places as may be necessary to determine that the services conform to the contract requirements. Failure to meet or exceed the contract quality requirements is defined as a “nonconformance” on the part of the contractor. The contractor shall be held responsible for any identified nonconformance, and the government may require the work to be re-performed.
b. Per FAR Subpart 46.101, the Government’s contract quality assurance is defined as follows:
1. “Acceptance” means the act of an authorized representative of the Government by which the Government, for itself or as agent of another, assumes ownership of existing identified supplies tendered or approves specific services rendered as partial or complete performance of the contract.
2. “Conditional acceptance” means acceptance of supplies or services that do not conform to contract quality requirements, or are otherwise incomplete, that the contractor is required to correct or otherwise complete by a specified date.
3. “Minor nonconformance” means a nonconformance that is not likely to materially reduce the usability of the supplies or services for their intended purpose or is a departure from established standards having little bearing on the effective use or operation of the supplies or services.
4. “Major nonconformance” means a nonconformance, other than critical, that is likely to result in failure of the supplies or services, or to materially reduce the usability of the supplies or services for their intended purpose.
5. “Critical nonconformance” means a nonconformance that is likely to result in hazardous or unsafe conditions for individuals using, maintaining, or depending upon the supplies or services; or is likely to prevent performance of a vital agency mission.
c. Documentation:
1. Thorough documentation of unperformed or nonconformance is essential for tracking contractor performance throughout the period of performance. The COR will document deficient work by compiling facts describing the inspection methods and results. The COR will develop documentation to substantiate nonconformance with the Contract.
2. Remedial Action by the Contracting Officer:
(i) Shall use the DD Form 2772 Contract Discrepancy Report to notify the contractor in writing of the nonconforming service;
(ii) Shall request that the contractor perform the service, at no cost to the Government; and
(iii) May accept consideration if offered. In accordance with FAR 52.246-[Insert FAR Inspection clause based on contract type]: the Government may require the contractor to re-perform any services that do not conform to contract requirements. If the defects cannot be corrected by re-performance, the CO may either require the contractor to take the necessary action to ensure that future performance conforms to the requirements, or the CO may reduce the Contract price to reflect the reduced value of the services performed. At an extreme decision point, penalties may include a decision not to exercise contract options. The CO will determine the penalty for nonconformance based upon his or her judgment and the severity of the nonconformance.
5. METHODS OF QUALITY ASSURANCE SURVEILLANCE:
Various methods exist to monitor performance. The COR shall use the surveillance methods listed below in the administration of this QASP. – Regardless of the surveillance method, the COR shall always contact the contractor's point of contact and inform the manager of the specifics of the problem. The COR shall be responsible for monitoring the contractor’s performance in meeting the contract’s quality requirements. [List the method(s) of surveillance based on what is listed in the PWS/SOW]
1. 100 PERCENT INSPECTION ‐ This is only appropriate for infrequent tasks or tasks with stringent performance requirements, (e.g., when safety or health is a significant concern). With this method, performance is inspected/evaluated at each occurrence. One hundred percent inspection is expensive and should be used on a very limited basis.
1. RANDOM SAMPLING ‐This is usually the most appropriate method for recurring tasks. With random sampling, products or services are sampled to determine if the level of performance is in accordance with the contract terms and conditions. Random sampling works best when the number of instances of the product or service being performed is very large and a statistically valid sample can be obtained. Software is available to assist in establishing sampling procedures.
1. PERIODIC INSPECTION: This method, sometimes called “planned sampling,” consists of the evaluation of tasks selected on other than a 100%, or random basis. It may be appropriate for tasks that occur infrequently, and when 100% inspection is neither required nor practicable. A predetermined plan for inspecting part of the work is established using subjective judgment and analysis of available resources to decide what work to inspect and how frequently to inspect it.
1. CUSTOMER INPUT: This method could be used as a primary inspection method when customers normally complain about poor contractor performance. Inspection is performed with each complaint by determining the root cause of the complaint and confirming that the contractor has not performed in accordance with the terms and conditions of the contract. This exception basis method of surveillance is the least preferred because it relies on the end user to uncover the contract deficiency rather than the contract administration team. It is usually more expensive and less helpful to correct the problem than it would have been to prevent the problem from occurring.
1. COMMERCIAL ITEM INSPECTION: Under FAR Part 12, the Government has limited ability to inspect commercial items prior to receiving them for acceptance. The COR should work with the contractor to understand the business process, or the quality control processes used within its commercial environment and document any commercial quality standards.
