ATTACHMENT 1 - QASP - DME.pdf

Attachment A: DME QASP

Performance Standards Table:

Report Description Due Date PWS

Reference New Patient Set-ups Contractor shall report to the COR all unsafe conditions observed in the home such as safety hazards, patient abuse, or staff abuse events associated with the provisions, delivery and use of DME equipment.

Immediately

Section 1, 6i.

Electric Service Contractor shall ensure that electric service in the residence is capable of handling the additional power load caused by installation and use of the prescribed equipment.

Within 24 hours for safety hazards involving electrical services

Section 1, 6j

Refusal of Service Contractor shall report refusal

(Against Medical Advice-AMA) of equipment prescribed by the VA

Verbal report within

24 hours and signed form by 10th business day of the following month

Section 1, 6k

Equipment Inventory

– VA Owned

The Contractor shall provide a complete inventory of all VA-owned equipment and supplies

Weekly Section 1, 4g

Emergency and Non-

Emergency Situations

The Contractor shall report special incidents found or occurring during a home visit; to include finding patients in need of emergency medical assistance, safety hazards that do not fall into the category of presenting immediate life-threatening danger to the patient or Contractors staff, inability to contact a patient within a reasonable period of time, and any other incident meeting the

Contractors written policy for incident reporting according to Joint

Commission accreditation standards.

Within 24 hours. Life threatening situations

(i.e. 911, police, etc.)

shall be reported to the proper authorities immediately.

Section 1, 2

Infection Control

Report

The Contractor shall collect, trend, and report on data related to the

Contractor’s Infection Control

Program

Within the 5th working day at the conclusion of the quarter.

11c

Performance

Improvement Report

The Contractor shall collect, trend, and report on important processes and outcomes data related to Patient care and organizational functions

Within the 5th working day at the conclusion of the quarter

11c

Performance and

Quality Service

Contractor shall meet Quartely with

COR to review performance and quality service and provide meeting minutes.

Within 72 hours of the meeting

Section 1, 11h.

Periodic

Organizational

Performance Review

Report

The Contractor shall provide a written, quarterly report addressing all Joint Commission Standards for improving organizational performance

Within the 5th working day at the conclusion of the quarter.

Section 1, 11c

Emergency Patient

Safety Reports

The Contractor shall provide the following emergent Patient safety reports throughout the contract period: Sentinel Event, Refusal of

Service, Patient Abuse or Neglect, Non-compliant Behavior.

Initial notification shall be within one business day of when the Contractor is aware of the event or issues with a follow-up official report within 5 business days

13b

Contractor Employee

Training

Contractor shall provide the COR with documentation competency of those individuals providing patient instruction and of the orientation training of contract staff

Within 30 days after contract award, then annually

Section 1, 2

Site Visit VA shall conduct site visits of

Contractor’s facility to observe contractor’s compliance with contract requirements

Quarterly Section 1, Patient Files VA shall conduct review of Veteran patient’s files to enusre appropriate vendor documentation regarding set-up, delivery, response times, education, safety, etc, 5% or 10 whichever is greater

Quarterly Section 1, 1 and 9

Patient Satisfaction

Surveys

The contractor shall conduct Veteran

Satisfaction Surveys on a minimum of 5% or 10, whichever is greater, of contract Veterans from each facility on a quarterly basis. The results shall be submitted to the COR quarterly.

Quarterly Section 1, 11g

* Quarters are defined for this QASP in alignment with VA established fiscal year quarters:

Quarter 1 – October, November, December;

Quarter 2 – January, February, March;

Quarter 3 – April, May, June;

Quarter 4 – July, August, September

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 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 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 negotiated 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

SIGN: