D2. Quality Assurance Surveillance Plan.pdf

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VASNHCS - Pharmacy Benefit Management Services
Solicitation number
36C26121Q0753
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36C26121Q0753 0001.pdf PDF
D1. WD 2015-5593 Rev 15 Dated 06-03-2021.pdf PDF
36C26121Q0753.pdf PDF

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Quality Assurance Surveillance Plan (QASP)

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. 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 Contracting Officer (CO): Refer to signed contract/task order

• Assigned Contract Specialist: Emily Trinh

• Organization: U.S. Department of Veterans Affairs

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(S):

c. Other Key Government Personnel -

3. CONTRACTOR REPRESENTATIVES

The following employees of the contractor serve as the contractor’s program manager for this contract.

a. Program Manager:

b. Other Contractor Personnel:

4. PERFORMANCE STANDARDS

Performance standards define desired services. The Government performs surveillance to determine if the contractor exceeds, meets or does not meet these standards.

QUALITY ASSURANCE SURVEILLANCE PLAN

Pharmacy Services

No.

Paragraph in SOW

Indicator/Performance

Standard

Standard for

Quality

Level

Acceptable

Quality

Level

Method of

Surveillance1 Incentive

1 2.2.D Prescription refills are

NOT authorized. The

Contractor shall fill only new prescriptions.

100% 100% Periodic reviews

Positive past performance rating

2 2.B Prescriptions shall be filled and dispensed only for medications in formulary “Drug List” authorized at the VA

Southern Nevada

Healthcare System

100% 100% Periodic reviews

Positive past performance rating

3 9.B Invoices rendered by the contractor to VA for services furnished under this agreement, will be invoiced in full for each month in which services were performed.

100% 100% Periodic reviews

Positive past performance rating

4 2.M All pharmacies and pharmacists must be licensed in the state providing the services

100% 100% Periodic reviews

Positive past performance rating

5 7.B If there is a breach, the contractor will notify the

VA of said breach

100% 100% Periodic reviews

Positive past performance rating

5. INCENTIVES/RATING STANDARDS

Incentives shall be based on exceeding, meeting, or not meeting performance standards.

6. METHODS OF QA SURVEILLANCE

Various methods exist to monitor performance.

1 See “Methods of Surveillance,” paragraph 6 of this QASP, for additional methods of monitoring performance.

a. Direct Observation

b. Periodic Reviews

c. User Survey

d. Validated User/Customer Complaints

e. Inspection

f. Progress or Status Meeting

g. Analysis of Contractor’s Progress Reports

7. RATINGS

Metrics and methods are designed to determine if performance exceeds, meets, or does not meet a given standard and acceptable quality level. A rating scale shall be used to determine a positive, neutral, or negative outcome. The following ratings shall be used:

8. DOCUMENTING PERFORMANCE

a. ACCEPTABLE PERFORMANCE

The Government shall document positive OR NEGATIVE performance. Any report may become a part of the supporting documentation for any contractual action.

b. UNACCEPTABLE PERFORMANCE

When unacceptable performance occurs, the COR shall work with the Contracting Officer (CO) inform the contractor. This will normally be in writing unless circumstances necessitate verbal communication.

In any case, the COR shall document the discussion and place it in the COR file. In order to assure that the contractor receives impartial, fair, and equitable treatment under this contract, the COR will work with the contractor to increase performance to an acceptable level.

When the COR and CO determines formal written communication is required, the COR and CO shall prepare a Contract Discrepancy Report (CDR) and present it to the contractor's program manager.

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 COR. The Government shall review the contractor's corrective action plan to determine acceptability.

See above Acceptable Quality Level & Method of Surveillance located in QASP

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.

During contract performance, the COR will periodically analyze whether the frequency of surveillance is appropriate for the work being performed.

b. Frequency of Performance Assessment Meetings.

The COR shall meet with the contractor as needed to assess performance and shall provide a written assessment.

Signature – Contractor

Signature – Contracting Officer Representative

File details come from the government source that posted it. Updated .