5_QASP_3Nov26.pdf

ATTACHMENT 4

QUALITY ASSURANCE SURVEILLANCE PLAN

SPECIAL OPERATIONS MEDICAL TRAINING SERVICES

1.0 PURPOSE

This Quality Assurance Surveillance Plan (QASP) establishes the Government’s approach for monitoring contractor performance under the Special Operations Medical Training Services contract.

This QASP provides a framework for assessing contractor compliance with the Performance Work Statement (PWS), applicable task orders, and other contract requirements. It identifies key performance objectives, performance standards, acceptable quality levels, surveillance methods, surveillance frequency, and surveillance records.

This QASP does not create requirements beyond those stated in the contract, PWS, applicable task orders, or other contract documents. In the event of a conflict between this QASP and the contract or PWS, the contract and PWS control.

2.0 SCOPE

The Government will use this QASP to surveil contractor performance under:

1. CLIN X00101 – Prolonged Field Care Training;

2. CLIN X00102 – Austere Medical Training for Non-Medical Personnel;

3. CLIN X00103 – Custom Medical Training; and

4. Applicable contract-wide requirements.

Government surveillance may include direct observation, document review, facility inspection, verification of personnel qualifications, review of contractor quality-control records, review of student feedback, review of training records and deliverables, and other reasonable methods necessary to assess contractor compliance with the PWS and applicable task orders.

Government surveillance does not relieve the contractor of responsibility for internal quality control, safety, personnel qualifications, deliverable timeliness, or successful performance.

3.0 ROLES AND RESPONSIBILITIES

3.1 Contracting Officer

The Contracting Officer is responsible for overall contract administration and is the only Government official authorized to modify contract terms, task-order scope, price, period of performance, or other contractual requirements.

The Contracting Officer may issue written notices of deficiency, Contract Discrepancy Reports (CDRs), cure notices, or other contractual communications, as appropriate.

3.2 Contracting Officer’s Representative

The Contracting Officer’s Representative (COR) is responsible for technical surveillance of contractor performance within the scope of the COR appointment.

The COR may monitor contractor performance; review deliverables; verify personnel qualifications; conduct or coordinate facility and training-area inspections; observe training execution; review contractor quality-control records; document deficiencies;

recommend issuance of CDRs or corrective action; and coordinate with Government subject matter experts, as appropriate.

The COR shall not direct work that changes contract scope, price, period of performance, or other contractual terms.

3.3 Government Subject Matter Experts

Government subject matter experts may assist the COR by observing training, reviewing curriculum and assessment materials, evaluating technical performance, validating scenario realism, and providing technical feedback.

Government subject matter experts do not have authority to modify the contract or issue direction that changes contractual requirements.

3.4 Contractor

The contractor is responsible for maintaining an internal quality-control process sufficient to ensure that personnel, facilities, equipment, supplies, logistics, curriculum, training materials, assessments, and deliverables comply with the PWS and applicable task orders.

The contractor shall correct deficiencies identified through its own quality-control process or Government surveillance in accordance with the PWS, applicable task order, or written direction from the Contracting Officer.

4.0 SURVEILLANCE METHODS

The Government may use one or more of the following surveillance methods:

4.1 One Hundred Percent Inspection

One hundred percent inspection consists of reviewing every required item, record, deliverable, qualification package, or result associated with a defined performance requirement.

4.2 Periodic Inspection

Periodic inspection consists of inspecting selected aspects of performance at intervals determined by the COR, based on risk, performance history, training schedule, and Government requirements.

4.3 Direct Observation

Direct observation consists of observing classroom instruction, practical exercises, scenario-based training, facilities, logistics, role-player support, medical simulation, and other contractor performance.

4.4 Document Review

Document review consists of reviewing plans, rosters, résumés, certifications, licenses, course materials, schedules, assessments, training records, reports, and other documentation necessary to verify compliance.

4.5 Pre-Event Readiness Review

A pre-event readiness review consists of reviewing and validating personnel, facilities, equipment, supplies, safety measures, logistics, student support, course materials, and other resources before a scheduled training event begins.

4.6 Student and Stakeholder Feedback Review

The Government may review student, instructor, role-player, and other stakeholder feedback to identify performance trends, strengths, deficiencies, or areas requiring additional surveillance.

5.0 PERFORMANCE OBJECTIVES AND SURVEILLANCE STANDARDS

5.1 Performance Objective 1: Contract-Wide Quality Control, Planning, and Deliverables

PWS References: Sections 5.4, 5.5, 5.8, 5.9, and 5.10.

Performance Standard: The contractor shall maintain internal quality control and submit required planning materials, course materials, schedules, rosters, training records, assessments, certificates, After Action Reports (AARs), and other deliverables within the timeframes stated in the PWS, applicable task order, Government-accepted course plan, or written Government direction.

