ATTACHMENT 1 - QASP Tupelo CBOC.pdf

36C24920R0114 – Tupelo CBOC

ATTACHMENT 1 - Quality Assurance Surveillance Plan (QASP)

Outpatient Site of Care Service

The contractor shall 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.

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: Jackie Merriman Organization or Agency: Department of Veterans Affairs, NCO 9

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: Kaylyn Sickmeier

3. CONTRACTOR REPRESENTATIVES

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

Primary:

Alternate:

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

36C24920R0038 – Tupelo CBOC determine the level of contractor performance in the elements defined.

To be paid the full capitated rate on the schedule, the contractor must provide services as required in the entire contract and to meet or exceed the acceptable quality level outlined in this section/sub-sections. If any portion of the requirement is not met and/or the acceptable quality level in any of the elements in this section/subsection are not maintained, the contractor will be notified by the contracting officer for response outlining the contractor’s proposed remedy. The Government may seek an equitable price reduction or adequate consideration for acceptance of nonconforming services per FAR 52.212-4.

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. PERIODIC INSPECTION. Inspections scheduled and reported quarterly and monthly per COR delegation or as needed. All inspections and reports will be conducted in compliance with VA Privacy and Information Security Standards.

b. VALIDATED USER/CUSTOMER COMPLAINTS. Customer complaints will be reviewed and verified. Contact will be made with the office manager and PACT to address concerns and corrective action.

c. Verification and/or documentation provided by Contractor. COR will verify documents submitted for contractor are accurate.

6. Measures VHA Contracted Outpatient Clinics Quality Assurance Surveillance Plan (QASP)

METRIC PW

S Para

Performance Requirement

Standard Acceptable Quality Level (tailor to meet your requiremen ts)

Method of Surveillance and frequency

Met AQL/Did Not Meet

AQL

(Add comment)

DOMAIN: ACCESS

New PC Appointments Completed within 20 Days of Create Date (pc18)

New Primary Care Completed Appointments less than or equal to 20 days from create date

(See Performance Measure Report for more information)

PWS

para.

4.12.

Contractor shall provide completed appointments for new PC patients <=20 days from the create date

Contractor shall provide completed appointments for new PC patients <=20 days from the create date no less than 76% of the time

Contractor shall provide completed appointments for new PC patients <=20 days from the create date no less than 77% of the time

VA will monitor progress monthly via SAIL or

PACT

Compass reports.

Established Patient Appointments Completed Within 20 Days of Patient Indicated Date (PID) (pc17)

Established Primary Care Completed Appointments less than or

PWS

para.

4.12.

Contractor shall provide completed appointments for established PC patients <=20 days from the patient indicated date

Contractor shall provide completed appointments for established PC patients <=20 days from the patient indicated date no less than 94% of the time

Contractor shall provide completed appointments for established PC patients <=20 days from the patient indicated date no less than 93% of the time progress monthly by

VSSC.

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(See Performance Measure Report for more information)

PCMHI

Penetration

(PACT21)

The percent of assigned Primary Care patients seen in Primary Care- Mental Health Integration

(PCMHI)

(Only required divisions – those with 5,000 or more unique patients – are included in this measure).

(See PACT Compass for more information)

PWS

para.

4.12.

Contractor shall involve PCMHI staff in the care of patients with mental health needs

Contractor’s

PCMHI

penetration rate shall meet or exceed 8%

Contractor’s

PCMHI

penetration rate meets or exceeds 5% progress quarterly, non-cumulative, by reviewing the

PACT

Report.

PCMH SHEP

Access Composite

Composite % based on 3 questions from the

SHEP/PCMH

report: 1) Get an urgent care appointment

PWS

para.

4.12.

Contractor shall provide: 1) urgent care appointments as soon as needed,

2) routine care appointments as soon as needed, and 3) same day answers to patients’ medical questions

Contractor’s SHEP access composite score shall meet or exceed 52%

Contractor’s SHEP access composite score shall meet or exceed 50% progress monthly by reviewing the

VHA SAIL

Report or Patient Experience http://reports2.vssc.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPMR%2fPerformanceMeasures%2fPerformanceMeasureReport&rs:Command=Render http://reports2.vssc.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPMR%2fPerformanceMeasures%2fPerformanceMeasureReport&rs:Command=Render http://reports2.vssc.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPMR%2fPerformanceMeasures%2fPerformanceMeasureReport&rs:Command=Render https://securereports2.vssc.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPC%2fPACTCompassCubeSSRS%2fMainMenu&rs:Command=Render https://securereports2.vssc.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPC%2fPACTCompassCubeSSRS%2fMainMenu&rs:Command=Render as soon as needed, 2) Get a routine care appointment as soon as needed, and 3) Get same day answer to your medical question.

