Enclosure 1 - QASP.DOC

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Solicitation for Intraoperative Neurophysiological Monitoring (IONM) Services
Solicitation number
W81K0222Q0044
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ENCLOSURE 1

QUALITY ASSURANCE AND SURVEILLANCE PLAN

For Intraoperative Neurophysiologic Monitoring Madigan Army Medical (MAMC), JBLM, Tacoma, WA A. OBJECTIVE: This plan provides a quality surveillance strategy for Neuro Monitoring. The primary purpose of this plan is to provide a basis for the Government’s evaluation of the Contractor’s key areas of performance under this contract. The Contracting Officer (KO), in conjunction with input provided by the Contracting Officer’s Representative (COR), will evaluate the Contractor’s performance. Oversight of the Contractor’s performance will assure quality and consistency of contract performance.

B. PERFORMANCE MEASUREMENT OBJECTIVE: The key area(s) of the Contractor’s performance that will be evaluated during the term of the contract. The PWS reference will be provided for each performance measurement objective.

C. ASSESSMENT METHOD: Contractor performance is inspected and evaluated on key areas of performance: fill rate monthly; turnover rate and substantiated patient/staff complaints annually; qualified candidates as needed. Method of surveillance is 100% inspection.

D. ACCEPTABLE QUALITY LEVEL (AQL): The degree to which the Government will allow the Contractor’s key areas of performance to vary; the variance from the standard that the Contractor is allowed and the grading/measurement associated with deviation from the specific performance standard.

E. KEY AREAS OF PERFORMANCE:

The following Performance Measurements Requirement Summary applies. The Government may modify inspection methods in accordance with site specific requirements.

Performance Objective
Standard
Acceptable Quality Level
Contract Reference
Assessment Method
Staffing of IONM-P. ensure Retention of Qualified Personnel
As a minimum be available 95% of the time
95%
Para 1.2 and 3.8
Document actual cases completed. Monitored by COR.
Combating Trafficking in persons (awareness program)
(zero tolerance) regarding trafficking in persons policy
100% compliance
FAR 52.222-50 and FAR 22.1703
COR documentation and program review. Immediately notify KO of any non-compliance.
Staffing of IONM-T., ensure Retention of Qualified Personnel.
As a minimum be available 95% of the time.
95%
Para 1.2 and 3.8
Document actual cases completed. Monitored by COR
Submit Credentials Package.
Credentials package shall be no later than 30 days after completion of the Government’s review of the candidate’s CV
99% to 100%
Para 3.8.
Monitored by COR
The Contractor shall provide all required spinal monitoring equipment and required disposables for all surgical cases.
Equipment is up-to-date with appropriate software, and that hardware maintenance has been tested by the relevant hospital electrical safety department. Disposables will be ordered when the service call is placed (as needed for surgical cases), and shall be delivered to the MTF by the Contractor
100% compliance
Para 5.2.5.
Annual review of COR files
Contractor shall ensure that education and training qualifications are up-to-date and maintain current certifications and licenses.
Performance meets contractual requirements.
100% compliance
license and certification verification processes chapter 4 of AR40-68
Annual review of COR files
Patient and Customer satisfaction.
Max of two substantiated complaints per 12-month period per HCP
96% to 98%

Compliance

Para 1.4.
Review assessment of customer complaints through Departmental Process Improvement and weekly staff meetings.
Comply with AT/OPSEC requirements.
Performance meets contractual requirements
100% compliance
Para 3.5.7.
COR surveillance/monitors
OTSG/MEDCOM Policy Memo 19-019
Performance meets contractual requirements.
100% compliance
Para 3.5.6.1.
COR documentation and program review. Any non-compliance must be brought to the immediate attention of the KO
Sexual Assault and Sexual Harassment Reporting
Performance meets contractual requirements
100% compliance
Para 3.5.6.1. and 3.5.6.1.1.
COR Documentation. Any non-compliance must be brought to the immediate attention of the KO.
Service Contract Reporting (SCR)
Complete contractors SCR.
100% compliance
Para

6.0.

Review SCR records to ensure was completed. Contract Specialist and COR Monitors.

STANDARD

MEASUREMENT

PAST PERFORMANCE ASSESSMENT

99% to 100% Exceptional

Document Past Performance

96% to 98% Very Good

Assessment Report, paying particular attention

95%

Satisfactory to performance that exceeds the standard.

92% to 94% Marginal

92% or Less Unsatisfactory F.

CONTRACTOR PERFORMANCE ASSESSMENT REPORT. This report shall be submitted to the Contracting Officer monthly (unless otherwise agreed upon between the Contracting Officer and the Contracting Officer’s Representative).

G.

REPERFORMANCE OF SERVICES. If any of the services do not conform to contract requirements, the Government will require the Contractor to reperform the services in conformity with contract requirements, at no additional cost to the Government. When the defects in services cannot be corrected due to circumstances, the Government may (1) require the contractor to take necessary action to ensure that future performance conforms to contract requirements and (2) reduce the contract price to reflect the reduced value of the services performed. The Contracting Officer may exercise appropriate contractual remedy should the Contractor fail to promptly take the necessary action to ensure future performance is in conformity with contract requirements.

When apparent non-satisfactory work is identified, the Contracting Officer’s Representative shall prepare a Contract Discrepancy Report (CDR) and submit to the Contracting Officer for review, use DD Form 2772. The Contractor shall then be required to respond to the CDR. The Contractor shall explain reasons for substandard performance, how performance will be returned to acceptable levels, and how recurrence of the same or like problems will be prevented. The Contracting Officer will evaluate the Contractor's explanation, assess its validity, and determine whether it is acceptable.

The Contractor shall be required to correct/eliminate any deficiencies in services in a timely manner. Notification begins when pertinent documents (e.g., Customer Complaint Record or CDR) are issued to the Contractor. Time of notification and correction of all applicable deficiencies should be entered on all Government documents and retained in the contract file. The Government may execute a deduction in payment for non-compliance when validated by the Contracting Officer.

H.

PERFORMANCE RATINGS.

The Government will rate past performance using the following performance standards.

Exceptional:
Performance meets contractual requirements and exceeds many to the Government’s benefit.
VERY GOOD:
Performance meets contractual requirements and exceeds some to the Government’s benefit.
SATISFACTORY:
Performance meets contractual requirements.
MARGINAL:
Performance does not meet some contractual requirements.
UNSatisfactory:
Performance does not meet most contractual requirements and recovery is not likely in a timely manner.

Other performance evaluation factors that will be monitored and documented in the contractor’s performance records but cannot be quantified by numerical measurements:

Contractor providing personnel exceeding the minimum qualification standards, and/or performance above or below the standard, for above factors, will be documented in the Contractor’s Performance Assessment Reporting System (CPARS) for the reporting period.

NOTE: This plan is provided for information purposes only. The QASP is not a part of the solicitation, nor shall it be part of any resulting contract. The Government has the right to change or modify inspection methods at its discretion.

(End of Enclosure 1)

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