Acceptable Quality Level: One hundred percent of required deliverables shall be submitted on time and complete, unless the Government approves an extension in writing.

Surveillance Method: The COR will conduct document review, one hundred percent inspection of required deliverables, and review of contractor quality-control records.

Frequency: Each training event and each applicable task order.

Surveillance Record: The COR will maintain a deliverable tracker, surveillance record, meeting notes, correspondence record, and CDR documentation when applicable.

5.2 Performance Objective 2: Personnel Qualifications and Staffing

PWS References: Sections 6.6, 7.6, 8.5, and 8.7; PWS Table 1; and applicable task orders.

Performance Standard: The contractor shall provide qualified personnel meeting applicable PWS and task-order requirements before assigning personnel to perform contract duties. The contractor shall provide staffing sufficient to execute the ordered training requirement, including instructors, lane cadre, Exercise Managers, subject matter experts, role players, moulage support, logistics personnel, and other required support personnel.

Acceptable Quality Level: One hundred percent of required personnel shall be verified as qualified before performing assigned duties.

Surveillance Method: The COR may review résumés, certifications, licenses, qualification matrices, staffing rosters, and other supporting documentation. The COR may also conduct direct observation and pre-event readiness reviews.

Frequency: Before each training event, upon proposed personnel substitution, and periodically during performance.

Surveillance Record: The COR will maintain personnel qualification checklists, approved rosters, surveillance records, and CDR documentation when applicable.

5.3 Performance Objective 3: Facilities, Equipment, Safety, and Logistics Readiness

PWS References: Sections 5.2, 5.6, 5.7, 6.7, 6.8, 7.7, 7.8, 8.5, 8.7, and 8.9, when applicable; and applicable task orders.

Performance Standard: Before training begins, the contractor shall provide facilities, training areas, equipment, supplies, consumables, transportation, lodging, meals, hygiene support, role-player support, simulation resources, safety measures, and other contractor-provided resources required by the applicable PWS CLIN and task order.

Contractor-furnished facilities and resources shall be safe, suitable for intended use, and compliant with applicable legal, accessibility, permitting, inspection, and property-control requirements.

Acceptable Quality Level: One hundred percent of required pre-event readiness items shall be available and suitable for use before training begins.

Surveillance Method: The COR may conduct pre-event readiness reviews, facility inspections, equipment and supply inspections, document reviews, and direct observation.

Frequency: Before each training event, periodically during training, and upon Government request.

Surveillance Record: The COR will maintain pre-event readiness checklists, facility inspection records, equipment and supply checklists, surveillance records, and CDR documentation when applicable.

5.4 Performance Objective 4: CLIN X00101 Prolonged Field Care Training Execution

PWS References: Sections 6.1 through 6.10; PWS Table 1; PWS Table 2; and applicable task orders.

Performance Standard: The contractor shall execute CLIN X00101 in accordance with the ordered PFC capacity tier, Government-accepted course-execution plan, Government-accepted Program of Instruction, syllabus, applicable staffing requirements, scenario-based training requirements, medical equipment and supply baseline, and task-order requirements.

The contractor shall provide required cadre, professional role players, moulage support, facilities, equipment, logistics, student support, and scenario support sufficient for the ordered PFC capacity tier.

Acceptable Quality Level: One hundred percent compliance with the ordered capacity tier, applicable staffing and role-player requirements, Government-accepted training plan, and required baseline resources.

Surveillance Method: The COR may conduct pre-event readiness reviews, direct observation, document review, equipment and supply inspection, and review of student, instructor, and role-player feedback.

Frequency: Each CLIN X00101 course iteration.

Surveillance Record: The COR will maintain a PFC course surveillance checklist, training-observation record, course-execution plan review, student-feedback summary, AAR review, and CDR documentation when applicable.

5.5 Performance Objective 5: Optional Cadaveric or Real-Tissue Training Add-On

PWS References: Sections 4.2.2 and 6.4; and applicable task orders.

Performance Standard: When ordered, the contractor shall provide the complete cadaveric or real-tissue training package required by the applicable task order. The package shall include required specimens or tissue-training stations, facilities, equipment, supplies, safety measures, handling and disposition, waste management, and administrative support.

The contractor shall maintain the PWS-required maximum student-to-specimen or student-to-training-station ratio.

Acceptable Quality Level: One hundred percent compliance with the ordered add-on capacity tier, applicable student-to-specimen or training-station ratio, required safety measures, and task-order requirements.

Surveillance Method: The COR may conduct a pre-event readiness review, direct observation, facility and equipment inspection, and documentation review.

Frequency: Each time the optional cadaveric or real-tissue training add-on is ordered.

Surveillance Record: The COR will maintain a cadaveric or real-tissue training checklist, safety review, documentation review, surveillance record, and CDR documentation when applicable.

