ATTACH 1 QASP_ 2.docx
DOCX document 59 KB Posted
- Attached to
- Q518--Driver Rehabilitation Service
- Solicitation number
- 36C26124Q0671
About this file
This document is a Quality Assurance Surveillance Plan (QASP) that outlines the performance standards, monitoring methods, and ratings metrics that will be used to evaluate the contractor's performance on a federal contract.
The QASP covers key areas such as providing required medical services, patient safety, maintaining required licenses and certifications, completing mandatory training, and protecting privacy and confidentiality. It defines the roles and responsibilities of the Contracting Officer (CO) and Contracting Officer's Representative (COR) in overseeing and documenting the contractor's performance. The QASP specifies the performance standards, acceptable quality levels, and surveillance methods that will be used, as well as the incentives and deductions tied to the contractor's performance ratings. The QASP is considered a "living document" that may be revised by the government as needed during contract performance.
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| File | Type | Posted |
|---|---|---|
| ATTACH 2 Wage Determination 2015-5593 Rev.24.pdf | ||
| 36C26124Q0671 Driver Rehab Service for LV.docx | DOCX document |
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Quality Assurance Surveillance Plan (QASP)
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: Brandy Gastinell Organization or Agency: VA Southern Nevada Health Care System
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: Karen Cinnamon Organization or Agency: VA Southern Nevada Health Care System
3. CONTRACTOR REPRESENTATIVES
The following employee(s) of the contractor serve as the contractor’s program manager(s) for this contract.
Primary: Karen Cinnamon, Administrative Officer, Physical Medicine & Rehabilitation
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. INCENTIVES/DEDUCTS
The Government shall use past performance as incentives. Incentives shall be based on ratings received on the performance standards.
6. METHODS OF QA SURVEILLANCE
RANDOM SAMPLING. Two randomly selected patient files will be selected per quarter. All reviews and reports will be conducted in compliance with VA Privacy and Information security standards.
Verification and/or documentation provided by Contractor. Documentation will be provided by the contractor after every patient encounter and scanned into the patient records. Assessment will be performed by verifying receipt of the documents within a two week time frame of completion of evaluation and/or training.
SAMPLE PERFORMANCE MEASURES
The table below is a sample that can be tailored – note that the table must identify where in the PWS the standards are found for monitoring performance. Check the MSO Customer Resource Center for approved mandatory QASPs.
| Measures |
| PWS |
Reference Performance Requirement
| Standard |
| Acceptable Quality Level |
| Surveillance |
Method
| Incentive |
| Disincentive/Deduct |
| 1 - Key Personnel/General duties |
| 3,4 |
| Provide required medical service as specified in Section 3 and 4 of the statement of work. |
| Qualified personnel are available and in location as needed to properly perform tasks as specified. |
| 100% |
| Completion of each patient services/ training hours. |
| Favorable contactor performance evaluation. |
| Terminate contract. |
| 2 - Patient Safety |
| 11 |
| Patient safety incidents must be reported using Patient Safety Report. |
| All incidents reported immediately (within 24 hours.) |
| 100% |
| Direct Observation |
| Favorable contactor performance evaluation. |
| Unfavorable contractor performance evaluation |
| 3 - Maintains licensing, registration, certification, liability coverage |
| 8b, d |
11a
| Updated Licensing, registration and certification will be provided as they are renewed yearly. |
| Licensing and registration information kept current. |
| Contract Provider records will be kept 100% up-to-date |
| Periodic Sampling and Random Sampling |
| Favorable contactor performance evaluation. |
| Termination of contract. |
| 4- Mandatory Training |
| 3c |
| Contractor completes all mandatory required training |
| Contractor will complete all required training per VAMC policy |
| 100% |
| Contractor to provide documented evidence |
| Favorable contactor performance evaluation. |
| Suspension or termination of all physical and/or electronic access privileges and removal from contract until such time as the training is complete |
| 5 - Privacy, Confidentiality and HIPPA |
| 15 |
| Contractor is aware of all laws, regulations, policies and procedures relating to Privacy, Confidentiality and HIPPA and complies with all standards |
| Zero breaches of privacy or confidentiality |
| 100% |
| Contractor to provide evidence of annual training required by VAMC, reports violations per VA Directive 6500.6. |
| Favorable contactor performance evaluation. |
Immediate removal from contract
| 6 - Timely Invoicing |
| 9a |
| Within 30 days of the end of each month services were provided, as described above, the contractor shall provide itemized invoicing |
| All itemized invoices provided within 30 days of end of each month services delivered |
| 100% |
| Inspection |
| Favorable contactor performance evaluation. |
| Unfavorable contractor performance evaluation |
| 7 - Access |
| 4b |
| Contractor to contact patient within reasonable time frame or document inability to reach patient. |
| Within 30 days of consult. |
| 90% |
| Contractor to provide evidence of initial contact. |
| Favorable contractor performance evaluation. |
| Reduction in initial evaluation pay rate of 10%. |
7. RATINGS
Metrics and methods are designed to determine rating for a given standard and acceptable quality level. The following ratings shall be used:
| 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 the | contractual 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). |
| 8. | 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 perparing 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 Discrepancy Report (CDR), 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 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 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 CDRs may become a part of the supporting documentation for any contractual action deemed necessary by the CO.
9. FREQUENCY OF MEASUREMENT
a. Frequency of Measurement.
The frequency of measurement is defined in the contract or otherwise in this document. The government (COR or CO) will periodically analyze whether the frequency of surveillance is appropriate for the work being performed.
b. Frequency of Performance Reporting.
The COR shall communicate with the Contractor and will provide written reports to the Contracting Officer quarterly (or as outlined in the contract or COR delegation) to review Contractor performance.
10. COR AND CONTRACTOR ACKNOWLEDGEMENT OF QASP
SIGNED:
Karen Cinnamon DATE
SIGNED:
| Contracting Officer | DATE | |
| Page 1 of 5 | Revised 10/31/2012 |
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