ATT D1 - QASP Medical Diagnostic Physicist.docx

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Attached to
Q527--Medical Diagnostic Physicist Federal contract opportunity
Solicitation number
36C25622Q0462
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16

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ATT 1 Am 1 - B2 Price schedule revised 02.docx DOCX document
ATT D4- Written Procedure for Written Directive.pdf PDF
ATT 2 Am 1- B3 PWS revised.docx DOCX document
36C25622Q0462 0001.docx DOCX document
ATT D3 KEY PERSONNEL- Conflict of Interest.docx DOCX document
ATT D2 CONTRACTOR CERTIFICATION IMM.docx DOCX document
36C25622Q0462.docx DOCX document

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The contractor will be evaluated in accordance with the following:

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 through contract modification. 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:

Organization or Agency: NCO16

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: Lisa Bujarski Organization or Agency: Veterans Health Care Systems of the Ozarks (VHSO)

3. CONTRACTOR REPRESENTATIVES

The following employee(s) of the contractor serve as the contractor’s program manager(s) for this contract.

Primary:

Alternate:

ATT D2- Quality Assurance Surveillance Plan (QASP)

4. PERFORMANCE STANDARDS

The contractor is responsible for performance of ALL terms and conditions of the contract. CORs will provide contract progress reports quarterly to the CO reflecting performance on this plan and all other aspects of the resultant contract. The performance standards outlined in this QASP shall be used to determine the level of contractor performance in the elements defined. Performance standards define desired services. The Government performs surveillance to determine the level of Contractor performance to 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 standard and assign a rating. At the end of the performance period, these ratings will be used, in part, to establish the past performance of the contractor on the contract.

5. 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. 100% surveillance: Method not applicable/used.

b. PERIODIC INSPECTION. Inspections of written deliverables and other documents associated with the contract will be done as they are received by the Government.

c. VALIDATED USER/CUSTOMER COMPLAINTS. The Government will monitor the incidence of complaints related to Contractor staff performance on an ongoing basis to be reported annually.

d. RANDOM SAMPLING. The Government will monitor 100% of performance errors.

e. Verification and/or documentation provided by Contractor. The Government will monitor the Contractor by on-site inspections and written documentation.

6. QASP PERFORMANCE REPORT DATE: __________________

Measures
PWS

Reference

Performance Requirement

Standard
Acceptable Quality Level
Surveillance

Method Met AQL/DID NOT MEET AQL-

CPAR RATING/ADD COMMENTS

Qualifications of Key Personnel
4.1 and 2.1.2
The Contractor’s physicist must maintain Board Certification in Diagnostic Radiological Physics by the American Board of Radiology or the American Board of Medical Physics
Must have current certification at all times during the performance of the contract.
100% Compliance
Periodic Inspection - annually
Testing/Audits/Surveys and Evaluations
4.2 and 3.1
Quarterly, semi-annual and annual testing/audits/ surveys
All testing is completed prior to due date
99%

acceptable level Periodic Inspection- Contracting Officer Representative (COR) polls Nuclear Medicine (NM) lead technologist and Radiology Chief Technologist

Report timeliness and accuracy
4.3 and 5.0
Contractor shall submit reports on time and be completely accurate.
Receive written reports of required testing/audits/surveys within 5 business days after completion of requirements.
Documents are accurate 95% of the time and received in 5 business days 90% of the time.
Periodic Inspection- Review of reports by RSO/Nuclear Medicine lead technologist/Radiology Chief Technologist
Meeting attendance
4.4 and 1.0
Radiation Safety Committee (RSC) Meeting Attendance
Attend all quarterly RSC meetings, either in person or via online meeting software.
100% compliance
Periodic Inspection- Attendance reviewed

by the COR

Availability/ consultative services

4.5 and 1.2.5
Communication and Availability for Consultation
Responds to routine communication from VHSO within 3 business days.
90% compliance
Random sampling- /Validated Customer Complaints
Response Time
4.6 and 2.6
Response Time for Emergencies
In the event of emergency as stated by VHSO, contractor responds within 4 hrs either in person, via e-mail or by phone.
100% compliance
Periodic Inspection/Validated Customer Complaints- COR polls RSO, NM lead technologist and Radiology Chief Technologist for compliance issues
Knowledge of Regulations
4.7 and 3.0
Stays Abreast of Changes to Programmatic Regulations/Guidelines
Informs VHSO through the RSC meeting or emails to RSO regarding any changes from NRC/NHPP in regulatory requirements. Also advises VHSO of any changes to NHPP or Joint Commission inspection criteria.
Rating of Satisfactory from RSO, RSC chair when polled.
Periodic Inspection/Validated Customer Complaints -COR polls RSO and RSC Chairperson for a rating in this objective. (Satisfactory or Unsatisfactory)
Scheduling of Work
4.8 and 2.4.2
Contractor’s physicist provides a quarterly agenda to RSO and Routine work scheduled with a 21-day notice.
The agenda will summarize upcoming audits/ inspections/ surveys/ tests that must be completed in the upcoming quarter
Agenda is submitted for each upcoming quarter, prior to start of that quarter, 75% of the time.