5.6 Performance Objective 6: CLIN X00102 Austere Medical Training for Non-Medical Personnel

PWS References: Sections 7.1 through 7.9 and applicable task orders.

Performance Standard: The contractor shall reserve the Government-ordered MARSOC student-seat allocation and provide all contractor-required instruction, personnel, curriculum, materials, facilities, clinical rotations, equipment, assessments, practical exercises, culmination exercise support, and certification-preparation support required by the PWS and applicable task order.

The contractor shall perform in accordance with the Government-accepted Program of Instruction, syllabus, course schedule, assessment methodology, and applicable personnel-qualification requirements.

Acceptable Quality Level: One hundred percent of Government-ordered MARSOC student seats shall be reserved and supported in accordance with the applicable task order, PWS, and Government-accepted course materials.

Surveillance Method: The COR may conduct document review, pre-event readiness review, direct observation, personnel qualification verification, and review of student records, course schedules, clinical-rotation documentation, course evaluations, and student feedback.

Frequency: Each CLIN X00102 course iteration ordered by the Government.

Surveillance Record: The COR will maintain the course schedule review, MARSOC seat-allocation confirmation, personnel qualification checklist, facility and culmination-exercise review, student-feedback summary, AAR review, and CDR documentation when applicable.

5.7 Performance Objective 7: CLIN X00102 NREMT EMT First-Time Pass Rate

PWS Reference: Section 7.3.

Performance Standard: The contractor shall maintain a minimum first-time National Registry of Emergency Medical Technicians Emergency Medical Technician examination pass rate of 90 percent for each applicable MARSOC student cohort.

Acceptable Quality Level: A minimum 90 percent first-time pass rate for each applicable MARSOC student cohort.

Surveillance Method: The COR will conduct one hundred percent review of official examination results and contractor-submitted performance data.

Frequency: Each applicable examination cycle and MARSOC student cohort.

Surveillance Record: The COR will maintain examination-results records, performance-metrics reviews, Corrective Action Plan reviews when applicable, and CDR documentation when applicable.

5.8 Performance Objective 8: CLIN X00103 Custom Medical Training Task-Order Execution

PWS References: Sections 8.1 through 8.9 and applicable task orders.

Performance Standard: The contractor shall not begin CLIN X00103 performance until authorized by an executed task order. The contractor shall execute each Custom Medical Training task order in accordance with the defined scope, Government-accepted training plan, schedule, staffing, facilities, safety plan, deliverables, and other task-order requirements.

Acceptable Quality Level: One hundred percent compliance with the executed task order and applicable PWS requirements.

Surveillance Method: The COR may conduct document review, task-order kickoff review, pre-event readiness review, direct observation, deliverable review, and student or stakeholder feedback review.

Frequency: Each CLIN X00103 task order.

Surveillance Record: The COR will maintain task-order surveillance checklists, training-plan reviews, deliverable trackers, surveillance records, AAR reviews, and CDR documentation when applicable.

6.0 NONCONFORMANCE AND CORRECTIVE ACTION

When the Government identifies a deficiency, nonconformance, or failure to meet a PWS or task-order requirement, the Government may issue a CDR or other written notice to the contractor.

Unless another timeframe is specified by the Contracting Officer, the contractor shall provide a written Corrective Action Plan within ten business days after receipt of a CDR or written notice requiring corrective action.

The Corrective Action Plan shall identify:

1. The root cause of the deficiency;

2. Immediate corrective actions taken or planned;

3. Preventive actions intended to prevent recurrence;

4. The responsible contractor official; and

5. The anticipated completion date for corrective actions.

The Government may require additional information, reject an inadequate Corrective Action Plan, require resubmission, or take other action available under the contract when deficiencies are not timely or satisfactorily corrected.

For CLIN X00102 NREMT EMT pass-rate performance below 90 percent, the contractor shall submit a Corrective Action Plan within ten business days and identify remediation-training strategies at no additional cost to the Government.

7.0 SURVEILLANCE RECORDS

The COR shall maintain surveillance records sufficient to document the basis for performance assessments.

Surveillance records may include:

1. Surveillance checklists;

2. Facility and equipment inspection records;

3. Personnel qualification verification records;

4. Deliverable trackers;

5. Training-observation notes;

6. Student, instructor, role-player, and stakeholder feedback summaries;

7. Meeting notes;

8. Email correspondence;

9. CDRs;

10. Corrective Action Plans; and

11. Other documentation supporting the Government’s assessment of contractor performance.

8.0 QASP REVIEW AND REVISION

The Government may revise this QASP during contract performance when necessary to improve surveillance effectiveness or align surveillance methods with contract modifications, revised task-order requirements, or changes in Government needs.

A revision to this QASP does not modify the contract, PWS, task-order scope, price, or performance requirements. Only the Contracting Officer may modify contractual requirements.