(See

SHEP/PCMH

Report for more information)

SHEP

Question 7

In the last 6 months, how many days did you usually have to wait for an appointment when you needed care right away?

(Less is better)

(See

SHEP/PCMH

Report for more information)

PWS

para.

4.12.

Contractor shall provide timely appointments when patients need care right away

Contractor’s

SHEP

question 7 score shall meet or exceed 40%

Contractor’s

SHEP

question 7 score shall exceed 39%.

progress quarterly by reviewing the

VHA SAIL

report.

Same-Day Appts w/ PCP

Measures the percent of requested same day appointments with PCP

(See PACT Compass for more information)

PWS

para.

provide same day appointments with primary care provider

Contractor’s same day appointments with PCP rate shall meet or exceed 62%

Contractor’s same day appointments with PCP rate shall meet or exceed 58% progress monthly by use of the

PACT

Appointment Cancellations

Cancelled by clinic rate for

PWS

para.

4.12.

Contractor shall not unnecessarily cancel patient appointments

Contractor’s rate of appointments cancelled by clinic shall

Contractor’s rate of appointments cancelled by clinic shall

VA will monitor progress monthly by the use of the https://bioffice.pa.cdw.va.gov/default.aspx?bookid=e71e8f03-6829-403c-b002-b114ae1ac26f|ispasFalse|report8427c340-7848-4f27-a2d1-61dc7dfa3ea1|ws1|wsb0|isDisabledAnalyticsFalse|isDashboardPanelOnTrue https://bioffice.pa.cdw.va.gov/default.aspx?bookid=e71e8f03-6829-403c-b002-b114ae1ac26f|ispasFalse|report8427c340-7848-4f27-a2d1-61dc7dfa3ea1|ws1|wsb0|isDisabledAnalyticsFalse|isDashboardPanelOnTrue https://bioffice.pa.cdw.va.gov/default.aspx?bookid=e71e8f03-6829-403c-b002-b114ae1ac26f|ispasFalse|report8427c340-7848-4f27-a2d1-61dc7dfa3ea1|ws1|wsb0|isDisabledAnalyticsFalse|isDashboardPanelOnTrue https://bioffice.pa.cdw.va.gov/default.aspx?bookid=e71e8f03-6829-403c-b002-b114ae1ac26f|ispasFalse|report8427c340-7848-4f27-a2d1-61dc7dfa3ea1|ws1|wsb0|isDisabledAnalyticsFalse|isDashboardPanelOnTrue https://securereports2.vssc.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPC%2fPACTCompassCubeSSRS%2fMainMenu&rs:Command=Render https://securereports2.vssc.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPC%2fPACTCompassCubeSSRS%2fMainMenu&rs:Command=Render all active clinic stop codes (mop13) (Lower is better)

Measure Report for more information) not exceed 7.5% not exceed 6%

Measures Report on the

VSSC.

DOMAIN:

QUALITY OF CARE

Composite - Behavioral Health Screening

Composite of mdd40 -- Vets screened annually for major depression dx.

ptsd51 --

PTSD

screening using the PC- PTSD at required times sa17 -- Vets screened for alcohol misuse w/ score GE 5 w/ timely brief counselling sa7 -- Vets screened annually for alcohol misuse sre1 -- (mdd41 and ptsd52) aggregated scores for timely suicide evaluations

(See the CBOC Report for more information)

PWS

para.

4.12.

Contractor shall complete all behavioral health screenings and follow-up evaluations

Contractor shall maintain a behavioral health composite score of at least 96%

Contractor shall maintain a behavioral health composite score of at least 95% progress monthly through the use of the CBOC Report.

http://reports2.vssc.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPMR%2fPerformanceMeasures%2fPerformanceMeasureReport&rs:Command=Render http://reports2.vssc.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPMR%2fPerformanceMeasures%2fPerformanceMeasureReport&rs:Command=Render http://reports2.vssc.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPMR%2fPerformanceMeasures%2fPerformanceMeasureReport&rs:Command=Render http://vaww.car.rtp.med.va.gov/programs/pm/pmReportsCBOC.aspx

Composite – Diabetes

Composite of dmg27h_ec

DM: BP LT

140/90 ( eMeasure ) dmg34h_ec DM: Medical attention for nephropathy - Renal Testing (OP)(eMeasur e) statn7_ec Statin therapy for patients with diabetes ( eMeasure )

(See the CBOC Report manage patients with diabetes in accordance with VA standards

Contractor shall maintain a diabetes composite score of at least 79%

Contractor shall maintain a diabetes composite least 79% progress monthly through the

Composite - Ischemic Heart

Composite of ihd53_ec and statn1_ec Statin Therapy for patients with cardiovascular disease (eMeasure)

(See the CBOC Report

4.12.

