D.2 QASP for Custom Surgical Packs.docx

This is a Quality Assurance Surveillance Plan (QASP) for custom surgical packs to be supplied to the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 17. The QASP establishes five performance requirements standards (PRS) that vendors must meet: (1) orders shipped or delivered within 24 hours of receipt Monday through Friday with a 95% performance threshold; (2) emergency same-day delivery available with requests received within 24 hours of order placement at 100% compliance; (3) color-coded labeling system applied to each custom pack for employee identification with a 95% threshold; (4) each pack containing all pack-specific items as identified on the packing list, with approved alternate items if specific items are unavailable, also at 95% compliance; and (5) all packs sterilized and maintaining sterility until use at 100% compliance. Surveillance methods include quarterly reviews of order receiving reports, continuous monitoring of emergency requests, and random sampling of packs received to verify compliance with labeling, contents, and sterility requirements.