1. CONTRACTOR REPORTS ON PERFORMANCE: A monthly report from the contractor describing the work performed and the number of hours expended. This is the least preferred method of inspection because the Government should perform the inspection, not rely on the contractor’s assertions. The report alone is not a method of surveillance. If this method is used, the COR must independently verify the information in the report using one of the inspection methods noted above.
Surveillance results may be used as the basis for actions (to include payment deductions) against the contractor. In such cases, the Inspection of Services clause in the Contract becomes the basis for the CO’s actions.
6. FREQUENCY OF MEASUREMENT: During contract performance, the COR shall periodically analyze whether the frequency of measurement is appropriate for the work being performed. Surveillance process audits shall, as a minimum, be conducted by the COR on a quarterly basis. At the end of each assessment period, the assessment will be reviewed by the PM and CO. The COR/CO will notify the Contractor of the results no later than seven days after the end of the assessment period:
| Performance Objective/Deliverable |
| Performance Standard |
| Acceptable Quality Level (AQL) |
| Monitoring Method |
ALL PERSONNEL ON CONTRACT
| Customer Satisfaction |
| The contractor meets the general requirements and the requirements of providing medical examination services as outlined in the scope. |
| Completed as required 99% of the time |
| Contractor Reports on Performance and Customer Input |
| Examining Facilities |
| New examining providers setup NLT 30 business days of notification and are within a 50-mile radius of the incumbents assigned field office, resident office, resident agency, protective detail, or USSS headquarters. |
| Completed as required 99% of the time |
| Contractor Reports on Performance and Customer Input. Failure to meet this deadline will be considered a violation of the agreement and may result in a disincentive of $50.00 for each business day beyond the required 30 business days for establishing a new facility available for scheduling. Not to exceed $1000.00 per incidence. |
| Examination Process |
| The contractor meets ALL the requirements outlined in this section for the examination process. |
| Completed as required 99% of the time |
| Contractor Reports on Performance |
| HQ Health Unit Operations & Staffing |
| The contractor meets the requirements outlined in section 2.2 par 17. |
| Completed as required 100% of the time |
| 100% Inspection by the COR and Customer Input |
| Scheduling and Completion of Exams |
| All exams are scheduled and completed NLT the required timeframe outlined in section 2.10.2. |
| Completed as required 99% of the time |
| Contractor Reports on Performance. Failure to schedule and complete all services within the required days from the request for appointment may result in a disincentive of $50.00 for each business day beyond the designated days. Not to exceed $1000.00 per incidence. |
| Timely Exam Conditions |
| The contractor meets the requirements outlined in section 1.11.4. |
| Completed as required 99% of the time |
| Contractor Reports on Performance and Customer Input; Failure to meet this schedule shall be considered unacceptable performance on the part of contractor or any subcontractor and may result in a disincentive of $10.00 beyond 1 hour of the scheduled appointment time. |
| Missed Tests or Examination Components |
| The contractor meets the requirements outlined in section 1.11.5. |
| Completed as required 99% of the time |
| Contractor Reports on Performance and Customer Input; failure may result in employee seeking care and services at a facility at the contractor’s expense. |
| Re-Examinations and Repeat Tests |
| The contractor meets the requirements outlined in section 1.11.3. |
| Completed as required 99% of the time |
| Contractor Reports on Performance and Customer Input; failure may result in employee seeking care and services at a facility at the contractor’s expense. |
| Vaccines |
| The contractor shall provide the necessary vaccinations as required in 2.5.3. |
| Completed as required 99% of the time |
| Contractor Reports on Performance and Customer Input; Failure will result in a disincentive of $50.00 a day to be assessed or employee may seek care and services at a facility at the contractor’s expense. Not to exceed $1000.00 per month per incidence |
| Travel Consults |
| The contractor meets the requirements for travel consults outlined in Section 2.10.2. |
| Completed as required 99% of the time |
| Contractor Reports on Performance and Customer Input. Failure will result in a disincentive of $50.00 a day to be assessed or employee may seek care and services at a facility at the contractor’s expense. Not to exceed $1000.00 per incidence |
| Delivery of Medical Exams |
| The contractor meets the requirements outlined in section 1.11.2. |
| Completed as required 99% of the time |
| Contractor Reports on Performance and Customer Input. Submission of an exam containing missing items will result in a disincentive of $10.00 per missing item and must be reported in the monthly report. |
| Staffing Contingency Plan |
| The contractor meets the requirements outlined in section 1.11.9 |
| Completed as required 99% of the time. |
| Contractor Reports on Performance and Customer Input. Failure to replace staff for HQ Health Unit will result in not being in compliance with the requirements of this contract. |
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