90% compliance Periodic Inspection- COR polls Nuclear Medicine lead technologist and Radiology Chief Technologist -Validated Customer Complaints

Timeliness and Accuracy of Billing
4.9 and 7.0
Contractor shall submit invoices within ten (10) workdays following the end of a month in which the contractor rendered services.
100% of the time
100% compliance
IPPS - monthly

7. CPAR RATINGS ASSIGNED TO QASP ITEMS:

Metrics and methods are designed to determine rating for a given standard and acceptable quality level. The following ratings shall be used (Reference: CPARS User Manual https://www.cpars.gov/documents/CPARS-Guidance.pdf):

EXCEPTIONAL:
Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Note: To justify an Exceptional rating, you should identify multiple significant events in each category and state how it was a benefit to the GOVERNMENT. However a singular event could be of such magnitude that it alone constitutes an Exceptional rating. Also there should have been NO significant weaknesses identified.

VERY GOOD:
Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Note: To justify a Very Good rating, you should identify a significant event in each category and state how it was a benefit to the GOVERNMENT. Also there should have been NO significant weaknesses identified.

SATISFACTORY:
Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

Note: To justify a Satisfactory rating, there should have been only minor problems, or major problems the contractor recovered from without impact to the contract. Also there should have been NO significant weaknesses identified.

MARGINAL:
Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.
Note: To justify Marginal performance, you should identify a significant event in each category that the contractor had trouble overcoming and state how it impacted the GOVERNMENT. A Marginal rating should be supported by referencing the management tool that notified the contractor of thecontractual deficiency (e.g. Management, Quality, Safety or Environmental Deficiency Report or letter).
UNSATISFACTORY:
Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element being assessed contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

Note: To justify an Unsatisfactory rating, you should identify multiple significant events in each category that the contractor had trouble overcoming and state how it impacted the GOVERNMENT. However, a singular problem could be of such serious magnitude that it alone constitutes an unsatisfactory rating. An Unsatisfactory rating should be supported by referencing the management tools used to notify the contractor of the contractual deficiencies (e.g. Management, Quality, Safety or Environmental Deficiency Reports, or letters).

DOCUMENTING PERFORMANCE

a. The Government shall document positive and/or negative performance. Any report may become a part of the supporting documentation for any contractual action and preparing annual past performance using CONTRACTOR PERFORMANCE ASSESSMENT REPORT (CPAR).

b. If contractor performance does not meet the Acceptable Quality level, the CO shall inform the contractor. This will normally be in writing unless circumstances necessitate verbal communication. In any case the CO shall document the discussion and place it in the contract file. When the COR and the CO determines formal written communication is required, the COR shall prepare a Contract Report (CR), and present it to CO. The CO will in turn review and will present to the contractor's program manager for corrective action.

The contractor shall acknowledge receipt of the CR in writing. The CR 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 CR will also state how long after receipt the contractor has to present this corrective action plan to the CO. The Government shall review the contractor's corrective action plan to determine acceptability. The CO shall also assure that the contractor receives impartial, fair, and equitable treatment. The CO is ultimately responsible for the final determination of the adequacy of the contractor’s performance and the acceptability of the Contractor’s corrective action plan.

Any CRs may become a part of the supporting documentation for any contractual action deemed necessary by the CO. See Sample CR on the following page.

8. COR AND CONTRACTOR ACKNOWLEDGEMENT OF QASP

SIGNED:

COR NAME/TITLE DATE

SIGNED:

CONTRACTOR NAME/TITLE DATE

CONTRACT REPORT

1. CONTRACT NUMBER
2. REPORT NUMBER FOR THIS DISCREPANCY (USE DATE)
3. TO: (Contracting Officer)
4. FROM: (Name of COR)

5. DATES

a. CR PREPARED

b. RETURNED BY CONTRACTOR:
c. ACTION COMPLETE

6. Issue Identified (Describe in detail. Include reference to PWS Directive; attach continuation sheet if necessary.)

7. SIGNATURE OF COR
Date:
8. SIGNATURE OF CONTRACTING OFFICER
Date:
9a. TO (Contracting Officer)
9a. FROM (Contractor)

10. CONTRACTOR RESPONSE AS TO CAUSE AND ACTIONS TO PREVENT RECURRENCE. (Cite applicable quality control program procedures or new procedures. Attach continuation sheet(s) if necessary.)

11. SIGNATURE OF CONTRACTOR REPRESENTATIVE
Date:

12. GOVERNMENT EVALUATION.

13. GOVERNMENT ACTIONS

14. CLOSE OUT

NAME
TITLE
SIGNATURE
DATE

CONTRACTOR NOTIFIED

COR

CONTRACTING OFFICER

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