Contractor shall manage patients with ischemic heart disease in accordance with VA standards

Contractor shall maintain an ischemic heart composite score of at least 78%

Contractor shall maintain an ischemic heart composite least 78% progress monthly through the

Prevention

Composite of dmg31h DM:

Retinal exam, timely by disease (OP) p61h Colorectal

PWS

para.

4.12.

Contractor shall provide preventive health care in accordance with VA standards

Contractor shall maintain a prevention composite score of at least 78%

Contractor shall maintain a prevention composite least 78% progress monthly through the

Cancer Screening Ages 50-75 p42 Cervical Cancer Screening Women age 21-29y p43h Cervical Cancer Screening Women age 30-64 pvc11h Pneumococcal Immunizations

(OP) EPRP

sample p32h Breast Cancer Screening including tomography for Women 50-74y (OP)

HEDIS

(See the CBOC Report

Tobacco

Composite of smg8 Pts using tobacco provided w/counsel

(OP)

smg9 Pts using tobacco offered referral (OP) smg10 Pts using tobacco offered meds

(OP)

(See the CBOC Report

PWS

para.

4.12.

Contractor shall provide tobacco counseling and care in accordance with VA standards

Contractor shall maintain a tobacco composite score of at least 95%

Contractor shall maintain a tobacco composite score of at least 93%

VA will monitor progress monthly by the use of the

Clinical Reminders

PWS

para.

4.12.

Contractor shall complete all clinical reminders as indicated in the

VA EHR.

Contractor shall complete no less than 90% of all clinical reminders as indicated in the VA EHR

Contractor shall complete no less than 90% of all clinical reminders as indicated in the VA EHR progress monthly utilizing local

Progress Notes and Patient Care Encounter

(PCE)

Module Documentatio n

PWS

para.

4.12.

Contractor shall complete workload and encounter documentation as defined in the PWS within 2 business days.

Progress notes must be connected to the correct visit/encounter and location, entered into the VA EHR on the same day as the visit/encounter, meet CMS guidelines, and include content as defined in PWS.

shall properly complete documentatio n for each patient encounter 100% of the time

Contractor shall properly complete documentatio n for each patient encounter 100% of the time progress monthly by utilizing local

PANEL MANAGEMENT

Percent of Teams with Core Teamlet Staffing Ratio >=3

The total Core Primary Care Support Staff (clerical/admin istrative associate, RN care manager, and clinical associate) FTE divided by the total Primary

PWS

para.

4.12.

Contractor shall provide core teamlet staffing at a ratio of >=3 FTE core teamlet members (RN care manager, clinical associate, administrative associate) for each

PCP FTE

100% of Contractor’s primary care teams shall have a core teamlet staffing ratio of >=3

100% of Contractor’s primary care teams shall have a core teamlet staffing ratio of >=3

VA will monitor progress monthly with a review of the mPACT Dashboard.

Care Provider FTE entered in the PCMM Web Application.

(See mPACT Dashboard for more information) Percent of Women Assigned to Women’s Health PACT or Designated Women’s Health Provider

(WH1)

The total number of female patients assigned to a Women’s Health PACT (identified by having *WH* in the team name or a primary or secondary team focus of Women’s Health) OR to a provider with a team role of

DESIGNATE

D WH

PROVIDER

(WH-PCP)

divided by the total number of unique female patients assigned to

Teams

(See PACT Compass for

PWS

para.

4.12.

Contractor shall ensure that an appropriate number of WH- PACTs or WH- PCPs are available at site of care to ensure that all VHA access goals are met for women Veterans who choose to be seen by a designated women’s health provider.

Contractor’s percent of women assigned to Women’s Health PACT or Designated Women’s Health Provider shall meet or exceed 77%

Contractor’s percent of women assigned to Women’s

Health PACT or

Designated Women’s

Health Provider exceed 77% progress quarterly by review of

PACT

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Percent

Patients Enrolled in Home Telehealth

Reflects the total number of unique PC patients enrolled in home telehealth (numerator) divided by the total number of unique patients assigned to primary care teams (denominator) offer and refer patients to home telehealth shall exceed 1.6% of PC patients enrolled in Home Telehealth

(HT)

shall exceed 1.6% of patients enrolled in Home Telehealth

(HT)

progress quarterly by utilizing the

PACT

Ratio of Non- Traditional Encounters

This is the sum of all PC telephone encounters added to the sum of all PC group encounters added to the sum of all incoming and outgoing secure messages, and video as the numerator.

The denominator is the total team

PWS

para.

4.12.

Contractor shall provide telephone encounters, group encounters, and secure messaging

Contractor shall exceed 25% ratio of non-traditional encounters

Contractor shall exceed 25% ratio of non-traditional encounters progress monthly by reviewing the

PACT

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VETERAN SATISFACTION

Veteran Satisfaction

Overall rating of Primary Care Provider on question 32 of the

SHEP/PCMH

survey

Report for more information)

PWS

para.

4.12.

The Contractor’s PCPs shall provide care that Veterans rate as a 9 or 10 on question 32 of the

SHEP/PCMH

survey

Contractor’s

SHEP

question 32 score shall meet or exceed 69%

Contractor’s

SHEP

question 32 score shall exceed 65% progress quarterly by utilizing the

COORDINATION OF CARE

Post Discharge Contact by

PACT

Teamlet

The percent of assigned primary care patients discharged from any VA facility who have been contacted by PACT teamlet within two business days

4.12.

The Contractor’s PACT teamlets shall contact their assigned patients within 2 business days of discharge from any VA facility

Contractor’s rate of post discharge contact by PACT teamlet shall meet or exceed 60%

Contractor’s rate of post discharge contact by

PACT

teamlet shall exceed 60% progress monthly by reviewing the

PACT

https://securereports2.vssc.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPC%2fPACTCompassCubeSSRS%2fMainMenu&rs:Command=Render https://securereports2.vssc.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPC%2fPACTCompassCubeSSRS%2fMainMenu&rs:Command=Render https://bioffice.pa.cdw.va.gov/default.aspx?bookid=e71e8f03-6829-403c-b002-b114ae1ac26f|ispasFalse|report8427c340-7848-4f27-a2d1-61dc7dfa3ea1|ws1|wsb0|isDisabledAnalyticsFalse|isDashboardPanelOnTrue https://bioffice.pa.cdw.va.gov/default.aspx?bookid=e71e8f03-6829-403c-b002-b114ae1ac26f|ispasFalse|report8427c340-7848-4f27-a2d1-61dc7dfa3ea1|ws1|wsb0|isDisabledAnalyticsFalse|isDashboardPanelOnTrue more information)

ENVIRONMENT OF CARE (EOC)

Percentage of Deficiencies Identified During EOC Rounds that are Closed Timely (e5eoc1)

Percentage of deficiencies identified during EOC rounds that are closed within 14-business days or have a documented Plan for Action (PFA)

(See Performance Measure Report for para 4.12.

Contractor shall address deficiencies identified in EOC rounds within 14 business days or have a documented Plan for Action

Contractor’s rate of EOC deficiencies that are closed within 14 business days or have a PFA shall meet or exceed 85%

Contractor’s rate of EOC deficiencies that are closed within 14 days or have a PFA exceed 90% progress as

EOC

deficiencies are identified.

DOMAIN: PHARMACY

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Non- Formulary and Restricted Drug Requests

PWS

para.

4.12.

Contractor shall submit non-formulary and restricted drug requests in the VA EHR using the PBM consult option shall submit non-formulary and restricted drug requests in the VA EHR using the PBM consult option 100% of the time. (Zero disapproval ratings for non-formulary and restricted drug requests quarterly).

Contractor shall submit non-formulary and restricted drug requests in the VA EHR using the PBM consult option 100% of the time.

(No more than 10% disapproval ratings for non-formulary and restricted drug requests quarterly).

COR will performance monthly via electronic reports pulled from the VA

EHR.

COR will send monthly status reports to the CO and Contractor to notify them of current performance.

Pharmacy New Drug Order Requests

4.12.

Contractor shall submit new drug orders through the

VA EHR

The contractor shall ensure that 95% all new drug order requests follow all prescribing guidelines.

This is including but not limited to ensuring all appropriate labs have been previously ordered and that the order is not a non-formulary drug.

The contractor shall ensure that 95% all new drug order requests follow all prescribing guidelines.

This is including but not limited to ensuring all appropriate labs have been previously ordered and that the order is not a non-formulary drug.

COR will performance quarterly via electronic reports pulled from the VA

EHR. COR

will send quarterly status reports to the CO and Contractor to notify them of current performance.

Medication Storage Area Inspections

PWS

Para.

4.12.

Contractor shall inspect medication storage areas monthly

The Contractor shall ensure that 100% of medication storage areas are inspected monthly and documented on VA Form 10-0053 (or local VA medical center form).

Inspection documentatio n will be sent to the COR within 10 days of the end of each month.

Contractor shall inspect medication storage areas monthly 100% of the time.

The Contractor shall ensure that 100% of medication storage areas are inspected monthly and documented on VA Form 10-0053 (or local VA medical center form).

Inspection documentation will be sent to the COR within 10 days of the end of each month.

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 must 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:

COR NAME/TITLE DATE

SIGNED:

CONTRACTOR NAME/TITLE DATE